1144: Tracking Alpha-Gal Syndrome: Why Massachusetts Is Monitoring a Growing Tick-Borne Threat

A tick bite that can trigger a lifelong allergy to red meat sounds almost unbelievable, but public health officials are taking the growing threat of alpha-gal syndrome seriously.  Robert Goldstein, ASTHO member and commissioner of the Massachusetts Department of Public Health, shares with us why Massachusetts recently made alpha-gal syndrome a reportable condition and what the state hopes to learn through expanded surveillance. Dr. Goldstein explains how the spread of the Lone Star tick into parts of Massachusetts, including Cape Cod, Martha’s Vineyard, and Nantucket, has led to rising diagnoses of the condition. The conversation explores how public health agencies are adapting traditional infectious disease surveillance systems to monitor a non-infectious condition, what the reporting data could reveal about emerging tick-borne risks, and how public health and wildlife officials are working together to better understand the relationship between deer populations and tick exposure.Leading Change Workshop - July 2026Prepared Together: Public Health Collaboration in Response to a Botulism Outbreak