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Pertussis is on the Rise in the U.S.

pertussisPertussis (Whooping Cough) is a serious and highly contagious disease. It is on the rise again in the U.S. The following message,about Pertussis, is from the Centers for Disease Control (CDC).

Pertussis Vaccine Protection

There is high pertussis vaccine coverage for children nationwide. However, protection from the childhood vaccine decreases over time. Preteens, teens and adults need to be re-vaccinated, even if they were completely vaccinated as children.

Also, pertussis vaccines are very effective but not 100% effective [PDF – 140KB]. If pertussis is circulating in the community, there is still a chance that a fully vaccinated person can catch this very contagious disease. When you or your child develops a cold that includes a prolonged or severe cough, it may be pertussis. The best way to know is to contact your doctor.

Pertussis Symptoms

Pertussis can cause serious illness in infants, children and adults. The disease starts like the common cold, with runny nose or congestion, sneezing, and maybe mild cough or fever. But after 1–2 weeks, severe coughing can begin.

Unlike the common cold, pertussis can become a series of coughing fits that continues for weeks. Pertussis can cause violent and rapid coughing, over and over, until the air is gone from the lungs and you are forced to inhale with a loud “whooping” sound. In infants, the cough can be minimal or not even there.

Pregnant? Protect Yourself & Your Baby from Pertussis

When the source of whooping cough was identified, mothers were responsible for 30-40% of infant infections.

If you have not been previously vaccinated with Tdap (the whooping cough booster shot), talk with your doctor about getting one dose of Tdap, preferably during the third trimester or late second trimester. Learn more about vaccine protection for pertussis.

Infants may have a symptom known as “apnea.” Apnea is a pause in the child’s breathing pattern. If your baby is having trouble breathing, take him to a hospital or doctor right away.

Disease Complications

Pertussis is most severe for babies; more than half of infants younger than 1 year of age who get the disease must be hospitalized. About 1 in 4 infants with pertussis get pneumonia (lung infection), and about two thirds will have slowed or stopped breathing. Pertussis can be deadly for 1 or 2 infants per 100 who are hospitalized. Learn how pertussis can be treated.

How Pertussis Spreads

People with pertussis usually spread the disease by coughing or sneezing while in close contact with others, who then breathe in the pertussis bacteria. Many infants who get pertussis are infected by parents, older siblings, or other caregivers who might not even know they have the disease.

Pertussis Trends

Reported cases of pertussis vary from year to year and tend to peak every 3-5 years. In 2010, 27,550 cases of pertussis were reported in the U.S.—and many more cases go unreported. Twenty-seven deaths were reported – 25 of these deaths were in children younger than 1 year old.

Preventing Pertussis

The best way to prevent pertussis is to get vaccinated. Parents can also help protect infants by keeping them away as much as possible from anyone who has cold symptoms or is coughing.

Vaccine Recommendations

For Infants and Children: In the US, the recommended pertussis vaccine for children is called DTaP. This is a safe and effective combination vaccine that protects children against three diseases: diphtheria, tetanus, and pertussis.

For maximum protection against pertussis, children need five DTaP shots. The first three shots are given at 2, 4, and 6 months of age. The fourth shot is given at 15 through 18 months of age, and a fifth shot is given when a child enters school, at 4 through 6 years of age. If a 7-10 year old is not up-to-date with DTaP vaccines, a dose of Tdap should be given before the 11-12 year old check up.

For Preteens and Teens: Vaccine protection for pertussis, tetanus, and diphtheria can decrease with time. Preteens going to the doctor for their regular check-up at age 11 or 12 years should get a booster vaccine, called Tdap. Teens and young adults who didn’t get a booster of Tdap as a preteen should get one dose when they visit their health care provider.

For Pregnant Women: Pregnant women who have not been previously vaccinated with Tdap should get one dose of Tdap during the third trimester or late second trimester – or immediately postpartum, before leaving the hospital or birthing center. By getting Tdap during pregnancy, maternal pertussis antibodies transfer to the newborn, likely providing protection against pertussis in early life, before the baby starts getting DTaP vaccines. Tdap will also protect the mother at time of delivery, making her less likely to transmit pertussis to her infant.

For Adults: Adults 19 years of age and older who didn’t get Tdap as a preteen or teen should get one dose of Tdap. Getting vaccinated with Tdap at least two weeks before coming into close contact with an infant is especially important for families with and caregivers of new infants.

The easiest thing for adults to do is to get Tdap instead of their next regular tetanus booster—the Td shot that is recommended for adults every 10 years. The dose of Tdap can be given earlier than the 10-year mark, so it’s a good idea for adults to talk to a health care provider about what’s best for their specific situation.

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Child Obesity: A Growing Problem

The following article, on the growing problem of childhood obesity, is a reprint of a article written by Staci Marks, a researcher and writer.

