Six tips for protecting yourself from COVID-19 (Coronavirus Disease 2019)

Here is a brief overview of some of the advice given from the Centers for Disease Control and Prevention (CDC) and infection control experts, regarding how you can help prevent the spread of COVID-19 (also known as the coronavirus, novel coronavirus, and coronavirus disease 2019) to reduce your risk of infecting others or becoming infected yourself.

Image by Carole Jakucs, 2020. Subject to copyright. 

Hand washing

Wash your hands frequently with soap and clean, running water for at least 20 seconds. Singing the song, "Happy Birthday" twice, which is about 20 seconds.

Make sure you rub all surfaces of both your hands under clear, running water and don't forget to include your fingertips, thumbs, tops of hands, palms and between your fingers.

If you're not near a sink with soap and running water, the next best way to clean your hands is by using hand sanitizer with at least 60% alcohol to clean your hands, until you can get to a sink and wash your hands with soap and water.

Make sure you wash your hands before and after eating, using the bathroom, touching your eyes, nose and mouth or the rare venturing out of the house for necessities such as groceries.

Cover your coughs and sneezes

Always cover your mouth and nose with a tissue when you cough and sneeze (a sleeve will do if you don't have a tissue and is better than nothing) then throw the tissue in the trash and wash your hands.

Don't touch your eyes, nose or mouth with unwashed (unclean) hands

If you don't heed this advice and your hands have infectious germs on them, you can make yourself sick (inoculate yourself) with COVID-19, other viruses and bacteria.

Stay home when advised to do so 

Heed the rules, guidelines and recommendations by your local, state and federal leaders and public health departments regarding sheltering in place. The current CDC Guidelines of 15 days to Slow the Spread is for the entire U.S. Some states that have greater numbers of COVID-19 infections such as New York, California and Washington, may have additional guidelines dictated by their local conditions on the ground.

If you're sick and have seen a physician and/or have had a known exposure, the current recommendation is to isolate yourself at home for at least 14 days (known as self-quarantine or self-isolation). Always follow the advise given to you by your physician. 

Practice social distancing 

When you do need to venture out of the house for groceries for example, ensure you maintain at least 6 feet of space between yourself and others. 

Disinfect suspected or confirmed contaminated and high-use surfaces

Make sure you frequently clean (using disinfectant solution or wipes) any and all surfaces that may be contaminated such as: Shopping cart handles, payment key pad surfaces at grocery or pharmacy check-outs, counter tops, door knobs, light switches, keyboards, cell phones, the steering wheel of your car, etc.just to name a few.

*This blog is not a comprehensive list of all you can do to protect yourself and others from getting COVID-19. Please visit the CDC and the National Institutes of Health for more information.

Measles Outbreak is Spreading

Measles is highly contagious and can be deadly. In January of this year alone, 84 people in 14 different states have been diagnosed in the U.S. It's important to get vaccinated to reduce your risk of becoming ill. For the no vaccine crowd, they are putting their own children at risk by not having them vaccinated as well endangering the health of others. 

Public Domain photo taken by Jim Goodson, MPH, courtesy of the CDC.

But here is the other news with the current outbreak of measles in the U.S. A small number of people are becoming ill even though they've been vaccinated with the recommended two doses of MMR (measles, mumps and rubella) vaccine. This tells us that for some, even after having their vaccines, they are not immune. 

Perhaps it never took or, they were immune at one time but now their immunity has waned and is no longer present. Luckily, for most people (studies have shown approximately 95 %) two vaccines provide immunity for many years.

If you're not sure of your immunity status, call your health care provider. You can get a blood test (called a titer) to show whether or not your are immune to measles (and mumps and rubella too). If you're not immune, you can get another dose of MMR vaccine. Follow your physician's recommendations regarding any follow up tests and vaccines.

Lyme disease is Underreported - Number of Cases is 10 times Higher than Previously Known

It’s great to spend time in the beautiful outdoors. But, when we do, we can be exposed to ticks and tick bites.  Bites from infected ticks can give you Lyme disease. The CDC just issued a Press Release stating that the actual number of cases of Lyme disease that occurs in the United States is approximately 300,000 per year; a number that is 10 times higher than the number of cases that are actually reported. The CDC culled their data from three different studies, analyzing the numbers of Lyme disease cases via insurance claims, laboratories and patient surveys.  If you've never thought about Lyme disease before, now may be a good time to start, given that it's more prevalent than previously thought. Lyme disease also occurs in parts of Europe.

Photo by Carole Jakucs; Kinsale, Cork, Ireland.
Image subject to copyright. 

