Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Archive for the ‘influenza’ Category

Special Agent Callen Wants You to Get a Flu Shot

Tuesday, November 27th, 2012

Chris O'Donnell, who stars as Special Agent "G" Callen on NCIS Los Angeles, chose Fluzone for his flu vaccination this year. The 90% smaller needle makes this tough guy feel less squeamish.

It’s another gorgeous November afternoon in Southern California, and actor Chris O’Donnell is phoning in from his trailer at a downtown location shoot for NCIS Los Angeles. As Special Agent “G” Callen on the popular CBS Tuesday night action drama, he’s a tough guy. “I’m walking around this park in downtown L.A. today dressed like an LAPD cop, and nobody’s messing with me right now,” he jokes.

But when it’s time to roll up his sleeve during flu season, he’s a bit squeamish. “I’m the biggest baby when it comes to getting a shot,” O’Donnell says.

Still, the father of five kids ages “almost 5” to 13 makes sure the whole family is vaccinated every year. Parenting presents constant challenges, he explains, but some decisions are just common sense. “Kids are like little Petri dishes,” he jokes. “My age group, you think you’re impervious to that,” but it’s important to prevent the spread of flu to others who are more vulnerable.

Staying healthy also gives the 42-year-old actor – who played Robin in two “Batman” films and has starred on NCIS Los Angeles since 2009 – more time to boogie board and play volley ball at the beach with the family. The Chicago native says he still can’t get used to the constant sunny weather in his adopted home.

He also needs to stay healthy to juggle the demands of work and family. With NCIS-LA in its fourth season, O’Donnell doesn’t have time for movies or other side projects. He missed a recent round of parent-teacher conferences, but was able to take advantage of a surprise afternoon break to run across town to see his son play football.

He also managed to find time to get his annual flu shot, and says it was a bit easier this year because of Fluzone, a vaccine delivered via a needle that is 90 percent smaller than those on traditional syringes. Squeamish though he is, he barely felt the shot, and headed right back out to his tough guy duties on the NCIS set.

Read About These Flu Vaccine Myths – Then Roll Up Your Sleeve

Wednesday, October 10th, 2012

It seems like we’ve hardly left summer, but now is the time to get ready for flu season. Experts are anticipating this will be a busy one, and manufacturers of influenza vaccine are cranked up and producing around 150 million doses – up 17 million from last year. This means that even though we’re in the middle of October, it is time to round up your family for a flu shot (or flu mist, which works just as well).

Dennis Cunningham, M.D., an infectious disease physician with Nationwide Children’s Hospital, busts a few common flu myths here to help spur you on your way:

Myth: You can catch the flu from the vaccine.

Fact: You might feel achy, and the arm that receives the shot might be tender for a day or so, but that just shows that your body is responding to the vaccine the way it should. In the case of an actual flu, you would be sick in bed with high fever for a week.

Myth: You should wait until winter really sets in to get a flu shot.

Fact: The vaccine won’t wear off. Even if you got your shot in August, it would protect you through the whole flu season. Wait until winter and you might catch the flu before you get vaccinated.

Myth: Flu vaccines do not protect you from current strains.

Fact: The Centers for Disease Control and Prevention keeps up with the latest strains – including H1N1, swine flu and bird flu – and includes them in each year’s vaccine. And even if the match isn’t exact, you’re less likely to get sick with the vaccine than without.

Watch Out For New Flu At the Fair

Wednesday, September 12th, 2012

As state and county fairs, livestock shows and harvest fests take place across the country, health officials are warning about a new influenza strain, H3N2v, which can pass from pigs to people. Nearly 300 cases of H3N2v have been reported to the U.S. Centers for Disease Control and Prevention (CDC) during the past year, most of them in the Midwest.

In the most recent cases, people who were sickened were exposed to sick pigs at fairs. The virus doesn’t seem to pass easily between humans.

Precautions to take at the fair:

• Do not take children younger than 5, pregnant women, people age 65 and older or others with weakened immune systems into areas with pigs.

• Do not take children’s toys, pacifiers, cups, bottles or strollers into an area with pigs.

• Do not eat, drink or put anything into your mouth while you are in an area with pigs.

• Wash your hands with running water and soap after you are exposed to pigs. If you do not have access to soap and water, use an alcohol-based hand sanitizer.

Anyone who develops flu-like symptoms after contact with pigs should let their doctor know that they were exposed to pigs, because prescription drugs are available to treat H3N2v if they are used early.

Seasonal flu vaccines will not protect against H3N2v. For more information on the virus, visit the CDC’s website.

 

Antibiotic Overuse: What You Can Do

Monday, November 14th, 2011

getsmart-webbutton-boyTo be really smart about antibiotics, you have to know the difference between a bacterial infection (like strep throat) and a viral infection (like a cold or the flu). Antibiotics work great for one, but are useless against the other.

