SPECIAL NOTE

What is a miracle?
Miracle Mineral Solution MMS is not a cure. It is a pathogen killer. MMS is not a “miracle” in the sense of “miraculous,” but in the sense of its discovery. Jim Humble wasn’t seeking a miracle, he was desperately trying on-hand supplies to help two employees who had apparently been stricken with malaria. He remembered that he had some bottles of Stabilized Oxygen to help purify jungle drinking water. So he gave them the Stabilized Oxygen. Jim notes that the Stabilized Oxygen relieved their symptoms. Jim’s later tests convinced him that it was not the “oxygen” that had helped the men, but rather the small amount of chlorine dioxide generated from drinking the Stabilized Oxygen. Incidentally, the FDA has, in the past, approved Chlorine Dioxide as a pathogen killer. So this was not a miracle, nor anything “brand new.” It was a great development that Jim thought to try Stabilized Oxygen for these suffering men. Perhaps Adam Abraham says it the most succinctly, “MMS is not a miracle. It is wonderful science.” When the Government uses Chlorine Dioxide as the final and enduring pathogen killer following an anthrax attack isn’t it wonderful science? When MMS is activated and chlorine dioxide is generated it kills pathogens. Isn’t this wonderful science? Summary: It is sad that MMS manufacturers might be forced to remove the “miracle” nomenclature rather than face some governmental agency’s undeserved scrutiny. iv

Table of Contents
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 MMS Core Facts Puzzle Pieces More Puzzle Pieces Controversy Conventional Medicine Stages of Lyme Disease Costs of Lyme Disease Thinking Outside the Box MMS & Lyme Disease Preventative Measures Removal of Ticks Lyme Disease and Animals Beware of Snake Oil Frauds A Salute to Medical Professionals Other Ticks & Tick-Passed Diseases Appendix A
The Lyme Disease Controversy

1 20 32 35 39 54 57 63 68 76 78 80 83 91 93 129 142 145 150 152 154 157 159

Appendix B
Leading Causes of Death

Appendix C
Global Spread of Lyme Disease

Appendix D
Clinic Evaluations of Chlorine Dioxide

Bibliography Websites Websites - Secret Government Operations Lyme Disease in the News v

Preface As the fever blistered her skin the chills danced up and down her spine. She begged me to wrap up inside her quilt with her and hold her to keep her warm...she was “freezing.” That’s the closest I ever came to heat stroke in a bedroom. Before the ambulance left the Trauma Center she was being rushed into surgery and then on to Intensive Care. When the retiring, gray bearded surgeon came slowly to my side 7 hours later he sadly shook his head and hoarsely whispered in his German accent, “Ve had some problems. It vil be hours before ve can be certain.” Thud. My heart dragged across my chest. My eyes saw his mouth - moving - but my ears were stone deaf. She might die. My love might be gone into eternity. Never to squeeze my hand again. Never to laugh and brush my soul’s canvas with her joy! Never! As I researched Lyme Disease I witnessed my own personal heartache repeated a thousand fold by lovers of Lyme victims. Never. Forever. Eternal. Loss. Heartbreak. My loss. Your loss. These are inexpressibly lonely words. Words that should not be in our vocabulary. At least not at such tender ages. Not with children. Not with teens. Not with young adults with families. Not with aunts and uncles. Lord spare us from hearing these words. Please! I pray my efforts herein will help spare you from hearing these words. May our enduring hugs strengthen us against the monster of monsters...Lyme Disease. March 2009, Larry Smith Battle Ground, Washington vi

NOTE If you are already experienced in Miracle Mineral Solution You may choose to skip forward to page 20 Or start here to review MMS before moving in to Lyme Disease

Chapter 1

MMS Core Facts

1

The MMS Story
Mining Expedition In mid 1996, deep within the mining jungles of South America, a United States scientist named Jim Humble made an almost accidental discovery ... a discovery that would change the course of human health history forever. Out of one small mining team’s struggle for survival, came a simple, yet possible treatment for nearly every pathogen-borne disease known to mankind. Interrupted by Malaria Two miners were bitten by mosquitoes (who were carriers of a protozoan parasite) and were infected with malaria. The mining team didn’t have any anti-malarial medicine and help was a distant two-day’s journey. Something had to be done. Scientist tries alternative treatment Jim had brought some stabilized oxygen bottles to purify drinking water. Since it cleansed water would it help with malaria? He gave it to the two men. It worked. Quickly. The men got well. Did the water purifier really kill the malaria or was it a coincidence? Aware that malaria strikes multitudes every year, killing over a million, Jim was compelled to find out. 2

Completing his mining contract consumed much time but Jim used every opportunity to experiment when others, including nearby natives, came down with malaria. But he needed to figure out why it worked slowly sometimes and even failed to work at other times. SCIENTIST UNRAVELS THE SECRET His testing found that stabilized oxygen contains sodium chlorite. Speculating, Jim discovered that the solution was producing a small portion of chlorine dioxide (ClO2). This was a fortuitous observation: as ClO2 is the safest and yet one of the most powerful pathogen killers ever known. STABILIZED OXYGEN ISN’T STRONG ENOUGH The theory behind Stabilized Oxygen had always been that it was the oxygen in the solution that purified water. Now, Jim Humble realized it was the ClO2 that was the pathogen-killing purifier not the oxygen by itself. But the amount of ClO2 released from stabilized oxygen was minuscule. This accounted for claims that it worked or didn’t work. Jim speculated that a more potent solution might be quite efficient as a pathogen killer. His hypothesis proved more astounding than his best dream could have ever imagined. A miracle discovery was in the works. Hope for mankind was in his fertile mind. 3

1,000+ CHEMISTRY TESTS LATER - JIM’S SOLUTION BECAME MUCH STRONGER Miracle Mineral Supplement, as Jim called it, was now ready for extensive testing. It wasn’t a medicine. It was primarily a sodium-chlorite and distilled water solution*...that when activated with a food acid made a powerful chlorine-dioxide drinkable solution. * MMS is 72% distilled water, 22.4% sodium chlorite, less than 5.32 sodium chloride, and less than 0.28% each of sodium hydroxide and sodium chlorate. The remaining parts are a mixture of the non-toxic excipients necessary in the manufacture and stabilization of sodium chlorite powder or flake. 75,000+ SUCCESSFUL MALARIA TREATMENTS Jim reported, “more than 75,000 documented successful treatments of this disease” in sub-Sahara Africa. He speculated that MMS could well be the future hope for uncountable sufferers. Best of all...it was cheap, simple and safe. SIMPLE - INEXPENSIVE SOLUTION The ingredient(s) are few. The chemistry, simple. The science sound. The materials (right now)...abundant. Jim, a humanitarian, insists MMS remains inexpensive and heads up a foundation supplying third-world peoples who can’t afford to purchase this life-changing solution. 4

MMS IS NOT A CURE - IT’S A KILLER - THE BODY’S IMMUNE SYSTEM DOES THE CURE Activated MMS generates ClO2 a powerful killer of disease-causing pathogens. Once a pathogen is destroyed the immune system normally is strengthened and as a result is better prepared for self defense. MMS does not claim to be the healer in the process. NO MIRACLE - JUST WONDERFUL CHEMISTRY The skilled interviewer Adam Abraham has phrased the MMS discovery, “No Miracle - Just wonderful Chemistry.” Rett Anderson explains the chemistry this way, “Chlorine dioxide and chlorine are not the same. Chlorine is a chemical element. In ion form, chlorine is part of common salt and other compounds, and necessary to most forms of life, including human. A powerful oxidizing agent, it is the most abundant dissolved ion in ocean water, and readily combines with nearly every other element, including sodium to form salt crystals, and magnesium, as magnesium chloride. Chlorine dioxide is a chemical compound that consists of one chlorine ion bound to two ions of oxygen. Oxidizing agents are chemical compounds that readily accept electrons from “electron donors.” They gain electrons via chemical reaction. This is important because relative to chlorine dioxide, all pathogens are electron donors.” 5

“Chlorine dioxide is extremely volatile. You might call it “hot tempered,” but in a very beneficial way. This volatility is a key factor in chlorine dioxide’s effectiveness as a pathogen destroyer.” WILL MMS WORK ON OTHER DISEASES? In Jim Humble’s African encounters he discovered that, in addition to helping Malaria sufferers, ClO2 had similar impact on other diseases caused by viruses, bacteria, fungi and proteins. This made him optimistic that destroying the pathogens that cause diseases like: Hepatitis A, B & C, Typhoid, BSE (mad-cow disease), Cancer, Herpes, Pneumonia, Tuberculosis, Arthritis, Asthma, Colds and Flus... including H5N1 (“Bird Flu”) was now just a matter of time. Would this include HIV/AIDS? Though Jim mentions success with these horrific global microbes in Africa long-term studies are needed to confirm individual results and doubleblind tests to verify larger population samples. (Please see the probable MMS Pathogen application chart on pages 18-19.) AFTER 10 YEARS OF TESTING SCIENTIST JIM HUMBLE GOES PUBLIC In the summer of 2007, this man heroically stepped out of the shadows to make this information freely available to all humanity. His unique copyright guarantees this information will remain in the public domain forever. This blocks any pharmaceutical conglomerate from acquiring the proprietary rights and then shelving them. 6
Jim Humble

THE URGENCY OF NOW Jim Humble and many others believe the long-term availability of MMS may soon be heavily controlled, if not prevented, by the powers that be. This is not unfounded conspiracy fears, rather it is awareness of what the Codex Alimentarius is already implementing in much of the world. The future of all producers of vitamins, herbs and supplements is under assault. Many suspect collusion between the FDA and mega pharmaceuticals who want control of this industry as well. In mid 2008 the Canadian government ordered Canadian distributors of Miracle Mineral Supplement to immediately cease marketing this solution anywhere in Canada. They demanded written compliance and threatened stiff punishment for non-compliance.
Will retail health foods, vitamin and supplement stores soon be required to post a sign like the following?

ALL TRANSACTIONS ARE Controlled and Monitored by

CODEX ALIMENTARIUS
This shelf formerly contained Supplements, Herbs & Alternative Health Products which are now

BANNED
BY ORDER OF THE UNITED NATIONS CALL WORLD-BIG-PHARMA TO ORDER 1-900-666-6666

7

MOST DOCTORS AREN’T CHEMISTS Chances are you’ve never heard of this substance from your doctor. Few medical doctors are practicing chemists. This is not intended to assail honest, caring and competent medical professionals; most are overworked and under paid. This is a new discovery and pharmacists and medical practitioners are just starting to delve into the benefits of MMS. Many alternative practitioners are already highly enthused by MMS and are both using it themselves and recommending it to their patients.

DRUG COMPANIES PROFIT FROM TREATMENTS NOT CURES Sadly, you won’t find it at your local pharmacy anytime soon. Nature can’t be patented. Pharmaceutical companies profit from “treatments” not cures. FDA HAS ALREADY APPROVED MMS’ INGREDIENTS - FOR HUMAN USAGE Ironically ClO2 has already been approved for varied uses by the FDA. It is used for the eradication of pathogens in water purification (which is then consumed), in swimming pools because it is a more powerful and safer cleanser than chlorine. It is also used in heavy-duty industrial and paper-mill applications. Interestingly ClO2 is also the United States Government’s preferred purifier following anthrax poisoning and other terroristic chemical attacks. 8

FINALLY THIS POWERFUL PURIFIER IS AVAILABLE IN INDIVIDUAL DOSAGES As previously mentioned Chlorine Dioxide is not new. However, Jim Humble’s protocol is new. For the first time in history Chlorine Dioxide is now available in individual dosages if MMS is activated by Jim Humble’s protocol. DOES MMS PRODUCE CARCINOGENS? Before activation, MMS contains mostly distilled water, sodium chlorite, sodium chloride and miniscule other items. This solution is not carcinogenic. As activation begins MMS is mixed with a minute amount of a food acid. This is not carcinogenic. Activation converts its ingredients into chlorine dioxide. Once chlorine dioxide is activated its unstable explosiveness lasts for less than two hours. The residuals are a minute amount of salt and water. Thus MMS does not produce any carcinogens. WHAT IS THE PROTOCOL FOR TAKING MMS? Jim Humble’s standard protocol is reproduced on pages 15-16. A graphical protocol is on page 17. Jim’s more intense MMS protocol for Hepatitis and other more resistant pathogens is on page 16. A graphical protocol is on page 17. The MMS protocol for Lyme Disease is unique and is covered in chapter 10 starting on page 64. It is also found in The Official MMS Health Journal in which dosage charts are available for both protocols. See www.optimalhealthpress.com/books.htm 9

FOR WHAT MAY I TAKE MMS? It is logical (1) to take MMS as a precaution against new pathogens before they’ve spread systemically, (2) to take MMS to attack existing pathogen-caused diseases and (3) to stay on a maintenance dosage to prevent a recurrence. For a partial list of pathogens see pages 18-19. ALWAYS FOLLOW THE PROTOCOL It is important to follow Jim Humble’s protocol pointby-point. Jim Humble’s protocol recognizes different levels of disease and diverse age groups. To his knowledge there have not been any safety concerns when used as per his protocol. IS MMS SAFE...FOR EVERYONE? Nearly anyone should be able to try MMS. Jim Humble’s protocol is well designed and should be strictly followed. He provides special instructions for the very ill, young children and senior citizens. However with pregnant mothers and/or children under 24 months my research found the FDA precludes doing so as brain stem neurological injury might occur, as it is still not fully developed before age 2. 10

In visiting with Jim he points out that if a toddler under two or a pregnant mother is critically ill, such as he often found with malaria, MMS might be justifiable therapy. It is most difficult to dispute this dedicated man’s concern or to argue against his documented successes. I urge any one facing such a dichotomy to weigh the decision carefully. May the Lord bless the outcome. SIMPLE, INEXPENSIVE & LASTING The MMS ingredients, though not readily available, can be bought and easily prepared in your own kitchen. However most users prefer to purchase MMS already bottled from one of a number of websites. A single bottle that can last an entire family a year is inexpensive. START A BUSINESS HELPING OTHERS If you are wanting to earn a living by helping others to use MMS you’ll want to consider setting up a Reseller account such as can be done by clicking on different major supplier websites. For superb information about building your own MMS business, please read MMS-Miracle Mineral Solution-What You and your Loved Ones Need to Know, Revised 3rd Edition. It includes a valuable section, How to Earn a Living Helping Others. It is available at www.optimalhealthpress.com by Dr. Larry Smith. 11

LIFE SAVING REASONS FOR TAKING MMS Taken orally, it can save your life, or the life of someone you love. Remember...it is not a healer. It is a killer (of pathogens). Killing pathogens helps to strengthen the immune system. There are a hundred reasons why everyone should have at least one bottle, if not more, on-hand.

Three good reasons are (1) PREVENTATIVE: take MMS in maintenance dosage to attack pathogens which might have just assailed your immune system; (2) VISITOR: Be prepared to offer MMS if a loved one is assaulted by a pathogen; (3) ALTERNATIVE: careful application externally often impacts molds, fungi and other such instances. 12

Decision time...the choice is yours Do you really want to get well? To be healthy again? To stay healthy? To live a more enjoyable life? A longer one? Each decision we make is clothed in a garment. Popular garments are: “Maybe I will.” Or, “Maybe I’ll back out.” “I guess I could try, but I doubt it will work.” “I know I shouldn’t do it, but I just can’t help it.” “My brain says, Yes. My body says, No.” “Been there, done that.” “I’ll succeed no matter what!” Dr. Dean Ornish

Dr. Dean Ornish, world-renowned cardiologist and health advocate, notes with astonishment that his medical school mentors, who were heads of Cardiology and Pulmonology, both smoked. He concluded that knowledge is only part of the strategy for improvement. The greater component is doing something...the action...the behavior. Dave Ramsay, radio-talk show host and noted Financial Peace University founder, calculates successful change, saying that turning finances around is about “5% knowledge and 95% behavior.” 13

Which garment do you usually wear? Success or failure? Which one would you kind of want to wear? Strive for it or wimp out? Forget going half-way. Wear the right garment. Wear the garment that you are compelled to do. Make a decision to begin today. This hour. This minute. You can succeed. You will succeed! Circumstances may be difficult. Disease may be too ravishing. Bad habits too burdensome. Supporters have deserted. Spouse has divorced you. The whole world has placed you on your own little island called Lonely Unparadise. Hope is gone. I’m too weary to try anymore. Woe is me. I think I’ll just go out and eat worms. That’s great...if you’re a bird. But you’re a more capable being than that.

Meet the discoverer of MMS
Scientist & Metallurgist

Jim Humble
oversees his work at

Life Link Medical Center Kampala, Uganda.
Please go to Jim Humble’s website to learn all about this caring humanitarian, purchase his books and gain great new insights.

www.miraclemineral.org

14

Please Note: The Protocol below is Jim Humble’s standard one. On pages 68-69 is Jim’s Protocol specifically for Lyme Disease. JIM HUMBLE’S MMS PROTOCOL “When following the instructions below, keep this paragraph in mind. Always activate the MMS drops with one of the food acids, either lemon juice drops, or lime juice drops, or citric acid solution drops (to make citric acid solution add 1 level tablespoon of citric acid and 9 tablespoons of water. Store it in a bottle with a lid.) Always use 5 drops of one of these food acids to each one drop of MMS, mix in a empty dry glass and wait at least 3 minutes, then add 1/3 to 2/3 glass of water or juice and drink. (You can expand the 3 minutes out to 10 minutes, and after adding the juice or water you can wait up to an hour before drinking.) (1) All protocol for taking MMS in the Americas starts with one or two drops. Never start with more than one or two drops. People who are very sick and/or sensitive should start with ½ drop. Activate the drops as given above. (2) If you do OK and do not notice nausea on the first dose, increase by one drop for the second dose. If you notice nausea reduce the amount of MMS for the next dose. Do two doses a day, one in the morning and one in the evening. Continue to increase by one drop each time you take a new dose. When you notice nausea, reduce the dose by one drop, or bad diarrhea reduce by 2 or 3 drops.”
(continued on the next page).

