Furniture that can tip is an accident waiting to happen. It a potential source of serious injury for a young child.

In a recent press release, Dr. Alex Rosenau, president of the American College of Emergency Physicians, spoke to the need to inventory our living space for potential sources of tipping and falling objects. He said, “Every parent or guardian of a young child should look around their homes and imagine what could tip over, fall off walls, and injure a child.  Imagining it is better than it becoming a reality.”

The nation’s emergency physicians handle tragic situations too often, but few things are more upsetting than the sudden death of a child killed by a piece of a furniture, appliance or a television falling on them.

About 43,000 people annually were treated in emergency departments between 2009 and 2011 as a result of objects tipping over (such as televisions, dressers, file cabinets, large appliances,) according to the Consumer Product Safety Commission.  Sixty-percent of those emergency visits were from children. In that time span 294 children died–ranging from one-month to 8-years-old.

How to Prevent  Furniture Injuries in Your Home:

• Properly secure all furniture (especially with shelves, drawers and doors) to walls and remove furniture that is top-heavy and cannot be secured.  Check with home improvement stores or child retail stores and ask experts what they recommend.
• Secure all computer monitors.
• Keep television and computer equipment low to the ground.
• Do not place any objects on top of a television.
• Place heavy and often-used items low to the ground.
• Secure or remove artwork that could potentially fall and injure a child, like a sculpture or large painting.
• Secure appliances such as refrigerators, ovens and microwaves, from tipping over.
• If you have a mounted television, make sure it’s in a place that’s out or reach for a young child.
• Put up safety gates to keep young children from rooms that have may have greater risks.

“Telling a child not to touch or climb on something is not enough, said Dr. Rosenau.  “You must take the first steps to prevent tragedy from happening in your home – by childproofing each room they are in.”

SOURCE American College of Emergency Physicians (ACEP)

ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies.

The FDA warns about feeding our pets raw foods. In a recent article, this is what they had to say about what can occur when we do.

Raw pet food consists primarily of meat, bones, and organs that haven’t been cooked, and therefore are more likely than cooked food to contain organisms that can make your dog or cat sick, says William J. Burkholder, DVM, PhD, Veterinary Medical Officer in the Food and Drug Administration’s (FDA’s) Division of Animal Feeds. Moreover, raw food can make you sick as well if you don’t handle it properly. FDA does not believe feeding raw pet foods to animals is consistent with the goal of protecting the public from significant health risks.

The agency therefore recommends cooking of raw meat and poultry to kill harmful bacteria like Salmonella and Listeria monocytogenes before you give the food to your pets. And as always, when working with food, you should follow FDA’s instructions on how to handle it safely.

Salmonella bacteria are commonly found in such foods as raw or undercooked meat, poultry, eggs and egg products. Salmonella can also contaminate raw or unpasteurized milk and other dairy products, as well as raw fruits and vegetables.

Burkholder says people who choose a raw diet for their pets often point out that feral dogs and cats catch prey and eat it raw. “That’s true,” he adds, “but we don’t know how many of these animals get sick or die as a result of doing that. Since sick feral animals are rarely taken to a veterinarian when they’re ill, there’s no way to collect that information.”

Symptoms of salmonellosis in animals include:

• Vomiting
• Diarrhea (which may be bloody)
• Fever
• Loss of appetite
• Decreased activity level

Listeria bacteria are commonly found in uncooked meats, vegetables and unpasteurized milk and soft cheeses. Unlike most bacteria, Listeria like cold temperatures and can grow and spread in the refrigerator. So if you refrigerate Listeria-contaminated food, the germs not only multiply at the cool temperature, they could contaminate your refrigerator and spread to other foods there, increasing the likelihood that you and your family members would be exposed to Listeria and get sick.

Symptoms of listeriosis in animals include:

• Nausea
• Diarrhea
• Fever
• Neurological disease can happen in a small percentage of situations

Consumers also run the risk of getting sick if they handle contaminated pet foods and accidentally transfer the bacteria to their mouths.

“If you’re going to handle raw foods, you need to pay particular attention to good hygienic practices,” Burkholder says. “Wash your hands and anything else that comes into contact with the product with hot, soapy water for at least 20 seconds.” Feeding raw food to a pet also increases the risk of contaminating food contact surfaces and other places.

“Even if the dog or cat doesn’t get sick, they can become carriers of Salmonella and transfer the bacteria to their surroundings, and then people can get the disease from contact with the infected environment,” Burkholder says.

Once Salmonella gets established in the pet’s gastrointestinal tract, the animal can shed the bacteria when it has a bowel movement, and the contamination will continue to spread.

