Lyme disease prevention and awarness briefing[1]


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Lyme disease prevention and awarness briefing[1]

  1. 1. FORT DRUM NEW YORKLyme Disease Prevention and Awareness 14 AUG 2012Our mission is to provide Soldiers, Civilians and their Families with a quality of life commensurate with the quality of their service. Fort Drum – The Army’s Best Kept Secret
  2. 2. FORT DRUM NEW YORK Outline• Background• Symptoms/ Early Detection• Prevention• Treatment• Statistics• Information Campaign Fort Drum – The Army’s Best Kept Secret UNCLASSIFIED 2
  3. 3. FORT DRUM NEW YORK Background• Lyme Disease is an infection caused by bacteriathat is commonly transmitted by deer ticks andmice (not all ticks carry the disease).• The tick must be imbedded in the body forseveral hours to transmit the disease.• Lyme disease can affect animals, humans andcan be transmitted to fetus if mother is infected.• If left untreated, can cause serious long-termissues.• Currently no vaccination available for humans;however, Lyme Disease can be treated by Female Deer Ticksantibiotics. Fort Drum – The Army’s Best Kept Secret UNCLASSIFIED 3
  4. 4. FORT DRUM NEW YORK Symptoms/ Early DetectionEarly localized stage (3-30 days post-tick bite)• Red, expanding rash called erythema migrans (EM) or “Bulls-Eye”• Fatigue, chills, fever, headache, muscle and joint aches, andswollen lymph nodesEarly disseminated stage (days to weeks post-tick bite) Erythema Migrans Rash• Untreated, the infection may spread from the site of the bite to other parts of the body, producing anarray of specific symptoms that may come and go, including: • Additional EM lesions in other areas of the body • Facial or Bells palsy (loss of muscle tone on one or both sides of the face) • Severe headaches and neck stiffness due to meningitis • Pain and swelling in the large joints (such as knees) • Shooting pains that may interfere with sleep • Heart palpitations and dizziness due to changes in heartbeatLate disseminated stage (months-to-years post-tick bite)Untreated infection symptoms may include: • Intermittent bouts of arthritis, with severe joint pain and swelling • Chronic neurological complaints months to years after infection (shooting pains, numbness or tingling in the hands or feet, and problems with short-term memory) Individual with Bell’s Palsy Fort Drum – The Army’s Best Kept Secret UNCLASSIFIED 4
  5. 5. FORT DRUM NEW YORK Prevention• Wearing light colored clothing so that ticks can be easily identified.• Tucking in pants to boots, shirts into gloves.• Application of insect repellent (containing 20% DEET) and applied per manufactures recommendationto deter ticks and use of permethrin for Soldiers and DA civilians.• Frequent self checks for individuals partaking in outdoor activities and working in tick-investedenvironments. Special attention should be given to moist dark areas were ticks typically migrate too.• Clothing should be placed in dryer for 20-30 minutes to kill unseen ticks.• Frequent checks of children and animals.• Proper removal of tick to prevent infected fluid from entering body with washing and treating area withantiseptic. (Medical professional removal of tick is recommended)• Testing of tick to determine if a carrier of Lyme Disease.• Routine treatment and grooming of household animals with flea and tick prevention medication. Fort Drum – The Army’s Best Kept Secret UNCLASSIFIED 5
  6. 6. FORT DRUM NEW YORK Treatment• Early Localized Stage: – Oral doxycyline,10-21 days in duration – Children do require different regimen• Early Disseminated Stage: – Oral antibiotic therapy up to 28 days – Intravenous therapy if meningitis/heart changes• Late Disseminated Stage: – Intravenous therapy up to 28 days Fort Drum – The Army’s Best Kept Secret UNCLASSIFIED 6
  7. 7. FORT DRUM NEW YORK Statistics• DoD Human Tick Test Kit Program – 10 of 68 ticks positive for Lyme disease, 20Mar-13Aug2012 – 7/10 from on-post tick bites• Electronic medical record review – 10 cases treated at USAMEDDAC since 01Apr2012 – 7 cases treated in out-lying clinics• Previous case reports from USAMEDDAC* – 2011: 6 cases – 2010: 8 cases * Likely underreported• Jefferson County – 2007: 8 cases – 2009: 49 cases – 2011: 119 cases Fort Drum – The Army’s Best Kept Secret UNCLASSIFIED 7
  8. 8. FORT DRUM, NEW YORK Information CampaignCompleted: Way Ahead: 1. 1. Community Forum Briefings by MEDDAC: Fort Drum Outdoor Sportsman Newsletter • Family Support Huddle- 22 AugustArticles- March 2012 • CLIF- 5 September • Fort Drum Town Hall Meeting- 12 September Safety Day 2. Facebook Postings CLIF Notes- June 2012 3. Dissemination of Information Sheet and/or GTA at Medical Clinics, Mountaineer Articles- April, June, July 2012 Vet Clinic, Child Care Centers, Organizational Days 4. Mountaineer Article- wk of 20 August 5. Fort Drum Outdoor Sportsman Newsletter Article- September 2012 6. Safety Message to Workforce 7. Commander’s Safety Message “stuffer” in Commissary Bags 8. Lyme Disease Awareness and Prevention Table at monthly CSM Info Table at Exchange 9. Production and Installation of Outdoor Information Signage for Tick & Lyme Disease Awareness- e.g. Remington Park, Dog Park, Playgrounds. Fort Drum – The Army’s Best Kept Secret 8
  9. 9. FORT DRUM NEW YORK Questions/GuidanceFort Drum – The Army’s Best Kept Secret UNCLASSIFIED 9