Tag: health

It May Be Time to Break Out the Masks Against Covid, Some Experts Say

If you’re at high risk of serious illness or death from Covid-19, it’s time to dust off those N95 masks and place them snugly over your nose and mouth to protect yourself from a recent uptick of the virus, according to a growing number of experts.

That advice should go all the way up to 80-year-old President Joe Biden, said Dr. Jonathan Reiner, a cardiologist.

“Octogenarians comprise the highest-risk group for complications following Covid infection,” Reiner said.

As a summer wave of Covid-19 hits the US, questions about vaccines, quarantine and testing are back

“At least until the numbers start to drop again, it would be appropriate for President Biden to take some precautions and wear a mask in crowds.”

Other high-risk groups include people with diabetes, cancer, chronic liver, kidney or lung disease, organ or stem cell transplants, HIV or other immunocompromising conditions, a history of heart disease or stroke, dementia or mental health issues.

“If you’re a caregiver for somebody who is at increased risk of complication following infection, then I think you should also consider putting a mask on in public places,” said Reiner, a professor at the George Washington University School of Medicine & Health Sciences.

“And since the masks that are most effective are N95 that are now readily available, that’s the kind of mask you should wear,” he added.

Read the full article from CNN.

Wildfire Smoke is Causing Unhealthy Air Conditions for Much of the State

More than half our state is breathing in unhealthy air because of wildfires in Washington and Canada. Air Quality Alerts are issued through Monday morning for many Central and Eastern counties and Tribal Nations. Smoke is also expected in Western Washington this weekend.

When air is unhealthy, everyone should take steps to protect themselves. Track air quality levels on the Washington Smoke Information website and follow related health recommendations. Stay inside with cleaner indoor air by:

  • Closing windows and doors unless temperatures inside get too hot.
  • Filtering indoor air by using an HVAC system, HEPA portable air cleaner, or DIY box fan filter.
  • Not adding to indoor air pollution, such as smoking or burning candles indoors.
  • Setting air conditioning units to recirculate.

If you must be outside, limit how long you’re outside and how intense the activity is. If you have to be outside for long periods of time you can also wear a properly fitted, NIOSH-approved particulate respirator, such as an N95 mask. It’s also important to check on elderly loved ones and neighbors and keep pets inside.

“It wasn’t a matter of if, but when smoke would hit,” said Kaitlyn Kelly, Air Quality Policy Specialist. “Wildfire smoke season is here in Washington, which means we need to be proactive about taking steps to protect ourselves.”

Smoke often affects people with pre-existing conditions the most. Minor symptoms include eye, nose, and throat irritation, headaches, wheezing, coughing, and shortness of breath. More serious symptoms include difficulty breathing, chest pain, and irregular heartbeat. Wildfire smoke can lead to hospitalization and death. Seek medical attention if your symptoms are severe.

For more information on how to protect yourself from wildfire smoke, visit the Washington State Department of Health’s Smoke From Fires webpage.

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The Dangers of Extreme Heat

The Dangers of Extreme Heat

This July has been the hottest in human history, and extreme heat has impacted most of the US. The groups most at risk from high temperatures include seniors, children, and people experiencing homelessness. Additionally, there are few protections for outdoor workers.

  • Health Impacts: Heat is the most deadly extreme weather condition. A recent study found a rise in heart attacks on days of extreme heat and high pollution levels.
  • Urban Heat Islands: A new analysis found that about 41 million urban residents experience temperature increases of 8 degrees or more.
  • Policies: There is pressure on the Federal Emergency Management Agency to designate extreme heat events as natural disasters. The White House has announced measures to protect workers and vulnerable communities from extreme heat.

Resources & Initiatives:

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F.D.A. Approves R.S.V. Shot for Infants

The Food and Drug Administration on Monday approved a shot to protect infants and vulnerable toddlers against respiratory syncytial virus, or R.S.V., offering one of the first protections for an illness that fills children’s hospitals year after year.

The monoclonal antibody shot is expected to be available at the start of the fall R.S.V. season. The F.D.A. is also considering approval of an R.S.V. vaccine by Pfizer for pregnant women that is meant to protect infants from the virus.

The treatment approved on Monday, called Beyfortus by its developers Sanofi and AstraZeneca, addresses an illness that can be severe in older adults and young infants. About 80,000 children ages 5 and younger are hospitalized with the virus each year, according to the Centers for Disease Control and Prevention.

“R.S.V. can cause serious disease in infants and some children and results in a large number of emergency department and physician office visits each year,” Dr. John Farley, an official in the F.D.A. Center for Drug Evaluation and Research, said. “Today’s approval addresses the great need for products to help reduce the impact of R.S.V. disease on children, families and the health care system.”