Salmonella infection (salmonellosis) symptoms in humans include:

• Fever
• Nausea
• Vomiting
• Diarrhea (which may be bloody)
• Stomach pain
• More rarely: entry of Salmonella into bloodstream from intestines, followed by spread to joints, arteries, heart, soft tissues, and other areas of body

Symptoms associated with salmonellosis most often begin 12 hours to 3 days after ingestion of the bacteria and can last 4 to 7 days without treatment. All consumers are at risk for contracting salmonellosis from contaminated foods, but pregnant women, children under five, the elderly and those with weak immune systems are at risk of developing severe symptoms.

Compared to salmonellosis and other foodborne illnesses, infection with Listeria monocytogenes (listeriosis) is rare, but has serious and potentially fatal risks.

Listeria can infect multiple locations in the body:

• The brain
• Membranes surrounding the brain and spinal cord
• Gastrointestinal tract
• Bloodstream

Symptoms associated with listeriosis begin 11 to 70 days after coming in contact with the bacteria, with a mean (or average) of 31 days, and they can last up to a few weeks. Listeriosis occurs almost exclusively in pregnant women and their fetuses, newborns, the elderly and those with weak immune systems. Listeriosis can cause life-threatening infection in a fetus and newborns, as well as in persons with weakened immune systems, although the infection can often be treated with antibiotics.

“Feeding raw foods to pets increases the risk that both the pet and the people around the pet will encounter bacteria that cause foodborne illness, particularly if the products are not carefully handled and fed,” Burkholder says. “This is certainly one factor that should be considered when selecting diets for your pet.”

This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.

June 30, 2014

With summer comes the need to be aware of the places that snakes usually inhabit.

The University of Alabama at Birmingham recently treated its first snakebite case of the season, noted Dr. Janyce Sanford, chair of the university’s department of emergency medicine.

“That is a usual pattern. As soon as the weather starts to warm up, snakes begin to get active and we begin seeing a bite or two. Still, we only see a few each spring, and people have a much greater chance of being stung by a bee or wasp or being bitten by a tick than being bitten by a snake,” Sanford said in a university news release.

If you’re in the woods or near rivers and creeks, keep an eye out for snakes and wear boots and long pants, she warned. It’s also a good idea to carry a cellphone.

“Get to an emergency department as quickly as you safely can, and that can often be accomplished by calling 911,” Sanford said. “Snap a picture of the snake with the cell phone if possible, but leave the snake behind. The last thing we need in a crowded emergency room is a snake, dead or alive.”

Emergency doctors do not need to see the snake that caused the bite. A large number of bites are dry — with no venom injected — or are from nonpoisonous snakes, Sanford noted. By monitoring the wound for a few hours, doctors can tell if venom is present, and appropriate antivenin can then be given to the patient.

Most bites by snakes are not fatal. Those at higher risk include the elderly, very young children and people with underlying medical problems”, Sanford said.

More information:

The U.S. National Library of Medicine has more about snakebites.

SOURCE: University of Alabama at Birmingham, news release, April 24, 2014

Here comes summer complete with walks in the woods, camping, and other outdoor activities that can bring children in contact with turtles and other reptiles. The Centers for Disease Control, CDC want you to be aware of the germs that turtles and reptiles may carry that can make people sick.

According to the CDC turtles and other reptiles are risky pets.

Turtles are colorful and cute and are often kept as pets. However, many people don’t know that turtles and other reptiles like snakes and lizards can carry harmful germs that can make people very sick. For this reason, turtles and other reptiles might not be the best pets for your family, particularly if there are young children, 5 years-old and younger, or people with weakened immune systems in your home.

Turtles, and other reptiles, often carry a germ called Salmonella, but appear perfectly healthy and clean. People think these infections are caused only by contaminated food, but these germs can also be caught by touching animals, including reptiles or amphibians, such as frogs. Salmonella infections can also result from having contact with an animal’s habitat, including the water from containers or tanks where they live.

Salmonella germs can make people sick with diarrhea, vomiting, fever, and sometimes abdominal cramps. This illness is called “salmonellosis.” Some people can become so sick that they need to go to the hospital. In severe illnesses, the Salmonella bacteria may spread to the bloodstream and can lead to death unless the person is treated promptly with antibiotics.

Young children are at increased risk for Salmonella illness because their immune systems are still developing. They also are more likely to put their fingers or other items that have come into contact with germs into their mouths. So, families with young children should avoid keeping turtles as pets, and turtles should not be allowed in schools or child care facilities with young children.

