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Breaking News: Health Advisory for Contra Costa County

Last updated: November 10, 2018, 12:38 pm

The Bay Area Air Quality Management District reports that parts of our county have unhealthy air due to smoke. Please follow the following tips to protect yourself and your loved ones. Everyone, especially children, should reduce outdoor activity. Active children and adults, and people with respiratory disease such as asthma, should avoid prolonged outdoor activity. Masks are not a substitute for staying indoors. Masks such as the N-95 are not effective for untrained users and may be dangerous for people with lung or heart conditions. N-95 masks may be helpful for people who must work outdoors if properly fitted. Employees should work with their employers for direction on when/how to use N-95 masks. Seek medical attention if you experience symptoms like repeated coughing, difficulty breathing, wheezing, chest tightness, palpitations, nausea, fatigue or lightheadedness. Visit cchealth.org for smoke tips and airnow.gov for air quality in your area

Tularemia: Basic Information


Tularemia is an infection caused by a bacterium that is usually found in several types of wild animals (rabbits, voles, muskrats, beavers and others).

Is tularemia spread from person to person?

No. Tularemia can be spread by aerosol (inhaled), by handling infected animals with bare hands, by flea and tick bites, or by drinking contaminated water. If the germ were intentionally released (bioterrorism) into the air, it would most likely be inhaled into your lungs causing a severe infection (pneumonia).

How soon will symptoms develop (incubation period) if I have been infected?

Symptoms of tularemia usually develop within 3 to 6 days after exposure to the germ. It can be as short as one day or as long as 21 days depending on how close you were to the site where the germ was released into the air. Not all persons exposed to the germ will develop the infection.

What are the symptoms of tularemia infection?

Symptoms of tularemia pneumonia are generally flu-like and may include a sudden onset of fever, chills, headache, tiredness, sore muscles, loss of appetite, cough, and chest pain. Vomiting, stomach pain and watery diarrhea may also develop.

How is tularemia infection treated?

If you have symptoms of the infection your health care provider will give you an antibiotics.

How is tularemia prevented?

Antibiotics to prevent disease may be given by your health care provider and are most effective if started within 24 hours after exposure to the germ.