Taking antibiotics when you don’t need them (for colds or the flu) isn’t smart for you, but does make bacteria “smarter,” creating new strains that resist antibiotic treatment. The U.S. Centers for Disease Control and Prevention (CDC) has designated this as “Get Smart About Antibiotics Week,” and here, to help you do just that, are some tips from Daniel Uslan, M.D., director of the UCLA Antimicrobial Stewardship Program, which promotes appropriate use of antibiotics. Uslan says patients have a role to play in guarding against antibiotic overuse.

1. If you are seeing your doctor because you are ill, and your doctor diagnoses a viral infection, do not pressure her to prescribe antibiotics. Antibiotics are only effective against bacterial infections. Instead, ask about other methods you can use to reduce your symptoms.

2. Do not assume that yellow or green mucus means you need antibiotics. Mucus can change color even with a viral infection.

3. If you are prescribed antibiotics, take them exactly as directed, even if you feel better.

4. Do not save leftover antibiotics for the next time you become sick.

5. Do not take antibiotics prescribed for someone else.

6. If your doctor suspects strep throat, ask whether a throat swab test is appropriate before he prescribes antibiotics. Only 5 to 15 percent of adult cases of sore throat are due to strep, and the majority of sore throats do not require antibiotics.

Children, who have the highest rates of antibiotic use, are of particular concern to experts, according to the CDC.

The CDC’s “Get Smart” page offers a useful rundown of common respiratory illnesses, a symptom-relief guide for viral infections, and more facts about antibiotic resistance and its dangers.

Taking a Shot At the Flu

Tuesday, October 4th, 2011

mh900305696The new news about the upcoming 2011-12 flu season is … there is no new news. Experts have determined that the same three strains of flu will be circulating this season as last, and manufacturers have already delivered a vaccine – exactly the same vaccine in use last season – well ahead of schedule.

But that doesn’t mean those who got a shot last year can skip it this season, warns John Martin, M.D., an infectious disease specialist at the Kaiser Permanente Los Angeles Medical Center. The seasonal vaccine, he says, only protects for a matter of months. So get your flu shot, and get it now.

“There’s no real too-early time to get the vaccine,” says the father of two, who plans to get his shot this week. It takes about three weeks for your immunity to ramp up once you’re vaccinated, and during that time you are still vulnerable to the flu. Since the annual onslaught of influenza is no respecter of calendars (we could always have an early season), it doesn’t pay to wait.

Martin gets vaccinated at work, this year “as soon as they bring the trolley around,” but your doctor’s office, local walk-in clinic or drugstore are also fine places to get your shot. “It should be the same everywhere you go,” he says.

Even if you think you’ve had the flu – and only a test performed by your doctor can tell you for sure – you should still get a flu shot for a couple of reasons. First, your illness might have been a cold or some other type of infection. “Anything can look like the flu,” Martin says. Second, there are several strains of the flu, and having one won’t make you immune to the others.

People who have life-threatening allergy to eggs, have had severe vaccine reactions in the past, or have had a rare condition called Guillain-Barre syndrome should talk with their doctor before being vaccinated, but everyone else, Martin says, should just get out and get it done.

Side-effects of the vaccine tend to begin within a of couple hours, are usually very mild, and last about a day. The most common are low-grade fever, body aches and localized muscle pain around the injection area, all treatable with Tylenol and some rest. (If you develop severe respiratory problems or high fever, see your doctor.)

If you did well with last year’s vaccine, you should do fine this year as well. And if you didn’t get your shot last year? “Don’t be surprised if you feel a little bit tired the day after the shot,” Martin says. “It doesn’t mean that the flu shot is giving you the flu. It’s just your immune system reacting to the vaccine itself.”

Taking normal precautions like washing your hands often and using hand sanitizer are great ways to prevent many kinds of illness, but Martin reminds everyone that the flu vaccine is the best way to protect against influenza, and that it’s safe. “The flu is not just a cold,” he says. “The flu is a very serious illness. And even in 2011 it still kills people.”

Just Ask: A Cold From Nasal Flu Vaccine?

Thursday, December 23rd, 2010

Beth Writes:

My 12-year-old daughter had the nasal flu vaccine a few weeks ago. A week later she developed a bad nose cold (no fever) and is still not fully recovered. I’m not sure if it’s related, but wanted to ask if this is possible. Most importantly, I want to know if there are any known long-term consequences of having the nasal vaccine. I’m hoping we made the right decision to have the nasal vaccine instead of the injection.

Health-E Responds:

nasal-fluI took your question to James Cherry, M.D., a professor of pediatric infectious diseases who works with Mattel Children’s Hospital at UCLA. Asked if your daughter’s cold could have been related to the nasal flu vaccine, he responded, “Almost certainly not.” Some people do experience symptoms after having the nasal flu vaccine, but Cherry says these come on right away. Since your daughter’s cold didn’t come along until a week after she received the vaccine, “Unfortunately, she was exposed to somebody with a cold and she caught it,” Cherry says.

