Nurse Vicki

Vaccine Safety Information from the Bureau of Immunization Assessment and Assurance Section for Disease Control and Environmental Epidemiology

2011-03-03T10:03:00.004-06:00

Vaccine Safety: Common Misconceptions

Most parents today have never seen a case of diphtheria, measles, or other once-common diseases now preventable by vaccines. As a result, some parents wonder why their children must receive vaccinations for diseases that don't seem to exist. Myths and misinformation about vaccine safety can confuse parents who are trying to make sound decisions about their children's health care. This information outlines some of the common misconceptions about vaccinations.

Misconception #1: Diseases are rare now. Vaccines are not really necessary.

Certain diseases are rare in the United States because of vaccines, but are much more common in other parts of the world. Because of travel and immigration, many diseases once controlled in the United States are re-emerging. If we stopped using vaccines, diseases would spread very quickly – and many children would become very ill.

Individuals should be vaccinated for two reasons. The first is to protect themselves. Even if we think our chances of getting any of these vaccine preventable diseases are small, the diseases still exist and can still infect anyone who is not protected.

The second reason to get vaccinated is to protect those around us. There is a small number of people who cannot be vaccinated (because of severe allergies to vaccine components), and a small percentage of people who do not respond to vaccines. These people are susceptible to disease, and their only hope of protection is that people around them are immune and cannot pass diseases on to them. A successful vaccination program depends on the cooperation of every individual to ensure the good of all.

Misconception #2: My child cannot receive vaccinations if she has a cold, fever or is taking antibiotics.

Children can still be vaccinated if he or she has a mild illness, a low-grade fever, or is taking antibiotics.

Misconception #3: The majority of people who get disease have been vaccinated.

Most routine childhood vaccines are effective for 85% to 95% of recipients. In order to make vaccines safer than the disease, the bacteria or virus is killed or weakened. Some vaccinated individuals do not develop immunity, because of reasons specific to the individual, (e.g. those individuals with a genetic pre-disposition that precludes their ability to develop an immune response.)

Misconception #4: A lot of children get hurt by vaccines. Vaccines cause Sudden Infant Death Syndrome and Autism.

Severe side effects from vaccines are very rare (less than 1%). It is a much greater health risk not to get vaccinated. Some children may have mild side effects, such as crankiness, soreness or a slight fever that usually only last a few hours. However, getting the disease can be far more dangerous and painful.

There is no known cause of Sudden Infant Death Syndrome (SIDS). The age at which many children die from SIDS is similar to the age when vaccines are first recommended.

There is no known connection between vaccine and Autism. In some children, signs of Autism have appeared around the time routine vaccinations are given. Research has not shown vaccinations to be a cause of Autism.

Misconception #5: It’s dangerous to give so many vaccines at the same.

Studies show that giving several vaccines at one visit is safe and effective.

A number of studies have been conducted to examine the effects of giving various combinations of vaccines simultaneously. These studies have shown that the recommended vaccines are as effective in combination as they are individually, and that these combinations carry no greater risk for adverse side effects.

There are two reasons for giving a child several vaccinations during the same visit. First, children should be immunized as early as possible to give them protection during the vulnerable early months of their lives. This generally means giving inactivated vaccines beginning at two months and live vaccines at 12 months. That means various vaccine doses tend to be due at the same time. Second, giving several vaccinations at the same time will mean fewer office visits for vaccinations, which saves parent’s time and money, and results in less stress for the child.

For additional information relating to vaccine safety, please visit the Missouri Department of Health and Senior Services’ Immunization web site at www.dhss.mo.gov/living/wellness/immunizations/index.php or call 573.751.6124.

CDC and the Seasonal Infuenza

2011-01-28T12:31:00.002-06:00

The 2010-2011 flu season is ongoing. CDC continues to recommend vaccination for everyone 6 months and older this season. CDC also recommends rapid flu treatment with antiviral drugs for people at high risk of serious flu complications. People at high risk of serious flu complications include young children, pregnant women, people with certain chronic health conditions like asthma, diabetes or heart and lung disease and people 65 years and older.

Influenza Symptoms

Influenza (also known as the flu) is a contagious respiratory illness caused by flu viruses. It can cause mild to severe illness, and at times can lead to death. The flu is different from a cold. The flu usually comes on suddenly. People who have the flu often feel some or all of these symptoms:

* Fever* or feeling feverish/chills
* Cough
* Sore throat
* Runny or stuffy nose
* Muscle or body aches
* Headaches
* Fatigue (tiredness)
* Some people may have vomiting and diarrhea, though this is more common in children than adults.

* It's important to note that not everyone with flu will have a fever.

How Flu Spreads
Person to Person

People with flu can spread it to others up to about 6 feet away. Most experts think that flu viruses are spread mainly by droplets made when people with flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching their own mouth or nose.

(To avoid this, people should wash their hands often with soap and water. If soap and water are not available, they should use an alcohol-based hand rub to clean their hands. Linens, eating utensils, and dishes belonging to those who are sick should not be shared without washing thoroughly first. Eating utensils can be washed either in a dishwasher or by hand with water and soap and do not need to be cleaned separately.)
The Flu Is Contagious

Most healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after becoming sick. Children may pass the virus for longer than seven days. Symptoms start one to four days after the virus enters the body. That means that you may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick. Some persons can be infected with the flu virus but have no symptoms. During this time, those persons may still spread the virus to others.

CDC Says “Take 3” Actions To Fight The Flu

Flu is a serious contagious disease that can lead to hospitalization and even death. In 2009–2010, a new and very different flu virus (called 2009 H1N1) spread worldwide causing the first flu pandemic in more than 40 years. Flu is unpredictable, but the Centers for Disease Control and Prevention (CDC) expects the 2009 H1N1 virus to spread this upcoming season along with other seasonal flu viruses.

CDC urges you to take the following actions to protect yourself and others from influenza (the flu):

1. Take time to get the Flu Vaccine

* CDC recommends a yearly flu vaccine as the first and most important step in protecting against flu viruses.
* While there are many different flu viruses, the flu vaccine protects against the three viruses that research suggests will be most common.
* The 2010-2011 flu vaccine will protect against an influenza A H3N2 virus, an influenza B virus and the 2009 H1N1 virus that caused so much illness last season.
* Everyone 6 months of age and older should get vaccinated against the flu as soon as the 2010-2011 season vaccine is available.
* People at high risk of serious flu complications include young children, pregnant women, people with chronic health conditions like asthma, diabetes or heart and lung disease and people 65 years and older.
* Vaccination of high risk persons is especially important to decrease their risk of severe flu illness.
* Vaccination also is important for health care workers, and other people who live with or care for high risk people to keep from spreading flu to high risk people.
* Children younger than 6 months are at high risk of serious flu illness, but are too young to be vaccinated. People who care for them should be vaccinated instead.

2. Take everyday preventive actions to stop the spread of germs.

* Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
* Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.*
* Avoid touching your eyes, nose and mouth. Germs spread this way.
* Try to avoid close contact with sick people.
* If you are sick with flu–like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.)
* While sick, limit contact with others as much as possible to keep from infecting them.

3. Take flu antiviral drugs if your doctor prescribes them.

* If you get the flu, antiviral drugs can treat your illness.
* Antiviral drugs are different from antibiotics. They are prescription medicines (pills, liquid or an inhaled powder) and are not available over-the-counter.
* Antiviral drugs can make illness milder and shorten the time you are sick. They may also prevent serious flu complications.
* It’s very important that antiviral drugs be used early (within the first 2 days of symptoms) to treat people who are very sick (such as those who are hospitalized) or people who are sick with flu symptoms and who are at increased risk of severe flu illness, such as pregnant women, young children, people 65 and older and people with certain chronic health conditions.
* Flu-like symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may also have vomiting and diarrhea. People may be infected with the flu, and have respiratory symptoms without a fever.

