Ticks have long been pests of humans and animals in North Carolina. From the larval to the adult stages, ticks attach to a living host and feed on the host’s blood. In doing so, they may transmit germs that cause Rocky Mountain spotted fever or Lyme disease, both of which can have serious consequences for humans. This publication will help you identify the several species of ticks found in North Carolina and the diseases they transmit. It also describes ways you can protect yourself from ticks outdoors and control ticks in your home.

Ticks are related to mites and spiders. They have four stages of development — the egg, larval, nymph, and adult stages. After hatching from the egg, the tick must take a blood meal to complete each stage in its life cycle. Each stage of the tick usually takes a blood meal from a different host. For most ticks, each blood meal is taken from a different type of host.

Ticks are usually active in the spring, summer, and fall; however, the adults of some species are active in the winter. When seeking a blood meal, ticks move from leaf litter, from a crack or crevice along a building foundation, or from another secluded place to grass or shrubs where they attach themselves to an animal as it passes. If a host is not found by fall, most species of ticks move into sheltered sites where they become inactive until spring. Once it is on a host, a tick crawls upward in search of a place on the skin where it can attach to take a blood meal. The tick’s mouth parts are barbed, making it difficult to remove the tick from the skin. In addition, the tick manufactures a glue to hold the mouthparts in place. The female mates while attached to a host and usually feeds for 8 to 12 days until it is full. By the time it finishes feeding, the female may increase in weight by 100 times. A male tick may attach, but it does not feed as long as the female. The male tick may mate several times before dying. The female, after mating and feeding, drops to the ground where it lays a mass of eggs in a secluded place such as in a crevice or under leaf litter. Shortly after laying an egg mass, which may contain thousands of eggs, the female dies. The eggs hatch in about two weeks, and the life cycle begins again. Depending upon the species of tick, the life cycle may take as little as a few months or as much as two years.

The American Dog Tick

The Brown Dog Tick

Brown dog tick - male (left) and female (right)

The Lone Star Tick

All stages of Amblyomma americanum, the lone star tick, readily feed on man and large wild or domestic animals such as deer and dogs. Adults and nymphs are abundant in the spring and summer months. The mite-like larvae of this species, commonly called seed ticks, are abundant in the fall. In this stage, the lone star tick readily attacks humans. This tick is found in habitats similar to those of the American dog tick. Bites from the lonestar tick can result in an illness called STARI (Southern Tick Associated Rash Infection) which exhibits a rash similar in appearance to that seen with Lyme Disease. However, this disease is not caused by the same organism that causes Lyme Disease nor has it been linked to the same arthritic, neurological, or chronic symptoms associated with Lyme Disease. The lone star tick also transmits bacteria that cause erhlichiosis. It occurs predominantly in the coastal plain, but it may be found in the North Carolina Piedmont.

Lone star tick: male (right) and female (left)

The Black-Legged Tick

Larvae and nymphs of Ixodes scapularis, the black-legged tick, feed on lizards and small mammals. The nymphs and adults attack small and larger mammals including dogs and deer. Adults are active in late fall, in early spring, and in winter when temperatures rise above freezing. The black-legged tick is found in the same habitats and regions of North Carolina as the lone star tick.

For more information about tick identification, CLICK HERE.

Rocky Mountain Spotted Fever

Lyme Disease

Lyme disease is caused by a spiral-shaped bacterium (called a spirochete), Borrelia burgdorferi. The bacterium is transmitted through the bite of an infected tick. Lyme disease was recognized as a distinct disease in 1975 after several children, living close to each other in the town of Old Lyme, Connecticut, developed arthritis. In the northeastern United States where the disease is prevalent, the black-legged tick, lxodes scapularis (formerly called the deer tick, Ixodes damnini) is the vector of the Lyme disease spirochete. The black-legged tick in the Southeast does not tend to bite humans and as a result many fewer cases of Lyme disease are found. The lone star tick does readily attack humans, but only a small number of spirochete-infected ticks have been collected in the Southeast. Like Rocky Mountain spotted fever, Lyme disease is indigenous to wild animals. Lyme disease has been divided into three clinical stages.

Stage I involves a rash and flu-like symptoms. Within 30 days of infection, a characteristic rash (erythema migrans) occurs at the site of the tick bite. Twenty to 50 percent of Lyme disease patients do not exhibit the rash, which often delays diagnosis of the disease. Erythema migrans may occur as an irregular-shaped red blotch or it may consist of a bright red ring around the bite that gradually expands over several days and clears in the center to form a bull’s-eye pattern. The rash can vary in size from 1 to 18 inches. Later, secondary blotchlike skin lesions may occur away from the site of the bite when the spirochete spreads. The rash is usually accompanied by fatigue, a headache, a stiff neck, muscle aches and pains, and a general feeling of discomfort.

