Are you at risk for a vaccine-preventable disease?
With the 2010-2011 influenza season upon us, now is the perfect time to talk about the importance of adult immunization. At Passport Health™, we frequently see adults who are learning for the first time that they are candidates for vaccines. It is disheartening to learn that while prevention is the cornerstone of primary care medicine, adults are rarely offered education regarding vaccines, or an opportunity to receive vaccines. Many believe that our childhood vaccines have well-prepared us for lifetime protection from vaccine-preventable illnesses.
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We know that is not true. Adults are much more likely to die from vaccine-preventable diseases than are children. The health burden of vaccine-preventable diseases is overwhelming, and can be measured by billions of dollars and lives lost.
So who are the adults that are vaccine candidates? Picture a 25-year old daycare worker exposed to chickenpox (Varicella) at work, dying from encephalitis (swelling of the brain) secondary to Varicella that could have been prevented with the Varicella vaccine. Or, a 54-year old gentleman who misses a month of work after complications from the flu which could have been prevented by a flu shot. How about a graduate student discovering he has chronic Hepatitis B that could have been prevented with a series shots. Or, the grandparent exposing their newborn grandchild to pertussis, resulting in hospitalization and or death that could have been prevented with a Tdap booster. Could any of these be you or someone you love?
The Advisory Committee on Immunization Practices (ACIP) has published guidelines on vaccinations for adults. However, these guidelines won’t help if you don’t discuss vaccination with your healthcare provider or vaccine specialist. It’s as simple as asking, “Am I at risk for any vaccine-preventable illnesses, and can I get vaccinated?” We must take responsibility for our own personal health, but also consider the health of our community at large. Let’s stop vaccine-preventable disease, one shot at a time.
By: Karmell J. Macoretta, MSN, ANP-BC and Joanna Daeschner, RN, MS
Passport Health of Western New York
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In August of 2007, articles were
published in Nursing Journals in
the United States about Post-Polio
Syndrome affecting hundreds of men
and women in their sixties who had
potentially been exposed to polio
more than a decade earlier. At the
writing of this article 440,000 survivors
were experiencing Post-Polio
symptoms ranging from balance
problems, muscle weakness, problems
with sleeping and concentration,
pain and fatigue. The CDC reported
over 21,000 cases of paralytic
polio in 1952 in the United States.
Salk and Sabin polio vaccines, which
were available in the 1950’s and
1960’s, helped to eradicate polio in
developing countries. It has been estimated that between 12 and 20 million people suffer
from a polio-associated disability today worldwide.
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What is this virus? Why has it not been totally
eradicated? The virus is one that destroys the motor
units in the brain and spinal cord and is passed on from
person to person by nasal or mouth secretions or by
contact with the feces of an infected person. The result
of infection can lead to flaccid paralysis even though
the sensory system may not be effected. The virus can
affect the spine, or the brain stem which can affect swallowing
and respiratory function. The resistance to getting
vaccinated in part is due to the belief that the virus no
longer exists and also, it should be noted, due to cultural
mistrust in certain developing countries worldwide.
The risk continues. Parts of West Africa, the Indian
sub-continent, Indonesia, and the Arabian Peninsula are
reporting cases. Additionally there have been sporadic
outbreaks of wild polio virus in the Philippines, and the
Caribbean associated with transmission following direct
fecal contamination. Although often associated with the
young, older generations who never received the
vaccine, did not complete the series, or did not receive
an adult booster are most at risk.
All adults and adolescents traveling to polio endemic
regions of the world should have a booster if more than
ten years have elapsed since the last vaccination for
polio. Children traveling to endemic areas can have polio
vaccine as early as 6 weeks of age.
Nineteen fatalities due to polio have been reported in the
Republic of Tajikistan. Related cases have been reported
in the Russian Federation. The virus was thought to be
eradicated in 2002 in these areas and has resurfaced.
New data on emerging cases will drive the need for a
return to mass inoculations. Recently, the European
Regional Commission for the Certification of
Poliomyelitis Eradication met in Denmark with a renewed
proclamation for monitoring polio worldwide and a call
for all nations to supplement childhood schedules of
immunization as needed or if traveling to areas where
outbreaks exist. The lesson here is to vaccinate with
polio before travel as needed.
