i&1~.:~;r!." a,. DISEASe? ""M"T 'i. ~;E:~:~~~t:9~~",;,( WIlilY SIIOIILD I JtfIOWII 1'80'" 16 1-'1,. D1661'&&7 J+ ~~ <" I I &:f""e. PlSlASe.

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1 T. MT 16 1-'1,. D1661'&&7 I 1 ~,, '.. tl WIlilY SIIOIILD I JtfIOWII 1'80' a,. DISEASe? 'S. J '.~ J+ ~~ < I I i&1~.:~;r!. &:fe. PlSlASe. IS 8I4OflUfIG 011& COfIlI'lO The.disease was first recognized In Lyme. Connecticut, in Cases have no\n been reported In most parts of the country. The number of reported cases has steadily Increased In recent,years.. ' Bee8u.N. left untre8fed).~... may have. ~ aomplle.8tiofts. L.YJIIle. NEASe. IllAY CAUSe.: arthritis heart problems nervous system disorders. JIOT Au.. nei' SITU SPflIAp L.YJIIle. PlSlASe. Only ticks carrying the' bacteria Borrelia burgdorferl can spread the disease... This booklet Is ncit aiubltltute'tof al) 'Informecid;~I(j,~O iii patient,and,his or :h8r.physlclan of-the proc8dijtesi lriformatlon.' 'symptoltlil., medtcatloiie or ~lagi'lollels: described In'thls bookle~., ':'.' ~:.,,;~:., ','''.: -'.: '.,:;, -. ':':..,~~.~ :: 'i. ~;E:~:~~~t:9~~,;,(.. Learn more. 3

2 TJII. UfI. e.vea.& OF A TIel'... anut,. y88d. emil/lapw WIJITU. Female tick mates; feeds on the blood of large mammals (Including humans)! OJ(... i i I.~,~ J+.. ~~ ' e~ Nymphs become adults. e SPIII.../...,... Nymphs feed on the blood of birds and mammals (Including humans).* e.spiii... Larvae become nymphs (young ticks). ( Actual slzeot adult tick'... Female lays eggs on the ground and then dies. elntw e=e Larvae (baby ticks) hatch. e 5PP.I~~ 1'IIf&OUGII ~, Larvae feed on the blood of animals (mostly small mammals). \ e WlfI'I'III.. Larvae don't eat. * T~ansmisslon of Lyme disease Is most likely at these stages in the life cycle. c 't'. 4.. ;,.,w\ \. 5

3 ,. -y..,. ~.. ~..,.! ( i'fio Tile ~YOfll5J OF LV,. PI~6Il~ lap&:(,sigtis lil'p SY14PTOI4.S may appear within a month of infection. They include: a red rash that is usually circular and blotchy and that expands around the bite * headache fatigue fever pain and stiffness in joints and muscles swollen glands other flu-like symptoms such as nausea, backache and sore throat. /,'\ /' ~ '\',.',1 ~~~. 1 LATIIL SlGflS AIIP SYI4PTOMS may occur within a few days, or weeks, after early symp toms clear. They can Include: temporary or chronfc arthritis poor coordination dizziness weakness severe fatigue irregular heartbeat headache memory loss irritability facial paralysis....'.,....~~~... \\~'...-' :.. etlllofi.e e.o14pueanofls} which may continue or reappear months or years after Infection, include: mental lapses Irritability depression daytime sleepiness numbness, tingling or shooting pain In the hands, feet, back and body muscle weakness. \, ' ' SlGtlS lil'p'syi4ptoms It4AY VA~ Some people may: \ get some symptoms, but not others r:--r-_;;:::;::0', ;i;;i':;h~~'~~ii people who are hypersensitive to ). tick bites may develop a rash even If the tick does not carry Lyme disease bacteria. For peace of mind, consult your physician if you have any skin reaction to a tick bite. have symptoms that overlap between the earlier and later stages of the disease experience symptoms that come and go, or even disappear entirely - but they still may be infected.. 6 7

4 ;an' ~ J+ ~~. I SUA PtlYSICIAfI ~ early treatment with antibiotics Is usually successful In preventing complica tions. But the longer. treatment Is delayed, the more dlfflcult it becomes. to. treat. as soon as you notice any symptoms of Lyme disease, especially if you've been in an area where ticks are known to exist. (See page 9.) ~', ~,~. LV,..IS*sa fu'ii 8& rpitu w. imporfani for you f'o: <,. N:r PIIOf4Pn.Y.fI~YOUfL.PtlYSlelAfI that you may have been exposed to ticks. This Informa tion will help your. physician make a. diagnosis. (A blood test Is available, but results are not always reliable in the early stages of the disease.) ~~:, PP&VEIIT LY ISEA&~ i'fiow WtlEN. nel's UV They're most commonly found in: ' marshy places woods and forests bushes, shrubs and long grass (even in your own backyard!). Remember to stay on trails to avoid brushing against vegetation. <~'>'~': '''.. ',,:.... WIAfL TtI PflOPIII. e.a.artl.f'g When in tick-infested areas, light-colored clothing will help you spot ticks. Also wear: a hat a long-sleeved shirt (tucked into pants) with snug cuffs and collar pants tucked into socks shoes with closed toes. Apply a tick repellanf according to the directions on the label. _...L... l 8 >-'-'--'~.-=~-'~. PonJi avoid the. gre&t OU'tdoor.! -lu... re... f'o take. the. proper pre.eauiio~! 9.~1;) 1

