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 ‘vaccinations’ 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.

CDC Panel Recommends Whooping Cough Shot For All Pregnant Women

Wednesday, October 31st, 2012

With the U.S. on its way to a record-breaking number of whooping cough cases this year, an advisory panel for the Centers for Disease Control and Prevention (CDC) recommended Oct. 24 that all pregnant women be vaccinated against the illness – even if they had already received the vaccine before they became pregnant.

The illness, also known as pertussis, is a bacterial infection that causes a cough so violent it becomes difficult to breathe. Infants cannot be vaccinated against pertussis until they are two months old, and are most vulnerable to the disease.

The 32,000 cases already reported this year in the U.S. included 16 deaths, most of them infants. The country hasn’t seen an outbreak of these proportions since 1959.

The panel recommended in 2011 that pregnant women get a Tdap shot – which protects against tetanus, diphtheria and pertussis – if they had not previously received one. They now recommend the shots for all pregnant women because some of the immunity will transfer to her newborn, helping protect babies until they can begin receiving vaccines. Being vaccinated will also help ensure the new mother is healthy at the time of delivery, and doesn’t pass whooping cough along to her newborn.

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.

Whooping Cough Vaccine May Leave Some Unprotected

Monday, August 6th, 2012

The switch to a whooping cough vaccine with fewer side effects more than a decade ago may have left children slightly more vulnerable to the illness – a highly contagious respiratory infection where thick mucus in the windpipe can make it difficult to eat, drink and breathe.

That’s the finding in an Australian study published last month July 31 in the Journal of the American Medical Association (JAMA). Researchers looked at data on 40,000 Queensland children born in 1998 who had been vaccinated against whooping cough, also known as pertussis. Those receiving the newer vaccine – made with just a few pieces of killed pertussis bacteria – were three times more likely to develop whooping cough than those treated with the older vaccine made from whole, killed pertussis cells.

In the mid-1990s, the vaccine, then known as DTwP (diphtheria-tetanus-whole cell-pertussis), was changed to the DTaP (diphtheria-tetanus-acellular pertussis) vaccine currently available. The newer vaccine was found to cause far fewer side effects – including pain and swelling at the injection site, fever and prolonged crying – than the DTwP vaccine.

Though this new study found the newer vaccine to be less effective, researchers are stressing the importance of several messages for doctors and parents:

• Vaccination still offers the best protection against whooping cough.

• The increased risk of developing whooping cough is small, leading to just one extra case per year for every 500 vaccinated children.

• Doctors need to consider whooping cough as a diagnosis, even in children who have been vaccinated.

Whooping cough cases in the United States are on track to reach record highs this year, according to the national Centers for Disease Control (CDC). There have been approximately 18,000 cases reported as of this summer, more than twice the number reported up to this time last year.

CDC attributes the upward trend primarily to the fact that potency of the DTaP vaccine begins to fade after about 10 years, and the agency is urging booster shots for teens and adults. While whooping cough isn’t generally fatal in teens and adults, it can be deadly in infants. The CDC reports that nine babies in the U.S. have already died from the disease this year.

Better Than a Spoonful of Sugar — 5 S’s Calm Babies After Shots

Monday, April 16th, 2012

Vaccinating babies protects them from a host of deadly diseases, but how to protect them from the pain of all those shots? A study out today from Children’s Hospital of the King’s Daughters in Norfolk, Virginia, has the answer – times five!

The technique is called the “5 S’s,” and it was pioneered by Santa Monica pediatrician Harvey Karp, M.D., author of the 2003 book The Happiest Baby On the Block, as a way to soothe colicky infants. The S’s in question are:

Swaddling

Side/stomach position

Shushing

Swinging

Sucking

 Click here to see a video about how this works.

Researchers divided 230 infants in for their 2-month or 4-month checkups into four groups. The first were given plain water two minutes before their vaccinations. The second received sugar-water, which had been the gold standard for vaccination pain relief in infants. In the third group, caregivers employed the 5 S’s after the shot, while the final group received sugar-water before the shot and the 5 S treatment afterward.

Babies receiving water or sugar-water alone were still crying at least two minutes after their shots, but most of the babies who received the 5 S’s had stopped crying by 45 seconds – and all had stopped within one minute.

Another effective way to reduce pain in infants, breastfeeding, wasn’t included in the study. It provides infants with skin-to-skin contact, and the sugar from mother’s milk, but breastfeeding in a pediatrician’s office isn’t an option for all moms. “It is definitely something we allow and don’t think for a moment we should suggest otherwise,” says lead study author John Harrington, M.D., “but for parents who do not breastfeed or may be shy to breastfeed in front of others, this may be a nice alternative.”

He notes that some of the S’s were more effective than others, but that the study didn’t evaluate each specifically. “I think the main thing is doing at least three to four of the S’s to get the full effect,” Harrington explains.

The study was published in the April 16 issue of Pediatrics.

 

New Vaccine Info For CA Preteens

Friday, February 10th, 2012

As part of their ongoing campaign to get older kids – think tweens and teens – to get the immunizations they need, public health experts have declared Feb. 12-18 Preteen Vaccine Week. Here is some information from the Los Angeles County Department of Public Health about updated vaccine recommendations and changes to state law that apply to this age group. Ideally, these vaccines are given as part of routine doctor visits, to give healthcare providers a chance to discuss other health issues.

Recommended Vaccines

The Centers for Disease Control and Prevention (CDC) is now recommending the following for all 11-12 year olds:

  • One dose of meningococcal vaccine;
  • One dose of Tdap (tetanus, diphtheria, and acellular pertussis) vaccine;
  • Annual seasonal influenza vaccine;
  • Three doses of Human Papillomavirus (HPV) vaccine.

