Tick Bite Prevention
Protect yourself from tickborne disease. Tick exposure can occur year-round, but ticks are most active during warmer months (April-September)
Before You Go Outdoors:
- Know where to expect ticks. Ticks live in grassy, brushy, or wooded areas, or even on animals.
- Treat clothing and gear with products containing 0.5% permethrin. Alternatively, you can buy permethrin- treated clothing and gear.
- Use Environmental Protection Agency (EPA)-registered insect repellents. Always follow product instructions.
Do not use insect repellent on babies younger than 2 months old. Do not use products containing OLE or PMD on children under 3 years old.
After You Come Indoors:
- Check your clothing for ticks.
- Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on clothing after you come indoors. If the clothes require washing, hot water is recommended. Cold and medium temperature water will not kill ticks.
- Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later.
- Shower soon after being outdoors. Showering within two hours of coming indoors has been shown to reduce your risk of getting Lyme disease and may be effective in reducing the risk of other tickborne diseases.
- Check your body for ticks after being outdoors. Conduct a full body check. Use a hand-held or full-length mirror to view all parts of your body.
Check these parts of your body and your child’s body for ticks:
- Under the arms
- In and around the ears
- Inside belly button
- Back of the knees
- In and around the hair
- Between the legs
- Around the waist
Learn more at: https://www.cdc.gov/ticks/index.html
What is NAS?
Neonatal Abstinence Syndrome (NAS) occurs when a baby is exposed to drugs in the womb; therefore, the baby goes through withdrawal from the drug following birth.
Babies can experience withdrawal due to the mother taking prescribed narcotics or by abusing street drugs. Almost every drug, prescription or non-prescription, passes from the mother's bloodstream through the placenta to the fetus. Illicit substances and street drugs that cause dependence and addiction in the mother also cause addiction in the fetus. At birth, the baby's dependence on the substance continues, but since the drug is no longer available, the baby's central nervous system becomes overstimulated, causing withdrawal.
Why is NAS a concern?
When a mother uses illicit substances, she places her baby at risk for many serious health problems. A mother using drugs may be less likely to seek prenatal care, which can increase the risks for her and her baby. In addition, women who use drugs are more likely to use more than one type of drug, which can complicate the treatment. In addition to the specific difficulties of withdrawal after birth, problems in the baby may include, but are not limited to: Poor intrauterine growth, Premature birth, Birth defects and Seizures.
What are the symptoms of NAS?
Symptoms of NAS may vary depending on the type of substance used, the last time it was used, and whether the baby is full-term or premature. Symptoms of withdrawal may begin as early as 24 to 48 hours after birth, or as late as five to 10 days. The following are the most common symptoms of neonatal abstinence syndrome. However, each baby may experience symptoms differently. Symptoms of withdrawal in full-term babies may include: Tremors (trembling), Irritability (excessive crying), Sleep problems, High-pitched crying, Tight muscle tone, Hyperactive reflexes, Seizures, Yawning, Stuffy nose or sneezing, Poor feeding and suck, Vomiting, Diarrhea, Dehydration, Sweating and Fever or unstable temperature. The symptoms of NAS may resemble other conditions or medical problems.
How is NAS diagnosed?
An accurate report of the mother's drug usage is important, including the time of the last drug taken. A neonatal abstinence scoring system may be used to help diagnose and grade the severity of the withdrawal. Using the scoring system, points are assigned for certain signs and symptoms and the severity of each. This scoring may also help in planning treatment. Treatment for neonatal abstinence syndrome Specific treatment for NAS will be determined by a doctor. Babies suffering from withdrawal are irritable and often have a difficult time being comforted. Swaddling, or snugly wrapping the baby in a blanket, may help comfort the baby. Babies also may need extra calories because of their increased activity and may need a higher calorie formula. Intravenous (IV) fluids are sometimes needed if the baby becomes dehydrated or has severe vomiting or diarrhea. Some babies may need medications to treat severe withdrawal symptoms, such as seizures, and to help relieve the discomfort and problems of withdrawal. The treatment drug is usually in the same family of drugs as the substance the baby is withdrawing from. Once the signs of withdrawal are controlled, the dosage is gradually decreased to help wean the baby off the drug.
Can NAS be prevented?
NAS is a TOTALLY PREVENTABLE problem. However, it requires that a mother stop using drugs before pregnancy, or as soon as she learns she is pregnant.
Measles is a very contagious disease caused by a virus. It spreads through the air when an infected person coughs or sneezes. Measles starts with fever. Soon after, it causes a cough, runny nose, and red eyes. Then a rash of tiny, red spots breaks out. It starts at the head and spreads to the rest of the body. Cases are being reported to the Center for Disease Control (CDC) from California, Colorado, Connecticut, Illinois, New Jersey, New York, Texas and Washington.
Measles can be prevented with MMR vaccine. The vaccine protects against three diseases: measles, mumps, and rubella. CDC recommends children get two doses of MMR vaccine, starting with the first dose at 12 through 15 months of age, and the second dose at 4 through 6 years of age. Teens and adults should also be up to date on their MMR vaccination.
The MMR vaccine is very safe and effective. Two doses of MMR vaccine are about 97% effective at preventing measles; one dose is about 93% effective.
Children may also get MMRV vaccine, which protects against measles, mumps, rubella, and varicella (chickenpox). This vaccine is only licensed for use in children who are 12 months through 12 years of age.
Before the measles vaccination program started in 1963, an estimated 3 to 4 million people got measles each year in the United States. Of these, approximately 500,000 cases were reported each year to CDC; of these, 400 to 500 died, 48,000 were hospitalized, and 1,000 developed encephalitis (brain swelling) from measles. Since then, widespread use of measles vaccine has led to a greater than 99% reduction in measles cases compared with the pre-vaccine era. However, measles is still common in other countries. Unvaccinated people continue to get measles while abroad and bring the disease into the United States and spread it to others. Visit the CDC's website for more information on Measles Cases in 2019.
