Wan strenj fiva we de kɔmɔt frɔm animal dɛn? Mek wi tok abaut ‘Tularemia’!

Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl ``Tularemia''? Sɔntɛm dis nem na nyu tin smɔl. Bɔt na sɔntin we wi nid fɔ no, bikɔs na infɛkshɔn we kin pas to wi frɔm animal, ɛn i kin rili siriɔs. Sɔm pipul dɛn kin kɔl am bak "rabit fiva". So, nɔ wɔri, tide wi go tɔk bɔt ``Tularemia'' na simpul we we yu go ɔndastand.

Wetin na ‘Tularemia’? Fɔ tɔk am simpul wan...

Tularemia na wan sik we wan baktri we dɛn kɔl Francisella tularensis (F. tularensis) kin kam wit. Na wan sik we dɛn kɔl zoonotic. Fɔ tɔk mɔ, i kin pas to mɔtalman bay we i tɔch animal dɛn we gɛt di sik ɔ we i tɔch animal dɛn we gɛt di baktri lɛk flay ɛn tik.

We yu gɛt dis sik, yu limf no dɛm kin swel wit pen . Nɔto dat nɔmɔ, bɔt i go dipen pan usay di bɔdi go insay yu bɔdi, yu kin gɛt difrɛn sayn dɛn bak na yu lɔng, yay, trot, ɛn intestinal. Tink bɔt am, sɔntɛnde we wi go waka na di fɔrɛst, if smɔl animal skrach wi ɔ bit wi, lɛk tik, wi kin gɛt wund, ɛn dis baktri kin go insay wi bɔdi tru da wund de.

Aw tularemia tan lɛk na di bɔdi?

di men sayn fכ tularemia na we di limf no dεm de swel, we kin apin lεk big big lumps na di bכdi, lεk na di nεk εn di armpit dεm. Sɔntɛnde, ɔlsa kin apin usay di baktri bin go insay di bɔdi. Dis min se i tan lɛk smɔl wund.

Udat kin gɛt dis ‘tularemia’ mɔ? Udat dɛn de pan denja?

Ɛnibɔdi kin gɛt tularemia. Bɔt di wok we yu de du, di tin dɛn we yu lɛk fɔ du, ɔ di say we yu de, kin mek yu gɛt dis sik mɔ. Si if yu de wit dɛn pipul ya:

• Pipul dεm we de hunt כ handle mit we nכ kuk fayn : Dis kin kכmכt frכm animal mit.
• Pipul dɛn we de wok wit animal ɔltɛm, lɛk vetɛriana ɛn animal kɔntrol ɔfisa : dɛn kin gɛt mɔ risk bikɔs dɛn kin gɛt tayt padi biznɛs wit animal dɛn we gɛt di sik.
• Pipul dɛn we de liv na say dɛn we bɔku bɔku bɔd dɛn lɛk tik ɛn flay kin bit .
• Pipul wae gɛt wik imyun sistɛm : Fɔ ɛgzampul, pipul dɛm wae gɛt HIV, pipul dɛm wae gɛt kansa, ɔr pipul dɛm wae de tek mɛrɛsin wae de mek dɛn nɔr ebul fɔ fɛt dɛnsɛf.
• Fam wokman dɛm, pipul dɛm we de kɔt ship, ɛn di wan dɛm we de wok wit di baktri dɛm `F. tularensis` in labכtכri : dεn pipul ya de pan inkrεs risk fכ divεlכp `Pneumonic tularemia`, we de afekt di lכng dεm.

Pan ɔl we bɔku pipul dɛn kin tɔk bɔt dis sik na sɔm kɔntri dɛn, mɔ sɔm stet dɛn na Amɛrika, ɛnibɔdi kin gɛt dis sik na ɛni say usay dis baktri de. Pan ɔl we dɛn nɔ ripɔt am bɔku bɔku wan na Sri Lanka, i fayn fɔ lɛ wi tek tɛm.

