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		<title>Revelstoke dogs poisoned</title>
		<link>http://symptomadvice.com/revelstoke-dogs-poisoned/</link>
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		<pubDate>Mon, 02 May 2011 16:00:26 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[dog symptoms]]></category>
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		<description><![CDATA[Revelstoke dogs are being poisoned.  As word flashed &#097;&#114;&#111;&#117;&#110;&#100; town many dog owners I talked to jumped to the same conclusion I &#100;&#105;&#100;, &#116;&#104;&#097;&#116; some heartless cretin &#119;&#097;&#115; intentionally luring dogs &#119;&#105;&#116;&#104; strychnine-laced meat or some &#111;&#116;&#104;&#101;&#114; irresistible bait.  The weekend &#111;&#102; April 16 two dogs from Revelstoke &#097;&#110;&#100; one from Salmon Arm fell critically [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/05/1304352026-85.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Revelstoke dogs are being poisoned.  As word flashed &#097;&#114;&#111;&#117;&#110;&#100; town many dog owners I talked to jumped to the same conclusion I &#100;&#105;&#100;, &#116;&#104;&#097;&#116; some heartless cretin &#119;&#097;&#115; intentionally luring dogs &#119;&#105;&#116;&#104; strychnine-laced meat or some &#111;&#116;&#104;&#101;&#114; irresistible bait.  <strong> </strong></p>
<p>The weekend &#111;&#102; April 16 two dogs from Revelstoke &#097;&#110;&#100; one from Salmon Arm fell critically ill after ingesting toxic substances.  After talking to two vets &#097;&#110;&#100; the RCMP the consensus &#115;&#101;&#101;&#109;&#115; to be &#116;&#104;&#097;&#116; the culprits are Mother Nature, &#097;&#110;&#100; &#117;&#115;.</p>
<p>“We’ve received &#110;&#111; complaints about dogs being intentionally poisoned,” &#115;&#097;&#105;&#100; RCMP Corporal Rod Wiebe.  “We rely on the veterinarians to &#103;&#105;&#118;&#101; &#117;&#115; evidence, &#097;&#110;&#100; I can confirm at this time &#116;&#104;&#097;&#116; &#110;&#111; complaints have been received.”</p>
<p>“Because the dogs &#099;&#097;&#109;&#101; from three completely &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; areas, &#097;&#110;&#100; had similar substances &#105;&#110; their stomachs or vomit, I &#116;&#104;&#105;&#110;&#107; we’re seeing poisoning from toxic vegetation, particularly coarse grasses,” &#101;&#120;&#112;&#108;&#097;&#105;&#110;&#101;&#100; veterinarian Jim Clark &#111;&#102; the Shuswap Vet Clinic &#105;&#110; SA.</p>
<p>Revelstoke vet Lisette Valdamanis agrees &#119;&#105;&#116;&#104; Clark, “I have zero suspicions &#116;&#104;&#097;&#116; &#119;&#101; are dealing &#119;&#105;&#116;&#104; &#115;&#111;&#109;&#101;&#111;&#110;&#101; intentionally poisoning dogs. &#116;&#104;&#097;&#116; glaze &#111;&#102; white &#121;&#111;&#117; see on &#108;&#097;&#115;&#116; year’s grass is mold,” &#101;&#120;&#112;&#108;&#097;&#105;&#110;&#101;&#100; Valdamanis, “and &#105;&#116; can be deadly.”</p>
<p>“Just like &#111;&#117;&#114; ancestors craved fresh greens &#105;&#110; spring like dandelion, &#119;&#104;&#105;&#099;&#104; &#116;&#104;&#101;&#121; &#117;&#115;&#101;&#100; medicinally &#097;&#110;&#100; as nutritional supplements, dogs crave their own tonic, new grass,”</p>
<p>Clark &#115;&#097;&#105;&#100;.  “Unfortunately molds ingested from vegetation &#097;&#110;&#100; food stuffs can induce tremorgenic mycotoxin toxicity (TMT).”  &#105;&#110; lay terms, &#097;&#110; attack on &#097;&#110; animal’s nervous &#115;&#121;&#115;&#116;&#101;&#109;.</p>
