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If a tick is attached, pull it out steadily with pointed tweezers close to the skin, and don't put on oil or burn it

  • Moderate value
  • Evidence B
  • Buys life
  • Costs a little
  • Takes minutes
  • No willpower

In a real emergency, call 911 first, then read this.

In plain words

Grip the tick's head with pointed tweezers close to the skin, and pull it straight out steadily. Don't put oil on it, don't burn it, and don't twist it, because that stirs it up to squeeze fluid carrying germs into the skin, and also easily leaves the mouthparts in the flesh. After removing it, note the date. If you get a fever, a rash or fatigue over the next few weeks, tell the doctor on your own that you were bitten by a tick.

Cost

A pair of pointed tweezers.

What you get

Putting on oil, burning it or twisting it stirs up the tick, which squeezes fluid carrying germs into the skin. It also easily leaves behind the part of the mouth (mouthparts) that was stuck in the flesh. The tick-borne severe fever with thrombocytopenia syndrome in China had 6,602 cases and 306 deaths reported nationwide in 2024, both the highest in any year since the disease was discovered. From 2010 to 2024 the average fatality rate was 4.79%, rising with age, and 9.15% for those over 85

Notes

After removing it, note the date. If you get a fever, a skin rash or fatigue over the next few weeks, tell the doctor on your own that you were bitten by a tick. If the doctor doesn't ask and you don't say, it is easily treated as a cold.

Evidence grade
B : Supported by research but without a precise number, or based on small or single studies.
Sources
  1. 美国疾病控制与预防中心. 被蜱叮咬之后:「Grasp the tick as close to the skin's surface as possible using clean fine-tipped tweezers」「Pull tick away from the skin with steady, even pressure」「Do not use petroleum jelly, heat, nail polish, or other substances to try and make the tick detach from the skin. This may agitate the tick and force infected fluid from the tick into the skin」. https://www.cdc.gov/ticks/after-a-tick-bite/index.html
  2. Ren Q 等 (2026). Epidemiological characteristics of severe fever with thrombocytopenia syndrome (SFTS) in China, 2010–2024: a fifteen-year national surveillance analysis. BMC Infectious Diseases 26:1497:「The number of reported cases (6,602 cases) and deaths (306 cases) in 2024 were both the highest levels since the discovery of this disease」「The average CFR was 4.79%, and the CFR increased with age, reaching 9.15% among those aged 85 years and above」. https://doi.org/10.1186/s12879-026-14066-z

Translated from the Chinese original. Original book, section 13, tip 34. Content may be out of date and rules differ by place. When you actually deal with an agency, a doctor or a court, follow what local officials, doctors and lawyers tell you. Disclaimer