Following Up With A Ukrainian Musician And Smoky Mountain Firefly Magic, Inside Appalachia

This week on Inside Appalachia, a Ukrainian musician reflects on what music means during wartime. And there’s a growing number of a certain kind of blood-sucking arachnid — and diseases that come with it. We also sit in on one of the natural wonders of the Great Smoky Mountains.

This week, a Ukrainian musician reflects on what music means during wartime.

And there’s a growing number of a certain kind of blood-sucking arachnid — and diseases that come with it. 

We also sit in on one of the natural wonders of the Great Smoky Mountains.

You’ll hear these stories and more this week, Inside Appalachia.

In This Episode:


An Update On Our Hammered Dulcimer Story

Last year, Folkways Reporter Clara Haizlett reported about the Appalachian hammered dulcimer, and its Ukrainian relative, the tsymbaly. Along the way, we met Ukrainian musician Vsevolod Sadovyj, who was in Ukraine as the country fought against the Russian invasion.

Haizlett recently caught up with the tsymbaly player over Zoom and brought us an update. 

Ticking Off The Trouble Of Ticks

Warm weather sends more people outside. But enjoying nature has it’s inherent risks, including ticks which can cause disease. Pictured is the black-legged tick, or deer tick, which can spread Lyme disease.

Credit: Smith Collection/Gado/Getty Images

With the exception of a cold snap on Christmas Eve, Appalachia had a mild winter. And now we’re paying the price, with a surge of ticks. Appalachian social media has seen a steady stream of complaints about the arachnids, Lyme disease and alpha-gal syndrome.

Producer Bill Lynch reached out to regional epidemiologist Daniel Barker-Gumm and Steven Eshenaur, the health officer for the Kanawha County Health Department, to learn more.

Firefly Magic In The Great Smoky Mountains

Not all bug stories are bad stories. Jacqui Sieber from WUOT takes us deep into the Smoky Mountains to watch lightning bugs, also called fireflies.

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Our theme music is by Matt Jackfert. Other music this week was provided by Patrick Couch and Kay, Frank Hutchinsen, Jean Ritchie, Hazel Dickens, Paul Loomis, and Tyler Childers.

Bill Lynch is our producer. Zander Aloi is our associate producer. Our executive producer is Eric Douglas. Kelley Libby is our editor. Our audio mixer is Patrick Stephens.

You can send us an email: InsideAppalachia@wvpublic.org.

You can find us on Instagram, Threads and Twitter @InAppalachia. Or here on Facebook.

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Inside Appalachia is a production of West Virginia Public Broadcasting.

A Health Alert On Ticks

There are a few reasons you may be seeing more ticks. And part of that is global warming. The fact that we’ve been going into more natural areas. The human population is expanding. So, we’re going to encounter more wildlife. Also, we’ve seen an increase in tick presence in general in this state and believe that more tick borne diseases are coming this way. And every year, we see higher numbers of Lyme disease and other tick-borne illnesses.

Warm weather sends people outside. But while you’re out, enjoying nature, ticks are waiting for a chance to take a bite.

Bill Lynch spoke with regional epidemiologist Daniel Barker-Gumm and Dr. Steven Eshenaur, the health officer for the Kanawha County Health Department about the growing tick population and what to do if you find a tick latched to your body.

Lynch: So we’re talking about ticks. The reason I’m interested in ticks is the first time I cut my grass, I pulled three off me. It got me thinking about ticks and worrying about ticks. Someone talked to me about ticks.

Barker-Gumm: There are a few reasons you may be seeing more ticks. And part of that is global warming. The fact that we’ve been going into more natural areas. The human population is expanding. So, we’re going to encounter more wildlife. Also, we’ve seen an increase in tick presence in general in this state and believe that more tick borne diseases are coming this way. And every year, we see higher numbers of Lyme disease and other tick-borne illnesses.

Lynch: What kind of wildlife is carrying ticks to toward the human population?

Barker-Gumm: The big one that we’re concerned about is deer, because of the black legged tick or deer tick, as it’s commonly called – carries Lyme disease. Many other mammals can be vectors as well, even some reptiles.

Lynch: You mentioned other diseases besides Lyme disease. What else should we worry about?

Barker-Gumm: Well, we’ve also got other diseases such as ehrlichiosis, babeseiosis, and tularemia. Those are much more rare than Lyme is. But we do expect to see more increases in them. Every year, we get a few more of those.