Read the full article from the New York Times.

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Commonwealth Fund Annual State Scorecard Available

The country is grappling with a surge in preventable deaths and unaddressed mental health needs, according to the latest edition of the Commonwealth Fund’s Scorecard on State Health System Performance. The report annually ranks states’ health systems based on how well they provide high-quality, accessible, and equitable health care. And for the first time, the scorecard includes measures for evaluating reproductive care and women’s health.

It is also possible to download and read only the Washington Data.

 

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E-Cigs Are Still Flooding the US, Addicting Teens With Higher Nicotine Doses

When the FDA first asserted the authority to regulate e-cigarettes in 2016, many people assumed the agency would quickly get rid of vapes with flavors like cotton candy, gummy bears, and Froot Loops that appeal to kids.

Instead, the FDA allowed all e-cigarettes already on the market to stay while their manufacturers applied for the OK to market them.

Seven years later, vaping has ballooned into an $8.2 billion industry, and manufacturers are flooding the market with thousands of products — most sold illegally and without FDA permission — that can be far more addictive.

“The FDA has failed to protect public health,” said Eric Lindblom, a former senior adviser to the director of the FDA’s Center for Tobacco Products. “It’s a tragedy.”

Yet the FDA isn’t the only entity that has tolerated the selling of vapes to kids.

Multiple players in and out of Washington have declined to act, tied the agency’s hands, or neglected to provide the FDA with needed resources. Former Presidents Barack Obama and Donald Trump both have prevented the FDA from broadly banning candy-flavored vapes.

Meanwhile, today’s vapes have become “bigger, badder, and cheaper” than older models, said Robin Koval, CEO of the Truth Initiative, a tobacco control advocacy group. The enormous amount of nicotine in e-cigarettes — up 76% over five years — can addict kids in a matter of days, Koval said.

E-cigarettes in the U.S. now contain nicotine concentrations that are, on average, more than twice the level allowed in Canada and Europe. The U.S. sets no limits on the nicotine content of any tobacco product.

“We’ve never delivered this level of nicotine before,” said Matthew Myers, president of the Campaign for Tobacco-Free Kids, which opposes youth vaping. “We really don’t know the long-term health implications.”

Elijah Stone was 19 when he tried his first e-cigarette at a party. He was a college freshman, grappling with depression and attention-deficit/hyperactivity disorder, and “looking for an escape.” Store clerks never asked for his ID.

Stone said he was “hooked instantly.”

Read the full article from KFF.

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Find a Summer Meals Site Near You!

OLYMPIA — June 14, 2023 — Good nutrition is essential for effective learning every day, all year long. Just as learning does not end when school lets out, neither does the need for good nutrition.

Every year, the federally funded Summer Food Service Program (SFSP) provides nutritious meals to children living in identified areas of high need. The program is available now through the end of August.

Summer meal programs help children aged 18 and under get the nutrition they need to learn, play, and grow during the summer. This program is sponsored by many organizations throughout Washington, including schools, nonprofit organizations, local governments, and tribes.

In the summer of 2022, approximately 850,000 meals were provided to children at 805 sites across Washington. Programs operate in areas where 50% or more of the children are in households that are at or below 185% of the federal poverty level. In a household of four people, an annual income of $55,500 represents 185% of the federal poverty level.

Resources in English to find a Summer Meals site near you:

Resources in Spanish to find a Summer Meals site near you:

For more information, please contact the Child Nutrition Services department within the Office of Superintendent of Public Instruction at 360–725–6200 or email summermeals@k12.wa.us.

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As Fewer MDs Practice Rural Primary Care, a Different Type of Doctor Helps Take Up the Slack

WINTERSET, Iowa — For 35 years, this town’s residents have brought all manner of illnesses, aches, and worries to Kevin de Regnier’s storefront clinic on the courthouse square — and he loves them for it.

De Regnier is an osteopathic physician who chose to run a family practice in a small community. Many of his patients have been with him for years. Many have chronic health problems, such as diabetes, high blood pressure, or mental health struggles, which he helps manage before they become critical.

“I just decided I’d rather prevent fires than put them out,” he said between appointments on a recent afternoon.

Broad swaths of rural America don’t have enough primary care physicians, partly because many medical doctors prefer to work in highly paid specialty positions in cities. In many small towns, osteopathic doctors like de Regnier are helping fill the gap.

Osteopathic physicians, commonly known as DOs, go to separate medical schools from medical doctors, known as MDs. Their courses include lessons on how to physically manipulate the body to ease discomfort. But their training is otherwise comparable, leaders in both wings of the profession say.

