Preventing a Dog Bite

dogA dog can be a wonderful family pet and loving companion.

But, with the joy of owning a dog there is the responsibility of training and socializing a dog. Children need to learn how to treat a dog; not only their own dog but any dog they may encounter. What follows is a press release that speaks to preventing dog bites.

National Dog Bite Prevention Week  / May 17-23, 2015 Press Release

The American Society for Reconstructive Microsurgery and the American Academy of Pediatrics have joined forces with the U.S. Postal Service, non-profit community, insurance industry and veterinarians to educate the public that dog bites are a serious health issue and are avoidable.  According to the Centers for Disease Control, approximately 4.7 million Americans are bitten by dogs annually – more than half of whom are children. Over the past five years, dog bite injuries are reported to be the 11th leading cause of nonfatal injury in children ages 0-14 in America.

Dog Bite Prevention Week is an ideal time to educate children and adults on how to handle, train and treat dogs. If you are considering getting a dog, talk with a veterinarian about choosing a dog that will fit in well with your family. As a dog owner, you should socialize your new pet, train your dog with commands, vaccinate your dog against rabies? and other diseases, and neuter your dog, as they are less likely to bite.

The American Humane Association reports that 66 percent of bites among children occur to the head and neck. In 2014 approximately 28,500 reconstructive procedures were done to repair dog bites, as reported by the American Society of Plastic Surgeons, which is a 6 percent increase since 2013.

“Even the friendliest dog may bite when startled or surprised. Be cautious; once a child is scarred they are scarred for life,” said Gregory R. D. Evans, MD, FACS, president of the ASRM. “Most children love dogs and like to put their faces up close to the dog’s face. Parents should never permit this. Injuries to the face and hands can be disfiguring or disabling and require prompt, expert medical attention.”

The ASRM and AAP joined this coalition to raise awareness and help prevent devastating, life-changing injuries from dog bites.  Medical experts suggest steps you can take to protect your family from a dog bite:

  • Never leave a baby or small child alone with a dog.
  • Teach your child to see if the dog is with an owner and looks friendly. Then ask the owner for permission to pet the dog. Let the dog sniff your child and have your child touch the dog gently, avoiding the face, head and tail.
  • Tell your child not to bother a dog if it is sleeping, eating or caring for puppies.
  • Tell your child not to run past a dog.

If you’re threatened by a dog, remain calm. Avoid eye contact. Stand still until the dog leaves or back away slowly. If you are knocked down, curl into a ball and protect your face with your hands. If you are bitten by a dog take the following steps immediately:

  • Rinse the bite area with soapy water.
  • Elevate limb(s) that have been bitten.
  • For deeper bites or puncture wounds, apply pressure with a clean bandage or towel to stop the bleeding. Then wash the wound, dry it and cover with a sterile dressing. Don’t use tape or butterfly bandages to close the wound.
  • It’s a good idea to call your child’s physician because a bite could require antibiotics or a tetanus shot.  The doctor also can help you to report the incident.
  • If your child is bitten severely, call 9-1-1 or go to the emergency room.
  • When going to the emergency room, advise the personnel of:

o        your tetanus vaccination status;

o        vaccine status of the dog;

o        who the dog owner is; and,

o        If the dog has bitten before.

 

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Let’s Hear it for Fluoridation!

The Centers for Disease Control(CDC) shares the following update about the success of  water fluoridation.

fluoridation

Community Water Fluoridation 70th Anniversary

 Fluoridation began in 1945.  Each generation has enjoyed better oral health than the previous one. Drink fluoridated water if it is available where you live and use fluoride toothpaste.

This year, the United States marks the 70th anniversary of community water fluoridation, one of public health’s greatest success stories.

Almost all water contains some naturally-occurring fluoride, but usually at levels too low to prevent tooth decay. Water fluoridation is the process of adding a small amount of fluoride to public water supplies to a level known to make teeth stronger and prevent cavities. In 1945, Grand Rapids, Michigan, was the first city in the U.S. to fluoridate its water, and by the early 1950’s, results were clear: Compared to school children from nearby areas that did not fluoridate their water, children in Grand Rapids had fewer cavities.

Since then, water fluoridation has been a major factor resulting in lower rates of tooth decay in the United States, with each generation enjoying better oral health than the previous one. As of 2012, more than 210 million people, or 3 in 4 Americans who use public water supplies, drank water with enough fluoride to prevent tooth decay.

Community Water Fluoridation helps maintain good oral health.

Effective and Safe

Fluoridated water is effective, because it keeps a low level of fluoride in the mouth, specifically in the dental plaque and saliva, all day. Even with the use of other fluoride products, such as toothpaste and mouth rinses, fluoridated water reduces tooth decay by 25% among children and adults. In communities with water fluoridation, school children have, on average, about 2 fewer decayed teeth compared to children who don’t live in fluoridated communities.