<p>Potentially lethal toxins can be &#102;&#111;&#117;&#110;&#100; &#105;&#110; a host &#111;&#102; decomposing substances;  feces (which many dogs love to gobble) &#097;&#110;&#100; &#118;&#101;&#114;&#121; dead critters &#115;&#117;&#099;&#104; as mice, snakes, birds, fish, &#097;&#110;&#100; large carcasses like deer.</p>
<p>In &#097;&#110; article Clark sent me, Linda Shell, DMV (neurology) explains the symptoms &#111;&#102; TMT.  She &#115;&#097;&#121;&#115; a small amount &#111;&#102; ingested tremorgenic mycotoxin can &#099;&#097;&#117;&#115;&#101; fine muscle tremors &#111;&#102; a dog’s face, ears, eyelids, and/or ataxia &#8211; confusion &#097;&#110;&#100; inability to coordinate voluntary muscle movements.  Increased exposure causes severe tremors, seizure &#097;&#110;&#100; &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; death.</p>
<p>A dog thus poisoned &#119;&#105;&#108;&#108; be seen to be twitching, staggering, have a glazed &#108;&#111;&#111;&#107; &#097;&#110;&#100; &#109;&#097;&#121; convulse, &#097;&#110;&#100; &#119;&#105;&#108;&#108; not likely have gastrointestinal upset, &#105;&#101; vomiting or bloody stools &#097;&#110;&#100; diarrhoea.  If &#121;&#111;&#117;&#114; dog experiences &#116;&#104;&#101;&#115;&#101; symptoms, &#103;&#101;&#116; &#104;&#105;&#109; to the vet immediately, or &#099;&#097;&#108;&#108; &#102;&#111;&#114; advice as one Revelstoke dog owner &#100;&#105;&#100;.</p>
<p>“There were lengthy delays on the west on the Trans Canada Sat, April 16, due to repairs on the  Malakwa Bridge,” &#115;&#097;&#105;&#100; Clark. “The owner &#111;&#102; one &#111;&#102; the Revelstoke dogs exhibiting symptoms &#111;&#102; TMT couldn’t &#103;&#101;&#116; to Salmon Arm so called &#105;&#110; &#097;&#110;&#100; I &#119;&#097;&#115; able to &#097;&#115;&#115;&#105;&#115;&#116; &#104;&#105;&#109; to induce vomiting.”  &#116;&#104;&#097;&#116; quick action &#112;&#114;&#111;&#098;&#097;&#098;&#108;&#121; saved the dog’s life as the disease manifests quickly, within half &#097;&#110; hour to two hours &#115;&#097;&#105;&#100; Clark.  All three dogs survived.</p>
<p>According to Shell, tremorgenic mycotoxins are &#102;&#111;&#117;&#110;&#100; &#105;&#110; a range &#111;&#102; food stuffs mainly moldy dairy products, moldy walnuts &#097;&#110;&#100; peanuts, stored grains &#097;&#110;&#100; moldy garbage &#097;&#110;&#100; compost.</p>
<p>“A compost &#116;&#104;&#097;&#116; is not “hot” &#101;&#110;&#111;&#117;&#103;&#104; can produce deadly molds on a variety &#111;&#102; food stuffs, including coffee grounds &#097;&#110;&#100; fermenting cottage or cream cheeses,” &#115;&#097;&#105;&#100; Clark.</p>
<p>To be safe follow the rules &#111;&#102; successful composting – put &#110;&#111; oils, meats, fats (cheeses), or cooked table scraps &#105;&#110;&#116;&#111; &#121;&#111;&#117;&#114; bin.  &#097;&#110;&#100; &#105;&#102; there are dogs running &#105;&#110; &#121;&#111;&#117;&#114; neighbourhood, cover the compost securely.  The dog &#121;&#111;&#117; poison might be &#121;&#111;&#117;&#114; own.</p>
<p>Clark also &#115;&#097;&#105;&#100; he &#104;&#097;&#115; treated dogs &#119;&#105;&#116;&#104; severe symptoms from marijuana poisoning as some people &#116;&#104;&#105;&#110;&#107; it’s &#099;&#111;&#111;&#108; to deliberately feed dogs recreation drugs &#097;&#110;&#100; watch them &#103;&#101;&#116; stoned. “In August &#119;&#101; start to see dogs sick from ingesting common mushrooms &#116;&#104;&#097;&#116; grow on lawns,” Clark &#115;&#097;&#105;&#100;.</p>
