Maine's statewide Community Transformation Grant (CTG) is facilitating partnerships among state and local organizations to implement an evidence-based approach to reduce childhood obesity. Working with state agencies and private programs that care for children, the Maine CTG effort has been able to leverage the expertise of the Let's Go! 5210 Goes to Childcare program and added resources to support healthy eating and active living in childcare programs. Already, more than 230 additional sites are benefiting from the collaborative approach.
Challenge
In 2011, more than 38% of Maine's kindergarten students were overweight or obese. Carrying too much weight as a young child increases the risk of being an overweight or obese adult; increases the risk of having chronic diseases, such as Type 2 diabetes and heart disease; and leads to a poor quality of life. The good news is that with time and attention, the trend can be stopped and even reversed. Healthy eating and physical activity are two behaviors that are known to impact weight. These behaviors are influenced by family, and friends, and access to health options. For our youngest children who spend much of their days with childcare providers, the childcare setting presents an opportunity to set the stage for a lifetime of healthy habits. The challenge is in providing caregivers the assistance they need to foster healthy places and habits for our youngest residents.
Solution
Maine’s Community Transformation Grant is leveraging limited resources through public-private partnerships and multiple collaborations to address childhood obesity. The approach uses a structured, evidenced process, Let’s Go! 5210 Goes to Childcare or Let’s Move, to help licensed child care providers identify and implement more supports in their programs for healthy eating and active living. Through education and guidance, providers will adopt practices that foster healthy lifestyle choices for Maine’s most vulnerable, our children.
Results
Maine's CTG has built on the strengths and skills of the Statewide Childhood Obesity Taskforce partners to create and implement common approaches and tools to support healthier childcare environments. Maine's nine public health districts have created plans and started implementation of the structured process with their local licensed childcare providers and local Let's Go! 5210 Goes to Childcare partners. In the first year with the help of CTG, more than 230 additional licensed childcare sites have enrolled with Let's Go! 5210 Goes to Childcare to begin the change process.
Future Directions
This is an opportunity for licensed childcare providers and supporting agencies to benefit from technical assistance and resources to promote healthy eating and active living in your communities. The ultimate goal is to create a healthy start for our youngest residents by surrounding them with healthy environments and promoting habits that prevent obesity. By 2016, we expect to see one-third of Maine's licensed childcare sites make environmental changes to support healthy living. There will be continued strong collaboration across public and private agencies working to address childhood obesity in Maine.
Showing posts with label obesity. Show all posts
Showing posts with label obesity. Show all posts
Monday, November 19, 2012
Thursday, September 6, 2012
Healthy eating
September is both National Childhood Obesity Awareness Month and National Fruit and Veggies - More Matters Month.
Childhood obesity is a major public health problem. There is no single or simple solution to childhood obesity. It is influenced by many different factors, including a lack of access to healthy food and drinks, as well as limited opportunities for physical activity in the places where children live, play, and learn. Working together, states, communities, and parents can help make the healthy choice the easy choice for children and adolescents.
Maine CDC is proud to highlight Maine’s annual Harvest Lunch Week and Farm to School efforts this month. These programs succeed in getting Maine youth to enjoy eating more fruits and veggies, which is important since only 1 in 4 Maine youth eat the recommended number of veggies and fruits each day. Studies show that fruit and vegetables are important to support growth, good health, and a healthy weight. Eating the recommended number of servings of fruits and vegetables can also help protect against high blood pressure, heart disease, type 2 diabetes, bone loss, and some cancers.
Maine Harvest Lunch is a Farm to School activity that introduces students to local Maine grown veggies and fruits in their natural form. US CDC supports Farm to School as an obesity prevention strategy because it engages youth in learning about, preparing, and eating more veggies and fruits. Eating fruits and veggies prepared without added fat in place of higher calorie foods can help maintain a healthy weight. About 26% of Maine youth are overweight or obese. Fortunately, Maine has nearly 200 Farm to School programs with Maine farmers, teachers, and school food service personnel working together to improve the wellbeing of Maine’s youth and communities.
