With summer fast approaching and people spending more time outdoors, it is important for everyone to take precautions against tick and mosquito bites. Tick and mosquito borne infections cause illnesses and deaths in North Carolina each year, with more than 800 cases reported in 2013. To encourage awareness of this issue, Governor McCrory recently proclaimed April 2014 as “Tick and Mosquito Awareness Month” in North Carolina. Tick borne diseases in North Carolina include Rocky Mountain spotted fever and Lyme disease. These diseases are diagnosed from all regions of the state and can be acquired at any time of year. However, the vast majority of infections occur in the months of June through September. The North Carolina Division of Public Health encourages using repellents, using air conditioning and keeping windows closed, and emptying free standing water from flowerpots, gutters, buckets and pool covers.