The CDC previously recommended the HPV vaccine only for girls, but is now recommending it for boys in the same age group. Children over the age of 12 who may not have received vaccine or who have missed doses can get caught up at any time.

Recommendations for older teenagers include a second dose of meningococcal vaccine between ages 16 and 18. Everyone, six months of age and older and medically eligible, should receive a flu shot every year.

Middle School Pertussis Immunization Requirement

In 2011, a California law went into effect requiring all students who entered 7th-12th grade in the 2011-2012 school year to show proof of a Tdap vaccine. For the 2012-2013 school year and beyond, only students entering 7th grade – at public, private, charter, and home schools – will need to show proof they received an adolescent Tdap vaccine.

In 2011-2012, schools and parents were given a grace period to comply with the Tdap booster vaccine requirement. A grace period has not been approved for the 2012-2013 school year. Parents and guardians with students entering 7th grade in 2012 will need to ensure their child has been vaccinated with Tdap in order to avoid a delay in starting school.

Minor Consent Law

A new California law that went into effect Jan. 1 allows anyone 12 years of age and older to consent to medical care related to the prevention of a sexually transmitted disease (STD). The new law allows minors to consent to receive HPV and Hepatitis B vaccines.

Resources for Vaccinations

Anyone without a regular health care provider or health insurance coverage for vaccines can call the L.A. County Information Line at 2-1-1 from any cell phone or land line in the county, or visit www.publichealth.lacounty.gov/ip, for referrals to providers offering vaccines at no charge or a reduced charge.

For more information about adolescent immunization recommendations, vaccine safety information, and information about the Tdap school entry requirement, visit:

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.”

CA Requires Vaccine Boosters for 7-12th Graders

Wednesday, May 4th, 2011

vaccinateOn the heels of L.A. County’s worst whooping cough epidemic in 60 years, California schools are requiring proof of pertussis booster shots for 7th to 12th graders entering public or private school in the fall. But the push to vaccinate extends beyond these kids.

“We’re trying to make sure the whole family gets vaccinated,” says Jonathan E. Fielding, M.D., the county’s Director of Public Health. “We think about immunization as something for young kids, but it’s important for the parents and grandparents as well.” Vaccination for adolescents and adults is critical because immunity from early-childhood pertussis vaccination wears off at age 12, and protecting adults and older kids helps also protect babies under 6 months old, who are too young to be vaccinated and most likely to die of a whooping cough infection.

California had more than 8,000 cases of pertussis this past year, with 870 in L.A. County. Fielding says that vaccination requirements for admittance to kindergarten have proven effective at getting kids vaccinated, and this is the first time it’s being tried with an older age group. “Now’s a good time to make sure these kids are protected,” he says.

In addition, Fielding says that only about half of 11- and 12-year-olds have received their recommended dose of meningococcal vaccine. “They are at an age when they don’t seem to see the doctor very often,” he says, so a visit for the Tdap booster (which  protects against pertussis, tetanus and diphtheria) is a good time to catch up with other vaccines as well.

“Virtually every child has some source of care, and we ask that they go to their usual source of care,” says Fielding. This makes record keeping easier for both providers and parents, but the health department will have some vaccines available through county clinics. Vaccines are also available through clinics at pharmacies. And right now, you’ve got plenty of time before school starts, “but in August you’ll see a lot of activity,” says Fielding.

He reminds families that vaccines protect people of all ages against a host of preventable illnesses, and that many require boosters to stay effective. He urges everyone to check out the recommended vaccine schedules at www.vaccinateLA.com to make sure all family members are up to date. “Give yourself a safety check,” he urges.

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 … 

L.A. Pertussis Epidemic Worsens

Friday, November 12th, 2010

pertussis-101c39786-pixelsHealth officials are saying  that more cases of pertussis were reported in L.A. County in October than during any month yet recorded, and are urging anyone not yet vaccinated to take time this weekend and get a Tdap (tetanus, diphtheria and pertussis) shot.

The county received reports of 429 cases of pertussis (also known as whooping cough) during October, and 101 in the first week of November alone. “This is an epidemic that is reaching numbers we’ve never seen before in Los Angeles County,” Public Health Director Jonathan E. Fielding, M.D., said in a press report today.

There were only 156 probable or confirmed cases of whooping cough during all of last year, and just 80 in 2008. Along with this year’s record number of cases, four babies in L.A. County have died of the disease.

Vaccination for adults is especially important because pertussis immunity from childhood vaccines wears off around age 12. And vaccinating adults helps protect babies under 6 months old, who are too young to be fully vaccinated and are considered most vulnerable to dying from whooping cough.

Because of the epidemic, the California Department of Public Health has expanded its vaccination recommendations. In addition to regular childhood vaccination against pertussis (three regular vaccinations plus two boosters by age 4-6 years), they suggest an adolescent-adult Tdap booster for:

• Anyone ages 7 to 9 who didn’t complete their childhood pertussis vaccination series.
• Anyone else age 11 and older, especially women who might become pregnant or who are new mothers.
• Seniors age 65 and older.

Anyone who lives with or cares for an infant should be sure their vaccinations are up-to-date, as babies are most-often infected by siblings (41%) and parents (55%). And if you’re in close contact with a baby and have an illness with a cough, seek medical attention right away.

If you don’t have insurance coverage for vaccines, call 2-1-1 or visit www.publichealth.lacounty.gov/ip for referrals to free and low-cost vaccinations.

More about whooping cough …