Ticks are parasites that are found in moist bushland, parks and gardens, especially on the Eastern seaboard of Australia. There are about 70 different species of tick in Australia. The most common tick along the East Coast is the paralysis tick (Ixodes holocyclus).
Ticks feed on the blood of humans and animals, and can cause allergic reactions and transmit diseases to their hosts. They attach to the skin by piercing their mouthparts into it and like to attach to soft areas such as the armpits, groin and scalp.
Killing a tick safely as soon as possible after you notice it can help prevent tick-related illnesses, but be aware that symptoms can develop or worsen even after a tick has been removed.
Freeze it; Don’t squeeze it! That’s the latest advice from experts to Australians who have an attached adult tick.
Tick removal techniques that use tweezers or special hook-like tools run the risk of the tick being squeezed or agitated/disturbed, which can result in it injecting its saliva and potentially infectious contents into you, experts say. This could expose you to transmissible diseases from the tick, sensitise you to ticks or meat in the future (mammalian meat allergy), or if you suffer from tick allergy, risk you having a severe allergic reaction.
So Australian experts and ASCIA (the Australasian Society of Clinical Immunology and Allergy) now recommend you kill the adult tick on your skin with a freezing product such as Wart-Off Freeze or Elastoplast Cold Spray. These sprays contain ether which freezes the tick, thus immediately killing it and preventing it from injecting its saliva or regurgitating its contents into you.
You should then leave the tick in place until it drops off (taking care not to compress or squeeze it during this time) which it should do in the next 24 hours. Take care not to compress it or squeeze it during this time. Ether-containing sprays are available from pharmacies in Australia.
Once the tick has dropped off, clean the area with an antiseptic or soap and water.
The experts say freezing the tick may help reduce the risk of tick allergy developing, and also reduce the risk of an allergic reaction in someone who is allergic to tick bites. The risk of developing other tick-related illnesses is also reduced. Bear in mind, however, that currently available ether-containing spray products are not designed or intended to be used to kill ticks.
Note that the Department of Health is not recommending this freezing method until further research becomes available. Their information for non-allergic people states: “When removing a tick with fine tipped forceps (not household tweezers unless fine tipped forceps are not available), grasp the tick as close to the skin’s surface as possible. Pull upwards with steady pressure and avoid jerking or twisting the tick.”
If you are unsure what to do about tick removal, you can contact your doctor. The doctor may use liquid nitrogen to freeze the tick or use fine-tipped tweezers to remove it, or both. When the doctor uses fine-tipped tweezers, they will gently take hold of the tick as close to the skin as possible. They will then gently pull the tick straight up and out using a slow and steady motion so as not to crush or squeeze the tick. Once the tick has been removed, the doctor normally cleans the area with an antiseptic or soap and water.
For small tick larvae or nymphs, the experts recommend applying insecticide cream containing permethrin (e.g. Lyclear) to kill the larval or nymph stage ticks. These creams are available from the chemist – they are normally used for scabies. Permethrin is highly toxic to cats, so take care using it if you have a cat.
It is not uncommon for the tick’s mouthparts to break off, with some part of them being left behind in the skin. However, the saliva glands that hold the tick’s toxin and potential allergens (substances that can cause an allergic reaction) are actually located in the body of the tick, so the mouthparts on their own are not dangerous. The mouthparts usually come out on their own with natural skin shedding.
See your doctor if:
If you have a tick and are experiencing an allergic reaction for the first time, seek urgent medical attention. Call 000 for an ambulance or go to the closest hospital emergency department.
If you have a tick and have a history of allergic reactions to tick bites, you should follow your allergy action plan and seek medical attention. If you are allergic to ticks you should carry an adrenaline autoinjector (e.g. EpiPen or Anapen) for treating severe allergic reactions (anaphylaxis).
While most tick bites don’t cause any symptoms, ticks can cause problems. The following conditions can develop following a tick bite.
If you live in a tick endemic area, make sure to keep some freeze spray and permethrin cream in your first-aid kit, so you are prepared should you get a tick or tick larvae.
When you’re out and about, the following precautions can help prevent you from being bitten by a tick.
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