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Table 1 Knowledge questions with correct and incorrect answers

From: Comparing the effect of a leaflet and a movie in preventing tick bites and Lyme disease in The Netherlands

Statements

Answer

 

A tick is always bigger than a lady bug

incorrect

 

A tick usually falls out of a tree to bite

incorrect

 

A tick can be removed by pulling it straight up with a pointed tweezers

correct

 

You will always get sick from a tick bite

incorrect

 

If you are bitten, it is advisable to remove a tick within 48 h

incorrect

 

Ticks always bite on so called ‘hot spots’, such as arm pits, groins, knee cavity

incorrect

 

Lyme disease usually starts with a red circle on the skin

correct

 

What can you do best?

Situation 1: You will discover a bitten tick on your body, within 24 h after you have been in the green

Situation 2: You will discover a bitten tick on your body, more than 24 h after you have been in the green

Remove tick

correct

correct

Visit general practitioner

incorrect

correct

Note the date and the site of the bite

correct

correct

Monitor your health

  

I don’t know

-

-

Questions

Correct answers

Incorrect answers

Imagine you have removed a tick. How long after the bite you should monitor your health?

Up to 3 months after the bite

Up to 3 weeks after the bite Up to 1 year after the bite

Imagine you have removed a tick. On what symptoms you should look?

Red circle on the skin, flu-like, symptoms, painful joints

Bloody nose, diarrhea, hair loss

Imagine you have removed a tick. Which of the symptoms should you watch out for to see if you have got Lyme disease?

Flu-like symptoms

Nose bleed

 

Red ring on the skin around the tick bite

Diarrhoea

 

Painful joints

Hair loss