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Risk factors

By Mayo Clinic staff

Where you live or vacation can affect your chances of getting Lyme disease. So can your profession and the type of outdoor activities you enjoy. The most common risk factors for Lyme disease include:

  • Spending time in wooded or grassy areas. In the United States, deer ticks are most prevalent in the Northeast and Midwest regions, which have heavily wooded areas where deer ticks thrive. Children who spend a lot of time outdoors in these regions are especially at risk. Adults with outdoor occupations are also at increased risk. In the first two stages of life, deer ticks in the United States feed on mice and other rodents, which are a prime reservoir for Lyme disease bacteria. Adult deer ticks feed primarily on white-tailed deer.
  • Having exposed skin. Ticks attach easily to bare flesh. If you're in an area where ticks are common, protect yourself and your children by wearing long sleeves and long pants. Don't allow your pets to wander in tall weeds and grasses.
  • Not removing ticks promptly or properly. Bacteria from a tick bite can enter your bloodstream only if the tick stays attached to your skin for 36 to 48 hours or longer. If you remove a tick within two days, your risk of acquiring Lyme disease is low.
References
  1. Lyme disease. Centers for Disease Control and Prevention. http://www.cdc.gov/lyme/. Accessed June 19, 2012.
  2. Bismacine/chromacine. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm150503.htm. Accessed June 19, 2012.
  3. Wormser GP, et al. The clinical assessment, treatment and prevention of Lyme disease, human granulocytic anaplasmosis and babesiosis: Clinical practice guidelines by the Infectious Disease Society of America. Clinical Infectious Diseases. 2006;43:1089.
  4. Lyme disease. National Institute of Allergy and Infectious Diseases. http://www.niaid.nih.gov/topics/lymeDisease/understanding/Pages/intro.aspx. Accessed June 19, 2012.
  5. Longo DL, et al. Harrison's Online.18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=9102369. Accessed June 19, 2012.
DS00116 Oct. 3, 2012

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