Chickasaw County Public Health and Home Care Services will be at the New Hampton Trade Show on March 9, 2014 from 9:00 am to 3:00 pm at the New Hampton High School Gym. We will be doing Blood Pressure Checks, O2 Levels, Information given out on Quit Line Tabacco Services, Home Health Care and much more. Stop and see us there.
The President's Cancer Panel recently released a report titled Accelerating HPV Vaccine Uptake: Urgency for Action to Prevent Cancer. The following is a summary from the Panel's website:
Human papillomaviruses (HPV) cause most cases of cervical cancer and large proportions of vaginal, vulvar, anal, penile, and oropharyngeal cancers. HPV also causes genital warts and recurrent respiratory papillomatosis. HPV vaccines could dramatically reduce the incidence of HPV-associated cancers and other conditions among both females and males, but uptake of the vaccines has fallen short of target levels. The President's Cancer Panel finds underuse of HPV vaccines a serious but correctable threat to progress against cancer. In this report, the Panel presents four goals to increase HPV vaccine uptake: three of these focus on the United States and the fourth addresses ways the United States can help to increase global uptake of the vaccines. Several high-priority research questions related to HPV and HPV vaccines also are identified.
"Dear Colleague" letter: Give a strong recommendation for HPV vaccine to increase uptake!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Q&A Flu Vaccine Effectiveness Estimates for 2013-14 Season
How does CDC determine how well the flu vaccine is working this season?
CDC conducts studies each year to estimate how well the flu vaccine protects against having to go to the doctor because of flu illness. This season CDC is publishing information about how well the flu vaccine is working in the United States at two different times during the season: the middle and end of the flu season. CDC's estimates of the benefits of flu vaccine (also known as vaccine effectiveness or "VE" for short) are based on information CDC collects as the flu season progresses. Throughout the flu season, CDC collects data through the U.S. Influenza Vaccine Effectiveness (Flu VE) Network. The U.S. Flu VE Network is composed of five dedicated sites across the United States, and CDC experts analyze data from these sites to determine how well the flu vaccine works in different age groups, and how well it works against the specific flu viruses that are spreading and causing illness. CDC's estimates of vaccine effectiveness can change over time as more information is collected.
Why does CDC publish estimates of flu vaccine effectiveness?
CDC's publishes estimates of vaccine effectiveness to help inform prevention and treatment decisions made by doctors and other health care practitioners during the flu season.
What are CDC's current estimates of flu vaccine effectiveness this season?
CDC's mid-season VE estimates were published on February 20, 2014, in a Morbidity and Mortality Weekly Report entitled: "Interim Estimates of 2013-14 Seasonal Influenza Vaccine Effectiveness—United States." At the end of the season, CDC will provide a comprehensive estimate of VE that takes into account all of the data collected during the season. CDC's mid-season VE estimate was 61% for all age groups (95% confidence interval: 5% to 68%) against having to go to the doctor because of flu illness. This VE estimate means that getting a flu vaccine this season reduced the vaccinated population's risk of having to go to the doctor because of the flu by 60% for both children and adults.
Effectiveness against the flu A "2009 H1N1" virus, which is currently the most common flu virus spreading and causing illness in the United States this season, was 62% (95% CI: 53% to 71%) for children and adults. During the study period (Dec 2, 2013 – January 23, 2014), the 2009 H1N1 virus accounted for 98% of flu viruses detected. (Note: There were not enough influenza B or influenza A (H3N2) viruses detected during the study period to make a mid-season estimate of vaccine effectiveness against either of those viruses.)
(For background information on understanding VE estimates and confidence intervals, see Vaccine Effectiveness – How Well Does the Flu Vaccine Work? and go to the questions: "How does CDC present data on vaccine effectiveness" and "Why are confidence intervals important for understanding vaccine effectiveness?")
What do these VE estimates mean in terms of the benefits of vaccination this season?
Overall, these vaccine effectiveness estimates demonstrate the substantial public health benefit provided by the 2013-14 flu vaccine, particularly against the 2009 H1N1 virus, and indicate the vaccine is performing within the range expected. Public health experts generally expect to see VE estimates of around 60% during flu seasons when most flu viruses spreading and causing illness are similar to the flu viruses the flu vaccine is designed to protect against. Even with moderate effectiveness of about 60%, flu vaccination can reduce flu-related illness, antibiotic use, time lost from work, hospitalizations and deaths. These mid-season VE estimates indicate that at this time the 2013-14 flu vaccine is providing similar health benefits across all age groups. These findings are reassuring, but people should remain aware that despite vaccination, some people will still become infected with the flu this season. As a result, people at high risk of flu-related complications should not delay seeking medical care right away if they develop flu symptoms. In addition, clinicians should still suspect flu in vaccinated patients with acute respiratory illness (ARI).
How are flu vaccines working in people 65 and older this season?
CDC's mid-season VE estimates measured adjusted VE of 52% (95% CI: 2-76) among people 65 and older against flu A and B in the United States this season. This is slightly lower but generally similar to the vaccine benefits measured in other age groups this season. Adjusted VE in this age group against the 2009 H1N1 virus was 53% (95% CI: 2-78), suggesting the vaccine is providing protective benefit in the elderly against the predominant flu virus this season. This data is reassuring when compared to the substantially lower VE in the elderly measured last season (2012-2013) against then predominant H3N2 viruses. For more general information about VE in people 65 and older see, Vaccine Effectiveness – How Well Does the Flu Vaccine Work? and see the question "How effective is the flu vaccine in the elderly?"
