SPORTSFINAL Syria rebels allege chemical massacre

Chicago Tribune Lyme Disease Nager 8-22-13 - Centegra Health ...

Chicago Tribune Lyme Disease Nager 8-22-13 - Centegra Health ...


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PHILVETTELVISITSFATRICELogan Square’sAsian hot spot hasrebellious rootsDiningANTONIO PEREZ/TRIBUNE PHOTOSWEETSPOTSFORCEFOODFIGHTTruck owners say cityrestrictions are forcingthem to ignore rulesof the road DiningSPORTSFINALQuestions? Call 1-800-TribuneThursday,August 22,2013Breaking news at chicagotribune.comSyria rebels allegechemical massacreOpposition groups say women and children were among hundreds killed by poison gas Wednesday near Damascus, Syria.BEIRUT — In what theopposition called the worstatrocity of Syria’s civil war,anti-government activistsWednesday accused thegovernment of killing hundredsof civilians, includingmany women and children,in a poison gas attack targetingpro-rebel Damascussuburbs.The Syrian governmentcalled reports of a massacreuntrue, but the scale of thealleged carnage and thegraphic videos of the deadand injured that surfacedleft many officials across theglobe demanding action.If verified, such a massivepoison gas attack couldchange the international responseto the war that hasraged since March 2011.Last year, President BarackObama called the potentialuse of chemical weapons inSyria a “red line” that couldprompt U.S. intervention.The U.S. has providedhumanitarian and nonlethalaid to the rebels, but it hasbeen reluctant to get moreinvolved. Despite a declarationin June that the U.S.would start providing militaryassistance, rebels saythey have yet to get any suchaid — nor have they beenBASSAM KHABIEH/REUTERS PHOTOGraphic images spark outrage; government denies chargeBy Patrick J. McDonnell and Shashank BengaliTribune NewspapersManning gets35-year sentencein WikiLeaks caseBradley Manning was dishonorablydischarged anddemoted. He could applyfor parole in seven years.Nation & World, Page 13Egypt braces forMubarak releaseDecision seen as a blow touprising as remnants ofHosni Mubarak’s policestate edge toward power.Nation & World, Page 13ANTONIO PEREZ/TRIBUNE PHOTOIS SUMMERFINALLY HERE?Cool in July. Hot as LaborDay nears. Weather expertsweigh in on this year’sunusual temperatures.Chicagoland, Page 6After gardening in her Lake Villafront yard last month, Lori Brunknoticed a tiny spot not much biggerthan a sesame seed on her left foot. Itwas a tick burrowing into her skin.She removed the eight-legged critterbut soon developed a fever, joint painand a rash around the bite. Her doctorput her on antibiotics for Lyme disease,and she said she’s feeling better now.told what to expect or whenthey will get it.The opposition said rocketstipped with some kind ofapparent nerve agent raineddown overnight on areas tothe east and south of theSyrian capital, all strongholdsof rebels fighting tooverthrow the governmentof President Bashar Assad.Video uploaded to You-Tube showed rows of bod-Please turn to Page 16STACEY WESCOTT/TRIBUNE PHOTOLori Brunk, of Lake Villa, uses repellent with DEET before gardening Wednesday.Lyme disease on upswingTick-borne infection setsIll. records in recent yearsBy Robert McCoppinTribune reporter“Unfortunately, it kind of puts a stopon your life and any plans you had,”said Brunk, who said she contractedthe disease once before and it causedconstant pain and memory loss. “Thislittle bug can change your life for a longtime.”In each of the past two years, Illinoissaw record-setting spikes in the numberof reported Lyme disease cases,topping 200 new diagnoses last yearalone. So far this year, reported casesare coming in under those recordyears, but certain areas — includingLake County, where 20 cases have beenPlease turn to Page 8ARMED IN PUBLICNew gun lawstirs debate onself-defenseConcealed carry,‘stand your ground’may need Capitolhelp to coexistBy Rick PearsonTribune reporterIn the aftermath ofGeorge Zimmerman’s acquittalin the shootingdeath of Trayvon Martin,Gov. Pat Quinn appearedon national television anddeclared that Illinoisdoesn’t have a “stand yourground” law like Floridaand “we don’t want it.”The Democratic