The Boston Public Health Commission (BPHC) and the Massachusetts Department of Public Health yesterday announced the state's second death linked to H1N1 flu (swine flu). A statement released by BPHC said that the 84 year-old Boston was hospitalized on June 12 and died six days later, on June 18. Today, his test results came back positive for novel H1N1 flu. The patient had several serious underlying health conditions which placed him at high risk of complications from the flu.
"While we have seen recent evidence of flu-like illness decreasing in Massachusetts, this tragic case underscores that we are still seeing person-to-person spread of the virus," said DPH Commissioner John Auerbach. "That is why it is so important for everyone to practice the prevention measures that we know can reduce the spread of illness."
Certain groups are at higher risk of complications from the flu. These groups include children under the age of 2, adults over 65, pregnant women, and people with chronic health conditions, such as asthma, diabetes, and heart disease. These people should call their doctor immediately to discuss appropriate treatment if they develop a fever with a cough, sore throat, or runny nose.
Massachusetts residents are reminded to take the following steps to reduce their risk of illness:
Wash your hands frequently with soap and warm water or use an alcohol-based hand sanitizer.
Cover your cough or sneeze with a tissue, or cough into your inner elbow and not into your hands.
If you are sick stay home from work, and if your child is sick keep them home from school for 7 days, or 24 hours after symptoms resolve -- whichever is longer.
Stay informed about the latest developments on the H1N1 flu by visiting www.mass.gov/dph.
-----
This article was originally published on the MA Department of Public Health's blog, Commonwealth Conversations, and is reproduced here with the kind permission of the MA DPH.
Tuesday, June 30, 2009
Monday, June 29, 2009
Sharps Containers Now Available at The Amherst Health Department
Approved "Sharps" containers are available for purchase at the Amherst Health Department during regular office hours, Monday-Friday, 8:30am-4:30pm.
1-quart containers are $2.00, and 5-quart containers are $10.00. The price includes disposal, and each container can be returned to the Health Department or Transfer Station with no additional fee.
As of July, 2010, a new law will be enacted making it illegal to dispose of needles and other sharps in household trash. Now is a good time to create a new habit and do the right thing!
1-quart containers are $2.00, and 5-quart containers are $10.00. The price includes disposal, and each container can be returned to the Health Department or Transfer Station with no additional fee.
As of July, 2010, a new law will be enacted making it illegal to dispose of needles and other sharps in household trash. Now is a good time to create a new habit and do the right thing!
Wednesday, June 24, 2009
Advocating for Active Living in Your Community, Part 2
By Maya Mohan, Physical Activity Coordinator for the MA Department of Public Health
A couple of weeks ago I talked about how our environment can either help or hinder our ability to be active or eat healthfully. Today, I want to talk about two things you can do right now to assess your own environment: check out how “walkable” and “bikeable” they are.
“Walkability” and “bikeability” are phrases that refer to how safe, appealing and connected a neighborhood is for walking and biking, respectively. Safety and appeal are pretty self-explanatory, but let me explain what I mean by “connected.” It’s important that the roads and paths we walk and bike on are connected to public transportation, grocery stores, schools, parks, and places we do our everyday business, like the dry cleaners, post office, and banks, just to name a few.
Think about this… If you could walk or bike to get your kids to school (get them on their bikes too!), go to work, and run your errands instead of driving, you’d lower your carbon footprint, save money on gas/parking/tickets/other car related stuff, AND sneak in some good ole’ activity! In other words, a thoughtfully designed walkable and bikeable neighborhood not only impacts our health for the better, but can have positive economic and environmental effects as well.
Of course, there are whole career tracks and professions designed around making communities easier to walk and bike in, but there are a couple of really easy, informal audits that you and your family can do right in your own neighborhood. Today, even.
Check out these walkability and bikeability checklists. They are really easy to fill out - just 5 questions for the walkability one, and 7 for the bikeability list! After you fill out the checklist, you’ll see some steps that you can take right now to improve those conditions, and some steps that will take a little bit longer than “right now.” Get a bunch of friends together to do a few of these audits in different areas of your neighborhood. Then, try some of the short-, and long-term action steps listed at the end of the audits. And voila! You, my friend, are now becoming a walking and bicycling advocate in your own community!
WalkBoston and MassBike are two organizations that work hard to make sure our communities are walkable and bikeable. But they can’t do it alone. If each one of us took a small piece of our neighborhood, did one of these quick checklists and tried just one of the action steps… well, image the changes we could collectively make!
So, I urge you to pick a route that you walk or bike on a regular basis, take a friend along with you, and try one (or both!) of the checklists. Oh, and don’t forget to let me know how it goes!
--------
This post was originally published on the MA DPH blog, Commonwealth Conversations, and is reproduced here with the kind permission of MA DPH.
A couple of weeks ago I talked about how our environment can either help or hinder our ability to be active or eat healthfully. Today, I want to talk about two things you can do right now to assess your own environment: check out how “walkable” and “bikeable” they are.
“Walkability” and “bikeability” are phrases that refer to how safe, appealing and connected a neighborhood is for walking and biking, respectively. Safety and appeal are pretty self-explanatory, but let me explain what I mean by “connected.” It’s important that the roads and paths we walk and bike on are connected to public transportation, grocery stores, schools, parks, and places we do our everyday business, like the dry cleaners, post office, and banks, just to name a few.
Think about this… If you could walk or bike to get your kids to school (get them on their bikes too!), go to work, and run your errands instead of driving, you’d lower your carbon footprint, save money on gas/parking/tickets/other car related stuff, AND sneak in some good ole’ activity! In other words, a thoughtfully designed walkable and bikeable neighborhood not only impacts our health for the better, but can have positive economic and environmental effects as well.
Of course, there are whole career tracks and professions designed around making communities easier to walk and bike in, but there are a couple of really easy, informal audits that you and your family can do right in your own neighborhood. Today, even.
Check out these walkability and bikeability checklists. They are really easy to fill out - just 5 questions for the walkability one, and 7 for the bikeability list! After you fill out the checklist, you’ll see some steps that you can take right now to improve those conditions, and some steps that will take a little bit longer than “right now.” Get a bunch of friends together to do a few of these audits in different areas of your neighborhood. Then, try some of the short-, and long-term action steps listed at the end of the audits. And voila! You, my friend, are now becoming a walking and bicycling advocate in your own community!
WalkBoston and MassBike are two organizations that work hard to make sure our communities are walkable and bikeable. But they can’t do it alone. If each one of us took a small piece of our neighborhood, did one of these quick checklists and tried just one of the action steps… well, image the changes we could collectively make!
So, I urge you to pick a route that you walk or bike on a regular basis, take a friend along with you, and try one (or both!) of the checklists. Oh, and don’t forget to let me know how it goes!
--------
This post was originally published on the MA DPH blog, Commonwealth Conversations, and is reproduced here with the kind permission of MA DPH.
Monday, June 22, 2009
Public Health Advisory: FDA & CDC Warn Consumers Not to Eat Nestle Toll House Prepackaged, Refrigerated Cookie Dough
The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention(CDC) are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7 (a type of bacteria that causes food borne illness). Nestlé USA’s Baking Division initiated a voluntary recall of Nestlé® TOLL HOUSE® refrigerated cookie dough products on June 19, 2009 http://www.fda.gov/Safety/Recalls/ucm167954.htm.
The FDA advises that consumers should throw away any prepackaged, refrigerated Nestle Toll House cookie dough products in their home. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces.
The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 65 reports of illness across 28 states. Four cases have been reported in Massachusetts.
These four cases range in age from 15 to 25 years, and reported becoming ill between 4/26/09 and 5/29/09. The cases occurred in Middlesex, Essex and Worcester counties. Two of the four cases reported eating the recalled product during their incubation period. Interviews with the remaining two cases are ongoing. All four cases were hospitalized but have fully recovered.E. coli O157:H7 is a type of bacteria that can cause bloody diarrhea, dehydration, and in the most severe cases, kidney failure. The very young, the elderly and persons with weakened immune systems are the most susceptible to foodborne illness.
