How To Prevent Tick Exposure, According To Lyme Experts

Check out specially treated clothing for kids and adults, insect repellents for the skin and tick prevention tips from medical professionals.
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Stay safe from ticks on your next adventure outdoors with this long-acting insect-repelling lotion, these mesh leg gaiters treated with permethrin and a high-strength DEET spray.

It’s difficult to imagine that a week at summer camp or a day spent in the garden could expose you or your loved ones to a vector-borne disease that can have potentially long-lasting and chronic effects on your health.   

But that’s exactly what’s at stake, especially if you live in higher risk parts of the country such as the Northeast, Mid-Atlantic and Midwest, where humidity levels are higher, said Dr. Samuel Shor, past president of International Lyme & Associated Diseases Society and a clinical associate professor at George Washington University.

“If not caught early, Lyme [disease] can have lasting effects on the brain and nervous system and potentially lead to cognitive impairment,” Shor said. 

Lyme disease is transmitted through deer ticks, which carry the bacteria responsible for Lyme, explained Dr. Luis Marcos, an infectious disease specialist at Stony Brook Medicine, which is located in New York’s Suffolk County at the epicenter of tick-borne diseases. Lyme also happens to be one of the most common vector-borne diseases in the United States.  

“Lyme disease is a growing problem for Suffolk County, with around 600-700 cases every year. Ticks can [also] be active year-round,” Marcos told HuffPost.

The American Camp Association, a community of camp professionals focused on enriching the lives of children through camp, estimates that 25% of all Lyme disease diagnoses in the country are kids, and that children in the summer camp-appropriate age range of 5-14 years old are considered a particularly high-risk group. It’s such a concern, in fact, that the ACA created checklists and codes of conduct to prevent tick bite exposure in summer camp settings.    

Prevention is a good place to start when it comes to protecting yourself from ticks and Lyme, and according to Dorothy Leland, vice president of LymeDisease.org and co-author of the book, “When Your Child Has Lyme Disease: A Parent’s Survival Guide,” there are several repelling tools in the form of sprays, topicals and clothing that can reduce the chances of a tick bite outdoors.

“You should apply bug repellent to exposed skin. Studies show that repellents with DEET, picaridin or lemon eucalyptus oil are the most effective against ticks,” Leland said. 

Shor said DEET should be a first-in-line choice for tick repellent; however, if you are skin-sensitive to DEET, picaridin is a natural alternative that is most commonly effective against mosquitos and can be a sufficient substitute.

“It’s important to be proactive about the kinds of clothing you wear,” he added. “Stick to light-colored clothing because it can make it easier to spot a tick and tuck pant legs into socks and shirts into the waistband of your pants to prevent ticks from crawling under clothing.”

Leland said that you can also treat your clothing, shoes and gear with a spray that contains 0.5% permethrin, a synthetic insecticide, which can offer protection for up to five to six washes.  

“You can [also] purchase clothing that has been pre-treated with permethrin and the protection lasts through 70 washings,” she said. 

“If there’s one piece of information that I would want to impart,” Shor said, “it is that you need to be aware of your surroundings. We know that ticks like tall grass and heavily leaved areas. We also know that one of the most high-risk environments for tick exposure is when people are gardening.”

You can be proactive on your next outdoor venture or send your camper away with some precautionary items from following list. Find kid-safe repellents and clothing items that have been certified by the Environmental Protection Agency as safe and effective measures to repel insects, including ticks.  

HuffPost may receive a share from purchases made via links on this page. Every item is independently selected by the HuffPost Shopping team. Prices and availability are subject to change.

