Transmission
The disease is most often transmitted by blood-feeding arthropods (such as fleas and ticks), although the disease can be transmitted by most epidemiological routes. Infected wild animals may not show any outward signs of illness, although some infected animals will appear slow (lethargic), uncoordinated, and in a state of stupor. Tularemic rabbits may easily be caught by humans or dogs (be aware that it is somewhat common for healthy young rabbits to be caught by pets). Rabbit and squirrel hunters could be at greater risk of contracting Tularemia simply because of frequency of direct contact with harvested game. It is a good practice to use rubber gloves to field dress game. After handling or field dressing harvested game, always wash your hands thoroughly. Hand sanitizers or disinfectants may be useful for cleansing hands while afield. Always thoroughly cook wild game meats before consuming.
Indications
Small, white spots on the liver or spleen of infected animals is a visible, although not definitive, indicator of Tularemia. Field dressing or necropsy of dead animals outwardly suspected of being infected with Tularemia is not recommended except by qualified laboratories. However, hunters may discover the white lesions on internal organs during field dressing harvested game.
Dealing with Suspected Infections
If you encounter an animal in Mississippi in which Tularemia infection is suspected, contact MDWFP for further assistance. If you are in another state, contact that state's wildlife agency or department of natural resources for more information. Contact MDWFP at (601) 432-2199 (Monday - Friday from 8:00am - 5:00pm) or email rick.hamrick@wfp.ms.gov for more information and potential collection of a specimen for laboratory analysis.
If Tularemia is suspected, seal the carcass and internal organs in a durable plastic bag, then seal the first bag in another plastic bag and put on ice or refrigerate (do not freeze) as soon as possible. It is not recommended to store specimens in a home refrigerator. Instead, place samples on ice in an ice chest/cooler that can be disinfected or a container that can be disposed of. Discard disposable gloves properly and wash hands, knives, surfaces, etc., thoroughly with soap and water. Use a bleach solution (follow product directions for general cleaning or disinfecting) as a follow up to disinfect utensils, containers, etc.
Symptoms in Humans
Symptoms of Tularemia infection in humans include fever, infected sores at entry point, swollen lymph nodes, and flu-like symptoms that can progress rapidly to severe debilitation. Anyone that exhibits illness after potential exposure to Tularemia should promptly consult a physician and inform them of any incidence in which you may have been exposed to Tularemia. Tularemia is rarely fatal if promptly treated with suitable antibiotics.
References
- Field Manual of Wildlife Diseases in the Southeastern United States (Second Edition). 1997. W. R. Davidson and V. F. Nettles. Southeastern Cooperative Disease Study, Athens, Georgia, USA.
- More information on Tularemia can be found at the Centers for Disease Control and Prevention website.