15

JIM HUMBLE’S MMS PROTOCOL (continued) “Usually reduce for one or two times before going back the amount that it took to make you nauseous. Note: If you notice diarrhea, or even vomiting that is not a bad sign. The body is simply throwing off poisons and cleaning itself out. Everyone says that they feel much better after the diarrhea. You do not have to take any medicine for the diarrhea. It will go away as fast as it came. It will not last. It is not real diarrhea as the body is just cleaning out, and it is not caused by bacteria or virus. When the poison is gone, the diarrhea is gone. (3) Continue to follow the procedure given in 2 above. Until you reach 15 drops twice a day without nausea. At that point increase to 3 times a day. Stay at 3 times a day for at least one week and then reduce the drops to 4 to 6 drops a day for older people and 4 to 6 drops twice a week for younger people.”

INTENSE PROTOCOL The above protocol is the “Standard Protocol.” Jim Humble also provides instructions about a stronger protocol... an Intense Protocol. The Official MMS Health Journal contains dosage charts for each protocol. Part 4 has samples of the dosage charts and a full explanation of the Intense Protocol. Jim Humble recommends this type of protocol for many major diseases. Jim’s Lyme Disease protocols are on pages 68-69. 16

MMS PROTOCOL Visualized

DIRECTIONS:
[ Starting Dosage: refer to protocol for directions for ongoing usage. ] 

'URSV

Place five drops of a food acid: lemon or lime juice drops, or mix citric acid #into a glass. Place one drop of MMS into a glass. Swirl or stir. Wait 3 minutes. Add 6 - 8 ounces of apple juice.* Stir and drink. 

'URS

# Mix: to make citric acid solution add 1 level tablespoon of citric acid and 9 tablespoons of water. Store in a covered bottle. * 100% apple, grape or other non-citrus juice. Do not use orange juice or any juice with added Vitamin C or ascorbic acid. Watch out for "natural flavors" or "natural preservatives" as this often means ascorbic acid (Vitamin C). Please use the protocol’s written instructions on pages 15-16 for exact usage. The above chart is a pictoral guide only.
Designed by Dr. Larry Smith, PhThD Copyright 2008, 2009

17

PATHOGEN TYPES
Examples and/or typical effects of BACTERIA pathogens include: (Source: http://en.wikipedia.org/wiki/)

Anthrax Foodborne Illness
(i.e.Salmonella, E. coli)

Lyme Disease Peritonitis Pneumonia Stomach Ulcers

Strep Throat Toxic Shock Syndrome Tuberculosis Tularemia Typhoid Urinary Tract Infection

E. coli Bacterium

AIDS Virus

Examples and/or typical effects of VIRUS pathogens include: (Source: http://en.wikipedia.org/wiki/)

AIDS Chickenpox Cold Sores Colds Hepatitis Herpes HIV 18

HPV (i.e. Genital Warts;) Influenza Virus
(i.e. H5N1, “Bird flu”)

Measles Poliomyelitis Smallpox Warts

Examples and/or typical effects of Protozoa pathogens include: (Source: http://en.wikipedia.org/wiki/Pathogen)

Candidiasis
(i.e. Yeast Infection)

Chagas Disease Cryptococcosis Cryptosporidiosis

Giardiasis Histoplasmosis
(i.e. “Darling’s Disease”)

Malaria

Examples and/or typical effects of Fungi pathogens include: (Source: http://en.wikipedia.org/wiki/Pathogen)

Pneumonia

Ringworm

Examples and/or typical effects of Parasite pathogens include:(Source: http://en.wikipedia.org/wiki/Pathogen)

Roundworm

Tapeworm

Examples and/or typical effects of Protein pathogens include:(Source: http://en.wikipedia.org/wiki/Pathogen)

BSE (mad-cow disease) vCJD ( Variant-Creutzfeldt-Jakob disease)

19

Lyme Disease

Chapter 2 Pieces of the Puzzle

20

Lyme Disease
INTRODUCTION Lyme Disease (LD) is usually transmitted by ticks carrying the spirochete bacterium (Borrelia burgdorferi (Bb). It has likely been afflicting humans and animals since the dawn of history. Lyme Disease is a multisystem inflammatory disease first affecting the skin and then spreading to the joints and nervous system. Many* physicians now regard the disease not as a simple infection, but rather as a complex illness that often consists of other co-infections. HISTORY Ticks are millennia old. More than 3,500 years ago Egyptian hieroglyphics mention Tick Fever. 700 years later in circa 850 B.C. Homer mentions Odysseus’ dog, Argus, as being tick infested. Paradoxically today Argus is the name of one genus of ticks. The ancients considered ticks to be, “disgusting parasitic animals which were very troublesome.” COMMON VECTOR The common carrier is an infected Ixodes tick that lives on animals such as deer, rabbits, raccoons and white-footed mice. Reports now state chipmunks and other small animals have become carriers. Even more fearsome nearly 50 of a 140 bird species in Connecticut are now known to be tick infected. These ticks may also carry ehrlichiosis and babesiosis. The safest course would be to assume any small animal may in fact be a transporter of this heinous arachnid.
* However see “Controversy” on page 35.

21

Today ticks are the second worst vector on planet earth. Only mosquitoes wreak more havoc. Millions of people suffer from malaria annually after the female mosquito’s bite. In spite of their centuries and millenia of terrorizing mankind and other unenviable hosts ticks were never as rampant nor as virulent as they are today. “Ticks are blood feeding external parasites of mammals, birds, and reptiles throughout the world. Approximately 850 species have been described worldwide (Furman and Loomis 1984). There are two well established families of ticks, the Ixodidae (hard ticks), and Argasidae (soft ticks). Both are important vectors of disease causing agents to humans and animals throughout the world. Ticks transmit the widest variety of pathogens of any blood sucking arthropod, including bacteria, rickettsiae, protozoa, and viruses.” The common life cycle of a hard tick has been thought to be two years. Recent research indicates a less-definite cycle with some exceeding three years or more by a type of hibernation during cold weather. Ticks do not walk, run, jump or fly onto their intended host. Rather they quest. Questing is attaching themselves to a blade of grass, brush, and or a leaf. Once securely attached they quest by leaning outward extending two of their legs toward the host. When the host brushes the foilage the tick’s 22

quest is completed by attaching itself by the two extended legs to its new-found blood source. At the end of their life cycle the male and females mate. Once mating has occured, they both drop off their host; the male dies, the female lays thousands of eggs and then she dies.

STAGES OF A TICK’S LIFE CYCLE

IXODES TICK
By far the most dangerous tick based on the volume of pathogens and speed in infecting the host is the mature adult. But, most humans are infected by the nymphal (point of arrow) tick because it is so tiny it is nearly invisible and its bite is nearly painless. This immature tick may require 72 hours (more or less) before it has transmitted its lethal poison. A tick’s mouth has puncture pointers and a “super glue” like adhesiveness until it has finished its blood feast. You might compare the tick’s puncture pointers to the steel (tire puncturing) pointers used at “Do Not Exit” lanes in many large parking lots. Just so, the tick’s pointers are angled to prevent their removal from the host. 23

MONSTER REBIRTHED In the mid 1970s a mysterious surge in incidents of what was diagnosed as juvenile rheumatoid arthritis developed in 39 children in coastal Connecticut in and around Old Lyme. Surely this was just an anomaly of nature. Wasn’t it? Though the reported spike perplexed local medical professionals panic alarms didn’t sound. “Probably just slight shifts in the eco system,” they speculated.* Since that decade the juvenile arthritis had to be rediagnosed as it was only one of a barrelful of symptoms accompanying this mysterious outbreak.

PLUM ISLAND OR NATURE The phrase mysterious surge, if pursued, may very well open a terrifying “Pandora’s Box” of clandestine United States government-funded germ warfare. About 6 to 9 miles from Old Lyme, Conneticut is a tiny New York island upon which diabolical Dr. Frankenstines designed voracious biological monsters. Monster is not even close to depicting what these crazed scientists envisioned. Scouring the globe for microbes that snacked on animals they’d smuggle them to Plum Island. Their secret agenda was to manipulate and refashion the bacterium into preferring a human host upon which to dine. This is a zoonotic disease. In the process this detestible miscreant was to infect the new host with a disease from which there would be no recovery.
* However see “Controversy” on page 35.

24

An attorney Michael Christopher Carroll was the first to write an expose that received much attention: Lab 257: The Disturbing Story of the Government’s Secret Plum Island Germ Laboratory Former New York Governor Mario M. Cuomo’s book review is stunning. “If we’re lucky, someone in the media will read this carefully researched, chilling expose of a potential catastrophe and force the government to do something about it. If not, Mike Carroll’s brilliant work will have been wasted and we may be the victims, once again, of government inadvertence.” The Governor’s euphemistic “inadvertence” does not express how I, the above author and many others would phrase it. Paradoxically a scientist with the author’s exact name is involved in immunology in these same New England states and has written a number of works. Be certain to not confuse the two men. Near the end of World War II (WW II) Allied forces began a frantic effort to grab any remaining German scientists before they were killed, imprisoned or disappeared. The United States and the USSR became intense competitors in this pursuit. The United States termed this project “Paper Clip.” One of these scientists, all of whom were at least nominal Nazis, was Werner Von Braun. He became famous in postWW II America working for our Space Program. However, not all of these Nazi scientists” were as ostensibly harmless as 25

was Werner Von Braun. During the War Hitler’s infamous Heinrich Himmler was engaged in grotesque, immoral and inhumane experiments in Insel Reims Labs in Germany. His cohort and chief scientist was Dr. Erich Traub. He was a veterinarian, and a virologistscientist. His energy was expended in germ warfare, zoontic research and far more sickening experiments. Didn’t this man, and other Nazi scientists of this ilk, deserve to be tried as war criminals at Nuremberg? Absolutely. Why did it not happen? The United States Army decided these evil geniuses were “too valuable” to see being punished...or wose yet...to be shanghaied into Russian laboratories. But President Franklin Franklin Delano Roosevelt Delano Roosevelt precluded citizenship to war criminals and refused to support their plan. Was this too difficult a hindrence. Of course not. A well-documented treatise researching the Nuremburg Trials reports, “The US intelligence agents were so entranced with their mission that they went to extraordinary lengths to protect their recruits from criminal investigators at the US Department of Justice. One of the more despicable cases was that of Nazi aviation researcher Emil Salmon, who during the war had helped set fire to a synagogue filled with Jewish women and children. Salmon was sheltered by US officials at Wright Air Force Base in Ohio after being convicted of crimes by a denazification court in Germany. 26

Under the terms of Paperclip there was fierce competition not only between the wartime allies but also between the various US services - always the most savage form of combat.” As can be seen from numerous reports the Army and a secret US Government agency (which later evolved into the CIA) scoured the files pertaining to these Nazis. The result was what we used to do on the dairy farm; we sprayed whitewash over the walls, ceiling, inside and outside. Manure was pure white after the spraying dried. So were the Nazi records of America’s desired Nazi recruits. Fort Terry was an Army base on the northern New York Plum Island just spitting distance from the Hamptons. The Army constructed several mysterious “Labs” on this island.This base was then taken over by the Agricultural department of the United States. The Agricultural department needed a non-continental location as it battled the spread of hoof and mouth disease which was epidemic in Mexico. Once hoof and mouth disease was contained the Island’s laboratories were shifted to more sinister research. Dr. Erich Traub found his way to Fort Terry and in to the Army’s employment. Evidence exists to conclude that Dr. Erich Traub was indeed on the Island at least three different times. I suspect he was employed there and may have used a base submarine to secretly exit to conduct his clandestine missions. A former employee at Plum Island in the 1950’s has personal recollection of a “Nazi scientist” releasing ticks outdoors on Plum Island. I suspicion ErichTraub to have been that man. 27

who worked on Plum Island in the 1950’s recalls that animal handlers and a scientist released ticks outdoors on the island. ‘They called him the Nazi scientist, when they came in, in 1951—they were inoculating these ticks,’ and a picture he once saw ‘shows the animal handler pointing to the area on Plum where they released the ticks.’ Dr. Traub’s World War II handiwork consisted of aerial virus sprays developed on Insel Riems and tested over occupied Russia, and of field work for Heinrich Himmler in Turkey. Indeed, his colleagues conducted bug trials by dropping live beetles from planes. An outdoor tick trial would have been de rigueur for Erich Traub.” True or not, fabrication or reality this revelation is believable based upon the many infamous secret programs our Government has vehemently denied until some insider spills his guts decades later. Before the Homeland Security locked up the Island visitors reported having to agree to not go around zoos, animals, and other potential vectors for 7 days after leaving Plum Island. The required decontamination chamber apparently didn’t decontaminate efficiently. If the Department of Agriculture’s spokeswoman really wants a good laugh, she should laugh at her own dichotamus denials in view of Michael Christopher Carroll’s description of trying to rid himself of ticks on the Island, while being decontaminated, in the boat heading to shore and in his own shower. Let me chuckle with her, Since you deny any sinister dealings or microbe releases just exactly why did Homeland Security deem it critical to confiscate and padlock the Island? Chuckle. Chuckle. 28

The implications are immeasurable. How many Health Insurers have worked collusively to reward Lyme Disease denying doctors? It sure reduces their potential claims if Lyme Disease doesn’t exist (officially that is)! I have chosen to include this information in this important book about Tick-borne Infectious Diseases because: (1) You need to be assured that this research is in-depth, resourceful and fearless. (2) You need to be warned about the mortally serious danger that might lie just beyond that bucolic flora. (3) I must expose the vast majority of medical professionals who deny the very existence of Lyme Disease. Further they humiliate, castigate and ridicule those brave medical professionals who dare to go against the grain. Do you recall these old proverbs: “You can be sure he knows which side to butter the toast,” and “follow the money?” (4) Very importantly, if Lyme Disease was hand-designed by these diabolical scientists it explains the lack luster results earnest medical practitioners have experienced. (5) Most significantly however is the road ahead. Is there a medicine or protocol that is indeed therapeutic? What about MMS? 29

Seemingly someone will retort, “It doesn’t matter how and or where Lyme Disease originated. All that matters is getting rid of it.” I must beg to differ...strongly so. Lyme Disease diagnoses have skyrocketed from nearly unknown in the US thirty years ago to become the most common vector-borne infection in America today. One study places Lyme Disease as the 6th more dangerous disease in the world. The reported number of new cases may be more than 200,000 annually in the United States alone. These numbers appear to be increasing exponentially now that physicians have a more codified diagnostic criterium. But a far more chilling medical-science discovery has just surfaced. A study of the brains of deceased Altzsheimer patients has led to a horrid hypothesis. Is Lyme Disease’s spirochete pathogen worming itself inside the human genome and thus mutating human DNA? In essence is the spirochete pathogen becoming (or has it become) so much a part of its host that to destroy the pathogen may destroy the host? What if these Dr. Frankensteins designed a microbe of such incalculable epidemiological magnitude that it will parallel HIV/AIDS. I ask, with fear and trepidation, have they succeeded in creating a bacterial pathogen that in finality may not be stoppable? On the next page is a map of north-eastern New York and eastern Connecticut. Plum Island, NY (A) and Old Lyme, Connecticut (B) are marked in order that their close proximity is shown. It is beyond the scope of this book to delve any more deeply into Plum Island and its infamous Germ Laboratory. It is our task to seek answers, solutions and therapies to this pernicious pathogen-borne disease. Let’s do so. 30

New York

31

Lyme Disease

Chapter 3 More Puzzle Pieces

32

GEOGRAPHICAL Lyme Disease is named from the onset of juvenile arthritis symptoms in and around Olde Lyme, Connecticut. It is also found in other locations in and out of the New England section of the United States. The upper Midwest, the rocky mountains and the west coast all report tick infestations. But the most lethal population of tick vectors is in the New England states. Reported cases of Lyme Disease in the United States in 2006

Cases are reported by state of residence rather than state of exposure.

1 dot is placed within county of residence for each reported case. 33

GLOBAL Lyme Disease is now found on nearly every continent in temperate zones as well as in some colder zones. At this time it is not found in tropical areas. Lyme disease, or borreliosis, is an emerging infectious disease caused by at least three species of bacteria belonging to the genus Borrelia.[1] Borrelia burgdorferi is the predominant cause of Lyme disease in the United States, whereas Borrelia afzelii and Borrelia garinii are implicated in most European cases. Some agencies list Lyme Disease as the fifth or sixth most infectious emerging disease worldwide. It is ubiquitous in the Northern Hemisphere. Reports have reached my desk from Poland, Russia, China, Japan, Canada, England, Italy, Crimea and Portugal, Sweden, Germany, Scotland just to name a handful of countries. Causative theories for its far-reaching spread include “global warming,” the worldwide increase in disseminating animals both for food and for entertainment, expansion of humans into rural, bucolic areas and serious increases in types of vectors: including the frightening proliferation of infected birds. Appendix C beginning on page 145 is devoted to the geographical expansion of Tick-spread Lyme Disease.