The article was published on May 2nd on

http://www.healthinsurancequotes.org/child-obesity-a-growing-problem/

obesityWhen you were growing up did you ever worry about what you were eating or about your physical appearance? Childhood obesity is a growing problem in the United States and more families are having to worry about the health of their children. It is now estimated that one in three children in the U.S. is either overweight or obese. This growing issue can be attributed to many factors. By understanding the issues we can help our children learn the benefits of proper nutrition and exercise.

Effect of Socioeconomic Status

Times have been hard for millions of Americans. Some people have to take any job that they can get or work multiple jobs to make ends meet. These hardships can enforce bad habits in how the family operates and how they look at a meal.

Though research has suggested that obesity rates may be going down, it appears that there is a measurable gap in rates of obesity in different socioeconomic statuses. It can often be hard for families to put food on the table consistently. Due to this reasoning there may be parents wanting their kids to eat as much as they can when there is guaranteed food if they do not know where the next meal will come from.

Also, since obesity causes health issues, we are seeing higher economic classes lower their rates. This can be attributed to the fact that they are paying for their personal insurance and do not want to deal with the rising rates unlike someone who might receive government help for health care. If there is not a way that we correct this problem, then we may see that obesity will continue widening the socioeconomic gap.

Does TV Play a Role?

The obvious answer is yes, but it is important to understand how TV plays a role in obesity. One of the most important ways that it affects children is through advertising. Recently researchers have looked at how many fast food restaurants and meals individuals could correctly guess when they removed the restaurant image. It was proven that the overweight and obese samples were able to correctly identify the food more consistently versus those individuals who were not.

Another way that TV affects obesity is that parents often have to rely on TV to entertain their children if they are busy working. Due to this, children are now spending more time in front of the TV rather than playing outside or doing other physical activities.

Is the Government Helping or Hurting?

As Americans we should expect that our representatives will battle for the issues that matter to us.

Since obesity is a problem that is affecting our children, we should count on parents to make smarter decisions for their children, and for the government to regulate the foods that are available to our children.

Think about school lunches for example, we want them to be as nutritious as possible. The problem with that is that the government provides meals for many students for free. Since this costs them lots of money they have unfortunately looked at alternative methods.

One current controversial move was the purchase of more than 7 million pounds of ammonia-treated meat for their meals. This meat, now referred to as “pink slime,” has been rejected by several fast food giants but was somehow deemed okay by the government.The decision was defended by the USDA, which swears that the food was safe. Talk about timing, the decision to buy the meat was announced after the government demanded new regulations on school lunches. They are now calling for more whole grains, produce, and less sodium and fat. The health fight seems to be on everyone’s mind in Washington.

First Lady Michelle Obama has pushed a child obesity campaign that will include better nutrition and daily exercise for our children. She also teamed up with The Biggest Loser to promote a healthier lifestyle.

Unfortunately, it seems that money is still the determining factor in Washington. Food and beverage companies continue to beat out government proposals.

  1. Secret Sabotage: Congress recently rejected a plan that would lower sugar, salt, and fat in the food that was marketed towards children.
  2. School Lunch Nutrition: In addition to buying pink slime, Congress recently declared pizza a vegetable so that it could continue to stay in the school lunch programs
  3. Lucky Streak?: Interestingly enough, the food and beverage industry has a near-perfect record when it comes to battling the health authorities and government
  4. Defeat: More than 24 states and five cities have tried to established a “soda tax.” Every time it was either dropped or defeated.

It is time that we stop making excuses for this growing obesity problem and think about our kids. As parents we should want the best for them and their well-being. The health tips that we teach them now are going to shape how they function for the rest of their lives. If we teach them the importance of a healthy lifestyle then we will all benefit in the end.


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What Do You Know About Asthma?

asthmaMay is Asthma Awareness Month. Health and Human Services Secretary Kathleen Sebeliusa issued a statement asking us to consider what we can do better, as individuals and as a nation, in managing one of the most common lifelong chronic diseases.

In her statement she reports:

  • More than 25 million Americans have asthma, including 7 million children.
  •  Children with asthma missed more than 10 million days total of school in 2008.
  • Medical expenses associated with asthma are estimated at $50 billion annually.
  • It is critical to take the necessary steps to reduce asthma attacks.
  • Successful asthma management includes: knowing the warning signs of an attack, avoiding things that may trigger an episode and following the advice of your health care provider.

