1. Lyme Disease

2. What is Lyme Disease? Also known as borreliosis Caused by Borrelia burgdorferi bacteria Bacteria live in the host which is a tick

3. How it is transmitted Tick bites a human or deer for a meal and the bacteria is transmitted to the person or deer.

4. Host

5. Signs and Symptoms in Humans Expanding Rash Appears either as a solid red expanding rash or blotch, OR a central spot surrounded by clear skin that is in turn ringed by an expanding red rash (looks like a bull's-eye)

6. Symptoms Solid red or bull's-eye rash, usually at site of bite Swelling of lymph glands near tick bite Generalized achiness Headache Beginning Symptoms :

7. Symptoms Two or more rashes not at site of bite Migrating pains in joints/tendons Headache Stiff, aching neck Facial palsy (facial paralysis similar to Bell's palsy) Tingling or numbness in extremities Multiple enlarged lymph glands Abnormal pulse Sore throat Changes in vision Fever of 100 to 102 F Severe fatigue Early Disseminated Stage:

8. Symptoms Arthritis (pain/swelling) of one or two large joints Disabling neurological disorders (disorientation; confusion; dizziness; short-term memory loss; inability to concentrate, finish sentences or follow conversations; mental "fog") Numbness in arms/hands or legs/feet Late Stage:

9. Treatment Antibiotics –Doxycycline, amoxicillin and ceftin - four week treatment if found in early stages intravenous (IV) treatment and oral antibiotics - 4-6 weeks, late stages

10. Deer Deer may carry Lyme Disease but are not affected Humans, Dogs and Cats can be adversely affected by the disease

11. Birds Carrier of Borrelia burgdorferi Ticks that do not have the bacteria can transmitted from a host bird Birds that do not have if can transmitted from feeding tick Birds are not affected by the bacterium The bacterium is spreading to new places because birds are migrating with feeding ticks, when they finish feeding they drop up in a new place possible miles away from where they attached to host.

12. Common Ticks Deer ticks and two other common tick species - dog ticks and Lone Star ticks (neither of which is known to transmit Lyme disease)

13. Where

16. Risk Across the United States

19. References American Lyme Disease Foundation http://www.aldf.com/lyme.shtml#treatment Google Images http://myhealth.ucsd.edu/library/healthguide/en- us/images/media/medical/Multum/ceftin500mg.jpg http://fgghjghj.5khost.com/2804.jpg http://upload.wikimedia.org/wikipedia/commons/e/ e8/Doxycycline_100mg_capsules.jpg