Wilderness Medicine, First Aid, and Outdoor Skills
Southern Tick-Associated Rash Illness (STARI)

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Appendix A: First Aid Case and Kits, Dressings, and Bandages
Appendix B: Rescue and Transportation Procedures
Appendix C: Common Problems/Conditions
Appendix D: Digital Pressure
Appendix E: Decontamination Procedures
Appendix F: Glossary


Introduction

The Southern tick-associated rash illness is a rash that is very similar to Lyme disease. However, it does not have the central bulls-eye rash that is seen in Lyme disease, but is more of a systemic generalized rash. It has been isolated from the bite of Lone Star tick. Lone Star ticks are found throughout the Southeast and the Midwest. It is the organism Borrelia Lonestari that causes the illness, which is characterized by a generalized rash, fever, fatigue and headache. At this time, it is believed that Stari is a self-limited disease, and the severe complications sometimes seen in individuals with Lyme disease such as heart, neurologic and arthritic problems, are rarely found in those infected with Stari. Recent data suggests that the symptoms resolve quickly, within 7-10 days. However it is recommended at this time that the antibiotic Doxycycline be used to treat this.

The first case appears to have occurred in Alabama in 1999, and the first evidence in medical literature was reported in 2001.

Survive Outdoors will attempt to update its readership regarding any additional data as it becomes available.

Tick Testing

Survive Outdoors would like to make individuals aware that there is a company called Analytical Services, Inc. where you can actually send the tick with your name, address and phone number (include area code), and a prepayment in the amount of $49.00/tick to:

Tick Testing
Analytical Services, Inc.
P.O. Box 515
Williston, Vermont 05495

Please be advised the ticks will not be processed without payment. You should allow at least two weeks, or 10 business days for your test results, which will be mailed to you.




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