Maine CDC’s Division of Population Health staff is part of the Maine Farm to School Workgroup that provides technical assistance, best practice guidelines, and support to local schools, farmers, and teachers working on Farm to School. The workgroup is made of partners from state agencies and nongovernment organizations. The Healthy Maine Partnerships have been working on Farm to School and Maine Harvest Lunch Week in their local service areas for years, which helps support Maine CDC’s efforts to reach the Healthy Maine 2020 goal of increasing Maine youth’s fruit and veggie consumption.
To find out how many servings of fruits and veggies you need, go to ChooseMyPlate.gov.
For more information about how to eat more fruits and veggies, check out this PDF
Childhood obesity is a major public health problem. There is no single or simple solution to childhood obesity. It is influenced by many different factors, including a lack of access to healthy food and drinks, as well as limited opportunities for physical activity in the places where children live, play, and learn. Working together, states, communities, and parents can help make the healthy choice the easy choice for children and adolescents.
Maine CDC is proud to highlight Maine’s annual Harvest Lunch Week and Farm to School efforts this month. These programs succeed in getting Maine youth to enjoy eating more fruits and veggies, which is important since only 1 in 4 Maine youth eat the recommended number of veggies and fruits each day. Studies show that fruit and vegetables are important to support growth, good health, and a healthy weight. Eating the recommended number of servings of fruits and vegetables can also help protect against high blood pressure, heart disease, type 2 diabetes, bone loss, and some cancers.
Maine Harvest Lunch is a Farm to School activity that introduces students to local Maine grown veggies and fruits in their natural form. US CDC supports Farm to School as an obesity prevention strategy because it engages youth in learning about, preparing, and eating more veggies and fruits. Eating fruits and veggies prepared without added fat in place of higher calorie foods can help maintain a healthy weight. About 26% of Maine youth are overweight or obese. Fortunately, Maine has nearly 200 Farm to School programs with Maine farmers, teachers, and school food service personnel working together to improve the wellbeing of Maine’s youth and communities.
Maine CDC’s Division of Population Health staff is part of the Maine Farm to School Workgroup that provides technical assistance, best practice guidelines, and support to local schools, farmers, and teachers working on Farm to School. The workgroup is made of partners from state agencies and nongovernment organizations. The Healthy Maine Partnerships have been working on Farm to School and Maine Harvest Lunch Week in their local service areas for years, which helps support Maine CDC’s efforts to reach the Healthy Maine 2020 goal of increasing Maine youth’s fruit and veggie consumption.
To find out how many servings of fruits and veggies you need, go to ChooseMyPlate.gov.
For more information about how to eat more fruits and veggies, check out this PDF
Friday, August 10, 2012
Six in 10 adults now get physically active by walking
Sixty-two percent of adults say they walked for at least once for 10 minutes or more in the previous week in 2010, compared to 56 percent in 2005, according to a new Vital Signs report from US CDC.
However, less than half (48 percent) of all adults get enough physical activity to improve their health, according to data from the National Health Interview Survey. For substantial health benefits, the 2008 Physical Activity Guidelines for Americans recommends at least two and a half hours per week of moderate-intensity aerobic physical activity, such as brisk walking. This activity should be done for at least 10 minutes at a time.
To learn more about Physical Activity Guidelines for Americans and ways to get active, visit www.cdc.gov/physicalactivity
However, less than half (48 percent) of all adults get enough physical activity to improve their health, according to data from the National Health Interview Survey. For substantial health benefits, the 2008 Physical Activity Guidelines for Americans recommends at least two and a half hours per week of moderate-intensity aerobic physical activity, such as brisk walking. This activity should be done for at least 10 minutes at a time.
