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Azithromycin and doxycycline over the counter medications (oral, i.e. oral penicillin/tetracycline, and amoxicillin/clavulanate) can be prescribed to promote an increase in bacterial growth (tramadol, alfuzosin, etoricoxib, chloramphenicol, gentamicin, erythromycin). When antibiotic prescriptions are not needed, the most important step is to avoid eating raw fish or unsterilized water (preferably from an unpasteurized source). There is no evidence that either of these medications cause health problems, so long as they are used properly. However, if diarrhea is present even after use of these medications, ask your doctor if another type of treatment is needed What are the signs of an outbreak? The first indicator of an outbreak is when fish have symptoms that are unusual for the region. An outbreak can also be recognized by an increase in reported cases across the entire state, particularly in areas with more than one fish processor. The following list summarizes most common symptoms and conditions indicates where are the most likely to be present, with additional illness cases reported in other locations. Swim flu A fever of 105-108°F (40-42°C) Fever of 105-108°F (40-42°C) Black, tarry water Cirrhosis of the skin Black watery diarrhea Canker sores Chilliness Decreased fish size Foamy stool Fetid stool Flu symptoms may appear within one to several days of the onset swimmer's illness. If signs of illness develop after consumption fish, they may appear anywhere from two to 72 hours after ingestion of the fish (sometimes symptoms may take several days to appear), depending on the dose and fish contaminated. What actions can a state or local fish control agency take? A fish control agency should identify outbreaks in the first instance, based on information above. If a fish control agency determines that an outbreak requires emergency intervention, it may do the following: Call a state fish disease hotline 1-855-937-0739, reporting suspected outbreaks. Send samples from a suspected outbreak to fish pathogen laboratory. Provide notification to medical practitioners and hospitals whenever ill fish arrive, or when a suspected illness event is suspected. Ensure that the health Metacam konijn bestellen department.
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