Ready to quit tobacco use? Call 1-800-QUIT-NOW for free help
Seasons Change. So Can You.
If you're like many people, you've tried quitting tobacco before, but it didn't stick. It's likely that "triggers" or situations that provoke your nicotine cravings led to your relapse. Common triggers are spending time with friends who smoke; driving to work; and even enjoying your morning coffee. Whatever your triggers, there are proven tactics you can practice to make this quit attempt your last.
Preparing your environment so it supports being tobacco free is critical. At home and at work, throw away any lighters and cigarettes or smokeless tobacco. Put away ash trays, or repurpose them to hold spare change. Wash out the ashtray in your car and make your car a smoke-free zone.
Preparing emotionally can also make the difference. Reducing your stress levels will help you resist the urge to smoke when life gets hectic. You can learn how to manage stress using time-honored techniques such as deep breathing and walking. Being active at least three times a week will boost your energy level and your confidence that you can resume control over your body.
Let us help you head into autumn knowing you can finally quit. Enroll today, a certified Quit Coach® will help set you up for success.
Thinking about quitting is the first step, but how do you know if you are ready? This interactive quiz will help you think about your reasons for quitting and show you how our program can help you every step of the way.
Quitting Tobacco Use
Quitline Iowa: 1-800-QUIT-NOW (784-8669)
Quitline Iowa is a toll-free, smoking cessation helpline. Trained coaches provide callers with assistance in making an individualized plan for quitting smoking or chewing tobacco, as well as on-going support through a series of optional follow-up calls. The Quitline offers both English and Spanish-speaking coaches, with additional languages available through a translation service. Services are also provided for the hearing impaired (TDD) by calling 1-877-777-6534.
Hours of Operation: 24 hours a day, seven days a week (closed Thanksgiving Day, Christmas Day, and Independence Day).
For more information on Quitline Iowa, please call 1-800-QUIT-NOW or visit the Web site at www.quitlineiowa.org.
Chickasaw County Application for Employment
NEW: Check out our work to reduce high risk drinking in Chickasaw County
Lyme disease affects various parts of the body. Not everyone who gets Lyme disease will experience the same symptoms.
The best and earliest sign of infection is a rash, called erythema migrans (EM). EM will appear in around 60% - 80% of patients. EM may appear within a few days to a month, usually at the site of the tick bite. The rash will first appear as a small, red bump. Over the next few days, the redness expands. As the rash expands, it begins to look like a bull’s eye, with a red center and a red ring surrounding a clear area. EM should not be mistaken for any initial skin irritation at the site of the bite which fades within about a week.
If left untreated, multiple EM rashes may appear within 3-5 weeks after the tick bite. The onset of more than one rash shows that the infection has spread into the blood. The secondary rashes look like the first bull’s eye rash, but usually smaller in size. A person may experience additional symptoms like:
- Mild eye infections
- Paralysis of the facial muscles (Bell’s palsy)
- Muscle and joint pain
- Abnormal heart rhythm (<10% of cases)
Symptoms of Lyme disease can last for several years, but tend to resolve on their own. Symptoms that may be seen in late disease include:
- Recurrent arthritis commonly in the knees and shoulders
- Impairment of mood, sleep, or memory
- Paralysis of the muscles in the face
- Pain or tingling in the extremities
- Meningitis and encephalitis
The best way to prevent Lyme disease is to avoid tick-infested areas. If you do spend time in these areas, the following can reduce your risk of infection.
- Wear long-sleeved shirts and long, light-colored pants tucked into socks or boots.
- Stay on trails when walking or hiking and avoid high grass.
- Use insect repellants. Repellants that contain DEET should be used in concentrations no higher than 15% for children and 30% for adults. Remember, repellants are not recommended to be used on infants. Permethrin is a repellant that can only be applied to clothing, not exposed skin.
- After each day spent in tick-infested areas, check yourself your children, and your pets for ticks. Ticks tend to prefer the back of the knee, armpit, scalp, groin, and back of the neck.
- Promptly remove any attached tick. Folk remedies, such as burning the tick with a match or covering it with petroleum jelly or nail polish, are not effective and can be dangerous because they may force the tick to regurgitate its gut contents, increasing the risk of disease transmission. The tick removal method described below is proven to be effective, and is recommended by the Centers for Disease Control and Prevention.
- Carefully grasp the tick by using tweezers to grip the tick by its mouthparts which are close to the skin. Do not squeeze the tick’s body.
- Pull steadily directly away from your skin. Because removing the tick is your main goal, do not be overly concerned if its mouthparts break off in the process (as they will be shed naturally).
- Clean the wound and disinfect the site of the bite.
Prevention of Lyme disease also involves keeping wildlife (especially deer and rodents) out of your backyard and making your yard less attractive to ticks.
- Remove leaf litter and brush from around your home.
- Prune low-lying bushes to let in more sunlight.
- Keep your grass short.
- Plant deer resistant plants near your home.
- Keep woodpiles in sunny areas off the ground.
- Clean up the ground around bird feeders.
- If you are going to use insecticides around your home, always follow the label instructions and never apply these chemicals near streams or other bodies of water.
Lyme Disease Fact Sheet