<p>If &#121;&#111;&#117; suspect poisoning &#111;&#102; any sort &#097;&#110;&#100; can’t &#103;&#101;&#116; to a vet, the American SPCA &#104;&#097;&#115; &#097;&#110; animal poison control centre.  “For a fee, &#121;&#111;&#117; can talk to a veterinarian 24/7 who &#119;&#105;&#108;&#108; &#103;&#105;&#118;&#101; advice &#102;&#111;&#114; poisoning,” &#115;&#097;&#105;&#100; Valdmanis.  The poison control centre number is 1-888 426-4435.  Consult fee, $65. &#121;&#111;&#117;&#114; pet’s life, priceless.</p>
<p>The ASPCA website lists the top 10 toxins from the 167,000 calls &#116;&#104;&#101;&#121; received &#105;&#110; 2010 as &#102;&#111;&#108;&#108;&#111;&#119;&#115;; human medications, insecticides, rodenticides, people food, vet meds, chocolate, household toxins, indoor &#097;&#110;&#100; outdoor plants, herbicides &#097;&#110;&#100; outdoor toxins.</p>
<p>It also clarified &#116;&#104;&#097;&#116; yes, raisins, grapes, onion &#097;&#110;&#100; garlic can be lethal to dogs, &#105;&#102; &#101;&#110;&#111;&#117;&#103;&#104; is consumed.</p>
<p>According to Cheryl Hermansen at Home Hardware, society is &#103;&#111;&#105;&#110;&#103; green &#097;&#110;&#100; reducing &#097;&#110;&#100; replacing the use &#111;&#102; harmful substances. “We’re phasing &#111;&#117;&#116; products laced &#119;&#105;&#116;&#104; poisons like strychnine &#097;&#110;&#100; warfarin,” &#115;&#097;&#105;&#100; Hermansen.  “There are now pet-friendly antifreezes &#097;&#110;&#100; rodent poisons.  &#119;&#101; carry Green Earth products &#109;&#097;&#100;&#101; from powdered corn cobs &#116;&#104;&#097;&#116; are not dangerous to pets.”</p>
<p>Dogs &#119;&#105;&#108;&#108; be dogs. &#116;&#104;&#101;&#121; love to &#114;&#117;&#110; &#111;&#102;&#102; leash &#097;&#110;&#100; &#116;&#104;&#101;&#121; love to eat crap. Clark’s best advice, “If &#121;&#111;&#117; &#119;&#097;&#110;&#116; to &#107;&#101;&#101;&#112; &#121;&#111;&#117;&#114; dogs safe, &#107;&#101;&#101;&#112; them leashed, or within range, &#097;&#110;&#100; pick up their poop wherever &#121;&#111;&#117; walk.”</p>
<p>To &#119;&#104;&#105;&#099;&#104; I’ll add: be prepared to sprint over &#097;&#110;&#100; extract suspicious substances from &#121;&#111;&#117;&#114; dog’s mouth (owning a Lab, affectionately known as ‘pig dogs’ or ‘bottom feeders’, I’m doing a lot &#111;&#102; sprinting!); &#107;&#101;&#101;&#112; vet &#097;&#110;&#100; poison control numbers handy; &#103;&#101;&#116; a &#103;&#111;&#111;&#100; canine first aid book; google Dog Poisoning &#097;&#110;&#100; educate yourself – the list &#111;&#102; potential poisons &#102;&#111;&#114; dogs is staggering.</p>
<p>And finally, most &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116;, report any suspected intentional bait poisoning &#111;&#102; dogs to the vets, RCMP or Crimestoppers.</p>
<p>Barbara J. &#108;&#105;&#116;&#116;&#108;&#101; is a regular contributor to The Revelstoke Current</p>
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		<title>Defeating Lyme Disease Transmitted By Deer Ticks</title>
		<link>http://symptomadvice.com/defeating-lyme-disease-transmitted-by-deer-ticks/</link>
		<comments>http://symptomadvice.com/defeating-lyme-disease-transmitted-by-deer-ticks/#comments</comments>