Aw kɔmɔn tin fɔ Tularemia?

Nɔto sik we dɛn kin si ɔlsay na di wɔl, i nɔ kin bɔku . Bɔt, lɛk aw a bin dɔn tɔk bifo tɛm, i kin rili siriɔs if i apin, so i rili impɔtant fɔ mek wi no bɔt dis.

Us pat na di bɔdi dis sik kin afɛkt?

Tularemia kin afɛkt yu limf no dɛm, yu skin, yu yay, yu trot, yu gut, ɔ yu lɔng . Bɔt if i bad, i kin mek ɛni ɔgan inflamɛns, ivin di bren ɛn at.

Aw dis baktri de wok insay di bɔdi?

Simply put, wen di `F. tularensis` baktri dεm de kam insay wi bכdi, di sεl dεm na wi imyun sistεm de "engul" di baktri dεm. Nɔmal wan, dɛn sɛl dɛn ya go pwɛl di baktri dɛn. Bɔt, di `F. tularensis` baktri dɛm na rili kɔni kɔni. Na insay dɛn sɛl dɛn de di bɔdi kin bɔku . Afta sɔm tɛm, di imyun sɛl dɛn kin pwɛl, ɛn bɔku bɔku di bɔdi kin skata ɔlsay na di bɔdi, ɛn dis kin ambɔg ɔda sɛl dɛn.

dis dεstrukshכn fכ di sεl dεm εn wi imyun sistεm in rεspכns to dis bכdi na in de mek sכmtεm dεm na di pat na di bכdi we gεt di sik.

Difrɛn kayn Tularemia de?

Yɛs, sɔm men kayn tularemia de. Dɛn kin put dɛn tin ya bay aw yu gɛt di sik ɛn usay di sik de sho.

1. Ɔlsɛglandular tularemia

Dis na di kayn tularemia we kin bɔku pas ɔl . I kin gɛt am tru di bayt we animal lɛk tik ɔ animal we gɛt di sik. I kin afɛkt yu skin ɛn di swɛt gland dɛn. Di men sayn na we di swɛlin gland we gɛt swɛlin na di skin.

2. Glandular tularemia

Dis tan lɛk di kayn we we wi bin dɔn tɔk bɔt, bɔt i nɔ de mek di skin gɛt lɛsin, na di gil dɛn nɔmɔ de swel . I kin kam bikɔs tik de bit am ɔ i kin tɔch animal we gɛt di sik dairekt wan.

3. Tayp we de afɛkt di yay (Oculoglandular tularemia) .

Dis kayn infekshɔn kin apin we yu gɛt wata we gɛt di sik ɔ animal in bɔdi wata insay yu yay. I kin mek pɔsin gɛt sɔm sayn dɛn na di yay . Bɔku tɛm, na wan yay nɔmɔ i kin afɛkt.

4. Di kayn we de afɛkt di trot ɛn di dijestiv trakt (Oropharyngeal tularemia) .

Dis kayn sik kin gɛt am if yu it it we gɛt dɔti, drink wata we gɛt dɔti, ɔ yu put an we gɛt baktri na yu mɔt we yu nɔ was am. Di men sayn na we yu trot de at bad bad wan . Sɔntɛnde, di sik dɛn we de na di bɛlɛ kin apin bak.

5. Di kayn we de afɛkt di lɔng dɛn (Pneumonic tularemia) .

Dis na di kayn we we siriɔs pas ɔl fɔ gɛt tularemia . I kin mek yu gɛt sayn dɛn we fiba nyumonia. Tu we dɛn de we i kin bi:

• Dairekt inhalashכn fכ di baktri dεm `F. tularensis` we dɛn kɔlFɔ go insay di lɔng dɛn.
• Spred fכ wan F. tularensis infεkshכn כdasay na di bכdi to di lכng dεm .