34

Lyme Disease

Chapter 4 Controversy

35

While there is general agreement on the optimal treatment of early Lyme disease, considerable controversy has attached to the existence, prevalence, diagnostic criteria, and treatment of “chronic” Lyme disease. The popularity of “chronic Lyme disease” as a concept despite a lack of supporting medical evidence led to a 2008 New England Journal of Medicine article calling it “the latest in a series of syndromes that have been postulated in an attempt to attribute medically unexplained symptoms to particular infections.” Most medical authorities, including the Infectious Diseases Society of America (IDSA), the American Academy of Neurology, and the Centers for Disease Control, do not recommend long-term antibiotic treatment for “chronic” Lyme disease, since trials have shown little or no benefit and considerable risk from long-term antibiotics, especially when given intravenously. Groups of patients, patient advocates, and physicians who support the concept of chronic Lyme disease have organized to lobby for recognition of the disease, as well as insurance coverage of long-term antibiotic therapy, which most insurers deny as it is at odds with guidelines released by major medical organizations. Circuitous self interest! As part of this controversy, Connecticut Attorney General Richard Blumenthal, whose decade-long ties to chronic Lyme advocacy groups had prompted the rebuke of medical experts, opened an antitrust investigation against the IDSA, accusing the IDSA panel of undisclosed conflicts of interest and of unduly dismissing alternative therapies. 36

This investigation stalemated and was closed on May 1, 2008 without charges after the IDSA agreed to a review of its guidelines by a panel of independent scientists and physicians. Blumenthal’s corresponding press release argued that the agreement vindicated his investigation and again alleged conflicts of interest. A journalist writing in Nature Medicine later wrote that some IDSA members may not have disclosed potential conflicts of interest. The IDSA’s press release focused on the fact that the medical validity of the IDSA guidelines was not challenged. Paul G. Auwaerter, director of infectious disease at Johns Hopkins School of Medicine, cited this political controversy as an example of the “poisonous atmosphere” surrounding Lyme disease research which has led younger researchers to avoid the field. In 2001, the New York Times Magazine reported that Allen Steere, chief of immunology and rheumatology at New England Medical Center and a leading expert on Lyme disease, had been harassed, stalked, and threatened by patients and patient advocacy groups angry at his refusal to substantiate their diagnoses of “chronic” Lyme disease and endorse longterm antibiotic therapy. Because of death threats, security guards were assigned to Steere. A significant amount of inaccurate information on Lyme disease exists on the Internet. Attempting to sort wheat from chaff is an unenviable task. Beginning on page 143 I have listed scores of websites with some slight attempt to codify them. The reader is challenged to make careful evaluation of any website and then do extensive cross referencing before forming definitive conclusions. 37

Pamela Weintraub’s Cure Unknown: Inside The Lyme Epidemic may very well become the most incriminating diatribe against narcisstic, stubborn and unrepentive medical practioners ever written. It also summarizes both her subjective and objective findings with the conclusion that a cure for Lyme Disease has not and never will be found.* This gives occasion to discuss the role that Conventional Medicine performs in curing Lyme Disease.

* Appendix A, on page 129 contains a superb article eloquently depicting the Lyme Disease Medical Conflict. It is written by Tincup on Lyme Net Flash Discussion Board used by permission of Minnesota Lymefighter’s Advocacy

38

Lyme Disease

Chapter 5 Conventional Medicine

39

Conventional Medicine
The Conventional Medical protocols vary, but “When diagnosed at a very early stage, Lyme Disease can be cured by a course of antibiotics. Delaying treatment, however, can be disastrous, since in its later stages, “Lyme also includes collateral conditions that result from being ill with multiple pathogens, each of which can have a profound impact on the person’s overall health,” says Joseph J. Burrascano, M.D. of East Hampton NY. “Together, damage to virtually all bodily systems can result.” DIAGNOSIS Because their huge delays, back pedaling and failure to provide a specific protocol for treating Lyme Disease had earned the Centers for Disease Conrol the dubious distintion of being the “most inept federal agency ever” they were compelled to captitulate. So. in October of 2008 the Centers for Disease Control’s web site features the following Lyme Disease Diagnosis Protocol. “Lyme disease is diagnosed based on symptoms, objective physical findings (such as erythema migrans, facial palsy, or arthritis), and a history of possible exposure to infected ticks. Validated laboratory tests can be very helpful but are not generally recommended when a patient has erythema migrans.” 40

When making a diagnosis of Lyme disease, health care providers should consider other diseases that may cause similar illness. Not all patients with Lyme disease will develop the characteristic bulls-eye rash, and many may not recall a tick bite. Laboratory testing is not recommended for persons who do not have symptoms of Lyme disease.” Laboratory Testing Several forms of laboratory testing for Lyme disease are available, some of which have not been adequately validated. Most recommended tests are blood tests that measure antibodies made in response to the infection. These tests may be falsely negative in patients with early disease, but they are quite reliable for diagnosing later stages of disease. CDC recommends a two-step process when testing blood for evidence of Lyme disease. Both steps can be done using the same blood sample. Because blood serum levels more than occasionally provide false negatives it is wise to seek a second opinion from another medical practitioner specializing in Lyme Disease. The human skin is the largest organ in the body and, as such, is the perimeter defense for the immune system. When a tick imbeds itself into the skin the immune system normally quickly assaults any intruder and its bacterial infection. However, for some unknown reason these tests may be falsely negative in patients with early disease, but they are quite reliable for diagnosing later stages of disease.

41

Common Tests for Evidence of Lyme Disease “1) The first step uses an ELISA or IFA test. These tests are designed to be very “sensitive,” meaning that almost everyone with Lyme disease, and some people who don’t have Lyme disease, will test positive. If the ELISA or IFA is negative, it is highly unlikely that the person has Lyme disease, and no further testing is recommended. If the ELISA or IFA is positive or indeterminate (sometimes called “equivocal”), a second step should be performed to confirm the results. Experts insist that, “The ELISA screening test is unreliable. The test misses 35% of culture proven Lyme disease.” 2) The second step uses a Western blot test. Used appropriately, this test is designed to be “specific,” meaning that it will usually be positive only if a person has been truly infected. If the Western blot is negative, it suggests that the first test was a false positive, which can occur for several reasons. Sometimes two types of Western blot are performed, “IgM” and “IgG.” Patients who are positive by IgM but not IgG should have the test repeated a few weeks later if they remain ill. If they are still positive only by IgM and have been ill longer than one month, this is likely a false positive. CDC does not recommend testing blood by Western blot without first testing it by ELISA or IFA. Doing so increases the potential for false positive results. Such results may lead to patients being treated for Lyme disease when they don’t have it and not getting appropriate treatment for the true cause of their illness.” 42

Laboratory Testing Some laboratories offer Lyme disease testing using assays whose accuracy and clinical usefulness have not been adequately established. These tests include urine antigen tests, immunofluorescent staining for cell wall-deficient forms of Borrelia burgdorferi, and lymphocyte transformation tests. In general, CDC does not recommend these tests. Click here for more information. Patients are encouraged to ask their physicians whether their testing for Lyme disease was performed using validated methods and whether results were interpreted using appropriate guidelines.

Testing Ticks? Patients who have removed a tick often wonder if they should have it tested. In general, the identification and testing of individual ticks is not useful for deciding if a person should get antibiotics following a tick bite. Nevertheless, some state or local health departments offer tick identification and testing as a community service or for research purposes. Check with your health department; the phone number is usually found in the government pages of the telephone book.”

43

AQUIRING LYME DISEASE Ticks seek a “blood meal” once in each of their three cycles. To attach to the skin, draw blood and transmit the bacterium causing Lyme Disease requires up to 72 hours for a nymph and perhaps half that for adult ticks. So the best prevention includes a thorough examination after the exposure outing. The most serious incidents have involved children and thus they must be examined closely.

SYMPTOMS Immediate Symptoms: The first Lyme Disease predictor is the appearance of a rash (erythema migrans) such as on the thigh shown on the next page (top) and multiple Tick bites on a sufferer’s back (bottom). Distinctive features of the rash are that it gradually expands over a period of several days, reaching up to 12 inches (30 cm) across and it usually displays in a distal location. The center of the rash may clear as it enlarges, resulting in a bull’seye appearance. It may be warm but is not usually painful. Some patients develop additional EM lesions in other areas of the body after several days. But such a rash is not always present, or it may delay its onset from several days to a month or more. The age of the person is a factor. This erythema migrans (EM) rash only evidences itself in “30 - 40% of the adult patients...and less than 10% of infected children.” 44

45

Reading this checklist of symptoms one can deeply appreciate the exasperating plight that Pamela Weintraub’s Cure Unknown: Inside The Lyme Epidemic experienced when she encountered a medical professional’s ignorance. A nurse insisted that she not bring her tick-bitten son to the hospital because the erythema migrans had not developed into a complete bulls-eye target in appearance. Pam’s urgent pleas fell on deaf, non cooperative ears (Ignorant Ones!).

DIFFERENTIAL DIAGNOSIS Lyme Disease has been called, “the Great Imposter” leading skilled physicians to mistake it for fibromyalgia, chronicfatigue syndrome, thyroid-gland malfunction, multiple sclerosis, Lou Gehrig’s disease and other systemic disorders. It is also a cause of or contributing factor in a number of other degenerative diseases. Thus a medical practitioner will be challenged to carefully differentiate before confirmation as these all have significant similarities. The dilemma became almost a hopeless maze due to our third-party payer system. When the actual suffering patient is prevented from making life and death choices about his own care no one else will possesses even a minuscule of his innate concern. Some years ago a poet phrased a similar dilemma when faced with defining a common animal. Talk about “differential diagnosis!” 46

It was six men of Indostan To learning much inclined, Who went to see the Elephant (Though all of them were blind), That each by observation Might satisfy his mind.

The Blind Men and the Elephant
A Hindoo Fable by John Godfrey Saxe

The First approached the Elephant, And happening to fall Against his broad and sturdy side, At once began to bawl: “God bless me! but the Elephant Is very like a wall!” The Second, feeling of the tusk, Cried, “Ho! what have we here So very round and smooth and sharp? To me ’tis mighty clear This wonder of an Elephant Is very like a spear!” 47

The Third approached the animal, And happening to take The squirming trunk within his hands, Thus boldly up and spake: “I see,” quoth he, “the Elephant Is very like a snake!” The Fourth reached out an eager hand, And felt about the knee. “What most this wondrous beast is like Is mighty plain,” quoth he; “Tis clear enough the Elephant Is very like a tree!” The Fifth, who chanced to touch the ear, Said: “E’en the blindest man Can tell what this resembles most; Deny the fact who can, This marvel of an Elephant Is very like a fan!” 48

The Sixth no sooner had begun About the beast to grope, Than, seizing on the swinging tail That fell within his scope, “I see,” quoth he, “the Elephant Is very like a rope!” And so these men of Indostan Disputed loud and long, Each in his own opinion Exceeding stiff and strong, Though each was partly in the right, And all were in the wrong!

49

Thanks to the brilliant and tenacious Dr. Joseph Burrascano we have some charts to begin self journaling to prepare for your first meeting with a Lyme Disease specialist. Produced below is an early version of Dr. Burrascano’s questionnaire. Please go to http:// www.lymediseaseassociation.org/ Treatment.html for his most current schematics. You may wish to also read about his “Salem Witchcraft” Medical trial: http://www.centuryinter.net/tjs11/bug/l12.htm Or a similar trial of Dr. Charles Ray Jones at http://lymeblog.com/ The Quick Checklist “ This was the initial checklist that began to lead to my Lyme diagnosis. It is based on the Burrascano “Guidelines”. Keep a tally of the “yes” responses. Although many of these symptoms are common or indicative of other things, a number of them may suggest the need for further evaluation. (My own count was 18 out of 46.) As part of your symptoms, have you had any of the following? 1. 2. 3. 4. Tick Bite (deer tick or dog tick?) Rash at bite site Y N Y N N Y N

Rashes at other sites

Joint/muscle pain in feet Y 50

5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23.

Swelling in toes, balls of feet Ankle pain Y Burning in feet Shin splints Y N Y N N

Y

N

Unexplained fevers, sweats, chills

Y

N N

Unexplained weight change (- or +) Y Fatigue, tiredness Y Unexplained hair loss Swollen glands Sore throat Y Y N Y N Y N Y N N

Testicular pain / pelvic pain

Unexplained menstrual irregularity

N

Unexplained milk production (lactation)Y N Irritable bladder or bladder dysfunction Y Sexual dysfunction or loss of libido Upset stomach Y N Y N N

Change in bowel function (constipation, diarrhea) Y N Chest pain or rib soreness Shortness of breath, cough 51 Y Y N N

24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36.

Heart palpitations, pulse skips, heart block Y N Joint pain or swelling Y N Y N

Stiffness of the joints, neck or back Muscle pain or cramps Y N

Twitching of the face or other muscles Headache Y N

Y

N

Neck creaks and cracks, neck stiffness

Y

N

Tingling, numbness, burning or stabbing sensations Y N Facial paralysis (Bell’s Palsy) Y N

Eyes/vision: double, blurry, pain, increased floaters Y N Ears/hearing: buzzing, ringing, ear pain Y N

Dizziness, poor balance, increased motion sickness Y N Lightheadedness, wooziness, difficulty walking Y N

37. 38.

Tremor

Y

N Y N

Confusion, difficulty in thinking 52

39. 40. 41. 42. 43. 44.

Difficulty with concentration or reading Y N Forgetfulness, poor short term memory Y N

Disorientation: getting lost, going to wrong places Y N Difficulty with speech Y N Mood swings, irritability, depression Y N

Disturbed sleep: too much, too little, early awakening Y N Exaggerated symptoms or worse hangover from alcohol Y N Any history of heart murmur or valve prolapse? Y N Courtesy of http://www.lymepa.org/html/ about_joseph_burrascano__md.html AND http://cassia.org/checklist.htm

45.

46.

53

Lyme Disease Chapter 6

STAGES OF LYME DISEASE

1 2 3

STAGE ONE In Stage One the skin rash, progresses into a bull’s eye appearance (see page 45), fever, nausea, joint pain and some unusual neurological symptoms may be manifested.

54

STAGE TWO In Stage Two Lyme Disease the organism sequesters and produces focal symptoms: myopericarditis with atrial or ventricular arrhythmia and heart block. Symptoms include both the central and peripheral nervous systems. The most common central nervous system manifestation is an aseptic meningitis with mild headache and neck stiffness. Also cranial or peripheral neuritis or migratory musculoskeletal pain.

55

STAGE THREE There are many other worsening symptoms as Stage Three leads to persistent chronic arthritis, chronic encephalopathy or polyneuropathy or acrodermatitis. The Internet contains hundreds of thousands of websites focused on Lyme Disease for those desiring further research.

56

Lyme Disease

Chapter 7 COSTS OF TREATING LYME DISEASE
Economic burden of car accidents involving deer According to the University of Georgia, deer-vehicle collisions are on the rise, with growing economic consequences. Insurance officials estimate that 1.5 million deer-vehicle collisions nationwide each year incur more than $1.1 billion in damages. And in 2006, State Farm Insurance Company reported a six percent increase—an additional 10,000—deer-collision claims. The annual cost of car insurance goes up for everybody as a consequence. The average cost of a claim has increased to $2800 of damage per deer-car incident. Medical Costs of treating Lyme disease in Connecticut “In 2006, the CDC published a study of the economic impact of Lyme disease. It concluded the average case generates $8,172 in costs using year 2000 dollars. Adjusting for inflation, current costs would run $10,256.” - Peter S. Arno, Professor in the Department of Health Policy and Management, School of Public Health, New York Medical College 57

Although Lyme disease is the most common vector-borne disease in the United States, it’s hard to be sure how many people have been infected. The CDC recently announced Lyme cases have doubled since 1991, with 20,000 new cases reported each year. But experts acknowledge Lyme surveillance is limited. The CDC relies on states to report, and each state has its own methods. Without a comprehensive, consistent system, we cannot know Lyme’s true reach. Lyme is likely to be under-reported. Research suggests official reports represent only 10 percent to 20 percent of diagnosed cases. Recently, reporting methods have come under particular scrutiny in Connecticut, a state with the second highest rate of Lyme disease in the nation. Unfortunately, Lyme is controversial: nearly every aspect, from diagnosis to treatment, sparks heated debate. Now, apparently, counting cases is also a hot-button issue. If we know Lyme is here, causing problems, why bother tracking every case? What difference does it make? Economically, at least, quite a lot - about $300 million in Connecticut alone. Scientific and humanitarian concerns should drive any discussion of reporting. But sometimes, money talks. Many families are stressed by the financial burden imposed by Lyme disease. What do case reports reveal about patient struggles, in dollars and cents?