To learn more about Physical Activity Guidelines for Americans and ways to get active, visit www.cdc.gov/physicalactivity
Friday, May 18, 2012
Weight of the Nation
Obesity is common, serious, and costly. Behavior and environment play a large role causing people to be overweight and obese. These are the greatest areas for prevention and treatment actions. Weight of the Nation brings together public health researchers and practitioners, policy makers, and national partners devoted to obesity prevention and control to raise awareness across the country as well as share approaches that show promise or demonstrated success for improving healthy eating and active living.
Over 1,200 people gathered in Washington, D.C. on May 7-9 for the Weight of the Nation 2012 conference. The Weight of the Nation is also a documentary series and public health campaign. Three years in the making, the campaign is an unprecedented collaboration of HBO and the Institute of Medicine, is association with CDC, the National Institutes of Health, made in partnership with the Michael & Susan Dell Foundation and Kaiser Permanente. The core of The Weight of the Nation campaign are four feature films that take an unflinching look at the severity of the obesity epidemic and its crippling effects on our health care system. The films are available to stream free of charge at theweightofthenation.hbo.com
Wednesday, August 24, 2011
Obesity
During the past 20 years, there has been a dramatic increase in obesity in the United States and rates remain high. In 2010, no state had a prevalence of obesity less than 20%. Maine is one of 36 states with a prevalence of 25% or more.
There are a variety of online tools to help you stay active and eat healthier:
- My Fitness Pal lets you track your calories on their website or with free mobile apps: www.myfitnesspal.com
- Find safe environments in Maine to walk: www.healthymainewalks.org
- Learn more about portion size, balanced meals, and get healthy eating tips at www.choosemyplate.gov
- Search for low-cost health care resources in your area – including nutrition and wellness services – at www.keepmewell.org
For more information:
- Maine Physical Activity and Nutrition Program: http://www.maine.gov/dhhs/boh/hmp/panp/
- US CDC: http://www.cdc.gov/obesity/
Thursday, August 4, 2011
Breastfeeding and obesity
Childhood obesity is an epidemic. In the US, 1 preschooler in 5 is at least overweight, and half of these are obese. Breastfeeding helps protect against childhood obesity. A baby's risk of becoming an overweight child goes down with each month of breastfeeding. In the US, most babies start breastfeeding, but within the first week, half have already been given formula, and by 9 months, only 31% of babies are breastfeeding at all. Hospitals can either help or hinder mothers and babies as they begin to breastfeed.
This month’s Vital Signs feature and related MMWR from US CDC focus on hospital support for breastfeeding.
US CDC’s Breastfeeding Report Card shows that Maine ranked third in the nation for percent of live births occurring at baby-friendly facilities and tied for third in the nation for State Maternity Practices in Infant Nutrition and Care scores from birthing facilities.
Friday, April 29, 2011
CDC Report Highlights Children’s Food Environment in Maine
A report out from the US Centers for Disease Control and Prevention this week shows that Maine is doing better than the nation at improving access to healthy foods for its children — one piece of the puzzle in fighting childhood obesity — but that there is still more work to be done. The 2011 Children’s Food Environment State Indicator Report notes that Maine is above the national averages when it comes to providing access to healthy foods in Maine communities.
“States and communities are uniquely positioned to help improve the food environment for children where they live, play, and learn,” said William Dietz, M.D., Ph.D., director of CDC's Division of Nutrition, Physical Activity, and Obesity. “If we hope to reverse the trend of childhood obesity, we need to work together at the local, state, and national level to create environments that support healthy eating for children.”
The report looked closely at each state to examine community food environments in order to understand the types of foods most accessible to children and their families on a daily basis. The report looked at the variety of food retailers in each state and categorized them into two different groups: food retailers that typically sell healthier foods such as supermarkets, supercenters and produce stores and those retailers that are less likely to sell healthy food such as fast-food restaurants and convenience stores. Maine and Montana were among the higher scoring states with a score of 15 and 16 respectively, compared to the national average of 10; lower scoring states were Rhode Island at 5 followed by the District of Columbia at a score of 4. A score of 100 would mean all food retailers in a community provide access to healthy foods. It is clear all states need to improve accessibility to healthier foods, but the ideal target score for a state was not given in the report.