6. Tayfɔyd tularemia

Dis kayn tularemia kin gɛt ay fiva ɛn i kin afɛkt difrɛn pat dɛn na di bɔdi . I kin divɛlɔp di sem we lɛk ɔda kayn tularemia.

‘Tularemia’ na di sem wit ‘Lyme disease’?

Dis na kwɛstyɔn we sɔm pipul dɛn kin aks. pan ɔl we sɔm pan di sayn dɛm fɔ ``Tularemia`` tan lɛk ``Lyme disease``, di tu sik dɛm kin afɛkt di bɔdi difrɛn we. ``Tularemia`` na sik wae kin afekt difrεn pat dεm na di bכdi εn kin ivin mek yu layf de pan denja . ``Lyme disease`` nɔr kin de pan pɔrsin in layf, bɔt sɔmtɛm i kin mek pɔrsin gɛt lɔng tɛm, at fɔ trit.

Wetin na di sayn dɛm wae de sho se yu gɛt Tularemia?

Di sayn dɛm fɔ tularemia kin difrɛn difrɛn wan fɔ di kayn wae yu gɛt. Bɔku pan di kayn dɛn na fiva ɛn difrɛn kayn skin rash . Apat frɔm dat, sɔm patikyula sayn dɛn kin apin dipen pan usay di infekshɔn de.

di kכntribyushכn dεm fכ di Ulceroglandular εn Glandular tכp dεm fכ di skin lεsin dεm εn nodul dεm:

• Fiva.
• Di limf no dɛm we rili big, we kin swel wit pen .
• wan opin sore (ulsa כ lεshכn) na di skin - dis na כnli fכ `Ulceroglandular tularemia`.

Di simptom dɛm fɔ di Oculoglandular tayp:

• Ay pen.
• Tearring of di yay dɛn.
• Sεnsitiviti to layt (fotophobia) - we min se i at fɔ luk pan layt.
• Swel ɛn pen rawnd di yes ɔ nɛk.
• Wan opin wund na di yay (kɔnia ɔlsa).

di simptom dεm fכ di Oropharyngeal tכp we de afekt di trot εn εsophagus:

• Fiva.
• Trot we kin at bad bad wan .
• Trot de swel, rɛd, ɛn wayt spat.

Sɔm pipul dɛn kin gɛt bak:

• Fɔ vɔmit.
• Dayarɛa (i kin bi wit blɔd).
• Pɔsin we de fil pen na di bɛlɛ.

Di simptom dɛm fɔ di Nyumonik tayp we de afɛkt di lɔng dɛm:

• Fiva.
• Kɔf.
• I nɔ izi fɔ blo (dyspnea).
• Chɛst de pen ɔ tayt.
• Mɔsul dɛn kin pen.
• Rεd bכmp כ lεsin dεm na di skin (erythema nodosum).
• Fɔ kɔf blɔd (ɛmɔptaysis).

Di sayn dɛm fɔ Tayfɔyd fiva:

• Ay fiva.
• Chills we de mek pɔsin kol.
• Ɛd we de at (ed we de at).
• Di it nɔ de te.
• Mɔsul dɛn kin pen.
• Trot de at.
• Bɛlɛ de pen.
• Rɔnbɛlɛ.
• Nɔs ɔ vɔmit.
• Kɔnfyus.

Aw lɔŋ i kin tek fɔ mek di bɔdi kam insay di bɔdi bifo di sik kam?

di inkubashכn tεm fכ tularemia, di tεm frכm we dεn de εkspos to di baktri te di simptom dεm sho, na in kin biNa lɛk tri to fayv dez , bɔt sɔm pipul dɛn nɔ kin sho di sik fɔ te tu wiks.

Wetin na di kɔz fɔ dis sik ‘Tularemia’?

