Herpes – Even If You Can’t See It

8 02 2010

Genital herpes is a sexually transmitted disease (STD) most often caused by the herpes simplex virus type 2 (HSV-2).

About 45 million people in the U.S. over the age of 11have been infected. When a person becomes infected with the virus, it causes lesions in the genital area. Once a person is infected with HSV-2, there’s no way to get rid of it. The body carries the virus forever, although there may not always be symptoms.

Scientists used to believe that the life cycle of the virus in the body moved through stages of activity and inactivity. When the virus was active, it caused genital lesions. When the lesions went away, the virus was considered inactive.

Newer evidence suggests the virus may not ever be completely inactive. Now scientists believe that the virus continuously sheds small amounts of itself to the genital area along the nerves from the spinal column, even when lesions are not present.

This information suggests that people may be more contagious during “inactive” times than previously thought. Use of condoms can help prevent transmission, but it’s still possible to become infected when using a condom. Even though there are treatments available that help reduce transmission, there’s nothing that provides 100% protection against infection.

Herpes can be painful, and it can be life-threatening to newborns. Practice safe sex to give yourself the best chance to avoid this and other STDs.

Share





Travel in Good Health – Part 3 of 3

5 02 2010

Babies and small children are less able to fight off foodborne and waterborne infections. Little ones who are crawling or walking around and putting things in their mouths increase their exposure risk.

What comes from those infections? Yes, you knew we had to get there. We’re talking poo. The kind that makes you want to pay strangers good money to change an oozing diaper.

But, there are a few things we can do to help prevent the big D.

Breastfeeding helps eliminate foodborne and waterborne transmission to infants.

Use purified water for drinking, ice cubes, formula, brushing teeth, washing food if eating food raw, or just anytime you’d use water. Purify the water, unless you know the water source is safe.

Wash hands with soap and water frequently each day and certainly before eating anything and before preparing foods, after changing diapers, after going to the restroom, after coming in from outdoor activities (this includes shopping!), when you get up in the morning and before going to bed at night. Use soap and water if available and always when you can see any grime on the hands. Alcohol-based hand sanitizer can be used to help disinfect your hands.

Pacifiers and other items made to go into a baby’s mouth that you bring or buy on the trip need frequent cleaning.

Don’t eat food from street vendors. Make sure all your food is either cooked thoroughly or washed with purified water and, if applicable, peeled.

Dehydration due to diarrhea and vomiting

Infants and young children can easily become dehydrated due to diarrhea and vomiting. They need plenty of liquids each time they have a watery stool or vomit. If you’re unaware of the signs of dehydration, you should read up on it prior to departure. Prevention is the best thing, but just in case, there are commercial oral rehydration solutions, or you can make your own. Here are some suggestions from rehydration.org:

Make sure the rehydration drink has in it starches and/or sugars, a little sodium and some potassium. Breastmilk is great for those nursing, or watery cooked cereal, carrot soup, or rice water is fine as long as they’re made with purified water.

You can make a simple solution yourself by using salt and sugar (molasses, raw sugar or white sugar) and something like orange juice or mashed banana for potassium. Add one teaspoon of salt to eight teaspoons of sugar and stir into a liter of boiled and cooled water, stirring until everything is dissolved.

Fresh fruit juice, weak tea or even simply boiled and cooled water will help, if nothing else is available.

Parasites in the soil

There are parasites in sand and soil where children love to play. They should wear enclosed footwear and play on a tarp or covering. Don’t put clothing or towels on the ground to dry, and iron anything you hang out to dry before using. All of these precautions are dependent on your destination, of course.

Rabies

Children are more likely to be bitten by animals yet less likely to tell parents about the bite. Remind the children to stay away from animals and to report any wound immediately. If a child is bitten or wounded, wash the area with soap and water and take the child in for evaluation. If possible, bring the animal in as well.

Water and infectious agents

Children and adults can pick up illnesses or infections by swallowing or simply being in contact with contaminated water. If you don’t know the area, don’t swim in fresh, unchlorinated water and, depending on where you travel, be careful with washing in the bathtub.

Well, that’s about it. We’ve come to the end of our Travel in Good Health series. Hope you enjoyed it as much as we did and, hey, maybe we’ll meet you on the road somewhere and do some trading. Ten diapers for a barf bag?  Anybody?

Share





Travel in Good Health – Part 2 of 3

3 02 2010

All the prep and stress of getting out your front door is over. Now it’s fun, sun, and bugs.

Wait. What?

Oh yes, wherever your journeys take you, you can be sure that pesky critters will be flying or crawling around, biting, stinging and more…so much more.

Some bugs carry certain diseases, such as West Nile virus, malaria, dengue and others. Whether you’re in Napa Valley, the Sahara or the Alps, there are steps you can take to avoid infection.

