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Posts for tag: travel

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 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
January 29, 2017
Tags: repellents   ticks   travel   vacation   Lyme Disease   DEET  

Ticks Carrying Lyme Disease Confirmed in Eastern National Parks

U.S. National Park Service and CDC advise using insect repellents on clothes and skin by Randy Dotinga Tuesday, January 17, 2017.

(HealthDay News) ‑‑ Planning a hiking trip in an eastern U.S. national park? Better pack tick repellent ‑‑ a new study found these parks are home to ticks that carry Lyme disease. Blacklegged ticks ‑‑ also known as deer ticks ‑‑ carrying Lyme disease were found in nine national parks: Acadia National Park in Maine; Catoctin Mountain Park and Monocacy National Battlefield in Maryland; Fire Island National Seashore in Long Island, N.Y.; Gettysburg National Military Park in Pennsylvania; Rock Creek Park in Washington, D.C., and Manassas National Battlefield Park, Prince William Forest Park and Shenandoah National Park in Virginia.

This is the first time researchers have confirmed that the ticks are living at the parks, although it's long been suspected that the ticks were there because of human Lyme disease infections. "We know Lyme disease is increasing both in numbers of infections and in geographic range in the United States," said researcher Tammi Johnson in a news National Institutes of Health / U.S. National Library of Medicine release from the Entomological Society of America. Johnson is with the U.S. Centers for Disease Control and Prevention. "This is the first large‑scale survey in multiple national parks, and though suspected, it had not been previously confirmed that ticks in many of these parks were infected. It's quite likely that ticks infected with Lyme disease spirochetes are present in other parks in Lyme disease endemic areas, too," she explained.

Lyme disease symptoms include fever, headache and rash. Left untreated, the infection can spread to the heart, joints and nervous system, according to the CDC. Visitors to the parks can reduce their risk of infection by following these guidelines, according to the U.S. National Park Service and the CDC: Use insect repellents that contain 20‑30 percent DEET. Apply them to exposed skin and clothing. You can use permethrin‑containing products on clothing as well. Don't sit or lean on logs when you're out on the trail. Check yourself for ticks ‑‑ and check pets and gear. Remove any ticks you find attached.

Once you leave an area that's home to ticks, shower within two hours. This will help rid your body of ticks. To kill ticks on your clothing, put your clothes in a dryer and heat them on high setting for 10 minutes.

"The results of this study serve as a reminder that while enjoying the parks, visitors can and should take steps to help protect themselves and their loved ones from tick and other bites," Johnson said. The study findings were published in the Journal of Medical Entomology. SOURCE: Entomological Society of America, news release, Jan. 3, 2017 

January 28, 2017

Planning a Vacation? 


If you are one of the many Americans planning to travel this year, it's important that you have all the information you need to ensure a fun and relaxing vacation. Here are some things you can do before, during, and after your trip to make sure you and your family stay Zika-free.

Before you travel 

Pack wisely. Don't forget:

  • Insect Repellent 
  • Long sleeved shirts and long pants
  • Bed net
  • Condoms 


During your Trip


  • Use insect repellent and reapply as directed; I like Sawyer Family Mosquito Repellent 
  • Cover exposed skin whenever possible
  • Sleep in a screened in or air-conditioned room and use a bed net if you are sleeping outside
  • Use condoms if you are having sex 

When you Return Home

  • Watch for symptoms, like red eyes, joint pain, fever, and rash within 2-3 weeks of your return
  • Use insect repellent for 3 weeks after travel to prevent introduction of the virus to local mosquitoes when feeding on you
  • Use condoms when you have sex
  • Call your doctor if you think you may have Zika





 Want more tips to help you stay Zika-free?


Text PLAN 




For more information on Zika and travel, visit 

December 22, 2016
Category: Motherhood

These are some interesting web links & news items:

A great meal goes beyond having all the right dishes. Cooking safely and knowing when to throw out leftovers is a must for any dining occasion.

Test your food safety knowledge by taking this quiz.

This is important information: Longer antibiotic treatment better for young children with ear infectionsResearchers examined 520 children ages 6 months to 23 months with acute middle ear infections and found that 16% of those who received the antibiotic amoxicillin-clavulanate for 10 days had treatment failure, compared with 34% of those who received the five-day regimen. The findings in The New England Journal of Medicine also showed worse symptoms among those who received the shorter regimen and similar rates of diarrhea and diaper rash between both groups.

A Family Media Use PlanThe AAP offers a new Family Media Use Plan interactive tool to help families create a personalized plan to manage their screen time and media use. Available at, this tool represents a core recommendation in the AAP's policy statements on media use for toddlers, children and teens. Please enjoy this tool to formulate your plan for electronic media exposure for your kids.

Have you booked your trip?

It's a great time to plan a trip. But whether you are visiting family and friends or taking a vacation, there are always health risks to keep in mind. That's why the CDC wants to make sure you stay healthy and Zika-free during your travels and once you return home.