As a bin dɔn tɔk, na wan baktri we dɛn kɔl `Francisella tularensis` (`F. tularensis`) de mek am. dis baktri kin de na di bכdi fכ animal dεm (dεn kin kכl dεn animal ya we de kכri sik dεm bak "rεsכva") – spεshal wan rεbεt, hεri, sכmכl animal dεm lεk mays, εn pusi. I kin pas bak bay tik ɛn insɛkt dɛn we de bit am.

Tu men kayn de fɔ dis `F. tularensis` baktri - tayp A ɛn tayp B. Tayp A kin mek pɔsin gɛt mɔ sik, ɛn i kin bɔku na di Amɛrika dɛn. Tayp B kin mek yu gɛt sɔm kayn sik wae nɔr bɔrku, ɛn dɛn kin si am na Nɔt Amɛrika ɛn bɔrku ɔda pat dɛm na di wɔl.

Aw dis sik kin pas to wi?

Bɔku we dɛn de we di Tularemia kin pas to wi:

• Bayt frɔm insɛkt dɛn we de bit lɛk tik, mɔskito, ɛn diya flay .
• Na bay we animal dɛn we gɛt di sik bit am.
• Na bay we dɛn tɔch animal dɛn we gɛt di sik . If yu tɔch di tisu ɔ bɔdi wata we de na animal we gɛt di sik, di bɔdi kin go insay yu bɔdi tru smɔl brek na yu skin. yu kin gεt di baktri dεm bak bay we yu tכch tin dεm we kכntamin wit di `F. tularensis` baktri dεm εn afta dat yu de tכch yu fes, yu yay, yu nos, כ yu mכt.
• Na bay we yu drink wata we gɛt di sik ɔ it it we gɛt di sik.
• bay we yu brith sכm sכm dכp dεm (aerosol כ mist) we gεt di baktri dεm `F. tularensis` . Dis kin apin, fɔ ɛgzampul, if dɛn kɔt animal we gɛt di sik wit lawnmower ɔ fam ikwipmɛnt, ɛn di jem dɛn kin kɔmɔt na di ays ɛn inhal.

Yu tink se tularemia kin pas frɔm pɔsin to ɔda pɔsin?

Nɔ, tularemia nɔ kin pas. Dat min se, i nɔ kin pas we pɔsin tɔk to ɔ shek an wit pɔsin we gɛt di sik. Bɔt i kin rili gɛt di sik . Dat min se, ivin if na smɔl smɔl bɔdi we de na di bɔdi go insay di bɔdi, di risk fɔ gɛt di sik kin bɔku.

I sef fɔ it animal we gɛt tularemia?

We dɛn kuk mit fayn fayn wan, baktri dɛn kin kil. Bɔt if yu no se animal dɔn gɛt ``Tularemia'', i nɔ fayn fɔ it di mit fɔ da animal de .

Aw dɔktɔ kin no se i gɛt Tularemia?

Fɔ no if yu gɛt tularemia, dɔktɔ go chɛk yu, aks yu bɔt di sik dɛn we yu gɛt, ɛn ɔda fɔ mek dɛn tɛst yu blɔd ɔ ɔda wata we de na yu bɔdi. I go dipen pan di sayn dɛn we yu gɛt, i go chɛk yu gam, yu trot, yu yay, ɛn yu skin fɔ si if yu gɛt sɔri, lumps, ɔ lɛsin.

Us tɛst dɛn de du fɔ dis?

Fɔ no if yu gɛt tularemia, yu dɔktɔ kin du dɛn tɛst ya:

