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Project No.4-419-0381 August 29,2019 Page No. 15 protective gear and clothing. Avoid hand-to-face contact, eating,drinking, smoking, etc. when applying or using repellents. Remove and wash clothes per repellent product label. Chemical repellents should not be used on infants and children. Vaccinations are generally not available for tick-borne pathogens.Although production of the LYMErixTM lyme disease vaccination has been ceased,vaccination may still be considered under specific circumstances and with concurrence from the consulting physician.Preventative antibiotic treatment in non-ill individuals who have had a recent tick bite is recommended in specific cases only. Tick Removal *100000' • Use fine-tipped tweezers or shield your fingers with a tissue,paper towel,or nitrile gloves; • Grasp the tick as close to the skin surface as possible and pull upward with steady,even pressure.Do not twist or jerk the tick; this may cause the mouthparts to break off and remain in the skin. (If this happens,remove mouthparts with tweezers.Consult your healthcare provider if infection occurs.); • Do not squeeze, crush, or puncture the body of the tick because its fluids (saliva,hemolymph, gut contents)may contain infectious organisms. Releasing these organisms to the outside of the tick's body or into the bite area may increase the chance of infectious organism transmission; • Do not handle the tick with bare hands because infectious agents may enter through mucous membranes or breaks in the skin.This precaution is particularly directed to individuals who remove ticks from domestic animals with unprotected fingers. Children, elderly persons, and immune- compromised persons may be at greater risk of infection and should avoid this procedure; • After removing the tick,thoroughly disinfect the bite site and wash your hands with soap and water; and • You may wish to save the tick for identification in case you become ill. Your doctor can use the information to assist in making an accurate diagnosis. Place the tick in a plastic bag and put it in your freezer. Write the date of the bite on a piece of paper with a pencil and place it in the bag. • Note: Folklore remedies, such as petroleum jelly or hot matches do little to encourage a tick to detach from skin. In fact, they may make matters worse by irritating the tick and stimulating it to release additional saliva, increasing the chances of transmitting the pathogen. These methods of tick removal should be avoided.In addition,a number of tick removal devices have been marketed, but none are better than a plain set of fine tipped tweezers. First-Aid and Medical Treatment Tick bites should always be treated with first-aid. Clean and wash hands and disinfect the bite site after removing embedded tick. Consult a healthcare professional if infection or symptoms and effects of tick- borne illnesses develop. Medical treatment for tick-borne infections include antibiotics and other medical interventions. Diagnosis of specific illness involves both clinical and laboratory confirmations. Preventative antibiotic treatment in non-ill individuals who have had a recent tick bite is recommended in specific cases only. Previously infected individuals are not conferred immunity. Re-infection from future tick bites can occur even after a person has contracted a tick-borne disease. Ll SALEM engineering group. inc.