That’s important because oral health affects every aspect of our lives—diet, sleep, mental health, social connections, school, and work. Untreated tooth decay can cause pain, school absences, difficulty concentrating, and poor appearance—all contributing to reduced quality of life and ability to succeed.

Fluoridation has been identified as the most feasible and cost-effective method of delivering fluoride to all members of the community, regardless of age, education, or income. These advantages combined with fluoridation’s contribution to dramatic declines in both the prevalence and severity of tooth decay led the Centers for Disease Control and Prevention (CDC) to name water fluoridation as one of ten great public health achievements of the 20th century.

Scientists in the United States and other countries have studied the safety and benefits of fluoridated water for decades, and found no convincing evidence to link water fluoridation and any potential unwanted health effect other than dental fluorosis.

Dental Fluorosis

Dental fluorosis is a change in the appearance of tooth enamel. It can occur when young children (less than 8 years of age) regularly take in fluoride when their permanent teeth are still developing.

Today there are more sources of fluoride, such as toothpaste and mouth rinse, than when fluoridation was first introduced. With greater availability of fluoride, there has been an increase in the dental fluorosis. Most dental fluorosis in the U.S.—more than 90 percent—appears in its milder forms as white spots on the tooth surface that may not be noticed.

To balance the benefits of fluoridation with the chance for dental fluorosis, the US Public Health Service just published an updated recommendation for the optimal level of fluoride in drinking water to prevent tooth decay[403 KB]. The new recommendation sets the level of fluoride in drinking water at 0.7 mg/liter. This new guidance updates and replaces the previous recommended range of 0.7 mg/L to 1.2 mg/L. It is important to note that there is no federal “requirement” to fluoridate. States and local communities decide whether to fluoridate or not. CDC’s Division of Oral Health does provide technical help and training for state fluoridation programs.

Basic Tips for Good Oral Health

Drink fluoridated water if it is available where you live and use fluoride toothpaste. Fluoride’s protection against tooth decay works at all ages. If your drinking water is not fluoridated, ask your dentist, family doctor, or pediatrician if your child needs oral fluoride supplements, like drops, tablets, or lozenges.

 
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Old Enough to Stay Home Alone?

aloneThere are few states that have laws stating how old a child must be before he or she can be left at home alone.

Yet, the National SAFEKIDS Campaign states that no child under 12 should be left home alone, no matter how mature they appear to be. They advise:

While 12 years is the earliest age to even consider that a child can stay home alone, each child is different and may not be ready at 12. Once the decision is made to begin allowing a child to stay at home alone the following suggestions can help insure a safe, comfortable experience for parent and child:

  • Practice by letting your child stay at home for brief periods of time
  • Always leave a phone number where you can be contacted
  • Call your child regularly while they are alone
  • Be sure your child understands your expectations about he or she is to use alone time. Review what is and is not permitted, such as:
    • TV viewing
    • Answer the phone
    • Cooking or making a snack
    • Using the computer
    • Entertaining friends
    • Going out or visit friends
  • Make sure your home is safe for your child:
    • Keep medications in a locked cabinet
    • If you have guns, keep them a locked cabinet
    • Correct anything your child could get hurt on
  • Practice correct behavior in emergencies such as:
    • What to do in an emergency
    • What to do if someone were trying to get into the house or apartment
    • What to do in case of a fire
  • Before you make the decision to try letting your child be home alone, ask your child if he or she feels confident and ready to stay home alone. If he or she is hesitant, hire a sitter and revisit being home alone in six or more months.

Sources: National Child Care Information Center, National SAFEKIDS Campaign, Jennifer Wolf, About.com

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Combating Antibiotic Resistance

antibioticThe Federal Food and Drug Administration (FDA) states that antibiotics resistance is a growing public health concern worldwide.

According to the FDA, when a person is infected with an antibiotic-resistant bacterium, not only is treatment of that patient more difficult, but the antibiotic-resistant bacterium may spread to other people.

For many years we have relied on antibiotics to keep us healthy, sometimes to the point of insisting that we have an antibiotic even when our doctor tell us it is not warranted.

The FDA describes antibiotics as drugs used for treating infections caused by bacteria. Misuse and overuse of these drugs, however, have contributed to a phenomenon known as antibiotic resistance.

This resistance develops when potentially harmful bacteria change in a way that reduces or eliminates the effectiveness of antibiotics.