  • Use an insect repellent on exposed skin to repel mosquitoes, ticks, fleas and other arthropods. EPA-registered repellents include products containing DEET (N,N-diethylmetatoluamide) and picaridin (KBR 3023). DEET concentrations of 30% to 50% are effective for several hours. Picaridin, available at 7% and 15 % concentrations, needs more frequent application.
  • DEET formulations as high as 50% are recommended for both adults and children over 2 months of age. Protect infants less than 2 months of age by using a carrier draped with mosquito netting with an elastic edge for a tight fit. There are DEET-free solutions available, but check with the pediatrician for a final recommendation. Protection against mosquito bites is the goal.
  • When using sunscreen, apply sunscreen first and then repellent. Repellent should be washed off at the end of the day before going to bed. Put repellent only on exposed skin and/or clothing and don’t apply repellent to open or irritated skin. Don’t let children handle the repellent. Rather than spraying it directly on children, adults should apply it to their own hands then rub it on the children. Don’t get it near a child’s mouth, eyes or hands and don’t use much around a child’s ears.
  • Wear long-sleeved shirts which should be tucked in, long pants, and hats to cover exposed skin. When you visit areas with ticks and fleas, wear boots, not sandals, and tuck your pants into your socks.
  • Inspect your body and clothing for ticks during outdoor activity and at the end of the day. Wear light-colored or white clothing so ticks can be more easily seen. Removing ticks right away can prevent some infections.
  • Apply permethrin-containing (e.g., Permanone) or other insect repellents to clothing, shoes, tents, mosquito nets, and other gear for greater protection. Permethrin is not labeled for use directly on skin. Check label for use around children. Most repellent is generally removed from clothing and gear by a single washing, but permethrin-treated clothing is effective for up to 5 washings.
  • Be aware that mosquitoes that transmit malaria are most active during twilight periods (dawn and dusk or in the evening). Stay in air-conditioned or well-screened housing, and/ or sleep under an insecticide-treated bed net. Bed nets should be tucked under mattresses and can be sprayed with a repellent if not already treated with an insecticide.
  • Keep baby carriers covered with a mosquito net.
  • Daytime biters include mosquitoes that transmit dengue and chikungunya viruses, and sand flies that transmit leishmaniasis.

Don’t forget to come back for Part 3, where we talk about more fun times for traveling parents.

Share





Travel in Good Health – Part 1 of 3

1 02 2010

Traveling with children, no matter their age, can be a joyful, tiring, exciting, and exhausting endeavor. Traveling with children who get sick on the trip is just plain exhausting and, sometimes, exciting in a way that we don’t want to experience.

Although dealing with illness in the midst of a family trip isn’t ideal, you can take steps to prevent illness before traveling and equip yourself with supplies to make the treatment of illness easier and more comforting.

Prevention is key, and no one does that better than the CDC. This article captures some tips for traveling families from CDC’s website, and a few other places.

If anyone in your travel group has an existing condition that may affect his or her health, it’s important to discuss travel health safety with a healthcare provider.

If you’re traveling outside the United States and you love detail, download a copy of CDC’s Yellow Book . It’s written for healthcare providers, but many people find it useful. Wherever you’re traveling, these suggestions may help you and yours avoid infectious diseases on the road.

There are steps you can take prior to departure that will protect you and your kids, and many things you can do while traveling. First, the pre-departure list:

Time Zones and Rest

If you’re changing time zones, spend a few days just before travel adjusting your sleep/wake periods to match the destination’s time zones. When you arrive, get out during the sunny periods so that you body realizes it’s time to be awake. Good sleep is critical to good health. Make sure everyone gets lots of rest a few days before and then during the trip.

Vaccinations

You and your kids should be up-to-date on currently recommended vaccines in the U.S.

If you’re traveling outside the United States, you need to check the destination country for recommended vaccines for you and your children, and if you have special health concerns, you need to determine which vaccines to get and which you should not have. Not all vaccines recommended for international travel are licensed for children.

Health Notices

If you’re traveling outside the U.S., read the CDC’s Health Notices first to get the latest updates on infectious diseases in various areas of the world. What you learn may affect your travel plans.

First Aid Kits

Prepare a first aid kit for the trip or purchase one from a commercial vendor. This is a sample list, as not all destinations require the same things.

