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are highest in children 5-9 years and adults aged 65-75 years.  Other tick borne diseases
                   such as Babesiosis (520 cases in 2014, a 24% increase over 2013) and Anaplasmosis (604
                   cases in 2014, a 84% increase over 2013)  are also on the rise, particularly on the
                   Cape.  In Essex county during 2014 (the latest available data) the following numbers of
                   cases of tick borne disease were confirmed: 319 Lyme, 32 cases of Babsesiosis and 41
                   Anaplasmosis.

                   The Boxford BOH, consistent with the Mass DEP and CDC, continues to recommend
                   common sense preventative measures when outdoors such as proper clothing and
                   performing regular tick checks as the best and most proven method(s) to decrease the risk
                   of contracting Lyme disease.   Additional information about how to protect against ticks
                   when outdoors is posted on the BOH website.

                   Tick Tubes containing Pyrethrin, a pesticide that kills ticks, presents a means to control
                   ticks on mice, the species primarily responsible for transmitting Lyme and other diseases
                   into ticks.   Data suggest that Tick Tubes can reduce the numbers of ticks and, if used
                   instead of spraying, can reduce the amount of pesticide used to control ticks. The Tick
                   Tubes program, approved at the 2012 October Town Meeting  went into effect in
                   February 2013. Tick Tubes available through the Health Office at 41.25 per box of 24
                   tubes, enough to approximately cover the perimeter of a ½ acre lot.  To date the BOH has
                   sold 43 boxes of Tuck Tubes at our cost.












































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