Medical Mythbusting Commentary for April 23, 2026
Source:
‘You have to be careful’: Experts warn tick season has started early in Canada
Tick bite prevention strategies for eastern and central North America, including Ottawa, Ontario:
Before venturing outside:
- Avoid risky tick habitats (wooded areas, tall grass, leaf litter)
- Wear light-colored clothing to make ticks easier to spot
- Wear long sleeves and long pants
- Tuck pants into socks or footwear to prevent ticks from crawling up legs
- Wear permethrin-treated clothing (0.5% permethrin)
- Apply EPA-approved repellents to exposed skin: DEET, picaridin, IR3535, oil of lemon eucalyptus (OLE), p-methane-3,8-diol (PMD), or 2-undecanone
- Apply permethrin to clothing and gear (boots) in advance and allow to dry before use
During and after exposure to tick habitats:
- Conduct thorough tick checks of extremities, torso, and visually obscured areas (axilla, nape of neck, hairline, in and around ears, umbilicus, groin, popliteal fossa)
- Bathe or shower within 2 hours of outdoor activity to wash off unattached ticks and facilitate tick checks
- Place clothes directly in dryer on high heat for at least 10 minutes (up to 60 minutes for some tick species)
- Alternatively, wash clothes in hot water (not cold or warm)
If an attached tick is detected:
- Remove promptly using clean fine-tipped tweezers inserted between the tick body and skin
- Do NOT burn the tick or apply noxious chemicals or petroleum products
- Clean the bite area after removal
- Store the tick in a sealed container, plastic bag, or wrapped in clear tape with the date and geographic location labeled
- See a clinician if concerned the tick is an Ixodes species and has fed for at least 36 hours (for possible prophylaxis)
- Monitor health for symptoms of Lyme disease and other tick-borne diseases
Additional considerations:
- Higher concentrations of repellents generally provide longer protection, though DEET concentrations >50% offer no meaningful advantage
- Permethrin-treated clothing is more effective than DEET-treated clothing
- For frequent exposure, combine permethrin-treated clothing with skin repellent for maximum protection