  • 1% hydrocortisone cream
  • Ace wrap
  • Acetaminophen, aspirin, ibuprofen, or other medication for pain or fever
  • Address and phone numbers of area hospitals or clinics
  • Adhesive bandages
  • Aloe gel for sunburns
  • Antacid
  • Anti-anxiety medication
  • Antibacterial hand wipes (including child-safe) or alcohol-based hand sanitizer containing at least 60% alcohol
  • Antibacterial soap
  • Antibiotic for general use or travelers’ diarrhea (azithromycin, cefixime)
  • Antidiarrheal medication (e.g., bismuth subsalicylate, loperamide)
  • Antifungal and antibacterial ointments or creams
  • Antihistamine (such as Benadryl)
  • Antimalarial medications, if applicable
  • Anti-motion sickness medication
  • Commercial suture/syringe kits (to be used by local health-care provider with a letter from your prescribing physician on letterhead stationery)
  • Cotton-tipped applicators (such as Q-tips)
  • Cough suppressant/expectorant
  • Decongestant, alone or in combination with antihistamine
  • Diaper rash ointment
  • Digital thermometer
  • Epinephrine auto-injector (e.g., EpiPen), especially if anyone has a history of severe allergic reaction. Also available in smaller-dose package for children.
  • First aid quick reference card
  • Gauze
  • Ground sheet (water- and insect-proof)
  • High-altitude preventive medication
  • Insect repellent containing DEET (up to 50%)
  • Latex condoms
  • Laxative (mild)
  • Lice treatment (topical)
  • Lubricating eye drops
  • Malaria prophylaxis and standby treatment, as required by itinerary
  • Medications that the child has used in the past year
  • Moleskin for blisters
  • Mosquito netting, if applicable
  • Oral rehydration solution (ORS) packets
  • Personal prescription medications in their original containers (carry copies of all prescriptions, including the generic names for medications, and a note from the prescribing physician on letterhead stationery for controlled substances and injectable medications)
  • Safe water
  • Scabies topical ointment
  • Sedative (mild) or other sleep aid
  • Snacks
  • Sunscreen (preferably SPF 15 or greater)
  • Throat lozenges
  • Tweezers
  • Water purification tablets

Discuss with your family’s pediatrician any special needs your children might have that require you to prepare beyond this basic list. Also, your pediatrician may be able to give you sample sizes of antibiotics and other meds that may be useful for your kit.

Health Insurance

Before traveling, check your health insurance policy to see what it pays for. It will probable reimburse you for most of the cost of emergency medical care abroad, excluding any deductible or co-payment. For non-emergency care overseas, you may be covered, but check with your health plan about this before you leave home. Failure to get authorization may mean denial of reimbursement.

Travel Regulations

Check travel regulations and carry what you can onboard the plane, particularly prescription medication. Put the rest in your checked baggage. Put your first aid kit in a fanny pack or backpack that you take with you everywhere you go. There’s no sense bringing the kit if you don’t have it when you need it.

Now that you’ve done your pre-departure prep, stay tuned for Part 2 for some tips on problems you may encounter on the road.

Share





The Haiti Habit

29 01 2010

Before January 12th, 2010, Haiti was a threadbare and violent country whose citizens lived hard lives. Since that day, many in Haiti find themselves without…without food, potable water, medical care, homes, parents, children, or hope.

When a disaster strikes and wipes out lives, homes, businesses – even governments – the world is quick to give. It’s a lovely tribute to our humanity and illustrates that we are all, at our most basic level, one community.

These past few weeks, kids were giving their allowances and going out to raise more money in their neighborhoods. People who had little to start with and less to spare were giving what they could. Rich individuals and big corporations gave substantial amounts.

And now, the giving has slowed.

Days melt into each other, and the world’s generosity has been much reported. It’s easy to think of Haiti and say to ourselves: “OK, the worst is over, at least it’ll get fixed.”

But, that may not be true. Not this time. This time, we can’t give and move on to the next thing.  Haiti and her people have to be our next everything for at least a year.

Let’s make 2010 – all of 2010 – the year we give to Haiti. Don’t send food or clothes or any items, because there’s no one working in the post office to receive them, no mail carriers to deliver them, and not enough porches left on which to place the packages.

It’s all about the money. With money, infrastructure can be put in place, water and sewer systems established, homes rebuilt, seeds and tools purchased for planting, healthcare resources made permanently available, and more. With money, everything a society needs not just to scrape by, but to thrive can be provided. And with all that, the chance to grow.

Find reputable agencies that have been working in Haiti for several years and give money to them, directing that your donations be put to use in Haiti.

It’s easy to pass off tragedy of this scope as a societal or governmental problem, something that can’t be solved by you or me. But, ask any changemaker what it takes. He or she will tell you that it takes one person, or a small group of friends, or a family, to decide. That’s it, they just have to decide, and then they do.

We’ve decided to make a habit out of Haiti this year. We hope you do the same.

We’ll post any stories or pictures you have about your Haiti habit. It’s going to be a great year.

Share





Sitting Through Life, or How To Die a Slow, Painful Death

27 01 2010

Oh, my achin’ buttocks!  Did you hear the latest?  Apparently, even if we exercise as we should, sitting around on our rear ends all day may kill us.