October is Breast Cancer Awareness Month!

2010-10-13T11:48:00.000-05:00

Get those mammograms Moms!!!

Flu Shot Clinics

2010-10-04T14:21:00.002-05:00

Flu shot clinics being held at the Stoddard County Public Health Center

Monday, Oct 4th
Children's Clinic ages 18 and under
Bring shot record
This is a free clinic
8:30-12:00 & 1:00 - 4:00

Wed/Thurs Oct 6/7th
Adult Clinic
Fee: $20.00
8:30-12:00 & 1:00-4:00

WELCOME BACK WILDCATS!!!!

2010-08-18T21:51:00.001-05:00

Registration - August 12th

2010-08-12T08:01:00.002-05:00

Registration for all Bloomfield School buildings will begin on August 12th.

For Health:

Please sign and date the Over the Counter Medication Form
*stating it is permitted or not permitted to give your child over the counter medications such as ibuprofen or tylenol

If your student is going to be taking medication at school, please bring that to my office on Open House evening, August 16th.

Make sure all immunizations are up to date.

Please be sure to make me aware of any new health concerns or updates on previous health concerns.

Sunscreen and Safety By Vincent Iannelli, M.D.

2010-06-18T12:56:00.000-05:00

What is the best sunscreen for kids?
When choosing a sunscreen for their baby, toddler, or young child, parents typically make their choice on a sunscreen using only a few characteristics:

* the highest SPF they can find, typically 50+
* a kids' brand (Banana Boat Kids, Coppertone Kids, Coppertone Waterbabies, Neutrogena Pure & Free Baby, etc.)

While it is fine to use these, they are really not that much different from those that are made for adults, so you don't really have to buy a separate sunscreen just for your kids.

Remember that a sunscreen isn't better just because it is more expensive.
Best Sunscreen
Things to look for that would indicate that you are buying one of the 'best sunscreens,' include that it:

* provides broad spectrum UVA and UVB protection.
* has an SPF of at least 15 to 30. You could go for a higher SPF, but most experts believe that they don't provide that much extra protection. Some experts go as far as to say the SPF rating should be capped at 30.
* is water resistant. Even if you aren't going swimming, if your child is outside, he will likely be sweating, so a water resistant might provide better protection than a regular sunscreen.
* is hypoallergenic and fragrance free, especially if your child has sensitive skin.
* is in a form that is easy to use on your child, whether that means it is a gel, lotion, spray, continuous spray, etc.

Broad Spectrum Sunscreens
Unfortunately, many sunscreens that say that they are broad spectrum really aren't or don't block rays from the full UVA spectrum. To get good protection from UVA rays, look for sunscreens that list avobenzone, titanium dioxide, or zinc oxide as ingredients.
Sunscreen Ingredients
If your child gets a rash from his sunscreen, you might review the ingredient's list and choose a different one next time. Make sure to choose one that is PABA free. You might also look for one that gets its UVA protection from a sunblock, such as titanium dioxide or zinc oxide, since they can be less irritating than avobenzone, a common sunscreen ingredient.

Be sure to apply it to just a small area of your child's skin if you think he might have a reaction to the new sunscreen too.

Kid-Friendly Sunscreen and Sunblock
Sunscreen and sunblock that have all of the characteristics that you would look for to protect your kids from the sun include:

* Banana Boat Baby Tear-Free Continous Spray Sunblock, SPF 50
* Banana Boat Baby Tear-Free Sunblock Lotion, SPF 50
* Banana Boat Baby Faces Sunblock Stick, SPF 50
* Banana Boat Kids Dri-Blok Sunblock Lotion, SPF 30
* Banana Boat Kids Tear-Free Sunblock, SPF 50
* Banana Boat UltraMist Kids Spray, SPF 50
* Blue Lizard Australian Suncream, SPF 30
* Bull Frog Kids FastBlast Sunblock Spray, SPF 36
* Coppertone Kids Sunscreen Lotion, SPF 50
* Coppertone Kids Sunscreen Continuous Spray, SPF 50
* Coppertone Kids Sunscreen Continuous Spray, SPF 70+
* Coppertone WaterBabies Quick Cover Lotion Spray, SPF 50
* Coppertone WaterBabies Sunscreen Lotion, SPF 50
* Coppertone WaterBabies Sunscreen Lotion Spray, SPF 50
* Hawaiian Tropic Baby Faces & Tender Places Sunblock Spray, SPF 50+
* Neutrogena Kids Spray Waterguard Sunblock Mist, SPF 70+
* Neutrogena Waterguard Kids Sunblock Lotion, SPF 70+
* Neutrogena Pure & Free Baby Sunblock Lotion, SPF 60+

New Immunization Law

2010-04-27T11:16:00.002-05:00

Bloomfield Public Schools would like to inform parents/guardians, the
Missouri Immunization Law has changed for the 2010 - 2011 school year.

The new requirements are as follows: "A 'Tdap' vaccine (a tetanus
booster with pertussis) is required for students enrolled in grade eight
(8) who have completed the recommended child hood DTP/DTaP vaccination
series and have not received a Td booster dose within the past two (2)
years."

Please provide the school health room with an updated copy of your
child's immunization record, including the current 'Tdap'.

If your child needs this immunization please contact your physician or
clinic. If your child receives this immunization, please forward the
information signed by your health care provider to me or you can fax it to 568-4563.

Bloomfield Schools will also be hosting a FREE immunization clinic this year
with the Stoddard County Health Department on May 4th. We recommend that all students entering 8th grade and those that are in need of a Tdap before 12/31/2010 receive the immunization.

Missouri Immunization Law states "All students must present
documentation of up-to-date immunization status, including month, day
and year for each immunization before they can attend school."
(www.dhss.mo.gov)

Again: All students entering 8th grade are required to receive a 'Tdap' if they have not had one in the past two years before school starts August 2010.

Children with Disabilities may be able to receive adaptive computer equipment

2010-03-25T12:55:00.000-05:00

Did You Know...???

Children with disabilities you work with may be able to receive adaptive computer equipment.

TAP for Internet is a program that can provide adaptive equipment and software needed by Missourians of any age who have difficulties using the internet or e-mail because of their disability.

a.. A child with Cerebral Palsy who can't hit the keys on a standard keyboard may need an alternative keyboard with a large strike area. If he can't use a typical mouse, he may need an adapted mouse or other pointing device.
b.. A child with Autism or a learning disability may need a touch screen to access their favorite web pages.
c.. A child with low vision or who is blind may need software that can enlarge web text or that can read what is on their computer screen.
All of these and other adaptive devices are available at no cost through TAP for Internet, a program of Missouri Assistive Technology (MoAT). The requirements for the program are: Missouri residency; the home must already have a computer and internet service; household income must be under $60,000 for two people in the household, but may be higher for a larger household size. Go to the MoAT link below for more information.

http://www.at.mo.gov/tap_internet.html

Good News: The application process is fairly simple and involves completion of a one-page, two-sided form. What if the applicant or parents don't know what adaptive equipment or software is needed? The program can provide help in its selection and in training the child and family on its use. Questions? -- Check out the website or contact Roselie Backer-Thompson at MoAT at 800-647-8557 or via e-mail at RoselieB.Thompson@att.net

February....

2010-02-05T08:52:00.006-06:00

Happy Dental Health Month!!!