• Blɔd tɛst dɛn: Dɛn go sɛn blɔd sɛmpul we dɛn tek frɔm yu an to lab fɔ tɛst fɔ si if yu gɛt sayn dɛn fɔ tularemia ɛn fɔ si if di F. tularensis baktri dɛn de gro. Bikɔs di F. tularensis baktri dɛm de gro sloslo, di fɔs blɔd tɛst kin bi nɔmal. So yu go nid fɔ du ɔda blɔd tɛst afta sɔm wiks.
• Bayopsi : If yu rash dɔn rili swel ɔ yu gɛt lɛsin na yu skin, yu dɔktɔ go tek wan smɔl pat pan di tisu (wan `bayopsi`) frɔm di eria ɛn sɛn am to lab fɔ si if di `F. tularensis` baktri dεm de de כ de gro.
• Nasal ɔ trot swab : Di dɔktɔ go yuz wan swab we dɛn tay pan wan lɔng stik fɔ tek wan sampul fɔ mכkus frɔm yu nos ɔ trot, sɛn am na lab, ɛn chɛk fɔ si if di F. tularensis baktri de ɛn gro.
• Pleural fluid test / thoracentesis : If yu gɛt bɔku bɔku wata rawnd yu lɔng (pleural effusion), yu dɔktɔ go tek wan sampul pan am tru wan prosidur we dɛn kɔl thoracentesis ɛn sɛn am fɔ tɛst.

Wɛl, wetin na di tritmɛnt fɔ dis sik ‘Tularemia’?

Dɛn kin trit tularemia wit bɔku bɔku antibayɔtiks . Dɛn kin gi dɛn tin ya as injɛkshɔn ɔ as pils. If yu gɛt siriɔs prɔblɛm, yu kin nid ɔda tritmɛnt.

I rili impɔtant fɔ bigin fɔ trit tularemia kwik kwik wan. Sɔntɛnde, dɔktɔ dɛn go bigin fɔ tek antibayɔtik bifo yu lab ripɔt dɛn kam bikɔs dɛn want fɔ stɔp am fɔ mek i nɔ siriɔs.

Pipul kin wɛl kpatakpata frɔm dis sik, Tularemia?

Yɛs, i pɔsibul. Tularemia na sik we pɔsin kin mɛn. Antibayɔtik kin kil di baktri dɛm we de mek i kam.

Wetin na di mɛrɛsin dɛm wae dɛn kin gi fɔ Tularemia?

Di kayn antibayɔtik we dɛn kin yuz fɔ mɛn tularemia na:

• `Streptomaysin`
• `Jɛntamisin`
• ` Dɔksisayklin (Dɔksisayklin) `
• `Azitromaysin`
• `Siproflɔksasin` ɔ `lɛvoflɔksasin`

Aw a kin tek kia ɔf misɛf na os we a de tek mɛrɛsin? Aw a go ebul fɔ kɔntrol di sik dɛn we de sho se a gɛt dis sik?

I impɔtant fɔ tek ɔl di antibayɔtiks we yu dɔktɔ gi yu fɔ di ful tɛm we yu gi yu . Nɔ stɔp fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. If yu stɔp fɔ tek antibayɔtiks tu kwik, sɔm pan di baktri dɛm kin de na yu bɔdi ɛn mek di infekshɔn kam bak.

Apat frɔm di antibayɔtik dɛm we dɛn kin gi yu, yu kin ebul fɔ mɛn sɔm pan di sayn dɛm fɔ tularemia na os. Aks yu dɔktɔ bɔt di mɛrɛsin dɛn we yu nɔ kin bay (OTC) ɔ ɔda tritmɛnt dɛn we go ɛp yu fɔ gɛt di sik dɛn we yu gɛt.

Wetin wi kin du fɔ mek wi nɔr gɛt dis sik we dɛn kɔl ‘Tularemia’?

Yu kin ridyus di risk fɔ tularemia bay we yu protɛkt yusɛf ɛn yu animal dɛn frɔm insɛkt dɛn, tek tɛm we yu de miks wit animal dɛn, ɛn kuk mit fayn fayn wan.