Anyone with signs or symptoms of foodborne illness should consult their health care provider, local board of health, the DPH Epidemiology Program at 617-983-6800 or the DPH Food Protection Program at 617-983-6712.
For a complete list of recalled Nestle products, click HERE.
Click here for the DPH Factsheet on E. coli O157:H7.
-----------
This post was originally published on the MA DPH blog, Commonwealth Conversations, and is reproduced here with the kind permission of the MA DPH.
The FDA advises that consumers should throw away any prepackaged, refrigerated Nestle Toll House cookie dough products in their home. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces.
The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 65 reports of illness across 28 states. Four cases have been reported in Massachusetts.
These four cases range in age from 15 to 25 years, and reported becoming ill between 4/26/09 and 5/29/09. The cases occurred in Middlesex, Essex and Worcester counties. Two of the four cases reported eating the recalled product during their incubation period. Interviews with the remaining two cases are ongoing. All four cases were hospitalized but have fully recovered.E. coli O157:H7 is a type of bacteria that can cause bloody diarrhea, dehydration, and in the most severe cases, kidney failure. The very young, the elderly and persons with weakened immune systems are the most susceptible to foodborne illness.
Anyone with signs or symptoms of foodborne illness should consult their health care provider, local board of health, the DPH Epidemiology Program at 617-983-6800 or the DPH Food Protection Program at 617-983-6712.
For a complete list of recalled Nestle products, click HERE.
Click here for the DPH Factsheet on E. coli O157:H7.
-----------
This post was originally published on the MA DPH blog, Commonwealth Conversations, and is reproduced here with the kind permission of the MA DPH.
Friday, June 19, 2009
FDA Advises Consumers Not To Use Certain Zicam Cold Remedies
Intranasal Zinc Product Linked to Loss of Sense of Smell
For Immediate Release:
The U.S. Food and Drug Administration today advised consumers to stop using three products marketed over-the-counter as cold remedies because they are associated with the loss of sense of smell (anosmia). Anosmia may be long-lasting or permanent.
The products are:
“Loss of sense of smell is a serious risk for people who use these products for relief from cold symptoms,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research (CDER). “We are concerned that consumers may unknowingly use a product that could cause serious harm, and therefore we are advising them not to use these products for any reason.”
People who have experienced a loss of sense of smell or other problems after use of the affected Zicam products should contact their health care professional. The loss of sense of smell can adversely affect a person’s quality of life, and can limit the ability to detect the smell of gas or smoke or other signs of danger in the environment.
The FDA has issued Matrixx Initiatives, maker of these Zicam products, a warning letter telling it that these products cannot be marketed without FDA approval.
“Companies have an obligation to the public to demonstrate to the FDA that their products are safe, particularly when there is evidence they may be causing serious adverse events, and they are marketed for minor, self-limiting conditions like the common cold,” said Deborah M. Autor, director of CDER’s Office of Compliance.
Health care professionals and consumers are encouraged to report adverse events (side effects) that may be related to the use of these products to the FDA's MedWatch Adverse Event
Reporting program online, by regular mail, fax or phone.
Regular Mail: use FDA postage paid form 3500 and mail to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787
Fax: 800-FDA-0178
Phone: 800-FDA-1088
For more information: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm166834.htm
For Immediate Release:
The U.S. Food and Drug Administration today advised consumers to stop using three products marketed over-the-counter as cold remedies because they are associated with the loss of sense of smell (anosmia). Anosmia may be long-lasting or permanent.
The products are:
- Zicam Cold Remedy Nasal Gel
- Zicam Cold Remedy Nasal Swabs
- Zicam Cold Remedy Swabs, Kids Size (a discontinued product)
“Loss of sense of smell is a serious risk for people who use these products for relief from cold symptoms,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research (CDER). “We are concerned that consumers may unknowingly use a product that could cause serious harm, and therefore we are advising them not to use these products for any reason.”
People who have experienced a loss of sense of smell or other problems after use of the affected Zicam products should contact their health care professional. The loss of sense of smell can adversely affect a person’s quality of life, and can limit the ability to detect the smell of gas or smoke or other signs of danger in the environment.
The FDA has issued Matrixx Initiatives, maker of these Zicam products, a warning letter telling it that these products cannot be marketed without FDA approval.
“Companies have an obligation to the public to demonstrate to the FDA that their products are safe, particularly when there is evidence they may be causing serious adverse events, and they are marketed for minor, self-limiting conditions like the common cold,” said Deborah M. Autor, director of CDER’s Office of Compliance.
Health care professionals and consumers are encouraged to report adverse events (side effects) that may be related to the use of these products to the FDA's MedWatch Adverse Event
Reporting program online, by regular mail, fax or phone.
Regular Mail: use FDA postage paid form 3500 and mail to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787
Fax: 800-FDA-0178
Phone: 800-FDA-1088
For more information: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm166834.htm
Wednesday, June 17, 2009
FDA Warns Web Sites against Marketing Fraudulent H1N1 Flu Virus Claims
For Immediate Release: June 15, 2009
Media Inquiries: Christopher Kelly, 301-796-4676, christopher.kelly@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA
The U.S. Food and Drug Administration is enforcing the laws that protect consumers from illegal products marketed through the Internet that claim to diagnose, prevent, mitigate, treat or cure the 2009 H1N1 flu virus.
On May 1, 2009, the FDA warned consumers regarding products related to the 2009 H1N1 flu virus offered on the Internet. The products involved are those that are promoted and marketed to diagnose, mitigate, prevent, treat, or cure the 2009 H1N1 flu virus but are not approved, cleared, or authorized by the FDA. The agency advised operators of offending Web sites that they must take immediate action to ensure that they are not marketing products intended to diagnose, mitigate, prevent, treat, or cure the 2009 H1N1 flu virus that have not been cleared, approved, or authorized by the FDA.
Since then, the FDA has issued more than 50 warning letters to offending Web sites and as a result, more than 66 percent of these Web sites have removed the offending claims and/or products.
“We are committed to aggressively pursuing those who attempt to take advantage of a public health emergency by promoting and marketing unapproved, uncleared, or unauthorized products,” said Margaret A. Hamburg, M.D., Commissioner of Food and Drugs. “We have achieved some success and will remain vigilant in our efforts to protect consumers from these fraudulent, potentially dangerous products.”
Examples of unapproved, uncleared, or unauthorized products targeted by the FDA include:--A shampoo that claimed to protect against the H1N1 flu virus;--A dietary supplement that claimed to protect infants and young children from contracting the H1N1 flu virus;--A “new” supplement that claimed to cure H1N1 flu infection within four to eight hours;--A spray that claimed to leave a layer of ionic silver on one’s hands that killed the virus;--Several tests that have not been approved to detect the H1N1 flu virus; and--An electronic instrument costing thousands of dollars that claimed to utilize “photobiotic energy” and “deeply penetrating mega-frequency life-force energy waves” to strengthen the immune system and prevent symptoms associated with H1N1 viral infection.
The FDA’s warning letters are consistent with an aggressive strategy the agency put into place to protect consumers from individuals or businesses that promote fraudulent claims for products in an attempt to take advantage of the public’s concerns about the 2009 H1N1 flu virus.
Unapproved, uncleared, or unauthorized products that claim to diagnose, mitigate, prevent, treat or cure the 2009 H1N1 flu are illegal and a potentially significant threat to the public health.
These warning letters were the result of daily Internet surfs conducted by the FDA’s Office of Enforcement, Office of Criminal Investigations, and staff from the Center for Devices and Radiological Health, the Center for Drug Evaluation and Research, and the Center for Food Safety and Applied Nutrition. The warning letters issued by e-mail and the FDA requested a response within 48 hours.
In addition, the FDA posted the offending Web sites and products on the agency’s Web site.
“Taking swift action to inform unsuspecting consumers about products that could be dangerous to their health is a major priority for the FDA,” said Hamburg.
The FDA will consider further civil or criminal enforcement action against those Web sites that fail to resolve the violations cited in warning letters. Actions could include seizure, injunction, and criminal prosecution.