This month we had Healthy Smiles in school oral health program visit our school on Feb 3rd. 12 students were seen in which there were xrays, fillings, cleanings and sealants completed. We were thrilled to have them come assist our student in their dental health. They will return on March 9th and 10th to finish up our elementary students. If you are interested in their program they have a website: www.reachouthealthcare.com.

On Feb 17th McGuire Orthodontics will be here to do a screening on grades K-2 and will return on March 3rd to complete grades 3-5. We are so excited that professional members of our community are supporting our students.

STREP!!!!

This nasty bug has hit us hard this week! Here's a little info on strep....

Symptoms of strep throat, which is very common among kids and teens, include fever, stomach pain, and red, swollen tonsils.

Strep throat usually requires treatment with antibiotics. With the proper medical care — along with plenty of rest and fluids — a child should be back to school and play within a few days.
How Strep Throat Spreads

Anybody can get strep throat, but it's most common in school-age kids and teens. These infections occur most often during the school year when big groups of kids and teens are in close quarters.

The bacteria that cause strep throat (group A streptococcus) tend to hang out in the nose and throat, so normal activities like sneezing, coughing, or shaking hands can easily spread infection from one person to another.

That's why it's so important to teach kids the importance of hand washing — good hygiene can lessen their chances of getting contagious diseases like strep throat.
Strep Throat vs. Sore Throat

Not all sore throats are strep throats. Most episodes of sore throat — which can be accompanied by a runny nose, cough, hoarseness, and red eyes — are caused by viruses and usually clear up on their own without medical treatment.

A child with strep throat will start to develop other symptoms within about 3 days, such as:

* red and white patches in the throat
* difficulty swallowing
* tender or swollen glands (lymph nodes) in the neck
* red and enlarged tonsils
* headache
* lower stomach pain
* fever
* general discomfort, uneasiness, or ill feeling
* loss of appetite and nausea
* rash

If your child has a sore throat and other strep throat symptoms, call your doctor. The doctor will likely do a rapid strep test in the office, using a cotton swab to take a sample of the fluids at the back of the throat. The test only takes about 5 minutes.

Treatment

In most cases, doctors prescribe about 10 days of antibiotic medication to treat strep throat. Within about 24 hours after starting on antibiotics, your child will probably no longer have a fever and won't be contagious. By the second or third day after taking antibiotics, the other symptoms should start to go away, too.

Even when feeling better, your child should finish the antibiotics as prescribed. If he or she stops taking antibiotics too soon, bacteria can remain in the throat and symptoms can return.

A person whose strep throat isn't treated is most infectious when the symptoms are the most severe but could remain contagious for up to 21 days. Lack of treatment — or not finishing the prescribed course of antibiotics — also can put someone at risk for other health problems, such as rheumatic fever (which can cause permanent damage to the heart), scarlet fever, blood infections, or kidney disease.

To prevent your sick child from spreading strep throat to others in your home, keep his or her eating utensils, dishes, and drinking glasses separate from others' and wash them in hot, soapy water after each use. Also, make sure your child doesn't share food, drinks, napkins, handkerchiefs, or towels with other family members.

H1N1 Clinic

2009-12-11T09:42:00.003-06:00

Stoddard County Public Health Center will be on campus hosting an H1N1 Clinic for our students on Monday, December 14th (time is pending).
If you would like your child to participate in this clinic,please send back the permission slip/questionnaire that was sent home last week.
We are happy to have Stoddard County Public Health Center join us in keeping our students healthy!

H1N1 Flu Mist Clinic

2009-10-23T13:44:00.003-05:00

The Stoddard County Public Health Center will be hosting an H1N1 influenza vaccine clinic on Tuesday, October 27th & Wednesday October 28th from 8 am -12 pm & 1 pm - 4pm. This clinic will be available for all healthy children ages 2-18 that can receive the Flu Mist (live) nasal spray vaccine. There will be no charge for these vaccinations. Further vaccination clinics will be planned as more vaccine becomes available. At this time, the Flu Mist (nasal spray) is the only type of vaccine that is available for this clinic.
Those that should NOT get the Flu Mist being offered at this time are as follows:
*anyone with a severe (life threatening)allergy to eggs or any other substance in the vaccine
*anyone with a weakened immune system
*Anyone with a long-term health problem
*Children younger than 5 with asthma
*anyone with certain muscle or nerve disorders (such as cerebral palsy) that can lead to breathing or swallowing problems
*anyone with long-term aspirin treatment
*anyone who is pregnant
If you are moderately or severely ill, or are experiencing nasal congestion, you might be advised to wait until you recover before getting the vaccine.
If you have any questions feel free to contact the Stoddard County Health Center at 573-568-4593

Seasonal Flu Shots at the Stoddard County Health Department

2009-09-29T10:58:00.003-05:00

The Stoddard County Health Department will be giving Seasonal Flu shots!

Adults on:

Tuesday 8:30 - 4:00
Wednesday 8:30 - 4:00
The cost is $20.00 per injection.

Children on:

Thursday 8:30 - 4:00
Friday 8:30 - 4:00

They have the injection and mist available.
Free to children

HPV/Tdap Shot Clinics

2009-09-03T08:24:00.002-05:00

Parents,
The Stoddard County Health Center will be here on campus to administer the HPV and Tdap booster.
* If you child participated in the HPV clinics last year, this will be the 3rd and last in the series. Your student will need to pick up the permission slip and questionnaire and return it to my office before Sept 11th.
* If your student did not participate in the HPV Clinic held last year and you would like for her to begin the injection series, you may do that as well. Your student will also need to pick up the same sheets and have them signed and to my office before Sept. 11th.
* I mailed out letters yesterday to the parents/guardians of student who are due for their 10 year tetanus booster. If you receive this letter your student may participate in the clinic here on campus (the required paperwork is in the letter also). If you want your child to have this booster here on campus, please have those permission slips to me before Sept. 11th as well.

There is no cost for either of these injections. If you have any questions, please feel free to contact me. As always, we appreciate the Health Department and their partnership with Bloomfield Schools.

Big Smiles

2009-09-01T09:54:00.002-05:00

This year we are partnering with a program called Big Smiles. It is an in-school oral health program that has been featured on Fox News and CNN.
This program focuses on reducing absenteeism related to dental heath issues and improving instructional time.

A note from Big Smiles:

Did you know students can receive dental care right here at school? The program is FREE if your child is covered by Medicaid or similar programs and there are some no-cost resources available for the uninsured as well. Your child will receive a consent form that explains the program. The dentist will visit the school from time to time and provide exams, cleanings, x-rays, fluoride, sealants and even fillings!! Also, our student will be taught how to care for their teeth and the dangers of tobacco products. If you did not receive a consent form, please call the dental program at (800)409-2563.

Flu Prevention

2009-08-27T11:19:00.000-05:00

Dear Parents/Guardians,

As the flu season is quickly approaching we at Bloomfield School want you to know that we are working diligently to ensure the health of our staff and students. We are monitoring the Center for Disease Control (CDC) and Flu.Gov websites daily. We are also staying in contact in contact with the Stoddard County Public Health Center among other resources in our community. Knowledge is power.

Here are a few things we are doing in our school system:

*Pandemic Flu Policy created
*Stoddard County Health Center Asst. Director educated our staff on the flu and flu prevention
*Collaborating with the local Health Department and established points of contact
*Communication with parents through school blogs pages, letters home etc.
*In the process of installing hand sanitizer pumps throughout the hallways in each building along with the cafeteria and gym
*We are teaching our student flu prevention habits such as:
-washing our hands
-avoid touching your nose/mouth (if using a kleenex, dispose of it immediately)
-coughing or sneezing into the crook of your arm
*Keeping our bathrooms stocked with soap and paper towels
*Keeping alcohol based sanitizers in each room when soap is not available
*Regularly cleaning and disinfecting bathrooms, cafeterias, doorknobs, keyboards etc.