Since 1975, it has been illegal in the United States to sell or distribute small turtles with shells that measure less than 4 inches in length. This size was chosen because young children are more likely to treat smaller turtles as toys and put them in their mouths. This ban, enforced by the U.S. Food and Drug Administration, likely remains the most effective public health action to prevent Salmonella infections associated with turtles.

Since 2006, CDC has received reports of 11 multistate outbreaks, including 6 ongoing outbreaks, and more than 535 cases of laboratory-confirmed Salmonella infections linked to contact with small turtles and their habitats. These illnesses resulted in about 85 hospitalizations and one death. Because many people with salmonellosis do not seek medical care or are not tested, it is estimated that 16 times as many illnesses occurred than were reported.

Tips to reduce the risk of illness from turtles and other reptiles:

1. Don’t buy small turtles from street vendors, websites, pet stores, or other sources.

2. Wash your hands thoroughly with soap and warm water immediately after touching a reptile or anything in the area where they live and roam. Use hand sanitizer if soap and water are not readily available. Adults should always supervise hand washing for young children.

3. Don’t let young children handle or touch reptiles or anything in the area where they live and roam, including water from containers or tanks.

4. Keep reptiles out of homes with young children or people with weakened immune systems.

5. Reptiles should not be kept in child care centers, nursery schools, or other facilities with young children.

6. Don’t touch your mouth after handling reptiles and do not eat or drink around these animals.

7. Don’t let reptiles roam freely throughout the house or in areas where food or drink is prepared, served, or stored, such as kitchens, pantries, or outdoor patios.

For more information on protecting yourself and your family from illness and to learn more about safely cleaning reptile habitats, please visit http://www.cdc.gov/Features/SalmonellaFrogTurtle/

March 16 through 22^nd  was National Poison Prevention week.

Did you know that roughly 2.4 million Americans are poisoned every year, according to the American Academy of Pediatrics, with more than half under the age of six years? In fact, 9 out of 10 poison episodes occur at home.

Safe Kids Worldwide shares the following tips on keeping your home poison proof:

• Keep Cleaners and other toxic products out of reach. Store all household products out of children’s sight and reach. Young kids are often eye-level with items under the kitchen and bathroom sinks. So any bleach, detergents, dishwasher liquid or cleaning solutions that are kept there should find a new storage location.
• Install child safety locks on cabinets where you have stored poisonous items. It only takes a few minutes, and it gives you one less thing to worry about.
• Read product labels to find out what can be hazardous to kids. Dangerous household items include makeup, personal care products, plants, pesticides, lead, art supplies, alcohol and carbon monoxide.
• Don’t leave poisonous products unattended while in use. Many incidents happen when adults are distracted for a moment on the phone or at the door.
• Keep cleaning products in their original containers. Never put a potentially poisonous product in something other than its original container (such as a plastic soda bottle) where it could be mistaken for something else
•  Throw away old medicines and other potential poisons. Check your garage, basement and other storage areas for cleaning and work supplies you no longer need and can discard.
• Check your purse for potential hazards. Be aware of any medications or makeup that may be in your handbag. Store handbags out of the reach of young children. Use original, child-resistant packaging
• Buy child-resistant packages when available.
• Keep medicines up and away. Make sure that all medications, including vitamins, are stored out of reach and out of sight or children. Even if you are tempted to keep the medicine handy because you have to give another dose in a few hours, don’t leave it on the counter between dosing. Always put medicines and vitamins away after every use.
• Have Poison Control on Speed Dial!Program the toll-free number for the Poison Control Center (800-222-1222800-222-1222) into your home and cell phone and post it near your phone or on your refrigerator for the babysitter. Hopefully, you’ll never need it, but it’s nice to have just in case. Poison control centers offer fast, free, confidential help in English and Spanish. Most poisonings are resolved over the phone. The number works from anywhere in the United States 24 hours a day, seven days a week.
•  If you suspect your child has been poisoned, call poison control. If your child has collapsed or is not breathing, call 911.  Do not make the child vomit or give him anything unless directed by a professional.
• Check for Lead. Check homes built before 1978 for lead-based paint. If lead hazards are identified, test your child for lead exposure and hire a professional to control and remove lead sources safely. Remove any peeling paint or chewable surfaces painted with lead-based paint.
•  Regularly wash your child’s toys and pacifiers to reduce the risk of your child coming into contact with lead or lead-contaminated dust.  Check www.recalls.gov for more info on product recalls involving lead-based products. Follow the recommendations to eliminate any products such as toys or cookware that contain lead.
• Install a Carbon Monoxide Alarm and Identify Signs of Poisoning ! Install a carbon monoxide alarm on every level of your home, especially near sleeping areas, and keep them at least 15 feet away from fuel-burning appliances.

For more information go to www.safekids.org