For more information:
FDA’s Fraudulent H1N1 Flu Virus Product List
Browse Warning Letters for: Unapproved/Uncleared/Unauthorized Products Related to the H1N1 Flu Virus
Report Suspected Fraudulent Products or Criminal Activity Associated with H1N1 Flu Virus (Swine Flu)
Media Inquiries: Christopher Kelly, 301-796-4676, christopher.kelly@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA
The U.S. Food and Drug Administration is enforcing the laws that protect consumers from illegal products marketed through the Internet that claim to diagnose, prevent, mitigate, treat or cure the 2009 H1N1 flu virus.
On May 1, 2009, the FDA warned consumers regarding products related to the 2009 H1N1 flu virus offered on the Internet. The products involved are those that are promoted and marketed to diagnose, mitigate, prevent, treat, or cure the 2009 H1N1 flu virus but are not approved, cleared, or authorized by the FDA. The agency advised operators of offending Web sites that they must take immediate action to ensure that they are not marketing products intended to diagnose, mitigate, prevent, treat, or cure the 2009 H1N1 flu virus that have not been cleared, approved, or authorized by the FDA.
Since then, the FDA has issued more than 50 warning letters to offending Web sites and as a result, more than 66 percent of these Web sites have removed the offending claims and/or products.
“We are committed to aggressively pursuing those who attempt to take advantage of a public health emergency by promoting and marketing unapproved, uncleared, or unauthorized products,” said Margaret A. Hamburg, M.D., Commissioner of Food and Drugs. “We have achieved some success and will remain vigilant in our efforts to protect consumers from these fraudulent, potentially dangerous products.”
Examples of unapproved, uncleared, or unauthorized products targeted by the FDA include:--A shampoo that claimed to protect against the H1N1 flu virus;--A dietary supplement that claimed to protect infants and young children from contracting the H1N1 flu virus;--A “new” supplement that claimed to cure H1N1 flu infection within four to eight hours;--A spray that claimed to leave a layer of ionic silver on one’s hands that killed the virus;--Several tests that have not been approved to detect the H1N1 flu virus; and--An electronic instrument costing thousands of dollars that claimed to utilize “photobiotic energy” and “deeply penetrating mega-frequency life-force energy waves” to strengthen the immune system and prevent symptoms associated with H1N1 viral infection.
The FDA’s warning letters are consistent with an aggressive strategy the agency put into place to protect consumers from individuals or businesses that promote fraudulent claims for products in an attempt to take advantage of the public’s concerns about the 2009 H1N1 flu virus.
Unapproved, uncleared, or unauthorized products that claim to diagnose, mitigate, prevent, treat or cure the 2009 H1N1 flu are illegal and a potentially significant threat to the public health.
These warning letters were the result of daily Internet surfs conducted by the FDA’s Office of Enforcement, Office of Criminal Investigations, and staff from the Center for Devices and Radiological Health, the Center for Drug Evaluation and Research, and the Center for Food Safety and Applied Nutrition. The warning letters issued by e-mail and the FDA requested a response within 48 hours.
In addition, the FDA posted the offending Web sites and products on the agency’s Web site.
“Taking swift action to inform unsuspecting consumers about products that could be dangerous to their health is a major priority for the FDA,” said Hamburg.
The FDA will consider further civil or criminal enforcement action against those Web sites that fail to resolve the violations cited in warning letters. Actions could include seizure, injunction, and criminal prosecution.
For more information:
FDA’s Fraudulent H1N1 Flu Virus Product List
Browse Warning Letters for: Unapproved/Uncleared/Unauthorized Products Related to the H1N1 Flu Virus
Report Suspected Fraudulent Products or Criminal Activity Associated with H1N1 Flu Virus (Swine Flu)
Tuesday, June 16, 2009
A CDC Image of the H1N1 Influenza Virus
Here is an image of the H1N1 virus, courtesy of the Centers for Disease Control and Prevention:
First Death From H1N1 Flu in Massachusetts Reported
Yesterday, the Massachusetts Department of Public Health confirmed that Massachusetts has seen its first death related to the H1N1 influenza. The 30-year-old female was hospitalized on June 5th, had confirmation of H1N1 on June 10th, and died on June 14th. Her prior medical history and pre-existing conditions are not immediately available.
Simultaneously, Britain has announced its first H1N1-related death, the first fatality outside the Americas since the outbreak began. The Scottish patient died while hospitalized and no further information is currently available.
At this time, there have been 1,153 confirmed cases of H1N1 in Massachusetts, with 80 residents hospitalized. Until this week's death, all cases of H1N1 in the Commonwealth have been relatively mild.
Here is a reminder from the MA Department of Public Health regarding the H1N1 virus, borrowed from the MA DPH blog, Commonwealth Conversations:
Certain groups are at higher risk of complications from the flu. These groups include children under the age of 2, adults over 65, pregnant women, and people with chronic health conditions, such as asthma, diabetes, and heart disease. These people should call their doctor immediately to discuss appropriate treatment if they develop a fever with a cough, sore throat, or runny nose.
Massachusetts residents are reminded to take the following steps to reduce their risk of illness:
Simultaneously, Britain has announced its first H1N1-related death, the first fatality outside the Americas since the outbreak began. The Scottish patient died while hospitalized and no further information is currently available.
At this time, there have been 1,153 confirmed cases of H1N1 in Massachusetts, with 80 residents hospitalized. Until this week's death, all cases of H1N1 in the Commonwealth have been relatively mild.
Here is a reminder from the MA Department of Public Health regarding the H1N1 virus, borrowed from the MA DPH blog, Commonwealth Conversations:
Certain groups are at higher risk of complications from the flu. These groups include children under the age of 2, adults over 65, pregnant women, and people with chronic health conditions, such as asthma, diabetes, and heart disease. These people should call their doctor immediately to discuss appropriate treatment if they develop a fever with a cough, sore throat, or runny nose.
Massachusetts residents are reminded to take the following steps to reduce their risk of illness:
- Wash your hands frequently with soap and warm water or use an alcohol-based hand sanitizer.
- Cover your cough or sneeze with a tissue, or cough into your inner elbow and not into your hands.
If you are sick stay home from work, and if your child is sick keep them home from school for 7 days, or 24 hours after symptoms resolve -- whichever is longer.
Stay informed about the latest developments on the H1N1 flu by visiting www.mass.gov/dph.
Monday, June 15, 2009
H1N1 Update from MA Department of Public Health
On June 11th, the World Health Organization (WHO) raised the worldwide pandemic alert level to Phase 6, which means that a global pandemic is underway. The WHO’s declaration was expected, given that novel H1N1 flu (swine flu) has spread rapidly throughout the world including here in Massachusetts.
It is important to note that the WHO pandemic phases are based on the geographical spread of a novel influenza virus, not the severity of illness.
The WHO declaration does not change how we are currently dealing with the outbreak here in Massachusetts. We have taken this outbreak very seriously from the beginning and have been on a heightened state of alert since the first case was identified in the United States.
We continue to work with our partners at the local, state and federal levels on the H1N1 response in Massachusetts.
Many of the elements of our planning efforts for pandemic influenza have been utilized during our response to H1N1 flu. We have been preparing for a pandemic for years and will continue to direct and adjust our response as needed based on what we are seeing here in Massachusetts and elsewhere.
However, this declaration serves as a reminder not only for government – but for businesses, communities and individuals as well – to take steps to prepare in the event that this flu outbreak becomes more severe. We have information about steps everyone can take to be better prepared on the DPH H1N1 page.
Update on Massachusetts:
We continue to see person-to-person spread of the H1N1 flu virus here in Massachusetts, and the level of influenza activity in our state is much higher than it normally is at this time of year. CDC has reported that H1N1 flu has now spread to every state in the nation. Likewise, every county in Massachusetts has seen confirmed cases on H1N1 flu. The CDC has reported that while most areas of the nation are seeing a downward trend in flu activity, the New York and New England regions -- specifically Massachusetts -- continue to see elevated activity. You can see CDC's FluView flu surveillance data here.
