1. Deer Ticks... Deer Ticks...One bite can change your life... Larry Dapsis Deer Tick Project Coordinator - Entomologist www.capecodextension.org 508-375-6642 Barnstable County Commissioners November 5, 2014

2. Cape Cod Cooperative Extension – Tick Program Barnstable County – 4 th highest incidence rate of Lyme in MA 3 rd highest incidence rate of Babesiosis “Community Wellness Program” Research Outreach

3. Barnstable County Lyme/Tick-borne Diseases Task Force Brenda Boleyn – Chair Henry Lind Sam Donta, MD Helen Grimm, RN S. Gay Freeman, MD Joyce McConnell, RN Bill Clark, George Heufelder, Deirdre Arvidson, Larry Dapsis

4. Barnstable County Lyme/Tick-borne Diseases Task Force Legislation monitoring Outreach Development

6. Lone Star Tick Cuttyhunk & Prudence Islands Sandy Neck and ? Aggressive biter Erlichiosis STARI Tularemia Red Meat Allergy

8. Americorps – September 2014

9. Nymph Stage Tick Infection Punkhorn Conservation % Bor-Bab-Ana 201328 12 0 2012 20 20 2 2011 22 20 0 2010 47 13 8 Bells Neck Conservation % Bor-Bab-Ana 201320 12 4 2012 32 22 9 2011 23 20 0 2010 27 0 5

10. Borrelia miyamotoi Known for 10 years First linkage to human disease in 2012 – Russia U.S. cases followed Misdiagnosed as Anaplasmosis 2014 - Found in 3% of nymph stage ticks, Cape & Island sites

11. Tick Repellent Clothing – Permethrin Fabric only…Active thru 6 washings Many Brands Ben’s, Coleman, Sawyer... Ben’s, Coleman, Sawyer... Note, Permethrin is an insecticide that repels and kills ticks. Read the Label…

12. Permethrin Distribution Eastern Mountain Sports – Hyannis, Bourne Hyannis Country Gardens Scenic Roots – Sandwich Aubuchon Hardware – Sandwich Ace Hardware – Yarmouth Nickerson State Park – Brewster Agway – Dennis, Orleans, Chatham Green Spot Garden Center - Yarmouth

14. Don’t Let...one bite can change your life... Simplified Game Plan Summary Tick Checks and Use of Permethrin- Treated Clothing Tick Checks and Use of Permethrin- Treated Clothing Perimeter Yard Spray Perimeter Yard Spray Pet Protection Pet Protection

15. Cape Cod Healthcare Funded 600 Distributed to: - State Parks - Sandy Neck Beach Park - All town Conservation Offices Offered to Compact of CC Conservation Trust Members

16. Community Innovation Challenge Grant - 2014 Tick Testing – UMass Amherst Four Counties – 32 Towns Barnstable, Nantucket, Middlesex, Franklin 100 Ticks per town No charge to submitter…provides people “hard data” on exposure Develop maps of exposure risk www.TickReport.com

17. 2014 – Falmouth Babesia infected ticks

18. Projects Pending Cape Cod Healthcare Community Benefits Grant Program Tick Education Direct Household Mailing MA Community Innovation Challenge Grant Program Tick Testing Program Expansion EPA Region 1 ReSES Program Lone Star Tick Trapping Small Mammal Trapping