58

Connecticut’s reporting system changed drastically in 2003 and with it, our ability to assess Lyme’s economic impact. Until then, both doctors and labs were required to notify the state Department of Public Health when patients tested positive for Lyme. That year, 4,631 cases were reported. But in 2003, cases fell to 1,403. Why? The state stopped requiring labs to report them. Trends would still be discernible, officials said, and the state would soon install a computerized system to capture laboratory numbers. Five years later, this system has yet to be fully implemented. The state asserts technological challenges have prevented its completion - a delay many find unacceptable. State Attorney General Richard Blumenthal noted: “We have been demanding that the Department of Public Health do more accurate reporting. Awareness of Lyme disease helps people prevent it. If people think that Lyme disease is going away because of under-reporting, it could give them a false sense of security.” In addition, accurate case numbers might improve diagnosis, since doctors would know how probable Lyme is in their communities. In 2006, the CDC published a study of the economic impact of Lyme disease. It concluded the average case generates $8,172 in costs using year 2000 dollars. Adjusting for inflation, current costs would run $10,256. 59

If we apply this amount to Connecticut’s case numbers, it’s clear accurate reporting provides vital data regarding the epidemic’s toll. Connecticut reported 1,788 cases in 2006, mainly from doctors. Using the estimate of $10,256, these cases would have generated costs of over $18 million. But what if labs were still reporting? By assuming that labs report in the same proportion as 2002, we’re looking at 5,902 cases, generating costs of more than $60 million.Finally, consider this eye-opener: Assuming conservatively that case reports represent 20 percent of diagnosed cases, Connecticut’s 2006 case numbers jump to 29,509, generating costs of more than $300 million. In a nutshell, here’s the difference reporting methods can make: the difference between 1,788 cases and 29,509 cases. The difference between $18 million and $300 million. All in one year. All in one state. Poor reporting methods effectively hide Lyme’s health, economic and political impact. Whether visible or not, however, these costs are real to patients and their families. If even half the 29,509 cases were misdiagnosed or overestimated, these calculations offer a truer picture of Lyme’s magnitude than official numbers. Moreover, incomplete Connecticut reporting distorts national trends, skewing our understanding of this growing public health threat. Until researchers resolve numerous dilemmas, patients will fight symptoms affecting not only their personal welfare, but the financial security of their families and the economic fabric of their communities. The entire country needs a comprehensive, accurate and consistent method of reporting to 60

reduce Lyme’s serious personal, public health and economic burden. It would seem counting cases makes a very big difference indeed. 1 Long term Cost of Lyme Disease Tick-borne diseases (TBD), especially Lyme, are an increasing problem, with concerns expressed about Lyme disease by a number of agencies, including the UN and the World Health Organization, which are looking at global environmental and health-related issues. Yet, attention on Lyme prevention and its funding in general is being vastly overshadowed by funding for other less prevalent diseases like West Nile Virus (WNV) despite the fact that there were only 9 WNV cases in Ct in 2006. Additionally, there are 10 times more cases of Lyme disease that meet the Centers for Disease Control and Prevention (CDC) criteria than are reported. In 2005, the final CDC reported numbers show 23,305 reported Lyme disease cases nationally; translating into 233,050 actual new cases that met CDC criteria, 29,000 of those in Connecticut, the leading state. No one knows how many occurred that do not even fit CDC surveillance criteria. The long-term cost of Lyme disease to families, school systems, the health care system, and the economy is astounding. According to a study published in 1993 in Contingencies, an actuarial trade publication, the cost to society for Lyme disease was about one billion dollars per year. The average treatment and diagnosis and lost wages related to Lyme disease 61

was $61,688 per year per patient. Cases have more than doubled since then, so today’s costs are probably $2 Billion or more annually. (Source: Lyme Disease Association)

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Lyme Disease

Chapter 8

THINKING OUTSIDE THE BOX Thinking outside the box (alternative approach) presents a real-life application that is seemingly a better protocol. Consider: Military or civilian foreign travelers typically are required to have shots, vaccines, or other preventative substances appropriate for their destination prior to their departure. If you have a heart condition or some other pre-existing condition a dentist may prescribe an antibiotic or a surgeon may have you not take a routine medication until after the procedure, or take a stronger dosage. It has become common for physicians to order x-rays, scans and other tests to help rule out underlying symptoms to prevent missing something. These are all preventative measures. Miracle Mineral Solution (MMS) provides both a preventative and disease treatment option for the infected. The unique aspect of MMS is the activation of chlorine dioxide which penetrates like greased lightning and destroys the pathogen’s nucleus before it can mutate. Actually MMS becomes a triple-threat to pathogens when used according to protocol: Preventative, Therapeutic and Recurrent Preventative. 63

Varied Alternative Therapies and also Herbal . The preceding chapters have portrayed Lyme Disease as a serious and complex bacterial disease caused by a pathogen. The carrier tick is a blood-craving vector who wants to feast on man and beast. However, just thinking inside the box (conventional approach) glosses over some critical observations. Consider: Alternative treatments have included Hydogen Peroxide Therapy which is discussed in depth in “Alternative Medicine - the Definitive Guide.” However, in my book, “MMS - Miracle Mineral Solution: What You and Your Loved Ones Need to Know,” I quote an important summary about hydrogen peroxide, “Researchers say hydrogen peroxide kills both good and bad bacteria and, like an antibiotic, it damages the body in the process.” Thus, better results can be anticipated by MMS Therapy as MMS, according to Jim Humble, does not damage healthy bacteria. Naturopaths are realizing shifting to MMS is a safer option to attack Lyme Disease. In the “Alternative Medicine” source shown above some dietary protocols are suggested, “Avoid alcohol and all sugars because they feed the bacteria associated with Lyme Disease. ..Increasing your intake of alkaline foods (most green vegetables, complex grains, almonds, yams, lentils, squash)” and “daily yogurt, along with acidophilus preparations (two with each meal).” 64

If the immune system is low doctors will sometimes suggest fish oil and borage oil, high-potency vitamins and minerals, and many other vitamins. Q10 and Magnesium are also useful. A caution, “vitamin C and grapeseed extract,...can interfere with the tissue uptake of antibiotics, making them less effective.” Stress is, at least a severe irritant known, and possibly a causal agent in Lyme Disease as well as in many immune-system attackers. I have written extensively about reducing stress in my book Swing the Pendalum, an emotional builder and mental-health strengthening book. Other alternative therapies for treating the unplesant symptoms of Lyme Disease include Bowen Therapy, Acupuncture and Biofeedback. I have included a bibliography which includes a number of alternative and conventional books that have been written to further advise seekers.

The Web and Amazon contain thousands of books on the Bowen Therapy, Acupuncture, Biofeedback, Stress Relief and much more.

65

According to Phyllis Balch in Prescription for Herbal Living the following herbs have useful benefits in dealing with Lyme Disease.

Beneficial Herbs
HERBS Cat’s claw: 1 Echinacea: 2 (plus ginseng) Form & Dosage / Comments Capsules. Take 2,000 mg. daily General immune stimulant. Echinacea purpurea tincture. Take as directed on the label. Panax ginseng tea (loose), prepared by steeping 1 tsp (2 gm) in 1 cup water. Take 1 cup daily. Tablets. Take 10 mg 3 times daily. Relieves tension in the muscles of the face and neck. Powder. Use the dosage determined by your health-care provider. Reverses fever and fatigue. Activates T-helper cells.
3

Kudzu:

Lentinan:

Licorice:

Glycyrrhizin tablets. Take 200-800mg daily, depending on severity of symptoms. Use for 6 weeks, then take a 2-week break. Do not substitute deglycyrrhizinated licorice (DGL).

66

Licorice...cont’d

Maitake:

Red clover: Scutellaria: Siberian ginseng:

St. John’s wort:

Helps to prevent progression of neurological symptoms. Counteracts chronic fatigue. Consume potassium-rich foods such as bananas or citrus juices, or take a potassium supplement, daily when taking this herb. Maritake-D. Take 500 mg 3 times daily. Stimulates general immune function; fights infection. Extract. Take as directed on the label. Cleanses the bloodstream. Capsules. Take 1,000-2,000 mg 3 times daily. An antibacterial and antiviral. Pure Eleutherococcus senticosus 4 extract. Take as directed on the label. Increases resistance to stress. Increases activity of NK and T cells. Capsules. Take 900 mg of total hypericin daily. 5 An antidepressant. Also stops inflammatory reactions.

IMPORTANT NOTES: (1) Do not use cat’s claw if you have to take insulin for diabetes. Do not use if you are pregnant or nursing. (2) Avoid echinacea if you have an autoimmune disease such as rheumatoid arthritis or lupus. Do not use if you have a chronic infection such as HIV or tuberculosis. (3) Do not use licorice if you have glaucoma, high blood pressure, or an estrogen-dependent disorder, such as breast cancer or an autoimmune disease such as breast cancer, endometriosis, or fibrocystic breasts. (4) Do not use scutellaria if you have diarrhea. (5) Do not use Siberian ginseng if you have prostrate cancer or an autoimmune disease such as lupus or rheumatoid arthritis.

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Lyme Disease

Chapter 9 MMS and Lyme Disease

68

Jim Humble’s Updates
as e-mailed to Larry Smith

The protocol provided on page 11 activates chlorine dioxide which is able to penetrate, neutralize and thus destroy the pathogen bacterium which causes this insidious disease according to Jim Humble. If Lyme Disease has reached advanced stages before therapeutic measures are started it requires more time and often a variety of agents and protocol adjustments. Jim Humble recently e-mailed me, “Some people have been using Jim Humble MMS by enema and that seems to be getting better results than by mouth.” He didn’t provide an exact protocol though as ongoing testing is not fully completed. Jim continued, “Lyme Disease takes extended MMS application up to several months as well as adding other agents.” Nearing press time Jim sent another e-mail, “We have had some good luck using the skin technique (10 drops activated dose with one teaspoon DMSO stirred in and placed on the skin as fast as possible) Don't wait. Put it on the skin in seconds as it looses its power.” He added, “Then there is the very hot bath. Use about 1/2 tub of water, hot as possible for about 10 minutes and then 69

stir in a 30 drop activated dose of MMS and remain in the water for about another 1/2 hour or longer. When using the MMS on the Skin do not stop taking MMS by mouth. Another doctor partially invented the skin and DMSO thing although I was already using DMSO and MMS on the skin, ...”

Having studied MMS extensively, personally used it for a variety of issues, and visited with scores of others who have done likewise I’m going to address my wisdom about MMS and Lyme Disease. In addition to the quotes from Jim Humble there have been sprinkles of other insights from this dedicated pioneer. Not every source wishes to be quoted, nor are all of the comments about MMS - testimonials. Some praise MMS and others have been disappointed...to various degrees. The rediculous, if not sinister, Medical Controversy has led to belittled supporters of chronic Lyme Disease, bewildered and chatised honest doctors and patients left in limbo. The slower-than-mollasses conventional medical protocol evolution even appears to have caused President Bush to conceal his chronic infection. I am absolutely convinced that the earth is not flat. It is a sphere hanging in space. I am also absolutely convinced that our American government employed Plum Island laboratories, Nazi war criminal scientists and myriads of Machiavellian spin doctors to try to hoodwink average citizens. 70

Hoodwink them into believing only alarmist fruitcakes would trumpet such conspiracy foolishness. So their spin doctors proclaim, “Why, we are honorable scientists seeking to succor Americans and heal all mankind. Our motives must never be suspect!” The absolute certainty I possess of their diabolical duplicity creates a multiple approach to my recommendations about conquering chronic Lyme Disease. Bear with me. (1) For residents of, or visitors into, known and/or likely tick habitats (including pets): Miracle Mineral Solution (MMS) is indeed a logical choice to employ whenever exposure to Lyme Disease is (1) a possibility; (2) a tick has been removed from the flesh, thus in posse, and/or (3) a Lyme Disease diagnosis has been made, thus in esse. MMS is designed to have an impact by: (1) Strengthening the immune system and preventing pathogen growth in the body, (by staying on maintenance protocol). (2) Attacking and destroying most pathogens when already in place within the body (by maximum protocol). (3) Preventing reoccurrence of the pathogen, and reducing entry of a new intruder (by staying on maintenance protocol). 71

This book could have been filled with remembrances of departed loved ones. The dark, chilling aviance would have been like entering a funeral home, so I did not do so. But, all the same, the battle against Lyme Disease is deadly warfare and must be taken deathly seriously. Without a provable cause, or even if one were available, Lyme Disease must be assaulted with every ounce of perspiration that can be mustered. The bottom line is not how it began, rather how it can be eliminated. Some decades past I recall reading of an elementary school in which nearly one whole class of young children became ill simultaneously. But there was no apparent definitive cause. None of the other classes had anything comparable. During a thorough examination of the room inspectors noted a black-widow spider securely enclosed in a large glass container. A class science experiment. The lid? Could it have come lose? Could the spider somehow have sent its poison through the lid’s air holes? Could the ventilator system be spreading it throughout this room? Just this room? Using a magnifying glass an investigator suddenly shouted, “I found the villain...I mean villains!” Peering at the confined arachnid the researcher found the culprits. Scores of infintesimally tiny baby black widows were on the adult female’s back. Other were climbing through the lid’s breathing holes. The children had been bitten by minerature spiders. Arachnids. Lyme Disease (ticks) arachnids are even smaller than these black widows. But you are now the investigator. 72

Don’t Forget these Facts: 1. It is very hard to see the tiny nymph that is most often the villain. 2. The nymph’s bite is typically not felt (even by chil dren) and the minimal skin injury often goes unnoticed...sometimes for days or weeks. 3. As early symptoms present themselves they are not definitive enough to thoroughly diagnose this se rious malady. (Remember it is called, “The Great Imposter.”) 4. If a skilled practitioner wisely prescribes one of the two commonly used antibiotics the pathogen may be knocked into oblivion. 5. But...that’s the problem isn’t it? But..what if...? What if the visit to the doctor is delayed? What if the doctor doesn’t connect all the dots? He/She is hu man, too. What if an antibiotic is not prescribed? What if........ad infinitum? There are 5 subspecies of Borrelia burgdorferi, over 100 strains in the US, and 300 strains worldwide. This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy, leading to chronic infection. Researchers now report the spirochete is worse than any transformer manufactured for a movie or toy. This transforming monster is not a fictional opponent; it is a life-sucking assassian that has at least three possible forms. 73

Testing for Babesia, Anaplasma, Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed. The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well. If these coinfections are left untreated, their continued presence increases morbidity and prevents successful treatment of Lyme disease. A preponderance of evidence indicates that active ongoing spirochetal infection with or without other tick-borne coinfections is the cause of the persistent symptoms in chronic Lyme disease. There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease. However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete. Short treatment courses have resulted in upwards of a 40% relapse rate, especially if treatment is delayed. Most cases of chronic Lyme disease require an extended course of antibiotic therapy to achieve symptomatic relief. The return of symptoms and evidence of the continued presence of Borrelia burgdorferi indicates the need for further treatment. The very real consequences of untreated chronic persistent Lyme infection far outweigh the potential consequences of long-term antibiotic therapy.

74

Many patients with chronic Lyme disease require treatment for 1–4 years, or until the patient is symptom-free. Relapses occur and maintenance antibiotics may be required. There are no tests currently available to prove that the organism is eradicated or that the patient with chronic Lyme disease is cured. My firm belief is that MMS is the ideal alternative for this multi-year therapy as it seems to only destroy harmful microbes and not injure necessary ones. It may take 4-years of repeated MMS dosages. Ask your medical professional to compare and contrast pharmaceutical antibiotics and MMS. Like syphilis in the 19th century, Lyme disease has been called the great imitator and should be considered in the differential diagnosis of rheumatologic and neurologic conditions, as well as chronic fatigue syndrome, fibromyalgia, somatization disorder and any difficult-to-diagnose multi-system illness. Some fibromyalgia patients are now requesting extensive re-evaluation to rule out underlying Lyme Disease as the real or co-culprit. Wise practitioners are carefully screening for such indications in their differential diagnoses.

(2)

For those of us who believe covert genetic manipulation has designed a super tick we must unite and petition our elected representatives to eradicate ticks by a carefully designed spray or other method best deemed able to be permanent. 75

Lyme Disease

Chapter 10 Preventative Measures

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Preventative Measures
To prevent a tick from infecting a person (or animal) with Lyme Disease requires awareness of the tick’s two to three year life cycle (see page 23). The most potent tick is the adult as its size and strength indicate; but it is also the most easily seen and thus quickly brushed off the clothing. The most frequent infector of humans and small animals is the nymph (see page 23). Its bite is painless, its size is minuscule and it is often overlooked. The most often overlooked inspection area on a dog is in the paws...where ticks like to hide. Sprays and repellants work to partially and briefly provide some protection. The graphic shows examining a pet to detect infestation. But, the spraying must be thorough because the nymph tick is very tiny and hides easily in clothing, or hair as it seeks its blood source.

60 ticks were found on this dog after a one-day hike

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Lyme Disease

Chapter 11 Removal of Ticks

78

Removal of Ticks
It is extremely critical to remove a tick very carefully as its method of attachment is by barbed feet (pointing backwards like parking lot spikes) and they secrete a glue-like substance to create greater adhesion. Instinctively ticks will destroy themselves to allow their infection-spewing mouth to remain attached. Since most tick bites are nearly unnoticeable and painless they are typically deeply wedged in before discovery. However, it is a procedure I would recommend having a qualified medical practitioner perform safely and completely. In doing so, the physician is better able to determine if a timely prescription should be written. The CDC advises: “Remove a tick from your skin as soon as you notice it. Use fine-tipped tweezers to firmly grasp the tick very close to your skin. With a steady motion, pull the tick’s body away from your skin. Then clean your skin with soap and warm water. Throw the dead tick away with your household trash. Avoid crushing the tick’s body. Do not be alarmed if the tick’s mouthparts remain in the skin. Once the mouthparts are removed from the rest of the tick, it can no longer transmit the Lyme disease bacteria. If you accidentally crush the tick, clean your skin with soap and warm water or alcohol. Some of the older removal methods are now discouraged. Don’t use petroleum jelly, nail polish, or other products to remove a tick.” Using a lit match may cause the tick to regurgitate into the wound allowing a more potent dosage. 79

Lyme Disease

Chapter 12
The deadly tick itself

Lyme Disease and Animals

80

Man’s Best Friend nears the end of his battle with Lyme Disease

A deer covered with ticks

81

A bird suffering with engorged ticks

Lyme Disease, in pets, tends to run a course of joint deterioration and painful arthritic symptoms.

