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Safety and Health Plan Proposed Distribution Center Stockton, California February 18, 2022 Terracon Project No. NA227001 11 generally include a sudden onset of fever, chills, headache, myalgia, and fatigue within 10 to 15 days following a tick bite. The symptoms of ehrlichiosis are similar to RMSF; however, a rash occurs less often. Other symptoms include nausea, vomiting, abdominal pain, and loss of appetite. Tularemia is a disease caused by the bacteria Francisella tuarensis. In Oklahomathe ticks commonly associated with Tularemia are the Dog Tick and the Lone Star Tick (see figures below). Symptoms of Tularemia are high fever, chills, fatigue, general body aches, headache, and -Associated Rash Illness (STARI) is an illness that is indistinguishable from the early stages of Lyme Disease. These symptoms include the the disease is not fully understood, but it appears to be associated with the bite of the Lone Star Tick. Lyme Disease is associated with the bite of the Deer Tick. 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 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.