As Ohioans prepare for July 4 celebrations, Prevent Blindness Ohio wants the public to be aware of the dangers of fireworks.

Initial symptoms include fever, red runny eyes, runny nose and cough, followed by a red rash that starts on the face and then moves to the rest of the body, said the Public Health Agency of Canada.

This brings Ontario’s outbreak-related total since Oct. 18 to 2,223 confirmed or probable cases.