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Posts for category: Infectious Diseases

By contactus@priority-pediatrics.com
November 06, 2018
Tags: Influenza   Flu   immunizations   Vaccines   death   Myths  

 

A child in Florida has become the first person to die of the flu this season, according to state health officials. State epidemiologists say the child had not been vaccinated and was otherwise healthy before getting sick with the flu.

The child, who tested positive for influenza B, died sometime during the week of Sept. 30, although privacy concerns prevent officials from saying exactly where, CBS affiliate WTSP reports.

Last flu season, 183 children in the U.S. died from flu or flu-related causes. That's the most since the CDC began keeping these records in 2004. Overall, an estimated 80,000 Americans died from flu last season.

CBS News medical contributor Dr. Tara Narula says this latest news should be a wake-up call to parents to get their children vaccinated. 

"What this is a strong clear message to parents about the importance of vaccination," she told "CBS This Morning." "This vaccine is safe. It is the most effective tool we have. And we know of the pediatric deaths last year, 80 percent were in kids who were unvaccinated."

8 common myths about cold and flu debunked

A new survey suggests that many children may not be getting the potentially life-saving flu shot because of their parents' misconceptions about the safety and importance of vaccines.

The survey by Orlando Health Arnold Palmer Hospital found:

More than half of parents think that their child can get the flu from the flu shot.30 percentof parents feel flu vaccines are a conspiracy.28 percentof parents believe flu vaccines can cause autism.

"None of these things are true. It's important that we deal with the science and the facts," Narula said.

The CDC recommends everyone age 6 months and older get vaccinated against the fluevery year.

"Officials have said it's like wearing a seat belt," Narula said. "This is really a no-brainer for parents."

By contactus@priority-pediatrics.com
October 21, 2018
Tags: immunizations   Vaccines   measles   MMR   Atlanta   epidemic   Europe   ATL  

We should all be worried about a Measles outbreak in Metro ATL. We are, afterall, an international city.

All adults born after 1978 should have had two Measles vaccines (MMR). Children should have had their first MMR between age 12 & 15 months. I prefer age 12 month at the one year checkup.

The 2nd MMR is due between 4 and 6 years old. I prefer the four year checkup. In any case, children older than age 6 years, should have had two MMR vacines to be considered adequately immunized. If we have an outbreak in Metro and suburban Atlanta, a 3rd MMR may be recommended in selected geographic areas and among selected persons. 

Atlanta is prime for an outbreak with an increasing number of under-immunized children. 

Stay tuned to our local media!

https://www.nbcnews.com/health/kids-health/measles-outbreak-raging-europe-could-be-brought-u-s-doctors-n922146?cid=eml_nbn_20181021

www.cdc/vaccines

www.immunize.org

Dr. T

 

By contactus@priority-pediatrics.com
August 23, 2018
Tags: Cough   Influenza   immunizations   Vaccines   DTaP   Tdap   Pertussis   Whooping Cough   DTP  

Whooping Cough, Claimed the Life of a San Bernardino County Infant

 

The California Department of Public Health (CDPH) announced [Tue 17 Jul 2018] pertussis, better known as whooping cough, claimed the life of a San Bernardino county infant. This is the 1st confirmed infant death from the disease since 2016, when 2 deaths occurred.

 

"This baby's death is a tragedy for the family and for California as a community, as this is a preventable disease," said Dr Karen Smith, CDPH director and state public health officer. "This serves as a grim reminder that whooping cough is always present in our communities, and immunizations are the 1st line of defense."


What whooping Cough looks and sounds like: https://www.youtube.com/watch?v=TIV460AQUWk

 

Akron's Children's Hospital Video about Pertussis: https://www.youtube.com/watch?v=8QWdEwjBEBw

 

Each year, 50-200 California infants are hospitalized with pertussis. CDPH and the Centers for Disease Control and Prevention (CDC) recommend that expectant mothers receive the whooping cough booster shot (also called Tdap, or tetanus, diphtheria and acellular pertussis vaccine) at the earliest opportunity between 27 and 36 weeks of every pregnancy, even if previously immunized. Getting immunized during pregnancy boosts a mother's immunity and passes on protective antibodies directly to their babies before birth. This helps protect newborns until they are old enough to begin receiving their own whooping cough immunizations at 6 to 8 weeks of age.

 

"No baby should have to be hospitalized due to a vaccine-preventable disease, and certainly no baby should die," said Dr Smith. "To give babies the best protection, I urge all pregnant women to get vaccinated against whooping cough as early as possible during the 3rd trimester of every pregnancy."

