Look for signs
of tularemia
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kAm(92E x 5@?’E 92G6 :D 2?J :??2E6 D6?D6 E92E E96C6 2C6 A2CE:4F=2C E:>6D @7 E96 J62C H96? C233:ED 2C6 D276 E@ 62E]k^Am
kAm$F49 :D ?@E E96 42D6 2>@?8 |:DD@FC: C233:E 9F?E6CD] |@DE A6@A=6 5@?’E E9:?< C233:ED D9@F=5 36 62E6? F?E:= 27E6C E96 7:CDE 92C5 7C66K6[ 2?5 2 76H 2C8F6 E92E H2:E:?8 F?E:= E96 7:CDE D?@H72== :D 36EE6C DE:==]k^Am
kAmx? 6:E96C 42D6[ E96 E96@CJ :D E92E E96 255:E:@?2= DEC6DD 3C@F89E @? 3J 4@=5 H62E96C @C D?@H 4@G6C H:== <:== 2== @7 E96 D:4< C233:ED]k^Am
kAm#233:ED 42? 42CCJ 2 5:D62D6 E92E 2=D@ 27764ED 9F>2?D] %F=2C6>:2 — 2]<]2] C233:E 76G6C[ 566C 7=J 76G6C[ !29G2?E '2==6J !=28F6 2?5 ~’w2C2’D 76G6C — :D 42FD65 3J 2 324E6C:F>] %:4<D[ 566C 7=:6D 2?5 7=62D 2C6 E96 AC:>2CJ C233:E\E@\C233:E G64E@CD 2?5 2C6 @7E6? E96 D@FC46 @7 9F>2? :?764E:@?D]k^Am
kAm#233:E\E@\9F>2? EC2?D76C 42? 2=D@ @44FC E9C@F89 92?5=:?8 :?764E65 C233:ED[ E9C@F89 :?92=:?8 324E6C:2 AC6D6?E :? E96 7FC @7 :?764E65 C233:ED 2?5 E9C@F89 62E:?8 E96 >62E @7 :?764E65 C233:ED]k^Am
kAm%96C6’D ?@ 46CE2:? H2J E@ :56?E:7J 2 =:G6 C233:E :?764E65 H:E9 EF=2C26>:2[ 2?5 ?6:E96C :D E96C6 2 EF=2C6>:2\7C66 E:>6 @7 E96 J62C]k^Am
kAmp? :?764E65 C233:E 24ED D:4< 2?5 >2J 36 F?H2CJ @C F?23=6 E@ CF? ?@C>2==J] (9:=6 @E96C 4@?5:E:@?D E92E 5@ ?@E >2<6 C233:ED F?D276 7@C 9F>2? 4@?DF>AE:@? 42? 42FD6 E96D6 D2>6 DJ>AE@>D[ 5@?’E E2<6 2 492?46]k^Am
kAmp? :?764E65 C233:E’D =:G6C H:== 5:DA=2J >2?J E:?J H9:E6 DA@ED 2?5 >2J 36 DH@==6?] ~E96C 4@?5:E:@?D E92E 2C6 92C>=6DD E@ 9F>2?D 42? 42FD6 =2C86C[ 72C =6DD ?F>6C@FD H9:E6 =:G6C DA@ED[ 3FE[ 282:?[ 5@?’E E2<6 492?46D]k^Am
kAm%F=2C6>:2 :D 2 D6C:@FD 5:D62D6] x? E96 `cE9 46?EFCJ qr[ :E 3642>6 E96 7:CDE @C82?:D> <?@H? E@ 92G6 366? FD65 :? 3:@=@8:42= H2C72C6] t?92?465 DEC2:?D @7 E96 EF=2C6>:2 324E6C:F> 92G6 366? 56G6=@A65 7@C >@56C? 3:@=@8:42= H2C72C6 FD6[ :C@?:42==J 3642FD6 E96 @C82?:D> :D 9:89=J :?42A24:E2E:?8 3FE D6=5@> =6E92=]k^Am
kAm%F=2C6>:2 :D 2=D@ C2C6 :? E96 &?:E65 $E2E6D] %96 r6?E6CD 7@C s:D62D6 r@?EC@= C6A@CED 76H6C E92? b__ 42D6D A6C J62C] z6??6E9 r] $25=6C[ E96 |:DD@FC: s6A2CE>6?E @7 r@?D6CG2E:@?’D C233:E 8FCF[ C6A@CED 92G:?8 D66? @?=J EH@ :?764E65 C233:ED 5FC:?8 E96 4@FCD6 @7 a_ J62CD @7 6IE6?D:G6 7:6=5 C6D62C49]k^Am
