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What is Tularemia?

biot: Tularemia FAQ - Answers
Tularemia is an illness that affects both animals and man. It is caused by the bacteria francisella tularensis, which can live for 3-4 months in mud, water, or the carcasses of dead animals. Humans can catch tularemia by handling infected animals or from bites by infected flies, mosquitoes, or ticks.
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Who gets Tularemia?

biot: Tularemia FAQ - Answers
Anyone can get tularemia if they spend much time outdoors in areas where ticks, flies and mosquitoes can be found.
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What are the symptoms of Tularemia?

biot: Tularemia FAQ - Answers
Most people become ill in either the summer or winter. In the summer, the ticks that carry tularemia become more active. During the winter hunting season, illness can result from contact with infected rabbits (usually skinning them). Usually there is sudden onset of fever with headache and fatigue that lasts for several weeks. With skin contact or a tick bite, there will be an ulcer with swelling of lymph nodes, and a rash may be present.
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What is the treatment for Tularemia?

biot: Tularemia FAQ - Answers
Antibiotics are prescribed and most people fully recover. If someone has been exposed, an antibiotic should be started as soon as possible.
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Can a person get Tularemia again?

biot: Tularemia FAQ - Answers
After recovering from tularemia, a person probably will not get it again for a long time. However second infections can occur.
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How can Tularemia be prevented?

biot: Tularemia FAQ - Answers
Rubber gloves should be worn when skinning or handling animals, especially rabbits. Wild rabbit and rodent (such as squirrel) meat should be cooked completely before eating. Avoid tick bites, use insect and tick repellents when spending time outside for long periods. In spring and summer, look for attached ticks every two to three hours if outside for long periods. Remove any attached ticks immediately.
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FAQs - Bio-Disease Management - City of Albuquerque
Tularemia is commonly called "rabbit fever" and is commonly transmitted by a tick. Rabbits are the primary wild animal host for this disease and are very susceptible. Dogs and cats are also very susceptible. Humans can become infected but it is rare. Typical symptoms include swollen lymph nodes, an ulceration at the point of the tick bite, fever, loss of appetite, and fatigue.
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Lice Ticks and Mites
A bacterial disease common in rodents that is spread by fleas and ticks. It can infect humans, causing fever, enlarged lymph glands, depression and loss of weight. The Russians created Schu-4, a weapons grade strain of tulaermia.
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PC Gov. BDPR - Tularemia - Frequently asked questions
Tularemia occurs throughout North America and is also found in Europe and Asia. Approximately 150-300 tularemia cases are reported in the United States annually, with a majority of those from Alaska, Arkansas, Illinois, Oklahoma, Missouri, Tennessee, Texas, Utah, and Virginia. The frequency of tularemia has dropped markedly over the last 50 years and there has been a shift from winter disease (usually from rabbits) to summer disease (more likely from ticks).
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Chapter 11
Tularemia is an infectious disease caused by a hardy bacterium, Francisella tularensis, found in animals (especially rodents, rabbits, and hares).
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City of Austin - Health Department - Bioterrorism
Tularemia is a potentially serious illness that occurs naturally in the United States. It is caused by the bacterium Francisella tularensis found in animals (especially rodents, rabbits, and hares).
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How is tularemia diagnosed?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
When a person has symptoms that appear related to tularemia, the healthcare worker collects specimens, such as blood or sputum, for testing in a diagnostic or reference laboratory. Laboratory test results for tularemia may be presumptive or confirmatory. Presumptive (preliminary) identification may take less than 2 hours, but confirmatory testing will take more time, often 24 to 48 hours or longer depending on the methods that need to be used.
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How do people become infected with tularemia?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
Typically, people become infected through the bite of infected insects (most commonly, ticks and deerflies), by handling infected sick or dead animals, by eating or drinking contaminated food or water, or by inhaling airborne bacteria. Yes. Tularemia is a widespread disease in animals. About 200 human cases of tularemia are reported each year in the United States. Most cases occur in the south-central and western states.
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What are the signs and symptoms of tularemia?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
The signs and symptoms people develop depend on how they are exposed to tularemia. Possible symptoms include skin ulcers, swollen and painful lymph glands, inflamed eyes, sore throat, mouth sores, diarrhea or pneumonia. If the bacteria are inhaled, symptoms can include abrupt onset of fever, chills, headache, muscle aches, joint pain, dry cough, and progressive weakness. People with pneumonia can develop chest pain, difficulty breathing, bloody sputum, and respiratory failure.
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Is there a vaccine available for tularemia?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
A vaccine for tularemia was used in the past to protect laboratory workers, but it is not currently available.
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Who is most at risk for tularemia?