 

To avoid the spread of whooping cough, CDPH also recommends that:

- parents immunize their babies against whooping cough as soon as possible. The 1st dose is recommended at 2 months of age, but can be given as early as 6 weeks of age;

- California 7th grade students [should] receive the whooping cough booster, Tdap;

- adults should receive a whooping cough booster once in their lives.

 

 

Dominican Republic

Source: Hoy Digital [in Spanish, machine trans, edited

Two children under 2 [years of age] died in the last week at the Robert Reid Cabral Children's Hospital because of whooping cough, a contagious and vaccine-preventable disease. The dead are a girl aged 15 months from the community of Cambita, San Cristóbal and another one of 3 months, who lived in La Romana.

 

Also, another 28 children have been admitted with this disease, which calls the attention of the pediatricians of the hospital, since the vaccine that immunizes is included in the Expanded Program of Immunizations (PAI).

 

The official website of the Ministry of Health, in the epidemiology component, defines pertussis as an endemic respiratory disease that commonly affects children under the age of 5, with infants under 6 months of age at the highest risk of complications, but also it can affect teenagers and adults. The use of the vaccination scheme with DPT [diphtheria, pertussis, tetanus] or pentavalent [diphtheria, tetanus, pertussis, hepatitis B, and _Haemophilus influenzae_ type b (Hib)] is the main prevention measure, while pertussis outbreaks tend to occur every 3 to 4 years, according to official information.

 

So far this year [2018], 29 probable cases of whooping cough have been reported, 7 in the last 4 epidemiological weeks. As many as 9 out of 10 cases correspond to children under 1 year of age. Santo Domingo Norte and Santiago are the demarcations that register the highest number of cases.

 

Faced with this situation, the Ministry of Health instructed the provincial directorates and corresponding health areas to ensure adequate research and response to preventable diseases.

 

 

Dr. T comments:

For every case of reported Whooping Cough, 100 cases go unreported and unrecognized. Teens and adults are usually not as sick as children under age one year, but they are highly contagious. Whooping Cough is called the 100 day cough. Sometimes the cough is so bad, that one can break a rib or two. Women who are pregnant are antibody factories. That is why pregnant women are encouraged to have the Tdap vaccine shot every pregnancy in their last trimester even if they have had it before. The antibodies against Pertussis that they produce because of the Tdap vaccine passes through the placenta to their babies offering them some protection until their babies are old enough to receive immunizations to stimulate their own immune systems to produce their own protective antibodies. 

 

The same reasoning applies to pregnant women getting the influenza shot in their last trimester as well. Babies can not get a flu shot until they are six months old. So in addition to the gift of life, mothers who get the flu shot (in season) and a Tdap also give the gifts of antibody protection to their newborn infants. Not a bad way to start a healthy life!

 

The Wrong way to Cover Your Mouth when coughing!

 

If a person has had the disease, Whooping Cough, this disease does not convey life-long immunity as many other illnesses do. Appropriate immunizations against Whooping Cough also do not convey life-long immunity to the disease. All teens and adults should have at least one Tdap vaccine. Right now there is no recommendation for adults to have Tdap booster, however we know that Whooping Cough antibody protection from a Tdap only lasts 3-5 years. Even though we depend on a mother's Tdap antibodies passing through the placenta to protect her baby, even though it is not Public health Policy, it still seems wise to me that all adults who are going to be around a newborn in the baby's first year of life should have a current Tdap "booster" if it has been more than 3 or 4 years since the adult's last Tdap. Perhaps National Policy will eventually change to this recommendation. Don't know! But I do know that Pertussis antibodies from a Tdap only last 3-5 years and then are gone.

 

All forms of Whooping Cough immunizations are effective and safe and can be given with any other vaccine that is needed, e.g. influenza vaccine, etc. As a community we depend on each other for many things. This includes protection from serious disease. We expect restaurant employees to wash hands before they leave the restroom. We expect each other to not drink and drive, to not text and drive, to cover our face appropriately when we cough. Similarly, we should expect each other to get safe and effective immunizations to protect each other, our children and our families from preventable contafious disease. 

 

Ask your doctors about your current immunizations status and that of your children. If you've not had a Tdap, get one. If you've not had a flu shot, plan to get one. The flu shot is now so purified, that even people with egg allergy can get one. September and October are perfect months for a flu shot. The flu shot is preferred this year, 2018, over the nasal spray influenza vaccine. 

