Remove clothing and inspect the body for ticks after outside activities. Remove attached ticks by carefully grasping as close to the skin as possible. Pull with slow steady force. Protect the hands with gloves, cloth or tissue. Prevention of LD also involves avoidance of tick-infested areas, as well as chemical and environmental management of tick populations on residential properties.
Minimal information is currently available about possible delayed adverse effects of vaccination.
Therefore, the vaccine is currently not recommended for individuals in these groups. Safety and efficacy have also not been published using alternative dosage schedules or with simultaneous administration of other vaccines. Therefore, vaccine administration and schedule should not deviate from FDA and package insert guidelines. Based on current information on vaccine safety and efficacy, and the known epidemiology of LD in California, LD vaccine is not recommended for routine vaccination anywhere in California. Although LD cases have been reported from almost every county in California, based on tick studies and the residences of reported cases of LD to date, there are geographic areas with modest or some risk for LD, relative to the rest of the State where the risk is low or none.