The risk of getting Lyme disease from a tick bite is very low (about 1 in 100) if the tick is removed before it is engorged…..
LymeDisease, by Jeffrey Eiden, MD, Family Medicine, Putnam County Primary Care
It is tick time again! Along with the warmer weather that gets us outside, hiking and tromping through the woods, comes the risk of exposure to ticks. When we think of ticks, we often think of Lyme disease. Here is a brief review of what you should know about ticks, preventing and treating tick bites, as well as some information about Lyme disease.
A tick is a small arachnid that is a parasite. Ticks require the blood of another organism to survive. They attach to a host, often a mammal, feed on blood, detach and repeat when they need another meal. Not all ticks carry diseases, but some do. There are 16 known human diseases transmitted by ticks. The best approach is to avoid ticks if possible or at least remove them soon after they attach.
Ticks are most active during warm weather. They are most often in wooded or brushy areas or in high grass. Be aware that you might encounter ticks when in this type of area. If you venture into an area that is likely to have ticks present, you should consider using a tick repellent. Most insect repellents also repel ticks. The recommendation is to use an insect repellent that contains DEET. Clothing, boots and tents can also be pre-treated with 0.5% permethrin which also repels ticks. Limiting exposed skin by covering it with clothing and by tucking pants into socks keeps ticks from finding a place to attach.
If a tick does attach, it is best to remove it as soon as possible. Get in the habit of checking for ticks after spending time outdoors. Look for ticks on clothes and shoes. Check pets also, as ticks can attach to them and then gain access to your home. It is also wise to bathe or shower within two hours of returning inside and to check over all your skin to be sure there are no ticks attached. Children should be thoroughly checked by parents.
When a tick is found on skin, remove it. The best way to remove a tick is to grasp it firmly with fine-tipped tweezers and pull away from the skin. It works best if the tip of the tweezers is as close to the skin as possible. Steady pressure should remove the tick. Avoid twisting or jerking. If the tick does not come off in one piece, remove the pieces left behind if possible. There are some “tricks” for removing ticks that are passed around, including using a match or nail polish. These do not work. Use the tweezers and pull.
Suppose you do find a tick that has attached to your skin. Remove it as above. Do not panic but do be alert for any signs or symptoms of tick-borne illness. These would include fever, chills, muscle aches and in some cases, rash. If any of these symptoms develop, contact your primary care provider for instructions.
Shifting to Lyme disease, the risk of getting Lyme disease from a tick bite is very low (about 1 in 100) if the tick is removed before it is engorged. This is why it is so important to find and remove ticks as soon as possible.
There is consideration for using a single dose of antibiotic to prevent Lyme disease after a tick bite, but this is only recommended in specific situations. The tick would need to be identified as a deer tick, as this is the only type of tick known to transmit Lyme disease. Deer ticks have black legs, which distinguishes them from other types of ticks. The tick should have been attached for 36 hours or more, as indicated by time since exposure or degree of engorgement. The antibiotic should be given within 72 hours of tick removal. The tick bite should have occurred in an area where at least 20% of ticks are infected with the bacteria that causes Lyme disease. This is an issue in parts of New England and parts of Pennsylvania, New Jersey, New York, Minnesota and Wisconsin. In Ohio, although we have deer ticks and some carry Lyme disease, we are not yet at area with this level of tick infection.
Another approach to preventing full-blown Lyme disease is to treat at the first sign of a rash that indicates possible infection. This rash is distinctive. It occurs at the site of the tick bite and is salmon to red-colored and circular. One-third of the time, it can have a clear area in the center that makes it look like a bull’s eye or target. The rash, called erythema migrans, tends to expand outward over several days, getting larger and larger. If you have had a tick bite and develop this type of rash where the bite occurred, you should call your primary care provider and be evaluated. Treatment at this point would typically be with a course of an antibiotic like doxycycline, amoxicillin or cefuroxime.
Lyme disease is caused by the body’s immune response to the bacteria Borrelia burgdorferi. The symptoms are divided into different phases, based on length of time since initial infection. The early localized phase of Lyme disease is usually about 7-14 days after the tick bite. It is characterized by the rash of erythema migrans, and symptoms typical of a viral infection, such as fatigue, fever, headache, muscle or joint pain and swollen lymph nodes. The symptoms are not often severe.
The early disseminated phase of Lyme disease occurs days to weeks after the tick bite and is caused by the spread of bacteria through the bloodstream, leading to inflammation in the affected area. There can be involvement of the heart or nervous system. Symptoms of infection in a particular organ are not common, but can be severe.