Both types of doctors are licensed to practice the full range of medicine, and many patients would find little difference between them aside from the initials listed after their names.

DOs are still a minority among U.S. physicians, but their ranks are surging. From 1990 to 2022, their numbers more than quadrupled, from fewer than 25,000 to over 110,000, according to the Federation of State Medical Boards. In that same period, the number of MDs rose 91%, from about 490,000 to 934,000.

Over half of DOs work in primary care, which includes family medicine, internal medicine, and pediatrics. By contrast, more than two-thirds of MDs work in other medical specialties.

Read the full article from KFF.

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Flu cases very high in Washington: DOH urges everyone take precautions

The Washington State Department of Health (DOH) is informing Washingtonians that the flu is spreading at a high rate in Washington state right now. The current flu season is early this year and flu deaths are at higher rates than usually seen at this point in the year. As of December 10, 40 people have died from the flu in Washington including three children.

DOH strongly recommends everyone aged 6 months and older get the flu vaccine as soon as possible. It can help keep individuals from getting severe illness or spreading the disease and prevent hospitalizations in an already strained healthcare system. If someone does get the flu when they are vaccinated, it’s typically milder with fewer complications. The vaccine also lowers the risk of needing medical care.

“It’s not too late to get your flu shot, so we urge everyone aged 6 months and older to get vaccinated as soon as possible,” said Umair A. Shah, MD, Secretary of Health. “Flu is spreading rapidly through our state and getting your flu shot now helps to protect us all, especially as we plan to gather for holidays and events.”

The most common strain of flu seen so far this year is influenza A (H3N2). This strain typically causes more severe disease. All available flu vaccines provide protection against H3N2.

Remember that the flu can be serious and deadly, even for young and otherwise healthy adults. Flu can be especially dangerous to people who are under five years old, aged 65 or older, pregnant, immunocompromised, or have chronic health conditions.

The flu vaccine is available at most pharmacies, healthcare provider offices, and clinics. The flu vaccine can be received at the same time as any other vaccine.

In addition to the flu, other respiratory illnesses such as COVID-19 and RSV are making both children and adults sick and overloading our hospitals. Individuals can help keep themselves, their family, and their community healthy by getting a flu vaccine and COVID-19 booster and taking other measures to prevent getting sick or spreading illness to others. DOH recommends:

  • Get up to date on any vaccines that are due. This includes the yearly flu vaccine and any COVID-19 boosters for those 6 months and older. Vaccination is your best defense against many serious diseases.
  • Wash your hands frequently with soap and water. Use hand sanitizer when soap is not available, and hands are not visibly soiled.
  • Consider wearing a mask in crowded or indoor settings.
  • Sneeze or cough into the crook of your arm or a tissue so you don’t put germs on your hands or in the air.
  • Avoid close contact with people who are sick.
  • If you feel sick, stay home.

Find out more at KnockOutFlu.org.

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Inside a Children’s Hospital: Struggling to Cope With a Surge of Respiratory Illness

Waiting for their turn in the emergency room, dazed-looking parents in winter coats bounced crying children in their arms, trying to catch the eye of Dr. Erica Michiels. Us! Pick us next! they seemed to plead with tired eyes.

Michiels directs pediatric emergency medicine at Corewell Health Helen DeVos Children’s Hospital in Grand Rapids, Michigan. Lips pressed together in a thin line, she surveyed what she calls the “disaster” area.

“People have been out here waiting for a couple hours, which is heartbreaking,” she said.

Typically, the ER at DeVos Children’s sees about 140 kids each day, according to Michiels, but on a recent Tuesday in early December, they saw 253.

“I hate when we have a wait,” sighed Michiels. “But for right now, we can’t do it any other way.”

Like many other children’s hospitals across the nation, the capacity of the staff at DeVos Children’s has been stretched by waves of patients with RSV and, increasingly, the flu.

This surge of sick kids is coming after years of some U.S. hospitals cutting back on pediatric beds — in part because it is typically more profitable to treat adult patients. The remaining pediatric beds are increasingly concentrated in urban areas, leaving families in rural areas to travel longer distances to get care for their children.

When Staci Rodriguez brought her 9-month-old son into the ER in their hometown of Shelby Township, Michigan, she was desperate. Santiago Botello Rodriguez, who has big brown eyes and long eyelashes that everybody gushes over, had been sick for days. First Santi stopped eating, so she took him to urgent care, she said. Then he started sleeping 20 hours a day, so Rodriguez went to the pediatrician. She said she was sent home, after being told Santi was just fighting a virus.

Read the full article from KHN.

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