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Nebraska's state epidemiologist reported that a 4 year old girl is recovering from contracting tularaemia, after swimming in lakes near Hershey. Six cases of the disease have been confirmed in the state this year (2013).
Advice for Travellers
Travellers should take precautions against tick bites including the use of insect repellents on the skin and clothes and covering the skin as much as possible (long sleeves and long trousers tucked into socks).
The skin should be inspected daily for ticks and any ticks seen removed by grasping the tick as near to the skin surface as possible and applying gentle traction (without twisting). If an eschar is seen at the site of a tick bite, medical advice should be sought.