Here are a few things you can do at home:

*Don't Panic
*Be sure your phone/work numbers are current
*Reinforce flu prevention habits at home such as those listed above
*If your child is displaying flu like symptoms, keep them home for at least 24 hours after there is no longer a fever without the use of fever reducing medicines. This assists in keeping their viruses to themselves rather than sharing with others.
*Consider vaccinations for your family

Thank you for helping us keep your children healthy. We will continue to monitor and keep you informed as the year goes on. If you have any questions, please feel free to email me at: vwilliams@bps14.org or call 568-4562.

Sincerely,

Vicki Williams, RN
Bloomfield R-14 School Nurse

First Week Update

2009-08-20T20:14:00.003-05:00

Dear Parents and Guardians,

As the new school year gets underway it is time to send you some tips and updates of the school year and what's going on in the nurse's office.

First I want to thank all the parents/guardians for getting their students physicals, vision exams, and immunizations in to our office.

We still have a few students who are in need of their 10 year booster. I will be re-submitting letters soon.

Also as the first full week comes to an end I have already begun to see ill students. I spoke with a pediatric nurse (Nurse Brandi Rocks!!) along with the Stoddard County Public Health Center (you too Amy!!) and have been informed that there are two issues they have seen.

1. Strep Throat

2. A virus that begins with a severe headache that leads to high fevers that are lasting 6-7 days.

As we are preparing to keep our students healthy in the upcoming year I am going to post some tips on how to stop germs.

How Germs Spread

The main way that illnesses like colds and flu are spread is from person to person in respiratory droplets of coughs and sneezes. This is called "droplet spread."
This can happen when droplets from a cough or sneeze of an infected person move through the air and are deposited on the mouth or nose of people nearby. Sometimes germs also can be spread when a person touches respiratory droplets from another person on a surface like a desk and then touches his or her own eyes, mouth or nose before washing their hands. We know that some viruses and bacteria can live 2 hours or longer on surfaces like cafeteria tables, doorknobs, and desks.

How to Stop the Spread of Germs

In a nutshell: take care to
• Cover your mouth and nose
• Clean your hands often
• Remind your children to practice healthy habits, too

Cover your mouth and nose when coughing or sneezing
Cough or sneeze into a tissue and then throw it away. Cover your cough or sneeze if you do not have a tissue. Then, clean your hands, and do so every time you cough or sneeze.

The "Happy Birthday" song helps keep your hands clean?
Not exactly. Yet we recommend that when you wash your hands -- with soap and warm water -- that you wash for 15 to 20 seconds. That's about the same time it takes to sing the "Happy Birthday" song twice!

Alcohol-based hand wipes and gel sanitizers work too

When soap and water are not available, alcohol-based disposable hand wipes or gel sanitizers may be used. You can find them in most supermarkets and drugstores. If using gel, rub your hands until the gel is dry. The gel doesn't need water to work; the alcohol in it kills the germs on your hands.

If your child is sick please keep them home.

Your child must be fever free for 24 hours without the use of medications in order to return to school.

If you have any questions or concerns, please feel free to email me at: vwilliams@bps14.org

Thank you for helping me keep our children healthy!

Registration - August 7th

2009-08-04T19:47:00.006-05:00

Welcome Back Wildcats!

We will be hosting campus wide registration on August 7th. If you have received notice in the mail from me regarding updating your child's immunizations; please bring proof that it has been completed or your child will not be allowed to begin the school year.

You will have the opportunity on this date to bring in medications and address any medical issues and/or concerns.

We are looking forward to another great school year!

2009-04-29T08:48:00.004-05:00

Swine Flu

The Stoddard County Public Heath Center is fully aware of the developing swine flu situation. We have increased our disease surveillance and are in constant contact with state health officials. As of April 27th, no cases of swine flu have been identified in Missouri. If cases do appear in Missouri, your local public health agency will advise citizens if further protective measure are to be taken.

What is swine flu?
Swine influenza (swine flu) is a respiratory disease of pigs caused by Type A influenza viruses. People do not normally get swine flu, but human infections can and do happen. In late March and early April, cases of human infection with H1N1 swine flu were reported in several countries and in locations within in United States.

How is swine flu spread?
Swine flu is spread like seasonal flu, when a person coughs or sneezes, sending contaminated droplets into the air where another person may inhale them. Sometimes people may become infected by touching a contaminated surface or object and then touching their own eyes, nose or mouth.

What are the symptoms of swine flu?
The symptoms of swine flu are similar to the symptoms of seasonal flu and may include fever, cough, sore throat, body aches, headache, chills, runny or stuffy nose and fatigue. Some people have reported nausea, vomiting, and diarrhea. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause underlying chronic medical conditions to worsen.

Who is at risk for getting swine flu?
Cases of swine flu have most commonly occurred in people who have direct contact with infected swine. People can also get sick from other infected people. A person who has swine flu may be able to infect other people one day before his/her symptoms develop to seven days after showing symptoms.

What is the best way to protect myself against swine flu?
At this time the public is encouraged to protect themselves by following common sense, proven disease prevention methods, including--
*Frequent hand washing with soap and water
*Keeping a distance of at least six feet from people who are sick
*Avoid touching your own eyes, mouth or nose
Individuals who are sick are encouraged to protect the community by--
*Staying home while ill
*Covering their cough or sneeze with a tissue or their sleeve
*Avoid sharing personal items such as utensils, drinks or a toothbrush with family members

What should I do if I develop symptoms of swine flu?
People who develop flu-like symptoms AND have a history of recent travel to a location where cases of swine flu have been confirmed OR have had close personal contact with someone who has a confirmed case of swine flu, should contact their health care provider.

How is swine flu treated?
Two anitviral medications are currently proving to be effective against the strain of swine flu currently circulating in the United States. However, antiviral medication may not be necessary for most people to recover from flu viruses. A decision can best be made by each individual's health care provider.

Free Glasses!!!

2009-03-31T11:47:00.004-05:00



In case you have a child or know of someone who does (ages 12 and under),
they can get a FREE pair of eyeglasses from Target:

Target is doing a special promotion for their optical service.  It could end
any time but will definitely end no later than April 29th..
Children 12 and under can get a free pair of glasses.
They need to bring in a valid prescription for glasses from their doctor and
Target will let the child pick from about 40 different frames.  They will
place their best lenses in the frames which are non-glare and scratch
resistant and normally sell for $200.00.   There are no income guidelines.
Any child 12 or under is eligible.

You can find stores with optical departments at www.target.com  to confirm
they are participating before making a trip to their store.

Please pass this information on to anyone who can benefit from this
promotional offer.  If you know someone with lost or broken glasses please
share this information with them ASAP, as the promotion could end at any
time.  They would like families to come in as soon as they can.

Thanks to Mrs.Kellie Reese for sending this to me!

Flu Basics

2009-03-17T08:34:00.003-05:00

Influenza - Topic Overview

What is influenza (flu)?

Influenza (flu) is a viral infection. People often use the term "flu" to describe any kind of mild illness, such as a cold or a stomach virus, that has symptoms like the flu. But the real flu is different. Flu symptoms are usually worse than a cold and last longer. The flu usually does not cause vomiting or diarrhea.

Most flu outbreaks happen in late fall and winter.

What causes the flu?

