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sb -' The most noticeable sign of early Lyme disease is a rash that often looks like a bull's- eye, or an expanding red circle with a lighter area in the center (where the bite occurred). This sometimes burning or itchy rash often appears on the thigh, in the groin, or in the armpit. However, it doesn't always look like a bull's eye; it sometimes - appears as a single red rash or many small rashes. In addition, other signs of early .> Lyme disease are Flu-like symptoms such as malaise, fatigue, chills, fever, headache, and muscle pain. Less common are sore throat and enlarged glands. If not treated -j promptly, it may ultimately involve the heart, the nervous system and the joints. These later symptoms may include lightheadedness, fainting, rapid heartbeat, and difficult or ' labored breathing. When involving the nervous system, symptoms may include ;i headache, stiff neck, difficulty in concentrating, poor memory, dizziness, earache, numbness or visual disturbances. Early recognition of Lyme disease is important. Ifyou have any of the aforementioned symptoms, contactyour physician immediately. This information, together with a blood } test, will helpyour physician make a diagnosis. Treatment with antibiotics during the early stages can cure the infection and prevent serious complications. - Tick Avoidance - Personnel a Tuck pants into boots or socks, and shirt into pants; 3 -4- light-colored clothing so ticks can easily be seen; Apply insect repellent on pants, socks, and shoes. Use a repellent registered for use against ticks; } -4, Avoid walking through brush whenever, possible; 7 - Checkyourself frecluently. 2.3.2 Snakes j Rattlesnakes do not actively search out someone to bite. Venom was not evolved for defensive uses, but rather as a digestive juice. Generally, these snakes would rather Flee than attack. They usually attack only if given no other alternative. J There are a few things that you can do to avoid being bit by a rattler. First, when lifting rocks, boards, or logs, do not putyour fingers under it; use a hook ifyou cannot -. get a grip above. Also, lift the object away fromyour body. When walking in brush and grass, stay in clear areas as much as possible. Instead of looking atyour feet or off into the horizon, look in an area of four to six feet in front of your. Do not step ;t over any logs or large rocks that may cross your path; step onto it and look to see if there may be a rattler on the other side. When a rattler sounds off, do not move until " you have located where it is and then move away at a moderate speed. Also, remember that a dead rattlesnake is still capable of envenomating you. A severed Sb Environmental Services,LLC O October,2003 California Integrated Waste Management Board J Site Specific Health and Safety Plan Page 17 or62 Tracy Tire Fire Remediation Project _ J