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Safety and Health Plan Tracy Ridge Tracy, California March 27, 2019 Terracon Project No. NA187052.1 lierracon Early diagnosis of tick borne diseases is essential to treatment of the disease. The following photographs show common symptoms one may develop. Insect repellent, containing diethyltoluamide (DEET), should be used in tick infested areas, and pants legs should be tucked into boots. Another option is to spray clothing with a repellent containing permethrin. Repellents containing permethrin should not be applied directly to exposed skin. Additionally, workers should search the entire body every three or four hours for attached ticks. Ticks should be removed promptly and carefully without crushing. A gentle and steady pulling action should be used to avoid leaving the head or mouth parts in the skin. Folklore remedies, such as the use of 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 or regurgitate gut contents, increasing the chances of transmitting the pathogen. These methods of tick removal should be avoided. A number of tick removal devices have been marketed, but none are better than a plain set of fine tipped tweezers. Tick Bite Prevention Tips Avoiding tick bites is the best way to reduce your risk of developing a tick-borne illness. The following personal tick bite prevention tips are recommended when exposure to a wooded or tick infested area is likely: Wear light colored clothing to make ticks easier to see. Wear long-sleeved shirts and long pants tucked into socks to deprive ticks of attachment sites. Check for ticks every three to four hours; particularly along waistbands, in the armpits, and groin area. Don't forget the back and the scalp! Use a tick repellent with DEET on skin and clothing according to the directions. Use a tick repellent with permethrin ON CLOTHING ONLY as directed by the label. Stinging Insects To avoid stinging insects, it is important to learn what they look like and where they live. Most sting reactions are caused by five types of insects: yellow jackets, honeybees, paper wasps, hornets and fire ants. Yellow jackets are black with yellow markings, and are found in various climates. Their nests, which are made of a paper-Mache material, are usually located underground, but can sometimes be found in the walls of frame buildings, cracks in masonry or woodpiles. Honeybees have a rounded, "fuzzy" body with dark brown coloring and yellow markings. Upon stinging, the honeybee usually leaves its barbed stinger in its victim; the bee dies as a result. Honeybees are non-aggressive and will only sting when provoked. However, Africanized honeybees, or so-called "killer bees" found in the southwestern United States and South and Central America, are more aggressive and may sting in swarms. Domesticated honeybees live in man-made hives, while wild honeybees live in colonies or "honeycombs" in hollow trees or cavities 12