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Lyme Disease

Chapter 13 Beware of Snake-Oil Frauds

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Our culture is witnessing the most incredible array of profit-scavengers ever to populate planet earth. Their treachery and greed recognize no boundaries and their consciences have long ago been severed. Names such as Bernard Madoff, Enron Corporation, and too many more will live in infamy. Tragically the genre of “Health and Wellness” doesn’t have a much better track record. History is packed with snake oil, elixirs and other bogus “cures.” The United States FDA has taken on the tough job of separating the genuine from the fake, the helpful from the hurtful, the cautious from the dangerous, and the honorable from the fraud. The FDA website reads like a Who’s Who of Fraud: “Because of the sheer volume of fraudulent health products and their accessibility from foreign locations, the FDA has forged partnerships with many federal, state, and international enforcement agencies,” Coody says. Here is an overview of recent regulatory actions. False and misleading claims in weight loss ads are widespread. Since 2003, the member organizations of the Mexico, United States, Canada Health Fraud Working Group (MUCH) have taken more than 700 compliance actions against companies pushing bogus and misleading weight loss schemes. Over the past year, the Mexico, United States, Canada Health Fraud Working Group (MUCH) has focused enforcement and consumer education efforts on fraudulent 84

products to treat diabetes. In October 2006, MUCH member agencies announced that they had taken nearly 200 compliance actions against companies promoting bogus products that provide false hope to people with diabetes.” “In July 2006, the FDA warned consumers not to buy several drugs that were promoted and sold on Web sites as dietary supplements for treating erectile dysfunction (ED) and for enhancing sexual performance. The products are Zimaxx, Libidus, Neophase, Nasutra, Vigor-25, Actra-Rx, and 4EVERON. Marketed as dietary supplements, they are really illegal drugs that contain ingredients not mentioned in the labeling.” “In August 2006, a federal judge sentenced John E. Curran to 12.5 years in prison for fraud and money laundering. Promoting himself as a natural healer and posing as a medical doctor, Curran operated the Northeastern Institute for Advanced Natural Healing in Providence, R.I. He made false claims about his qualifications, educational background, and training.” “Curran sold bogus products called “E-water” and “Green Drink.” In promotional materials, Curran claimed to have cured people of cancer. One 17-year-old girl with ovarian cancer reportedly drank only Green Drink, a powdered vegetable drink, in the last weeks of her life.” “Consumers should be aware that there have been cases involving contaminated, counterfeit, and subpotent influenza products. The FDA, with the U.S. Customs and Border 85

Protection Service, has intercepted products claiming to be a generic version of the influenza drug Tamiflu (oseltamivir). But the products really contained vitamin C and other substances not shown to be effective in treating or preventing influenza.” The FDA website continues:“Other Fraudulent Products” “The Antidote.” The FDA sent a Warning Letter to a foreign-owned Web site touting an unapproved product, The Antidote. Purportedly derived from the blood of crocodiles, the Antidote was promoted as a drug, with claims that it can treat cancer, AIDS, and other life-threatening diseases. The FDA issued an Import Alert intended to prevent all shipments of the Antidote from entering U.S. borders. “Viralsol.” A firm’s Web site claimed that Viralsol could treat herpes and HIV/AIDS. Patients were instructed to take varying amounts of Viralsol based on their viral load. The FDA considers Viralsol to be an unapproved new drug, Coody says. “Fraudulent fruit.” In 2005, the FDA sent Warning Letters to 29 businesses making unproven health-related claims about fruit products on their Web sites and on product labels. The companies marketed dried fruit, fruit juice, and juice concentrate for treating and preventing cancer, heart disease, arthritis, and other diseases. Unapproved “cancer treatments.” In August 2006, the FDA announced that a federal District Court in Newark, N.J., ordered Lane Labs of Allendale, N.J., to pay refunds to people who bought BeneFin, MGN-3, and SkinAnswer between Sept. 22, 1999, and July 12, 2004. BeneFin, produced from shark 86

cartilage, was promoted as a treatment for cancer; SkinAnswer, a glycoalkaloid skin cream, was marketed as a treatment for skin cancer; and MGN-3, a rice bran extract, was promoted as a treatment for cancer and HIV, the virus that causes AIDS.” “Unapproved devices for autism. In 2004, FDA investigators recovered ozone generator machines from the Edelson Center for Environmental and Preventive Medicine in Atlanta. Stephen B. Edelson promoted an ozone generator device and other alternative therapies as cures for autism. Some marketers of ozone generators claim that inhaling ozone can “detoxify” the body or stimulate the immune system. According to the FDA, ozone is an unapproved drug. This toxic gas can cause lung damage and other health problems. Edelson’s medical license was revoked by the Georgia Medical Board. This case was jointly investigated by the FDA’s Atlanta District Office, the FDA’s Office of Criminal Investigations, the Georgia Medical Board, and the Georgia Drugs and Narcotics Agency.” Health Fraud Red Flags “To avoid becoming a victim of health fraud, consumers should learn how to evaluate health-related claims. “I advise consumers to avoid web sites that offer quick and dramatic cures for serious diseases,” says David Elder, director of the FDA’s Office of Enforcement. “Recognize the red flags and always consult a health professional before using any product or treatment.” 87

“Consumers should be wary of... Statements that the product is a quick and effective cureall or a diagnostic tool for a wide variety of ailments. “Beneficial in treating cancer, ulcer, prostate problems, heart trouble, and more …” Statements that suggest the product can treat or cure diseases. “Shrinks tumors, cures impotency …” Promotions that use words like “scientific breakthrough,” “miraculous cure,” “secret ingredient,” and “ancient remedy.” Text that uses impressivesounding terms like these: “hunger stimulation point” and “thermogenesis” for a weight loss product. Undocumented case histories or personal testimonials by consumers or doctors claiming amazing results. “After eating a teaspoon of this product each day, my pain is completely gone …” Limited availability and advance payment requirements. “Hurry! This offer will not last.” Promises of no-risk money-back guarantees. “If after 30 days you have not lost at least four pounds each week, your uncashed check will be returned to you.” This concludes quotes from the website shown below. http://www.fda.gov/fdac/features/2006/606_fraud.html 88

The previous information has been taken from the FDA website just provided, I have done so because I refuse to propagate any alleged cures, and/or support any false hope. I will not be pushed, pressured, bought or patronized into exchanging my integrity for filthy lucre, fame or pats on the back. I repeat, “will not!” MMS is not a cure. It is a pathogen killer. MMS is not a “miracle” in the sense of “miraculous,” but in the sense of its discovery. Jim Humble wasn’t seeking a miracle, he was desperately trying on-hand supplies to help two employees who had apparently been stricken with malaria. He remembered that he had some bottles of Stabilized Oxygen to help purify jungle drinking water. So he gave them the Stabilized Oxygen. Jim notes that the Stabilized Oxygen relieved their symptoms. Jim’s later tests convinced him that it was not the “oxygen” that had helped the men, but rather the small amount of chlorine dioxide generated from drinking the Stabilized Oxygen. Incidentally, the FDA has, in the past, approved Chlorine Dioxide as a pathogen killer. So this was not a miracle, nor anything “brand new.” It was a great development that Jim thought to try Stabilized Oxygen for these suffering men. Perhaps Adam Abraham says it the most succinctly, “MMS is not a miracle. It is wonderful science.” When the Government uses Chlorine Dioxide as the final and enduring pathogen killer following an anthrax attack isn’t it wonderful science? When MMS is activated and chlorine dioxide is generated it kills pathogens. Isn’t this wonderful science? 89

Each and every proponent of MMS needs to think, speak, write and convey: MMS is not a cure. MMS is a killer. In addition, there is a definite distinction between a pathogen leading to a dread disease and a fully developed systemic disease. For example: spirochete bacterium (Borrelia burgdorferi (Bb), the pathogen causing lyme disease is easily destroyed in a petri dish. That same pathogen when it has wormed its spiral invader into low-blood tissue areas of the brain, heart and body is a much more fearful intruder to destroy. Considerably worse. This distinction has been blurred and misunderstood. Having done so elaborate claims are made. “MMS cures all diseases from A to Z,” and other absurdities. Honest, sensitive, diligent and cautious listeners are turned off by too exuberant claims such as these. It is unreasonable from my perspective, to expect 20 years of pathogen infestation to evaporate with a swallow of MMS. Again, speak accurately. Don’t provide false hope. On the other side of the coin, when the role of MMS is properly understood and used accordingly, it is a lethal arrow in the quiver of pathogen killers. This book supports this premise.

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Chapter 14

A Salute to Medical Professionals

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Nothing in this book has been intended to be derogatory in any way of medical practitioners and/or of most medical scientists, FDA employees, etc. These “easy-to-blame targets” give and give and give some more. The vast majority are caring, compassionate, humble, devoted, hard working, sensitive and underpaid. My personal physician is all of the above...plus more. He wishes to remain unidentified. I will respect that. A true-to-life series of books about Dr. Walt Larimore will bless your soul, keep you chuckling, gripping the arm of your chair and begging for more. Today on Amazon used copies are available for a penny. A penny! This touching book is filled with anecdotes. For a real-to life view of being a smalltown doctor don’t miss this book. Bryson City Tales. (Note: There are three books in the series). My Worst Day as a Doctor is another heart felt, incredible story. It is found on-line allowing you to read this caring doctor’s account for no charge. Go to http://trusted.md/blog/dr_rob_lamberts/2006/12/05/ my_worst_day_as_a_doctor#comment-8641. When God measures these two doctors and mine as well He places the tape measure around their hearts. Before ever considering suing a physician read these accounts again. Many mistakes are made in life, including within the medical profession. Most are tragic mistakes by deeply caring human beings. 92

Chapter 15 Other Ticks and Tick-Passed Diseases

Ticks are second only to Mosquitoes for
their disease spreading properties. Ticks feed on blood and attach themselves to other animals (including humans). They can be difficult to remove and removal must be done carefully as they can leave part of their head behind causing serious infection.

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Ehrlichiosis & Anaplasmosis
“Ehrlichiosis and anaplasmosis are two closely related tickborne diseases, caused by different germs. Although both diseases concentrate east of the Rocky Mountains, they usually occur in different areas. Ehrlichiosis, or human monocytic ehrlichiosis (HME), is found mainly in the mid-Atlantic, southeastern, and south central states. Anaplasmosis (formerly called human granulocytic ehrlichiosis, or HGE) occurs more often in the Northeast and upper Midwest. Ehrlichiosis and anaplasmosis are emerging infectious diseases in the United States and other countries. (Emerging infectious diseases are diseases first described by researchers within the last two decades.) In 2005, 786 cases of anaplasmosis and 506 cases of HME were reported to the Centers for Disease Control and Prevention. Neither HME nor anaplasmosis were reported from states west of the Continental Divide, though some cases of an unknown ehrlichiosis-like disease were reported in California. Cause Ehrlichiosis is caused by some types of bacteria called Ehrlichia. Anaplasmosis is caused by the bacterium Anaplasma phagocytophilum. Transmission Both ehrlichiosis and anaplasmosis are transmitted by the bite of an infected tick. The most important carriers of anaplasmosis in the United States are the western blacklegged tick and the deer tick, both of which also transmit Lyme disease. HME is transmitted by the lone star tick and possibly other species. 94

Symptoms Symptoms usually begin at least 5 days after you are bitten by an infected tick and can include Fever Chills Headache Muscle pain Nausea Tiredness You might also have a rash.You might not have symptoms, or your symptoms might be so mild that you hardly notice them. Diagnosis If you have been bitten by a tick or have been in a tickinfested area and you have any of the symptoms typical of these infections — even mild ones — you should contact your healthcare provider. Your healthcare provider will use this information along with laboratory tests to find out whether you have ehrlichiosis or anaplasmosis or perhaps some other tickborne infection. Treatment If you have ehrlichiosis or anaplasmosis, your health care provider will give you an antibiotic such as doxycycline to treat the disease. With treatment, most people fully recover. . 95

Prevention To help prevent ehrlichiosis and anaplasmosis, you should avoid walking in areas of tall grass and brush where there may be ticks. If you do go into these areas, be sure to · Wear light-colored clothing. · Tuck your pants legs into your socks so ticks can’t get up inside your pants legs. · Wear a long-sleeved shirt and tuck it inside your pants. · Spray insecticide containing permethrin on boots and clothing. The effects will last several days. · Apply insect repellent containing DEET to your skin. Because DEET lasts only a few hours, you may need to reapply it. · Look for ticks on your body, including in your hair, when you return from hiking or walking. · Check children and pets for ticks. Generally, a tick needs to be attached to your body for at least 24 hours before it can infect you. You should remove it with fine-tipped tweezers. CDC has more information on how to prevent tick bites and to remove ticks. Complications Ehrlichiosis can become a severe, life-threatening illness, especially if left untreated. It can damage many organ systems, especially the lungs and kidneys. Other complications can include seizures and coma. Possible complications of anaplasmosis include sepsis (infection in blood or tissues). Anaplasmosis also can damage organ systems including the lungs, heart, kidneys, and nerves.”

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Updates - Updates - Updates* “In 2005, Anaplasma ovis was found in reindeer populations in Mongolia. This pathogen and its associated syndrome (characterized by lethargy, fever and pale mucous membranes) was previously only observed in wild sheep and goats in the region, and is the first observed event of A. ovis in reindeer.”

“The western black-legged tick (Ixodes pacificus) is the only tick of the 48 species occurring in California that is known to transmit Lyme disease.”

Information on pages 94 - 96 provided courtesy of National Institutes of Health (NIH).

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Rocky Mountain Spotted Fever
Rocky Mountain spotted fever (RMSF) is the most severe tick-borne rickettsial illness in the United States. This disease is caused by infection with the bacterial organism Rickettsia rickettsii.How do people get Rocky Mountain spotted fever? The organism that causes Rocky Mountain spotted fever is transmitted by the bite of an infected tick. The American dog tick (Dermacentor variabilis) and Rocky Mountain wood tick (Dermacentor andersoni) are the primary athropods (vectors) which transmit Rocky Mountain spotted fever bacteria in the United States. The brown dog tick Rhipicephalus sanguineus has also been implicated as a vector as well as the tick Amblyomma cajennense in countries south of the United States. Symptoms Patients infected with R. rickettsii usually visit a physician in their first week of illness, following an incubation period of about 5-10 days after a tick bite. The early clinical presentation of Rocky Mountain spotted fever is often nonspecific and may resemble many other infectious and non-infectious diseases. Initial symptoms of Rocky Mountain spotted fever may include: fever nausea vomiting muscle pain lack of appetite severe headache 98

. . . . . .

Later signs and symptoms of Rocky Mountain spotted fever include: rash abdominal pain joint pain diarrhea Three important components of the clinical presentation are fever, rash, and a previous tick bite, although one or more of these components may not be present when the patient is first seen for medical care. Rocky Mountain spotted fever can be a severe illness, and the majority of patients are hospitalized.

. . . .

In the United States, where do most cases of Rocky Mountain spotted fever occur? Rocky Mountain spotted fever is a seasonal disease and occurs throughout the United States during the months of April through September. Over half of the cases occur in the southAtlantic region of the United States (Delaware, Maryland, Washington D.C., Virginia, West Virginia, North Carolina, South Carolina, Georgia, and Florida). The highest incidence rates have been found in North Carolina and Oklahoma. Although this disease was first discovered and recognized in the Rocky Mountain area, relatively few cases are reported from that area today. How is Rocky Mountain spotted fever diagnosed? A diagnosis of Rocky Mountain spotted fever is based on a combination of clinical signs and symptoms and specialized confirmatory laboratory tests. 99

Other common laboratory findings suggestive of Rocky Mountain spotted fever include thrombocytopenia (decreased platelets), hyponatremia (low blood sodium), and elevated liver enzyme levels. How is Rocky Mountain spotted fever treated? Rocky Mountain spotted fever is best treated by using a tetracycline antibiotic, usually doxycycline. This medication should be given in doses of 100 mg every 12 hours for adults or 4 mg/kg body weight per day in two divided doses for children under 45 kg (100 lbs). Patients are treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 5 to 10 days. Because laboratory confirmation is generally not available during acute illness, treatment is initiated based on clinical and epidemiological information. Can a person get Rocky Mountain spotted fever more than once? Infection with R. rickettsii is thought to provide long lasting immunity against re-infection. However, prior illness with Rocky Mountain spotted fever should not deter persons from practicing good tick-preventive measures or visiting a physician if signs and symptoms consistent with Rocky Mountain spotted fever occur, especially following a tick bite, as other diseases may also be transmitted by ticks.
Information on pages 98 - 100 provided courtesy of National Institutes of Health (NIH).

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Crimean-Congo Hemorrhagic Fever
Crimean-Congo hemorrhagic fever (CCHF) is caused by infection with a tick-borne virus (Nairovirus) in the family Bunyaviridae. The disease was first characterized in the Crimea in 1944 and given the name Crimean hemorrhagic fever. It was then later recognized in 1969 as the cause of illness in the Congo, thus resulting in the current name of the disease. Where is the disease found? Crimean-Congo hemorrhagic fever is found in Eastern Europe, particularly in the former Soviet Union. It is also distributed throughout the Mediterranean, in northwestern China, central Asia, southern Europe, Africa, the Middle East, and the Indian subcontinent. How is it spread and how do humans become infected? Ixodid (hard) ticks, especially those of the genus, Hyalomma, are both a reservoir and a vector for the CCHF virus. Numerous wild and domestic animals, such as cattle, goats, sheep and hares, serve as amplifying hosts for the virus. Transmission to humans occurs through contact with infected animal blood or ticks. CCHF can be transmitted from one infected human to another by contact with infectious blood or body fluids. Documented spread of CCHF has also occurred in hospitals due to improper sterilization of medical equipment, reuse of injection needles, and contamination of supplies. 101

Symptoms The onset of CCHF is sudden, with initial signs and symptoms including headache, high fever, back pain, joint pain, stomach pain, and vomiting. Red eyes, a flushed face, a red throat, and petechiae (red spots) on the palate are common. Symptoms may also include jaundice, and in severe cases, changes in mood and sensory perception. As the illness progresses, large areas of severe bruising, severe nosebleeds, and uncontrolled bleeding at injection sites can be seen, beginning on about the fourth day of illness and lasting for about two weeks.

