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FACTS ABOUT LYME DISEASE IN CALIFORNIA Lyme disease is an infectious disease transmitted by the bite of ticks. It is caused by a spirochete (a spiral-shaped bacterium) that may persist in the human body for several years if not property treated with antibiotics. The natural history of this disease isn't completely understood and the illness produced takes many forms. Because of varied symptoms, diagnosis can be difficult. This newly recognized disease was first noted in 1975 in Old Lyme, Connecticut, and was first seen in California in 1978.  

SYMPTOMS

Early symptoms include a characteristic spreading rash accompanied by flu-like symptoms, fever and aches. Possible complications in the heart and/or nervous system may occur as well as severe arthritis. The disease commonly has these three stages:  

STAGE 1 - The first recognizable symptom usually is a characteristic rash, known as erythema migrans (EM), which occurs 3 to 30 days after the bite of an infected tick.  EM is a red, blotchy, circular, expanding rash that may grow to several inches in diameter and clears centrally, producing a ring-like appearance.  One or more EM lesions may occur, not necessarily at the bite site.  EM may be preceded or accompanied by flu-like symptoms.  These symptoms may persist, change, disappear and reappear intermittently for several weeks.

STAGE 2 - Some infected persons may develop long-term complications weeks to months after the initial symptoms. These complications may include disorders of the heart or nervous system. Abnormalities of the heart include varying degrees of blockage in the heart muscle. Nervous system abnormalities include meningitis, encephalitis, facial paralysis (Bell’s palsy) and other conditions involving peripheral nerves. During this stage, patients may experience migratory pain in joints, tendons, muscles, and bones, often without joint swelling or redness.  

STAGE 3 - Months to years after disease onset, patients may develop arthritis that appears and disappears intermittently for several years. Arthritis is the most common long-term symptom of Lyme disease. Large joints, especially the knees, are most often affected. Lyme arthritis may become chronic, with erosion of cartilage and bone.  

 THE VECTOR OF LYME DISEASE IN CALIFORNIA  

The Western Black-legged Tick (Ixodes pacificus) is the only tick of the 49 species in California that is known to transmit Lyme disease.  The spirochete causing Lyme disease was first isolated from this tick in 1984.

The tick has three active life stages.  Immature stages (larvae and nymphs) feed on small rodents, rabbits, lizards, birds, and occasionally large mammals.  Adults feed on large mammals, including deer, dogs, and humans.  All stages feed by imbedding their mouthparts into the skin of a host and taking a blood meal.

Preliminary studies show that white-footed mice and deer may be the primary reservoirs of Lyme disease in California.  Larval and nymphal ticks acquire spirochetes from the blood of infected mammals as they feed; the infected nymphs and adults transmit the spirochetes to other mammals (including humans).  In California a low percentage of the ticks tested are infected with the Lyme disease spirochete.

Adult ticks are most commonly found from December through June, during the period of the year when humidity is usually high. The adult female is red-brown and black legs, about 1/8 of an inch long. Males are smaller and entirely brownish-black. Both are teardrop shaped. This tick can be found on grasses and brush in both urban and rural settings. Ticks do not fly, jump, or drop from trees. Instead they climb to the tips of vegetation, typically along animal trails or paths, and wait for a host to brush against them. This behavioral method of finding a host is called questing.

WHAT TO DO IF YOU THINK YOU HAVE LYME DISEASE  

Early recognition of Lyme disease is important. If you have found a tick attached to your skin or if you were in an area where ticks are known to occur and if you have any of the symptoms listed above, tell your physician immediately of your suspicions. This information, together with a blood test, will help your physician make a diagnosis. Treatment with antibiotics during the early stages can cure the infection and prevent complications associated with stages 2 and 3.  

For more information about ticks click here.

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The information in this web page is also available in a brochure.