The CDC report also shows that as of December 2008, Maine had enacted one of the state child care licensure regulations of three listed in the report as important indicators: limiting screen time (television and video) for all child care facilities. Only one state had enacted all of the regulations, while 13 states and the District of Columbia had enacted none.
Additionally, for the school foods indicator Maine outperformed the national average with respect to the number of middle and high schools that do not allow students to purchase less healthy foods outside the usual school lunch (such as in vending machines and school stores). About 66% of Maine schools do not allow the purchase of less healthy foods; above the national average of 49%. Maine also has more middle and high schools that do not offer sugar drinks — 44% don’t offer sugar drinks compared to the national average of only 36% that don’t.
“It is wonderful to see that our state is performing better than most of the nation to improve access to healthy foods for our children,” said Stephen Sears, M.D., MPH, Acting Director, Maine CDC. “Our progress in this area is due to the commitment, hard work and collaboration of Maine people, local efforts such as Communities Putting Prevention to Work and Healthy Maine Partnerships, and others who partner with the Maine CDC such as the Maine Nutrition Network and the Maine-Harvard Prevention Research Center. However, there is still much to be done if we are to reduce childhood obesity rates in Maine — one out of every three of our children is currently overweight or obese.”
Maine is currently working in many ways to improve access to healthier foods for all residents, particularly children. These efforts include creating positive food and physical activity environments in child care settings, growing already thriving farm-to-school programs in schools and making strides to meet the USDA definition of a healthier school environment in all of Maine’s schools.
The Children’s Food Environment State Indicator Report compiles data from a variety of sources, including Preventing Obesity in the Child Care Setting: Evaluating State Regulations and CDC’s School Health Profiles. To view the full CDC report visit www.cdc.gov/obesity.
Friday, March 26, 2010
Maine CDC/DHHS Public Health Update 03/26/10
MAINE H1N1 FEEDBACK SURVEY
Maine CDC is conducting numerous in-person debriefings across the state with stakeholders on our H1N1 efforts. In addition, this Maine CDC H1N1 Feedback Survey is being distributed widely. If you have not done so already, please complete the survey and share the link with others.
INFECTIOUS DISEASE SURVEILLANCE REPORTS
Maine CDC’s Infectious Epidemiology Program has issued several disease surveillance reports for distribution.
A graph of selected reportable diseases that displays preliminary Year-To-Date (through February, 2010) totals with median Year-To-Date totals for the previous five-year period is available at: http://www.maine.gov/dhhs/boh/ddc/epi/publications/reportable-diseases-0210.pdf. This graph shows higher reported cases of Lyme Disease and Gonorrhea through February than the 5-year median.
The annual surveillance report on Group A Strep can be found here: http://www.maine.gov/dhhs/boh/ddc/epi/airborne/gas_survreport2009.pdf
The annual surveillance report on Group B strep is available here: http://www.maine.gov/dhhs/boh/ddc/epi/airborne/gbs_survreport2009.pdf
INFLUENZA UPDATE
What’s New With Flu?
Flu Activity. Virtually all detected influenza activity seen across the country is with the pandemic strain of H1N1. Most states are reporting sporadic, local, or no flu activity. The full national report can be found at: http://www.cdc.gov/flu/weekly/index.htm.
Maine’s influenza activity was coded “sporadic” this week, mainly because of continued reports of influenza-like-illness. Maine’s weekly influenza surveillance report can be found at: http://www.maine.gov/dhhs/boh/influenza_surveillance_weekly_updates.shtml. Maine and the U.S. continue to see virtually no seasonal influenza virus strains except for some very occasional type B. Almost all the detectable influenza viruses remain the pandemic strain of H1N1 influenza.
For the 2010-2011 season, flu vaccine will be recommended for all people. Although Maine CDC does not and never has provided the majority of seasonal flu vaccine in Maine, we are able to purchase sufficient seasonal flu vaccine for the 2010-2011 season for:
· all Maine children ages 6 months to 18 years-old;
· employees of schools that are providing onsite vaccine clinics on school days;
· pregnant women and their partners;
· nursing home employees and residents;
· high risk adults in limited public health settings, the scope and number of such settings determined by our vaccine supply.