Lynch: If someone gets a tick, or three, how concerned should you be about Lyme disease or picking up something else?

Barker-Gumm: The good news is that they found that if you can remove a tick within 24 hours, your chance of getting infectious disease from them is very, very small. So if you can detect the tick on you, before it feeds off you, before it takes a blood meal – and you’ll know that too, because they become engorged and they look much different than a tick that hasn’t. 

That’s when you maybe want to get concerned if it’s taken a blood meal. 

You don’t know how long it’s been on you, and especially if you develop a rash in the region where it fed on you. Then, that may be time to go see a doctor.

Lynch: Lyme disease, how would you even know if you had it.

Eshenaur: So Lyme disease can be detected in a couple of different ways. One is the symptomatology of it. You had a tick, you then developed a rash. And sometimes it looks like a bullseye. So, you can have the rash and then the other symptoms that can come with it. It can be body aches, it can be joint aches, kind of like a flu-like syndrome that you just don’t feel well. It will combine that with the history of a tick bite, and especially if you do have the rash, which not everybody develops the rash, but many do. Then, as a physician, usually, I’m going to go and start them empirically and then do a blood test – and the Lyme disease can be detected through a blood test, definitively. 

One other point, if you do have a tick on you and you’re able to get it off within about 48 hours, your physician can also prescribe you a prophylactic dose of doxycycline, that single dose typically prevents Lyme disease from becoming a true infectious disease of the body.

Lynch: Any advice on checking for ticks? Is there? Is there a method to it? Is there a proper way to do it?

Barker-Gumm: I always tell people to look for crevices in your body. Ticks are sometimes really picky about where they want to feed at. So, like under your armpits and your belly button. Sometimes in your groin. They like to find a safe, secure spot where they can feed uninterrupted – also in your scalp, which is another reason I tell people to shower if you just went camping or you’re out in the woods for a while. 

We have three major tick species that cause disease in West Virginia. And that’s the deer tick or black-legged tick. We have the eastern dog tick and the lone star tick. 

The deer tick can cause Lyme disease and Ehrlichiosis. The lone star tick can also cause Ehrlichiosis, and it can also cause a red meat allergy called alpha-gal syndrome.And the dog tick can cause Rocky Mountain Spotted Fever.

Lynch: I’ve been hearing more about the alpha-gal syndrome. Can someone talk about that?

Eshenaur: Alpha-gal syndrome usually occurs after someone has had the disease ehrlichiosis, which is commonly transmitted by the lone star tick. Basically, an antibody to the antigen of ehrlichiosis that crosses over to red meats and milk and cheese. So, unfortunately, those patients usually end up having a red meat allergy that many times persists for life.

Lynch: Is there anything you can do for your property to, I guess, reduce ticks?

Barker-Gumm: So, if you cut your grass fairly often and keep it short, usually that keeps the ticks down at least a little bit.

Eshenaur: Another thing we do and we live out in the country. On the farm, in the yard areas, we spray some malathion one evening, typically a couple times in the early in the year – and that really has helped keep the ticks down.

It’s an insecticide, but you spray it on at night or right as it gets dark. It’s broken down by UV light, so it doesn’t hang around long. The next day, the UV light coming from the sky, whether it’s cloudy or not, will break down the malathion, so it has a very safe profile for pets. You keep them out of the yard during that time and then by the next evening, you can’t even tell it’s there. It’s gone.

A Health Alert On Ticks And A Slain Trooper’s Memorial Scholarship, This West Virginia Morning

On this West Virginia Morning, Bill Lynch has health experts explaining what you need to know if you’re out in the woods and you find a tick latched to your body.

Also, there’s a scholarship program now underway in honor of fallen West Virginia State Police Sgt. Cory Maynard.

On this West Virginia Morning, Bill Lynch has health experts explaining what you need to know if you’re out in the woods and you find a tick latched to your body.

Also, there’s a scholarship program now underway in honor of fallen West Virginia State Police Sgt. Cory Maynard.

West Virginia Morning is a production of West Virginia Public Broadcasting, which is solely responsible for its content.

