CDC – Working 24/7

20 04 2013

Welcome to NIIW!

Every 20 seconds, a child dies from a disease that could be prevented with a safe and effective vaccine. Millions more children survive, but are left severely disabled. Vaccines have the power not only to save, but also transform lives by protecting against disease – giving children a chance to grow up healthy, go to school, and improve their lives.  Vaccination campaigns sometimes provide the only contact with health care services that children receive in their early years of life.

Immunization is one of the most successful and cost-effective health interventions—it currently averts an estimated 2 to 3 million deaths every year in all age groups from diphtheria, tetanus, pertussis (whooping cough), and measles.

cdc blogImmunization is a global health priority at CDC focusing on polio eradication, reducing measles deaths, and strengthening immunization systems. CDC works closely with a wide variety of partners in more than 60 countries to vaccinate children and provide technical assistance to ministries of health to strengthen and expand countries’ abilities to create, carry out, and evaluate their national immunization programs.

Too few people realize that the health of Americans and the health of people around the world are inextricably linked. Viruses don’t respect borders, so they travel easily within countries and across continents. By helping to stop vaccine-preventable diseases (VPDs) globally, CDC is also helping to protect people in the United States against importations of VPDs from other countries.

For example, in 2011, there were 220 reported cases of measles in the United States—200 of the 220 cases were brought into the U.S. from other countries with measles outbreaks.

The most effective and least expensive way to protect Americans from diseases and other health threats that begin overseas is to stop them before they spread to our shores. CDC works 24/7 to protect the American people from disease both in the United States and overseas. CDC has dedicated and caring experts in over 60 countries. They detect and control outbreaks at their source, saving lives and reducing healthcare costs. In 2012, CDC responded to over 200 outbreaks around the world, preventing disease spread to the U.S.

CDC’s global health activities protect Americans at home and save lives abroad. They reduce the need for U.S. assistance and create goodwill and good relationships with global neighbors.

Thanks to the CDC for sharing this information.





Hep B Clinical Trial

16 01 2013

When babies are infected with hepatitis B, chances are they’ll stay infected for life. It becomes a chronic condition.

Some live long lives and their deaths are unrelated to their hep B infection.

Others develop cancer or their liver gives out. And then there are those who have minor symptoms, such as jaundice or fatigue.

You never know what or when or if something’s going to happen.

There’s no wonder drug for this disease. The available treatments are anemic at best, and few get favorable results.

My daughter, who was infected as an infant, has lived with hep B for 13 years. We’ve waited a long time for drugs that might work for her stage of the disease.

Hope has just peeked over the horizon.

NIH is running a clinical trial through a few centers in the US and Canada on children whose hep B infection is at a certain stage.

They’re using a combination of entecavir and pegylated interferon. They’re not looking for a cure, but rather hoping to slow it down. Even the best results wouldn’t remove the hep b virus from the cells. It’s integrated now, and there’s no work being done that’s close to getting it out of the cells it’s infected.

But, if the stars align and results are better than expected, it could be that those who respond to this treatment can relax, knowing hep B needn’t remain on their worry list.

That’s what we want. We all want our kids to live long, happy, healthy lives.

We flew to San Francisco yesterday for blood work and to sign forms. Lots of forms. Dr. Phil Rosenthal is running the trial and Shannon Fleck, the clinical research coordinator at UCSF Benioff Children’s Hospital, is assisting. I’ve known Phil for nearly 20 years and was delighted to see how optimistic he is about this drug combo.

This first step is to determine if my daughter is eligible for participation in the study. Her lab results have to match the criteria set for the trial.

If she is eligible, we fly back down within 30 days and her name goes into a computer, which then spits back out her placement. She’ll either be in the control group (no treatment) or the treatment group.

If she’s in the control group and the study is proving successful, she’ll be allowed compassionate use of the drugs, but that won’t be for two or three years.

That’s where we are—not even past the first hurdle.

I know people who’ve been infected with hep B in their adult years and have died from the disease. And I know people who’ve had cancer or liver transplants, or both—all because of this infection.

There are lots of ways to become infected. The easiest way to prevent infection is to get vaccinated. You, your siblings, your parents, your kids . . . ask your healthcare provider about it.

You can’t fix this with an aspirin.

