Ed Day, Rockland County Executive

July 14, 2022
Contact: Beth Cefalu, Director of Strategic Communications (845) 638-5645
                Patricia Schnabel Ruppert, D.O., M.P.H., CPE, DABFM, FAAFP (845) 364-2512


NEW CITY, NY, - Rockland County Executive Ed Day and County Health Commissioner Dr. Patricia Schnabel Ruppert remind residents that as you spend time outside this summer, be sure to protect yourself from tick bites. The risk and incidence of Lyme and other tickborne diseases persist and is higher in the summer.

"A bite from an infected tick can cause Lyme Disease and other tick-borne diseases such as Ehrlichiosis, Babesiosis, Anaplasmosis, and Powassan. Most people enjoy being outside during the summer months; however, this is when more than half of the total Lyme disease cases are reported. To prevent tick-borne disease in people, follow these five simple steps to protect yourself and your family," said Dr. Ruppert:

  1. Check your skin for ticks daily. When outside, check your skin and clothing for ticks. Know where to expect ticks. Ticks live in grassy and wooded areas and prefer a humid environment. Check yourself often and brush any ticks off before they attach. Do a full check of your skin when you go back inside. It is easy to check when you bathe or shower. Be sure to check for ticks on your children and pets too!
  2. Remove ticks quickly and safely. Remove any attached ticks using this safe method: Using fine-tipped tweezers, grasp the tick near the mouthparts as close to the skin as possible. Do not twist, turn, or squeeze the tick's body. Instead, pull the tick in a steady, upward motion away from the skin until the tick lets go. To lessen your chance of infection, remove an attached tick as soon as possible. For tick identification, call the Cornell Cooperative Extension Horticultural Lab at 845-429-7085.
  3. Dress in clothes that protect. If you are heading outdoors, wear light-colored clothing, such as white or pastels. Wear a long-sleeved shirt, long pants, socks, and shoes. Tuck your shirt into your pants and pant legs into your socks. Wear sneakers or boots, not sandals. Tie back long hair or wear a hat.
  4. Consider the use of an insect repellent. Carefully read and follow the directions on the repellent label. Some products should be used only on clothing, never on the skin. Talk to your pediatrician about using repellents on your children. Never let children put repellents on themselves.
  5. Learn the symptoms of Lyme disease: After a tick bite, watch for symptoms for at least 30 days. Symptoms can include tiredness, headache, neck stiffness, slight fever, swollen glands, pain or stiffness of muscles or joints, and a red circular rash (called erythema migrans) that often appears at the site of the tick bite, usually within 3 to 14 days after the bite of an infected tick. The rash then grows larger. Sometimes many rashes appear, varying in shapes and sizes. Common sites are the thighs, groin, trunk, and armpits. The center of the rash may clear as it enlarges, resulting in a "bull's-eye" appearance. If you have any of these symptoms or are feeling ill, see your doctor.
  6. Do I need antibiotics after a tick bite? Taking antibiotics within three days of a tick bite may benefit a person living in an area where deer ticks infected with Lyme disease are common, and there is evidence that the tick fed for more than one day. Rockland County is an area of concern for deer ticks and Lyme disease. Ticks have flattened, tear-shaped bodies at all stages of growth. If you are bitten by a tick, and its shape is not flat (i.e., engorged), it is a sign that it had a blood meal. This could put you at risk for common tick-borne disease transmission. If you experience a case like this, discuss the possibilities of antibiotics with your doctor.

"This is the season when ticks are more active, and families need to be proactive to prevent serious tick-borne diseases. As we enjoy the outdoors, be sure to follow these steps to protect yourselves and your families from tick-borne diseases," said County Executive Day.

If not treated early, tick bites and Lyme disease can result in long-term symptoms, including joint pain and neurological symptoms, such as weakness, numbness, and facial droop, as well as serious mental health problems. For more information, visit the New York State Department of Health website at