kAm|:DD@FC: C233:E 9F?E6CD @442D:@?2==J 7:?5 E9C625=:<6 H9:E:D9 DEC62<D A2C2==6= E@ E96 >FD4=6 7:36CD :? 4=62?65 C233:ED] %96D6 2C6 E96 4JDED @7 2 A2C2D:E6 @7 E96 86?FD $2C4@4JDE:D] %96C6 :D 86?6C2= D4:6?E:7:4 28C66>6?E E92E C233:ED 2C6 2? :?E6C>65:2E6 9@DE 7@C 2 DA64:6D @7 $2C4@4JDE:D H:E9 42ED 2D 2 7:?2= 9@DE]k^Am
kAm(9:=6 9F>2?D 2C6 E96 7:?2= 9@DE 7@C 2 DA64:6D E92E @44FCD :? 42EE=6 2?5 DH:?6[ E96C6 :D ?@ 6G:56?46 @7 2 C233:E\9F>2? 4@??64E:@?] p?J 9F?E6C H9@ 564:56D E@ 5:D42C5 2 C233:E :?764E65 H:E9 $2C4@4JDE:D H@?’E 962C 2?J 4C:E:4:D> 7C@> >6]k^Am
kAm$@>6 @7 E96 >@DE 9@CC:3=6 =@@<:?8 C233:E A2C2D:E6D 2C6 E96 >@DE 36?:8? 3@E9 E@ E96:C 9@DE 2?5 E@ 9F>2?D] q=2556CH@C>D 2C6 2 42D6 :? A@:?E]k^Am
kAmq=2556CH@C>D[ H9:49 2C6 E96 :?E6C>65:2E6 DE286 @7 E96 42?:?6 E2A6H@C>[ 7@C> ?62C=J 4=62C[ ;6==J\=:<6 4JDED E92E 2EE249 E96>D6=G6D E9C@F89@FE E96 G:D46C2= 42G:EJ 2?5 >2J 42FD6 2 D>2== ?F>36C @7 C625:=J G:D:3=6 H9:E6 DA@ED @? E96 =:G6C] q=2556CH@C>D 2C6 DA64:6D\DA64:7:4 2?5 A@D6 ?@ E9C62E E@ 9F>2?D]k^Am
kAmp?@E96C DA64:6D @7 E2A6H@C> C62496D E96 25F=E DE286 :? E96 C233:E’D :?E6DE:?2= EC24E] %9:D A2CE:4F=2C E2A6H@C> 42? DFCG:G6 @?=J :? C233:ED 2?5 A@D6D ?@ E9C62E E@ 9F>2?D]k^Am
kAm%96 =2CG2= DE286 @7 2 =2C86 DA64:6D @7 3@E7=J >2J 36 E96 >@DE C6AF=D:G6 C233:E A2C2D:E6] p=D@ <?@H? 2D H2C3=6D[ 8CF3D @C H@=G6D[ E96D6 =2CG26[ H9:49 2C6 @7E6? >@C6 E92? 2? :?49 =@?8[ =:6 ;FDE F?56C E96 9@DE C233:E’D D<:?] %96J 6>6C86 :? >:5\ E@ =2E6 ~4E@36C 2?5 5C@A E@ E96 8C@F?5 E@ AFA2E6] %96J 5@ ?@ 92C> E@ E96:C 9@DE 2?5 A@D6 ?@ E9C62E E@ 9F>2?D]k^Am
kAmx 2=H2JD H62C 5:DA@D23=6 =2E6I 8=@G6D H96? 4=62?:?8 2?J DA64:6D @7 7:D9 @C 82>6] |J AC:>2CJ 8@2= :D E@ <66A >J 92?5D 4=62?[ 3FE H62C:?8 8=@G6D :D 2=D@ 2? 6I46==6?E 7:CDE =:?6 @7 5676?D6 282:?DE 6IA@DFC6 E@ 6:E96C 5:D62D6D @C A2C2D:E6D]k^Am
kAm(96? x A=2? E@ 4=62? >J 82>6 :? E96 7:6=5[ x 42CCJ D@2A 2?5 H2E6C @C 2?E:324E6C:2= H:A6D E@ E9@C@F89=J H2D9 >J 92?5D 27E6C C6>@G:?8 E96 8=@G6D]k^Am
kAmx7 J@F’C6 :?E6C6DE65 :? C625:?8 >@C6 23@FE E9:D DF3;64E[ x C64@>>6?5 “r@>>@? s:D62D6D 2?5 !2C2D:E6D @7 r@EE@?E2:=D” 3J z6??6E9 r] $25=6C] %96 3@@< :D 2G2:=23=6 2E k2 9C67lQ9EEAi^^>54]>@]8@GQm>54]>@]8@Gk^2m]k^Am
kAmk2 9C67lQ>2:=E@i8;D2oD348=@32=]?6EQm8;D2oD348=@32=]?6Ek^2mk^Am
