Evaluating the adoption of behaviors protecting populations participating in outdoor physical activity from exposure to tick borne illnesses

Lyme disease, caused by an infection of the bacterium Borrelia Burgdorferi is contracted through the bite of Ixodes ticks.  Initially identified in Lyme, CT, Lyme disease is currently the most common vector borne disease in the United States.  Equally important, it is endemic in Europe from southern Scandinavian countries into the northern Mediterranean, and in eastern Asia.  The purpose of this study is to determine if golfers in endemic areas are at increased risk of exposure to tick borne illness, and analyze the utilization of protective behaviors.  Evidence based procedures for sample collection and prevention were researched through a search of relevant literature.  Methods:  tick flagging was performed in areas of scrub where golfers were likely to come into contact with tick habitat.  A short survey was administered to assess the practice of behaviors protective to infection.   Results: Of those surveyed, 72% reported having found a tick on their person after golfing, 24% reported having been diagnosed with Lime disease in the past, 31% did not perform clothing checks for ticks after golfing, and 72% did not use repellant while golfing.  A prior diagnosis of Lyme disease was not associated with increased adoption of protective behaviors.  Recommendations: increased awareness and practice of protective behaviors such as using repellent, and preforming tick checks, and bathing after being exposed to tick habitats can prevent transmission of Lyme disease to humans.  Informational materials and repellent sales should be available in areas where there is increased risk of exposure to vectors.