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Tick-Borne Illnesses

Info For Healthcare Providers

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• NC DHHS Memo: NC Animal Tick Identification Program - June 15, 2018 (PDF, 288KB)
• NC DHHS Memo: Annual Update on Diagnosis and Surveillance for Tickborne disease - May 11, 2018 (PDF, 371 KB)
• NC DHHS Memo: Tick-Mosquito Prevention at Summer Camps - June 1, 2016 (135KB)

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• NC DHHS: N.C. Communicable Disease Manual for Local Health Departments - Case definitions, investigation steps, and reporting information for the tick-borne illnesses reportable in North Carolina: ehrlichiosis, Lyme disease, and Rocky Mountain spotted fever.
• NC DHHS: Lyme Disease Resources for Healthcare Providers – Diagnosis, treatment, testing, reporting, lab guidance and continuing education resources from CDC, IDSA, ACP, CDN and others.
• CDC: Babesiosis Resources for Health Professionals
• CDC: Diagnosis and Management of Tickborne Rickettsial Diseases: Rocky Mountain Spotted Fever, Ehrlichioses, and Anaplasmosis - United States - A practical guide for physicians and other health care and public health professionals (MMWR, 03/31/2006).
• The Clinical Assessment, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis: Clinical Practice Guidelines by the Infectious Diseases Society of America - The Centers for Disease Control & Prevention (CDC) recommends these detailed 2006 treatment guidelines prepared by an expert panel of the Infectious Diseases Society of America (IDSA). Published on behalf of IDSA in the Oxford Journal of Clinical Infectious Diseases, (2006) 43 (9): 1089-1134 (doi: 10.1086/508667).

Prevention and Patient Education:

• From NC DHHS:
  • Do you feel ILL after exposure to TICKS or tick habitats? Color poster - 11"x17" (PDF, 2.21 MB) and 8½"x11" (PDF, 1 MB)
  • Anaplasmosis in North Carolina - Fact Sheet (PDF, 580KB)
  • Ehrlichiosis in North Carolina - Fact Sheet (PDF, 589KB)
  • Spotted Fever Illnesses in North Carolina - Fact Sheet (PDF, 593KB)
  • Making Sense of Tick and Mosquito Repellents (PDF, 639KB)
  • Safe Use of DEET and Other Insect Repellents
• American Academy of Pediatrics - Healthy Children: Safety & Prevention, Insect Repellents

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• Find Your Local Health Department - First line of contact for communicable disease control, surveillance and response in our communities.
• State Laboratory of Public Health - Virology and serology services for babesiosis, Lyme disease, rickettsia, and more.
• N.C. Communicable Disease Branch - Contact us to speak with our Medical Consultation Unit or the Epidemiologist on call.

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• NC Veterinarian Tick Identification Program Submission Form (PDF, 196KB)
• Form 2124 (PDF, 280KB) - Physicians and healthcare providers may use this form when notifying the local health department of cases or suspected cases of reportable diseases. Learn more about communicable disease reporting.
• Form 3445 (PDF) – Use this form to order arboviral and rickettsial serology from the State Laboratory of Public Health

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• Clinical Directors Network : Free Webinar CME course: Recognizing and Treating Tick-Borne Diseases - Sponsored by Missouri Department of Health and Senior Services and DEET Education Program. Free registration required.

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