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<font face="Verdana" size="5" color="#0000FF">What To Know About Lyme
Disease</font></b></p>
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<span style="font-family: Verdana"><font size="2">The Massachusetts
Department of Public Health reports that Lyme disease is the most
commonly reported tick-borne disease in the United States, accounting
for more than 95% of all reported cases. For the United States, the
reported incidence of Lyme disease, which is the number of new cases
identified, is greatest in the Northeast, mid-Atlantic, and
upper-Midwest regions. In Massachusetts, the incidence of Lyme disease
in 2003 was 23.7 cases per 100,000, which is almost three times higher
than the most current estimate of the national incidence rate (from
2002, 8.2 cases per 100,000).</font></span></p>
<p align="justify" style="margin: 1px 5px"> </p>
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<font face="Verdana" size="2">In 2002, Massachusetts had the fifth
highest incidence rate for Lyme disease nationwide. The number of Lyme
disease cases has been increasing over the past twelve years in
Massachusetts. Between 1990 and 2003, a total of 9,114 confirmed cases
of Lyme disease were reported to the Massachusetts Department of Public
Health (MDPH), representing 94% of all tick-borne diseases reported.</font></p>
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<span style="font-family: Verdana"><font size="2">In 2002 there were 5
confirmed cases of Lyme Disease reported to the Needham Health
Department. In 2003 there were 26 confirmed cases reported, in 2004
there were 27 confirmed cases reported, and in 2004 there were 23
confirmed cases reported. </font></span></p>
<p align="justify" style="margin: 1px 5px"> </p>
<p align="justify" style="margin: 1px 5px">
<span style="font-family: Verdana"><font size="2">Lyme disease is an
infection caused by the corkscrew-shaped bacteria Borrelia burgdorferi.
The bacteria are transmitted to humans by the bite of infected deer
ticks (Ixodes scapularis) in the northeastern United States and western
black-legged ticks (Ixodes pacificus) on the Pacific Coast. The
infection can cause serious long-term joint, heart and nervous system
problems, if not recognized and treated early.</font></span></p>
<p align="justify" style="margin: 1px 5px"> </p>
<p align="justify" style="margin: 1px 5px">
<span style="font-family: Verdana"><font size="2">There is no vaccine
available to protect against Lyme disease or other diseases spread by
ticks. The only way to protect yourself is to prevent ticks from biting
you. If you live, work, or spend leisure time in an area likely to have
ticks: </font></span></p>
<p align="justify" style="margin: 1px 5px"> </p>
<!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" 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">
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<font face="Verdana" size="2">The single most important thing you
can do is check yourself for ticks once a day. Favorite places ticks
like to go on your body include between the toes, the back of the
knees, the groin, the armpits, the back of the neck, along the
hairline, and behind the ears. Remember to check your children and
pets too; </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">
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<font face="Verdana" size="2">Remove any attached tick you find with
a fine point tweezers, grasping the tick as close to the skin as
possible and pulling straight out with steady pressure; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Stick to main pathways and the center
of trails when hiking; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Wear long-sleeved, light colored
shirts and long pants tucked into socks. This helps keep ticks off
you and makes it easier to spot them; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">For your skin, you can use a tick
repellent with no more than 30% DEET. Choose a product that will
provide sufficient protection for the amount of time spent outdoors.
Product labels often indicate the length of time that someone can
expect protection from a product. Products containing DEET should
not be used on children less than 2 months of age and should be used
in concentrations of 30% and lower for older children and adults.
Never put repellents on the hands and face of young children. Use
repellents according to the manufacturer�s recommendations; </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">
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<font face="Verdana" size="2">Products containing permethrin kill
ticks, but these products should be applied to clothing and not
directly to skin. Clothing should be treated and allowed to dry in a
well-ventilated area prior to wearing ; and </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Place patio furniture, swing sets,
etc. away from the wooded sections of your property. </font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p align="justify" style="margin: 1px 5px"> </p>
<p style="margin: 1px 5px" align="justify">
<span style="font-family: Verdana"><font size="2">You don't have to be
walking in the woods to be bitten by a tick. You can be in your own
backyard! You can reduce the number of ticks around your home by:</font></span></p>
<p style="margin: 1px 5px" align="justify"> </p>
<!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" 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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Keeping grass cut short; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Removing leaf litter and brush from
around your home; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Pruning low lying bushes to let in
more sunlight; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Keeping woodpiles and birdfeeders off
the ground and away from your home; </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Keeping the plants around stone walls
cut short;</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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Using a three foot woodchip, mulch or
gravel barrier where your lawn meets the woods;</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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Asking your landscaper or local
nursery about plants to use in your yard that do not attract deer;
and </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 align="justify" style="margin: 1px 5px">
<font face="Verdana" size="2">Using deer fencing (for yards <u>></u>
15 acres).</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1px 5px" align="justify">
<span style="font-family: Verdana"><font size="2"> </font></span></p>
<p style="margin: 1px 5px" align="justify">
<span style="font-family: Verdana"><font size="2">For information about
the active ingredient in a repellent or pesticide, contact the National
Pesticide Information Center at 1-800-858-7378 or visit their website at
<a target="_blank" href="http://npic.orst.edu/">http://npic.orst.edu/</a>. </font>
</span></p>
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