RHODE ISLAND, May 16 - PROVIDENCE – With the warmer weather arriving, state public health and environmental officials are urging residents to safely enjoy the outdoors. With a very mild winter in which more ticks than usual have likely survived until spring and with warmer weather and longer days giving people more reasons to engage in outside activities, the Rhode Island Department of Health (RIDOH) and the Department of Environmental Management (DEM) are concerned that 2022 may be a bad year for tick bites and the transmission of Lyme disease and other diseases.

For Rhode Islanders to enjoy the outdoors safely, it is important they be aware of ticks and the diseases these arachnids carry. Rhode Island continues to be a high-incidence state for Lyme disease. According to RIDOH disease data, Rhode Island had 839 cases of Lyme disease in 2020, with an incidence rate of 77 cases per 100,000.

"While Rhode Islanders are enjoying the great outdoors, we need to make sure we're all taking these three key steps to preventing Lyme and other tick-borne diseases: Repel, Check, Remove," said Interim Director of Health James McDonald, MD, MPH. "Repel and reduce your exposure to ticks, check your body for ticks in the spots that they like to crawl and hide, and be sure to promptly and properly remove ticks if you find one on yourself, your family members, or your pets. Ticks are tiny and you may not be able to feel them or spot them right away. The sooner you find and remove them, the better your chances are at preventing the potential for very serious health issues caused by Lyme and other diseases ticks carry."

Increasing numbers of ticks could be attributed to a variety of environmental factors that are symptomatic of climate change such as more moderate winters (allowing ticks that are alive in autumn to survive over the winter), hotter temperatures in the summer, and more rainfall. Rhode Island's Lyme disease prevention work is part of larger efforts toward building greater community resilience, which will help communities prepare for, respond to, and recover from the adverse health effects of climate change.

"As the weather warms and Rhode Islanders begin returning to state parks, campgrounds, and management areas, so do ticks," said DEM Acting Director Terry Gray. "DEM and the Rhode Island Department of Health cooperate on a wide array of programs and initiatives to protect public health. Public education is critical. Again this year, DEM welcomes the chance to make RIDOH's informative tick bite-prevention materials available for our park and campground visitors."

RIDOH's ongoing Tick Free Rhode Island campaign highlights the three keys to tick safety: repel, check, and remove.

Repel Keep ticks off you, your children, and pets by:

o Avoiding wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges of the trail. You can also spray your clothes with permethrin to keep ticks away. Make sure to not spray this on your skin.

o Wearing long pants and long-sleeve shirts when outside.

o Tucking your pants into your socks so ticks do not crawl under your clothes.

o Wearing light-colored clothing so you can see ticks more easily.

Check Check yourself, your children, and pets, for ticks by:

o Taking a shower as soon as you come inside if you have been in grassy or wooded areas.

o Doing a full-body tick check using a mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair.

o Checking your pets for ticks as well because they can bring ticks into the home.

Remove Remove ticks from your body, as well as from children and pets, if you find them.

o Use a set of tweezers to remove the tick. Grasp the tick as close to the skin as possible and pull straight up.

o If you don't have tweezers, use your fingers with a tissue or rubber gloves.

Most people who get Lyme disease get a rash anywhere on their body, though it may not appear until long after the tick bite (70-80% of people with Lyme disease will develop a rash, according to the US Centers for Disease Control and Prevention). At first, the rash looks like a red circle, but as the circle gets bigger, the middle changes color and seems to clear, so the rash looks like a target bull's-eye.

Some people don't get a rash but feel sick, with headaches, fever, body aches, and fatigue. Over time, they could have swelling and pain in their joints and a stiff, sore neck; or they could develop shooting pains, numbness, or tingling in the hands or feet, or facial drooping from nerve palsy. A few people may even experience heart problems. Lyme disease can be treated with antibiotics.

Rhode Island's Lyme disease prevention work is part of larger efforts toward building greater community resilience, which will help communities prepare for, respond to, and recover from the adverse health effects of climate change.

The Tick Free Rhode Island campaign features three animated Tick Free Rhode Island videos. The videos show how to repel both ticks and mosquitoes, how to check for ticks, and how to properly remove a tick from the skin. RIDOH's Rhode Island Tick Detective Workbook for Kids is also available online. To view the videos and get more information on Lyme disease and other tick-borne diseases, visit health.ri.gov/ticks.