		<pubDate>Thu, 26 Aug 2010 02:03:20 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[lyme symptoms]]></category>
		<category><![CDATA[grasses]]></category>
		<category><![CDATA[western blacklegged tick]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/defeating-lyme-disease-transmitted-by-deer-ticks/</guid>
		<description><![CDATA[Every year brings news items &#097;&#098;&#111;&#117;&#116; Lyme disease. Here &#105;&#115; some information &#097;&#098;&#111;&#117;&#116; &#116;&#104;&#105;&#115; disease: how it &#105;&#115; transmitted; how to avoid it; &#105;&#116;&#115; diagnosis and treatment. How Lyme Disease &#105;&#115; Transmitted: &#116;&#104;&#101; Blacklegged Tick The culprits spreading Lyme disease to people are &#116;&#104;&#101; blacklegged tick, Ixodes scapularis, and &#116;&#104;&#101; western blacklegged tick. Their more [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/08/1282788200-89.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Every year brings news items &#097;&#098;&#111;&#117;&#116; Lyme disease. Here &#105;&#115; some information &#097;&#098;&#111;&#117;&#116; &#116;&#104;&#105;&#115; disease: how it &#105;&#115; transmitted; how to avoid it; &#105;&#116;&#115; diagnosis and treatment.</p>
<p> How Lyme Disease &#105;&#115; Transmitted: &#116;&#104;&#101; Blacklegged Tick
<p>The culprits spreading Lyme disease to people are &#116;&#104;&#101; blacklegged tick, Ixodes scapularis, and &#116;&#104;&#101; western blacklegged tick. Their more common names are &quot;deer tick&quot; and &quot;bear tick&quot;, respectively. Alternate spellings are &quot;black legged tick&quot; &#111;&#114; &quot;black-legged tick&quot;.</p>
<p>Infected blacklegged ticks (deer ticks) are &#102;&#111;&#117;&#110;&#100; in Minnesota and Wisconsin, Manitoba, Ontario, Quebec, and &#116;&#104;&#101; Atlantic coast from Virginia &#116;&#104;&#114;&#111;&#117;&#103;&#104; Maine, &#110;&#101;&#119; Brunswick and Nova Scotia. &#116;&#104;&#101; western blacklegged tick (bear tick) inhabits western states and provinces.</p>
<p>Blacklegged ticks &#110;&#111;&#114;&#109;&#097;&#108;&#108;&#121; live on wild animals &#8211; not just deer, &#098;&#117;&#116; &#097;&#108;&#115;&#111; rodents and birds. These ticks, &#097; type of mite, &#119;&#105;&#108;&#108; &#097;&#108;&#115;&#111; spend time on plants &#115;&#117;&#099;&#104; as trees &#111;&#114; grasses. &#097; blood meal may last five days.</p>
<p>A deer tick may &#116;&#097;&#107;&#101; in &#116;&#104;&#101; bacteria Borrelia burgdorferi, &#119;&#104;&#105;&#099;&#104; causes Lyme disease, from &#097;&#110; animal &#115;&#104;&#101; bites. When &#116;&#104;&#101; infected tick next wants &#097; meal, &#115;&#104;&#101; &#119;&#105;&#108;&#108; climb &#097; plant and wait to ambush &#116;&#104;&#101; next convenient host &#8211; &#112;&#101;&#114;&#104;&#097;&#112;&#115; &#097; hiker in &#116;&#104;&#101; woods. Surprisingly, &#116;&#104;&#101; chance of infection &#105;&#115; rather &#108;&#111;&#119; &#115;&#105;&#110;&#099;&#101; &#116;&#104;&#101; tick must carry &#116;&#104;&#101; bacteria, and must stay attached long &#101;&#110;&#111;&#117;&#103;&#104; &#102;&#111;&#114; &#116;&#104;&#101; bacteria to travel to &#116;&#104;&#101; person.</p>
<p>These ticks may &#097;&#108;&#115;&#111; transmit other diseases, whether caused &#098;&#121; bacteria &#111;&#114; parasites.</p>
<p> Avoiding Lyme Disease &#098;&#121; Avoiding Deer Ticks
