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y V V Fr 213.3.1 Lyme Disease Symptoms V A typical early symptom of infection is a slowly expanding red rash. The rash often starts as a flat or raised red area and slowly expands after several days, with partial central clearing, V resulting in a red ring appearance. While most people will develop an observable red rash, some Lyme disease victims may lack this symptom. Other common early symptoms of Lyme disease include fatigue, headache, muscle aches, neck stiffness, fever, and swollen glands. Later symptoms, if untreated, include joint pain and swelling, nervous system problems, heart complications, and other effects. These later symptoms usually occur one to four months after the original infection and can result in permanent health effects. 213.3.2 Lyme Disease Treatment V Lyme disease is easily treated by use of antibiotics when detected early. Individuals that develop a rash or experience other early symptoms of Lyme disease should promptly see a physician for treatment. Although the disease is more difficult to treat if further advanced, it is still is treatable using larger antibiotic (usually intravenous) doses. 213.3.3 Reducing Lyme Disease Risk Field personnel can reduce the risk of tick-borne diseases through proper clothing, use of repellents, use of good work practices, and recognizing early symptoms. V Field personnel in grassy or wooded areas should wear long pants, long sleeved shirts (tucked in), hat, and consider taping or cinchi_rig clothing at the ankles. Work in ares of known high tick concentrations (e.g. wetland areas)should consider use of Tyvek coveralls taped at the ankles and wrists. V Follow label directions carefully for use of tick repellents as many are designed for use on clothing, not on skin. Repellent use should be in combination with proper clothing and is most recommended for the ankles and wrists. HS-213-2