I thought I would share a few prevention practices identified at the Institute of Medicine Lyme disease workshop as effective by Dr. Mathew Liang of Harvard Medical School. One idea focused a study in Nantucket by Daltroy (2007) on an educational outreach method. The 5-year study randomized 29,000 people traveling by ferry to Nantucket and exposed the study group to an entertainment-based information session about Lyme disease and steps to prevent it. Participants also received a card with a Braille dot on it the size of a tick and a plastic shower card similar to those used for breast self-exam, tweezers, and a map of the island where ticks were prevalent. The study showed a reduction in Lyme disease in the group who received the message, both among year round residents and among visitors, who constitute a high-risk population.