RCAHD Health Updates Newsletter

05.08.24
Health updates for residents of the
Roanoke City & Alleghany Health Districts (RCAHD)
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Fight the Bite!
Tick-borne illnesses have been on the rise in SW VA
Sometimes tiny and hard to spot, ticks can cause serious medical problems including Lyme disease and alpha-gal food allergy, and some life-threatening diseases such as ehrlichiosis, anaplasmosis and Rocky Mountain spotted fever.
In recent years we have seen a significant jump in reports of tick-borne diseases. For example, in 2023, the number of reported local RCAHD Lyme disease cases (91 cases) increased more than 50% over 2022 (58 cases).
Tick-borne diseases can pose a serious public health threat because if left untreated, in some situations they can lead to severe illness requiring hospitalization or even death. We are also seeing increases in acquired red meat allergies caused by ticks, sometimes referred to as "alpha-gal syndrome."
Although more than 15 different types of ticks have been found in Virginia, the ticks of particular concern are:
  • the black-legged tick, which transmits Lyme disease, anaplasmosis, babesiosis and more.
  • the Lonestar tick, found in suburban areas at lower elevations such as ours, which transmits ehrlichiosis and alpha-gal syndrome.
  • the American dog tick, which can transmit Rocky Mountain spotted fever.
The most important protection strategies are those that prevent you from being bitten in the first place. The best protection is to use an insect repellant that protects against both ticks and mosquitoes, such as those with a concentration of 20-50% DEET. Follow the product label directions for safe use on your skin and on your clothes. Although natural substances such as eucalyptus or lemon oil have repellant qualities, they may not be as effective as DEET. 
Pre-treat your shoes and clothes with permethrin spray to provide a long-lasting repellant barrier. Also, tuck your pants into your socks when you are outdoors, and remember to protect your pets: medicated collars, and oral or topical products formulated specially for pets can be very effective. 
After outdoor activity, inspect yourself and your children, clothing, and gear for ticks. The running water of a shower can also wash away ticks before they attach. 


Before going outside:
  • Apply EPA-registered insect repellent
  • Treat clothes and gear with products containing 0.5% permethrin
  • Stick to the path and avoid brushy areas
  • Prevent ticks on pets

Speaking of bites... Summertime is also prime mosquito season! While we have over 60 different types of mosquitos in Virginia, the Asian Tiger mosquito is one of the most common. West Nile virus is the leading cause of locally-acquired, mosquito-borne infection in Virginia. Reduce the places where mosquitos can breed and find a home near you. Tip and toss any standing water in your yard. More from VDH: FAQs about Mosquitos

QUIZ- Test Your Knowledge!

If you find a tick, all of the following steps for removal of the tick are suggested EXCEPT:
  • A. Use tweezers to carefully pull the tick straight away from your skin removing the head as well as the body.
  • B. Avoid squeezing the tick's mid-section.
  • C. Smother the tick with nail polish remover or petroleum jelly.
  • D. After tick removal, clean the skin and bite area with rubbing alcohol.

Keep scrolling to see if you got it right!
Improving Community Health: Adolescent Reproductive Health Summit

More than 60 advocates for local teen's health attended the Adolescent Reproductive Health Summit on May 7 in Vinton, sponsored by RCAHD. The event was organized by the SHARE Collaborative (Sexual Health & Reproductive Education), a local network of individuals from organizations that work with teens. The summit agenda included presentations on adolescent mental health, how providers can dismantle the stigma teens feel about their health concerns, and an exploration of recent data and trends such as state and local rates of sexually transmitted infections (STIs). Did you know? Young people between the ages of 15-24 account for 50% of new STIs.

The SHARE Collaborative, lower right, includes representatives from Roanoke City Schools, Goodwill, RCAHD, Children's Trust, Partnership for Community Wellness, local mental health providers and more.
Learn more about RCAHD's Teen Reproductive Health services, including links to local partners

Contact Linnea McCarty to learn more about the SHARE Collaborative

Come Work With Us!

Help improve your community's well-being! Join the RCAHD public health team:


Visit RCAHD Employment Opportunities for more positions expected to be posted this week, including:
  • Fiscal Tech
  • Population Health Community Coordinator
  • Nutritionist Sr.
Family Nutrition: Sleep and Nutrition

Virginia's Family Nutrition Program Eat Smart Move More Virginia has improved nutrition goals, healthy, low-cost recipes reviewed by nutrition educators, and helpful information such as this article on specific nutrients that help produce and regulate sleep hormones important for getting a full night’s sleep.

Check out their list of suggestions for better sleep, including this recipe with magnesium-rich chia seeds:

Happy Mother’s Day!

To all the moms and mother figures in our lives: For all you do to support others, we hope you have the support you need.

May is Mental Health Awareness Month. Do you or a family member need help?
Every person nationwide can call or text 988 or chat online with 988lifeline.org to reach trained crisis counselors who provide 24/7, free and confidential support. The 988 lifeline can be used by people in distress, for prevention and crisis resources for you or your loved ones, or for best practices for professionals in the United States.
Learn how 988 can help you or your loved ones in a crisis and how it supports our wider community with these FAQs.
Fight the Bite QUIZ:

The answer is C-
Covering a tick with substances before removal is unhelpful and possibly harmful. If the tick senses danger, it may “spit” its gut contents into the bite, making exposure to disease even more likely!

Instead place tweezers close to the skin and pull firmly and steadily until the tick lets go of the skin. Do not twist the tick or rock it from side to side. After removal, swab the bite site with alcohol to disinfect the skin.