Table 2.
Present and potential measuresa to control TBDs. This table is modified from Eisen & Gray [241]. There is not a single method that effectively controls all TBDs. National and local strategies, which combine several methods probably work best [191, 192]. Anti-tick vaccines blocking pathogen transmission in humans and domestic animals might encompass the silver bullet to control TBDs. Hygiene measuresb involve checking for tick bites, prompt removal, and most importantly, seek medical advice when developing symptoms (e.g. fever, skin rash) or illness in weeks to months after a tick bite
| Personal | Domestic animal | Residential | Vegetation | Fauna | Medical |
|---|---|---|---|---|---|
| Avoid tick habitats | Avoid tick habitats | Xeriscaping/ Hardscaping | Awareness for visitors | Increase awareness and knowledge of medical doctors | |
| Protective clothing | Treatments with topical or systematic acaricides | Keep grass short, remove weeds, remove leaf litter and brush | Reduce tick abundance on sites with high recreational activities | Deer fencing | Technical improvement of laboratory tests |
| Repellents | Hygiene measuresb | Remove harborages/food for rodents and insectivores | Avoidance tick habitats/ directing visitor flows | Deer removal | Improvement of diagnostic/clinical pathways |
| Acaricide-impregnated clothing | Fencing to exclude wildlife | Mowing/extensive grazing of paths and recreational sites | Topical acaricide for propagation hosts (deer) | Improve cure and care of patients with late LB and persisting complaints | |
| Hygiene measuresb | Move play/rest structures to low risk areas | Create open habitats rather than woodlands | Sheep mopping | Prophylactic antibiotic treatment after a tick bite | |
| Control ticks on dogs/ cats and in gardens | Chemical/fungal acaricides | Topical acaricide/antibiotics for rodents | |||
| sTBE vaccine | TBE vaccine | Oral LB vaccine for rodentsa | |||
| LB vaccinea | LB vaccine | Oral tick growth regulator/acaricidea | |||
| Tick vaccinea | Tick vaccinea | Tick vaccinea |