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.





Flu – The Last Push

18 02 2013

It ain’t over ‘til it’s over!

Following are some ‘in the home stretch’ flu tips and resources from the CDC.

This patient’s brochure is spot-on for this year’s (or next) flu season. And if you’re worried about getting the flu, take a look. It includes tips on prevention and what you can do to make it better, should you become infected.

If you’re a health educator and your message is getting a little tired, here are some free resources, including audio/video, badges, and widgets.

We hope you got a flu shot this season. If not, take this year as a lesson and do so next year and all the years after. The vaccine works for the majority of those who take it. Don’t miss out on this crucial first step in flu prevention.

The US flu season continues; flu-like illness has fallen in the East and risen sharply in the West, so take care for the next month or so.

The timing of flu is very unpredictable and can vary from season to season. Flu activity usually peaks in the US in January or February. However, seasonal flu activity can begin as early as October and continue to occur as late as May.

Symptoms of the flu may include fever, cough, sore throat, runny nose, body aches, headaches, and fatigue.

To find out what’s going on in the world of flu, get timely information at: http://www.cdc.gov/flu/weekly/fluactivitysurv.htm

If you’re infected, get to your provider and start on antivirals.

And next year, as soon as you hear about flu vaccine being available, hightail it to your pharmacy or provider and get vaccinated!





The Trouble With Some Microbes . . .

7 02 2013

Our battle against bacteria is tilting in our favor. After all, we have vaccines and antibiotics on our side. That doesn’t mean we can get cocky. It’s tilting, not surrendering at our feet.

But we’re still struggling to find ways to kill viruses once they’ve infected us.  At best, we can sometimes control them.

Although we can kill viruses on our bodies and other surfaces with disinfectants, it’s difficult to kill them when they’re living inside our cells.  When we’re infected with a virus, it takes up residence in one of our cells and uses the cell’s machinery to reproduce itself.

Developing a drug that will kill the virus without disrupting the intracellular machinery of uninfected cells is no easy task. It’s like playing Jenga—eventually the whole structure will collapse.

poliovirus

Bacteria, on the other hand, generally live outside of our cells and are easier targets.

There are some bacteria that have developed a resistance to not just one drug, say for instance penicillin, but to many such drugs.  They’re known as multi-drug resistant microorganisms such as streptococcus pneumoniae and mycobacterium tuberculosis, germs that we thought were very much under control and are now surging back into the population.

One major factor in preventing us from understanding the world of microbes is the size of that world.

The folks at the University of Georgia College of Agricultural and Environmental Sciences put bacteria into perspective this way, “Bacteria vary somewhat in size, but average about 1/25,000 inch.  In other words, 25,000 bacteria laid side by side would occupy only one inch of space.  One cubic inch is big enough to hold nine trillion average size bacteria—about 3,000 bacteria for every person on earth.

“Bacteria make up the largest group of micro-organisms.  People often think of them only as germs and the harm they do.  Actually, only a small number of [the thousands of different] bacteria types are pathogenic (disease-causing).  Most are harmless and many are helpful.”

Neal Rolfe Chamberlain, professor at the Kirksville College of Osteopathic Medicine, explains viruses in this manner, “Viruses are very small forms of life.  In fact, people still argue over whether viruses are really alive.  Viruses range in size from about 20 to 300 nanometers (nm).  A nanometer is 0.000001 of a millimeter.  A millimeter is 1/25 of an inch.  So in other words, you can place 25,000,000 nanometers in an inch.  If the biggest virus is 300 nm then you could fit 83,333 of that virus in an inch.

“Viruses are major freeloaders.  They cannot make anything on their own.  To reproduce they must infect other living cells.  Viruses infect bacteria, parasites, fungi, plants, animals, and humans.  No one escapes them.  If you have had the flu, chickenpox, measles, a common cold, mono, a cold sore, or a sore throat you have been infected by a virus!”

Some viruses, like HIV and hepatitis C, tend to develop strains that can resist mono drug therapy (treating the patient with one drug at a time).  We have to try and control the viruses with combination, or “cocktail” drugs (treating the patient with several drugs at once), although even that approach does not always work.  Some viruses can keep mutating until we’ve run out of drugs to try.

All this is to say that fighting microbes is seldom a simple task, and seemingly one that is neverending. For example, we have a whooping cough vaccine, but new strains are popping up and new vaccines are needed for this astoundingly infectious microbe.

We will never be rid of our tiny co-inhabitants on this world, and anyway, most of them we want to keep around. It’s those others . . . wouldn’t it be nice to have a jail for nasty microbes?

By PKIDs’ Staff





Why Get The HPV Vaccine?

22 01 2013

HPV is short for human papillomavirus. About 20 million people in the United States, most in their teens and early 20s, are infected with HPV.

Not only does HPV cause almost all cervical cancers in women, it’s also responsible for other types of cancer.  HPV causes mouth and throat cancer, as well as anal cancer in both women and men.