Columbus, Ohio – With sustained, bitter cold temperatures and dangerous wind chills predicted for all of the state this week, the Ohio Department of Aging reminds all Ohioans to treat extreme temperatures just as you would a coming snow or ice storm. Be prepared and check on older loved ones and neighbors before, during and after the mercury drops.
“Extremely cold temperatures can take a physical toll on all of us, but also threaten important parts of community and home infrastructure that we and our older loved ones rely upon to stay safe and comfortable in our homes,” said Ursel McElroy, director of the department. “Take some time before the temperature drops to ensure you are ready for the worst and have a plan in place should your health be affected, or it becomes unsafe to stay in your home.”
Body changes as we age, prescription medications and more can make older adults more susceptible to the ravages of bitter cold temperatures. In addition, prolonged cold conditions like those expected this week raise the risk of freezing home plumbing, community water main breaks, automobile failure, transportation interruptions, power outages, home heating system failures and more.
- Assemble an emergency kit that includes a battery-operated radio, a flashlight and extra batteries, extra blankets and warm clothing, food that you can open and prepare easily and plenty of clean drinking water (at least one gallon per person per day), in case water supply lines are compromised.
- Open cabinet doors under sinks on exterior walls of your home and turn faucets to a slow drip to help prevent pipes from freezing. Place rolled-up towels or blankets around drafty windows and doors to help keep the cold air outside and the warm air inside.
- Know where the main valves and switches are for gas, water and electricity and ensure you or someone you trust can operate them should you need to shut them off.
- If you must use portable space heaters to warm your home, check that yours has been tested and certified to the latest safety standards. Keep heat sources at least three feet from combustible items, like papers, blankets and curtains. Never leave a fireplace or portable heater unattended; turn off heaters and extinguish flames when you leave the room or go to bed. Never use appliances that weren’t designed to heat your home, such as cooking stoves and ovens, for that purpose.
- Have a plan for a safe, warm place to go, and a way to get there, if it becomes unsafe to stay in your home.
Throughout the week, call or visit older loved ones and neighbors to ensure they are safe, warm and healthy, and have the means to stay that way.
- Is the temperature in their home comfortable? Do they have safe means to keep it that way if outdoor temperatures remain frigid?
- Do they need medical attention? Do they appear alert and aware? Have they fallen? Are they staying warm enough? Are they taking their medications as prescribed?
- Do they have safe food and water? Are they eating and drinking regularly?
- Whom will they call if they need help? Do they have access to a phone that will work without power or landline service?
Ohioans who live in nursing homes also can be at increased risk from severe winter weather. The Office of the State Long-Term Care Ombudsman at the Department of Aging advises family members and concerned friends to call loved ones’ nursing homes to check conditions there and ask how the facility is staffed.
Visit www.aging.ohio.gov/safeathome for additional tips and resources to prepare for severe weather and other emergencies.
If you or an older loved one become ill or injured during the storm, or if it becomes unsafe to stay in your home for any reason, call 9-1-1 for emergency assistance. Check local media or call local law enforcement to learn about the availability of warming centers or emergency shelters. Your area agency on aging can help identify emergency resources and services in your community. Visit the Ohio Department of Aging’s website (www.aging.ohio.gov) for contacts or call 1-866-243-5678 to be connected to the agency serving your community.
The Ohio Department of Health (ODH) has declared a statewide community outbreak of hepatitis A after observing an increase in cases linked to certain risk factors since the beginning of 2018. ODH and affected local health departments are investigating these cases.
Outbreak case statistics are updated on the ODH website each Monday by 2 p.m. Outbreaks of hepatitis A are occurring in several states across the United States, including neighboring states of Indiana, Kentucky, Michigan and West Virginia. Hepatitis A is a vaccine-preventable liver disease that usually spreads when a person ingests fecal matter - even in microscopic amounts - from contact with objects, food or drinks contaminated by the stool of an infected person. Hepatitis A can also be spread from close personal contact with an infected person, such as through sex.
- People at increased risk for hepatitis A in this outbreak include:
- People with direct contact with individuals infected with the virus
- Men who have sex with men
- People who use street drugs whether they are injected or not
- People who are incarcerated
- People experiencing homelessness
- People who have traveled to other areas of the United States currently experiencing outbreaks.
Symptoms of hepatitis A include fatigue, low appetite, stomach pain, nausea, clay-colored stools and jaundice. People with hepatitis A can experience mild illness lasting a few weeks to severe illness lasting several months.
People who believe that they are at high risk for hepatitis A infection should contact their healthcare provider or local health department for information about vaccination. People who know that they have been exposed to someone with hepatitis A should contact their healthcare provider or local health department to discuss post-exposure vaccination options. Individuals who experience symptoms of hepatitis A should contact their healthcare provider.
OHIO HEPATITIS A OUTBREAK CASES BY COUNTY (JANUARY 22, 2019):
The easiest way to protect yourself from the flu:
- Get a seasonal flu vaccine every year
- Wash your hands
- Cover your Cough
- Have Healthy Habits
Acute Flaccid Myelitis (AFM)
AFM is a rare neurological condition that affects less than 1 in a million people in the U.S. each year, however if your child develops any sudden weakness of the arms or legs seek medical attention right away. AFM affects the spinal cord and is characterized clinically by a sudden onset of asymmetric limb weakness. A majority of cases were preceded by fever and/or upper respiratory symptoms; other cases have reported vomiting and diarrhea. These symptoms tended to precede weakness by 5 days.
Please click on the AFM Fact Sheet link below for more information