Massachusetts and the other New England states are in "Region I" and New York is in "Region II". The information regarding Massachusetts on FluView is generated by data that we provide CDC through our routine influenza-like illness surveillance systems. This new strain of virus is the predominant strain of flu that is circulating now and is likely the cause of an increase in visits to health care providers throughout the state.
Many schools, particularly in Eastern Massachusetts, continue to feel the brunt of the H1N1 outbreak with a number of systems dealing with an increase in absenteeism of students and staff. However, as of today only nine (9) schools are reported to be closed because of H1N1 flu (8 in Boston, 1 in Randolph).
Cases:
There are now 1,153 confirmed cases of H1N1 flu in Massachusetts (77 more than our last update).
There have been 80 people hospitalized since the outbreak began (5 more than our last update).
Age breakdown on confirmed cases:
0-4 171
5-24 685
25-64 285
65+ 11
Unknown 1
Flu outbreaks evolve in unpredictable ways; it is impossible to know whether this outbreak will decrease, remain the same, or grow in coming weeks, and whether the illness will remain at its current severity which, on the whole has been relatively mild for most people.
Some severe cases may occur in people with underlying risk factors such as young children, the elderly, and people with chronic medical conditions.
Guidance for the Public:
Preventing the Flu: Because there is no vaccine for H1N1 influenza, public health officials remind all Massachusetts residents to continue taking simple steps to keep themselves and others healthy.
Most people that get the H1N1 flu do not need to be tested or seen by a doctor. They can simply stay home, get plenty of rest, and take over-the- counter medication for their fever, aches and pains. Although the H1N1 flu doesn’t seem to be more severe than the seasonal flu, certain groups of people may be at greater risk for complications from any flu – whether seasonal or H1N1.
Anyone in the groups listed below who has a fever, along with a cough, sore throat or runny nose, should contact their doctor to talk with them about treatment with antivirals. Antivirals work best if they are taken within 2 days of when symptoms start, so even people with mild illness should call their doctor right away if they have any of these conditions.
It is important to note that the WHO pandemic phases are based on the geographical spread of a novel influenza virus, not the severity of illness.
The WHO declaration does not change how we are currently dealing with the outbreak here in Massachusetts. We have taken this outbreak very seriously from the beginning and have been on a heightened state of alert since the first case was identified in the United States.
We continue to work with our partners at the local, state and federal levels on the H1N1 response in Massachusetts.
Many of the elements of our planning efforts for pandemic influenza have been utilized during our response to H1N1 flu. We have been preparing for a pandemic for years and will continue to direct and adjust our response as needed based on what we are seeing here in Massachusetts and elsewhere.
However, this declaration serves as a reminder not only for government – but for businesses, communities and individuals as well – to take steps to prepare in the event that this flu outbreak becomes more severe. We have information about steps everyone can take to be better prepared on the DPH H1N1 page.
Update on Massachusetts:
We continue to see person-to-person spread of the H1N1 flu virus here in Massachusetts, and the level of influenza activity in our state is much higher than it normally is at this time of year. CDC has reported that H1N1 flu has now spread to every state in the nation. Likewise, every county in Massachusetts has seen confirmed cases on H1N1 flu. The CDC has reported that while most areas of the nation are seeing a downward trend in flu activity, the New York and New England regions -- specifically Massachusetts -- continue to see elevated activity. You can see CDC's FluView flu surveillance data here.
Massachusetts and the other New England states are in "Region I" and New York is in "Region II". The information regarding Massachusetts on FluView is generated by data that we provide CDC through our routine influenza-like illness surveillance systems. This new strain of virus is the predominant strain of flu that is circulating now and is likely the cause of an increase in visits to health care providers throughout the state.
Many schools, particularly in Eastern Massachusetts, continue to feel the brunt of the H1N1 outbreak with a number of systems dealing with an increase in absenteeism of students and staff. However, as of today only nine (9) schools are reported to be closed because of H1N1 flu (8 in Boston, 1 in Randolph).
Cases:
There are now 1,153 confirmed cases of H1N1 flu in Massachusetts (77 more than our last update).
There have been 80 people hospitalized since the outbreak began (5 more than our last update).
Age breakdown on confirmed cases:
0-4 171
5-24 685
25-64 285
65+ 11
Unknown 1
Flu outbreaks evolve in unpredictable ways; it is impossible to know whether this outbreak will decrease, remain the same, or grow in coming weeks, and whether the illness will remain at its current severity which, on the whole has been relatively mild for most people.
Some severe cases may occur in people with underlying risk factors such as young children, the elderly, and people with chronic medical conditions.
Guidance for the Public:
Preventing the Flu: Because there is no vaccine for H1N1 influenza, public health officials remind all Massachusetts residents to continue taking simple steps to keep themselves and others healthy.
- Wash your hands frequently with soap and warm water or use an alcohol-based hand sanitizer.
- Cover your cough with a tissue or cough into your inner elbow and not into your hands.
- If you are sick stay home from work and if your child is sick keep them home from school for 7 days, or 24 hours after your symptoms go away—whichever is longer.
- Stay informed about the latest developments on the H1N1 flu.
Most people that get the H1N1 flu do not need to be tested or seen by a doctor. They can simply stay home, get plenty of rest, and take over-the- counter medication for their fever, aches and pains. Although the H1N1 flu doesn’t seem to be more severe than the seasonal flu, certain groups of people may be at greater risk for complications from any flu – whether seasonal or H1N1.
Anyone in the groups listed below who has a fever, along with a cough, sore throat or runny nose, should contact their doctor to talk with them about treatment with antivirals. Antivirals work best if they are taken within 2 days of when symptoms start, so even people with mild illness should call their doctor right away if they have any of these conditions.
- Children less than 2 years old
- People age 65 years or older
- Pregnant women
- People who have chronic health problems like heart disease, asthma or diabetes
- Children and teens who are on long-term aspirin therapy who might be at risk for experiencing Reye’s syndrome after influenza virus infection
- Adults and children who have compromised immune systems caused by medications or by HIV infection
------
This post was originally published on the MA Department of Public Health Blog, Commonwealth Conversations, and is reproduced here with the kind permission of the MA DPH.
Advocating for Active Living in Your Community, Part 1
By: Maya Physical Activity Coordinator for the MA Department of Public Health
“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural and physical environment conspire against such change.” - Institute of Medicine
I love this quote because I think it shows how complicated it really is for someone to change their behavior. It’s just not as simple as telling someone to “eat better” or “move more.” Yes, those may be the end goals but getting there is not that straightforward.
Each of the choices we make daily are influenced by different people, places or circumstances, whether we realize it or not. There are groups of people - our families, friends, co-workers, healthcare providers for example - who can impact on our decisions. And there are places (and policies that govern those places) that also have an effect on the choices we make: these are the places we live, work, learn and play.
Chew on this for a minute. It is not easy to eat at least 8-10 servings of fruits and vegetables every day if you can’t stock your fridge with delicious, colorful produce because the selection at your local grocery store is not really all that colorful, or maybe it is too expensive or perhaps the grocery store is too far away. So, while you know that you should eat more fruits and veggies, your environment has made it really hard for you to make that choice.
On the other hand, it would be easy and fun to reach the recommended amount of physical activity (2.5 hours of moderately intense activity per week for adults) if there was a safe, well lit, nicely landscaped bicycle path that went from your house to your office, and once you arrived at your office, there was a secure place to lock up your bicycle and shower facilities in the building so you could freshen up. What a great way to start your day, right?
These two examples show how our environment can influence our ability and decisions to eat better or be more active. Access to affordable fresh fruits and vegetables, aggressive pricing strategies for produce, paths that connect to destinations or places of interest, and secure bicycle facilities are examples of policies or environmental strategies that can encourage a person to make the healthy choice, more easily.
