To prevent Lyme disease, avoid grasslands and wooded areas where incidence of the disease is high. When outside in these areas, apply insect repellent containing DEET (n,n-diethyl-m toluamide) to exposed skin. Apply permethrin (kills ticks on contact) to clothes and avoid getting this substance on the skin because it is toxic.
Wearing long-sleeved shirts and pants tucked into boots may prevent ticks from reaching the skin. Light-colored clothing makes it easier to see ticks.
Check clothing and skin carefully, especially where clothing touches the skin (e.g., cuffs, underwear elastic). Shower after all outdoor activities; if a tick is on the skin but unattached, it may wash off.
Run the fingers gently over the skin. An attached tick feels like a small scab. The tick must be attached to a person for 2 to 3 days to pass on the infection, so removing it within 36 hours will significantly reduce the risk for Lyme disease.
Carefully examine these areas on the body:
- Behind the knees
- Between fingers and toes
- Ears (inside and behind)
- Hairline and top of the head
- Navel (belly button)
- Neck
Podiatrist-developed and -monitored.
Original Date of Publication: 01 Jan 2000
Reviewed by: John J. Swierzewski, D.P.M., Stanley J. Swierzewski, III, M.D.
Last Reviewed: 30 May 2007
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