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Лайм за углом Леня сегодня вышел на back-yard, вернулся с клещом на одежде. Потом Иосиф обнаружил двух у себя на руке - они ползли в поисках better chance in life. В лес никто не ходил. Todar's Online Textbook of Bacteriology, chapter Lyme Disease. © 2005 Kenneth Todar University of Wisconsin-Madison Department of Bacteriology Prevention Removing leaves and clearing brush and tall grass around houses and at the edges of gardens may reduce the numbers of ticks that transmit Lyme disease. A relationship has been observed between the abundance of deer and the abundance of deer ticks in some parts United States. Reducing and managing deer populations in geographic areas where Lyme disease occurs may reduce tick abundance. CDC recommends the following for personal protection from tick bites and Lyme disease: Avoid tick-infested areas, especially in May, June, and July. Wear light-colored clothing so that ticks can be spotted more easily. Tuck pant legs into socks or boots and shirt into pants or ape the area where pants and socks meet so that ticks cannot crawl under clothing. Spray insect repellent containing DEET on clothes and on exposed skin other than the face, or treat clothes (especially pants, socks, and shoes) with permethrin, which kills ticks on contact. Wear a hat and a long-sleeved shirt for added protection. Walk in the center of trails to avoid overhanging grass and brush. After being outdoors, remove clothing and wash and dry it at a high temperature; inspect body carefully and remove attached ticks with tweezers, grasping the tick as close to the skin surface as possible and pulling straight back with a slow steady force; avoid crushing the tick's body. In some areas, ticks (saved in a sealed container) can be submitted to the local health department for identification. Preventive antibiotic treatment with erythromycin or doxycycline to prevent Lyme disease after a known tick bite may be warranted. Personal protective measures, such as repellent use and routine tick checks, are key components of primary prevention. Removing infected ticks within 48 hours of attachment can reduce the likelihood of transmission, and prompt antimicrobial prophylaxis of tick bites, although controversial, might be beneficial under certain circumstances. Exposure to ticks in yards and recreational areas can be reduced 50-90% through simple landscaping practices, such as removingbrush and leaf litter or creating a buffer zone of wood chips or gravel between forest and lawn or recreational areas. Correctly timed applications of pesticides to yards once or twice a year can decrease the number of nymphal ticks 68%--100%. In addition to these interventions, several novel approaches to Lyme disease prevention are under investigation or will soon be available. These include bait boxes and "four-poster" devices that deliver acaricides to rodents and deer without harming them, and the use of biologic agents, such as fungi that kill Ixodes ticks. |
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