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<p align="center"><b><font face="Verdana" size="5" color="#0000FF">Health
Matters</font></b></p>
<h1 style="margin-top: 1; margin-bottom: 1" align="center"><!--mstheme--><font color="#330099">
<font face="Verdana" size="4" color="#000000">DON�T LET MOSQUITOES GET TO YOU! </font><!--mstheme--></font></h1>
<h1 style="margin-top: 1; margin-bottom: 1" align="center"><!--mstheme--><font color="#330099">
<font face="Verdana" size="4" color="#000000">How to Prevent Mosquito-borne Illness</font><!--mstheme--></font></h1>
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<o:p>
<p class="MsoBodyText" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2">It�s that time of year again � <u>mosquito
breeding season</u>. And the Town of Needham has already had one
confirmed WNV mosquito pool. The Needham Health Department would like
to remind you of some important tips to help prevent the possibility of
contracting mosquito-borne illnesses, specifically, West Nile Virus
(WNV) and Eastern Equine Encephalitis (EEE). There is a low risk of WNV
infection following a mosquito bite. Most people who are bitten by
infected mosquitoes experience no illness or only mild illness, but a
small number of people develop a more serious disease.</font></p>
<p class="MsoBodyText" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<p class="MsoBodyText" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2">WNV has been found in birds, mosquitoes,
horses and humans throughout Massachusetts since it was first identified
in the state in 2000. EEE has been reported in Massachusetts since
1938. While EEE is relatively rare, Massachusetts has experienced
periodic outbreaks of this serious and potentially fatal disease. In
2005, four human EEE cases were identified, with two fatalities. There
were six human WNV cases diagnosed in Massachusetts in 2005, with one
fatality. This was the first WNV fatality in Massachusetts since 2003.
</font></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<p class="MsoBodyText2" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><b><u>How is WNV and EEE transmitted?</u></b></font></p>
<p class="MsoBodyText2" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2">WNV and EEE are rare but serious diseases
caused by viruses. Both viruses can grow in birds, and are transmitted
from bird to bird by infected mosquitoes. If mosquitoes infected with
the virus bite horses or humans, they can also become sick. People
cannot get the virus from another person or directly from an infected
bird. However, you should use gloves when handling any dead animals and
put them in double plastic bags before disposing them in the trash.
</font></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font size="2" face="Verdana">Most WNV infections do not cause any
symptoms. Mild WNV infections cause fever, headache and body aches,
often with a skin rash and swollen lymph glands. In a small percentage
of people infected by the virus, the disease can be serious, even
fatal. People over 50 years of age are at a higher risk for developing
serious symptoms from WNV. The first symptoms of EEE are a high fever
(103 to 106 degrees F), stiff neck, headache, and lack of energy. These
symptoms show up three to ten days after someone is bitten by an
infected mosquito. Inflammation and swelling of the brain, called
encephalitis, is the most dangerous symptom. EEE can cause serious
illness in any age group. </font></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<h4 style="margin: 1px 5px" align="justify"><!--mstheme--><font color="#330099"><u>
<font face="Verdana" size="2" color="#000000">Collection of Dead Birds</font></u><!--mstheme--></font></h4>
<h4 style="margin: 1px 5px" align="justify"><!--mstheme--><font color="#330099">
<span style="font-weight: 400">
<font face="Verdana" size="2" color="#000000">If you notice a dead bird
on your property or in your area, specifically a freshly-killed crow,
blue jay or robin (dead no more than 12 hours), please call the MDPH
Public Health Information Hotline at 866-MASS-WNV (866-627-7968) and
press option �1� to answer some questions about the bird and where it is
located, etc. While most dead birds will not be collected and tested for
WNV, keeping track of their locations plays an important role in
directing further bird, mosquito and human surveillance activities. The
information gathered from these surveillance activities may help to
identify areas at increased risk for human WNV disease.</font></span><!--mstheme--></font></h4>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<h3 style="margin: 1px 5px" align="justify"><!--mstheme--><font color="#330099"><u><b>
<font face="Verdana" size="2" color="#000000">Here�s how you can protect
yourself </font></b></u><!--mstheme--></font></h3>
<p class="MsoBodyText" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2">Your risk of getting ill from WNV or EEE
is low. There is no vaccine for WNV, and there is an EEE vaccine for
horses, but not for people. So, the best way to protect yourself is to
keep mosquitoes from biting you. The risk of getting WNV is highest
from late July through September. Follow these simple steps every
summer and fall to reduce your risk of being bitten by mosquitoes,
particularly if you live in or visit an area with mosquitoes:</font></p>
<!--mstheme--></font><!--msthemelist--><table border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Avoid
outdoor activities between dusk and dawn, if possible, as this is
the time of greatest mosquito activity.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">If you
must be outdoors when mosquitoes are active, wear a long-sleeved
shirt and long pants. Take special care to cover up the arms and
legs of children playing outdoors. </font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Fix
any holes in your screens and make sure they are tightly attached to
all your doors and windows.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Use a
repellent containing DEET (N,N-diethyl-m-toluamide) or Picaridin (KBR
3023). Oil of lemon eucalyptus [(p-menthane 3, 8-diol (PMD)] has
been found to provide protection similar to repellents with low
concentrations of DEET. In addition, products that contain
permethrin are recommended for use only on clothing, shoes, bed
nets, and camping gear. It is extremely important to follow the
directions on the label of any repellent you use. </font></span>
<!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify"> </p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2"><b><i>Note
that the label for products containing oil of lemon eucalyptus specifies
that they should not be used on children under the age of three years.