The 2010-2011 seasonal flu vaccine will contain the pandemic Type A H1N1 component as well as a strain of Type B and Type A H3N2. Those who received the pandemic H1N1 vaccine will need to also receive the seasonal flu vaccine this coming season. More details about ordering will be coming soon.
Morbid Obesity and Flu: Increasingly the national data are showing that minority populations have been harder-hit by the 2009 H1N1 pandemic than non-minority groups, and there is growing evidence to support early concerns that people who are morbidly obese are at greater risk of serious 2009 H1N1 complications.
Don’t Forget Spring Break: With spring break coming up and large numbers of students expected to travel both domestically and internationally, vaccination of college-age students, who have been hard-hit by illness during this pandemic, continues to be recommended. Vaccine clinics can be located by calling 211 or by visiting www.maineflu.gov. The free clinics are in bold font.
Ongoing Flu Issues:
Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue, especially in areas that did not see large surges in disease and/or did not have high vaccine rates. Testing for and reporting of cases and outbreaks to Maine CDC continue to be important strategies to track the virus’s spread.
It is still important to continue to offer the H1N1 vaccine to those at high risk for severe disease or those who are in a high priority category and who may have been missed earlier. If someone is vaccinated now, they can still receive the seasonal flu vaccine in the fall, which will contain the 2009 H1N1 strain. Those who should be focused on for ongoing H1N1 flu vaccination include:
women who are now pregnant;
infants who are now 6 months of old or older;
caregivers and household contacts of newborns and other young infants;
people 65 and older who may have been waiting for others to be vaccinated;
those with chronic diseases;
all young people ages 6 months to 25 years of age; and
all health care workers and EMS, including caregivers of people with developmental and/or physical disabilities.
Disposing of and Reporting Unused/Expired Vaccine
Unused or expired H1N1 vaccines may not be returned to the distributor. If vaccine cannot be redistributed prior to expiration, the health care provider is responsible for disposing of the vaccine appropriately, in compliance with Maine’s biomedical and/or hazardous waste rules. However, US CDC is working on a possible centralized national system for disposal of vaccine, and we will know more about this later this month.
Discarded vaccine needs to be reported to Maine CDC. Providers should report the doses discarded on the same weekly reporting form used for vaccine administration (http://www.maine.gov/dhhs/boh/maineflu/schools/documents/Aggregate-H1N1-weekly-reporting_V3.pdf) – please note any discarded doses in the space between the two “Total” cells at the lower right corner of the form with a mark of “Expired (and discarded) doses.”
WORLD TUBERCULOSIS DAY
TB Elimination: Together We Can! was the U.S. theme for World TB Day on March 24. World TB Day is observed each year to commemorate the date in 1882 when Robert Koch announced the discovery of Mycobacterium tuberculosis, the bacterium that causes tuberculosis (TB).
Tuberculosis is a disease caused by bacteria that usually infects the lungs but can affect any part of the body. TB is spread through the air when a person with active TB disease of the lungs or throat coughs, speaks, sneezes or sings. Signs and symptoms include a cough lasting 3 weeks or more, night sweats, fatigue, weight loss, coughing up blood, fever, and chills.
Worldwide, TB remains one of the leading causes of death from infectious disease. Each year, approximately 9 million persons around the world become ill with TB, and nearly 2 million TB-related deaths occur worldwide. In the United States, however, the number of reported TB cases is at an all-time low with 17 consecutive years of decline.
Although both the nation and the state of Maine have successfully achieved decreased numbers of tuberculosis cases, there is still much to be done in the elimination of TB in at-risk populations, including minorities, foreign-born persons, substance abusers and those associated with homelessness who account for a disproportionate percentage of TB cases.