By Hep B Mom





Flu Infographic

10 01 2013

Flu.gov has this infographic that answers questions we all have. Take it and pass it on!

flu_infographic_lrg





Whooping Cough – How Quickly it Spreads

10 12 2012

This Seattle mom shares the story of her infection, and consequently, that of her newborn son.





Why Vaccinate? I Never Get Sick!

5 11 2012

No matter your age, if you’re sitting in a moving vehicle you’re required to wear a seatbelt or to be in a size-appropriate car seat.

Most states require that anyone riding a bicycle or a motorcycle wear a helmet. And again, it doesn’t matter what age you are.

Kids going to public schools are required to be immunized against several diseases for school entry. How many immunizations they’re required to get depends on the state they live in, and the school they attend.

I suppose I could think up a few public health scenarios that would require adults to be immunized against a particular disease. But as a rule, unless our jobs require it, we adults are exempt from this particular requirement.

There are lots of protections in place for kids, as there should be. For instance, if I don’t feed my daughters, or provide adequate shelter for them, they’ll be taken away from me and placed in a foster home, where they’ll get the care they need. We need that oversight in place, so that no kids fall through the cracks. The heartbreak is that there are still kids falling through the cracks, but we do know that the oversights in place keep that number from being astronomical.

Most adults don’t need that kind of micromanagement when it comes to their health. But, they do need information. Before I became involved with PKIDs, I wasn’t even aware that there were vaccines for adults, other than the flu vaccine.

Now I know.

I don’t have time to get sick. I get vaccinated for me. I also wash my hands, try to get enough sleep, make myself eat green vegetables, and generally do whatever I need to do to keep myself healthy. But because I’ve met and talked with so many families affected by preventable diseases and I know how awful those infections can be, one of my motivations for getting vaccinated is so that I don’t accidentally infect someone else.

For example, it’s the infected adults and teens around babies who infect them with whooping cough, and it’s the infected birth moms who infect their newborns with hepatitis B. Babies infected with whooping cough can end up hospitalized, or worse. And babies infected with hepatitis B usually stay infected for life. This can lead to liver cancer or transplantation—if they’re lucky.

If you’re one of those people who never gets sick and figures you don’t need to be vaccinated—well, who knows, you might be right. But not getting sick is not the same as not being infected. You can and do pass on those germs to little babies who haven’t gotten all of their vaccinations yet, and others whose immune systems are not robust, for one reason or another.

So, you know where I’m going with this. Take just a few minutes the next time you’re at the pharmacy or your doctor’s office and ask what vaccinations you need. Do it for you, but also do it for the vulnerable in your life.

By Trish Parnell





Weekly Flu Update

20 09 2012

In case you couldn’t make the call, here are some notes from the 20 September National Influenza Vaccine Summit call, hosted by Litjen Tan of the AMA:

Scott Epperson from CDC offered this influenza surveillance update

It’s been pretty quiet for seasonal flu, so not much to report. The vaccines we have in the Northern Hemisphere will cover most strains that are circulating, including 2009 H1N1, H3N2, and influenza B.

As for the H3N2v, there have been 305 reported cases so far. The numbers of new cases have dropped dramatically, probably due to the fairs wrapping up around the country, although the strain is still out there, so stay away from the pigs!

New numbers of H3N2v cases are on the CDC website every Friday.

General information on H3N2v can also be found on the CDC website

The Southern Hemisphere is experiencing a more severe flu season than it’s had in several years. The question is, will that hold true for us in the Northern Hemisphere? It’s difficult to say, as H3N2 is circulating more in the South, and they did not have the particular strain in their vaccine this year, although the Northern Hemisphere does have the strain in its current vaccine.

Douglas Shenson reported on his program: Vote & Vax

It’s a fun and impactful program that was initially supported by the Robert Wood Johnson Foundation and is growing each year. It’s easiest to go to the website to get educated about this effort and to find out how you can set up a flu vaccination clinic at or near a polling place.

NFID News Conference

The National Foundation for Infectious Diseases (NFID) is sponsoring a news conference on 27 September at 10am eastern that will serve as the kickoff for the autumn immunization season. The news conference will be live from the National Press Club in Washington, DC, and Dr. Len Novick is the event coordinator.

Dr. Howard Koh, Assistant Secretary for Health at HHS, will announce new data of vaccine coverage from the 2011/2012 season.

Manufacturers’ projections for the coming season and the strains for next season will also be discussed.