Support for our news bureaus comes from Concord University and Shepherd University. Listen to West Virginia Morning weekdays at 7:43 a.m. on WVPB Radio or subscribe to the podcast and never miss an episode. #WVMorning

State Health Officer: Ticks Persist As A Concern During Fall

Despite the recent drop in temperature, West Virginians are still at risk for tick bites and tick borne illnesses. Reporter Chris Schulz sat down with state health officer Dr. Ayne Amjad to discuss tick safety and prevention.

Earlier this summer, Gov. Jim Justice announced that he was receiving treatment for Lyme disease, heightening attention in the state around tick borne illnesses. And despite the recent drop in temperature, West Virginians are still at risk for tick bites. Reporter Chris Schulz sat down with state health officer Dr. Ayne Amjad to discuss tick safety and prevention.

Schulz: Dr. Amjad, thank you so much for joining me. When we talk about tick borne illnesses, what exactly is it that we’re referring to?

Amjad: There’s a long period when we’re susceptible to ticks, anywhere from March to December, which is pretty much the whole year. But I think on top of that, it’s when patients present with symptoms, which can be 30 days to a couple of months afterwards, which might be why we kind of see this pattern. Is it worse during the spring or the summer? I think that’s part of it.

Lyme disease is more common in our Eastern Panhandle, close to Maryland. Maryland, is also one of the hotspots states that have tick borne illnesses. But if we see anything common, it would probably be Lyme disease, as far as tick borne illnesses go.

Schulz: Why is Lyme disease a particular concern?

Amjad: It’s the long term effects of Lyme disease. If you get bitten by a tick and it’s attached for a long period of time, and not treated with antibiotics appropriately right away, several months, anywhere from one month to three months to six months, a person can have long term effects or Lyme disease. It can cause a sequence of reactions that can affect your health and you know, joint pain. Some people have cardiac problems, chronic fatigue, so they’re just things like that, it can have long lasting effects on someone.

Schulz: Governor Justice had a Lyme disease scare over the summer. Can you tell us how he’s doing now?

Amjad: He’s doing well. I think he was treated appropriately right away with antibiotics. That helps. I think anytime you suspect Lyme disease or see a tick and you remove it, and it was attached longer than 24 hours to get treated right away so that you don’t have those side effects later, a couple of weeks or months later.

Schulz: So what preventions can people take against ticks?

Amjad: You need to put on bug spray when you go outside. A lot of people don’t like the old ones, it has DDT in it or permethrin, but you can get natural ones as well. Definitely stay on trails, try not to go in the shrubs too much. But if you do, always wear a hat because you know, ticks can get into your hair easily. Also get on pets as well, so definitely check your pets when they get back in. But definitely wearing bug screen, wearing light colored clothing helps a little bit better, because then you can see if there’s something sticking on you after you’ve gone out, let’s say for a hike or somewhere where it’s possible that there are ticks and even deer.

You know if you see deer a lot, I would assume there could be ticks around as well. Definitely when you come back in, check your hair, check any areas that the ticks could have been sometimes behind the knees, armpits. They tend to go in little crevices and hide. Take a shower right away. Definitely check your pet. I mean, my pet, my dog has had little ticks on it just by going in a yard that’s not even that brushy.

Schulz: So what if the prevention fails, what then? If someone has a tick bite or finds a tick on them? 

Amjad: I would say if you find a tick on you, and you remove it to let your physician know, because your symptoms might show up till three days, seven days one month later, and by then you’ve kind of missed that window for treatment. So most physicians or healthcare providers will say if you saw it removed right away, and it didn’t bite you, you don’t need treatment. Watch for symptoms such as fever, rash, fatigue, almost like flu-like symptoms, but there’s a window of opportunity for treatment. I would recommend any patient who finds a tick on them, just to go ahead and let their healthcare provider know. So say you call back in a few days, or maybe they do want to pretreat or do some blood tests on you, it’s better to know ahead of time than three, five days later.

Schulz: CDC data shows us that visits to emergency departments for tick bites tend to spike at the end of spring, early summer. And then again, right around now at the start of fall. Do you have any idea why that might be?

Amjad: I had not seen that chart that you’re talking about, but if the peaks are towards the end of summer and then beginning of fall, I would think that it’s because whensummer starts more people are going outside. Keep in mind that time, March to December of tick season is really, like I said, it’s the whole year. So it doesn’t make any sense. But I would think that’s why we’re seeing those spikes that you mentioned, because summertime, everyone’s rushing out going out. Maybe it’s not too hot yet or maybe they don’t see bugs so they’re not spraying themselves. Same thing in the fall. We tend to think it’s a little cooler outside, today is cool, maybe I don’t need bug spray. I don’t see bugs, you know, flying on me like I would normally, so they probably don’t do it. I would think that’s why we’re seeing these spikes.