Because our ability to eat better and move more is so connected to the environment we live in, Mass in Motion has made it a priority to support local initiatives in making the healthy choice the easy choice for community members. The Department of Public Health has joined forces with Blue Cross Blue Shield of MA, Blue Cross Blue Shield of MA Foundation, Boston Foundation, Harvard Pilgrim Health Care Foundation, MetroWest Community Health Care Foundation, Tufts Health Plan Foundation and The Medical Foundation to provide a great opportunity for cities and towns, over the next two years, to 1) engage their municipal leadership, community partners and members, 2) assess their existing environment as it relates to healthy eating and active living, and 3) create, and begin implementation of, an action plan that is based on a variety of policy and environmental strategies like the examples I mentioned earlier.
It’s high time that our environments - socially, culturally and physically - conspired to make the healthy choice the easy choice…. not the other way around.
--------------------
This post was originally published on the MA Department of Public Health's blog, Commonwealth Conversations, and is reproduced here with the kind permission of the MA DPH.
“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural and physical environment conspire against such change.” - Institute of Medicine
I love this quote because I think it shows how complicated it really is for someone to change their behavior. It’s just not as simple as telling someone to “eat better” or “move more.” Yes, those may be the end goals but getting there is not that straightforward.
Each of the choices we make daily are influenced by different people, places or circumstances, whether we realize it or not. There are groups of people - our families, friends, co-workers, healthcare providers for example - who can impact on our decisions. And there are places (and policies that govern those places) that also have an effect on the choices we make: these are the places we live, work, learn and play.
Chew on this for a minute. It is not easy to eat at least 8-10 servings of fruits and vegetables every day if you can’t stock your fridge with delicious, colorful produce because the selection at your local grocery store is not really all that colorful, or maybe it is too expensive or perhaps the grocery store is too far away. So, while you know that you should eat more fruits and veggies, your environment has made it really hard for you to make that choice.
On the other hand, it would be easy and fun to reach the recommended amount of physical activity (2.5 hours of moderately intense activity per week for adults) if there was a safe, well lit, nicely landscaped bicycle path that went from your house to your office, and once you arrived at your office, there was a secure place to lock up your bicycle and shower facilities in the building so you could freshen up. What a great way to start your day, right?
These two examples show how our environment can influence our ability and decisions to eat better or be more active. Access to affordable fresh fruits and vegetables, aggressive pricing strategies for produce, paths that connect to destinations or places of interest, and secure bicycle facilities are examples of policies or environmental strategies that can encourage a person to make the healthy choice, more easily.
Because our ability to eat better and move more is so connected to the environment we live in, Mass in Motion has made it a priority to support local initiatives in making the healthy choice the easy choice for community members. The Department of Public Health has joined forces with Blue Cross Blue Shield of MA, Blue Cross Blue Shield of MA Foundation, Boston Foundation, Harvard Pilgrim Health Care Foundation, MetroWest Community Health Care Foundation, Tufts Health Plan Foundation and The Medical Foundation to provide a great opportunity for cities and towns, over the next two years, to 1) engage their municipal leadership, community partners and members, 2) assess their existing environment as it relates to healthy eating and active living, and 3) create, and begin implementation of, an action plan that is based on a variety of policy and environmental strategies like the examples I mentioned earlier.
It’s high time that our environments - socially, culturally and physically - conspired to make the healthy choice the easy choice…. not the other way around.
--------------------
This post was originally published on the MA Department of Public Health's blog, Commonwealth Conversations, and is reproduced here with the kind permission of the MA DPH.
Thursday, June 11, 2009
New Case of Influenza Type A at Amherst Regional High School
As of yesterday, a case of Influenza Type A has been confirmed at Amherst Regional High School. While not all Type A cases are H1N1 (Swine Flu), the MA Department of Public Health is no longer recommending confirmatory testing for positive Type A tests in individuals who are not high risk or chronically ill. Thus, Type A influenza results are considered to be H1N1 and treated accordingly.
The Amherst Public School System has published a letter on their website which can be read by clicking here. Thr text of the letter reads thus:
"As you probably know, there are different strains of flu affecting Massachusetts and there is a confirmed case of Influenza Type A, which includes H1N1, at our Regional High School. So far, the symptoms of the new H1N1 flu are similar to those of seasonal flu. But any flu virus can cause serious illness, thus we are working very closely with the Amherst Health Department and the Massachusetts Department of Public Health officials to try to prevent the spread of the flu among students and staff.
"We are monitoring student and staff attendance because some schools in the state have had to close due to high rates of absenteeism due flu like symptoms. To assist with our monitoring please contact your school if your child is absent and experiencing flu like symptoms. Even though your child’s school has not closed, please think about how you would manage child care issues if closure were necessary.
"There are steps every parent/guardian can take to lower their children’s chances of getting sick. Teach them to wash their hands often with soap and water. Also, teach your children to cough into their inner elbow or into a tissue, instead of their hands. This will help prevent the spread of germs, including the flu virus.
"Make sure that your child does not have signs of the flu before you send them to school each morning. On the opposite side of this page is “Flu symptoms Checklist for Families and Schools” for your reference. The Massachusetts Department of Public Health is requesting that if your child has signs of the flu, please keep them at home for 7 days after their symptoms start, or 24 hours after their symptoms go away—whichever is longer.
"When your child is well again, and has stayed home according to the guidance above, he or she does not need to be tested for the flu before returning to school. Most people who get the flu do not need to seek medical care and do not need to be tested for H1N1 flu. However, if you have questions or concerns, you should contact your health care provider.
"We appreciate your continued cooperation and support as we work together to reduce the spread of the flu in our community."
The Amherst Health Department is in close contact with the the School Department, and any necessary updates will be communicated to the public via the ARPS website or this blog. As always, please feel free to call the Health Department at 259-3077 for further information.
The Amherst Public School System has published a letter on their website which can be read by clicking here. Thr text of the letter reads thus:
"As you probably know, there are different strains of flu affecting Massachusetts and there is a confirmed case of Influenza Type A, which includes H1N1, at our Regional High School. So far, the symptoms of the new H1N1 flu are similar to those of seasonal flu. But any flu virus can cause serious illness, thus we are working very closely with the Amherst Health Department and the Massachusetts Department of Public Health officials to try to prevent the spread of the flu among students and staff.
"We are monitoring student and staff attendance because some schools in the state have had to close due to high rates of absenteeism due flu like symptoms. To assist with our monitoring please contact your school if your child is absent and experiencing flu like symptoms. Even though your child’s school has not closed, please think about how you would manage child care issues if closure were necessary.
"There are steps every parent/guardian can take to lower their children’s chances of getting sick. Teach them to wash their hands often with soap and water. Also, teach your children to cough into their inner elbow or into a tissue, instead of their hands. This will help prevent the spread of germs, including the flu virus.
"Make sure that your child does not have signs of the flu before you send them to school each morning. On the opposite side of this page is “Flu symptoms Checklist for Families and Schools” for your reference. The Massachusetts Department of Public Health is requesting that if your child has signs of the flu, please keep them at home for 7 days after their symptoms start, or 24 hours after their symptoms go away—whichever is longer.
"When your child is well again, and has stayed home according to the guidance above, he or she does not need to be tested for the flu before returning to school. Most people who get the flu do not need to seek medical care and do not need to be tested for H1N1 flu. However, if you have questions or concerns, you should contact your health care provider.
"We appreciate your continued cooperation and support as we work together to reduce the spread of the flu in our community."
The Amherst Health Department is in close contact with the the School Department, and any necessary updates will be communicated to the public via the ARPS website or this blog. As always, please feel free to call the Health Department at 259-3077 for further information.
Wednesday, June 10, 2009
Kids and Technology: Tips for Parents in a High-Tech World
Although children may not want to admit it, the school year is here. Parents know that back to school means a packed planner filled with everything from recitals to parent-teacher conferences. As time gets stretched, parents and children may talk less and fall back on timesavers, like notes or text messages.
But when it comes to your child’s safety in the virtual world, parents should not rely on one strategy alone. According to a study published in the Journal of Adolescent Health, children say they know how to get around home and school filters to access MySpace, e-mail or instant messaging programs. Children also admit that they will access blocked sites from friends’ computers who do not have limits on their Internet access.