Stage II, which occurs during the next several weeks, includes cardiac and neurological symptoms. Neurological complications occur in about 15 percent of the patients and can involve encephalitis (inflammation of the brain), radiculitis (inflammation of the nerve roots), and Bell’s palsy (transitory facial paralysis). In most instances, these symptoms completely disappear after lasting several months. Cardiac abnormalities occur in about 8 percent of patients. The symptoms include dizziness, shortness of breath, and heartbeat irregularities that may require installation of a pacemaker. Within several weeks these symptoms usually disappear.

Stage III is distinguished by arthritic problems that may appear as long as two years after the rash. Patients may experience pain, swelling, and elevated temperature in one or more joints. Some patients may also exhibit sleepwalking, loss of memory, mood changes, and inability to concentrate. Lyme disease and its complications can be effectively treated with antibiotics. Physicians use different antibiotics against each stage of the disease. With early treatment, the course of Lyme disease is shortened and the occurrence of late complications, such as arthritis, is reduced. Therefore, it is important to diagnose Lyme disease and administer antibiotic therapy quickly.

Ehrlichiosis

• To avoid ticks that maybe on grass and shrubs, stay on wide paths and roads when possible.
  When practical, layer your clothing. Tuck your pant legs into your socks and your shirttail into your pants. Wearing light-colored clothing makes ticks easier to see.
• Most commercial insect repellents are effective against ticks. Liberally apply one of these to exposed areas of your body and to your clothing. When camping, try to select an area that is not heavily infested with ticks. You can check for ticks by dragging a piece of white flannel cloth or clothing over the grass and shrubs and then examining it for ticks.
• When you have been in a tick-infested area, examine your clothing and body at least twice each day. Frequent self-inspection lessens the chance of a tick having enough time to attach. A tick must be attached at least six hours in order to transmit disease organisms causing Rocky Mountain spotted fever; therefore, the longer a tick is attached, the greater the chances are that germs will be transmitted. The minimum attachment time required for transmission of Lyme disease spirochetes is not yet known.

1. The risk of infection with tick-transmitted disease organisms can be greatly reduced by inspecting yourself frequently for
   ticks and promptly removing any that have attached. Applying petroleum jelly or cleaning fluid or holding a burning cigarette near an attached tick will not cause it to dislodge. Such “home remedies” irritate the skin and kill the tick, making it difficult to remove intact. Here is the best way to remove an attached tick:
   
2. Shield your fingers with a piece of folded tissue paper or use tweezers. Disease organisms carried by an engorged tick may penetrate even microscopic breaks in the skin. Grasp the body of the attached tick firmly and, without twisting or jerking, pull directly away from the point of attachment, increasing the
   force gradually until the tick is pulled free.
3. If the tick’s mouth parts break off in the skin, use a sterilized needle to remove them as you would a
   splinter.
4. Wash the bite area with soap and water and apply an antiseptic such as alcohol.
5. Wash your hands thoroughly with soap and water after removing the tick.
6. Mark the date of the tick bite on a calendar. If symptoms of Rocky Mountain spotted fever or Lyme disease
   develop, you will be able to tell your physician when you were bitten.
7. Save the tick by preserving it in rubbing alcohol. If you cannot identify it using the pictures in this
   publication, take it to your county Cooperative Extension Center.

Pets may transport ticks into the family living area, so inspect them frequently for ticks. Remove attached ticks from pets
using the same procedures described for people. Control ticks on pets using flea-tick collars and powder or liquid formulations of pesticides. In addition, several safe and effective pesticides can control ticks in pet quarters. Contact your county Cooperative Extension Service agent for advice on pesticides or you can check the NC Agricultural Chemicals Manual .

Controlling Ticks on Home Grounds and in Public-Use Areas

• Weeds and grass around homes and in public-use areas should be kept mowed to discourage rodent hosts of ticks from becoming established.
• Reduce exposure to ticks by removing the leaf litter layer around picnic tables, in campsites, and along hiking trails.
• Severe tick infestations can be controlled effectively with pesticides. Uniform application is critical to achieving adequate control. If a liquid formulation is used, the ground cover in tick-infested areas should be wetted thoroughly to the soil surface. Apply granular pesticides just before rainfall or else water the granules thoroughly to assure that the pesticide is released. Keep children and pets out of treated areas until the chemical has dried. Contact your county Cooperative Extension Service agent for advice on which pesticides to use against ticks or check the NC Agricultural Chemicals Manual .