Ticks are emerging earlier from winter hibernation and remaining active for more weeks of the year as the climate is warming, according to public health experts. The result is that Americans’ risk of infection from pathogens carried by the outdoor pests is increasing.
“There are more tick-borne disease [cases] every year,” John Aucott, M.D., director of the Johns Hopkins Lyme Disease Clinical Research Center, told WebMD.
The CDC recorded 59,349 cases of tick-borne illnesses in 2017, and there were likely 10 times more cases, since cases of diagnosed Lyme disease (the most common tick-borne disease) often don’t get reported to the CDC, according to the agency’s own assessment of medical records and other data.
Aucott estimates that around 300,000 to 400,000 Americans contract by Lyme disease annually. In addition to Lyme, ticks carry anaplasmosis, ehrlichiosis, Rocky Mountain spotted fever, babesiosis, tularemia and powassan virus.
Climate and deforestation is likely to expand those numbers over time, as the geographic habitat for ticks expands into more areas of the United States.
Black-legged ticks (also called deer ticks) traditionally have thrived in forests in the Northeast, central north Midwest and in the mid-Atlantic, where people also were at risk of getting tick-borne diseases. But as the weather has gotten warmer sooner in many areas of the country, the tick has spread farther south, west and east. This CDC map shows how quickly Lyme disease has spread since 2012.
Quartz’s Gwynn Guilford explains in more detail why climate change and destruction of the forest matters in this July 2015 story that describes how ticks hatch in the spring into nymphs. The nymphs, no bigger than a poppy seed, need to feed on blood to stay alive. Among their favorite hosts are white-footed mice, which often carry the pathogens that cause Lyme and other diseases. Once done feeding, the nymphs will jump onto deer and people.
As humans have built more homes near and forests and eliminated predators to mice, the risk of Lyme disease has grown. As spring comes earlier each year, there are more nymphs hatching, ready to feed on mice and people.
Mice “thrive when we screw things up,” Richard S. Ostfeld, Ph.D., a disease ecologist with the Millbrook, New York-based Cary Institute of Ecosystem Studies, tells Guilford.
Ostfeld has been studying mice populations for 25 years to gauge Lyme disease risk for those living in the Northeast. For 2017, Ostfeld predicted it would be a bad year for Lyme, and he was correct. For 2019, he expects people in the Northeast to be at an “average” risk for getting Lyme disease.
“That isn’t to say that people should relax,” Ostfeld said. “The risk is always high, but some years are worse than others.”
A clearer picture of just how at risk Americans may be tick-borne diseases is likely to develop in the next few years. For the first time, the CDC this year will be monitoring not only the number of human cases of tick-borne diseases, but also the ticks themselves and the pathogens they carry.
Another factor in the growing risk of tick-borne diseases is that there are a growing number of new ticks emerging in the environment. The Asian longhorned tick was found just a few years ago in New Jersey and it has already spread to 10 states. Though it has not yet to be found carrying a pathogen dangerous to humans, it has been shown to carry Lyme in other countries. The tick also can reproduce without a mate and is so prolific that they can bleed livestock to death.
As reporters look for stories to cover tick season this year, here are a few resources:
- Oscar Alleyne, D.Ph., M.P.H., chief of programs and services for the National Association of County and City Health Officials. Contact: Theresa Spinner, press secretary, email@example.com.
- John Aucott, M.D., director of Johns Hopkins Lyme Disease Clinical Research Center. Contact: (410) 616-7596 or firstname.lastname@example.org.
- Dina Fonseca, Ph.D., director for Rutgers University’s Center for Vector Biology. Contact: (848) 932-6853 or email@example.com.
- Richard S. Ostfeld, Ph.D., disease ecologist, Cary Institute of Ecosystem Studies. Contact: (845) 677-7600, ext 136 or firstname.lastname@example.org
- Jennifer Sass, senior scientist, federal toxics, health and food, healthy people & thriving communities, National Resources Defense Council. Contact: Anne Hawke, press secretary, email@example.com.
- Katie Fowlie, media representative for all vector-borne disease experts at the agency. Contact: firstname.lastname@example.org.
- CDC tickborne diseases page.
- CDC Vital Signs report on surge in vector-borne diseases: May 2018.
- CDC tick surveillance maps.
- CDC surveillance of Lyme disease data and maps.
- CDC to start tracking disease as ticks as diseases rise: WebMD, March 2019.
- CDC to track ticks this year: Fortune, March 2019.
- Climate change enters its blood-sucking phase: The Atlantic, February 2019.
- Fast facts on vector-borne diseases: AHCJ, October 2017.
- Guide to tick-borne diseases: WebMD, June 2017.
- Lyme disease is spreading faster than ever and humans are partly to blame: Quartz, February 2015.