Experts recommend parents use multiple strategies to keep kids safe in the virtual world. “Unfortunately, prohibiting access to technology or sole reliance upon blocking or filtering software are often not enough to prevent electronic aggression,” says Marci Hertz, a health scientist at the Centers for Disease Control and Prevention (CDC). “Kids are savvy and can get around filters and blocking software. Just like putting a seatbelt on before starting the car, there are some fundamental strategies parents should observe to make sure use of electronic technology is a safe experience.”
A new CDC resource for educators and parents offers the following strategies:
Talk to your child. Parents ask their children where they are going and who they are going with whenever they leave the house. They should take the same approach when their children go on the Internet—where are they going and who are they with?
Develop rules. Together with your child, develop rules about acceptable and safe behaviors for all electronic media.
Explore the Internet. Visit the websites your child frequents, and assess the pros and cons. Most websites and on-line activities are beneficial. They help young people learn new information and interact with people who have similar interests.
Talk with others. Talk to other parents about how they have discussed technology use with their children.
Connect with the school. Parents are encouraged to work with their child’s school and school district to develop a class for parents that educates about school policies on electronic aggression and resources available to parents.
Educate yourself. Stay informed about the new devices and websites your child is using. Continually talk with your child and explore the technology yourself.
-------
This article reproduced with the kind permission of the Centers for Disease Control and Prevention.
But when it comes to your child’s safety in the virtual world, parents should not rely on one strategy alone. According to a study published in the Journal of Adolescent Health, children say they know how to get around home and school filters to access MySpace, e-mail or instant messaging programs. Children also admit that they will access blocked sites from friends’ computers who do not have limits on their Internet access.
Experts recommend parents use multiple strategies to keep kids safe in the virtual world. “Unfortunately, prohibiting access to technology or sole reliance upon blocking or filtering software are often not enough to prevent electronic aggression,” says Marci Hertz, a health scientist at the Centers for Disease Control and Prevention (CDC). “Kids are savvy and can get around filters and blocking software. Just like putting a seatbelt on before starting the car, there are some fundamental strategies parents should observe to make sure use of electronic technology is a safe experience.”
A new CDC resource for educators and parents offers the following strategies:
Talk to your child. Parents ask their children where they are going and who they are going with whenever they leave the house. They should take the same approach when their children go on the Internet—where are they going and who are they with?
Develop rules. Together with your child, develop rules about acceptable and safe behaviors for all electronic media.
Explore the Internet. Visit the websites your child frequents, and assess the pros and cons. Most websites and on-line activities are beneficial. They help young people learn new information and interact with people who have similar interests.
Talk with others. Talk to other parents about how they have discussed technology use with their children.
Connect with the school. Parents are encouraged to work with their child’s school and school district to develop a class for parents that educates about school policies on electronic aggression and resources available to parents.
Educate yourself. Stay informed about the new devices and websites your child is using. Continually talk with your child and explore the technology yourself.
-------
This article reproduced with the kind permission of the Centers for Disease Control and Prevention.
Monday, June 8, 2009
Why Alcohol and Pregnancy Do Not Mix
A mother’s alcohol use during pregnancy can cause birth defects and developmental disabilities. These problems are completely preventable if a mother does not drink alcohol while pregnant.
The U.S. Surgeon General, the Centers for Disease Control and Prevention (CDC), the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and many other national organizations all agree that all alcohol should be avoided during pregnancy.
Women Need to Get the Facts:
Drinking alcohol during pregnancy can cause a baby to be born with birth defects and have disabilities. These conditions, called fetal alcohol spectrum disorders, or FASDs, are among the top preventable birth defects and developmental disabilities. FASDs can cause problems in how a person looks, grows, learns and acts. FASDs can also cause birth defects of the heart, brain, and other major organs. These problems last a lifetime.
There is no known amount of alcohol that is safe to drink while pregnant. All drinks with alcohol can hurt an unborn baby. A 12-ounce can of beer has as much alcohol as a 5-ounce glass of wine or a 1-ounce shot of liquor.
There is no safe time to drink during pregnancy. Alcohol can harm a baby at any time during pregnancy. It can cause problems in the early weeks of pregnancy, before a woman even knows she is pregnant.
Too many women think drinking alcohol during pregnancy won’t hurt their unborn baby. About 1 in 12 pregnant women in the United States reports alcohol use.
FASDs are 100% preventable—if a woman does not drink alcohol while she is pregnant.
Ways to prevent FASDs:
If you are pregnant or trying to become pregnant, do not drink alcohol.
Even if you are not trying to get pregnant, but could become pregnant, do not drink alcohol.
If you are pregnant and drinking alcohol, stop now.
Mothers-to-be are not the only ones who can prevent FASDs. Friends and family members can play an important role by encouraging women to avoid alcohol during pregnancy. Schools, health and social service organizations, and communities can promote FASD prevention activities through education and intervention.
If you have questions about alcohol and pregnancy, talk to your doctor, nurse or other health care professional.
For more information, go to the CDC’s Web site at www.cdc.gov/ncbddd/fas.
---------
This article has been reproduced with the kind permission of the Centers for Disease Control and Prevention.
The U.S. Surgeon General, the Centers for Disease Control and Prevention (CDC), the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and many other national organizations all agree that all alcohol should be avoided during pregnancy.
Women Need to Get the Facts:
Drinking alcohol during pregnancy can cause a baby to be born with birth defects and have disabilities. These conditions, called fetal alcohol spectrum disorders, or FASDs, are among the top preventable birth defects and developmental disabilities. FASDs can cause problems in how a person looks, grows, learns and acts. FASDs can also cause birth defects of the heart, brain, and other major organs. These problems last a lifetime.
There is no known amount of alcohol that is safe to drink while pregnant. All drinks with alcohol can hurt an unborn baby. A 12-ounce can of beer has as much alcohol as a 5-ounce glass of wine or a 1-ounce shot of liquor.
There is no safe time to drink during pregnancy. Alcohol can harm a baby at any time during pregnancy. It can cause problems in the early weeks of pregnancy, before a woman even knows she is pregnant.
Too many women think drinking alcohol during pregnancy won’t hurt their unborn baby. About 1 in 12 pregnant women in the United States reports alcohol use.
FASDs are 100% preventable—if a woman does not drink alcohol while she is pregnant.
Ways to prevent FASDs:
If you are pregnant or trying to become pregnant, do not drink alcohol.
Even if you are not trying to get pregnant, but could become pregnant, do not drink alcohol.
If you are pregnant and drinking alcohol, stop now.
Mothers-to-be are not the only ones who can prevent FASDs. Friends and family members can play an important role by encouraging women to avoid alcohol during pregnancy. Schools, health and social service organizations, and communities can promote FASD prevention activities through education and intervention.
If you have questions about alcohol and pregnancy, talk to your doctor, nurse or other health care professional.
For more information, go to the CDC’s Web site at www.cdc.gov/ncbddd/fas.
---------
This article has been reproduced with the kind permission of the Centers for Disease Control and Prevention.
Wednesday, June 3, 2009
Public Health Fact Sheet: Lyme Disease
What is Lyme disease?
Lyme disease is caused by bacteria (germs) that are spread by tiny, infected deer ticks. Both people and animals can have Lyme disease.
Where do cases of Lyme disease occur?
In the United States, Lyme disease most commonly occurs in the Northeast and mid-Atlantic regions and in theupper Midwest. In Massachusetts, Lyme disease occurs throughout the state.
How is Lyme disease spread?
Lyme disease is spread by the bite of an infected deer tick. The tick usually must be attached to a person for at least 24 hours before it can spread the germ. Deer ticks in Massachusetts can also carry the germs that cause babesiosis and human granulocytic anaplasmosis (also known as human granulocytic ehrlichiosis). Deer ticks are capable of spreading more than one type of germ in a single bite.
When can I get Lyme disease?
Lyme disease can occur during any time of the year. The bacteria that cause Lyme disease are spread by infected deer ticks. Young ticks (nymphs) are most active during the warm weather months between May and July. Adult ticks are most active during the fall and spring but may also be out searching for a host any time that winter temperatures are above freezing.