PC Gov. BDPR - Tularemia - Frequently asked questions
Anyone can get tularemia if they spend time outdoors in areas where infected animals, deer flies, or ticks can be found. Rabbit hunters, trappers, and laboratory workers exposed to the bacteria are at higher risk.
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How is tularemia spread?

PC Gov. BDPR - Tularemia - Frequently asked questions
Many routes of human exposure to the tularemia germ are known to exist. The common routes include direct contact with blood or tissue while handling infected animals, through the bite of arthropods (e.g., ticks, mosquitoes), or handling or eating undercooked small game animals (e.g., rabbit). The bacteria can remain viable in frozen rabbit meat for longer than 3 years.
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How Is Tularemia Treated?

City of Austin - Health Department - Bioterrorism
Your doctor will most likely prescribe antibiotics, which must be taken according to the directions supplied with your prescription to ensure the best possible result. Let your doctor know if you have any allergy to antibiotics. A vaccine for tularemia is under review by the Food and Drug Administration and is not currently available in the United States.
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Why are we concerned about tularemia being used as a bioweapon?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
Francisella tularensis is highly infectious. A small number of bacteria (10-50 organisms) can cause disease. If Francisella tularensis were used as a bioweapon, the bacteria would likely be made airborne so they could be inhaled. People who inhale the bacteria can experience severe respiratory illness, including life-threatening pneumonia and systemic infection, if they are not treated.
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Can someone become infected with the tularemia bacteria from another person?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
People have not been known to transmit the infection to others, so infected persons do not need to be isolated.
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What should someone do if he or she suspects exposure to tularemia bacteria?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
If you suspect you were exposed to tularemia bacteria, see a doctor quickly. Treatment with antibiotics for a period of 10-14 days or more after exposure may be recommended. If you are given antibiotics, it is important to take them according to the instructions you receive. All of the medication you are given must be taken. Local and state health departments should be notified immediately so an investigation and infection control activities can begin.
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Can tularemia be effectively treated with antibiotics?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
Yes. Early antibiotic treatment is recommended whenever it is likely a person was exposed to tularemia or has been diagnosed as being infected with tularemia. Several types of antibiotics have been effective in treating tularemia infections. The tetracycline class (such as doxycycline) or fluoroquinolone class (such as ciprofloxacin) of antibiotics are taken orally. Streptomycin or gentamicin are also effective against tularemia, and are given by injection into a muscle or vein.
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How quickly would someone become sick if he or she were exposed to tularemia bacteria?

Key Facts about Tularemia - CDC Division of Vector-Borne Inf...
The incubation period (the time from being exposed to becoming ill) for tularemia is typically 3 to 5 days, but can range from 1 to 14 days.
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How is tularemia associated with bioterrorism?

PC Gov. BDPR - Tularemia - Frequently asked questions
F. tularensis, like the plague and anthrax bacteria, was weaponized by the U.S. (until the 1960's) and the former Soviet Union (until the 1990's). Other countries have been or are suspected to have weaponized this bacteria. This organism can potentially be produced in either a wet or dry form and introduced by aerosolization or contamination of food and water sources.
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