Schulz: Dr. Amjad is there anything else you think the public should know about ticks and tick borne illnesses?

Amjad: No, I just want people to check their pets and I’ll say dogs because I have dogs. We live in a populated area but we still see deer a lot. The grass is not high but the dog sometimes still gets ticks on, in their ears or behind and stuff. So I would just remind people to check their pets too because pets can get sick from it the same way: joint pains and problems later. But I would just remind people to check their furbabies.

Bloodwork Reveals Lyme Disease Diagnosis For Gov. Jim Justice

Lyme disease is the state’s most common tickborne disease with more than 1,000 confirmed cases in 2021.

Updated on Thursday, June 2, 2022 at 9 a.m.

Gov. Jim Justice has been ill for days after contracting lyme disease.

The governor’s office released this information Wednesday evening after blood work results revealed the disease.

Gov. Justice is taking antibiotics to fight the infection. The treatment will last for several weeks.

“I’m feeling better every day,” Gov. Justice said. “I always want to first thank God above for all of our blessings. Additionally, I thank my doctors for all they’ve done, and I appreciate all the West Virginians who have expressed their wishes for my speedy recovery.

“I remind all West Virginians, when you go outdoors, monitor yourself for ticks and use insect repellent to stay safe.”

Original Post:

The West Virginia Department of Health and Human Resources, Bureau for Public Health is urging residents to take preventive measures against tickborne diseases.

Lyme disease is the state’s most common tickborne disease with more than 1,000 confirmed cases in 2021.

“We’re seeing increased cases across the country really during the summer months,” said State Health Officer Dr. Ayne Amjad. “So it’s just to raise awareness for people, especially people going outdoors.”

Other tickborne illnesses such as Rocky Mountain Spotted Fever have been reported in the state, but at far lower rates of about 1-10 cases per year.

The Centers for Disease Control and Prevention recommends checking your clothing and body for ticks, examining gear and pets and showering soon after being outdoors.

Amjad advised that since the symptoms of tickborne illnesses, such as a low-grade fever or aches and pains, can be vague, it’s important to eliminate other causes and provide medical providers with context.

“I would tell anybody who’s having these vague symptoms, and everything basic has been ruled out, we’re ruling out COVID, urine infections, you should tell your doctor, ‘Well, you know, maybe I went hiking or been outside or we do have a lot of deer in our vicinity,’” Amjad said. “And it’s something to keep on the back of the mind of providers really to either look more around the body for any rashes, or to go ahead and … doing bloodwork to diagnose it.

It’s important to save any ticks that may have been involved with a bite which may help medical staff with treatment.

The public notice comes just one day after Gov. Jim Justice revealed during Tuesday’s COVID-19 press conference that a tickborne disease was the likely reason for his illness the previous week.

“I can’t imagine the magnitude of a small little tick that could get on you that could cause a lot of issues and everything,” Justice said. “I would caution everyone, take a tick bite really serious.”

West Virginia Reports Increasing Lyme Disease Cases

Tick-borne Lyme disease has spread across West Virginia over the past six years with cases reported in 52 of the state’s 55 counties, according to state health officials.

Most cases are reported in the northern and eastern panhandles probably because of their proximity to the high-incidence states of Maryland, Pennsylvania, and Virginia, the Department of Health and Human Resources said.

In an advisory Monday to health care providers, Health Commissioner Dr. Rahul Gupta wrote that the increase could be from increased reporting or from more ticks infected with the bacteria. Most cases appear between May and September, but ticks have become more active in winter months, he said.

According to the department, 580 cases have been reported so far this year, up from 97 statewide in 2012.

“Based on the change, West Virginia is considered a high incidence Lyme disease state,” Gupta wrote.

Patients treated early with antibiotics usually recover quickly. He recommended a two-step blood test to confirm evidence of antibodies against the Lyme disease bacteria.

Symptoms often include a circular rash around a tick bite and fever, headaches and fatigue, according to the U.S. Centers for Disease Control. If left untreated, the infection can spread to joints, the heart and the nervous system.

The CDC says there were more than 36,000 probable cases in the U.S. last year, with 26,203 confirmed.

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