Smart-Take: Lyme Disease

Lyme disease is caused by being bit by infected ticks, most often in their nymphal or immature form. Nymphs are about the size of poppy seeds, and because their bites are painless, many people don’t realize that they have been bitten.

According to the CDC, the number of confirmed or suspected cases of Lyme has more than tripled since 1995, with most reported in 2014 and located primarily in the Mid-Atlantic, Northeast, and Upper Midwest. Contrary to popular belief, infection is not always marked by the Lyme “ring,” a circular, rash-like pattern that shows up on the skin. Symptoms can vary in both children and adults. Here are some critical signs to watch for:


  • Flu-like illness (fever, chills, sweats, muscle aches, fatigue, nausea, and joint pain)
  • Rash (fewer than 10 percent have the classic bullseye rash)
  • Bell’s palsy


  • Headaches or stiff neck
  • Light or sound sensitivity
  • Cognitive impairment
  • Sleep disturbance
  • Depression, anxiety, or mood swings
  • Arthritis, tingling, burning, or shooting pains
  • Fatigue
  • Abdominal pain, nausea, or diarrhea
  • Chest pain or palpitations
  • Shortness of breath


  • Avoid areas where they are typically found, including leaves, logs, and long grasses.
  • Dress in light-colored clothing that contrasts with the tick’s color, and seal off vulnerable access points by tucking your shirt into your pants, and pants into your socks.

  • Talk with your pharmacist about DEET protection on your skin and clothing.

  • Always do a thorough check for ticks after possible exposure—on your body, clothing, and bedding.


  • Use fine-pointed tweezers and grasp the tick as close to the skin as possible.

  • Pull straight out with steady pressure, avoiding squeezing and “breaking” it.

  • Wash and disinfect your hands and the area around the bite.

  • Package the tick in a small plastic bag with a moist piece of tissue or a leaf, label and date it, and have a lab or vet identify and test the tick for you.