How soon do symptoms of Lyme disease appear after a tick bite?
Symptoms of early Lyme disease, described below, usually begin to appear from 3 to 30 days after being bitten by an infected tick. If untreated, symptoms of late Lyme disease may occur from weeks to years after the initial infection.
What are the symptoms of Lyme disease?
Early stage (days to weeks): The most common early symptom is a rash (erythema migrans) where the tick was attached. It often, but not always, starts as a small red area that spreads outward, clearing up in the center so it looks like a donut. Flu-like symptoms, such as fever, headache, stiff neck, sore and aching muscles and joints, fatigue and swollen glands may also occur.
Even though these symptoms may go away by themselves, without medical treatment, some people will get the rash again in other places on their bodies, and many will experience more serious problems. Treatment during the early stage prevents later, more serious problems.
Later stages (weeks to years): If untreated, people with Lyme disease can develop late-stage symptoms even if they never had a rash. The joints, nervous system and heart are most commonly affected.
• About 60% of people with untreated Lyme disease get arthritis in their knees, elbows and/or wrists. The arthritis can move from joint to joint and become chronic.
• Many people who don’t get treatment develop nervous system problems. These problems include meningitis (an inflammation of the membranes covering the brain and spinal cord), facial weakness (Bell’s palsy) or other problems with nerves of the head, and weakness or pain (or both) in the hands, arms, feet and/or legs. These symptoms can last for months, often shifting between mild and severe.
• The heart also can be affected in Lyme disease, with slowing down of the heart rate and fainting. The effect on the heart can be early or late.
Is there treatment for Lyme disease?
People who are diagnosed with Lyme disease can be treated with antibiotics. Prompt treatment during the early stage of the disease prevents later, more serious problems.
What can I do to lower my chances of getting Lyme disease, or any other disease, from ticks?
Prevention begins with you! Take steps to reduce your chances of being bitten by any tick. Ticks are most active during warm weather, generally late spring through fall. However, ticks can be out any time that temperatures are above freezing. Ticks cling to vegetation and are most numerous in brushy, wooded or grassy habitats. They are not found on open, sandy beaches, but may be found in grassy dune areas. When you are outside in an area likely to have ticks (e.g. brushy, wooded or grassy places), follow these simple steps to protect yourself and your loved ones:
• Use a repellent with DEET (the chemical N-N-diethyl-meta-toluamide) or permethrin according to the instructions given on the product label. DEET products should not be used on infants under two months of age and should be used in concentrations of 30% or less on older children. Permethrin products are intended for use on items such as clothing, shoes, bed nets and camping gear, and should not be applied to skin. More information on choosing a repellent and how to use repellents safely is included in the MDPH Public Health Fact Sheet on
Tick Repellents at www.mass.gov/dph/cdc/factsheets/factsheets.htm. If you can’t go online, contact the MDPH at (617) 983-6800 for a hard copy.
• Wear long, light-colored pants tucked into your socks or boots, and a long-sleeved shirt. This may be difficult to do when the weather is hot, but it will help keep ticks away from your skin and help you spot a tick on your clothing faster.
• Stay on cleared trails when walking or hiking, avoiding the edge habitat where ticks are likely to be.
• Talk to your veterinarian about tick control options (tick collars, repellents) for your pets.
After spending time in an area likely to have ticks, check yourself, your children and pets for ticks.
Young ticks, called nymphs, are the size of a poppy seed. Adult deer ticks are the size of a sesame seed. Both nymph and adult deer ticks can spread the bacteria that cause Lyme disease; however, nymphs are of more concern. They are aggressive feeders and so tiny that it can be difficult to see them on the body, unless you are looking carefully. When doing a tick check, remember that ticks like places that are warm and moist. Always check the back of the knees, armpits, groin, scalp, back of the neck and behind the ears. If you find a tick attached to your
body, remove it as soon as possible using a fine-point tweezers. Do not squeeze or twist the tick’s body, but grasp it close to your skin and pull straight out with steady pressure.
Know the symptoms of Lyme disease as described in this fact sheet. If you have been someplace likely to have ticks and you develop symptoms of Lyme disease, or any other disease carried by ticks, see your health care provider right away.
Where can I get more information?
• For questions about your own health, contact your doctor, nurse, or health care clinic.
• For questions about Lyme disease or other diseases spread by ticks, contact the MDPH at (617) 983-6800 or toll free at (888) 658-2850 or online at http://www.mass.gov/dph. You may also contact your local Board of Health (listed in the telephone directory under “Government”).
• For questions about tick repellents, read the MDPH Public Health Fact Sheet on Tick Repellents at www.mass.gov/dph/cdc/factsheets/factsheets.htm. If you can’t go online, you may ask for hard copies of MDPH fact sheets by calling the MDPH number above.
Did you know?
You don’t have to be a hiker on Cape Cod to worry about ticks. In Massachusetts, you may be bitten in your own backyard. There are lots of things you can do around your own backyard to make it less inviting for ticks! Visit the MDPH Tickborne Disease Website at www.mass.gov/dph/cdc/epii/lyme/lymehp.htm for suggestions.
--------
Originally published as a Public Health Fact Sheet by the MA Department of Public Health.
Lyme disease is caused by bacteria (germs) that are spread by tiny, infected deer ticks. Both people and animals can have Lyme disease.
Where do cases of Lyme disease occur?
In the United States, Lyme disease most commonly occurs in the Northeast and mid-Atlantic regions and in theupper Midwest. In Massachusetts, Lyme disease occurs throughout the state.
How is Lyme disease spread?
Lyme disease is spread by the bite of an infected deer tick. The tick usually must be attached to a person for at least 24 hours before it can spread the germ. Deer ticks in Massachusetts can also carry the germs that cause babesiosis and human granulocytic anaplasmosis (also known as human granulocytic ehrlichiosis). Deer ticks are capable of spreading more than one type of germ in a single bite.
When can I get Lyme disease?
Lyme disease can occur during any time of the year. The bacteria that cause Lyme disease are spread by infected deer ticks. Young ticks (nymphs) are most active during the warm weather months between May and July. Adult ticks are most active during the fall and spring but may also be out searching for a host any time that winter temperatures are above freezing.
How soon do symptoms of Lyme disease appear after a tick bite?
Symptoms of early Lyme disease, described below, usually begin to appear from 3 to 30 days after being bitten by an infected tick. If untreated, symptoms of late Lyme disease may occur from weeks to years after the initial infection.
What are the symptoms of Lyme disease?
Early stage (days to weeks): The most common early symptom is a rash (erythema migrans) where the tick was attached. It often, but not always, starts as a small red area that spreads outward, clearing up in the center so it looks like a donut. Flu-like symptoms, such as fever, headache, stiff neck, sore and aching muscles and joints, fatigue and swollen glands may also occur.
Even though these symptoms may go away by themselves, without medical treatment, some people will get the rash again in other places on their bodies, and many will experience more serious problems. Treatment during the early stage prevents later, more serious problems.
Later stages (weeks to years): If untreated, people with Lyme disease can develop late-stage symptoms even if they never had a rash. The joints, nervous system and heart are most commonly affected.
• About 60% of people with untreated Lyme disease get arthritis in their knees, elbows and/or wrists. The arthritis can move from joint to joint and become chronic.
• Many people who don’t get treatment develop nervous system problems. These problems include meningitis (an inflammation of the membranes covering the brain and spinal cord), facial weakness (Bell’s palsy) or other problems with nerves of the head, and weakness or pain (or both) in the hands, arms, feet and/or legs. These symptoms can last for months, often shifting between mild and severe.
• The heart also can be affected in Lyme disease, with slowing down of the heart rate and fainting. The effect on the heart can be early or late.
Is there treatment for Lyme disease?
People who are diagnosed with Lyme disease can be treated with antibiotics. Prompt treatment during the early stage of the disease prevents later, more serious problems.
What can I do to lower my chances of getting Lyme disease, or any other disease, from ticks?