• Lyme disease is a bacterial infection caused by the bite of an infected tick.
• Initial symptoms can vary, but some are; fever, joint and muscle pain, rash and headache.
• If Lyme disease is left untreated, permanent neurological (the nervous system) and organ damage (in particular the heart) can occur. It can also spread to the joints.
• If you have any concern that you may have been exposed to Lyme disease, are sick with Lyme disease, or have any fevers, rashes or joint pain/swelling; speak to your healthcare provider and/or seek professional medical care for medical advice, a diagnosis and appropriate medical treatment. The sooner treatment is started, the better.
• The best way to prevent Lyme disease is to prevent becoming bitten by a tick. The tick carries the disease. When it bites you, it transmits the disease. 
• If you plan on spending time outdoors (even at a picnic or in your back yard) in tick laden areas; wear insect repellent on your clothes, skin and gear. Look for products that contain either 20 – 30 % DEET. Follow the manufacturer’s instructions for use; since this is a poison, you want to use it correctly.
• If you plan on being outdoors (even in your own backyard) or hiking, steer clear of high brush and weeds. If you're hiking, stay on the trails where your path is clear. High brush and weeds where tick like to hide.
• Look for ticks on your skin, children’s skin, pets and gear after spending time outdoors.
• If you find any ticks on your skin, clothes, pets or gear and remove them as soon as possible.
• Remove ticks appropriately by following the right procedure, click here to view.
• For more information on Lyme disease, you can also visit The American Lyme Disease Foundation's website. 

Hepatitis A outbreaks from frozen berries, protect yourself with Hepatitis A vaccine

If you’re trying to eat healthy and part of your routine is buy frozen berries for topping off your cereal or to use in smoothies, you may be a risk for Hepatitis A. There is currently a second recall on frozen berries. You can become infected with Hepatitis A by consuming contaminated foods and/or water, or by having close contact with someone who has it.

Photo: Commons.wikimedia.org - CDC raspberry - Public Domain

Hepatitis A is a virus that infects the liver and makes you sick with jaundice, abdominal pain, nausea and vomiting for starters. Here’s the good news: There is a vaccine to protect you from getting infected with Hepatitis A. Hepatitis A Vaccine is given in two separate doses given at least six months apart.  The goal of the vaccine is to provide your body immunity to the virus if you become exposed to it. 

If you have not yet been vaccinated against Hepatitis A, now is a good time to consider it. The vaccine can be obtained at most physician offices, clinics and some pharmacies (the ability to get a vaccine at a pharmacy is not available in all fifty states at this time). The vaccine is contraindicated (who should not get the vaccine) for some people. Be sure to contact your doctor to find out if you’re eligible to get the vaccine. Typically, healthcare providers that administer it, will ask you to fill out a consent/screening form to help determine if you are a candidate for the vaccine, by asking questions about your medical history and allergies. 

There is no excuse for contaminated food, and there have been many recalls involving a variety of foods from peanut butter (and related products) to fresh produce, meats and other items, involving different types of illness/disease causing organisms.  More needs to be done to ensure the safety of our food supply. Sometimes, there was nothing the consumer could do to prevent getting sick and no way to tell an item was contaminated.

In the meantime; stay up to date with all of your vaccines (for your  general health) to include Hepatitis A Vaccine, wash all produce well prior to consumption, stay informed to news about Outbreaks and food recalls, learn about food safety, the basics of which start with keeping hot foods hot and cold foods cold. Taking these steps can reduce your chances of becoming stricken with a food related illness. 

Six Tips to Take Charge of your Health

Angelina Jolie’s revelation that she recently had undergone a double mastectomy to prevent breast cancer due to her positive test result for the breast cancer gene, is a helpful reminder about the task for all of us to take charge of our health.  While this must have been a difficult decision for her, it’s an excellent illustration of remaining vigilant regarding your health and being proactive regarding your health care.

Here are six things you can do to help you to take charge of your health:

1. Learn about your family medical history, this includes parents, siblings, grandparents, aunts, uncles and cousins. This will give you a heads up regarding what “runs” in your family; red flags so to speak, to make you aware of some of your possible genetic risks for certain diseases. Knowing this is invaluable. For example, if Heart Disease runs in your family, you’ll want to take extra care to control your weight, exercise daily, not smoke, and eat a healthy diet, such as a Mediterranean Diet to help reduce your risk. (These are healthy habits for everyone and help to prevent a variety of diseases, but especially important if your risk is higher.) 
2. Read up on any medications you are prescribed from side effects to dosing instructions. Educate yourself by reading the package inserts that come from the pharmacy and reading credible medication websites such as MedlinePlus which is a service of the U.S. National Library of Medicine and the National Institutes of Health.
3. If you’re diagnosed with a disease or acute illness, learn as much as you can about it from trusted, professional sources, examples of which are the CDC (U.S. Centers for Disease Control) and Medline Plus (as mentioned above) also has a site dedicated to information on illnesses. Maintain an awareness of the typical lab tests that may be required to follow the course of the illness, medications that are generally prescribed to surgeries that may be recommended. Becoming familiar with these things can help you psychologically through your illness and also help you determine if you’re receiving the appropriate care.
4. Follow the advice of your physician regarding when to obtain lab tests, taking medications as prescribed and when to follow up with appointments and diagnostics tests such as ultra sounds, MRI’s, CT scans etc.
5. Get a second opinion when you feel the need.  If your inner voice is nudging you that something does not seem right; seek out a second opinion from another physician.
6. Ask questions. While no one expects you to become an expert, be sure to ask questions, especially if you need clarification on any information you received or simply desire more knowledge regarding your diagnosis and particular situation.