<p>Most city dwellers may never hike in woods inhabited &#098;&#121; &#116;&#104;&#101; blacklegged tick. Part of planning &#097; camping trip &#115;&#104;&#111;&#117;&#108;&#100; include &#097; check with &#116;&#104;&#101; local conservation authority, to learn whether blacklegged ticks are common in &#116;&#104;&#101; area. Alternatively, public health officials issue warnings &#097;&#098;&#111;&#117;&#116; Lyme disease in affected areas. Protective clothing includes long pants tucked into boots, and long sleeves &#116;&#104;&#097;&#116; are snug &#097;&#116; &#116;&#104;&#101; wrists. Repellant containing DEET &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; worn.</p>
<p>Prompt removal of ticks &#119;&#105;&#108;&#108; &#097;&#108;&#115;&#111; &#104;&#101;&#108;&#112; prevent infection. &#097; &#119;&#105;&#108;&#108;&#105;&#110;&#103; partner &#105;&#115; &#097;&#110; important asset in &#116;&#104;&#105;&#115; task; so &#105;&#115; &#097; pair of tweezers. &#116;&#104;&#101; method &#105;&#115; to &#116;&#097;&#107;&#101; &#116;&#104;&#101; head nearest &#116;&#104;&#101; skin, then to pull &#116;&#104;&#101; tick out &#113;&#117;&#105;&#116;&#101; slowly and &#119;&#105;&#116;&#104;&#111;&#117;&#116; twisting &#111;&#114; crushing it. (Squeezing &#116;&#104;&#101; abdomen would propel contaminants into &#116;&#104;&#101; victim). &#097; wash with soap and water, and then &#097; swab with rubbing alcohol &#111;&#114; disinfectant completes &#116;&#104;&#101; removal. Saving dead ticks in &#097; pill bottle may aid in &#108;&#097;&#116;&#101;&#114; diagnosis. It &#105;&#115; &#097;&#108;&#115;&#111; wise to log &#116;&#104;&#101; date of &#116;&#104;&#101; bite.</p>
<p>It &#105;&#115; not easy to &#115;&#101;&#101; &#097; hungry blacklegged tick. It ranges in size from poppy seed to sesame seed. &#116;&#104;&#101; abdomen becomes much &#108;&#097;&#114;&#103;&#101;&#114; after &#097; blood meal, so it would &#098;&#101; easier to &#115;&#101;&#101; &#116;&#104;&#101; tick.</p>
<p>The blacklegged tick has no need &#102;&#111;&#114; deer as &#097; host population, &#115;&#105;&#110;&#099;&#101; it &#097;&#108;&#115;&#111; thrives on blood from birds &#111;&#114; rodents. &#116;&#104;&#101; bacteria, in fact, are more common in mice &#116;&#104;&#097;&#110; in deer. &#116;&#104;&#101;&#114;&#101; &#105;&#115; no evidence &#116;&#104;&#097;&#116; reducing &#116;&#104;&#101; deer population reduces &#116;&#104;&#101; tick population. Likewise, avoiding &#111;&#114; hunting deer does not &#109;&#097;&#107;&#101; &#097; &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#099;&#101; in &#116;&#104;&#101; likelihood of encountering blacklegged ticks. Again, not &#101;&#118;&#101;&#114;&#121; tick carries infectious agents, and not &#101;&#118;&#101;&#114;&#121; bite passes bacteria into &#116;&#104;&#101; &quot;victim&quot;.</p>
<p> Diagnosis of Lyme Disease
<p>Diagnosis &#099;&#097;&#110; &#098;&#101; difficult, &#115;&#105;&#110;&#099;&#101; Lyme disease may affect &#118;&#097;&#114;&#105;&#111;&#117;&#115; body &#112;&#097;&#114;&#116;&#115; and &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; people display &#097; range of symptoms. Diagnostic guidelines in Canada include &#116;&#097;&#107;&#105;&#110;&#103; &#116;&#104;&#101; patient&#8217;s history &#8211; &#119;&#097;&#115; &#115;&#104;&#101; exposed to these ticks &#8211; and symptoms into account. Blood tests &#102;&#111;&#114; Lyme disease are fallible, especially in &#116;&#104;&#101; early stages, so proof of exposure &#105;&#115; very important. (Having dead blacklegged ticks in &#097; bottle &#105;&#115; &#117;&#115;&#101;&#102;&#117;&#108; evidence).</p>
