Ticks Can Unfold a Illness Known as Rabbit Fever. How Actual Is the Threat?

Hotter temperatures and milder winters proceed to boost the chance of life-threatening tick-borne diseases for individuals in the USA.

Whereas Lyme illness is the commonest such an infection in North America, a uncommon tick-transmitted sickness referred to as tularemia (nicknamed “rabbit fever”) made headlines this week as three possible circumstances had been detected in Suffolk County, New York.

Tularemia is attributable to the bacterium Francisella tularensis. The bacterium naturally happens in small rodents and different wild animals, which then will get picked up by the ticks and bugs that feed on them. Individuals mostly get sick from tick bites or contact with sick animals. It doesn’t unfold from individual to individual.

“It’s referred to as rabbit fever as a result of rabbits are the first provider, however that is an uncommon an infection in any mammal, together with people,” says Sharon Nachman, MD, the division chief of pediatric infectious illness at Stony Brook Drugs in Suffolk County, New York. “There are solely about 200 reported human circumstances within the U.S. yearly. That is simply not a really transmissible illness, so we nonetheless don’t count on to see a giant rise in circumstances this yr.”

The New York State Division of Well being has but to formally affirm the three possible circumstances, in keeping with state well being division spokesperson Marissa Crary.

Why Is Rabbit Fever Getting Consideration?

Circumstances of tick-borne sickness have been mounting in recent times, elevating issues that they pose a rising public well being menace. Simply this spring, knowledge from the Facilities for Illness Management and Prevention (CDC) confirmed that weekly emergency room visits for tick bites had been at their highest stage since 2017.

For tularemia particularly, total case numbers stay low, however one other 2025 CDC research discovered that the typical rabbit fever circumstances surged by greater than 50 % between 2011 and 2022. Charges had been highest amongst kids ages 5 to 9, older males, and American Indian or Alaska Natives.

“The actual fact is tularemia and different tick-borne illnesses are displaying up in additional locations and being acknowledged extra usually,” says Peter Chin-Hong, MD, an infectious illness specialist and a professor of drugs on the College of California San Francisco Faculty of Drugs.

Dr. Chin-Hong believes that local weather change is contributing, as hotter winters and longer summers enhance the variety of months that ticks are energetic and persons are outdoor. Hotter situations may additionally help bigger animal populations to feed these ticks. Moreover, constructing and development have been pushing deeper into pure environments, making publicity extra possible.

Public well being authorities could also be particularly alarmed by doable tularemia circumstances as a result of the bacterium that causes the sickness, Francisella tularensis, is a Tier 1 bioterrorism menace. F. tularensis has been explored as a bioterrorism agent as a result of it might probably trigger incapacitating, doubtlessly deadly sickness.

Signs of Rabbit Fever (Tularemia)

Rabbit fever could be difficult to determine as a result of its signs can mimic these of many different infections, particularly early on.

“That is why the prognosis is commonly missed at first,” says Chin-Hong.

Early indicators and signs can resemble the flu and embrace:

  • Fatigue
  • Headache
  • Fever and chills
  • Muscle ache and aches (myalgia)
  • Chest discomfort or cough
  • Sore throat
  • Lack of urge for food
  • Vomiting and diarrhea
  • Belly ache
  • Swollen lymph nodes
  • Extreme eye irritation if micro organism enters eye

Dr. Nachman notes that with tularemia, an ulcer (an open, painful sore) can type on the web site of the tick chunk, and swollen, tender, sizzling lymph nodes might develop in that space.

Finally, the one definitive approach to affirm rabbit fever is thru lab testing. When caught early, rabbit fever could be successfully handled with antibiotics similar to doxycycline, streptomycin, gentamicin, and azithromycin.

With out immediate remedy, nonetheless, tularemia could be deadly in 10 to 50 % of circumstances.

Recognizing Doable Publicity

A quick, correct prognosis of rabbit fever could be made if an individual has been in a scenario or atmosphere the place contact with the micro organism is extra possible, for instance, time spent outdoor or round sick rabbits.

“We advise households to avoid rabbits that aren’t behaving in a standard trend,” says Nachman. “Individuals might imagine, ‘Aww, there’s a cute bunny and I need to assist it,’ however a sick animal is a sick animal, so don’t strategy it or you could get an an infection.”

However direct contact with a tick is the almost definitely manner for a human to turn out to be contaminated. Ticks can feed for hours at a time, growing the probabilities {that a} pathogen will unfold from the tick to the human, says Chin-Hong. “Ticks additionally inject saliva constantly throughout feeding, which can suppress the immune system regionally and enhance the possibilities of an infection,” he says.

Defending Your self From Tick Bites and Rabbit Fever

For those who’re spending time outdoor in areas the place ticks and contaminated rabbits might thrive, Chin-Hong suggests following tick prevention ideas.

  • Put on lengthy sleeves and pants outdoor. Tuck pants into socks and put on light-colored clothes so ticks are simpler to see.
  • Use insect repellents. DEET and picardin merchandise are efficient towards ticks.
  • Apply permethrin to clothes solely. This highly effective insecticide ought to by no means be utilized straight on pores and skin.
  • Verify your self for ticks. After time outdoor, totally scan your physique, and your children and pets, for ticks.
  • Put on gloves when dealing with sick or deceased animals. Higher but, don’t contact them.
  • Verify areas rigorously earlier than garden mowing. Mowing over a lifeless contaminated animal can aerosolize the micro organism.

For those who do discover a tick in your physique, don’t panic. Chin-Hong recommends:

  • Take away it as quickly as doable. Use fine-tipped tweezers, greedy the tick as near the pores and skin as doable then pulling it straight out. Don’t twist the tick as you take away it. It’s not vital to save lots of the tick.
  • Clear the chunk space and your fingers. Use cleaning soap and water or rubbing alcohol.
  • Look ahead to tick signs. You don’t want to instantly see a physician, however rigorously look ahead to indicators of sickness. If flu-like signs seem, see a healthcare supplier as quickly as doable.

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