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<p align="center"><b><font face="Verdana" size="5" color="#0000FF">Health
Matters</font></b></p>
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<b><font face="Verdana">Lyme Disease</font></b></p>
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<font face="Verdana" size="2">Lyme disease is caused by bacteria that are spread by tiny infected
deer ticks. Both people and animals can be infected with Lyme Disease.</font></p>
<p class="MsoBodyText" style="margin:1 5; ">
<font face="Verdana" size="2"> </font></p>
<p class="MsoBodyText" style="margin:1 5; ">
<font face="Verdana" size="2">Lyme disease can be fairly easy to diagnose when
someone gets the classic rash. It is much harder to diagnose without the rash
because its other symptoms resemble other diseases, like flu. To help diagnose
these cases, doctors can have patients� blood tested for antibodies to the Lyme
disease bacteria. Prompt treatment of early symptoms with certain antibiotics
can prevent later, more serious problems. Treatment of Lyme disease in its
later stages has not been standardized.</font></p>
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<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin:1 5; "><u><b>
<font face="Verdana" size="2">Symptoms of Lyme Disease</font></b></u></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2">Early stage (days to weeks): An early symptom of
Lyme disease is usually, but not always, a rash where the tick was attached.
The rash appears from 3 days to a month after the bite. It often starts as a
small red area then spreads, clearing up in the center so it looks like a
donut. However, the rash may not always appear like this. Flu-like symptoms,
such as fever, headache, stiff neck, sore and aching muscles and joints, fatigue
and swollen glands, are also common. These early symptoms often go away by
themselves after a few weeks, but the person may remain infected. Without
medical treatment, about half the infected people will get the rash again in
other places on their bodies, and many will experience more serious problems.
Early treatment with antibiotics clears up the rash within days and usually
prevents later problems.</font></p>
<p class="MsoNormal" style="margin:1 5; ">
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<font face="Verdana" size="2">Later stage (months to years):</font></p>
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<font face="Verdana" size="2">Three major organ systems � the joints, nervous
system and heart- can be affected. People with Lyme disease can develop
late-stage symptoms even if they never had the donut-shaped rash. About 60% of
people with Lyme disease get arthritis in their joints, usually knees, elbows
and wrists. The arthritis can move from joint to joint and become chronic.
About 10 to 20% of people who don�t get treatment develop nervous system
problems. The most common problems include meningitis, facial weakness or other
problems with nerves of the head, and weakness or pain in the arms, hands, feet
or legs. These symptoms can last for months, often shifting between mild and
severe. The heart beat can also be affected, with slowing down of the heart rate
and fainting. The effect on the heart can be early or late.</font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin:1 5; "><u><b>
<font face="Verdana" size="2">Preventing Lyme Disease</font></b></u></p>
<p class="MsoBodyText" style="margin:1 5; ">
<font face="Verdana" size="2">The best way to prevent Lyme disease is to avoid
areas where the deer ticks are likely to be found. If you live in or visit a
high-risk area, you should follow these precautions:</font></p>
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<font face="Verdana" size="2">Wear a long-sleeved shirt and long pants, and
tuck your pant legs tightly into your socks.</font><!--mstheme--></font><!--msthemelist--></td></tr>
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<font face="Verdana" size="2">Stay in the middle of paths.</font><!--mstheme--></font><!--msthemelist--></td></tr>
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<font face="Verdana" size="2">Use insect repellents that contain DEET on your
cloths or exposed skin, or those that contain permethrin on your cloths. Use
products with no more that 10-15%DEET on children and no more than 30-35% DEET
on adults. Do not use insect repellents on infants. Wash skin thoroughly
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<font face="Verdana" size="2">Check for ticks every day. Their favorite places
are on the legs, in the groin, in the armpits, along the hairline, and in or
behind the ears. The ticks are tiny, so look for new freckles.</font><!--mstheme--></font><!--msthemelist--></td></tr>
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<p class="MsoBodyText" style="margin:1 5; ">
<font face="Verdana" size="2">Remove any ticks promptly using fine point
tweezers. Grasp it close to the skin and pull straight out.</font><!--mstheme--></font><!--msthemelist--></td></tr>
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<p class="MsoBodyText" style="margin:1 5; ">
<font face="Verdana" size="2">Know the symptoms of Lyme disease.</font><!--mstheme--></font><!--msthemelist--></td></tr>
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<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2">Lyme disease is most commonly found along the East
Coast, the upper Midwest and the valleys of the far West. In Massachusetts,
deer ticks are found everywhere, but especially in coastal areas, the islands
and the Connecticut River Valley. The disease is most likely to be spread
between late May and early autumn, when ticks are most active.</font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2">Deer ticks cling to plants near the ground in
brushy, wooded, or grassy places. The ticks, which cannot jump or fly, climb
onto animals and people who brush against the plants. Very young ticks, called
larvae, which are no bigger than the period at the end of a sentence, pick up
the bacteria that cause Lyme disease by biting infected animals, such as field
mice. Slightly older ticks, called nymphs, which are the size of a poppy sees,
are the stage most likely to bite and infect humans. Adult deer ticks can also
transmit the disease but they are not as great a risk as nymphs because the
adults are less likely to bite humans and they are easier to see and remove.</font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2">Ticks live for 2 years and can infect wild and
domestic animals as well as people. Not all ticks carry Lyme disease, and even
being bitten by a deer tick does not mean that you always get the disease. The
tick must usually be attached for at least 24 hours to pass on the bacteria, so
removing the tick promptly will greatly decrease your chances of being infected.</font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin:1 5; ">
<font face="Verdana" size="2">There is currently no Lyme disease vaccines
approved for use in humans.</font></p>
<p class="MsoNormal" style="margin-top: 1; margin-bottom: 1"> </p>
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