governorwas right in one senseand wrong in another. Thewords “stand yourground” don’t appear inIllinois law. They do, however,appear in case law ineffect for more than acentury. If someonecomes up to you on thestreet unprovoked andyou’re in real danger oflosing your life, IllinoisThe start of classes inChicago is just days away,but the three daughters ofJesse Owens, the African-American hero of the 1936Olympics in Berlin, are notgiving up their fight tokeep their father’s nameon a Far South Side school.Jesse Owens CommunityAcademyin the WestPullman neighborhoodwas one of 49 elementaryschools the Chicagoschool board voted in thespring to close, with studentsmoving to SamuelGompers Fine Arts OptionSchool.But the district is keepingthe Owens buildingopen, under the Gompersname, for students in kindergartenthrough thirdgrade.Students in fourththrough eighth grades willbe taught in the existingGompers Elementary farthernorth.Jesse Owens’ name hascourts have ruled that it’sOK to defend yourself andeven take the life of yourattacker.Now “stand yourground” is colliding with“concealed carry” in Illinois.Next year, peoplewho get a permit will beable to legally carry aconcealed firearm in public.The combination ofself-defense rulings andthe new gun law has statelawmakers pondering thepotential ramifications,even if they’re not yet surewhat action they mighttake.“Will that come up inthe legislative session? Absolutely,”said state Rep.Brandon Phelps, a HarrisburgDemocratwho negotiatedthe state’s new compromiselaw on concealedcarry on behalf of gunrightsadvocates. “WithTrayvon Martin, there’sno doubt about it.”State Sen. KwamePlease turn to Page 12CPS dashes nameof Olympic heroDaughters fightOwens building’snew identityBy Naomi NixTribune reporterGETTY-AFP PHOTOJesse Owens won fourgold medals in the 1936Olympics in Berlin.been removed from thebuilding, and a marqueenear the building readsGompers South. Owens’daughters, who live inChicago, have been protestingthe district’s movesince the preliminary listof school closings cameout in the spring.“It is just beyond me asto why they would dosomething like that,” saidOwens’ youngest daughter,Marlene Rankin. “It isdisrespectful.”Jesse Owens spentPlease turn to Page 12Metra’s severance deal washasty, ‘ill-advised,’ RTA saysMetra’s exit package for its ex-CEO was “not financiallyprudent,” the RTA concluded Wednesday. The ex-CEO’s lawyer said the deal is unlikely to be rescindedunless he gets the job back. Chicagoland, Page 4TRIBUNE EDITORIALClarity on Metra scandalThe remaining Metra board members who approved ahush-money payout need to resign right now. Page 20Tom Skilling’s forecast High83 Low61Chicago Weather Center: Completeforecast on back page of A+E section$1.50 city and suburbs, $1.99 elsewhere166th year No.234 © Chicago Tribune

8 Chicago Tribune | Section 1 | Thursday, August 22,2013Lake Villa resident Lori Brunk began taking antibiotics after she developed a fever, joint pain and a rash from a tick bite. “This little bug can change your life for a long time,” she said.Many casesundiagnosed,unreportedContinued from Page 1confirmed — already have topped2012’s highs.Lyme disease — known by itsbull’s-eye-shaped rash and flu-likesymptoms — usually can be treatedsuccessfully with antibiotics,medical experts say. But withoutproper medical attention, the diseasecan cause lasting, severeproblems like arthritis, numbnessand even paralysis.And reported cases mightamount to only a small fraction ofactual infection, experts say. Thisweek, the U.S. Centers for DiseaseControl and Prevention reportedthat although about 30,000 casesof Lyme disease are reportedannually, the actual number couldbe 10 timeshigher. TheCDC said somepatients don’tseek treatment,some doctorsdon’t reportcases and somecases are misdiagnosed.In the decadessince the“Just be aware,whether it’s mosquitoesor ticks,take properprecautions.”