• Ɛnitɛm we i pɔsibul, wɛr klos we kɔba yu bɔdi fayn fayn wan we yu de na do, mɔ na say we lɔng gras ɔ say we tik dɛn de. Yuz bɔg sprɛy we gɛt DEET.
• Afta yu dɔn kam bak frɔm do, chɛk yusɛf ɛn yu animal dɛn fɔ si if tik dɛn de . I fayn fɔ mek ɔda pɔsin chɛk say dɛn we yu nɔ go ebul fɔ si izi wan, lɛk di ed.
• Aks yu vetɛriana wetin yu kin du fɔ protɛkt yu animal dɛn frɔm tik. Pus we de go na do kin gɛt tularemia.
• Supavayz yu animal dɛn we dɛn de go na do. Tularemia kin pas tru bayt frɔm ɔda animal dɛn.
• Wear glɔv we yu de ol animal (we de alayv ɔ we dɔn day) . Nɔ ɛva tɔch wayl animal wit yu an we nɔ gɛt natin. Ivin if yu wɛr glɔv, was yu an fayn fayn wan wit sop ɛn wata afta yu dɔn ol animal dɛn.
• Kuk mit dɛn fayn fayn wan to say we sef . Was yu an, say dɛn, ɛn tin dɛn we yu de yuz fayn fayn wan ɔltɛm afta yu dɔn pripia it. Wail gem kin gɛt di baktri dɛm we kin mek pɔsin gɛt tularemia.
• Nɔ drink wata we dɛn nɔ trit.
• If i pɔsibul, nɔ fɔ kɔt ɔ yuz ɔda mashin dɛn nia animal dɛn we dɔn day . If i pɔsibul, nɔ put ɛni animal pan mashin. If yu wɛr fes mask we yu de yuz lawnmower ɔ agrikalchɔral ikwipmɛnt kin ɛp fɔ mek yu nɔ blo smɔl smɔl tin dɛn we de na di ays, bɔt dɛn nid fɔ du mɔ risach fɔ kɔnfɔm dis.
• If yu tink se yu go dɔn gɛt tularemia, aks yu dɔktɔ if yu fɔ tek antibayɔtik fɔ mek di sik nɔ kam.

Wetin kin apin if yu gɛt tularemia? Aw lɔng i kin tek fɔ mek i wɛl?

Bɔrku pipul dɛm wae gɛt tularemia kin wɛl kpatakpata . Yu go nid fɔ tek antibayɔtik fɔ 10 to 21 dez.

Dipen pan yu sayn dɛm, yu dɔktɔ go wach yu gud gud wan fɔ di fɔs sɔm dez afta yu dɔn bigin fɔ trit yu. If yu bigin fɔ gi antibayɔtik tumɔs afta yu sik dɔn bigin, yu kin gɛt siriɔs prɔblɛm dɛn.

Sɔm pipul dɛn kin kam bak afta dɛn dɔn wɛl (relaps). If dat apin to yu, yu go nid fɔ tek ɔda kɔs fɔ antibayɔtik.

Di tritmɛnt fɔ tularemia kin tek tu to tri wiks. Bɔt, i kin tek lɔng tɛm fɔ mek i fil fayn ɔltogɛda. Sɔntɛnde, di skin lɛsin dɛm we tularemia kin mek kin mek yu gɛt skata fɔ ɔltɛm.

Ustɛm a kin go bak na wok/skul?

Bikɔs tularemia nɔ kin pas, yu kin go bak na wokples ɔ skul ɛnitɛm we yu fil fayn .

Wetin na di lukin-grɔn fɔ tularemia?

Di luk fɔ tularemia fayn if dɛn trit am kwik kwik wan . If dɛn trit am kwik wit antibayɔtik, di pipul dɛn we de day bikɔs ɔf tularemia nɔ go rich 1%.

Wetin na di prɔblɛm dɛn we kin kam wit Tularemia?