HPV can cause cancers of the vulva and vagina in women, and cancer of the penis in men. In the United States each year, there are about 18,000 women and 7,000 men affected by HPV-related cancers.

Most of the HPV infections that cause these cancers could be prevented with vaccination.

HPV-related cancers can be devastating, as Jacquelyn, a cancer survivor and mother of two preschoolers, attests.

Soon after her second child was born, Jacquelyn was diagnosed with cervical cancer and needed a total hysterectomy.  “My husband and I had been together for 15 years, and we were planning to have more children—that isn’t going to happen now,” says Jacquelyn.

Although they caught Jacquelyn’s cervical cancer early, she still has medical appointments that take time away from her family, friends and work. “Every time the doctor calls, I hold my breath until I get the results. Cancer is always in the back of my mind.”

HPV vaccines offer the greatest health benefits to individuals who receive all three doses before having any type of sexual activity. That’s why HPV vaccination is recommended for preteen girls and boys at age 11 or 12 years.

The connection between vaccinating kids now to protect them from cancer later isn’t lost on Jacquelyn.  “I will protect my son and daughter by getting them the HPV vaccine as soon as they each turn 11.  I tell everyone to get their children the HPV vaccine series to protect them from these kinds of cancers.”

HPV vaccines are given in a series of 3 shots over 6 months.  It is very important to complete all 3 shots to get the best protection. More than 46 million doses of HPV vaccine have been given out, and vaccine studies continue to show that HPV vaccines are safe.

If your son or daughter hasn’t started or finished the HPV vaccine series yet—it’s not too late! Now is a good time to ask their doctor or nurse about vaccines for your preteens and teens. Visit www.cdc.gov/hpv  to learn more about HPV and HPV vaccines.

By the Centers for Disease Control and Prevention





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





Flu Season Is Finally Here – Get Vaccinated

2 01 2013

Flu was a slow starter this season, but it’s finally here. Those who track such things say it’s going to be a doozy of a season. It’s time to get vaccinated, and to make sure everyone in your family is protected!





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.





Healthcare Professionals: Thanks for Vaccinating Yourselves!

3 12 2012

nurseI like nurses and doctors and technicians and assistants and all the folks who, one way or another, try to keep me healthy.

That needed to be said because, in a second, it’s going to seem like I don’t much care for them.

Every year, a few healthcare professionals complain when the order comes down to get a flu shot or wear a mask when seeing patients.

They don’t wanna. Not only don’t they wanna, but their excuses sound, well, uninformed is the most polite way I can think of to say it.

The vaccine isn’t necessary.
The masks scare people.
Nobody can tell them what to do.
The vaccine doesn’t prevent flu.
The vaccine is more dangerous than the flu.
The masks are stuffy.
They don’t wanna.

Kids are required to get certain vaccines to attend public school, and if they don’t, they can’t attend.

The CDC recommends everyone over the age of six months get an annual flu shot.

You can’t get influenza from the flu shot.

It’s puzzling to know what to say to people who are supposed to be more educated than you are about disease prevention.

Granted, there are people at work or shopping in the grocery store who didn’t get the flu shot. They are therefore at risk of getting influenza and passing it on to those who couldn’t get the shot. But, the risk we have to take out here in the big old world isn’t the same as the risk we should be expected to encounter in a healthcare setting.

I say yahoo for the hospitals and clinics holding firm on this issue. To the few in healthcare who skipped the classes on disease prevention: follow the science and provide the minimum standard of care by getting vaccinated or wearing a mask around patients.

Please.

By Trish Parnell

Image courtesy of Lower Columbia College (whose students and staff are all vaccinated, as far as I know)





Flu Education Resources

17 10 2012

The American Lung Association’s Faces of Influenza campaign has a fabulous toolkit available this year that is free-of-charge, along with PSAs that are also free-of-charge.

They have brochures, posters, and flyers ready to print, and they have an influenza backgrounder, templates of articles and letters to the editor, press releases, print ads, and other materials ready to use.

You may download all of these materials, or you may ask that hard copies be sent to you.

There are two campaign spokespeople this year, both of whom are warm and caring individuals—one is Sarah Chalke from the television show Scrubs, and the other is Maria Canals Barrera, from the television show Wizards of Waverly Place.

If you have any questions about the materials, contact Mary Havell at the American Lung Association.

Families Fighting Flu also has materials that may be downloaded and used in flu-fighting efforts. They have posters, postcards, and brochures that may either be downloaded at no cost, or they have hard copies that may be ordered.

The Immunization Action Coalition has handouts about vaccine-preventable diseases and vaccines that may be downloaded from their website free-of-charge.

The Vaccine Education Center at CHOP also has many handouts that are downloadable free-of-charge from their website.

There are lots of other organizations that have free educational material about influenza, including PKIDs.

What materials do you have that you can share with others this flu season? Tell us about them in comments, and leave URLs if you can.

By Trish Parnell
Image courtesy of USACE Europe District








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