No long-term side-effects have been documented from the nasal flu vaccine. Cherry does point out that young children seem get a slightly better immune boost from the nasal vaccine, while adults do better with the injection. Your daughter being right in the middle, both should be fine.

He also says the flu vaccine, in either form, is well worth getting. “You have roughly 35,000 deaths a year from flu, and a large number of those are preventable through the vaccine.”

Jill Hoffman, M.D., acting head of the Division of Infectious Diseases at Children’s Hospital Los Angeles also chimed in with this response:

I cannot answer this question specifically as it relates to your child, but I can tell you from my experience and expertise that the most common side effects are stuffy nose and mild scratchy throat occurring up to a few days after receipt of the FluMist nasal vaccine. Since cold viruses are very common, especially this time of year, it is possible that your daughter was coincidentally incubating a cold virus at the time of the vaccine, which then manifested itself a week later. The vaccine is very safe when given to normal children and adults (2-50 years old) and no long-term side effects have been documented, except for protection from influenza for a year! You cannot get influenza from the vaccine.

The vaccine is NOT recommended for :

  • People less than 2 years of age
  • People 50 years of age and over
  • People with a medical condition that places them at high risk for complications from influenza, including those with chronic heart or lung disease, such as asthma or reactive airways disease; people with medical conditions such as diabetes or kidney failure; or people with illnesses that weaken the immune system, or who take medications that can weaken the immune system.
  • Children <5 years old with a history of recurrent wheezing
  • Children or adolescents receiving aspirin
  • People with a history of Guillain–Barré Syndrome that occurred after receiving influenza vaccine
  • Pregnant women
  • People who have a severe allergy to chicken eggs or who are allergic to any of the nasal spray vaccine components.

If you have further questions about your daughter, I would discuss these with your pediatrician and consult the Centers for Disease Control website (www.CDC.gov). 

Got a question about your family’s health? Click here, and we’ll find an expert to answer it!

Got Egg Allergies? Get Tested Before Your Flu Shot

Wednesday, November 17th, 2010

eggIf you’re allergic to eggs (Egg allergy is most common in kids, and somewhere around 2% of children have it.), take care before getting a flu vaccine. They commonly contain egg and could cause a reaction.

Even if you’ve had trouble-free flu shots in the past, it’s important to get tested against each year’s vaccine because the formulation varies. So you could be fine one year, and have a reaction the next.

In a study presented at the American College of Allergy, Asthma & Immunology annual meeting this month, researchers recommended a test to the specific lot number of vaccine to be given for anyone with a history of egg or gelatin allergy, or severe reaction to influenza vaccine. It’s a simple skin test, and could save you a lot of trouble.

Learn more … 

Hand Sanitizer For Your Nose!

Thursday, September 30th, 2010

Flu season has officially come to L.A. County. Yesterday the county health department announced that a man in his 30s is the season’s first confirmed influenza case. He had H3N2 (seasonal influenza A), not H1N1. Officials are urging everyone to get their flu shots, wash their hands, and stay home if they get sick. And here’s something new you can do.

 

nozinnasal-sanitizerYears ago, I was interviewing a doctor about cold and flu season – something I’ve done many seasons in a row. We were having the inevitable discussion about hand washing, and I mentioned how often people seem to put their hands in their mouths.

The doctor agreed, but told me that this wasn’t the biggest problem. Much more troubling to him was how often we pick our noses! It turns out that while germs can enter the body through the mouth, or even the eyes, noses are their preferred super-highway.

Nozin Nasal Sanitizer now offers a way to stop that traffic. It’s a blend of ethyl alcohol and moisturizers jojoba and Vitamin E that you drip onto a cotton swab and apply to the outer rim of your nostrils. It smells nice – like oranges – and doesn’t sting, making it kid-friendly. The manufacturer claims it can kill 99.99% of common cold- and flu-causing germs for up to 8 hours. And enough for 60 applications will only set you back $12.99.

If you’re dreading sniffle season, it’s worth a shot.

Learn more at www.nozin.com.

Save Your Kids From a Summer of Sitting

Thursday, June 3rd, 2010

Monique Vranesh has been helping kids stay active for almost 20 years.

Monique Vranesh has been helping kids stay active for almost 20 years.

The bell rings, signaling that school’s out for summer. But don’t imagine this means your child is ready to run, jump and play nonstop until fall. “Without structured activities, they often get stuck sitting on the couch,” warns Monique Vranesh of My Gym children’s fitness center. To keep your kids on the move, she recommends tapping into what they love.