5 ,to. ' l)a~ ~l~' ~~.... I lion PII TO PP fmlftj IYJII& P.IA~& e.tilf.ei' FOIL 'I'IU'5 when you come In from tick Infested areas: IF YOU..tiP flo 'I'IU'5, but suspect that you 'va been bitten, watch for a rash or other symptoms for the next 8 weeks. ~ Pay special attention to your : back, underarms, groin and' head. At the first sign of, Look for something resem symptoms, contact. bling a small black freckle your physician. or a new mole. ~. Have someone else check : areas that you can't see. Check your pets for ticks, too. Put any clothing In which ticks may be hiding In the clothes dryer. Run the dryer for Y2 hour. '*' '*' to IIU'IOVI. 'I'IU'5 Use smalf, pointed tweezers. Grasp as close as possible to the mouthparts - don't grasp the tick's body. Pull the tick away from your skin - do not twist or jerk. Pull gently but firmly until the tick releases Its hold. Save the tick in a small jar of alcohol, for your physician's examination. Label the jar with the date and the location of the bite on your body. Wash your hands and the bite with soap and water. Then, apply antiseptic to the bite. See your PQysician If any symptoms arise. r',....,,...' It i.6 import8nt -to remove. the. whole. f1eic.. If m~,..,..i in your.6kjj cjulime.ct the. 8re8 With 8Ieohol 8nd e.orukit your phy.6iei8.. II

6 fila.d'qu110..,.,ep,...d Yes. Ticks are also known to carry: No. Many people don't even know they've been bitten. Often, the bite leaves only a small, red, Itchy mark. - babesiosis, a disease like malarja, - Rocky Mountain spotted fever, which causes fever and a rash - tularemia. which causes lymph nodes to become painful and swollen.. sa....! I...J~ If, L.yme dih85e a.6pf2dal r~ for P'1'9ft8ftf' WOmel'? t!an I use. petroleum jelly f'o. help remove a ~? ~+ ~-, Lyme disease may cause. complications.in pregnancy. If you're 'pregnant and have symptoms or think you've been bitten, see your physician immediately. No, Using ~troleum.jelly. motor oil,\ hot matqhes, etc. is not recommended...,. 1:2. Yes. Horses, dogs and cats can get the disease. Symptoms are: '. - a high feve.r.. -Iossaf,appetite - signs'ot Stlffness lh johits; Ask y()uf~~teflriaftah abouitlle' be$triieth6d6(. keepingtlcks.off pets;.ce>nsult your vet&rlnariarkif. yciu,:sus~ct Infection'Tn an animal..' I'.'....' :'';,. 7,.', Ihe peak m0nths.fdr Lyme disease.transitli~iotra~e, ~..'r,. ~i~<~,:, ~>~~ ~';,~~':.:::-~: ;~ :May throtig~~gwst'<ln the Midwest~ndd~:GJtheast.lh; the west'i,;r1id,mtie(:through::ju ~;I$(\~~'k. pf;,riod:.':.~ t'o:.matt~:wh.,re:}16\..lrve,;pteciatrtjof:l$ffsnotlta~btt;.taken:. ' ~:Y88rtrijth'ldft(~rtlembe.r;attffOt!gfttl~c'tt8I'Wtfj~hfQStY '.,~;> :;;;:rfitetyl;fn:;wa;&n:;seas()n:s~$yin' tolir~:c~mocbur'at,rahy '..':';!1,~~~~',~~:g\~~',~'~:~'~~ii~~~';>., ';i~'ii. ~:;:~~;i,~:~y;~>;':;;.:,,~~,;:.';.~f';l;{)\~~t'!. ' 13 'l../

7 ION QIIUTlO,,& D,.&_EII6 244' ~. J+ ~7:\ C!.aft ~mpto' rebii' &fter aftflbiotle. ite8trnen-t? Recurrence of the disease Is unusual If treatment Is begun in the early stages. However. some people' are bothered by symptoms even after treatment. (This may be due to reinfection in some cases.) In addition to your physician. you can contact your state or local health department for more information. Will i-t help -to.spray my yard W... il\su.fleide?./ IIfIOW,... fa&t5 about the disease and the ticks that spread It../ TAN PPOPIIL PfIUAU1'IOfI.S before, during and after being in tick-infested areas.,./ 5111' PIIOf4PT 1NATf4 if you have symptoms.,. If.s P '0 yo to Itap ticjt..s awayl IS ; '. '

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