In addition to early symptoms, there can be a late phase of Lyme disease. This most commonly is seen as inflammation affecting the joint and muscles and happens in 80% of people who did not receive treatment with antibiotics for their early infection. Late Lyme disease can also cause neurologic symptoms, but this is rare.
Post-Lyme disease syndrome is a group of symptoms that can occur chronically after treatment for Lyme disease. The symptoms seen with this are headache, fatigue and joint pain. Because these types of symptoms are common, some people worry that they have post-Lyme disease syndrome even when they do not have a history of having had Lyme disease. It is not helpful to treat the post-Lyme disease syndrome with antibiotics, and it gradually resolves.
The diagnosis of Lyme disease is made based on history of possible exposure to ticks, characteristic signs and symptoms, and the finding of antibodies to Lyme disease on blood testing. The blood tests are not always helpful and should be ordered by a physician/provider after consultation and interpreted considering the patient’s story and symptoms.
As in so many medical conditions, prevention is key and early detection/treatment is the next best option. Watch out for ticks! But get outside and enjoy the warm weather whenever you can. Doctor’s orders. J
All too often 4th of July festivities turn tragic on the nation’s roads…..
Americans love to celebrate the 4th of July with family, friends, food, and fireworks. But all too often the festivities turn tragic on the nation’s roads. This American holiday is also one of the deadliest holidays of the year due to drunk-driving crashes.
Over the 4th of July holiday period in 2018 (6 p.m. July 3 to 5:59 a.m. July 5):
193 people died in motor vehicle traffic crashes. 40% (78) of those fatalities occurred in alcohol-impaired crashes. This compares to 2017 when 38% of the July 4 holiday period fatalities occurred in alcohol-impaired-driving crashes.
71% of those who died in alcohol-impaired crashes were in a crash involving at least one driver or motorcyclist with a BAC (Blood Alcohol Content) of .15 or higher
Keep your 4th of July celebrations safe by designating a sober driver, not driving distracted, and always wearing your seatbelt.
For More Information:
Lt. Angel Burgos, Ohio State Highway Patrol: 419-352-2481
The mission of Wood County Health Department is to prevent disease, promote healthy lifestyles and protect the health of everyone in Wood County…..
BOWLING GREEN — Wood County Community Health Center would like to introduce Dr. John Coates, DO and Nurse Practitioner Sally Royston to the health center. Dr. Coates has practiced in the Bowling Green area for almost twenty years. He can be seen at the health center for primary care and chronic disease management. He is currently taking new patients for in-person visits and telehealth appointments.
Nurse Practitioner Sally Royston joined the health center in June 2019. She was a Registered Nurse for over 30 years and has been a Nurse Practitioner for over 10 years. She sees patients for primary care and chronic disease management. She is also part of the Medication Assisted Treatment (MAT) team that helps patients with addictions including smoking, alcohol and other drugs. She is currently taking new patients as well for in-person visits and telehealth appointments.
To learn more about Wood County Community Health Center and the other services they provide, visit the website at WCHealthcenter.org or their Facebook page. To schedule an appointment call 419-354-9049.
Dr. Steven Dood, who has been with the health center since 2015, is no longer providing direct patient care but remains the Chief Medical Officer providing oversight on medical functions.
The mission of Wood County Health Department is to prevent disease, promote healthy lifestyles and protect the health of everyone in Wood County. Our Community Health Center provides quality health services to improve the well-being of individuals and families. We welcome everyone regardless of insurance coverage or ability to pay. For more information, visit WoodCountyHealth.org
The Wood County Community Health Center is fully funded by Grant Number H8CS26578 from the Health Resources and Services Administration, an operating division of the U.S. Department of Health and Human Services, as part of an award totaling $1,014,543. The information in this release is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.
Wood County Community Health Center overwhelmed with calls after pop-up testing…..
The Wood County Community Health Center is being overwhelmed with calls about test results from the pop-up COVID testing done on June 30th. The amount of calls is interfering with health center patients being able to get through to the office for their healthcare needs.
To clarify what you should do: Everyone was given a flyer with information about how to obtain their results from Quest through a portal or by phone. The website is QuestDiagnostics.com/home/Covid-19/Patients/ and the phone number is 866-697-8378.
Alert fighter jets will conduct a test of the Aerospace Control Alert system… in and around the Lima, Ohio area, and surrounding counties.
Alert fighter jets from the 180th Fighter Wing will conduct a test of the Aerospace Control Alert system on Wed., July 1, between 8:30 a.m. and 11:30 a.m.