Also, the American Academy of Pediatrics does not recommend any
repellent use on children younger than two months of age. </i></b>
</font></span></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><b><u>The following precautions are
recommended when using insect repellents: </u></b></font></p>
<!--mstheme--></font><!--msthemelist--><table border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Always
apply repellents according to the instructions on the product label.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Apply
repellents only to exposed skin and/or clothing as indicated on the
label. Do not use repellents under clothing.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Never
use repellents over cuts, wounds or irritated skin.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Do not
apply repellents to the eyes or mouth, and apply them sparingly
around the ears. When using repellent sprays, do not spray directly
on the face � spray the product on your hands first and then apply
it to the face.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Do not
allow children to handle the product. When using repellents on
children, apply to your hands first and then put it on the child.
You should not apply repellent to children�s hands. </font></span>
<!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">Use
just enough repellent to cover exposed skin and/or clothing. Heavy
application and saturation are generally unnecessary for
effectiveness. If biting insects do not respond to a thin film of
repellent, then apply a bit more.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">After
returning indoors, wash treated skin with soap and water. Also,
wash treated clothing before wearing it again.</font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<span style="font-size: 12.0pt"><font face="Verdana" size="2">If you
or your child get a rash or other bad reaction from an insect
repellent, stop using the repellent, wash the repellent off with
mild soap and water, and call a local poison control center for
further guidance. If you go to a doctor because of the repellent,
take the repellent with you to show the doctor. </font></span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify"> </p>
<h2 style="margin: 1px 5px" align="justify"><!--mstheme--><font color="#330099">
<font face="Verdana" size="2" color="#000000">Remove Stagnant Water
</font><!--mstheme--></font></h2>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2">To reduce mosquito populations around your
home and neighborhood, get rid of any standing water that is available
for mosquito breeding. Mosquitoes will begin to breed in any puddle or
standing water that lasts for more than four days. Hear are some simple
steps you can take:</font></p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"> </font></p>
<!--mstheme--></font><!--msthemelist--><table border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Dispose of
or regularly empty any metal cans, plastic containers, ceramic pots,
and other water holding containers (including trash cans) on your
property. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Pay special
attention to discarded tires that may have collected on your
property. Stagnant water in tires is a common place for
mosquitoes to breed. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Drill holes
in the bottom of recycling containers that are left outdoors, so
that water can drain out. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Clean
clogged roof gutters; remove leaves and debris that may prevent
drainage of rainwater. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Turn over
plastic wading pools and wheelbarrows when not in use. </span>
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Do not
allow water to stagnate in birdbaths; aerate ornamental ponds or
stock them with fish. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
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<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Keep
swimming pools clean and properly chlorinated; remove standing water
from pool covers. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
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<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2"><span style="color: black">Use
landscaping to eliminate standing water that collects on your
property. </span></font><!--mstheme--></font><!--msthemelist--></td></tr>
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<p class="Default" style="margin: 1px 5px" align="justify"> </p>
<p class="MsoNormal" style="margin: 1px 5px" align="justify">
<font face="Verdana" size="2">If you have any questions, or would like
additional information on this topic, please call the Needham Health
Department at (781) 455-7523 or check out our website at:
<a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.town.needham.ma.us/xBOH/BOHSeasonalHealthAdvisories.htm">
www.town.needham.ma.us/BOH/BOHSeasonalHealthAdvisories.htm</a>. The
Norfolk County Mosquito Control Project offers more information on their
website at:
<a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.massnrc.org/ncmcp/">
http://www.massnrc.org/ncmcp/</a>. You can also check out the following
Massachusetts Department of Public Health websites:
<a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.mass.gov/dph/topics/wnv_eee.htm">
www.mass.gov/dph/topics/wnv_eee.htm</a> and
<a style="color: blue; text-decoration: underline; text-underline: single" href="http://westnile.ashtonweb.com/index42.asp">
http://westnile.ashtonweb.com/index42.asp</a>. You can also call the
state information line at 1-866-MASS WNV. </font></p>
<p class="MsoNormal" style="margin-top: 1; margin-bottom: 1"> </p>
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