Effectiveness of Residential Acaricides to Prevent Lyme and Other Tick-borne Diseases in Humans

Background. In the northeastern United States, tick-borne diseases are a major public health concern. In controlled studies, a single springtime application of acaricide has been shown to kill 68%-100% of ticks. Although public health authorities recommend use of acaricides to control tick populatio...

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Veröffentlicht in:The Journal of infectious diseases 2016-07, Vol.214 (2), p.182-188
Hauptverfasser: Hinckley, Alison F., Meek, James I., Ray, Julie A. E., Niesobecki, Sara A., Connally, Neeta P., Feldman, Katherine A., Jones, Erin H., Backenson, P. Bryon, White, Jennifer L., Lukacik, Gary, Kay, Ashley B., Miranda, Wilson P., Mead, Paul S.
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container_end_page 188
container_issue 2
container_start_page 182
container_title The Journal of infectious diseases
container_volume 214
creator Hinckley, Alison F.
Meek, James I.
Ray, Julie A. E.
Niesobecki, Sara A.
Connally, Neeta P.
Feldman, Katherine A.
Jones, Erin H.
Backenson, P. Bryon
White, Jennifer L.
Lukacik, Gary
Kay, Ashley B.
Miranda, Wilson P.
Mead, Paul S.
description Background. In the northeastern United States, tick-borne diseases are a major public health concern. In controlled studies, a single springtime application of acaricide has been shown to kill 68%-100% of ticks. Although public health authorities recommend use of acaricides to control tick populations in yards, the effectiveness of these pesticides to prevent tick bites or human tick-borne diseases is unknown. Methods. We conducted a 2-year, randomized, double-blinded, placebo-controlled trial among 2727 households in 3 northeastern states. Households received a single springtime barrier application of bifenthrin or water according to recommended practices. Tick drags were conducted 3-4 weeks after treatment on 10% of properties. Information on human-tick encounters and tick-borne diseases was collected through monthly surveys; reports of illness were validated by medical record review. Results. Although the abundance of questing ticks was significantly lower (63%) on acaricide-treated properties, there was no difference between treatment groups in human-tick encounters, self-reported tick-borne diseases, or medical-record-validated tickborne diseases. Conclusions. Used as recommended, acaricide barrier sprays do not significantly reduce the household risk of tick exposure or incidence of tick-borne disease. Measures for preventing tick-borne diseases should be evaluated against human outcomes to confirm effectiveness.
doi_str_mv 10.1093/infdis/jiv775
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E. ; Niesobecki, Sara A. ; Connally, Neeta P. ; Feldman, Katherine A. ; Jones, Erin H. ; Backenson, P. Bryon ; White, Jennifer L. ; Lukacik, Gary ; Kay, Ashley B. ; Miranda, Wilson P. ; Mead, Paul S.</creator><creatorcontrib>Hinckley, Alison F. ; Meek, James I. ; Ray, Julie A. E. ; Niesobecki, Sara A. ; Connally, Neeta P. ; Feldman, Katherine A. ; Jones, Erin H. ; Backenson, P. Bryon ; White, Jennifer L. ; Lukacik, Gary ; Kay, Ashley B. ; Miranda, Wilson P. ; Mead, Paul S.</creatorcontrib><description>Background. In the northeastern United States, tick-borne diseases are a major public health concern. In controlled studies, a single springtime application of acaricide has been shown to kill 68%-100% of ticks. Although public health authorities recommend use of acaricides to control tick populations in yards, the effectiveness of these pesticides to prevent tick bites or human tick-borne diseases is unknown. Methods. We conducted a 2-year, randomized, double-blinded, placebo-controlled trial among 2727 households in 3 northeastern states. Households received a single springtime barrier application of bifenthrin or water according to recommended practices. Tick drags were conducted 3-4 weeks after treatment on 10% of properties. Information on human-tick encounters and tick-borne diseases was collected through monthly surveys; reports of illness were validated by medical record review. Results. Although the abundance of questing ticks was significantly lower (63%) on acaricide-treated properties, there was no difference between treatment groups in human-tick encounters, self-reported tick-borne diseases, or medical-record-validated tickborne diseases. Conclusions. Used as recommended, acaricide barrier sprays do not significantly reduce the household risk of tick exposure or incidence of tick-borne disease. Measures for preventing tick-borne diseases should be evaluated against human outcomes to confirm effectiveness.