This could potentially wipe out 50 percent of our staff.  The part-timers are safe, but those of us glued to our ‘puters eight hours a day (or more, because I put in the overtime, unlike some colleagues I could mention, but why go there) are staring death straight in the face, or some other body part, we’re not really sure where to fix our gaze.

Studies are reporting that those of us who perform our jobs sitting down are more likely to be fat (check), have a heart attack (yikes), or even ride that big office chair to the sky.

We cut back on trans fats, we force down whole grains, and some of us even exercise.  And now we find it’s all for naught?

Pass the doughnuts, ’cause I’m sittin’ down.

Share





Kids and Nutrition

25 01 2010

Nurse Mary Beth tells us what works and what doesn’t when it comes to the foods our kids eat.

Listen now!

Right-click here to download podcast (5mb, 10min)


Share





Love Those Critters, But Oh Those Germs.

22 01 2010

We love our pets. They give us unconditional love, cuddle when we want (and sometimes when we don’t), and make us laugh.

They also can be good for our health by reducing stress, improving moods, and lowering blood pressure.

But, our critters can infect us with some nasties – H1N1 is just one (huge) example of that.

To give an idea of what germs may lurk in our pets:

  • There are certain bacteria that live in animals’ guts that can cause infections that bring on diarrhea, abdominal pain, and fever in humans.
  • There is an infection that’s caused by worms that live in dog and cat intestines. People can get these worms by coming into contact with the worms’ eggs in an animal’s infected feces. This is where good hand cleaning can make a big difference in preventing infection. If the eggs get in your mouth and gut, you can get sick with fever, swollen glands, muscle pain, headache, cough, sore throat and rash.
  • A certain parasite is sometimes found in cat feces that can cause an infection that is particularly dangerous to pregnant woman because of the harmful effects to the baby she is carrying.
  • Cat scratch disease (a.k.a. cat scratch fever), tapeworms, and ringworm are also diseases that can be caught from cats and/or dogs.
  • Let’s not forget our avian friends–even those we keep in a cage. You can be exposed to some diseases by inhaling the fungus from bird droppings, ending up with serious problems like brain inflammation and pneumonia.  Parrot fever is transmitted by coming into contact with infected bird poop or dust in bird cages, causing cough, fever and chills. And, let’s not forget avian flu, although that would normally come from outdoor birds.
  • Salmonella can be caught from pets such as lizards, snakes, turtles and frogs.  Most reptiles and amphibians carry Salmonella in their digestive system and feces, and they can also carry it on their skin. People can get sick with Salmonella just from touching the animal or cleaning the cage.
  • Rodent pets such as hamsters, gerbils, and guinea pigs can carry diseases such as rabies and rabbit fever.  Rabies may be transmitted when an infected animal bites you. For rabbit fever and other diseases, you must come into contact with the animal’s urine or feces to get infected.

We need to protect ourselves and our kids from infections. After touching, feeding, or cleaning up a pet’s waste, we should always wash our hands. A good way to protect ourselves is by wearing gloves when we clean the cat’s litter box or a pet’s cage. And, we shouldn’t feed our critters raw meat or let them drink water from the toilet. Doing so can make them sick and they can pass that along to us.

Finally, make sure the pets have all their vaccines!

Share





Antibiotic Resistance

20 01 2010

Nurse Mary Beth explains when, and when not, to use antibiotics.

Listen now!

Right-click here to download podcast (4mb, 9min)


Share





Kids and Exercise

18 01 2010

Physical activity is good for kids. It helps to control weight, reduce blood pressure, and increase HDL (the good kind of cholesterol). It reduces the risk of getting diabetes and some kinds of cancer, and it improves emotional well-being by improving confidence and self-esteem.

How much physical activity do our little darlings need? Current U.S. guidelines suggest 60 minutes or more daily is a good goal for children.

Aerobic activity—the kind of exercise that gets your heart pumping, such as walking or running—should make up most of the 60 or more minutes  per day.

Muscle strengthening should also be a part of the child’s day at least 3 days per week. This would include activities such as gymnastics, climbing trees or playing on a jungle gym.

Activities that strengthen bones, such as jumping rope or running, should also be included at least 3 days per week.

Children are naturally active. They don’t need to lift weights or run on a treadmill to get their exercise or strengthen their muscles. They’ll easily meet their targets for physical activity when they have opportunity for breaks throughout the day to play vigorously at activities that are appropriate for their age, gender, and level of physical and emotional development.

To promote physical activity for your kids, limit the amount of time they spend watching television and playing video games and make physical activity fun.

As a parent (and you knew this was coming), role-model an active lifestyle and provide opportunities for your kids to increase their physical activity.

Share