Dr. Bill Schaffner, immediate past president of NFID, will moderate the conference, and on the panel will be several physicians representing various professional healthcare associations. Anyone may join the conference on the live feed, although pre-registration is a must. The teleconference number is T: 800-755-1805

Remember to visit the Summit website for the latest on influenza immunization resources! You can find it at: www.preventinfluenza.org.





Germs (and kids) Go Back To School!

27 08 2012

Kids are headed back to school, and all their germs are going with them. This means that germ-swapping is about to take place. Are you ready? Is your child?

Share these three concepts with your kids and their school year is likely to be healthier than years past.

Clean your hands

Use soap and water if possible and if not, use an alcohol-based hand sanitizer with at least 60% alcohol. Clean hands before leaving the house, after you get to school, before you eat, after using the restroom, and anytime your hands are dirty. Important: keep your hands off of your eyes, nose, and mouth, and don’t touch any scrapes or breaks on your skin unless your hands have just been cleaned.

Get immunized

Parents, this one is up to you. Most kids aren’t going to remind you that they need to be vaccinated, so please put it on your schedule to get it done. We don’t have vaccines against every disease, but in combination with clean hands and standard precautions, they’re effective shields against infections.

Practice standard precautions in daily living

Practicing standard precautions means assuming that every person’s blood or body fluid is infected with HIV, HBV, or other bloodborne germs, and then acting accordingly to prevent infection. Since most people who are infected are unaware of their infection status, it’s safest to assume everyone is infected with something and to keep barriers between yourself and another person’s blood or body fluid. This means that you never use your bare hands to touch someone’s blood (or body fluid). You get a towel, or put gloves on, or find something to put between you and the fluid. Kids should simply tell an adult if they see someone who is hurt and know not to touch anything leaking from another person.

If you repeat the messages often enough, the kids will adopt the habit of prevention.

By Trish Parnell
Image courtesy of Johnny Ancich





Hepatitis A, B, C, D, and E

10 05 2012

The month of May is well-used. Mother’s Day is in here. May Day too, of course, along with graduations galore and, not insignificant for us, a date with the IRS that nonprofits shouldn’t miss.

It’s also Hepatitis Awareness month, although World Hepatitis Day is in July. We can’t explain why.

The important part is that we can use this month to remind moms and dads that hepatitis is around and some of it can be prevented by vaccination.

Hepatitis C is a bloodborne virus that attacks the liver. It is not vaccine-preventable. If babies are infected it’s usually from their hepatitis C+ mothers or, and this is unlikely these days, from a blood transfusion. It’s unlikely because the screening process of donated blood is pretty darn thorough. But, germs have slipped through that screening process.

Teens and young adults may become infected, primarily through sharing of needles, sex with an HCV+ person, or sharing personal items such as razors or toothbrushes that may be contaminated with HCV.

There are effective treatments that work on a good portion of hepatitis C-infected children. But not on all infected children. Work is ongoing in this area.

Hepatitis C is frequently a chronic infection, meaning that if treatment is not effective, you will be infected for your lifetime.

Hepatitis A is vaccine-preventable. Normally, it’s passed person-to-person through the fecal-oral route, which is when something you eat or drink has been contaminated with hepatitis A+ poop. If you haven’t been vaccinated, chances are you will become infected.

This virus makes you feel lousy and can, rarely, do serious damage to the body. It does not become a chronic infection. It infects you and then goes away, like a cold virus.

Hepatitis B is vaccine-preventable. It’s transmitted in a lot of ways—mom to newborn, sharing needles or personal items, sex with an infected person, even household (nonsexual) contact. If a mom is aware of her infection prior to giving birth, shots can be given to the baby within 12 hours of birth that are effective at stopping tranmission of the virus from mom to baby. However, when babies are infected, almost half of them in the US will become chronically infected. In developing countries, that figure shoots up to 90 percent.

Today, despite the vaccine, approximately 1,000 babies become chronically infected with hepatitis B each year in the US. Many of the moms-to-be who are infected are unaware of their infection. Every pregnant woman should be tested for hepatitis B so that action can be taken at birth to prevent infection of the newborn.

Hepatitis D is an odd virus. You have to be infected with hepatitis B before you can get hepatitis D. It’s vaccine-preventable in that, if you get immunized against hepatitis B, you won’t be able to get hepatitis D.