The U.S. Department of Health and Human Services is working to raise awareness about asthma and to provide tools to help families and communities get the information they need:

  • Having access to high-quality affordable health care is a must for asthma suffers.
  • As a result of the Affordable Care Act, the 7 million children who have asthma cannot be denied health coverage now by insurance companies on the basis of a pre-existing condition. In 2014, that fundamental protection will be afforded to adults with asthma as well.
  • We know that African-American children visit emergency departments for asthma care more often than Caucasian children, and that Latino children are less likely to see a doctor for routine office visits than non-Latino Caucasian children. While we’ve made progress in reducing disparities over the years, more needs to be done. That is why the health care law and Recovery Act investments are expanding the capacity of community health centers to care for the most vulnerable Americans regardless of their ability to pay.
  • The Centers for Disease Control and Prevention is working with communities and schools to develop the tools they need to make their environments healthier for children with asthma.  Three Louisiana school districts, for example, have adopted indoor and outdoor air policies, such as requiring school buses to turn off their engines while idling. Rhode Island families have gotten help in learning how to manage their children’s asthma from the new Home Asthma Response Program, which identified potential participants during asthma-related emergency room visits.
  • The National Asthma Education and Prevention Program–coordinated by the National Institutes of Health–promotes improved asthma care and control through a focused outreach effort centered on written asthma action plans.  These plans are a recommended but underutilized tool for managing asthma long-term and handling symptoms. These efforts include coordination with other federal agencies and key stakeholders and activities to promote resources and educational materials.

Secretary Sebeliusa concludes her statement by asking that we all learn what each of us and our communities can do to reduce the physical, social, and financial costs of asthma.

For more information, see http://www.cdc.gov/asthma/ and http://www.nhlbi.nih.gov/about/naepp.

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More About Vaccination Safety for Children

childrenDespite government and personal physician reassurances on vaccination safety there are parents still parents who are reluctant to get their children vaccinated.

Here are some frequently asked parent questions about vaccination safety and the answers from the NYC Dept of Health and Mental Hygiene.

Why should I get my children immunized? I thought no one gets these diseases anymore.

• Many childhood diseases are no longer common because of vaccines. But the germs that cause most of these diseases are still around. Between 2008 and 2011, about 700 New Yorkers each year got sick from vaccine-preventable diseases.
• When vaccination rates are low, these diseases can come back and spread quickly.
• In Europe, a measles outbreak spread through 30 countries in 2011, with more than 26,000 people infected. The outbreak was mainly due to low immunization rates.
• In 2011, almost 225 people contracted measles in the U.S., with 25 in New York City alone, mostly children and adults who had not been vaccinated.

Is it okay for my children to get so many vaccines at once?

• Yes. Children are exposed to thousands of germs every day. The killed or weakened germs in vaccines are very few compared to the millions of germs children fight off each day.

• Talk to your child’s doctor about combination vaccines, which protect against more than one disease with a single shot. They can reduce the number of shots and office visits your child will need.

I’ve heard it’s safer to skip some vaccines or wait to get my children vaccinated. Is this true?

No. If you skip some vaccines or wait to get your child vaccinated, you put your child at risk. Your child could get very sick or even die from a serious disease that could have been prevented.
• Children should get the recommended vaccinations at the right age and on time.

For More Information About Vaccinations for Children: American Academy of Pediatrics: aap.org,Vaccine Education Center at the Children’s Hospital of Philadelphia: vaccines.chop.edu, Parents of Kids with Infectious Diseases: pkids.org, Immunization Action Coalition: immunize.org, Every Child By Two: ecbt.org

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Why are Fast Foods So Salty in U.S.and Canada ?

Did you ever read the salt content of fast foods? Scary! What is even scarier is the news that the same fast foods sold abroad have less salt in them.

According to a study that appeared in the April 16 issues of the  Canadian Medical Association’s journal, CMAJ there are significant differences in the amount of salt in fast foods sold in fast-food restaurants in the U.S., Canada and other countries.

Study researchers examined the salt content of more than 2,100 food items in seven product categories sold by Burger King, Domino’s Pizza, Kentucky Fried Chicken, McDonald’s, Pizza Hut and Subway in the United States, Canada, Australia, France, New Zealand and the United Kingdom.

fastResearchers found that McDonald’s fast food Chicken McNuggets in Canada contained 2.5 times more sodium than those in the United Kingdom. There were 600 milligrams of sodium (1.5 grams of salt) in a 3.5-ounce serving in Canada, but the same serving size in the United Kingdom contained 240 milligrams of sodium (0.6 grams of salt).

Norman Campbell, of the University of Calgary, and colleagues, said in a journal news release that”Canadian companies indicate they have been working to reduce sodium but the high sodium in these foods indicates voluntary efforts aren’t working.

These high levels indicate failure of the current government approach that leaves salt reduction solely in the hands of industry,” the researchers reported. “Salt-reduction programs need to guide industry and oversee it with targets and timelines for foods, monitoring and evaluation, and stronger regulatory measures if the structured voluntary efforts are not effective.”

The researchers concluded,”Decreasing salt in fast foods would appear to be technically feasible, and is likely to produce important gains in population health — the average salt levels of fast foods are high, and these foods are eaten often.”

SOURCE: Canadian Medical Association Journal, news release, April 11, 2012

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