Diagnosis Laboratory tests that are used to diagnose CCHF include antigen-capture enzyme-linked immunosorbent assay (ELISA), real time polymerase chain reaction (RT-PCR), virus isolation attempts, and detection of antibody by ELISA (IgG and IgM). Laboratory diagnosis of a patient with a clinical history compatible with CCHF can be made during the acute phase of the disease by using the combination of detection of the viral antigen (ELISA antigen capture), viral RNA sequence (RT-PCR) in the blood or in tissues collected from a fatal case and virus isolation. Immunohistochemical staining can also show evidence of viral antigen in formalin-fixed tissues. Later in the course of the disease, in people surviving, antibodies can be found in the blood. But antigen, viral RNA and virus are no more present and detectable 102

Are there complications after recovery? The long-term effects of CCHF infection have not been studied well enough in survivors to determine whether or not specific complications exist. However, recovery is slow. Is the disease ever fatal? In documented outbreaks of CCHF, fatality rates in hospitalized patients have ranged from 9% to as high as 50%. How is Crimean-Congo hemorrhagic fever treated? Treatment for CCHF is primarily supportive. Care should include careful attention to fluid balance and correction of electrolyte abnormalities, oxygenation and hemodynamic support, and appropriate treatment of secondary infections. The virus is sensitive in vitro to the antiviral drug ribavirin. It has been used in the treatment of CCHF patients reportedly with some benefit. Who is at risk for the disease? Animal herders, livestock workers, and slaughter houses in endemic areas are at risk of CCHF. Healthcare workers in endemic areas are at risk of infection through unprotected contact with infectious blood and body fluids. Individuals and international travelers with contact to livestock in endemic regions may also be exposed. 103

How is the disease prevented? Agricultural workers and others working with animals should use insect repellent on exposed skin and clothing. Insect repellants containing DEET (N, N-diethyl-m-toluamide) are the most effective in warding off ticks. Wearing gloves and other protective clothing is recommended. Individuals should also avoid contact with the blood and body fluids of livestock or humans who show symptoms of infection. It is important for healthcare workers to use proper infection control precautions to prevent occupational exposure. Is there an available vaccine? An inactivated, mouse-brain derived vaccine against CCHF has been developed and is used on a small scale in Eastern Europe. However, there is no safe and effective vaccine widely available for human use.

Information on pages 101 - 105 provided courtesy of National Institutes of Health (NIH).

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Updates - Updates - Updates

Crimean-Congo hemorrhagic fever (CCHF) is now known to also be transmitted through sexual activity (with an infected partner) with a higher likelihood of incidence in M2M (homosexual) activity. Passage may also occur in heterosexual oral or anal activity (with an infected partner).

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Tick-borne relapsing fever
Relapsing Fever is a disease characterized by relapsing or recurring episodes of fever, often accompanied by headache,muscle and joint aches and nausea. Causes There are two forms of relapsing fever: Tick-borne relapsing fever (TBRF) Louse-borne relapsing fever (LBRF) TBRF is caused by several species of spiral-shaped bacteria that are transmitted to humans through the bite of infected soft ticks. Most cases occur in the summer months and are associated in particular with sleeping in rustic cabins in mountainous areas of the Western United States. There are approximately 25 cases of TBRF in the United States each year. LBRF is caused by another spiral-shaped bacteria, Borrelia recurrentis that is transmitted from human to human by the body louse. LBRF still causes sporadic illness and outbreaks in Africa. Illness can be severe, with mortality of 30 to 70% in outbreaks. For more information on LBRF see Hayes and Dennis, Relapsing Fever. In Harrison’s Principles of Internal Medicine. 16th edition. 2004. P991-995 or Rahlenbeck and Gebre-Yohannes 1995. 106

Symptoms Intial Symptoms fever generalized body aches myalgias arthalgias headache chills sweats Other/Later symptoms nausea vomiting anorexia dry cough photophobia rash neck pain eye pain confusion dizziness
Dworkin, Anderson et al. 1998

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Timing Incubation period = time from tick bite to illness 7 days, range 2 to 18 days Length of illness = time from symptom onset to resolution of symptoms 3 days, range 2 to 7 days Length of time before reoccurrence = time from resolution of symptoms to reoccurence of symptoms 7 days, range 4 to 14 days Number of relapses = number of episodes of reoccurring/relapsing symptoms 3 times, can occur up to 10 times in persons who are not treated. Crisis As fever is resolving, there is a classic series of stages that a person will go through, collectively known as a “crisis”. Phase one is the chill phase, with the person experiencing high fevers up to 41.5°C (106.7°F). With this high temperature, a person can develop delirium, agitation, and confusion. In addition, other signs of an increased metabolic rate are noted, such as a fast heart rate and breathing rate. This phase lasts between 10 and 30 minutes. Phase two is the flush phase. This is where the body temperature decreases rapidly and the person has drenching sweats. During this phase, the person’s blood pressure can drop dramatically. 108

Physical Exam Although there can be multiple findings on physical exam there are no classic findings for TBRF. The most evident finding is a moderately ill appearing person who is mildly to moderately dehydrated. Some people develop mild to moderate hepatosplenomegaly, enlarged liver and spleen. Often there is accompanying yellowing of the skin or jaundice. Skin exam can reveal a nonspecific macular rash and/or scattered petechiae. Other potential findings on clinical exam include meningismus (stiff neck and headache with photophobia), pleuritic pain and rub (chest pain), conjunctivitis (red eyes), photophobia (fear of light), and sclarae icteric (yellowing of the white part of the eyes). TBRF in pregnancy TBRF contacted during pregnancy can cause spontaneous abortion, premature birth, and neonatal death (Melkert and Stel 1991). The maternal-fetal transmission of Borrelia is believed to occur either transplacentally (Steenbarger 1982) or while traversing the birth canal. In one study, perinatal infection with TBRF was shown to lead to lower birth weights, younger gestational age, and higher perinatal mortality (Jongen, van Roosmalen et al. 1997). In general, pregnant women have higher spirochete loads and more severe symptoms than nonpregnant women. Higher spirochete loads have not, however, been found to correlate with fetal outcome. 109

Although there is limited information on the immunity of TBRF, there have been patients who developed the disease more than once. Differential Diagnosis The following infectious disease should be considered in someone with recurrent episodes of a febrile illness: Colorado tick fever Yellow fever Dengue fever Malaria Brucellosis Infectious mononucleosis African hemorrhagic fevers Leptospirosis Chronic meningococcemia Rat bite fever Ascending (intermittent) cholangitis Lymphocytic choriomengitis Infections with echovirus 9 Infections with Bartonella species
per Dworkin, Shoemaker et al. 2002

Morbidity and Mortality Given appropriate antibiotics, most patients feel better within a few days. Patients with TBRF, however, often report prolonged symptoms and time to recovery. Often this is due to delayed diagnosis and treatment. 110

Long-term sequelae of TBRF include cardiac and renal disturbances, peripheral nerve involvement, ophthalmia, and abortion. With treatment the mortality is very low. The mortality without treatment is not known but it has been estimated at 5-10%.

Immunity Although there is limited information on the immunity of TBRF, there have been patients who developed the disease more than once.

Information on pages 106 - 111 provided courtesy of National Institutes of Health (NIH).

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Babesia Infection
Cause Babesiosis is caused by hemoprotozoan parasites of the genus Babesia. While more than 100 species have been reported, only a few have been identified as causing human infections. Babesia microti and Babesia divergens have been identified in most human cases, but variants (considered different species) have been recently identified. Little is known about the occurrence of Babesia species in malaria-endemic areas where Babesia can easily be misdiagnosed as Plasmodium. The Babesia microti life cycle involves two hosts, which includes a rodent, primarily the white-footed mouse, Peromyscus leucopus. During a blood meal, a Babesia-infected tick introduces sporozoites into the mouse host . Sporozoites enter erythrocytes and undergo asexual reproduction (budding). In the blood, some parasites differentiate into male and female gametes although these cannot be distinguished at the light microscope level. The definitive host is a tick, in this case the deer tick, Ixodes dammini (I. scapularis). Once ingested by an appropriate tick, gametes unite and undergo a sporogonic cycle resulting in sporozoites. Transovarial transmission (also known as vertical, or hereditary, transmission) has been documented for “large” Babesia spp. but not for the “small” babesiae, such as B. microti. 112

How are humans infected? Humans enter the cycle when bitten by infected ticks. During a blood meal, a Babesia-infected tick introduces sporozoites into the human host. Sporozoites enter erythrocytes and undergo asexual replication (budding). Multiplication of the blood stage parasites is responsible for the clinical manifestations of the disease. Humans are, for all practical purposes, dead-end hosts and there is probably little, if any, subsequent transmission that occurs from ticks feeding on infected persons. However, human to human transmission is well recognized to occur through blood transfusions. Note: Deer are the hosts upon which the adult ticks feed and are indirectly part of the Babesia cycle as they influence the tick population. When deer populations increase, the tick population also increases, thus heightening the potential for transmission. Geographic Distribution: Worldwide, but little is known about the prevalence of Babesia in malaria-endemic countries, where misidentification as Plasmodium probably occurs. In Europe, most reported cases are due to B. divergens and occur in splenectomized patients. In the United States, B. microti is the agent most frequently identified (Northeast and Midwest), and can occur in nonsplenectomized individuals. Two variants, arguably different species, have been reported in the U.S. states of Washington and California (WA1-type and related parasites) and Missouri (MO1).
Information on pages 112 - 113 provided courtesy of National Institutes of Health (NIH).

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Southern Tick-Associated Rash Illness
A rash similar to the rash of Lyme disease has been described in humans following bites of the lone star tick, Amblyomma americanum. The rash may be accompanied by fatigue, fever, headache, muscle and joint pains. This condition has been named southern tick-associated rash illness (STARI). The rash of STARI is a red, expanding “bulls eye” lesion that develops around the site of a lone star tick bite. The rash usually appears within 7 days of tick bite and expands to a diameter of 8 centimeters (3 inches) or more. The rash should not be confused with much smaller areas of redness and discomfort that can occur commonly at tick bite sites. Unlike Lyme disease, STARI has not been linked to any arthritic, neurological, or chronic symptoms. The cause of STARI is unknown. Studies have shown that it is not caused by Borrelia burgdorferi, the bacterium that causes Lyme disease. Another spirochete, Borrelia lonestari, was detected in the skin of one patient and the lone star tick that bit him. However, subsequent study of over two dozen STARI patients has found no evidence of B. lonestari infection. In the cases of STARI studied to date, the rash and accompanying symptoms have resolved promptly following treatment with oral antibiotics. STARI is specifically associated with bites of Amblyomma americanum, known commonly as the lone star tick. Lone star ticks can be found from central Texas and Oklahoma eastward across the southern states and along the Atlantic coast as far north as Maine. 114

The adult female is distinguished by a white dot or “lone star” on her back. All three life stages of A. americanum aggressively bite people. Prevention In general, tick-borne illness may be prevented by avoiding tick habitat (dense woods and brushy areas), using insect repellents containing DEET or permethrin, wearing long pants and socks, and performing tick checks and promptly removing ticks after outdoor activity. Persons should monitor their health closely after any tick bite, and should consult a physician if they experience a rash, fever, headache, joint or muscle pains, or swollen lymph nodes within 30 days of a tick bite. In most circumstances, treating persons who only have a tick bite is not recommended.

Information on pages 114 - 115 provided courtesy of National Institutes of Health (NIH).

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Cytauxzoonosis
Cytauxzoonosis is a disease that affects cats. American dog ticks pass the parasite to cats. The disease is typically found in areas of the south and southeastern US where bobcats are prevalent. Symptoms Cytauxzoonosis causes hemorrhaging (excessive bleeding) in the spleen. Infected cats experience fever, lack of appetite, difficulty breathing, jaundice, and pale gums. Treatment There is no known treatment for cytauxzoonosis, which is almost always fatal. Currently, imidiocarb is being tested as a possible treatment

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Tularemia
Tularemia, also known as “rabbit fever,” is a disease caused by the bacterium Francisella tularensis. Tularemia is typically found in animals, especially rodents, rabbits, and hares. Tularemia is usually a rural disease and has been reported in all U.S. states except Hawaii. Q. How do people become infected with tularemia? A. Typically, people become infected through the bite of infected insects (most commonly, ticks and deerflies), by handling infected sick or dead animals, by eating or drinking contaminated food or water, or by inhaling airborne bacteria. Q. Does tularemia occur naturally in the United States? A. Yes. Tularemia is a widespread disease in animals. About 200 human cases of tularemia are reported each year in the United States. Most cases occur in the south-central and western states. Nearly all cases occur in rural areas, and are caused by the bites of ticks and biting flies or from handling infected rodents, rabbits, or hares. Cases also resulted from inhaling airborne bacteria and from laboratory accidents. Q. What are the signs and symptoms of tularemia? A. The signs and symptoms people develop depend on how they are exposed to tularemia. Possible symptoms include skin ulcers, swollen and painful lymph glands, inflamed eyes, 117

sore throat, mouth sores, diarrhea or pneumonia. If the bacteria are inhaled, symptoms can include abrupt onset of fever, chills, headache, muscle aches, joint pain, dry cough, and progressive weakness. People with pneumonia can develop chest pain, difficulty breathing, bloody sputum, and respiratory failure. Tularemia can be fatal if the person is not treated with appropriate antibiotics. Q. Why are we concerned about tularemia being used as a bio-weapon? A. Francisella tularensis is highly infectious. A small number of bacteria (10-50 organisms) can cause disease. If Francisella tularensis were used as a bio-weapon, the bacteria would likely be made airborne so they could be inhaled. People who inhale the bacteria can experience severe respiratory illness, including life-threatening pneumonia and systemic infection, if they are not treated. Q. Can someone become infected with the tularemia bacteria from another person? A. People have not been known to transmit the infection to others, so infected persons do not need to be isolated. Q. How quickly would someone become sick if he or she were exposed to tularemia bacteria? A. The incubation period (the time from being exposed to becoming ill) for tularemia is typically 3 to 5 days, but can range from 1 to 14 days. 118

Q. What should someone do if he or she suspects exposure to tularemia bacteria? A. If you suspect you were exposed to tularemia bacteria, see a doctor quickly. Treatment with antibiotics for a period of 10-14 days or more after exposure may be recommended. If you are given antibiotics, it is important to take them according to the instructions you receive. All of the medication you are given must be taken. Local and state health departments should be notified immediately so an investigation and infection control activities can begin.

Q. How is tularemia diagnosed? A. When a person has symptoms that appear related to tularemia, the healthcare worker collects specimens, such as blood or sputum, for testing in a diagnostic or reference laboratory. Laboratory test results for tularemia may be presumptive or confirmatory. Presumptive (preliminary) identification may take less than 2 hours, but confirmatory testing will take more time, often 24 to 48 hours or longer depending on the methods that need to be used. Depending on the circumstances, a person may be given treatment based on symptoms before the laboratory results are returned.

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Q. Can tularemia be effectively treated with antibiotics? A. Yes. Early antibiotic treatment is recommended whenever it is likely a person was exposed to tularemia or has been diagnosed as being infected with tularemia. Several types of antibiotics have been effective in treating tularemia infections. The tetracycline class (such as doxycycline) or fluoroquinolone class (such as ciprofloxacin) of antibiotics are taken orally. Streptomycin or gentamicin are also effective against tularemia, and are given by injection into a muscle or vein. Health officials will test the bacteria in the early stages of the response to determine which antibiotics will be most effective.

Q. How long can Francisella tularensis exist in the environment? A. Francisella tularensis can remain alive for weeks in water and soil.

Q. Is there a vaccine available for tularemia? A. A vaccine for tularemia was used in the past to protect laboratory workers, but it is not currently available.

Information on pages 117 - 120 provided courtesy of National Institutes of Health (NIH).

