West Nile Virus and Lyme Disease in Ottawa
When ticks and mosquitoes are active, they have the potential to spread infections to Ottawa area residents.
What is Lyme disease?
Lyme disease is an infection caused by Borrelia burgdorferi, a bacteria transmitted through the bite of an infected blacklegged tick (Ixodes scapularis), most commonly during the spring, summer and fall months. If a person finds a tick on their body, they should remove it as soon as possible. The risk of Lyme disease increases the longer the tick is attached. Because blacklegged ticks in Ottawa are known to carry this bacteria, Ottawa Public Health (OPH) recommends that, if a person finds a tick on their body that has been attached more than 24 hours, they speak to a healthcare provider or pharmacist. The healthcare provider or pharmacist will provide recommendations on what to do, which may include monitoring for symptoms for the next 32 days and, if appropriate, taking post-exposure prophylaxis (antibiotics). Early signs of Lyme disease occur three to 32 days following a tick bite. This may include an expanding, circular rash, which may look like a “bull’s eye,” but is not present in all cases. Other symptoms can include fatigue (tiredness), fever, headache, swollen lymph nodes, and muscle and joint pain. If untreated, the infection can cause additional rashes on other areas of the body, fatigue, weakness, and may harm the heart, liver, nerves and joints.
What is West Nile virus?
West Nile virus (WNV) is a disease primarily spread to humans by infected mosquitoes. Mosquitoes, especially the Culex type, become infected after biting a bird with the virus and then spread the virus to humans. It can take between three and 14 days before symptoms occur after being bitten by an infected mosquito. Most people infected with WNV will remain asymptomatic, but approximately 20% will develop symptoms of usually mild (through to sometimes debilitating) febrile illness, which may include headache, fatigue, body aches, rash, nausea and vomiting. Less than 1% of those infected may develop severe neurological illness. In Ontario, locally acquired WNV occurs in the summer months, with the majority of cases occurring in August and September.
What is OPH’s Role?
OPH works to prevent Lyme disease and West Nile virus through a variety of measures, including:
· OPH investigates every case of a person being infected with Lyme disease or WNV to identify the likely source of infection and, where appropriate, takes action to minimize further risk to the population.
· OPH provides information to physicians to aid in clinical diagnosis.
· OPH also conducts public education on tick and mosquito bite prevention and conducts surveillance of mosquito and tick populations.
Additionally, OPH contracts services to:
· Apply biological larvicide (Bacillus thuringiensis subspecies israelensis – Bti) on surface waters (e.g., ditches, storm water management ponds) and chemical larvicide (methoprene) to treat non-surface waters for mosquito larvae
· If necessary, conduct mosquito control using adulticide (malathion), based on assessment of increased transmission and risk
How can individuals protect themselves from these infections?
· Apply a Health Canada approved insect repellent containing DEET or icaridin to exposed skin and clothing
· When possible wear long pants, a long-sleeved shirt, shoes, and socks to cover exposed skin
· Tuck your pants into your socks
· Wear light-coloured clothing to spot ticks more easily; this is also appropriate for mosquitoes as they are attracted to darker colours
· If possible, stay on the trails when hiking in the woods and other natural areas. Enjoy mowed and maintained areas in parks and playing fields but be mindful of the borders adjacent to natural areas that may be suitable tick habitat
· For ticks, do a "full body" check on yourself, your children, and pets. Pay careful attention around your toes, knees, groin, armpits and scalp
· For mosquitoes, avoid being outside during dusk and dawn - periods when they are most active - and at any time in shady, wooded areas – remembering to use repellent and protective clothing if you must be out during these periods
· Make sure all windows and doors in your home have well-fitting screens that are in good condition to prevent mosquitoes from entering
· Mosquitoes need water to breed. Eliminate mosquitoes around personal property by reducing or eliminating areas or objects that can accumulate or retain water
Number of human WNV cases and positive WNV mosquito pools by year in the City of Ottawa; 2002-Nov 2022