When antibiotics don’t work, the result can be:

  • longer illnesses
  • more complicated illnesses
  • more doctor visits
  • the use of stronger and more expensive drugs
  • more deaths caused by bacterial infections

Examples of the types of bacteria that have become resistant to antibiotics include the species that cause skin infections, meningitis, sexually transmitted diseases and respiratory tract infections such as pneumonia.

In cooperation with other government agencies, the Food and Drug Administration (FDA) has launched several initiatives to address antibiotic resistance.

The agency has issued drug labeling regulations, emphasizing the prudent use of antibiotics. The regulations encourage health care professionals to prescribe antibiotics only when clinically necessary, and to counsel patients about the proper use of such drugs and the importance of taking them as directed. FDA has also encouraged the development of new drugs, vaccines, and improved tests for infectious diseases.

Antibiotics Fight Bacteria, Not Viruses

Antibiotics are meant to be used against bacterial infections. For example, they are used to treat strep throat, which is caused by streptococcal bacteria, and skin infections caused by staphylococcal bacteria.

Although antibiotics kill bacteria, they are not effective against viruses. Therefore, they will not be effective against viral infections such as colds, most coughs, many types of sore throat, and influenza (flu).

Using antibiotics against viral infections

  • will not cure the infection
  • will not keep other individuals from catching the virus
  • will not help a person feel better
  • may cause unnecessary, harmful side effects
  • may contribute to the development of antibiotic-resistant bacteria

So how do you know if you have a bad cold or a bacterial infection?

Joseph Toerner, M.D., MPH, a medical officer in FDA’s Center for Drug Evaluation and Research, says that the symptoms of a cold or flu generally lessen over the course of a week. But if you have a fever and other symptoms that persist and worsen with the passage of days, you may have a bacterial infection and should consult your health care provider.

Follow Directions for Proper Use

When you are prescribed an antibiotic to treat a bacterial infection, it’s important to take the medication exactly as directed. Here are more tips to promote proper use of antibiotics.

  • Complete the full course of the drug. It’s important to take all of the medication, even if you are feeling better. If treatment stops too soon, the drug may not kill all the bacteria. You may become sick again, and the remaining bacteria may become resistant to the antibiotic that you’ve taken.
  • Do not skip doses. Antibiotics are most effective when they are taken regularly.
  • Do not save antibiotics. You might think that you can save an antibiotic for the next time you get sick, but an antibiotic is meant for your particular infection at the time. Never take leftover medicine. Taking the wrong medicine can delay getting the appropriate treatment and may allow your condition to worsen.
  • Do not take antibiotics prescribed for someone else. These may not be appropriate for your illness, may delay correct treatment, and may allow your condition to worsen.
  • Talk with your health care professional. Ask questions, especially if you are uncertain about when an antibiotic is appropriate or how to take it.

It’s important that you let your health care professional know of any troublesome side effects. Consumers and health care professionals can also report adverse events to FDA’s MedWatch program at 800-FDA-1088 or online at MedWatch.

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Salt and Sugar in Infant and Toddler Foods

toddler

A report published in the journal Pediatrics shares information on a study that evaluated the sodium and sugar content of US commercial infant and toddler foods.

The study reviewed a 2012 nutrient database of 1074 US infant and toddler foods and drinks developed from a commercial database, manufacturer web sites, and major grocery stores. Products were categorized on the basis of their main ingredients and the US Food and Drug Administration’s reference amounts customarily consumed per eating occasion (RACC). Sodium and sugar contents and presence of added sugars were determined.

 The study found that all but 2 of the 657 infant vegetables, dinners, fruits, dry cereals, and ready-to-serve mixed grains and fruits were low sodium (140 mg/RACC). The majority of these foods did not contain added sugars; however, 41 of 79 infant mixed grains and fruits contained 1 added sugar, and 35 also contained >35% calories from sugar. Seventy-two percent of 72 toddler dinners were high in sodium content (>210 mg/RACC). Toddler dinners contained an average of 2295 mg of sodium per 1000 kcal (sodium 212 mg/100 g). Savory infant/toddler snacks (n = 34) contained an average of sodium 1382 mg/1000 kcal (sodium 486 mg/100 g); 1 was high sodium. Thirty-two percent of toddler dinners and the majority of toddler cereal bars/breakfast pastries, fruit, and infant/toddler snacks, desserts, and juices contained 1 added sugar.

Commercial toddler foods and infant or toddler snacks, desserts, and juice drinks are of potential concern due to sodium or sugar content.

Study researchers advise physicians to speak to parents about carefully reviewing nutrition labels when selecting commercial toddler foods, and to limit salty snacks, sweet desserts, and juice drinks. They add that reducing excessive amounts of these ingredients from birth to 24 months can lead to better infant and toddler health now and as they grow.

 

 

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