The flu is caused by influenza viruses A and B. There are different strains, or types, of the flu virus every year.

What are the symptoms?

The flu causes a fever, body aches, a headache, a dry cough, and a sore or dry throat. You will probably feel tired and less hungry than usual. The symptoms usually are the worst for the first 3 or 4 days. But it can take 1 to 2 weeks to get completely better.

It usually takes 1 to 4 days to get symptoms of the flu after you have been around someone who has the virus.

Most people get better without problems. But sometimes the flu can lead to a bacterial infection, such as an ear infection, a sinus infection, or bronchitis. In rare cases, the flu may cause a more serious problem, such as pneumonia.

Certain people are at higher risk of problems from the flu. They include young children, pregnant women, older adults, and people with long-term illnesses or with impaired immune systems that make it hard to fight infection.

How is the flu diagnosed?

Your doctor will ask you about your symptoms and examine you. This usually gives the doctor enough information to find out if you have the flu, especially if many cases of a similar illness have occurred in the area and the local health department reports a flu outbreak.

In some cases, the doctor may do a blood test or take a sample of fluid from your nose or throat to find out what type of flu virus you have.

How is it treated?

Most people can treat flu symptoms at home. Home treatment includes resting, drinking plenty of fluids, and taking medicine to lower your fever.

If you think you have the flu, your doctor may be able to give you medicine that can make the symptoms milder. But you need to start taking it within 2 days of your first symptoms.

Can the flu be prevented?

You can help prevent the flu by getting the flu vaccine every year. The best time to get the vaccine is in October or November, just before the start of flu season. You can get the vaccine as a shot or in a spray that you breathe in through your nose.

Influenza - Home Treatment

If you have influenza, you can expect the illness to go away on its own in about 7 to 10 days. In the meantime, you can take steps to feel better:

Get extra rest. Bed rest can help you feel better. It will also help you avoid spreading the virus to others.
Drink plenty of fluids to replace those lost from fever. Fluids also ease a scratchy throat and keep nasal mucus thin. Hot tea with lemon, water, fruit juice, and soup are all good choices.
If fever is uncomfortable, take acetaminophen or ibuprofen to lower it. You may also sponge your body with lukewarm water to reduce fever. Do not use cold water or ice. Lowering the fever will not make your symptoms go away faster, but it may make you more comfortable.
To relieve body aches and headache, take acetaminophen or ibuprofen.
Try a decongestant or nasal spray if your main symptom is a stuffy nose. Look for a single-ingredient decongestant that contains phenylephrine. If nasal drainage is thick, a decongestant that contains guaifenesin may help keep it thin and draining. Do not use medicated nasal sprays or drops more often than directed, and don't use them for longer than 3 days.
To help clear a stuffy nose, breathe moist air from a hot shower or from a sink filled with hot water.
Avoid antihistamines. They do not treat flu symptoms and may make nasal drainage thicker.
If the skin around your nose and lips becomes sore from repeated rubbing with tissues, apply a bit of petroleum jelly to the area. Using disposable tissues that contain lotion also may help.
Use cough drops or plain, hard candy to help ease coughing.
Take a nonprescription cough medicine that contains dextromethorphan if you develop a dry, hacking cough. Some products contain a high percentage of alcohol. Use them with caution. Do not give cough and cold medicines to a child younger than 2 unless your child’s doctor has told you to. If your child’s doctor tells you to give a medicine, be sure to follow what he or she tells you to do.
Elevate your head at night with an extra pillow if coughing keeps you awake.
Avoid smoking and breathing secondhand smoke. This is good advice any time, but it is especially important when you have a respiratory infection like a cold or the flu.

Call your doctor if:

Your symptoms improve but then seem to get worse again.
You develop symptoms of a bacterial infection, such as a new or worse cough that produces yellow, green, rust-colored, or bloody mucus; persistent fever, ear pain, sore throat, sinus pain, or productive cough; or nasal drainage that changes from clear to colored after 7 to 10 days.

CHILDREN'S DENTAL HEALTH MONTH

2009-02-13T10:48:00.001-06:00

February is Children's Dental Health Month, a good time to think about how your children's eating habits affect their teeth.

The right nutrition for healthy teeth starts with the Food Guide Pyramid. Although calcium helps build strong teeth and bones, many foods in the Food Guide Pyramid contain nutrients that help maintain a healthy smile. Choose snacks like fresh vegetables, fruits, yogurt or cheese.

Keep your teeth and gums healthy by brushing with fluoride toothpaste twice a day and flossing daily. Go easy on between-meal snacks. When you do snack, try to eat the snack at one time rather than nibbling on it over a long period. If possible, brush right after eating. If brushing is not possible, at least rinse your mouth well.

Here's a link to an online game for children all about dental health!

http://www.mouthpower.org/

AMERICAN HEART MONTH

2009-02-13T10:34:00.002-06:00

Heart disease is the number-one killer of women in America. As estrogen levels drop with menopause, women no longer have the same protection estrogen gives them from heart disease and high blood pressure. As a result, women's heart disease risks parallel those of men.

If you haven't done so already, start protecting yourself today by making heart-healthy choices:

Eat a variety of colorful fruit and vegetables, whole grains, low-fat and fat-free dairy foods, fatty fish, legumes and other lean protein sources.
Choose foods low in saturated fat, trans fat and cholesterol.
Be moderately physically active for at least 30 minutes most days of the week, if not every day.
Maintain a healthy weight. Your heart disease risk is higher if most of your body fat is around your abdomen, rather than your hips and thighs.
If you drink alcohol, do so in moderation.
Choose and prepare foods with little salt and consume potassium-rich foods to hinder sodium's effect on your blood pressure.

FOR NATIONAL HEART MONTH, MAKE HEALTHY FOOD CHOICES

2009-02-13T10:32:00.002-06:00

February is National Heart Month, when good nutrition is truly at the "heart"of the matter.

A healthy heart is the result of good genes, the right food choices, plenty of physical activity and knowing how to deal with stress.

While you can't do much about your genes, regular physical activity, making the right food choices and dealing with stress are lifestyle behaviors you can control. When it comes to heart-healthy eating, one key is monitoring the type and amount of fat you consume.

Limit foods high in saturated fat, which can increase LDL or "bad" cholesterol levels. Instead, eat more plant proteins, fish, poultry and low-fat dairy foods. Cook with moderate amounts of olive or canola oil instead of butter, margarine or shortening.

Some examples of foods for heart health include:

Beans, peas and barley
Soybeans, other soy-based foods (not soybean oil)
Fruits and vegetables
Salmon, tuna, sardines and mackerel
Red grapes and purple grape juice
Nuts such as almonds, walnuts, pecans and hazelnuts
Green or black tea
Onions, scallions, shallots, garlic and leeks.

Maintain or improve your weight. The more excess body fat you have, the greater your risk for heart disease. If you're overweight, losing weight can help you lower LDL ("bad") cholesterol, which is especially important if you have high triglycerides and/or low HDL cholesterol and carry excess abdominal fat. Those who carry a "spare tire" around their abdomen have a higher cardiac risk than those with extra padding around their hips and thighs.

Get active! Physical activity offers many rewards, from heart health to strong bones and stress relief. Regular, moderate activity helps keep your blood cholesterol levels normal. It helps lower blood pressure, helps your body control stress and helps control body weight as you burn calories. More vigorous exercise actually gives your heart muscle a workout, too, which ultimately helps your whole cardiovascular system work more efficiently.

Unless you have a health problem, you probably can start moving more now. Talk to your health-care provider if you have ongoing health issues like heart disease, high blood pressure, diabetes, osteoporosis, arthritis or obesity.