Travel should be enjoyable and stress-free. Give yourself one less thing to worry about and sign up for Zika updates today. 


Text PLAN to 855-255-5606 




For more information on Zika and travel, visit






The following are key points communicated today, 6/21/16, by the CDC and the GA American Academy of Pediatrics about What do We Know & How to Protect against the ZIKA virus (ZIKV).

The ZIKA carrying mosquitos are daytime, opportunistic and agreesive feeders on man , dometic and wild animals. They love shady, near-ground areas and feed in the early morning and late afternoon.

For Women and Men of Reproductive Age Who are Considering Travel to Areas with Active Transmission of Zika Virus (ZIKV)

Zika Travel Information:

Traveler should stay in hotel rooms or other accommodations that are air conditioned or have good window and door screens to keep mosquitoes outside.

Zika Prevention Information

For mosquito bite prevention, use insect repellent, appropriate clothing (including permethrin-treated clothing), and bed nets.

Many people, about 80% of those infected with ZIKV, won’t have any symptoms or will have only mild symptoms. The most common symptoms of ZIKV disease are fever, infection symptoms of rash, arthralgias, and conjunctivitis; other common symptoms include myalgia and headache. Illness usually lasts about a week.

ZIKV infection during or just before pregnancy may cause poor pregnancy and infant outcomes, including birth defects. Guillain-Barré syndrome is possibly triggered by ZIKV in a small proportion of infections, as it is after a variety of other infections. People who have possibly been exposed and develop symptoms consistent with ZIKV disease should see a healthcare provider and report their recent travel. If travelers develop symptoms of ZIKV disease, they should rest, stay hydrated, and take acetaminophen for fever or pain. To reduce the risk of hemorrhage, aspirin or other NSAIDs should not be taken until dengue can be ruled out.

When travelers return from an area with ZIKV, they should take steps to prevent mosquito bites for 3 weeks even if they have no symptoms of ZIKV disease (or for the first week after onset if they develop symptoms) so they do not pass ZIKV to mosquitoes that could spread the virus to the community. 

So far there have only been 25 persons with ZIKA disease diagnosed in GA, and ALL have contracted illness from travel outside the USA. Two are pregnant and one developed ZIKV illness from sexual contact with a person who traveled to a ZIKV area. 

ZIKV can be passed to the unborn child during pregnancy or at delivery if a woman is infected around the time of conception or during pregnancy.  ZIKV infection during pregnancy can cause microcephaly (small head size) and other severe fetal brain defects.  Children with microcephaly often have serious problems with development and can have other neurologic problems, such as seizures. ZIKV has been linked to other problems in pregnancies and among fetuses and infants infected with ZIKV before birth, such as miscarriage, stillbirth, defects of the eye, hearing deficits, and impaired growth. There is no evidence that ZIKV infection poses an increased risk for birth defects in future pregnancies after the virus has cleared from the blood.

CDC recommends that women who are pregnant NOT travel to any area with active ZIKV transmission.

If a pregnant woman must travel to one of these areas, she should talk with her doctor about potential risks and the steps she should take to prevent mosquito bites during the trip. If a traveler is planning to try to conceive either while traveling or after returning, there are important recommendations s/he needs to be aware of, including waiting to conceive. There are different recommendations for women and for men based on whether or not they develop symptoms consistent with ZIKV disease during or after travel (see table below).

ZIKV can also be transmitted through sex with a male partner. Men might be bitten by a mosquito and become infected with ZIKV and then infect their sex partners. 

Patients should be advised to take the following steps to protect themselves from sexual transmission of ZIKV:

1. If a man develops symptoms of ZIKV disease, he should use a condom the right way, every time he has vaginal, anal, or oral (mouthto-penis) sex or should not have sex for 6 months after illness starts.

2. If a man does not develop symptoms of ZIKV disease, he should still use condoms for at least 8 weeks after the last date of exposure (the last day he is in an area with active ZIKV transmission) to avoid sexual transmission to his partner. This is especially important if he has any plans to try to conceive with his partner after returning from travel. To avoid conceiving for the advised periods of time (see below), a woman or couple should also use the most effective contraceptive methods that can be used correctly and consistently (See Effectiveness of Family Planning Methods:

Length of time to wait to conceive after travel to areas with active Zika virus transmission:

One or more symptoms of ZIKV disease (fever, rash, arthralgia or conjunctivitis) Female traveler- Wait at least 8 weeks after symptom onset to try to conceive

One or more symptoms of ZIKV disease (fever, rash, arthralgia or conjunctivitis) Male traveler- Wait at least 6 months after symptom onset to try to conceive with partner

NO symptoms of ZIKV disease (fever, rash, arthralgia or conjunctivitis) Female traveler- Wait at least 8 weeks after last date of exposure to try to conceive

NO symptoms of ZIKV disease (fever, rash, arthralgia or conjunctivitis) Male traveler- Wait at least 8 weeks after last date of exposure to try to conceive with partner

This information is subject to change as additional ZIKA info is obtained and understood by the CDC and Public Health.

Dr. T