1
A protective insect-repelling hoodie for kids
This soft-stretch quick-dry cotton hoodie for kids has been treated with EPA-approved permethrin that is odorless and invisible on clothing. The addition of the lightweight hood and thumbholes on the sleeves provides additional protection against insects.
2
A long-lasting aerosol insect repellant that has a kid-safe concentration of DEET
Cutter's Backwood aerosol repellent contains 10% DEET, making it suitable for non-supervised use for kids, and can be applied to both skin and clothing for effective protection that lasts up to 10 hours. The sweat-resistant formula also ensures that you or your child can remain active in warm weather and still be protected from ticks.
3
A 50-pack of DEET-infused towelettes for protection on the go
For a more portable means of protection, these infused towelettes each contain 30% DEET that can be rubbed onto exposed patches of skin to provide up to seven hours of protection. The water-based formula is low-odor, non-greasy and non-staining.
4
A pair of kids’ anti-insect hiking pants with UV protection
These insect-repelling hiking pants for kids have been treated with permethrin and are constructed from a lightweight nylon that moves easily and dries quickly. There's an elastic waist for added comfort, even as kids grow, as well as UPF 50+ sun protection.
5
A permethrin treatment spray for clothes, gear and tents
Add an extra layer of protection to your clothing, shoes and gear with this unscented permethrin spray that bonds to fabric fibers and repels ticks and 55 other insects, including mosquitos. Available in both an aerosol or pump-spray formula, the treatment is effective for up to six weeks or six washings, and it won't stain or damage fabric and other surfaces.
6
A DEET-free oil of lemon eucalyptus spray that can be less irritating to skin
For skin that is sensitive to DEET, this oil of lemon eucalyptus-based repellent spray can be a botanical-powered option that offers up to six hours of protection. This natural alternative has a non-chemical scent and won't leave skin feeling greasy. Just keep in mind that DEET-free formulas won't offer the same level of protection against ticks as options that do contain DEET.
7
A pair of padded cotton crew socks with an anti-insect coating
Like all of Insect Shield's products, these cotton crew socks have been treated with permethrin that has been tested for effectiveness against insects including ticks. They have a comfortable built-in cushion on the sole and are available in sizes M-XL.
8
A light-colored UV-protective T-shirt with tick-repellent abilities
Made from 70% cotton, this ultra-breathable and lightweight shirt has EPA-registered permethrin repellent built into the fabric, providing protection against insects for up to 70 washes. This long-sleeve shirt also offers 30+ UV sun protection and is available in sizes for children at Craghoppers.
9
Tick-repelling leg gaiters made from mesh
These stretch-mesh leg gaiters have been treated with long-lasting EPA-registered, micro-encapsulated permethrin that is both resistant to UV exposure and gradually released by friction. They remain effective for up to 50 washings and are available for the arms as well.
10
A pair of permethrin-coated hiking pants for men in a convertible design
You can convert these permethrin-coated and UV-protective pants from full-length trousers to shorts using the concealed zippers at the knee. The seat and knees are also reinforced to keep up with rigorous activities, and nine different pockets provide ample space to hold all your valuables.
11
A picaridin-infused SPF that repels deer ticks
This DEET-free sunscreen contains nearly 20% picaridin to repel insects including deer ticks for up to 10 hours and also contains broad spectrum SPF30 for UV protection. The formula is infused with vitamin E, an antioxidant that can ward off environmental stressors that lead to premature aging of the skin.
12
A time-release insect repellent lotion with a high percentage of DEET
This insect repellent lotion contains a little over 34% of DEET, a relatively high concentration compared to most repellents on the market. The continuous time-release technology provides protection for up to 12 hours and the lotion formulation helps to ensure that exposed skin can be thoroughly covered. Because the DEET concentration in this formula exceeds the recommend level for kids (which is 10%-30%), use with children should be supervised.
13
A pair of permethrin-treated leggings for women
Specifically designed for outdoor activities, these four-way stretch leggings have been treated with an EPA-registered permethrin repellent and have an added UV protection of SPF 40+. They are constructed from a lightweight jersey material that incorporates mesh panels for breathable and moisture-wicking wear. You can also find them in children’s sizes at Craghoppers.

Before You Go

Natural Bug Sprays That Don’t Smell Like Toxic Waste
A lemon eucalyptus spray that smells like an expensive yoga studio(01 of12)
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A few sprays of this lemon eucalyptus bug spray, and you'll think you're at a luxury spa.

Promising review: "Cutter Lemon Eucalyptus insect repellent is one of my favorite summer products for many reasons; it's made with clean, woodsy-scented natural lemon eucalyptus, it is non-greasy and clear, absorbing right into your skin; and best of all, it REALLY WORKS at repelling all flying summer bugs including mosquitoes, flies & gnats. I am an outdoor early a.m. gardener, so besides spraying exposed skin, I lightly spray my clothes with this product and there is never a stain and barely the mildest scent." — Jancal
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A lavender bug spray for people and pets(02 of12)
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Keep annoying bugs away from your kids and your fur kids with this lavender bug repellent. A plant-based product made with essential oils and aloe vera, it can be used on pets, horses and humans alike.

Promising review: "For our honeymoon in the Bahamas the mosquitos were really bad in the evenings and this spray was the only thing that seemed to keep them away and it smells great. I immediately bought more when we got back. The name brand ones like Off didn’t do a thing to ward them off." — KSMoore
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Lemon insect repellent that's naturally mellow and budget-friendly(03 of12)
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Try a natural bug spray without totally breaking the bank. This lemon-scented option from Target is made with essential oils and citronella. It's the perfect thing to keep around the yard or in your summer bag.

