104 STAT. 5328 PROCLAMATION 6161—JULY 19, 1990 Captive Nations Week. I call upon the people of the United States to observe this week with appropriate ceremonies and activities, and I urge them to reaffirm their devotion to the aspirations of all peoples for liberty, justice, and self-determination. IN WITNESS WHEREOF, I have hereunto set my hand this eighteenth day of July, in the year of our Lord nineteen hundred and ninety, and of the Independence of the United States of America the two hundred and fifteenth. GEORGE BUSH Editorial note: For the President's remarks of Jul. 25, on signing Proclamation 6160, see the Weekly Compilation of Presidential Documents (vol. 26, p. 1160). Proclamation 6161 of July 19, 1990 Lyme Disease Awareness Week, 1990 By the President of the United States of America A Proclamation Lyme disease is a complex disorder that can affect the skin, joints, nervous system, heart, and other parts of the body. Although it is easily treated when diagnosed early, Lyme disease can become very serious if it remains undetected. The disease is caused by a bacterial infection that is transmitted to humans by the bite of a very small tick. These ticks are frequently no larger than the head of a pin. They feed primarily on deer and field mice, but other hosts include cats, dogs, birds, horses, and cattle. Lyme disease was discovered in 1975 by a rheumatologist who found a high incidence of arthritis first in children, then in adults, living in Lyme, Connecticut, and nearby towns. Most patients lived in wooded areas, and their first symptoms appeared in the summer months. In 1981, the specific cause of the disease, the spiral-shaped bacterium called Borrelia burgdorferi, was identified at the National Institutes of Health by an expert scientist in tick-borne diseases. Since its discovery in Connecticut, Lyme disease has been found in 45 States. More than 21,000 cases have been reported to the Centers for Disease Control since 1982. People who frequent wooded areas and forest edges—such as campers, hikers, and outdoor workers—are especially likely to come in contact with the tick that carries the disease. Early symptoms include a bull's-eye-shaped rash at the site of a tick bite, headaches, joint pain, fever, and swollen glands. Later symptoms may mimic those of arthritis and/or brain, nerve, and heart disease. If left untreated, Lyme disease can seriously damage the nervous system, heart, joints, and skin. But, in its early stages, Lyme disease is readily treated with antibiotics such as oral penicillin, erythromycin, and tetracycline. Many governmental, scientific, and voluntary health organizations have committed themselves to promoting public awareness and understanding of Lyme disease. In support of their efforts, the Congress, by Senate
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