In 2009, Maine had 9 cases of TB, the same number of cases that were reported in 2008. Males accounted for 6 of the cases (67%). The median age of cases was 48 years (range 5-86 years). Risk factors included substance abuse (33%), homelessness (11%), and foreign-born status (44%).
The state of Maine is actively engaged in partnerships and collaborations with community-based organizations throughout the state to reach this population and succeed in the elimination of TB. For more information: http://www.cdc.gov/Features/WorldTBDay/
Maine CDC has recently identified TB among two people who are homeless in Cumberland County. More information on this can be found at:
http://www.maine.gov/tools/whatsnew/attach.php?id=94284&an=1
RABIES
US CDC has established a new rabies webpage, which includes updated ACIP recommendations on human rabies post-exposure prophylaxis and new content organization: http://www.cdc.gov/rabies/
Maine CDC provides a quarterly update on animal rabies to veterinarians and other animal health professionals, which may be used to increase the understanding of pet owners and other members of the public regarding the risk of rabies in Maine. The 4th quarter update is available here: http://www.maine.gov/tools/whatsnew/attach.php?id=91596&an=2
FDA RECOMMENDS TEMPORARY SUSPENSION OF ROTARIX VACCINE
The US Food and Drug Administration (FDA) has learned that DNA material from porcine circovirus type 1 (PCV1) is present in Rotarix, a vaccine used to prevent rotavirus disease. Although there is no evidence at this time that this DNA material poses a safety risk, finding the material was unexpected and FDA is assessing the situation. As a result, FDA is recommending that clinicians temporarily suspend the use of Rotarix. FDA will keep the public and clinical community updated through www.fda.gov.
Rotavirus vaccines are given by mouth to young infants to prevent rotavirus disease, which can cause severe diarrhea and dehydration. Rotavirus disease causes the deaths of more than 500,000 infants around the world each year, primarily in low- and middle-income countries. Before the introduction of vaccination, the disease caused more than 50,000 hospitalizations and several dozen deaths in the United States each year.
There are two licensed rotavirus vaccines in the United States: RotaTeq (Merck) and Rotarix (GlaxoSmithKline). Because RotaTeq was licensed in 2006 and Rotarix in 2008, most children vaccinated in the United States received RotaTeq.
RotaTeq is made using a different process from Rotarix. Preliminary studies on the RotaTeq vaccine, both by the academic research team and by FDA, have not shown the presence of PCV1 DNA. FDA is working with Merck to confirm these findings.
Within approximately four to six weeks, FDA will convene an advisory committee to review the available data and make recommendations on the licensed rotavirus vaccines. FDA will also seek input on the use of new techniques for identifying viruses or viral particles in vaccines.
MAINE AWARDED FEDERAL OBESITY PREVENTION FUNDS
First Lady Michelle Obama and US DHHS Secretary Kathleen Sebelius announced last week that Maine is one of 9 states to receive American Recovery & Reinvestment Act funds focused on preventing obesity. Maine’s award is $4.28 million over a 2-year period.
Maine CDC’s Division of Chronic Disease conducted a mini-RFP process prior to submitting the federal application, which resulted in the selection of two Healthy Maine Partnerships – Healthy Portland and Communities Promoting Health Coalition, which serves the Sebago Lakes region.
To view a complete listing of grant awardees, visit http://www.hhs.gov/recovery/programs/cppw/grantees.html
To view a fact sheet on Communities Putting Prevention to Work visit http://www.hhs.gov/recovery/programs/cppw/factsheet.html
To learn more about Communities Putting Prevention to Work, visit http://www.hhs.gov/recovery and http://www.cdc.gov/chronicdisease/recovery
STAY UPDATED
· Follow Maine CDC’s Social Media Updates:
o Facebook (search for “Maine CDC”) http://www.facebook.com/pages/Augusta-ME/Maine-CDC/135584761549
o Twitter (http://twitter.com/MEPublicHealth)
o MySpace (www.myspace.com/mainepublichealth)
o Maine CDC’s Blog (http://mainepublichealth.blogspot.com)
· For clinical consultation and outbreak management guidance, call Maine CDC’s toll free 24-hour phone line at: 1-800-821-5821.