—Mark Pfister, director ofpopulation health servicesfor Lake Countymalady wasidentified nearLyme, Conn., in1975, the footprint of the diseasehas expanded from heavilywooded rural areas in the Northeastand Upper Midwest to somesuburban Chicago backyards.Early on, infected black-leggedticks were not found in Illinois,and people who came down withthe disease here were believed tohave contracted it elsewhere.But over the past 20 years or so,studies show, ticks that carry thedisease have become increasinglycommon in Illinois. In LakeCounty, the first black-legged tickthat carried the bacteria wasfound in 2006.Now 40 percent ofticks tested there carry the pathogen,according to the countyhealth department.The bacteria can be carried bydeer, birds and small mammalslike mice and chipmunks downthe Des Plaines River corridorfrom Wisconsin, said Mark Pfister,director of population healthservices for Lake County.Acouple of times while out intick habitats, he said, he has foundhimself covered with hundreds ofthe bugs, so many that he usedduct tape to get them off withoutgetting a bite.“We don’t want to scare peoplefrom going out, but just be aware,whether it’s mosquitoes or ticks,take proper precautions,” Pfistersaid.Those precautions includewearing long pants, long sleevesand hats when going into woodedareas or tall grass, using insectrepellent, and checking for ticksand taking a shower within twohours of being outside. Homeownerscan protect their yards byputting a 3-foot-wide buffer ofgravel or wood chipswhere lawns abutwooded areas andbrush.On the medicalfront, researchers reportedlyare trying tocome up with a vaccineagainst the disease.One formulationwould alert people bymaking them itch assoon as a deer tickbites, and anotherwould kill the bacteria,but neither is publicly availableyet.Despite the research and educationalsteps taken by publichealth agencies, Lyme diseaseactivists say much more needs tobe done. Some patients say theyhave a chronic form of the diseasethat often goes undetected, misdiagnosedand untreated and cancause a host of crippling symptoms.“It’s a huge problem,” KimberlyHeeres-Frank, founder of theLyme Support Network, whichmeets monthly in Ingleside. “It’s avery debilitating disease.”The CDC says some cases goundiagnosed or misdiagnosed asarthritis or multiple sclerosis, andsome people do not respond to thetypical treatment, which involvesseveral weeks of antibiotics. Notall cases show the classic targetshapedrash, the antibodies don’tshow up in tests for several weeksafter infection, and some symptomsmay not appear until monthsor years after a tick bite.In addition to more frequentdiagnoses, some local practitionersare running into more hard-totreatcases.In Crystal Lake, Dr. BenjaminNager, a neurologist with CentegraPhysician Care, said he hasSTACEY WESCOTT/TRIBUNE PHOTOIllinois Lyme disease cases on the uptickLyme disease is caused by bacteria that are typically transmitted by infected ticks. Most reportedcases in the U.S. occur in the Upper Midwest and the Northeast. There has been a spike in reportedcases in Illinois since 2011.REPORTED CASES IN ILLINOIS250200150100502000 ’02 ’04 ’06 ’08 ’10 ’12AREAS OFHUMAN RISKPREVALENT TICKSAlthough at least 15 species occur in Illinois, these two are most likely to be encountered by people.Ticks are divided into two groups, hard- and soft-bodied. Both are capable of transmitting diseases.Black-legged tick(or deer tick)ActualsizeFemaleDescription: Hard-bodied.Females have dark brown shield.Dark reddish-brown to black.Males are smaller.Months active in Illinois:Adults may be active in thespring and fall.Human disease transmission:Lyme disease and possiblyehrlichiosis.GETTY AND FILE PHOTOS2013 to date: 125High riskAt riskLow riskAmerican dog tick(or wood tick)ABOUT THE DISEASEAt riskThose at highest risk of contracting the disease arecampers and hikers, outdoor workers and people livingnear wooded areas where the disease is prevalent.SymptomsWithin days or weeks of exposure:■ Circular rash at site of tick bite■ Fatigue■ Chills/fever■ Headache■ Muscle/joint aches, shooting pain■ Swollen lymph nodes■ Loss of muscle tone in face■ Heart palpitations/dizzinessAfter several months:■ Bouts of arthritis■ Numbness/tingling in hands or feet■ Concentration/memory problemsFemaleActual sizeDescription: Hard-bodied withshield just behind the mouth parts.Shaped like a flat seed.Reddish-brown. Females