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Tick-borne Encephalitis
Tick-borne encephalitis, or TBE, is a human viral infectious disease involving the central nervous system. The disease is most often manifest as meningitis (inflammation of the membrane that surrounds the brain and spinal cord), encephalitis (inflammation of the brain), or meningoencephalitis (inflammation of both the brain and meninges). Although TBE is most commonly recognized as a neurologic disease, mild febrile illnesses can also occur. Long-lasting or permanent neuropsychiatric sequelae are observed in 10-20% of infected patients. What causes tick-borne encephalitis? TBE is caused by tick-borne encephalitis virus (TBEV), a member of the family Flaviviridae, that was initially isolated in 1937. A closely related virus in Far Eastern Eurasia, Russian spring-summer encephalitis virus (RSSEV), is responsible for a similar disease with a more severe clinical course. How is TBEV spread, and how do humans become infected? Ticks act as both the vector and reservoir for TBEV. The main hosts are small rodents, with humans being accidental hosts. Large animals are feeding hosts for the ticks, but do not play a role in maintenance of the virus. The virus can chronically infect ticks and is transmitted both transtadially (from larva to nymph to adult ticks) and transovarially (from adult female tick through eggs). TBE cases occur during the highest period of tick activity (between April and November), when humans are infected in rural areas through tick bites. 121

Infection also may follow consumption of raw milk from goats, sheep, or cows. Laboratory infections were common before the use of vaccines and availability of biosafety precautions to prevent exposure to infectious aerosols. Personto-person transmission has not been reported. Vertical transmission from an infected mother to fetus has occurred. Where is the disease found? TBE is an important infectious disease of in many parts of Europe, the former Soviet Union, and Asia, corresponding to the distribution of the ixodid tick reservoir. The annual number of cases (incidence) varies from year to year, but several thousand are reported annually, despite historical under-reporting of this disease. What are the symptoms of TBE? The incubation period of TBE is usually between 7 and 14 days and is asymptomatic. Shorter incubation times have been reported after milk-borne exposure. A characteristic biphasic febrile illness follows, with an initial phase that lasts 2 to 4 days and corresponds to the viremic phase. It is nonspecific with symptoms that may include fever, malaise, anorexia, muscle aches, headache, nausea, and/or vomiting. After about 8 days of remission, the second phase of the disease occurs in 20 to 30% of patients and involves the central nervous system with symptoms of meningitis (e.g., fever, headache, and a stiff neck) or encephalitis (e.g., drowsiness, confusion, sensory disturbances, and/or motor abnormalities such as paralysis) or meningoencephalitis. 122

Diagnosis and Disease Stages In contrast to RSSE, TBE is more severe in adults than in children.During the first phase of the disease, the most common laboratory abnormalities are a low white blood cell count (leukopenia) and a low platelet count (thrombocytopenia). Liver enzymes in the serum may also be mildly elevated. After the onset of neurologic disease during the second phase, an increase in the number of white blood cells in the blood and the cerebrospinal fluid (CSF) is usually found. Virus can be isolated from the blood during the first phase of the disease. Specific diagnosis usually depends on detection of specific IgM in either blood or CSF, usually appearing later, during the second phase of the disease. Are there any complications after recovery? In approximately two-thirds of patients infected with the TBE virus, only the early (viremic) phase is seen. In the remaining third, patients experience either the typical biphasic course of the disease or a clinical illness that begins with the second (neurologic) phase. The convalescent period can be long and the incidence of sequelae may vary between 30 and 60%, with long-term or even permanent neurologic symptoms. Neuropsychiatric sequelae have been report in 10-20% of patients. Is the disease ever fatal? Yes, but rarely. In general, mortality is 1% to 2%, with deaths occurring 5 to 7 days after the onset of neurologic signs. 123

How is TBE treated? There is no specific drug therapy for TBE. Meningitis, encephalitis, or meningoencephalitis require hospitalization and supportive care based on syndrome severity. Anti-inflammatory drugs, such as corticosteroids, may be considered under specific circumstances for symptomatic relief. Intubation and ventilatory support may be necessary. Who is at risk for TBEV infection? In disease endemic areas, people with recreational or occupational exposure to rural or outdoor settings (e.g., hunters, campers, forest workers, farmers) are potentially at risk for infection by contact with the infected ticks. Furthermore, as tourism expands, travel to areas of endemicity broadens the definition of who is at risk for TBE infection. How can TBEV infections be prevented? Like other tick-borne infectious diseases, TBEV infection can be prevented by using insect repellents and protective clothing to prevent tick bites. A vaccine is available in some disease endemic areas (though not currently in the United States); however, adverse vaccine-reactions in children limit the utility of the product.

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Other related viruses. The family Flaviviridae includes other tick-borne viruses affecting humans and these viruses are closely related to TBEV and RSSEV, such as Omsk hemorrhagic fever virus in Siberia and Kyasanur Forest disease virus in India. Louping ill virus (United Kingdom) is a member of this family; it cases disease primarily in sheep, and has been reported as a cause of a TBElike illness in laboratory workers and persons at risk for contact with sick sheep (e.g., veterinarians, butchers).

Information on pages 121 - 125 provided courtesy of National Institutes of Health (NIH).

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Tick paralysis
Tick paralysis is a loss of muscle function that results from a tick bite. Causes Hard- and soft-bodied female ticks are believed to make a poison that can cause paralysis in children. Ticks attach to the skin to feed on blood. It is during this feeding process that the toxin enters the bloodstream. The paralysis is ascending — that means it starts in the lower body and moves up. It is similar to that seen in GuillainBarre syndrome and opposite that seen in botulism and paralytic shellfish poisoning. Symptoms Children with tick paralysis develop an unsteady gait (ataxia) followed several days later by weakness in the lower legs that gradually moves up to involve the upper limbs. Paralysis may cause breathing difficulties, which may require the use of a breathing machine. The child may also have mild, flu-like symptoms (muscle aches, tiredness). Exams and Tests The person will have been exposed to ticks in some way. For example, he or she may have been on a recent camping trip, live in a tick-infested area, or have dogs or other animals 126

that can pick up ticks. Often the tick is found only after thoroughly searching the person’s hair. Finding a tick embedded in the skin and noting above symptoms confirms the diagnosis. No other testing is required. Treatment Removing the tick removes the source of the neurotoxin. Recovery is rapid following the removal of the tick. Prognosis Full recovery is expected following the removal of the tick. Possible Complications Respiratory failure When to Contact a Medical Professional If your child suddenly becomes unsteady or weak, have the child examined promptly. Breathing difficulties require emergency care. Prevention Use insect repellents and protective clothing when out in tick-infested areas. Carefully check the skin after being outside and remove any ticks. As a rule, if children are discovered to have ticks, it is a good idea to write the information down and keep it for several months. Many tick-borne diseases do not show symptoms immediately, and the incident may be forgotten by the time a child becomes sick with a tick-borne disease.
Information on pages 126 - 127 provided courtesy of National Institutes of Health (NIH).

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APPENDIX A
The following article has been provided by:
Minnesota Lymefighter’s Advocacy ~ an affiliate of the “Lyme Disease United Coalition” Section 501(c)(3) Non-Profit Pending Tel: 218.829.LYME (5963) / Email: Info@LymeFighters.org

CAMP A and CAMP B: The Lyme Disease Controversy
Written by Tincup on Lyme Net Flash Discussion Board

People who are stricken with Lyme disease are not only faced with a serious infectious disease, they may easily become distressed over the political predicament they are facing when attempting to find treatment. Little did these people know that once they were bitten by a tiny infected tick, they would be bitten a second time by a group of practitioners who once swore an oath to, ‘first, do no harm’. Since day one, a controversy has been brewing in the world of Lyme, pitting doctors against doctors, labs against labs, and insurance companies against anyone they may have to reimburse. Lyme patients have literally been hung out to dry by this group of so-called professionals, without proper testing, a definitive diagnosis, or a proper treatment protocol. A patient who falls prey to a doctor on the wrong side of the Lyme fence eventually learns these so-called healers do not have the patients best interest at heart. Instead, some doctors are being lead around by the nose and are following whoever happens to be signing their paychecks at any given point in time. 129

A dwindling group of these callous medical professionals are causing growing numbers of patients to become chronically ill and disabled by ignoring obvious Lyme symptoms, disputing test results from experienced labs, and prescribing drugs to mask symptoms, as opposed to addressing Lyme as an active infectious disease. These doctors have been quick to talk the talk to any unsuspecting passer-by or colleague, but not walk the walk with their patients down the road to recovery. Concrete evidence continues to surface proving these dinosaurs’ original theories obsolete, however, they stick by their guns in an attempt to save their declining reputations and almighty pocket books. As the talkers (Camp A) cut corners and devise new schemes to prevent going down with the ship, the front-line physicians (Camp B) who are treating the devastated Lyme patients are saddled with increasing numbers of extremely ill people who shouldn?t have ended up in that leaky boat. For the sake of the almighty dollar, the floundering medical misfits in Camp A have allowed the Lyme controversy to drag on for over 20 years. While patients in their hands needlessly suffer and go untreated, Camp A dismisses any research that contradicts their original asinine conclusions. A dwindling group of these callous medical professionals are causing growing numbers of patients to become chronically ill and disabled by ignoring obvious Lyme symptoms, disputing test results from experienced labs, and prescribing drugs to mask symptoms, as opposed to addressing Lyme as an active infectious disease. 130

These doctors have been quick to talk the talk to any unsuspecting passer-by or colleague, but not walk the walk with their patients down the road to recovery. Concrete evidence continues to surface proving these dinosaurs’ original theories obsolete, however, they stick by their guns in an attempt to save their declining reputations and almighty pocket books. As the talkers (Camp A) cut corners and devise new schemes to prevent going down with the ship, the front-line physicians (Camp B) who are treating the devastated Lyme patients are saddled with increasing numbers of extremely ill people who shouldn?t have ended up in that leaky boat. For the sake of the almighty dollar, the floundering medical misfits in Camp A have allowed the Lyme controversy to drag on for over 20 years. While patients in their hands needlessly suffer and go untreated, Camp A dismisses any research that contradicts their original asinine conclusions. Camp A reports Lyme disease is, “over diagnosed and over treated”. They have concluded that if someone is bitten by a deer tick they should “wait and see” if the organisms disseminate and cause symptoms before addressing the situation. They ignore research that has proven the Lyme spirochetes can travel to the spinal fluid within days and time is of the essence if treatment is to have a chance. Camp A requires Lyme patients to prove there was a deer tick bite in conjunction with a typical “bulls-eye rash”, and be positive on two different blood tests. Research has shown that less than 50 percent of patients with Lyme recall a tick bite and less than 50 percent develop a rash. The standard lab tests used by Camp A miss as many as 131

80 percent of those who actually have Lyme and are notorious for inaccurate results. Members of Camp A blatantly ignore the warnings by the CDC, FDA, International Lyme and Associated Diseases Society, Lyme Disease Association, and many other prominent organizations that agree a negative test should never be used to rule out Lyme. Camp A insists that Lyme disease, a systemic infection that can attack multiple organs or systems at random, fit in a nice neat box and conform to antiquated lab standards devised over a decade ago. Then, they claim, and only then, should Lyme disease be considered a possible cause for investigation. Camp A believes that patients who remain ill or relapse after short term treatment must not have had Lyme disease originally and were misdiagnosed. These patients, many who not only have active or chronic Lyme but one or more active coinfections, are often told they are faking or malingering and are ordered to go back to their normal routines and/or get more exercise. Increasing numbers of these patients are prescribed psychiatric drugs and are told to accept the fact that nothing is physically wrong with them. To compound the problems, Lyme patients often must endure a multitude of invasive tests which are intended to try and rule out an obvious case of Lyme (the “anything but Lyme syndrome”). As time progresses and the infections become worse, patients are often misdiagnosed with chronic fatigue syndrome, ALS, MS, arthritis, depression, Fibromyalgia, lupus, or a combination of conditions instead of the true tick borne infections that remain active in their body. 132

Years ago, Camp A first speculated that antibiotics would not work on patients with Lyme disease, therefore, many patients were not treated. Concerned front line physicians discovered no research proving that assumption and discovered they could successfully treat the growing numbers of serious ill Lyme patients with antibiotics. Camp A, walking about with egg on their face at that point, dilly-dallied about until they were eventually forced to jump on the band wagon and declare, yes, a short course of antibiotics would cure Lyme disease. As Lyme patients began returning to doctors waiting rooms when short courses of antibiotics failed, retreatment or longer courses of antibiotics were found to help these patients recover. After a good deal of foot dragging, Camp A eventually admitted they too were successful when extending treatment courses, and admitted that retreating patients who remained ill might, on a rare occasion, be necessary. For a number of years, Camp A’s wavering and ineffectual protocols adversely affected thousands of patients and their families. In turn, countless numbers of patients suffered from chronic Lyme infections, often resulting in permanent damage and/or death. In desperation, patients searched world wide for physicians who would help them properly address their ongoing infections and multiple symptoms.

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As the number of Lyme cases increased across the country and some patients were able to see positive results with proper treatment, Camp A came under fire from newly formed Lyme organizations and front line physicians who had documented proof that the infectious organisms often survive after short term treatment. The mounting evidence gathered concluded that long term treatment resulted in more successful outcomes for many patients. They noted that it was not only necessary to treat the chronically ill, but it was the humane thing to do. Camp A doctors dug in their heels when they discovered physicians in other areas had proven them wrong again. The good news that patients could improve with longer courses of treatment fell on deaf ears. It wasn’t until Camp A discovered more money could be funneled their way by developing a vaccine to prevent Lyme that they actually changed their views and suddenly admitted Lyme was indeed a devastating and debilitating illness. Camp A suddenly flip flopped and abandoned their original claims of “no big deal” as they promoted their recently developed vaccine that would save the world from a horrible disease. Television and newspaper advertisements began promoting Camp A?’s new vaccine and Lyme disease quickly became a household word. Some members in Camp A, no doubt with an eye on their precious bank accounts, also found time to promote their newly developed lab tests, claiming a quicker and more accurate result. As Camp A raced to file patents and collect on their inventions, they padded the medical journals with their detailed reports about the unremitting consequences 134

and serious nature of Lyme disease. Finally feeling they were back on top of the Lyme world, they convinced the CDC, major university hospitals, and unsuspecting physicians to promote their vaccine. Little did they realize, while in their haste to line their pockets, their apple cart was preparing to topple once again. After reports of serious problems surfaced, the FDA issued warnings about certain Lyme disease tests and cautioned physicians and the public not to rely solely on these tests when diagnosing Lyme disease. To make matters worse, the new vaccine that was once thought to be Camp A’s ticket to fame and fortune, quickly blew up in their faces after 1,000 plus adverse event reports (complaints) were filed with the FDA. The lab tests and the vaccine, which many in Camp A considered to be their proverbial ship coming in, suddenly sank. Legal actions and multiple lawsuits threatened Camp A’s reputation and livelihood. As panic set in and the sparks began to fly in Camp A, internal battles over money, positions, job benefits, and stocks ensued. As the fires raged, there was a serious parting of the ways between some of the members of Camp A’s former good old boy network. One after another, Camp A associates put their tails between their legs and scattered near and far, while back in the kitchen the fires were burning out of control. Lyme patients, realizing the atrocities they had been subjected to, were filing complaints and initiating legal actions against Camp A doctors and the brown-nosing insurance companies. Many patients had become permanently disabled or had lost family members as a result of Camp A’s inattentive 135

response to their illness and quest for the almighty dollar. The patients believed the very ones they had trusted and paid dearly to help them regain their health, had knowingly caused them irreversible harm. Certain Camp A members were accused of failing to diagnose or properly treat serious infectious diseases and the courts agreed. Compensation in the millions of dollars were awarded to disabled victims as a result of legal actions. Attorneys, on behalf of patients who died or reported serious complications from the vaccine, also filed lawsuits against Camp A members. Floating up the creek without a paddle, Camp A was forced, once again, to flip flop their position in an attempt to save their rear ends. They began the “cover your rump” campaign which consisted of shouting to anyone who would listen, true or not, that Lyme was, once again, over diagnosed and over treated. Having backed themselves in a corner, Camp A tried to convince the public that patients suffered more from “Lyme anxiety” instead of a serious infectious disease that could disable or kill them. Camp A tried to convince other physicians and patients that positive tests for Lyme were often false positives and labs that specialized in detecting tick borne diseases were faulty for one reason or another. They buddied up with insurance companies who were delighted to discuss any dollar saving tactics that were hidden up the sleeves of Camp A leaders. Camp A doctors went so far as to claim that people with Lyme were not actively infected and often not physically ill but instead they suffered from a mental disorder called, “antibiotic seeking behavior”. 136

This bad publicity allowed insurance companies to sneak in and develop guidelines that would reduce the length of time (and money) needed to treat Lyme patients for active infections. Camp A doctors with a dwindling patient load spent their spare time in court testifying against Lyme patients. Some, who obviously had high opinions of themselves and too much time on their hands, testified against front line physicians who had been successfully treating chronically ill Lyme patients in an attempt to discredit them in the public’s eye. In order to try and gain credibility, Camp A doctors also granted press interviews and sparked a miniature media frenzy around themselves. To insure their views concerning Lyme would be taken seriously, some Camp A doctors announced they actually needed body guards to protect them from Lyme patients who didn’t really have Lyme, but some sort of mental illness instead. The literature coming from Camp A once again promoted the false assumption that the treatment time required to cure Lyme should be shortened dramatically and in turn, their new best friends, the insurance companies, placed them high on their pedestals. In an attempt to boost their credibility, Camp A members continued to publish additional papers. Evidently, their attempts to mislead other physicians and the public failed miserably and they resorted to using themselves as their own references in reports. As the self-promotion of Camp A doctors became unbearable, hundreds of chronically sick and disabled patients from across the county gathered together and peacefully protested Camp A meetings. Adding insult to injury, some of the world’s leading tick - borne disease specialists walked 137

out of a Camp A conference in NY City in protest, claiming that it was spewing nothing more than hog wash. Camp A deserves some credit for coming close to being successful in one arena. Flip flopping about over the years has allowed them to have nearly completed a full circle in their little world of Lyme disease. Some of their most recently published articles claims that only ONE dose of Doxycycline is needed to prevent Lyme disease, and oh what a magic pill it must be, indeed! Perhaps if Camp A continues on their stroll backwards through time, anyone with a tick bite may soon be able to simply click their heels together and wish away any serious infectious disease. Considering the fact Lyme disease currently costs society over a billion dollars a year and can ultimately destroy the lives of hundreds of thousands of people, this should be considered a true miracle. In the meantime... Camp B, unfortunately growing larger by the day, disagrees wholeheartedly with Camp A on many points. Camp B knows through personal experience and scientific research that Lyme disease can be a complicated infectious disease that destroys lives and at the least requires prompt, intense, and aggressive treatment in order to have a better chance at a successful outcome. With so many people originally following the misguided lead of Camp A doctors, Lyme disease web sites now are booming and receive approximately one half of a million hits a month from patients in need of assistance with tick borne diseases. 138