Those living in and around the Lima, Ohio area, and surrounding counties, may hear and/or see fighter jets in close proximity to a Civil Air Patrol aircraft, which will be taking on the role of a Track of Interest (TOI). A TOI is an aircraft that has been identified as a potential threat.
The purpose of the event is to exercise coordination between the Eastern Air Defense Sector, Federal Aviation Administration and 180FW.
Aerospace Control includes maintaining air sovereignty and air defense through the surveillance and control of airspace over Canada and the U.S.
These types of exercises are conducted on a routine basis as part of North American Aerospace Defense Command’s Operation Noble Eagle, which was initiated after the terrorist attacks of Sept. 11, 2001.
Although scheduled for the morning, the exercise flights could be relocated, delayed or cancelled due to inclement weather.
Your village is conducting a smoke test of it’s sanitary sewer system.
Work crews will be in your area starting July 6th–17th.
A “Smoke test” survey will assist the inspection crews in locating breaks and defects in the sewer system.
The smoke should not enter your home unless you have a defect in your homes plumbing system or you have drain traps that are dried-up.
It is advisable for the homeowner to slowly pour a gallon of water into each floor drains, and other seldom used drains, prior to the testing date. If smoke does enter your home, there is a strong reason to assume that dangerous sewer gases are entering your home or business. You should open windows and doors and evacuate the building immediately and notify the work crew. If you are not at home at the time of testing and return home to find smoke, please call us at 419-257-2141.
The product that will be used in the smoke testing is a liquid smoke product called LiquiSmoke. Information about the product may be obtained online or from the Village Hall. The smoke is not medically harmful, does not stain or leave odors in home materials, is non-carcinogenic, but for some people may be irritating to nasal passages. Any smoke irritation will be temporary and should quickly disappear after exposure has ceased. House pets may react in a manner similar to humans. It is recommended that people with heart and respiratory ailments leave the house during the test.
“… not that long ago that the cop on the beat was greeted with a meaningful “thanks for your service,” adding that many of the same people who uttered those words are now spitting vicious epithets at the cop on the beat. “
President Trump issued a Police Reform Order; Senate
Democrats killed a motion to create a police reform law
WASHINGTON, DC, June 26 — “President Trump’s Executive Order for Safe Policing for Safe Communities goes a long way toward the goal of dealing with the ‘bad apples’ in law enforcement. It sends a message that law and order can and will be maintained in a disciplined manner that protects law abiding citizens while acknowledging the rights of suspects,” says Bob Carlstrom, president of AMAC Action, the advocacy affiliate of the 2.1 million-member Association of Mature American Citizens.
The president’s message clearly addresses the concerns of protesters demonstrating, “with vitriolic violence,” that America’s African-American communities are most at risk from wrong-doing by police, Carlstrom points out.
Meanwhile, on Wednesday Democrats blocked a Republican effort to achieve police reform legislation led by Sen. Tim Scott (R-S.C.), the only Black GOP senator. Scott described it as “a motion to proceed that you should vote for. If you really want to get into police reform, we will need a vehicle with which to get there.”
As Carlstrom sees it, “Senate Democrats, at the behest of Charles Schumer [D-NY], were hell-bent on undermining a sensible bill aimed at codifying police reforms. Apparently, they believe that delaying reform legislation can help bring out the dissident vote in November.”
He notes that it was not that long ago that the cop on the beat was greeted with a meaningful “thanks for your service,” adding that many of the same people who uttered those words are now spitting vicious epithets at the cop on the beat.
“Indeed, we must recognize that individual police officers can go rogue and they should, and must, face the consequences of the inappropriate use of force when confronting a suspects whatever the color of their skin. But, we must also recognize the fact that the police are targets who go to work each day with a great big bull’s eye on their backs. And, despite the danger to their own lives, we must acknowledge that the overwhelming majority of the men and women of law enforcement remain true to their calling without hesitation, without prejudice and without the intent to do harm.”
Carlstrom condemns those who would defund police forces and put onerous restrictions on them. “Were their dreams be fulfilled we would not be facing disruptive protesters on our streets; we’d ultimately be facing armies of anarchists. AMAC endorses President Trump’s Executive Order. We see it as the means of allowing our dedicated police officers to get back to the job at hand: to preserve law and order, to allow us to get on with our daily lives without fear and to provide a safe and productive environment.”