For more information on heart-healthy eating, visit www.eatright.org/healthyheart.

From the American Dietetic Association

FDA Salmonella Widget

2009-02-05T09:09:00.004-06:00

Peanut Butter Recall Update

2009-02-02T20:22:00.001-06:00

We are continuing to monitor the Peanut Butter containing food products to ensure they are not part of the recalled peanut butter sources identified by the CDC. We are able to monitor this information on a dailybasis through the Missouri Department of Elementary and SecondaryEducation, the United States Centers for Disease Control and the StateHealth Department.
Here are a few links for your information as well:

Food and Drug Administration
http://www.accessdata.fda.gov/scripts/peanutbutterrecall/index.cfm

A CDC Podcast
http://www2a.cdc.gov/podcasts/player.asp?f=10684

HPV Clinic on Campus!

2009-01-06T19:45:00.015-06:00

UPDATE: We had 41 girls participate in our clinic. Thank you to all parents and a special thanks to Amy and Ramona at the Stoddard County Heath Center!!!

January is Cervical Cancer Awareness Month. This month Bloomfield Schools, along with the Stoddard County Health Center will be hosting an HPV clinic for all girls 18 and under attending both the middle school and the high school on Friday, January 23rd. There is no cost for the vaccine. Information will be sent home containing details about the vaccine for girls in middle school. Girls in high school are free to pick up the paperwork in the office. Permission slips will be included in this paperwork.

Please have your daughter's permission slip turned in to me no later than Friday, January 16th. In addition I have added links to my page, where you can go to read more on HPV and the HPV vaccine. If you have questions, please feel free to call or email me at vwilliams@mail.bloomfield.k12.mo.us, or the Stoddard County Health Dept., at 568-4593.

Center for Disease Control Cervical Cancer/HPV Information

http://www.cdc.gov/Features/CervicalCancer/

Merck Vaccines

https://www.merckvaccines.com/gardasilProductPage_frmst.html?WT_mc.id=GL0AR

American Cancer Society
http://www.cancer.org/docroot/CRI/content/CRI_2_6x_FAQ_HPV_Vaccines.asp?sitearea=

Kaiser EDU
http://www.kaiseredu.org/topics_im.asp?parentID=72&imID=1&id=609

National Cervical Cancer
http://www.nccc-online.org/

December Is.....

2008-12-02T14:28:00.004-06:00

The December IS list is long! The month of December is more than the Holidays. It's also Identity Theft Awareness and Prevention Month, National Drunk and Drugged Driving Prevention Month, and Safe Toys and Gifts Month, but my favorite is National Stress Free Family Holidays Month! I have included a number of links for those of you who are interested in learning more. Have a safe and happy holiday season! Merry Christmas!

National Drunk and Drugged Driving Prevention Month

http://www.cdc.gov/ncipc/duip/spotlite/3d.htm
http://www.madd.org/

Safe Toys & Gifts Month

http://www.toysafety.org/toyHazards.html
http://www.recalls.gov/
http://www.preventblindness.org/children/safetoys.html

National Stress-free Family Holidays Month

http://www.organizedchristmas.com/
http://www.parentingwithoutpressure.com/holidays/nsffhm.htm
http://childparenting.about.com/cs/holidays/a/holidayplan.htm
http://www.crayola.com/parents/celebrations/celebrations.cfm?display=stress_free

Identity Theft Awareness & Prevention Month

http://www.identitytheft.org/
http://www.usdoj.gov/criminal/fraud/websites/idtheft.html
http://101-identitytheft.com/

National Handwashing Awareness Week (Dec. 7 -13th)

http://www.henrythehand.com/pages/content/hwaw.html
http://www.cdc.gov/cleanhands/
http://www.fightbac.org/

Missouri Children's Vision Law

2008-11-17T08:59:00.003-06:00

A friendly reminder that Vision Law forms for all Kindergarten and 1st Grade students are due in by January 1, 2009.

Flu Shot Clinic

2008-11-13T10:15:00.005-06:00

I would like to thank Amy Hector and the Stoddard County Public Health Department for providing our staff with the opportunity to receive flu shots on campus. I hope you enjoy the pic's of our staff!

Make an on-line slide show at www.OneTrueMedia.com

Cold, Flu or Pnuemonia??

2008-11-06T14:38:00.001-06:00

Health Feature Articles

Is it a Cold, the Flu or Pneumonia?

Gail Carlson, MPH, Ph.D., Continuing Medical Education, School of Medicine, University of Missouri-Columbia

Your head hurts, your eyes are watery, your muscles ache, and your cough is getting worse. You feel like climbing into bed, turning on the vaporizer and taking something to relieve the symptoms. But is that going to do the trick? The common cold, the flu, and pneumonia can have similar symptoms. Mistaking one for the other can mean serious complications.

The chart below provides a summary of three illnesses frequently seen during the winter months: the common cold, the flu, and bacterial pneumonia. The viruses and bacteria that cause these illnesses are around all year. People are more likely to be exposed in winter, because they spend more time inside and in closer contact with other people.

Is it a Cold, the Flu or Pneumonia?
	Cold	Flu	Bacterial Pneumonia
Fever	Rare in adults	Usual Abrupt onset*	Usual Abrupt onset**
Headache	Rare	Usual	Usual
Aches & Pains	Rare	Usual, often severe	Usual
Fatigue/Weakness	Slight	Extreme	Slight to Moderate
Runny, Stuffy Nose	Common	Sometimes	Sometimes
Sneezing	Usual	Sometimes	Sometimes
Sore Throat	Common	Sometimes	Sometimes
Chest Pain Cough	Mild to moderate hacking cough	Common, can be severe	Severe cough & stabbing chest pain ***
* Fever tends to be high 102-104 o F and lasts 3 to 4 days. Fever tends to be high 101-105 o F. * Difficult painful breathing and a cough with thick rust, green or yellow mucus are common signs.

The common cold is an infection of the upper respiratory tract. It is caused by a virus. Actually there are 200 viruses that can cause a cold. On average, adults will have 2 to 4 colds a year and children will have 4 to 8. A cold almost always starts with a scratchy throat and stuffiness in the nose. Gradually other symptoms appear--sneezing, a mild sore throat, sometimes a minor headache and coughing. Runny noses are a common feature of colds. On the other hand, fevers are not common in adults. In small children fevers can occur but typically last only a few days. Colds are usually spread by hand-to-hand contact with another cold sufferer or by sharing objects like utensils, towels, and telephones.

The flu is an infection in the nose, throat, bronchial tubes and lungs caused by influenza viruses A and B. Influenza is easily spread through the air by sneezing and coughing. Fever, chills, headache, achy muscles and fatigue all seem to come at once when you have the flu. Children may experience vomiting and diarrhea but this is not common in adults. Typically, when adults have these types of symptoms, they have been exposed to some other virus or bacteria.

Pneumonia is an infection of the bronchial tubes and tiny air sacs in the lungs. Pneumonia is usually caused by a virus or bacteria. Bacterial pneumonia is serious and can be deadly. Usually people who have bacterial pneumonia are very sick. Symptoms begin suddenly with severe chills and a high fever. This infection typically follows a cold or flu. The person starts feeling better and then the symptoms suddenly worsen. Health care providers usually prescribe antibiotics to treat pneumonia. Individuals at risk of developing pneumonia are children under the age of four, older adults, and persons with conditions that compromise their immune system, for example, diabetes, asthma, cancer or AIDS.