have alarge spot behind the head. Maleshave lines on the back.Months active in Illinois:Most active in April, May and June.Human disease transmission:Rocky Mountain spotted fever,tularemia and possibly ehrlichiosis,all bacterial infections.Avoiding ticksSOURCES: Centers for Disease Control and Prevention, Illinois Department of Public Health, Forest Preserve District ofDuPage County, Food and Drug Administration, McHenry County Department of Public Health, Yale School of Public Healthseen more local cases in the pastfive to 10 years,some with severesymptoms. Patients come in withheadaches, numbness or weakness.One patient was deaf in oneear, and others have Bell’s palsy,aparalysis of the face.Most recent cases have respondedwell to antibiotics, hesaid, but those who’ve had multiplesymptoms for months or yearsare much more difficult to treat.Patients are often amazed, Nagersaid, that such serious problemscould come from a bug bite. “Itcatches people by surprise. Manytimes they don’t even knowthey’ve been bitten.”rmccoppin@tribune.comTreatmentwithantibioticsThose treatedin early stagesusually recoverquickly andcompletely.A smallpercentage ofpatients arehospitalizedand developworsesymptoms.■ Walk in the center of trails.Avoid areas with tall grass andleaf litter.■ Wear light-colored clothingand tuck pant cuffs into socks.■ Apply insect repellentcontaining DEET.■ After time outdoors, putyour clothes in a hot dryer.■ Conduct a full-body checkincluding inside belly button,underarms and hair. Alsocheck pets and any gearbrought along. Repeat nextmorning.■ Keep grass cut short nearyour house and play areas.If a tick is found■ Remove with fine-tippedtweezers, pulling slowlystraight up. Wash bite areaand hands with soap.■ See your doctor if youdevelop an unexplained rashor illness with fever.TRIBUNEWal-Mart sells itself to Northbrook plannersBy AlexandraChachkevitchTribune reporterWal-Mart representatives toldNorthbrook officials and about200 people at a meeting thatextended until early Wednesdaythat their proposed supercenter at1000 Skokie Blvd. would notdecrease property values nearthe site and could be a goodneighbor.The 151,000-square-foot store,open from 6 a.m. until midnightseven days a week, would createabout 300 part-time and full-timejobs and contribute more than $1million per year in property andsales taxes, according to companyestimates. Firearms wouldn’t besold at the store, officials said.The traffic, which has been achief issue among neighbors,would gain about 7,810 new vehicletrips a day because of the store.But traffic delays in the area,which includes the intersection ofSkokie Boulevard and DundeeRoad, are expected to either staythe same or worsen — but remainwithin the acceptable level, accordingto a village traffic study.David Schoon, Northbrook’seconomic development coordinator,said the village’s researchshowed that there is “no reliableevidence to establish a correlationor causation between the presenceof a Wal-Mart store andincreased crime rate in the surroundingneighborhoods.”Similar to any other big development,the village would expectabout 200 police calls annuallyfrom the area of the Wal-Mart,with about half relating to retailtheft and traffic accidents.The impact on local businessesshould be “relatively small,” saidAllen Kracower, project plannerfor Wal-Mart.Kracower explained thatNorthbrook’s local businesses arealready competing with other bigretail chains. Also, some communitymembers drive to other Wal-Marts in the area, so adding aNorthbrook store provides convenienceand local tax dollars,Kracower said.Because of the length of village’sand company presentations,the public did not have a chance tocomment at the meeting. Butresidents will be able to speakabout the proposal at the Sept. 9and Sept. 23 meetings, which arescheduled to start at 7 p.m. atGlenbrook North High School’sCenter for the Performing Arts,2300 Shermer Road.“This is by far the longestmeeting I think that we ever had,”said Marcia Franklin, chairwomanof the Plan Commission. Itbroke up after 1 a.m.achachkevitch@tribune.comTwitter @chachkevitch

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