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Dr. Sheila Pinette Director, Maine CDC Osteopathic physician Public Health Update May 30, 2013 In this update: Hepatitis Stroke Awareness Month Lyme disease Asthma Summer health Influenza Vaccine Coverage Among Health Care Workers Follow us Hepatitis In recognition of Hepatitis Awareness Month, Maine CDC is featuring a three-part series on viral hepatitis in public health updates released in May. Part 3: Baby Boomers and Hepatitis C About 3 million adults in the US are infected with the hepatitis C virus, most are baby boomers. Anyone can get hepatitis C, but adults born from 1945-1965, or baby boomers, are 5 times more likely to have hepatitis C. UDS CDC now recommends that baby boomers, or those born during 1945-1965, get tested for hepatitis C virus (HCV). The reason that baby boomers have high rates of Hepatitis C is not completely understood. Most boomers are believed to have become infected in the 1970s and 1980s when rates of Hepatitis C were the highest. Since people with Hepatitis C can live for decades without many baby boomers are unknowingly living with an infection they got many years ago. Hepatitis C is primarily spread through contact with blood from an infected person. Many baby boomers could have gotten infected from contaminated blood and blood products before widespread screening of the blood supply began in 1992 and universal precautions were adopted. Others may have become infected from injecting drugs, even if only once in the past. Still, many baby boomers do not know how or when they were infected. Recommendations for the Identification of Chronic Hepatitis C Virus Infection Among Persons Born during 1945–1965 • Adults born during 1945–1965 should receive one-time testing for HCV without prior ascertainment of HCV risk. • All persons with identified HCV infection should receive a brief alcohol screening and intervention as clinically indicated, followed by referral to appropriate care and treatment services for HCV infection and related conditions. For more information see: http://www.cdc.gov/knowmorehepatitis/ or www.mainepublichealth.gov/hep ---PAGE BREAK--- Stroke Awareness Month A stroke occurs when a blood vessel leading to the brain (or in the brain) is blocked by a clot, or bursts. When this happens, part of the brain cannot get the blood and oxygen it needs, and it starts to die. Stroke is a leading cause of death, premature mortality, and serious, long-term disability in Maine and the U.S. It is the fourth leading cause of death in Maine and the U.S. On average, there was one stroke death every 14 hours in Maine in 2009. Additionally, Maine had the 35th highest stroke death rate among all 50 states and D.C., but among all New England states, Maine had the highest stroke death rate. (The Burden of Cardiovascular Disease in Maine 2012- www.mainehearthealth.org) It is important for you to know the of stroke so you can react quickly if someone has a stroke. Know the it could save a life Early recognition of stroke is critical –Time Lost is Brain Loss. Stroke include sudden: • Numbness or weakness in the face, arm or leg • Slurred speech • Blurred vision • Dizziness or loss of balance • Severe headache Rapid treatment by emergency medical providers is important to survival and recovery. At any sign of stroke: Call 911 immediately Lower your risk of having a Stroke You can help protect yourself and loved ones from stroke by knowing the risks and taking these steps: • Know your ABCS o Ask your doctor if you should take Aspirin every day o Find out if you have high Blood Pressure or Cholesterol, if you do, work with your doctor to treat it o If you Smoke, get help to quit • Be physically active at least 30 minutes on most days • Eat more fruits, vegetables and other foods low in sodium and trans fat • Take medicine as prescribed by your doctor For more information: • American Stroke Association: http://www.strokeassociation.org/ • Maine CDC Cardiovascular Health Program Website at www.mainehearthealth.org; or contact Tina Love, CVH Specialist, at Million Hearts Program- Help us prevent one million heart attacks and strokes over five years: http://millionhearts.hhs.gov/ ---PAGE BREAK--- Lyme disease Lyme disease continues to be a growing concern in Maine, with 1,111 cases reported across the state in 2012. Maine CDC is dedicated to increasing awareness of the disease and is co-sponsoring free, public Lyme disease prevention forums throughout the state this summer. The goal of these forums is to educate Maine residents about prevention and early detection of the disease. Each forum will have a presentation about Lyme disease followed by a Q & A session. Lyme disease experts including physicians, epidemiologists, veterinarians, biologists, and pesticide experts will be at the forums to answer specific questions and educate the public on the broader Lyme disease prevention work going on in Maine. Below are the dates of the scheduled Lyme disease forums (more to come). All forums are free and open to the public. Questions? Please email [EMAIL REDACTED] Free, public Lyme disease forums: • 10 a.m. to noon Friday, May 31, LePage Conference Room, St. Mary’s Hospital, 93 Campus Ave., Lewiston • 10 a.m. to noon Thursday, June 6, EMA Building, 301 Park Street, Rockland • 12:30-2 p.m. Tuesday, June 11, Portland Public Library, 5 Monument Square, Portland • 6-8 p.m. Wednesday, June 26, Ellsworth Town Hall, 1 City Hall Plaza, Ellsworth Information about Lyme Disease Awareness Month is available at http://go.usa.gov/yTS or see Maine CDC’s press release at http://go.usa.gov/b4uk For general information about Lyme disease, visit http://go.usa.gov/yTh Asthma Asthma is a chronic disease that affects the lungs, leading to breathing problems including coughing, wheezing, chest tightness and trouble sleeping. In most cases, the cause is unknown and there is no known cure. May is Asthma Awareness Month. For more information, see Maine CDC’s press release at http://go.usa.gov/b4JC or visit our Asthma Prevention and Control Program at http://go.usa.gov/b4JW Summer health As the weather starts warming up, make sure you know how to keep your summer safe and healthy. Know how to avoid: • Carbon monoxide poisoning: http://go.usa.gov/b4ST • Recreational water illnesses: http://go.usa.gov/b4S9 • Heat-related illnesses: http://go.usa.gov/b4SJ Influenza Vaccine Coverage Among Health Care Workers Each influenza season, health care workers (HCW) become infected with the flu, an infectious respiratory illness caused by influenza viruses. The Advisory Committee on Immunization Practices (ACIP) recommends that HCW receive the influenza vaccine annually. All health care facilities in the state are required to report data on influenza vaccine coverage among their employees to Maine CDC annually. Maine CDC worked in collaboration with hospitals for the past 3-4 years to improve HCW vaccination rates. Each year, Maine CDC analyzes data on flu vaccine rates reported by the hospitals and compares it to the state average. The result of the analysis is illustrated graphically and shared with each hospital. Over the past three years, the vaccination rate among HCW in Maine has steadily improved from a statewide average of 65.2% in 2011-12 to 77.1% in 2011-12 to 84.2% in the 2012-13 season. We hope that health care facilities will keep working with their staff and continue this upward trend. To see the graphical results over the last three years, go to: http://go.usa.gov/b4eA ---PAGE BREAK--- Follow us Follow Maine CDC’s Social Media Updates: • Facebook (www.facebook.com/MaineCDC) • Twitter (http://twitter.com/MEPublicHealth) • Blog (http://mainepublichealth.blogspot.com) You may subscribe to these updates for free through an RSS feed at http://go.usa.gov/G6u. 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