He says that perhaps the most honest reaction to the president’s order came from “left field,” from CNN commentator Van Jones who put it this way: The president “started off with a lot of unity, and then it moved off into politics, and a whole bunch of stuff that people are gonna fight about. All that stuff is classic Trump. It will be gone tomorrow. But what will be in place there is a new floor – a higher floor – for Congress for now to depart from that [which] includes law enforcement support for data, for de-escalators, for better training and against chokeholds. I think progress has been made.”
About AMAC Action
The rapidly growing 2.1-million-member AMAC Action is a 501(c)(4) nonprofit advocacy organization created to assist Association of Mature American Citizens members with grassroots participation on Capitol Hill and at the local level through its advocacy programs.
You can also track your water usage daily, and even hourly, when you sign up for our AquaHawk monitoring system. Most customers use more water in the summer. By knowing when your usage is occurring, you can take control of your costs. Sign up here.
Stay healthy by properly hydrating.
Proper hydration is absolutely essential for our overall health and is especially important during the hot and humid days of summer. Dehydration can be dangerous and cause muscle cramps, dizziness, headaches, nausea, and fainting.
Have your own reusable water bottle on hand for any summertime gatherings. This not only minimizes waste but will encourage you to get the recommended 8 glasses of water a day. Besides enjoying tap water, some enjoy our WaterShed water. Click here for locations.
Taking a drink of water from a garden hose on a hot summer day may be a fond childhood memory. But in reality, most outdoor faucets and garden hoses aren’t meant to be used for drinking water.
While using your hose to water plants, fill water balloons, or run your sprinkler are all great ideas, most don’t meet the safety standards required for drinking water. They can contain lead or be made from materials that leach chemicals into the water.
However, there are faucets and garden hoses that are safe to drink from if maintained properly. If your garden hose or outdoor faucet is NSF/ANSI 61 or NSF/ANSI 372 certified, it means the products meet certain safety standards to be used for drinking water. Learn more about what these certifications mean.
Coolers full of drinks and ice are a summertime staple. But there are a few things to keep in mind when it comes to the safety of ice.
Bagged ice is considered a food product and is regulated by the U.S. Food and Drug Administration (FDA). Ice manufacturers must produce, hold, and transport ice in clean and sanitary conditions and use clean, safe water to make their product.
However, once you dump that bag into a cooler full of food or drinks, or someone at your party goes elbow deep in search of a cold drink, the ice is no longer safe to consume.
It’s best to have a separate cooler designated for ice that goes in drinks. Clean and sanitize the cooler before adding ice and use a clean scoop or pair of tongs to grab ice to add to drinks.
When it comes to the ice in your refrigerator, the high quality, great-tasting tap water delivered to your house is great for making ice. If you have an automatic ice cube maker, keep in mind that the quality of the ice will depend on how often you clean and maintain it.
(BPT) – People living with diabetes know that the condition comes with highs and lows — especially when it comes to managing blood sugar. For those on insulin, blood sugar can get so low that it’s considered a medical emergency (known as severe hypoglycemia or a very low blood sugar emergency). This can happen unexpectedly. This means that people living with diabetes must be prepared for the unexpected lows, and just as importantly, make sure their support network knows how to help.
“When a very low blood sugar emergency happens, the person becomes unable to treat themselves, meaning that someone around them will need to act and administer a rescue treatment,” said Dr. Gregory Dodell, MD, FACE, AACE Endocrinologist, Diabetes Expert. “That’s why it’s critical for people with diabetes to be prepared, have a rescue plan, and empower their support network with their plan.”
Dr. Dodell shared some tips to help be prepared for low blood sugar.
Learn the signs and symptoms of low blood sugar and very low blood sugar emergencies.
Low blood sugar occurs when blood sugar (glucose) levels have fallen below 70 mg/dL, but symptoms may start occurring at higher glucose levels as well. A drop in blood sugar can range from:
Mild: The person is conscious and able to think clearly enough to self-treat by eating or drinking fast-acting carbohydrates, like certain candies or juice that contain sugar.
Moderate: The person is conscious but may not be thinking clearly. He or she can usually self-treat moderate low blood sugar with glucose tablets or by eating or drinking fast-acting carbohydrates.
Severe (very low): The person is conscious or unconscious and unable to self-treat, requiring someone else to administer a rescue treatment, like glucagon. This is a very low blood sugar emergency.
In each of these scenarios, it’s important to recognize the signs, check blood sugar, and take the appropriate steps to bring blood sugar levels back within a target range. Symptoms of low blood sugar vary at different stages and from person to person, but may include pale complexion, shakiness, lack of coordination, mood changes, slurred speech, inattention and confusion, seizures or loss of consciousness.