<p>The most common first sign &#105;&#115; &#097; target-shaped rash. &#116;&#104;&#105;&#115; may develop &#111;&#110;&#101; day &#111;&#114; &#111;&#110;&#101; month after being bitten. It usually clears &#117;&#112; within &#097; month after it starts. Other early symptoms may include fever &#111;&#114; chills, painful &#111;&#114; swollen joints, headache and fatigue.</p>
<p>For &#116;&#104;&#101; next &#115;&#101;&#118;&#101;&#114;&#097;&#108; months, other symptoms &#109;&#105;&#103;&#104;&#116; develop. &#116;&#104;&#101;&#121; include heart palpitations, fatigue and weakness, rashes, symptoms mimicking arthritis, and problems with &#116;&#104;&#101; nervous &#115;&#121;&#115;&#116;&#101;&#109;. &#119;&#105;&#116;&#104;&#111;&#117;&#116; treatment, these latter symptoms may continue &#102;&#111;&#114; years.</p>
<p> Treatment of Lyme Disease
<p>Once diagnosed in &#097;&#110; early stage, antibiotic drugs &#115;&#117;&#099;&#104; as amoxicillin, ceftriaxone, &#111;&#114; doxycycline are usually prescribed &#102;&#111;&#114; &#097; period of &#116;&#119;&#111; to four weeks. Intravenous ceftriaxone &#111;&#114; penicillin &#109;&#105;&#103;&#104;&#116; &#098;&#101; necessary depending on &#116;&#104;&#101; patient&#8217;s other conditions. &#105;&#102; &#116;&#104;&#101; diagnosis &#119;&#097;&#115; delayed, treatment &#109;&#105;&#103;&#104;&#116; &#098;&#101; more lengthy and complex.</p>
<p>Sonja Puzic filed &#097; report in &#116;&#104;&#101; Windsor Star (Windsor, Ontario): &quot;Lyme Disease on Rise&quot;. In it, &#115;&#104;&#101; described &#111;&#110;&#101; patient&#8217;s lengthy bout of Lyme disease in &#119;&#104;&#105;&#099;&#104; &#116;&#104;&#101; diagnosis &#119;&#097;&#115; delayed.</p>
<p> Hope &#102;&#111;&#114; &#116;&#104;&#101; Hiker
<p>Most hikers &#119;&#105;&#108;&#108; not encounter these ticks. Not &#097;&#108;&#108; blacklegged ticks carry Lyme disease. It &#105;&#115; &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; to &#103;&#101;&#116; rid of &#116;&#104;&#101; tick before it transmits Lyme disease to &#116;&#104;&#101; hiker. Effective treatments are &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101;.</p>
<p><strong>References</strong>:</p>
<p>Kids Health (online): kidshealth.org, referenced July 21, 2010.</p>
<p>Ontario Ministry of Health, modified Dec. 17, 2009, referenced July 21, 2010.</p>
<p>Public Health Agency of Canada, referenced July 21, 2010.</p>
<p>Sonja Puzic, &quot;Lyme Disease on Rise&quot;, Windsor Star, June 21 2010, referenced July 21, 2010</p>
<p>USA Center &#102;&#111;&#114; Disease Control, referenced July 21, 2010.</p>
<p><strong>Disclaimer</strong>: &#116;&#104;&#101; information contained in &#116;&#104;&#105;&#115; article &#105;&#115; &#102;&#111;&#114; educational purposes only and &#115;&#104;&#111;&#117;&#108;&#100; not &#098;&#101; &#117;&#115;&#101;&#100; &#102;&#111;&#114; diagnosis &#111;&#114; to guide treatment &#119;&#105;&#116;&#104;&#111;&#117;&#116; &#116;&#104;&#101; opinion of &#097; health professional. Any reader &#119;&#104;&#111; &#105;&#115; concerned &#097;&#098;&#111;&#117;&#116; his &#111;&#114; her health &#115;&#104;&#111;&#117;&#108;&#100; contact &#097; doctor &#102;&#111;&#114; advice.</p></p>
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