Prevention begins with you! Take steps to reduce your chances of being bitten by any tick. Ticks are most active during warm weather, generally late spring through fall. However, ticks can be out any time that temperatures are above freezing. Ticks cling to vegetation and are most numerous in brushy, wooded or grassy habitats. They are not found on open, sandy beaches, but may be found in grassy dune areas. When you are outside in an area likely to have ticks (e.g. brushy, wooded or grassy places), follow these simple steps to protect yourself and your loved ones:
• Use a repellent with DEET (the chemical N-N-diethyl-meta-toluamide) or permethrin according to the instructions given on the product label. DEET products should not be used on infants under two months of age and should be used in concentrations of 30% or less on older children. Permethrin products are intended for use on items such as clothing, shoes, bed nets and camping gear, and should not be applied to skin. More information on choosing a repellent and how to use repellents safely is included in the MDPH Public Health Fact Sheet on
Tick Repellents at www.mass.gov/dph/cdc/factsheets/factsheets.htm. If you can’t go online, contact the MDPH at (617) 983-6800 for a hard copy.
• Wear long, light-colored pants tucked into your socks or boots, and a long-sleeved shirt. This may be difficult to do when the weather is hot, but it will help keep ticks away from your skin and help you spot a tick on your clothing faster.
• Stay on cleared trails when walking or hiking, avoiding the edge habitat where ticks are likely to be.
• Talk to your veterinarian about tick control options (tick collars, repellents) for your pets.
After spending time in an area likely to have ticks, check yourself, your children and pets for ticks.
Young ticks, called nymphs, are the size of a poppy seed. Adult deer ticks are the size of a sesame seed. Both nymph and adult deer ticks can spread the bacteria that cause Lyme disease; however, nymphs are of more concern. They are aggressive feeders and so tiny that it can be difficult to see them on the body, unless you are looking carefully. When doing a tick check, remember that ticks like places that are warm and moist. Always check the back of the knees, armpits, groin, scalp, back of the neck and behind the ears. If you find a tick attached to your
body, remove it as soon as possible using a fine-point tweezers. Do not squeeze or twist the tick’s body, but grasp it close to your skin and pull straight out with steady pressure.
Know the symptoms of Lyme disease as described in this fact sheet. If you have been someplace likely to have ticks and you develop symptoms of Lyme disease, or any other disease carried by ticks, see your health care provider right away.
Where can I get more information?
• For questions about your own health, contact your doctor, nurse, or health care clinic.
• For questions about Lyme disease or other diseases spread by ticks, contact the MDPH at (617) 983-6800 or toll free at (888) 658-2850 or online at http://www.mass.gov/dph. You may also contact your local Board of Health (listed in the telephone directory under “Government”).
• For questions about tick repellents, read the MDPH Public Health Fact Sheet on Tick Repellents at www.mass.gov/dph/cdc/factsheets/factsheets.htm. If you can’t go online, you may ask for hard copies of MDPH fact sheets by calling the MDPH number above.
Did you know?
You don’t have to be a hiker on Cape Cod to worry about ticks. In Massachusetts, you may be bitten in your own backyard. There are lots of things you can do around your own backyard to make it less inviting for ticks! Visit the MDPH Tickborne Disease Website at www.mass.gov/dph/cdc/epii/lyme/lymehp.htm for suggestions.
--------
Originally published as a Public Health Fact Sheet by the MA Department of Public Health.
Tuesday, June 2, 2009
H1N1 (Swine Flu) Update for June 2nd, 2009
Yesterday, the MA Department of Public Health confirmed that the number of cases of H1N1 virus has increased to a total of 636 cases in the Commonwealth. Of the 107 new cases confirmed on June 1st, two had been hospitalized due to complications. Overall, there have been 34 hospitalized cases in Massachusetts since the beginning of the outbreak.
With the number of cases in Massachusetts continuing to increase, the DPH has changed its focus from individual case counts to examining the overall trend of the disease. Thus, DPH no longer lists individual cases of confirmed H1N1, and now has begun to list cases by county. DPH is also closely examining the age distribution of cases, as well as the aforementioned hospitalization rates.
Yesterday, the DPH stated the following on its blog:
"Flu outbreaks evolve in unpredictable ways; it is impossible to know whether this outbreak will decrease, remain the same, or grow in coming weeks, and whether the illness will remain at its current severity which, on the whole has been relatively mild. Some severe cases may occur in people with underlying risk factors such as young children, the elderly, and people with chronic medical conditions. The Centers for Disease Control and DPH are watching closely for signs of increased severity of the H1N1 influenza (swine flu), and will continue to monitor and report on any developing trends."
The same precautions continue to be urged by the DPH, the CDC, as well as the Amherst Health Department.
Download information on cases from 6-01-2009.
View a list of all MA schools which have been closed due to H1N1 Influenza.
With the number of cases in Massachusetts continuing to increase, the DPH has changed its focus from individual case counts to examining the overall trend of the disease. Thus, DPH no longer lists individual cases of confirmed H1N1, and now has begun to list cases by county. DPH is also closely examining the age distribution of cases, as well as the aforementioned hospitalization rates.
Yesterday, the DPH stated the following on its blog:
"Flu outbreaks evolve in unpredictable ways; it is impossible to know whether this outbreak will decrease, remain the same, or grow in coming weeks, and whether the illness will remain at its current severity which, on the whole has been relatively mild. Some severe cases may occur in people with underlying risk factors such as young children, the elderly, and people with chronic medical conditions. The Centers for Disease Control and DPH are watching closely for signs of increased severity of the H1N1 influenza (swine flu), and will continue to monitor and report on any developing trends."
The same precautions continue to be urged by the DPH, the CDC, as well as the Amherst Health Department.
- Wash your hands frequently with soap and warm water or use an alcohol-based hand sanitizer.
- Cover your cough with a tissue or cough into your inner elbow and not into your hands.
- If you are sick stay home from work and if your child is sick keep them home from school for 7 days, or 24 hours after your symptoms go away—whichever is longer.
Download information on cases from 6-01-2009.
View a list of all MA schools which have been closed due to H1N1 Influenza.
Monday, June 1, 2009
Chang Farm Recalls Expired Chang Farm Bean and Soy Sprouts
FOR IMMEDIATE RELEASE -- Chang Farm, River Road, Whatley, MA is issuing a voluntary recall of Bean and Soy sprouts produced from Chang Farms, with specific expired date codes because of the possible presence of Listeria monocytogenes (L. Monocytogenes) contamination.
Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.
The affected product is packaged in 10 lb bags (bulk) and 12 oz plastic bags (retail), labeled under the Chang Farm Brand as Soy Sprouts and have a “Sell By” date of May 23, 2009 or May 24, 2009 and Bean Sprouts with “Use By” date of May 23, 2009 or May 24, 2009.
The product has been distributed to retail stores and restaurants throughout MA, CT, NY and NJ.
No illnesses have been reported to date.
The contamination was discovered after a sample was secured at a retail store in New York which tested positive for L. monocytogenes.
All grocery stores, food services, and other retailers who have this lot in MA, CT, NY and NJ should remove this product from their shelves. Consumers should discard this product or return them to the place of purchase for a full refund.
Consumers should contact their healthcare provider with any illness concerns. Consumers with questions about the warning may contact Chang Farm at 413-665-3341.
Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.
The affected product is packaged in 10 lb bags (bulk) and 12 oz plastic bags (retail), labeled under the Chang Farm Brand as Soy Sprouts and have a “Sell By” date of May 23, 2009 or May 24, 2009 and Bean Sprouts with “Use By” date of May 23, 2009 or May 24, 2009.
The product has been distributed to retail stores and restaurants throughout MA, CT, NY and NJ.
No illnesses have been reported to date.
The contamination was discovered after a sample was secured at a retail store in New York which tested positive for L. monocytogenes.
All grocery stores, food services, and other retailers who have this lot in MA, CT, NY and NJ should remove this product from their shelves. Consumers should discard this product or return them to the place of purchase for a full refund.
Consumers should contact their healthcare provider with any illness concerns. Consumers with questions about the warning may contact Chang Farm at 413-665-3341.
Subscribe to:
Posts (Atom)
Posts