 
By contactus@priority-pediatrics.com
May 26, 2018
Tags: repellents   Lyme   tick   tick bite   insects   removal  
 
November 13, 2017 from the American Academy of Pediatrics

Know myths, facts about Lyme disease

Trisha KoriothStaff Writer
 
  • Parent Plus
 

When parents hear the word “tick,” another four-letter word often pops into their head: Lyme.

If you’ve already typed those eight letters into an internet search bar, beware. Next to child health information, you might see false reports about “chronic Lyme disease” from tick bites.

The American Academy of Pediatrics (AAP) offers the following truths about ticks.

“Chronic Lyme disease” is not a medical diagnosis. Some patients and even a few doctors think that “chronic Lyme” is the cause for lasting problems with pain and fatigue. But many health problems can cause pain and fatigue, according to Eugene D. Shapiro, M.D., FAAP, a Lyme disease expert.

If a tick bites your child (or you), you probably don’t need to take a Lyme disease lab test. To diagnose Lyme disease, you and your child’s pediatrician should look for signs of a circular rash at the bite area that grows to more than 5 centimeters wide. These rashes sometimes look like a bullseye, though most often they are red throughout, and usually appear seven to 14 days after the bite. Other signs of Lyme disease are facial palsy muscle paralysis on one side of the face or joint swelling. “Antibiotic treatment is very effective. Complications are rare. An untreated rash will last for weeks,” Dr. Shapiro said.

A small number of children have pain, fatigue, and joint and muscle aches after they are treated for Lyme disease. This is called post-treatment Lyme disease syndrome. More antibiotics are not the answer, the AAP says. Sometimes, it takes months for such symptoms to go away.

Lyme test results are sometimes misinterpreted. The AAP does not recommend lab tests or antibiotics if the child’s only symptoms are fatigue or joint pain, or if no tick was found.

The AAP does not recommend testing ticks for Lyme disease. But if you bring the tick to the pediatrician in a plastic sandwich bag, she may be able to see if it is the type that carries Lyme disease. Follow these instructions to remove the tick, http://bit.ly/2wtGTDI

Not all ticks spread Lyme disease. Two types that do are the blacklegged tick (deer tick) and the western blacklegged tick.

Ticks that spread Lyme disease live in certain areas of the U.S. Most cases are in New England, the eastern Mid-Atlantic states and the upper Midwest. Lyme disease spreads between spring and fall. Other parts of the U.S. have ticks that carry different diseases. Find information at http://bit.ly/2fOhyxp

By contactus@priority-pediatrics.com
May 08, 2018
Tags: immunizations   Vaccines   newborns   travel   cdc   measles   MMR   Infants   Atlanta   Metro Atlanta  

 

Measles Cases Info from the CDC

From January 1 to April 21, 2018, 63 people from 16 states (Arkansas, California, Connecticut, Illinois, Indiana, Kansas, Louisiana, Michigan, Missouri, Nevada, New Jersey, New York, Oklahoma, Pennsylvania, Tennessee, and Texas) were reported to have measles. No reports, yet, from Georgia.

In 2017, 118 people from 15 states and the District of Columbia were reported to have measles. In 2016, 86 people from 19 states were reported to have measles. In 2015, 188 people from 24 states and the District of Columbia were reported to have measles. In 2014, the United States experienced a record number of measles cases, with 667 cases from 27 states reported to CDC’s National Center for Immunization and Respiratory Diseases (NCIRD); this is the greatest number of cases since measles elimination was documented in the U.S. in 2000.

  • The majority of people who got measles were unvaccinated.
  • Measles is still common in many parts of the world including some countries in Europe, Asia, the Pacific, and Africa.
  • Travelers with measles continue to bring the disease into the U.S.
  • Measles can spread when it reaches a community in the U.S. where groups of people are unvaccinated.

It is never too late to get a Measles Vaccine if you are unimmunized. If you are planning a trip out of the USA you should definitely look into your Measles Immune status with your doctor or vaccine travel clinic at least a month before you travel. If you have family or friends who have impaired immunity, you should be considerate of them and also confirm that you have Measles immunity. Newborns and young infants can be vulnerable to Measles if it enters our city. There is a small but growing number of persons in Metro Atlanta who are choosing NOT to be immunized, making our area ripe for a Measles outbreak from imported Measles from abroad. We are an international city.

Visit http://www.immunize.org/vis/mmr.pdf to learn more about the Measles vaccine.

Number of measles cases by year since 2010

 

 

Measles cases per year
Year Cases
2010 63
2011 220
2012 55
2013 187
2014 667
2015 188
2016 86
2017 118
2018 63 in 4 months