· For general questions on flu, call 2-1-1 from 8 a.m. to 8 p.m. seven days per week
Maine CDC is conducting numerous in-person debriefings across the state with stakeholders on our H1N1 efforts. In addition, this Maine CDC H1N1 Feedback Survey is being distributed widely. If you have not done so already, please complete the survey and share the link with others.
INFECTIOUS DISEASE SURVEILLANCE REPORTS
Maine CDC’s Infectious Epidemiology Program has issued several disease surveillance reports for distribution.
A graph of selected reportable diseases that displays preliminary Year-To-Date (through February, 2010) totals with median Year-To-Date totals for the previous five-year period is available at: http://www.maine.gov/dhhs/boh/ddc/epi/publications/reportable-diseases-0210.pdf. This graph shows higher reported cases of Lyme Disease and Gonorrhea through February than the 5-year median.
The annual surveillance report on Group A Strep can be found here: http://www.maine.gov/dhhs/boh/ddc/epi/airborne/gas_survreport2009.pdf
The annual surveillance report on Group B strep is available here: http://www.maine.gov/dhhs/boh/ddc/epi/airborne/gbs_survreport2009.pdf
INFLUENZA UPDATE
What’s New With Flu?
Flu Activity. Virtually all detected influenza activity seen across the country is with the pandemic strain of H1N1. Most states are reporting sporadic, local, or no flu activity. The full national report can be found at: http://www.cdc.gov/flu/weekly/index.htm.
Maine’s influenza activity was coded “sporadic” this week, mainly because of continued reports of influenza-like-illness. Maine’s weekly influenza surveillance report can be found at: http://www.maine.gov/dhhs/boh/influenza_surveillance_weekly_updates.shtml. Maine and the U.S. continue to see virtually no seasonal influenza virus strains except for some very occasional type B. Almost all the detectable influenza viruses remain the pandemic strain of H1N1 influenza.
For the 2010-2011 season, flu vaccine will be recommended for all people. Although Maine CDC does not and never has provided the majority of seasonal flu vaccine in Maine, we are able to purchase sufficient seasonal flu vaccine for the 2010-2011 season for:
· all Maine children ages 6 months to 18 years-old;
· employees of schools that are providing onsite vaccine clinics on school days;
· pregnant women and their partners;
· nursing home employees and residents;
· high risk adults in limited public health settings, the scope and number of such settings determined by our vaccine supply.
The 2010-2011 seasonal flu vaccine will contain the pandemic Type A H1N1 component as well as a strain of Type B and Type A H3N2. Those who received the pandemic H1N1 vaccine will need to also receive the seasonal flu vaccine this coming season. More details about ordering will be coming soon.
Morbid Obesity and Flu: Increasingly the national data are showing that minority populations have been harder-hit by the 2009 H1N1 pandemic than non-minority groups, and there is growing evidence to support early concerns that people who are morbidly obese are at greater risk of serious 2009 H1N1 complications.
Don’t Forget Spring Break: With spring break coming up and large numbers of students expected to travel both domestically and internationally, vaccination of college-age students, who have been hard-hit by illness during this pandemic, continues to be recommended. Vaccine clinics can be located by calling 211 or by visiting www.maineflu.gov. The free clinics are in bold font.
Ongoing Flu Issues:
Flu activity, caused by either 2009 H1N1 or seasonal flu viruses, may rise and fall, but is expected to continue, especially in areas that did not see large surges in disease and/or did not have high vaccine rates. Testing for and reporting of cases and outbreaks to Maine CDC continue to be important strategies to track the virus’s spread.
