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Ticks and Lyme disease

Why is the disease on the increase?

Lyme disease is transmitted by blood-sucking ticks. Matthew Baylis — an expert in diseases of people and other animals that are transmitted by arthropods — describes the disease, how it is transmitted, and possible reasons for its increased prevalence

Figure 1 Above, an Ixodes ricinus tick. Below, a tick feeding
 

Most of us like to get out into the countryside, whether it’s to hike, camp or just for a gentle stroll. However, occasionally the aftermath is unexpected and definitely not enjoyable. Following an energising walk in the woods, you return home and shower to wash off some mud. Under your armpit, behind your knee or around your waist, you feel a tiny lump. On close examination it turns out to be an animal, stuck into your skin — most likely the blood-sucking tick Ixodes ricinus (see Figure 1 and Box 1).

Ticks are obligate blood-feeding arachnids, related to spiders and scorpions. There are two main types of tick — soft and hard. Hard ticks, including Ixodes ricinus, have a firm, chitinous exoskeleton. They develop through four stages (see Figure 1.1):

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