LYME DISEASE (taken from 6/20/13)

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1 LYME DISEASE (taken frm 6/20/13) PREVENTING LYME DISEASE Understand the risks The risk f Lyme disease is year rund. Highest risk late spring t early summer. Learn t enjy the utdrs SAFELY. Reduce risk Read entire article Stay n marked trails. Stay ut f tall grass & un-cleared areas f the frest flr. Dn t crawl r rll in leaves. Lw-risk areas are athletic fields r cut lawns. Inspect fr ticks Parents shuld inspect the entire bdy daily fr ticks. Shwer daily. Cmmn sites f attachment: underarm, navel, grin, buttcks. Repellents, Insecticides, & Prtective Clthing Use insect repellent such as DEET n the bdy r Permethrin n clthes. Review safety infrmatin; assess the risks/benefits f these prducts. Many dctrs cnsider them unsafe fr use n children. D nt use n children under 3. Use discretin and cnsult yur dctr befre using. Fllw all directins carefully. Permethrin is fr use n clthing nly. Wear prtective Clthing. - Lng sleeves, lng pants tucked int scks, & shes. - Avid ging bareft r wearing pen-te sandals/shes.

2 Chsing an Insect Repellent Read entire article T make the mst infrmed risk reductin and health prtectin decisin, lk fr EPA-registered prducts that give prtectin-time infrmatin n the label. Make sure the prduct label tells yu: Insects it prtects against Length f time it prvides prtectin Names and percentages f active ingredients in the prduct The best decisins are made after cnsidering all f this infrmatin. It will allw yu t make a mre infrmed decisin. Prtectin times n prduct labels are based upn infrmatin submitted t EPA by manufacturers using apprved testing methdlgy. Lk fr an EPA registratin # n the insect label. The Centers fr Disease Cntrl and Preventin (CDC) recmmend the use f prducts registered by EPA. This number means the cmpany prvided EPA with technical infrmatin n the effectiveness f the prduct against msquites and/r ticks. Fr prtectin ver an extended perid, use a prduct with a prtectin time that fits yur level and duratin f activity. The length f time yu are prtected can vary depending n: Physical activity/perspiratin Water expsure Air temperature Applicatin accrding t label directins Re-apply repellent accrding t label instructins The label is yur guide t using these prducts safely and effectively. Yu may als want t cnsider nn-chemical ways t deter biting insects: windw screens r netting, lng-sleeve shirts, lng pants, and scks. LEARN ABOUT LYME Backgrund Althugh Lyme disease is transmitted by the bite f a tick, (See knwledge f any given tick bite is nt helpful t predicting whether r nt yu may have Lyme disease: the majrity f individuals that cntract Lyme disease will nt remember the tick bite. Als, nly 2% f tick bites result in Lyme disease. Late spring and early summer are the highest risk seasn fr Lyme disease, when the nymphal stage f the ticks emerge. Adults ticks are present year rund and can be feeding any time when temperature exceed 40

3 degrees. Althugh bth genders and all ages are susceptible, Lyme disease is mst cmmn amng bys aged 5-19 and adults 30 r lder. If yu think yu may have Lyme disease, it is imprtant t cnsult yur health care prvider The prgnsis fr recvery is best when Lyme disease is diagnsed and treated in its earliest phase. But remember, treatment desn t make yu immune; yu can get Lyme again if anther infected tick bites yu. Remving Ticks What T D After a Tick Bite If yu r a lved ne is bitten, remve the tick prmptly. Here s hw: Grasp the tick s muthparts against the skin, using pinted tweezers. Be patient; the lng muthpart is cvered with barbs, s remving it can be difficult and time cnsuming. Pull steadily until yu can ease the tick ut f the skin. DO NOT pull back sharply; this may tear the muthparts frm the bdy f the tick and leave them embedded in the skin. If this happens, dn t panic! Embedded muthparts d nt transmit Lyme disease. DO NOT squeeze r crush the bdy f the tick; this may frce infected bdy fluids frm the tick int the skin. DO NOT apply substances such as petrleum jelly, nail plish, r a lighted match t the tick while it is attached. They may agitate the tick and frce mre infected fluid int the skin. Once yu have remved the tick, wash the wund site and yur hands with sap and water. Observe the bite site ver the next tw weeks fr any signs f an expanding red rash. Tick attachment time is imprtant; remving ticks within 36 hurs f attachment reduces the risk f infectin. Testing ticks fr infectin is pssible, but nt recmmended n a rutine basis. Yu shuld cnsult yur physician t see if yu shuld save; the tick after remval fr further evaluatin.