Try Home Treatment for the Cold and Flu

Unless you have other health problems, wait a while before going to your health care provider if you suspect you have a cold. Antibiotics won’t help and neither will the new anti-viral medications. Try home treatment first. Get plenty of rest. Drink lots of liquids. Use a humidifier to add moisture to the home. If you choose, take an over-the-counter medication to relieve the symptoms.

If the flu strikes, home treatment is also a good approach for healthy adults. A few years ago this was the only option. Today, there are antiviral medications available but they must be taken within two days of the on-set of flu symptoms to be effective. Antiviral medications don’t “cure” the flu but make the symptoms less severe. They are used most often in institutional settings like nursing homes and hospitals. Your health care provider can help you decide whether you should take antiviral medications. Like all medications, they do have side effects.

Prevention is the best policy

Prevention is still the best policy. We have all heard about this year’s shortage of flu shots. There is an option for some people. The nasal spray flu vaccine uses weakened living influenza cells and is recommended for use by healthy people between the ages 5 and 50. Your health provider can help you determine if this is a good option for you.

If you can’t get a flu shot, getting a pneumonia shot can protect you against this potential serious complication of the flu. It's a one-time shot for anyone 65 years of age or older. Younger people with heart and lung diseases, diabetes or weak immune systems should also get this shot. Check with your child’s health care provider, if you are not sure your child has been immunized.

While there are no guarantees, there are other things you can do to reduce your chances of becoming ill:

Eat right, get plenty of rest, exercise, and learn how to manage your stress. If you are generally in good health, your immune system is better able to fight off illnesses.
Wash your hands often, particularly when you are around people who have colds.
Avoid touching your eyes, nose or mouth. Germs are often spread when you touch something that is contaminated with germs and then touch your eyes, nose, or mouth.
Cover your mouth and nose with a tissue when coughing or sneezing.
Avoid close contact with people who are sick. Stay home when you are sick. Keeping your distance from others will protect them from getting sick too.
Sanitize utensils, toys, equipment and furniture. This can help reduce the spread of colds in your home and thus reduce your risk of developing more serious complications like pneumonia.

If, in spite of all your efforts you become ill, take care for yourself. Get plenty of rest, drink lots of fluids, and pay attention to your symptoms. If home treatment does not work or if symptoms worsen after they seemed to be getting better, contact your health care provider.

This article provides general information for educational purposes. Follow the advice of your health care provider; his or her advice is individualized to your situation.

References:

Center for Disease Control and Prevention (2004) Key Facts About the Flu: How to Prevent the Flu and What to Do If You Get Sick (Fact Sheet) U.S. Department of Health and Human Services. http://www.cdc.gov/flu/pdf/keyfacts.pdf

Mettler M, Kemper DW (2003) Healthwise for Life. Bosie Idaho: Healthwise Incorporated

National Institute of Allergy and Infectious Diseases (2001) The Common Cold. National Institutes of Health U.S. Department of Health and Human Services http://www.niaid.nih.gov/factsheets/cold.htm

National Institute of Allergy and Infectious Diseases (2001) Pneumococcal Pneumonia. National Institutes of Health. U.S. Department of Health and Human Services http://www.niaid.nih.gov/factsheets/pneumonia.htm

The American Academy of Family Physicians (2004) The Flu and Colds: Tips on Feeling Better. http://familydoctor.org/x4957.xml?printxml

Vickery DM, Fries, JF (1996) Take Care of Yourself. Reading Massachusetts: Perseus Books

Site Administrator:
mofamweb@missouri.edu
Copyright ADA Equal Opportunity

CDC Information on Flu and Flu Shots

2008-11-03T13:59:00.003-06:00

The Danger of Flu to Children

Flu is more dangerous than the common cold for children. Each year, flu places a large burden on the health and well-being of children and families.

Children commonly need medical care because of influenza, especially before they turn 5 years old.
Each year an average of 20,000 children under the age of 5 are hospitalized because of influenza complications.
Some children will die from the flu each year. During the 2007-08 flu season, CDC received reports that 86 children died from influenza-related complications.
Severe influenza complications are most common in children younger than 2 years old.
Children with chronic health problems like asthma and diabetes are at especially high risk of developing serious flu complications.

Vaccination Recommendations

Vaccination is the best method for preventing flu and its potentially severe complications in children.

CDC recommends that all children aged 6 months up to their 19th birthday get a flu vaccine.

CDC also recommends that people in contact with certain groups of children get a flu vaccine in order to protect the child (or children) in their lives from the flu.

The following contacts of children are recommended for influenza vaccination by CDC:

Close contacts of children younger than 5 years old (people who live with them) should get a flu vaccine.
Out-of-home caregivers (nannies, daycare providers, etc.) of children younger than 5 years old should get a flu vaccine.
People who live with or have other close contact with a child or children of any age with a chronic health problem (asthma, diabetes, etc.) should get a flu vaccine.
In addition, CDC recommends that all health care workers be vaccinated each year to keep from spreading the flu to their patients.

(For information about other people recommended for vaccination, either because they are at high risk for serious flu-related complications, or because they are contacts of high risk people, visit www.cdc.gov/flu

Children at Greatest Risk

Certain groups of children are at increased risk for flu complications. Children at greater risk of serious flu-related complications include:

1. Children younger than 6 months old

The flu vaccine is not approved for use in infants younger than 6 months old; however, the risk of flu complications is higher in these young infants than it is for any other child age group. The best way to protect children younger than 6 months is to make sure members of their household and their caregivers are vaccinated.

2. Children aged 6 months up to their 5th birthday

It is estimated that each year in the U.S., there are more than 20,000 children younger than 5 years old who are hospitalized due to flu. Even children in this age group who are otherwise healthy are at risk simply because of their age. In addition, children 2 years of age up to their 5th birthday are more likely to be taken to a doctor, an urgent care center, or the emergency room because of flu than healthy older children. To protect their health, all children 6 months and older should be vaccinated against the flu each year. Vaccinating young children, their families, and other caregivers can also help protect them from getting sick.

3. Children aged 6 months and older with chronic health problems, including:

asthma or other problems of the lungs;
immune suppression;
chronic kidney disease;
heart disease;
HIV/AIDS
diabetes;
sickle cell anemia; or
long-term aspirin therapy;
• any condition that can reduce lung function (cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders).

When to Get Children Vaccinated

Yearly flu vaccination should begin in September or as soon as vaccine is available and continue throughout the flu season, into December, January, and beyond. While influenza outbreaks can happen as early as October, most of the time flu activity peaks in January or later.

Special Instructions for Children Being Vaccinated Against Flu for the First Time:

Children 6 months up to 9 years of age getting a flu vaccine for the first time will need two doses of vaccine the first year they are vaccinated. If possible, the first dose should be given in September or as soon as vaccine becomes available. The second dose should be given 28 or more days after the first dose. The first dose "primes" the immune system; the second dose provides immune protection. Children who only get one dose but who need two doses can have reduced or no protection from a single dose of flu vaccine. Two doses are necessary to protect these children. If your child needs two doses, begin the process early, so that children are protected before influenza starts circulating in your community. Be sure to follow up to get your child a second dose if they need one. It usually takes about two weeks after the second dose for protection to begin.

Because flu viruses change every year, the vaccine is updated annually. So even if you or your children got a flu vaccine last year, you both still need to get a flu vaccine this season to remain protected. If October and November slip by, and you haven’t gotten your children or yourself vaccinated, get vaccinated in December or later.

The Stoddard County Health Center is giving the flu mist (live virus) and flu shots (non-live virus) on a walk in basis on Mon, Tues, Thurs, Frid from 8:00-12:00 and 1:00 - 4:00.