Di kɔmplikɛshɔn dɛn we kin kam wit tularemia kin apin wit nyumonia ɔ tayfɔyd fiva. Sɔm pan dɛn tin ya na:

• I nɔ kin izi fɔ yu fɔ blo (Acute Respiratory Distress Syndrome - ARDS).
• Bren fiva (mɛningaytis ɔ mɛningɔɛnsɛfalaytis).
• inflameshn na di at (`mayokarditis`, `perikarditis` ɔ `endokarditis`).
• inflameshn na di bon dεm, bon mכro, כ di joyn dεm (osteomyelitis כ atraytis).
• Inflameshɔn na di liva (ɛpataytis).
• Renal we nɔ de wok fayn.
• Blɔd we de kɔmɔt insay pɔsin in bɔdi (ɛmoraji).

Yu tink se dɛn kin mɛn Tularemia if yu nɔ gɛt antibayɔtik?

Sɔm pipul dɛn kin wɛl frɔm tularemia if dɛn nɔ gɛt antibayɔtik. Bɔt di risk fɔ gɛt siriɔs prɔblɛm dɛn, lɛk fɔ pwɛl di ɔgan dɛn, kin rili bɔku . If dɛn nɔ trit am, tayp A tularemia kin mek pɔsin day pan lɛk 30% pan di kes dɛm. So if ɛni dawt de, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ if yu:

• If yu gɛt sayn dɛm fɔ ‘Tularemia’.
• If yu tink se yu go dɔn gɛt tularemia, dɔktɔ kin tɛl yu fɔ tek antibayɔtik fɔ mek di sik nɔ kam.
• If di simptom dɛm fɔ tularemia kam bak we dɛn dɔn ɔ afta dɛn dɔn di tritmɛnt.

Ustɛm yu nid fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt dɛn siriɔs sayn ya , go na di imejensi rum we de nia yu wantɛm wantɛm:

• If di fiva pas 103 Fahrenheit (39.4 Celsius).
• Kɔnfyushɔn ɔ ɔda chenj dɛn we kin apin to pɔsin in maynd.
• If blɔd de na di vɔmit ɔ di stɔl.
• If yu kɔf blɔd.
• If yu notis blu kɔlɔ na yu skin, lip, ɔ finga nel (dis na sayn fɔ se yu nɔ gɛt ɔksijɛn - `hypoxia`).
• Bɛlɛ pen bad bad wan.
• I nɔ kin izi fɔ yu fɔ blo bad bad wan ɔ wantɛm wantɛm.

Wetin na di impɔtant tin dɛn we a fɔ aks mi dɔktɔ?

I fayn fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Aw a go tek mi mɛrɛsin kɔrɛkt wan?
• Wetin a go du fɔ mek a nɔ gɛt di sik na mi os?
• Ustɛm a fɔ kam si yu bak?
• Ustɛm a fɔ go na di imejensi rum?

Dɛn dɔn yuz tularemia as bayolojikal wɛpɔn?

Bikɔs i kin pas kwik kwik wan, pipul dɛn kin wɔri se dɛn kin yuz di baktri we nem F. tularensis we kin mek pɔsin gɛt tularemia as bayolojikal wɛpɔn. Bɔt dɛn nɔ dɔn ripɔt ɔ kɔnfyus se tularemia ɔtbrɛk we gɛt fɔ du wit bayɔwɛpɔn .

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, dis ‘Tularemia’ na wan sik wae nɔr kin bɔrku, bɔt sɔmtɛm kin gɛt siriɔs sik wae nid fɔ tek kia ɔf . If yu tink se yu dɔn gɛt am, ɔ if yu gɛt sɔm sayn dɛn, go to dɔktɔ wantɛm wantɛm . If yu gɛt tritmɛnt kwik, yu kin mek yu wɛl ful wan. So, di tin we impɔtant pas ɔl na fɔ nɔ fred, bɔt fɔ no ɛn tek tɛm. Dɔn gɛt am?

` Tularemia, Francisella tularensis, rabit fiva, dia flay fiva, zoonotic sik, limf node, sik we tik kin bɔn, baktriyal infɛkshɔn, sik dɛn we tik kin bɔn