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/jiv775</identifier><identifier>PMID: 26740276</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject><![CDATA[Acaricides - administration & dosage ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; BACTERIA ; Borrelia ; Child ; Child, Preschool ; Double-Blind Method ; Family Characteristics ; Female ; Humans ; Infant ; Infant, Newborn ; Ixodidae ; Male ; Middle Aged ; New England ; Placebos - administration & dosage ; Pyrethrins - administration & dosage ; Tick Bites - epidemiology ; Tick Bites - prevention & control ; Tick-Borne Diseases - epidemiology ; Tick-Borne Diseases - prevention & control ; Ticks - drug effects ; Ticks - growth & development ; Young Adult]]></subject><ispartof>The Journal of infectious diseases, 2016-07, Vol.214 (2), p.182-188</ispartof><rights>Copyright © 2016 Oxford University Press on behalf of the Infectious Diseases Society of America</rights><rights>Published by Oxford University Press for the Infectious Diseases Society of America 2016. 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E.</creatorcontrib><creatorcontrib>Niesobecki, Sara A.</creatorcontrib><creatorcontrib>Connally, Neeta P.</creatorcontrib><creatorcontrib>Feldman, Katherine A.</creatorcontrib><creatorcontrib>Jones, Erin H.</creatorcontrib><creatorcontrib>Backenson, P. Bryon</creatorcontrib><creatorcontrib>White, Jennifer L.</creatorcontrib><creatorcontrib>Lukacik, Gary</creatorcontrib><creatorcontrib>Kay, Ashley B.</creatorcontrib><creatorcontrib>Miranda, Wilson P.</creatorcontrib><creatorcontrib>Mead, Paul S.</creatorcontrib><title>Effectiveness of Residential Acaricides to Prevent Lyme and Other Tick-borne Diseases in Humans</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>Background. In the northeastern United States, tick-borne diseases are a major public health concern. In controlled studies, a single springtime application of acaricide has been shown to kill 68%-100% of ticks. 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Used as recommended, acaricide barrier sprays do not significantly reduce the household risk of tick exposure or incidence of tick-borne disease. 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E.</au><au>Niesobecki, Sara A.</au><au>Connally, Neeta P.</au><au>Feldman, Katherine A.</au><au>Jones, Erin H.</au><au>Backenson, P. Bryon</au><au>White, Jennifer L.</au><au>Lukacik, Gary</au><au>Kay, Ashley B.</au><au>Miranda, Wilson P.</au><au>Mead, Paul S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of Residential Acaricides to Prevent Lyme and Other Tick-borne Diseases in Humans</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>2016-07-15</date><risdate>2016</risdate><volume>214</volume><issue>2</issue><spage>182</spage><epage>188</epage><pages>182-188</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><abstract>Background. In the northeastern United States, tick-borne diseases are a major public health concern. In controlled studies, a single springtime application of acaricide has been shown to kill 68%-100% of ticks. Although public health authorities recommend use of acaricides to control tick populations in yards, the effectiveness of these pesticides to prevent tick bites or human tick-borne diseases is unknown. Methods. We conducted a 2-year, randomized, double-blinded, placebo-controlled trial among 2727 households in 3 northeastern states. Households received a single springtime barrier application of bifenthrin or water according to recommended practices. Tick drags were conducted 3-4 weeks after treatment on 10% of properties. Information on human-tick encounters and tick-borne diseases was collected through monthly surveys; reports of illness were validated by medical record review. Results. Although the abundance of questing ticks was significantly lower (63%) on acaricide-treated properties, there was no difference between treatment groups in human-tick encounters, self-reported tick-borne diseases, or medical-record-validated tickborne diseases. Conclusions. Used as recommended, acaricide barrier sprays do not significantly reduce the household risk of tick exposure or incidence of tick-borne disease. Measures for preventing tick-borne diseases should be evaluated against human outcomes to confirm effectiveness.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>26740276</pmid><doi>10.1093/infdis/jiv775</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Acaricides - administration & dosage
Adolescent
Adult
Aged
Aged, 80 and over
Animals
BACTERIA
Borrelia
Child
Child, Preschool
Double-Blind Method
Family Characteristics
Female
Humans
Infant
Infant, Newborn
Ixodidae
Male
Middle Aged
New England
Placebos - administration & dosage
Pyrethrins - administration & dosage
Tick Bites - epidemiology
Tick Bites - prevention & control
Tick-Borne Diseases - epidemiology
Tick-Borne Diseases - prevention & control
Ticks - drug effects
Ticks - growth & development
Young Adult
title Effectiveness of Residential Acaricides to Prevent Lyme and Other Tick-borne Diseases in Humans
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