Hundreds of new Lyme education and support groups have formed across the country and the leaders report being overwhelmed by the growing numbers of terribly ill patients they see who were booted out of Camp A offices while still actively infected with tick borne diseases. Telephone hot lines dedicated to providing information for people with Lyme disease respond to over 100,000 calls a year and membership in Lyme organizations has reached approximately 200,000. As the public demands to know more, numerous articles and books are being published on how to deal with Lyme disease and co-infections. While Camp A sucks up available grant money to try and support their antiquated notions, private groups across the country are holding dinners, dances, walka-thon’s and other fund raisers and are donating money for the serious help needed with Lyme disease research. The Camp B physicians on the front lines are increasingly overwhelmed with the numbers of new cases of tick borne disease patients showing up in the United States. Many of their patients come to them already severely and chronically ill after following the outdated protocols and recommendations of Camp A. As the diseases within them take a stronger hold, patients are suffering and dying from a disease reported to be “easily cured and easily treated” by Camp A followers. Unfortunately, most of us know people in Camp B who have suffered from tick borne illnesses. Documented research over the past twenty five years, along with biopsy and autopsy reports, countless medical documents, and bacteria cultured from patients tissues after treatment, has proven beyond a doubt 139

that Lyme is a complex infection that can remain active and destructive after treatment. In addition, Lyme may be complicated by other tick borne infections, yet Camp A followers continue to promote their flawed reasoning and protocols. Members of Camp B have learned the hard way that Lyme is not, “over diagnosed, over treated, or easily cured”. Many patients who were ill for many months or even years actually do improve once they have a proper diagnosis and proper treatment. For their efforts and dedication to the patient’s well being, Camp B front-line physicians are now under pressure and direct attack for treating patients with chronic Lyme disease. They are ridiculed by their peers, investigated by medical boards, and are threatened with loosing their licenses if they treat patients who have suffered at the hands of Camp A. So why do Camp A doctors still refuse to diagnose or treat a serious debilitating infectious disease or check for and treat coinfections that may be complicating the picture? The answer is simple, but shameful. One reason for this atrocity is that some of them haven’t kept abreast of, or are ignoring years of medical research and documentation that proves them wrong. In addition, many in Camp A refuse to actually listen to their own patients and continually dismiss complaints and ongoing symptoms. The third reason is that Camp A doctors may be in fear of loosing their medical licenses and livelihoods if they don’t stick to their guns and continue to support their original mistakes. After all, some of the successful Lyme disease lawsuits against doctors were for not properly diagnosing and treating Lyme disease. 140

Lastly, insurance companies are loosing money when treating chronic Lyme patients and we all know that hurts a good number of powerful pocket books and ultimately influences the course and cost of treatment. Why should you be concerned about the situation? There are growing numbers of chronically ill and disabled children and adults still stumbling out of Camp A after they have been improperly tested or treated for tick borne illnesses. More people are loosing the battle with Lyme disease after years of pain and suffering. Physicians who are brave enough and concerned enough to care for these patients are being harassed, ridiculed, and shut down. The madness must stop. Bottom line... If Camp A were right, there wouldn’t be a Camp B.

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APPENDIX B Leading Causes of Death
RE: Prevention of Infectious Diseases Emphasis

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RE: Prevention of Infectious Diseases Emphasis Lyme Disease is rated as the 6th Most Dangerous Infectious Disease Worldwide Lyme disease occurs in temperate forested regions of Europe and Asia and in the northeastern, north central, and Pacific coastal regions of North America. Transmission has not been documented in the tropics. However transmission is now occuring in cooler regions than previously observed. The following appear to be contributing factors in the proliferation of this horrid disease: GLOBAL... Marketing of Wildlife Trade... Marketing of mammals... Marketing of mammilian meat... Marketing of exotic birds, reptiles and amphibians... Human interaction during these marketing incidents... fact: Some estimates indicate that 40,000 live primates,
4 million live birds, 640,000 live reptiles, and 350 million live tropical fish are traded globally each year.

Profit rather than Precautions... fact: (1). Live wildlife in markets in Guangzhou, China,
trade in masked palm civets, ferret badgers, barking deer, wild boars, hedgehogs, foxes, squirrels, bamboo rats, ger bils, various species of snakes, and endangered leopard cats, along with domestic dogs, cats, and rabbits

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Known Diseases - Who Cares? Greed is god in China... fact: After the outbreak of severe acute respiratory syndrome
(SARS) in 2003, 838,500 wild animals were reportedly confiscated from the markets in Guangzhou, China.

“Global Warming” (whatever your political persuasion) - when it happens locally - allows Tick spread... fact: It is predicted that rising temperatures from global warming
will allow the ticks to thrive and affect people in new areas. For example, as winters have warmed, disease-bearing ticks in Sweden are moving northward and similar shifts are predicted in North America.

Zoonotic Diseases are exploding exponentially... fact: Since 1980 more than 35 new infectious diseases have
emerged in humans and primates: that’s one every 8 months. (1) In a list of 1,415 human pathogens, 61% are known to be zoonotic, and multiple host pathogens are twice as likely to be associated with an emerging infectious disease of humans (2) The origin of HIV is likely linked to human consumption of non-human primates. (3) Recent Ebola hemorrhagic fever outbreaks in humans have been traced to index patient contact with infected great apes that are hunted for food

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APPENDIX C
GLOBAL SPREAD OF LYME DISEASE In Italy 24 cases of Lyme Disease were documented over the last year. Scotland: A fascinating new report from the microbiology department at Raigmore Hospital in Scotland states that at least nine different strains of Borrelia have been documented in Scotland, including Borrelia afzelii and Borrelia sensu stricto. Additionally, a report appeared on September 15, 2007, in the North Scotland Press and Journal, entitled “Bloodsucking Ticks Blamed as Lethal Lyme Disease Cases Soar.” This newspaper article not only documents the dramatic increase of Lyme Disease cases in Scotland, it also provides evidence that Lyme Disease can be fatal if not treated adequately. The article uses the word “rocketed” to describe the dramatic increase in cases over the past decade. Dr. Ken Oates of Health Protection Scotland observes that “There has been a genuine rise. Nobody can really say why. I would guess a summer like this which is warm and wet provides favorable conditions. Up to one in five ticks can carry Lyme Disease in Scotland.” Switzerland: “The incidence of tick-borne encephalitis has been clearly increasing since 2004, and this is caused mostly by Lyme Disease.” Croatia: As far away as Croatia, researchers are finding Lyme Disease. Amazingly, 3,317 cases were reported from 1987 to 2003 in Croatia. Northwestern Croatia showed the high 145

Italy:

est incidence. Researchers in Germany studied the influence of preventative measures on the risk of being bitten by a tick and suffering from Lyme Disease in children attending kindergarten in forested regions of Germany. Fifty-three schools were studied, encompassing 1,707 children. Researchers conclude that “children in forest kindergartens are at a considerable risk of tick bites and Lyme Disease.” In Poland, the Department of Occupational Biohazards investigated the prevalence of Lyme Disease bacteria in ticks collected from wooded areas. 1,813 ticks from six districts were examined by polymerase chain reaction (PCR). Not only did researchers discover that a significant portion of the ticks were infected, they also were surprised to find that many ticks were infected with multiple strains of Lyme Disease bacteria, including Borrelia afzelii, Borrelia garinii, and a new yet-unnamed strain, “Borrelia b.s.1.” A Portuguese University, in a study of climate change, discovered that warmer and increasingly variable weather may result in an increased incidence of vectorborne diseases, including malaria, schistosomiasis, leishmaniasis, Lyme Disease, and Mediterranean spotted fever. The Department of Molecular Biology at Umeå University, Umeå, Sweden, released a study in 2007 which stated that “The reported geographical distribution of Lyme Disease is constantly increasing in 146

Germany:

Poland:

Portugal:

Sweden:

The report cites findings which show that birds play a key role in the spread of Lyme Disease due to their long distance dispersal and their role as reservoir hosts for Borrelia. In addition to Lyme Disease in Sweden, Swedish researchers also discovered that sea birds in the Arctic region of Norway carry Ixodes uria ticks infected with Lyme Disease, specifically the Borrelia garinii strain. It has long been known that Borrelia garinii is one of the more common forms of Lyme Disease on the European continent, and this information shows the spread of this strain to new geographical areas. In England, the British public has been warned by the Health Protection Agency (HPA) to carefully protect themselves from tick bites due to a “sharp rise in the number of the blood-sucking parasites and increased cases of Lyme Disease in Hampshire, Dorset, and Berkshire.” The increase in tick population has been blamed on a “particularly wet and mild summer.” According to the HPA, “Lyme Disease is a highly infectious disease which is transmitted through tick bites and can lead to blindness, paralysis, and even death if left undiagnosed.” Britons are advised to protect themselves by “wearing trousers, using insect repellent and checking their skin for ticks” after visits to the countryside. The HPA also notes that “incidents of Lyme Disease have increased by 90% since 2006 across the UK, and New Forest, South Downs, Dorset, and Berkshire have now been named as tick hot-spots.”

England:

147

In collaboration with U.S. Centers for Disease Control (CDC) researchers, Russian scientists set out to determine which types of bacterial agents are found in the North Western region of Russia. The type of tick examined was Ixodes persulcatus. Researchers discovered the following: Altogether, 27.7% of ticks were infected with at least one organism, while the DNA of two or more bacteria was found in 11.8% of ticks tested. The highest average prevalence of Anaplasmataceae (20.8%) was detected in ticks from Arkhangel’sk province, while the prevalence in ticks from Novgorod province and St. Petersburg, respectively, was 7.3% and 12.2%. Only Ehrlichia muris DNA was identified by DNA sequencing. In comparison, the prevalence of B. burgdorferi DNA was 16.6%, 5.8%, and 24.5% in the respective locations. The Russian researchers conclude with this statement: “Since I. persulcatus is so commonly infected with multiple agents that may cause human diseases, exposure to these ticks poses significant risk to human health in this region.” And let us not forget Canada. The Canadian Center for Disease Control states that “the black-legged tick, Ixodes scapularis, has a wide geographical distribution in Ontario, Canada, with a detected range extending at least as far north as the 50th parallel, and four out of five regions of Ontario affected.” Additionally, “The Lyme Disease spirochete was detected in 12.9% of I. scapularis adult ticks.” Also according to Canadian authorities, “characterization of B. burgdorferi in Canada displays a connecting link to 148

Russia:

Canada:

common strains of Lyme Disease found in the northeastern United States.” According to the Vector-Borne Disease Laboratory in British Columbia, “In 1994, British Columbia was declared an endemic region for Lyme Borreliosis.” In Alberta, Lyme Disease has been found to be common in rabbit ticks. The Department of Medicine at McGill University, Montreal, notes in a recent report that “Lyme Disease is an expanding community health issue.” The poor recognition of Lyme Disease by the medical establishment is not a phenomena limited to the United States: On September 17, 2007, CBS News Canada reported the story of approximately 100 Lyme Disease sufferers who gathered on Parliament Hill in Canada to get the attention of Canadian physicians. The aim of the gathering was to get better testing for the disease and more federal money devoted to research—many in the group say they were misdiagnosed by their physicians. Amazingly, according to the CBS report, “Lyme Disease is not a nationally reportable disease in Canada, according to the Public Health Agency of Canada (PHAC), meaning there are no statistics available on its prevalence.” Yet, although not reportable, CBS goes on to state that “Borrelia burgdorferi is predominantly found in parts of British Columbia, southern and eastern Ontario, southeastern Manitoba, and parts of Nova Scotia.” The research identifying Lyme Disease in Canada goes on and on, with over 83 official, published studies on Lyme Disease in Canada. The Canadian Lyme Disease Association can be visited at www.canlyme.org. 149

APPENDIX D
Controlled clinical evaluations of chlorine dioxide, chlorite and chlorate in man. To assess the relative safety of chronically administered chlorine water disinfectants in man, a controlled study was undertaken. The clinical evaluation was conducted in the three phases common to investigational drug studies. Phase I, a rising dose tolerance investigation, examined the acute effects of progressively increasing single doses of chlorine disinfectants to normal healthy adult male volunteers. Phase II considered the impact on normal subjects of daily ingestion of the disinfectants at a concentration of 5 mg/ l. for twelve consecutive weeks. Persons with a low level of glucose-6-phosphate dehydrogenase may be expected to be especially susceptible to oxidative stress; therefore, in Phase III, chlorite at a concentration of 5 mg/l. was administered daily for twelve consecutive weeks to a small group of potentially at-risk glucose-6-phosphate dehydrogenase-deficient subjects. Physiological impact was assessed by evaluation of a battery of qualitative and quantitative tests. The three phases of this controlled double-blind clinical evaluation of chlorine dioxide and its potential metabolites in human male volunteer subjects were completed uneventfully. There were no obvious undesirable clinical sequellae noted by any of the participating subjects or by the observing medical team. In several cases, statistically significant trends in certain biochemical or physiological parameters were associated 150

with treatment; however, none of these trends was judged to have physiological consequence. One cannot rule out the possibility that, over a longer treatment period, these trends might indeed achieve proportions of clinical importance. However, by the absence of detrimental physiological responses within the limits of the study, the relative safety of oral ingestion of chlorine dioxide and its metabolites, chlorite and chlorate, was demonstrated.

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1569027 35-09 7:20 PM PST Research Article

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WEBSITES
(SOME OF THE WEBSITES CONSULTED IN PREPARING THIS BOOK.)

http://www.dogsandticks.com/dog_tick_diseases/ index.html#lyme http://in.reuters.com/article/health/ idINTRE4BP23320081226 http://www1.phillyburbs.com/pb-dyn/news/111-121420081637703.html http://www.signonsandiego.com/news/metro/200812051220-bn05lyme.html http://www.upi.com/Science_News/2008/12/10/ Some_T_cells_linked_with_Lyme_disease/UPI80171228927923/ http://www.journal-news.net/page/content.detail/id/ 513809.html?nav=5064 http://www.fredericknewspost.com/sections/art_life/ display.htm?StoryID=84152 http://www.lymesociety.com/ http://www.baltimoreexaminer.com/opinion/ 122808emsMcGhee.html 154

http://www.newswise.com/articles/view/547383/ http://www.huliq.com/11/74074/researchers-identify-cellgroup-key-lyme-disease-arthritis http://www.poughkeepsiejournal.com/article/20081211/ NEWS01/812110316/1006 http://www.delmartimes.net/news/251471-submersiblecaptures-vibrant-detail-of-deep-sea-life http://www.ksla.com/Global/ story.asp?S=9533273&nav=0RY5 http://scienceblogs.com/clock/2008/12/ where_are_the_acorns.php http://www.marketwatch.com/news/story/AIDS-NobelLaureate-Joins-Viral/story.aspx?guid=%7BDB4980CD7A69-4B12-920B-D3B47D22E821%7D http://women.timesonline.co.uk/tol/life_and_style/women/ families/article5308533.ece http://www.tcpalm.com/news/2008/dec/22/health-notes-stlucie-county-updated-dec-15/ http://www.tcpalm.com/news/2008/dec/22/health-notes-stlucie-county-updated-dec-15/ 155

http://www.fortcollinsnow.com/article/20081204/NEWS/ 812039981/1009 NONE& parentprofile=1054 &title= Intelligent%20by%20Design http://www.msnbc.msn.com/id/28179204/ http://www.timberjay.com/current.php?article=4938 http://www.nola.com/news/index.ssf/2008/12/ tulanes_primate_center_to_stud.html http://www.poughkeepsiejournal.com/article/20081226/ NEWS01/812260328/1006 http://www.emaxhealth.com/2/38/27864/study-shows-dramatic-drop-needlestick-risks-healthcare-workers.html http://www.emsresponder.com/publication/ article.jsp?pubId=1&id=8643 http://www.rsc.org/Publishing/Journals/cb/Volume/2009/1/ Copper.asp
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Secret Government Operations
http://www.centuryinter.net/tjs11/mil3/bush08.htm http://www.rense.com/general67/plumislandlyme.htm http://www.ministryoflies.com link.php?action=detail &id=4575 http://www.medicalconversation.com/archive/index.php/t93784.html http://en.wikidoc.org/index.php/Erich_Traub http://www.mega.nu:8080/ampp/wardrugs.html http://sacredearth.org/Kissrock.html http://sci.tech-archive.net/Archive/sci.med.diseases. lyme/2007-04/msg00150.html http://spitfirelist.com/?p=106 http://www.rutherford.org/articles_db/ commentary.asp?record_id=337 http://www.powertolearn.com/li_history/science.html 157

http://www.theforbiddenknowledge.com/hardtruth/ operationpaperclip.htm http://nucnews.net/nucnews/2000nn/0008nn/000820nn.htm http://www.lilighthousesociety.org/projects/saveplumisland/ default.htm http://www.geonames.org/6353700/fort-terry-historical.html http://www.mindcontrolforums.com/project-paperclip4.htm http://en.wikipedia.org/wiki/ Plum_Island_Animal_Disease_Center http://newsblaze.com/story/20081224143511ianb.nb/ topstory.html http://www.longislandpress.com/articles/news/632/ http://media-newswire.com/release_1081264.html http://www.examiner.com/x-943-Miami-Outdoor-Recreation-Examiner~y2008m12d14-Blacktip-shark-fishing http://www.minnpost.com/healthscience/ http://thecalifornian.com/article/20081214/NEWS01/ 81214001/1002 158

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