Hepatitis E is similar to hepatitis A in the way it is transmitted—the fecal-oral route. It’s rarely a chronic infection. For most people, they get it, get sick, and get over it. It can however be dangerous for pregnant women, with a 10% – 30% fatality rate for this group. It’s not often found in the US but can be easily picked up in some other parts of the world.

That’s about it for hepatitis in the US. To prevent a hepatitis infection (and lots of other infections), wash your hands throughout the day, put barriers between yourself and another person’s blood or body fluid, and use the available vaccines. The trick is to do these things with everyone. It’s impossible to tell who is infected with what, most of the time, so the safest course of action is to assume everyone is infected with something and then act accordingly.

Got any tips? Hope you share them will us in the comments.

By Trish Parnell

Image courtesy of Johns Hopkins





Hey Mom and Dad. Get Vaccinated!

12 04 2012

When I was 32 I got married, had braces put on my teeth, acquired my first pair of reading glasses, and erupted in pimples the size of which I’d not seen on any adolescent.

I was something to look at.

The pimples turned out to be chickenpox. On hearing the news, my shiny new husband smirked, explaining he’d been infected as a child; as if I was somehow lame to get such a disease at my age.

The source of my infection turned out to be my sweet, sick young nephew.

The varicella vaccine was not yet routinely recommended for kids at that time, so I couldn’t blame anyone for not vaccinating the boy. I did try, though.

All this is to say that adults get sick, and sometimes their infections are preventable. It’s now recommended that adults get vaccinated against chickenpox if they have never been infected. And there are a host of other vaccines available to us, although if you are like me, you rarely think about getting immunized against anything other than influenza. We think about the kids, and we worry about our parents, but for ourselves, no.

It’s time to think about us. The National Foundation for Infectious Diseases (NFID) revamped their adult vaccination website and it’s worth a look. On the site you’ll find specifics about the vaccines you may need and details about the diseases those vaccines prevent.

Healthcare professionals weren’t forgotten. There’s a toolkit of ready-to-use resources and listings of more such items, should they be needed.

Bonus: much of the site’s information is presented in English and Spanish.

Take a few minutes this week to email or call your healthcare provider. Find out which vaccines you need and then go in, get vaccinated. Vaccines don’t work 100% of the time on 100% of those who are vaccinated. If we as adults get vaccinated, we will stop many of the incidents of parent-to-child infection. So, if you don’t want to take time for yourselves, take time to get vaccinated for your family.

By Trish Parnell

Image courtesy of sheknows.com





Vaccine Conversations

30 01 2012

Parents have questions about the health and care of their children. It’s normal!

They want to know (for instance) what to give a child who has a high fever, when a multivitamin is appropriate, and if vaccines are safe and necessary.

It’s that last bit that has many of us searching for the words that parents want to hear. When a parent asks if vaccines are safe and necessary, it’s not enough to simply say yes. Parents want more information, and here are a few resources that will help you provide answers.

CDC has a section on their website that addresses the question of how to talk to parents and others about vaccines. There are materials for talking to specific groups, such as college-age students, healthcare workers, or pregnant women. There are materials to share with parents who are choosing not to vaccinate or who have questions about immunization schedules. There’s a one-pager for providers that’s handy to have. Basically, this site has gobs of resources—more than we have room for here—and is worth a long look.

The Colorado Foundation for Medical Care and Every Child by Two have a CE for nurses that offers “practical knowledge and skills on vaccine safety and patient communication.” It’s provided in webinar format and wraps up on 29 November, 2012. Try to get it on your calendars before then.

The Vaccine Education Center at CHOP has an excellent menu of articles written in palatable form for non-scientists. Few explain the facts behind vaccines better than Dr. Paul Offit, the Center’s director. This site is one of our favorites.

Immunization Action Coalition keeps a list of resources for those who speak with parents about vaccines. It’s a good page to bookmark.

We found a nice slideset by a nurse from GSK that provides answers to parents’ questions. It may be something you would want to share with your staff.

At PKIDs, we have several videos of parents sharing their children’s stories. Sometimes it helps to connect parent-to-parent. In addition to PKIDs, there’s ShotByShot, National Meningitis Association, and Families Fighting Flu—all of whom have videos to share.

While poking around, we found many more helpful sites, but when they were boiled down to their essences, the resources provided could be found in one of the sites listed above.

If you know of a site that has materials useful to the vaccine conversation, we’d love to hear from you in the comments.

By Trish Parnell

Image courtesy of Norman Rockwell Museum








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