Carol De Rosa, R.N., B.S. Sr. VP, Clinical Ops/Corporate Development
Passport Health
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Victoria Falls, Zimbabwe, AfricaThe wedding and honeymoon market in the United States generates over $100
Billion annually and is one of the most resilient parts of the travel industry.
Once a couple gets engaged, a spending spree unlike any other is triggered. It
starts with extra outings so both families can get to know one another and quickly
proceeds to engagement parties and bridal showers. Up next are the bachelorette
and bachelor parties, bridesmaids’ luncheon and rehearsal dinner. And don’t forget
about the wedding! After that, it’s easy to see how paying for a honeymoon could
put you over the edge
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While the economic slowdown has affected the wedding industry somewhat, we
are now seeing an increase in spending of almost 22%. Destination weddings are
actually benefiting from this economic slowdown since many destinations and hotels
have tailored their message to focus more on this segment. The travel industry
reports a 400% increase in destination weddings. Destination weddings and
honeymoons provide a substantial amount of revenue for the travel industry and
hence nourishes the competition for countries to increase their market share.
Africa collectively receives a small share of this market, but with increased focus,
we hope to grow this industry significantly.
The planning phase is an exciting phase for a couple. Statistics prove that approximately 72% of all engaged couples are willing to go above and beyond to make their wedding and/or honeymoon as special and memorable as they envision it ought to be. Can Africa attract these couples? The answer is Yes! The 2010 FIFA
World Cup has drawn a lot of attention to South Africa and therefore created awareness of this beautiful continent. The travel
industry is now seeing an opportunity to promote the African destination weddings and honeymoons.
Africa is very versatile; from the vineyards of South Africa; to the beautiful beaches of Mozambique; to the exotic Victoria Falls
located between Zambia and Zimbabwe; these are all breathtaking attractions Africa has to offer.
The destination wedding and honeymoon market is best served by experienced and qualified Africa Specialists (travel agents
specializing in this beautiful continent). Getting married or honeymooning in Africa is a dream of many Americans, and one that
can be realized with the right planning. After all, traveling to Africa and getting married in this continent is as competitive in pricing
as the rest of the countries that focus heavily on this market.
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Passport Health Invites you to Rethink Africa
If you are in the Baltimore area or would like to visit, join us for a night of discovery, live music, delicious food, world class wines, networking and fun!
Tuesday, October 12, 2010: 6PM-9PM
$50 donation in advance
All proceeds are tax deductible and will go to the There Goes My Hero Foundation and the Ben Carson Scholars Fund.
Click here for more information and to purchase tickets.
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Jacqueline Johnson, CTC President and CEO Jacqueling Johnson & Associates, Inc. Comprehensive Wedding Market Solutions MarryCaribbean.com |
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Hajj Pilgrimage, Mecca, Saudi ArabiaOne of the largest annual pilgrimages in
the world is known as Hajj (cognate of the
Hebrew word “Hag” meaning Holiday.)
All practicing Muslims, demonstrate
their submission to God (Allah) with the
practice Islam and try to participate in the
ceremony at least once in their lives. The
participants, often numbering in millions,
travel to Mecca in Saudi Arabia.
Muhammad, the Islamic prophet, is
associated with the ritual but Islamic
scholars dispute that the pilgrimage
actually started at the time of Ibrahim
(Abraham).
Every year, according to the lunar
calendar, the Hajj occurs 10 days earlier
than the previous year. In the year 2010
Hajj will be held between November 14th
and 18th. Pilgrims who choose to go to
Mecca at other times of the year refer to
those specific pilgrimages as Umrah.
As far back as the seventh century, before
the era of Muhammad, Pilgrims of all faiths
took part in the walks around the Kabba
(Holy Mosque) and the vigils on Mount
Arafat where they would practice
recitation of the Qur’an with prayer and
personal contemplation. The ritual
culminates with the festival of Eid al-Adha
and includes the drinking of water from
the Zamzam Well.
Because most of the activity occurs in
a prescribed area during the week-long
activities, the Saudi Arabian government
requires that all participants in Hajj get
a Meningococcal vaccination. Passport
Health also recommends Typhoid, Polio,
Tetanus/Diphtheria & Pertussis, and
Hepatitis A & B immunizations, as well as
a seasonal Influenza shot. |
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