Emergency Preparedness, Are You Ready?

Last night, Southern California experienced unexpected high winds. When the winds hit here, subsequent power outages are inevitable. As my lights were flickering, I began to frantically look for working flashlights. I had several in the past, but could now only find one. My mind then went to my bottled  water supply; how much did I currently have?  Running water can become contaminated or cease to flow during power outages, as well during natural disasters. I used to be so diligent about having these extra items around the house especially when we had numerous earthquakes. My emergency plan went a bit by the wayside as we’ve not had any big quakes for a long time. Other parts of the country are having high winds too. Now is a good time to re-evaluate your stock of emergency supplies before more storms or other events are upon us.

Disaster preparedness experts recommend having enough supplies to sustain yourself, your loved ones and pets for a minimum of 3 days in the event of any power disruptions, natural disasters or terrorist events. Here are some highlights of what you should have on hand:

Bottled water: 1 gallon per person per day (have extra on hand for any pets).

Flashlights: 1 per person (and extra batteries).

Food: MRE’s (“Meals Ready to Eat”) which used to be termed “sea rations” or “sea rats”. These can be obtained from military surplus stores or online with various vendors.

Medications you use on a regular basis; whether prescribed or over the counter. Have an extra supply on hand or keep them in a small case that you can take with you if you have to leave your home fast.

Emergency Generator if necessary for anyone in your home that may use medical equipment that requires a power source.

Important Legal documents should already be stored in a waterproof/fireproof container if you need to evacuate your home quickly.

Know where your water and gas shut off valves are located and learn how to do it, in the event you have leaks from broken lines. Keep any tools needed in a centrally located area in your home and make sure everyone knows where they’re at.

Pick a day every month whereby you can take an inventory of your supplies and check expiration dates and functionality. Choose a date that has meaning for you such as your birthday, the 1^st or the 15^th of each month.

Have an ABC fire extinguisher on hand in your kitchen and make sure everyone in your home knows how to use it.

Research tips on how to prepare for and survive particular disasters relevant to where you live such as: earthquakes, floods, tornadoes, blizzards etc.  Check out the following U.S. Government websites for more information: http://emergency.cdc.gov/ and http://www.ready.gov/. These are both great resources on disaster and emergency planning for your home or business. 

8 Tips for you to outsmart the flu (part 2 of a 2 part series)

      Influenza is nothing to sneeze at. The number of deaths in the United States attributed to Influenza varies from year to year, but can range from as few as 3,000 to as high as 49,000, as per a 31 year review posted by the CDC (Centers for Disease Control);  it pays to be prepared. Try the following tips to help you fight off the flu.

1. Get your flu shot (AKA influenza vaccine) every year, unless contraindicated for you.  The Influenza Vaccine is approved for use in people ages 6 months and up.  See my blog post on 10/5/11, at this link: http://carole-jakucs.blogspot.com/2011/10/fancy-flu-if-not-get-your-shot-part-1.html for more info on this.
2. Wash your hands well (all surfaces) with soap and warm water for at least 15 seconds, prior to eating and touching you face, eyes, nose and mouth. This helps to prevent transferring germs from your hands to other parts of your body that serve as a portal to your system.
3. Carry and use alcohol based hand sanitizers; place one each in your car, pocket, backpack, or purse.  Doing this is great especially if you are not near a sink with soap and water to clean your hands. *For an extra boost of cleaning, use it after washing with soap and water (and after hands are dried) if you are concerned you were exposed to a high traffic germ area(s) such as shared door handles, desk tops etc. Or handling items from someone who is already sick. *Rub it on all hand surfaces until it dries. 
4. Use a paper towel to touch door knobs, faucets and toilet knobs when using public restrooms (or sharing a bathroom with others such as in a dormitory or with someone who may already be ill). Make sure to use a paper towel to turn faucets on, then a fresh one after your hands are clean to turn the faucet off and open the door.  If you miss this step, you will be transmitting germs from the faucets and door knobs from other people onto your hands.
5. Get your rest. Getting the proper amount of sleep each night (7 – 8 hours) will help to keep your immune system healthy.  Sleep deprivation can inhibit your body’s ability to fight off infections.
6. Stay hydrated. Dry mucus membranes (eyes, nose and mouth) diminish our ability to fight off germs that we are exposed to.
7. Eat healthy foods. Consume a diet rich with fresh fruits, vegetables, whole grains and lean proteins, which give our body an abundance and variety of nutrients that help us fight off infections and disease.
8. Steer clear of crowds once flu season hits, as much as possible, to reduce your chances of repeated exposure.

      Practicing these tips above and working them into your daily routine, will help to prevent catching colds and flu anytime of the year, but are especially helpful when influenza is upon us when flu season hits.