An Ounce of Prevention is Worth a Pound of Candy!

2008-10-29T10:05:00.005-05:00

Click on the picture for Halloween Safety Tips!

Norovirus What?

2008-09-30T09:49:00.004-05:00

Unfortunately we have been infected with Norovirus or the "Stomach Flu". Students have presented with stomach cramps, nausea, vomiting, diarrhea. Most do not have fever. If your child presents with any of these symptoms, please keep them home. Here are a few facts on norovirus, gastroenteritis or basically the stomach flu. Please remember this is contagious and the most important issue is to keep your child hydrated.

What are norovirus infections?
Noroviruses are a group of viruses that cause an infection in the stomach and intestines called gastroenteritis. It is often called Norwalk-like virus, or the “stomach flu” though it is not caused by the influenza virus.
Norovirus infections have been linked to outbreaks of vomiting and/or diarrhea in day nurseries, schools, long term care homes, cruise ships, camps, dormitories, restaurants, households and other places where people gather in groups.

How do you get norovirus infection?
Noroviruses are found in the stool and sometimes in the vomit of ill persons.

Norovirus infections spread very easily and in several ways including:

Having close contact with another person who is infected and has symptoms.
Eating food or beverages that are contaminated with the virus. Food may become contaminated by food handlers who are ill with norovirus, especially if they do not wash their hands properly after using the washroom and before touching food. Food such as shell fish can also be contaminated at the source.
Touching surfaces or objects contaminated with norovirus, and then placing contaminated fingers in the mouth (e.g., children may become ill if they touch contaminated toys and then put their fingers in their mouths).

Who is at risk of getting norovirus infection?
Anyone can get norovirus infection since it is highly contagious. Most people will recover with no complications. The symptoms of norovirus infection may be more severe for infants, young children, the elderly and those with weak immune systems.

What are the symptoms of norovirus infection?
Most individuals with norovirus infection will experience 1 to 3 days of:

Nausea
Vomiting
Watery diarrhea

Other symptoms may include fever, headache, and stomach cramps. Severe illness or hospitalization is not common. Infected individuals usually recover within 2 to 3 days without serious or long-term health effects. Dehydration is the most common complication, especially among young children and the elderly.

If diarrhea is bloody, accompanied with a high fever or if the symptoms last longer than 72 hours contact your doctor. Your illness may be due to something other than norovirus.

How soon do the symptoms appear?
Symptoms usually appear in 1 to 2 days after exposure to the virus, but can appear as early as 10 hours after exposure.

When and for how long is a person able to spread norovirus?
A person who is ill with norovirus infection is able to spread the virus from the moment they start to feel ill up to 2 days after the diarrhea stops.

How can norovirus infection be prevented?

Keep your hands clean. Wash hands often with soap and warm water after using the toilet, diapering and before preparing or eating food. If soap and water is not available, use an alcohol-based hand sanitizer with a minimum of 60% alcohol if hands are not visibly soiled. Thoroughly washing hands with soap and water is preferred to prevent the spread of norovirus.
Do not prepare food for others if you have symptoms of vomiting or diarrhea.
- Thoroughly and frequently disinfect environmental surfaces and equipment with a chlorine bleach disinfectant, especially in areas that are touched often (e.g., telephones, door handles, gym equipment, bed side rails, etc.). A chlorine bleach solution of 1 part household bleach to 50 parts water can be made from 2 teaspoons of household bleach mixed with 2 cups of water.
- Anyone who is ill with diarrhea or vomiting should stay home from school, day nursery or work and should not return until being symptom-free for at least 48 hours. This is especially important for those who work with food, the elderly or at a hospital.

Is there a vaccine for norovirus?
No. There currently is no vaccine available in Canada to prevent norovirus infections.

How is norovirus infection diagnosed?
Doctors generally diagnose norovirus based on symptoms that resolve after 2-3 days. However, a stool sample may be suggested in certain circumstances.

Can norovirus infection be treated?
There is no specific treatment for norovirus infection. Antibiotics are not useful because the illness is caused by viruses, not bacteria. Ill persons should drink plenty of fluids since dehydration is a common complication from norovirus infection.

Is norovirus infection the same as the “flu”?
People often refer to the symptoms of norovirus infection as the “stomach flu”. However, influenza (the flu) is a respiratory illness with symptoms of cough, sore throat and fever. While receiving the annual influenza vaccine is important each winter and is free for anyone who works, attends school or lives in Ontario, the influenza vaccine will not protect you against a norovirus infection.

Adolescent 'Shorts'

2008-09-23T10:22:00.002-05:00

Adolescent 'Shorts' is a bimonthly newsletter supported by the Missouri Department of Health and Senior Services and Endorsed by the Missouri American Academy of Pediatrics and the Midwest Chapter of Society for Adolescent Medicine. It addresses adolescent issues and is produced to advocate for and promote adolescent health and well being. I will be posting the topics as they are introduced to me, for now I will post a few of the older issues.

Reminders

2008-09-18T18:19:00.007-05:00

Medications: If a child requires medicine to be given in school, A PARENT MUST BRING THE MEDICATION TO MY OFFICE, and it must be in the original container with the dosage directions on the label. Twice a day medicines should be given at home, with doses spaced as close to 12 hours apart as possible. Three times a day medicines should be given at home in the morning, after school, and at bedtime. Medicine that is brought in by a student cannot be administered in school.

CONTACTING PARENTS: Please make sure the school has accurate phone numbers so we can reach you or someone else to pick up your child if they are ill. Please remember to send in new work numbers if you change jobs. Also, remember to inform the nurse of any surgery or serious illness that your child might have that causes them to miss school for a lengthy time. Thank you.

Sniffles, Coughs and Bellys!

2008-09-09T13:29:00.004-05:00

3 Weeks Down!

The first three weeks of school did not come without colds and allergies. With the farmers picking corn and thrashing milo, allergies are high and symptomatic. I have posted a new website to the left that discusses the differences between colds and allergies.

I have seen quite a few headaches (without fever), stomach aches (without vomiting) and sore throats (red and scratchy). Most have done well with palliative over the counter treatments. A few have been diagnosed by a physician with a virus and to treat the symptoms.

Along with that has been pink eye. Conjunctivitis is the most common eye problem kids can have. It can cause redness, itching, inflammation or swelling, and a clear or white, yellow, or greenish gooey liquid to collect in the eyes. It is very contagious and although there are different causes and types you should be seen by a physician before returning to school.

New Missouri Vision Law

2008-08-26T09:00:00.002-05:00

A new Missouri law, the Children’s Vision law, requires all children entering kindergarten or the first grade to have a comprehensive eye exam from a state-licensed optometrist beginning July 1, 2008.
By January 1, 2009, parents/guardians shall provide to the school district proof of the required vision exam. The form to be used for completing this vision exam can be obtained from me or the website listed below.
If you would like more information about this subject, we suggest that you refer to the resources provided on the Missouri Optometric Association’s Web site (www.moeycare.org). In the left-hand column of this site, click on the link to “Children’s Vision Law" or you can contact me at 568-4562 or vwilliams@mail.bloomfield.k12.mo.us.

Welcome to Nurse Vicki's Health Page!

2008-08-14T10:34:00.001-05:00

Welcome Back Wildcats! My personal mission as the school nurse is to serve our students and their families the best way possible to keep them healthy and safe at school. Students cannot achieve maximum learning potential unless they feel safe and are well, and it is my personal goal to help facilitate this by helping students and their parents make appropriate decisions concerning health related matters. Please check back frequently; I will be adding documents and links related to your child's health. Heres to a healthy new school year!!