Promising review: "Smells great! Would recommend. Mostly effective at keeping mosquitos away but I particularly like that I don’t smell like chemicals." — Anonymous
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Essential oil bug spray wipes that are easy to pack(04 of12)
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Enter the bug wipe, an easy, kid-friendly way to apply bug repellent with no risk of accidentally spraying your eyes or mouth. These wipes can be used on babies as little as six months, and are meant to ward off bugs with cedarwood, geranium and citronella essential oils.

Promising review: "This has been a very buggy summer in CT. We’ve had so much rain and the skies have been overcast. Therefore hiking has been a constant battle due to mosquitoes-that is until I found these wipes. They work great. Love that they come in a dispenser. So easy to use and much safer to use than spray-esp with the grandkids definitely recommend!" — Rebecca O.
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A citrus-vanilla bug spray that people will assume is perfume(05 of12)
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Kinfield's "Golden Hour" insect repellent looks and smells more like a perfume than a bug spray. With hints of citrus and vanilla, it keeps you smelling fresh all day.

Promising review: "The summers in the south are filled with bugs, and this repellent really works! Non-greasy, refreshing smell. People have asked me what perfume I'm wearing, and I say bug spray!" — Southern_Charm
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A baby-friendly bug spray for sensitive skin(06 of12)
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Made with citronella and lemongrass essential oils, this insect repellent is safe for babies over six months and loved by kids, teens and adults. It has calendula and aloe vera to soothe existing itchy bites, too.

Promising review: "Works really well and smells delicious. Safe to use on all my babies, even my one-year-old." — Irma O.
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Soothing bug spray with lemongrass(07 of12)
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An all-natural bug spray made in the USA? Sign me up! A blend of vanilla and lemon, this bug spray isn't oily or sticky and is great for outdoor activities and sports.

Promising review: "Finally something that works! I've been browsing around for natural alternatives and this came up during my search. I'm leery of anything that has that many good reviews but thought why the heck not, I'll try it. Surprisingly, this Bug Soother spray smells awfully nice, like, nice enough to be a body spray and I didn't think it would work. But I sprayed this stuff all over me while camping this past weekend in the humid Minnesota summer and it worked! Hallelujah it worked! I only got one little bite but I will take it! Super happy with this product!!" — MissM
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A 2-pack of herbal bug sprays available in four scents(08 of12)
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If you like rosemary, cedarwood, lemongrass or peppermint, you'll love these Wondercide all-natural bug sprays. They're clear and non-sticky and said to work for up to two hours.

Promising review: "This is an amazing product. First bought to hike the jungles of Hawaii.......no mosquitoes bothered us. Our daughter took it with her to Costa Rica......no mosquito bites for her. Then I used it at my dad's farm. Each fall they are plagued with ladybug looking bugs that come in for the winter. I sprayed all the windows and door frames. The bugs were repelled and I found that spiders were repelled also by this product, not killed, repelled. I am now using it on my deck furniture to keep bugs/spiders from making their homes in the cracks.......it works!! No staining or residue at all. Safe to spray on walls.....once dry it disappears but keeps working. I can't promote this product highly enough. It is AWESOME!!!!!!" — scarlet ohara
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A lemongrass and cedarwood spray for the whole family(09 of12)
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For a plant-based insect repellent in an easy spray bottle, look no further. This has a mix of natural ingredients like citronella, lemongrass and cedarwood oils, and its air-powered bottle helps maximize coverage.

Promising review: "The smell is clean and I use this on my daughter for daycare." — acs5245
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A lemongrass and vanilla spray you'll use all summer long(10 of12)
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Spritz on this all-natural insect repellent for a burst of lemongrass and vanilla. It's non-sticky and lightweight.

Promising review: "That is my favorite. The Best of the Best. I used the first time when i was in Costa Rica rainforest during rainy season and no mosquitos come closer to me and everyone was asking me what perfume you are wearing. I said no perfume just insect repellent. I left the rest for them and just glad I got a new one for my next trip." — Montserrat F.
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A lemongrass, rosemary and peppermint balm that's easy to spread(11 of12)
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If you're sick of sprays and want more control over where your product goes on your body, let me introduce you to repellent balm. It's made in the USA from natural products like beeswax, olive oil, castor oil and peppermint. Spread it on your ankles, wrists and other pesky places bugs can reach.

Promising review: "So excited to see this balm available at my favorite retailer! This stuff smells amazing and better yet, it works!" — Kristin F
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A hydrating lemongrass bug spray dry skin will love(12 of12)
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If you have dry skin, you probably need this hydrating insect repellent made with vitamin E, glycerin and castor oil. It will keep your skin and nose happy with lemongrass oil and hints of vanilla.

Promising review: "Medella Naturals is a delightful to ensure a pleasant evening outside. Its scent is refreshing, and it keeps the bugs from biting!" — Helen Ledgerwood
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