4 Recgnizing the Rash If yu are bitten by a tick, a small red bump may appear in a few days t a week, usually at the site f the bite ften in the grin, belt area r behind the knee. This bump may feel warm and tender when tuched. If this tick bite has transmitted Lyme disease the redness may expand ver the next weeks and frm a rund r val red rash, usually bigger than 5 centimeters in size. It may resemble the classic bull's eye, with a red ring surrunding a clear area and a red center. Mre ften the rash lesin is unifrmly red r reddish-blue, is minimally tender and minimally itchy (much less itchy than pisn ivy). This rash, called erythema migrans, is a hallmark f Lyme disease and appears in abut 70-80% f infected peple. If the rash is Lyme disease, it will cntinue t grw ver days r weeks and will nt fade in a few days. The Lyme rash is ften cnfused with a spider bite. Tick bite reactins are ften cnfused with the rash f Lyme disease. - Only 2% f tick bites result in Lyme disease. - Tick bite reactins are small, less than 1-2 in size. - Surrunding redness des nt expand when bserved ver hrs. - Reactin at site f tick bite can last days, even weeks. Lyme rash ccurs at the site f the tick bite in 80% f peple with early Lyme disease. Incubatin perid frm tick bite t rash is 3-30 days (usually 3-10 days). Lyme disease rash is: - Rund r val, enlarges in size ver days/weeks - Red, smetimes warm. - Usually greater than 2 inches in diameter, ften Rarely bull s eye, usually unifrmly red - Often cnfused with spider bites Requesting and Receiving Care Diagnsing Lyme Disease - Lyme disease is a clinical diagnsis made by a dctr r nurse by examining the patient - Acute Lyme disease is nt a labratry diagnsis; a negative Lyme bld test des nt exclude Lyme disease in the first few weeks f the illness. - 20% f peple have a flu-like illness and NO rash. - Fever, aches, and abrupt severe fatigue can be the main symptms f acute Lyme. - Lyme disease is different frm respiratry cld. - A runny nse and prminent cugh are NOT symptms f Lyme disease. If yu have a tick bite, watch fr an expanding red rash r lesin at the site f the tick bite r an unexplained feverish, achy, fatiguing illness within 1 t 4 weeks after the tick

5 bite. If this desn t happen, yu are prbably amng the 98% f peple wh dn t develp Lyme disease after a tick bite. If yu are cncerned abut any f these findings, take a picture f the rash and cntact yur physician. Flu-like symptms Symptms f Lyme Disease Fever, chills, fatigue, bdy aches, swllen glands, and a headache may accmpany the rash. In sme cases, these may be the nly symptms f infectin and there is n rash. Neurlgical prblems In sme cases, inflammatin f the membranes surrunding the brain (meningitis), temprary paralysis f ne side f the face ( Bell s palsy), numbness r weakness in limbs, and impaired muscle mvement may ccur weeks r mnths, after an untreated Lyme disease infectin. Other prblems can ccur mnths t years later and include difficulty with shrt-term memry, migraines, dizziness, brain fg, pr sleep, lack f verbal fluency, cnfusin r disrientatin, and decreased ability t cncentrate. Lyme has als been fund t mimic several psychiatric disrders. Jint pain Untreated, the infectin may cause severe jint pain and swelling frm several weeks t mnths after infectin. Knees are ften affected, but the pain can shift frm ne jint t anther. Other Symptms Sme peple experience irregular heartbeat several weeks after infectin, rarely lasting mre than a few days r weeks. Eye inflammatin, hepatitis, shting pains, and severe fatigue are als pssible. When T See a Dctr If yu are bitten by a tick and develp the rash r symptms f Lyme disease especially if yu live r vacatin where Lyme is prevalent, cntact yur dctr immediately. Treatment is mst effective if begun early. Althugh nly a small number f tick bites lead t Lyme disease: the lnger the tick remains attached t yur skin, the greater yur risk f getting the disease.

6 Hw Lyme Disease is Diagnsed Lyme disease is a clinical diagnsis made by a dctr r nurse examining the patient. Early Lyme is nt a labratry diagnsis: a negative Lyme bld test desn t rule ut Lyme in the first few weeks f the illness. Als, 20% f peple have n rash, nly a flu like illness. Fever, aches and abrupt severe fatigue can be the main symptms f acute Lyme disease. Lyme is different frm a respiratry cld and des nt cause a runny nse r a prminent cugh. Tick bite reactins are small and d nt get bigger ver several days. If yu have a tick bite, watch the site fr signs f a grwing red rash in the next 1-3 weeks. Small, red reactins less than 1-2 in size (the size f a dime) are cmmn d nt represent Lyme disease. These are tick-bite reactins, ften cnfused with the rash f Lyme disease. With a tick-bite reactin, the red area des nt expand ver 24 t 48 hurs. Small reactins at the bite site can last days t weeks. The earliest stage f Lyme disease ccurs at the site f the tick bite. If the rash is Lyme, it will get bigger ver days r weeks and will nt fade ver the next few days. Only 2% f tick bites result in Lyme disease. A Lyme rash ccurs at the site f the tick bite in 80% f peple wh have early Lyme disease. The incubatin perid frm a tick bite t the develpment f a rash is 3-30 days (usually 3-10 days). The Lyme rash is red and rund r val and is called erythema migrans. It may have the distinctive bull s-eye appearance. Often, the rash is unifrmly red and usually mre than 2 acrss - ften as large as 6-8. It is smetimes cnfused with a spider bite. What Is Nt Lyme Disease Small, red areas abut the size f a dime are cmmn after tick bites. They are nt Lyme disease. With a nn-lyme tick bite reactin, the surrunding redness des nt expand ver 2 t 4 days. These small reactins frm a tick bite can last frm several days t weeks.

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