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AHCOM <br /> 4.9.3 Tularemia is a problem with contaminated soil in some locations. Tularemia is a disease of animals <br /> and humans caused by the bacterium Francisella tularensis. Rabbits, hares, and rodents are <br /> especially susceptible and often die in large numbers during outbreaks.Workers can contract <br /> Tularemia through tick and deer fly bites, but also through inhalation of contaminated aerosols or <br /> agricultural dusts. Check work areas for carcasses before disturbing the ground (e.g. mowing, <br /> brushing, grubbing, excavation, etc.). <br /> 4.10 Personal Hygiene and Body Checks <br /> 4.10.1 Tick-borne diseases typically require that the tick be imbedded for four hours to begin disease <br /> transfer.The oils from poisonous plants can take up to 4 hours after exposure to penetrate the skin <br /> and react with the live proteins under the skin. <br /> 4.10.2 It is recommended that exposed skin be checked frequently for the presence of ticks, insects, <br /> rashes, or discolorations. External clothing should also be checked for the presence of ticks and <br /> insects; these should be retained for identification and to determine if medical treatment is needed. <br /> 4.10.3 Employees shall shower as soon as practical after working in the field and examine their bodies for <br /> the presence of ticks, insect bites, rashes, or swollen areas. If imbedded ticks are found, they <br /> should be removed using the technique described in S3AM-313-ATT2 Ticks. <br /> 4.11 Employees shall immediately notify their Manager or Supervisor of the presence of an imbedded tick, bee, <br /> wasp or hornet sting, other insect bite, rash, or any abnormal reaction. Reporting shall occur within 4 hours <br /> for a significant incident and 24 hours for all other SH&E incidents, and in accordance with S3AM-004-PR <br /> Incident Reporting, Notifications&Investigation. <br /> 4.12 The Manager or Supervisor shall forward the report to the SH&E Manager for follow up. <br /> 5.0 Records <br /> None <br /> 6.0 Attachments <br /> 6.1 S3AM-313-ATT1 Biological Hazard Assessment Flow Chart <br /> 6.2 S3AM-313-ATT2 Ticks <br /> 6.3 S3AM-313-ATT3 Poisonous Spider Identification <br /> 6.4 S3AM-313-ATT4 Mosquito Borne Diseases <br /> 6.5 S3AM-313-ATT5 Plants of Concern <br /> 6.6 S3AM-313-ATT6 Wild Parsnip Identification <br /> 6.7 S3AM-313-ATT7 Alligators <br /> 6.8 S3AM-313-ATT8 Bird Droppings <br /> 6.9 S3AM-313-ATT9 Large Carnivores&Ungulates <br /> 6.10 S3AM-313-ATT10 Bear Safety <br /> 6.11 S3AM-313-ATT11 Small Mammals <br /> 6.12 S3AM-313-ATT12 Snakes&Scorpions <br /> Wildlife,Plants&Insects(S3AM-313-PR1) <br /> Revision 6 July 31,2019 <br /> PRINTED COPIES ARE UNCONTROLLED. CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. Page 10 of 10 <br />