For her own daughters, ages 2 and 5, that might mean princesses, while other kids are more into soccer or superheroes. Whatever you choose, it must be appealing enough to compete with DVDs, computers and other games, which Vranesh says have become more alluring than ever. “You’ve got to come up with creative ways to get them away from that interactive thing that they’re doing,” she says.

Play with them. Try a scavenger hunt or game of “I Spy.” Run around and write down all the house numbers on your block and add them up. Tap into art by bringing crayons and paper to do bark rubbings on the trees. Do whatever you have to do to get the kids outdoors and engaged. “Once they’re out there they have so much fun,” explains Vranesh, who has been involved with My Gym since 1989 and owns a franchise in Encino. Indoors, she suggests hopscotch, or even just dancing. “If your kids see you dancing, they love it.”

Set an example. Walk short distances rather than taking the car, park farther away, or take the stairs. And make sure the kids are aware of what you are doing and why. “Don’t just do it, but say it,” Vranesh urges. Explain that you’re getting exercise so you can be physically fit and your body will be healthier, so your children know it is important to you.

Shoot for 60. An hour of physical activity should be the goal on most days. You don’t have to track this formally, but do try to be aware of times when your kids are being inactive, like when they’re watching TV or on the computer.

Know your kids. What are they eating? What are they drinking (especially empty calories from sugar-sweetened drinks)? Is their BMI (Body Mass Index, a measure of healthy weight) where it should be?

Praise progress. If your child is overweight, or isn’t used to lots of exercise, start slow. “You don’t want them to get frustrated and you don’t want them to burn out,” Vranesh says. Always slow down before your child gets winded, take breaks and stay hydrated. You can set simple goals to help measure their progress, like counting how many jumping jacks they can do or how long they can jump rope. This is also a great opportunity to introduce a new activity. Maybe your child has never played tennis before, or tried swimming. “Just because you’re worried that they’re sedentary, don’t stop them from trying something they might like,” says Vranesh.

Short on ideas? Visit My Gym online at www.mygym.com or check out their new exercise videos for kids, featuring The Activators, at www.theactivators.net.

‘Chicago’ Offers a Healthy Dose of Vaudeville

Thursday, April 22nd, 2010

Photo: Paul Kolnik

Photo: Paul Kolnik

Chicago opened in Los Angeles last night. And as an editor at L.A. Parent, I found myself seated fourth-row mezzanine with my daughter – who is 18, and thus old enough to appreciate the subtle but decidedly burlesque humor, which would be lost on anyone younger than (depending on their upbringing) 14 or so. I will now review the performance for you, and turn it into a health topic. How?

Ladies and gentlemen, a tap dance!

First, here is my history as a musical theater audience member:

  • Phantom of the Opera: Post-Michael Crawford, but still charming.
  • Miss Saigon: Snore!
  • The Lion King: First L.A. run. Delightful.
  • Cabaret: NYC production with Natasha Richardson. WOW!
  • Dirty Dancing: In London. Someone should have put Baby in the corner.

Now you know who you’re dealing with. So now I’ll talk about the show.

Opening nights here in L.A. are always fun. There was a red carpet and some paparazzi. A colleague found herself texting alongside Arsenio Hall, and Corey Feldman accidentally elbowed my daughter in the VIP will call line. (He said “sorry.”)

This production’s sets were minimal, with the band on a framed platform center-stage and the action taking place in front, around the sides, and sometimes up near the conductor’s podium. This evoked the feeling that you were watching a burlesque show on an intimate (no pun intended) scale, and it made the most of the superb group of musicians assembled for the performance.

The acting, singing and dancing were also excellent and the minimal costuming – everything cut up to here and down to there, with lots of mesh, fishnet, and just plain skin – set the cast’s acrobatics off in fine style.

And here, at last, is the health tie-in. These jazz dancers are true athletes with strong, fit bodies at the top of their game. (Ballerinas are also athletes, but their penchant toward frightening thinness means they often seem anything but healthy.) And in those costumes you could see every muscle (We were all watching their muscles, right?) do its work. It’s the kind of thing that can make you appreciate what the human body can do, and remind you that you should give yours a bit more attention.

Thus, though I was up past midnight last night, and though I am a sleep evangelist preaching the benefits of a nightly eight hours, I found myself up early and on the hiking trail, imagining the impact of every uphill trudge on my “gams.” And, though I’m going to skip my yoga class tonight (because I really do need some sleep) I’ve found a make-up class I can fit in tomorrow. I can’t dance (don’t ask me), but many of the moves in the show reminded me of yoga poses, and inspired me to continue my quest to bend like that.

So there you have it. Though the gin was cold and the piano hot, though there was murder and mayhem and cross-dressing, the whole thing came to a happy, healthy ending – for me at least.

The show runs through May 9 if you’d like to get inspired. For more info, click here …