Develop a low blood sugar preparedness plan.
People on insulin may be at risk for a very low blood sugar emergency, so it’s important that they talk to their doctor about being prepared and which glucagon prescription is right for them and their support network. Part of having a low blood sugar preparedness plan is keeping your support network in the know so they’re ready to help in case of an emergency.
To help people with diabetes be prepared in the event of a low blood sugar and a very low blood sugar emergency, Lilly Diabetes launched the Know Before the Low educational initiative (KnowBeforeTheLow.com), where people with diabetes and their support network can find information as well as questions to ask their healthcare team about a preparedness and rescue plan that’s right for them.
Think beyond your friends and family for your support network.
Dr. Dodell emphasized that people with diabetes should reflect on their routines and look at who is around them to determine who may be able to administer a rescue treatment during an emergency. A support network should go beyond family and friends to include co-workers, coaches, roommates, teachers or neighbors.
“On the road, I rely on my tour manager and crew, so I’ve brought them up to speed on diabetes and how to recognize any lows,” explained Lilly Diabetes Ambassador and singer/songwriter, Crystal Bowersox. “They may not be typical caregivers, but I’ve made sure they are a part of my support network. In the event of an emergency, they know where I keep my rescue treatment and how to use it.”
“Whether you’re at home or on-the-go, always keep low blood sugar supplies, including fast-acting carbohydrates and a non-expired rescue treatment, close by — whether it’s in a bag, nightstand or pocket,” Dr. Dodell said. For more information and resources, including a doctor discussion guide and low blood sugar tip list, visit KnowBeforeTheLow.com.
US Navy Veteran, Dad, and BGSU Food, Nutrition and Dietetics Masters Degree student, shares his insight……..
by Aaron Cowell
It is recommended to practice social distancing while we try to curb effects of Covid-19. The Center for Disease Control and Prevention (CDC) suggests children are affected by the recommendations such as social distancing, quarantines, and nationwide school closures. These adjustments may make these children feel uncertain, isolated, and unsure of what is to come. Since children are not going to school or daycares and restaurants are still adjusting to recommendations, some parents may be feeling the extra stress of cooking at home more often.
Having a picky eater at home is not the easiest thing to deal with especially if your schedules are interrupted. There are many tips and ways to help ease the additional stress.
Toddlers are naturally more curious as they want to explore the world around them. This is where parents start to think they should try to explore with more foods, but toddlers are also more likely to show a fear of new foods and have their appetite fluctuate meal to meal. Even as they become more skilled at feeding themselves, parents should always modify to food to prevent choking hazards.
Preschool aged children may start to grow out of the fear of new foods and in most cases, it will go away almost entirely. This age group shows more mastery of utensils, chewing, and eventually become more skilled drinkers. While they may try more foods time to time their appetite will continue to vary as they become more away of their eating environment.
School aged children have a fairly developed skill set required to eat meals similar to their parents. They will have a basic understanding of nutrition, food prep., and will have more and more instances where they have the freedom to choose the food they eat, because they are usually eating at least one meal out of the home per day.
As a parent there is a defined role that health professionals have defined it is, “Parents are responsible for what is presented to eat and the manner in which it is presented. Children are responsible for how much they eat, and even whether they eat.”
How to strategize with picky eaters?
Health professionals stress that working with picky eaters can be long process. Being able to set realistic goals and expectations is key. Successful strategies start with a healthy eating environment. Letting the children be more involved in the whole food process can help introduce children to the food before they sit down to eat it. Having fun with kids in the kitchen is a great way to get them involved.
Allowing them to help prep foods such as sprinkling cheese on a pizza or crushing nuts to add to a salad can be ways to getting them involved. Creating playful names and cutting foods into shapes can make mealtime more fun for the children. When trying new foods, offering it to them and pretending like it’s their idea in the first place can make a world of difference. The more often the food is offered and presented the more they become familiar with it and are more likely to try the new food.
And as always, washing hands is very important. The earlier children get in the habit to wash hands before food prep and eating, the better. Here are some activities that can help introduce washing hands with children.
My name is Aaron Cowell and I am from Sylvania, Ohio. I am a Navy veteran and am currently finishing up my master’s degree in food and nutrition and completing a dietetic internship at BGSU. I am happily married with 2 little girls 4 and 19 months. Upon completing my studies and internship I plan on becoming a dietitian and working to obtain a professional career in the food and nutrition field that would allow me to promote health, personal growth, and independence among the people I am working with.