It is still important to continue to offer the H1N1 vaccine to those at high risk for severe disease or those who are in a high priority category and who may have been missed earlier. If someone is vaccinated now, they can still receive the seasonal flu vaccine in the fall, which will contain the 2009 H1N1 strain. Those who should be focused on for ongoing H1N1 flu vaccination include:
women who are now pregnant;
infants who are now 6 months of old or older;
caregivers and household contacts of newborns and other young infants;
people 65 and older who may have been waiting for others to be vaccinated;
those with chronic diseases;
all young people ages 6 months to 25 years of age; and
all health care workers and EMS, including caregivers of people with developmental and/or physical disabilities.
Disposing of and Reporting Unused/Expired Vaccine
Unused or expired H1N1 vaccines may not be returned to the distributor. If vaccine cannot be redistributed prior to expiration, the health care provider is responsible for disposing of the vaccine appropriately, in compliance with Maine’s biomedical and/or hazardous waste rules. However, US CDC is working on a possible centralized national system for disposal of vaccine, and we will know more about this later this month.
Discarded vaccine needs to be reported to Maine CDC. Providers should report the doses discarded on the same weekly reporting form used for vaccine administration (http://www.maine.gov/dhhs/boh/maineflu/schools/documents/Aggregate-H1N1-weekly-reporting_V3.pdf) – please note any discarded doses in the space between the two “Total” cells at the lower right corner of the form with a mark of “Expired (and discarded) doses.”
WORLD TUBERCULOSIS DAY
TB Elimination: Together We Can! was the U.S. theme for World TB Day on March 24. World TB Day is observed each year to commemorate the date in 1882 when Robert Koch announced the discovery of Mycobacterium tuberculosis, the bacterium that causes tuberculosis (TB).
Tuberculosis is a disease caused by bacteria that usually infects the lungs but can affect any part of the body. TB is spread through the air when a person with active TB disease of the lungs or throat coughs, speaks, sneezes or sings. Signs and symptoms include a cough lasting 3 weeks or more, night sweats, fatigue, weight loss, coughing up blood, fever, and chills.
Worldwide, TB remains one of the leading causes of death from infectious disease. Each year, approximately 9 million persons around the world become ill with TB, and nearly 2 million TB-related deaths occur worldwide. In the United States, however, the number of reported TB cases is at an all-time low with 17 consecutive years of decline.
Although both the nation and the state of Maine have successfully achieved decreased numbers of tuberculosis cases, there is still much to be done in the elimination of TB in at-risk populations, including minorities, foreign-born persons, substance abusers and those associated with homelessness who account for a disproportionate percentage of TB cases.
In 2009, Maine had 9 cases of TB, the same number of cases that were reported in 2008. Males accounted for 6 of the cases (67%). The median age of cases was 48 years (range 5-86 years). Risk factors included substance abuse (33%), homelessness (11%), and foreign-born status (44%).
The state of Maine is actively engaged in partnerships and collaborations with community-based organizations throughout the state to reach this population and succeed in the elimination of TB. For more information: http://www.cdc.gov/Features/WorldTBDay/
Maine CDC has recently identified TB among two people who are homeless in Cumberland County. More information on this can be found at:
http://www.maine.gov/tools/whatsnew/attach.php?id=94284&an=1
RABIES
US CDC has established a new rabies webpage, which includes updated ACIP recommendations on human rabies post-exposure prophylaxis and new content organization: http://www.cdc.gov/rabies/
Maine CDC provides a quarterly update on animal rabies to veterinarians and other animal health professionals, which may be used to increase the understanding of pet owners and other members of the public regarding the risk of rabies in Maine. The 4th quarter update is available here: http://www.maine.gov/tools/whatsnew/attach.php?id=91596&an=2
FDA RECOMMENDS TEMPORARY SUSPENSION OF ROTARIX VACCINE
The US Food and Drug Administration (FDA) has learned that DNA material from porcine circovirus type 1 (PCV1) is present in Rotarix, a vaccine used to prevent rotavirus disease. Although there is no evidence at this time that this DNA material poses a safety risk, finding the material was unexpected and FDA is assessing the situation. As a result, FDA is recommending that clinicians temporarily suspend the use of Rotarix. FDA will keep the public and clinical community updated through www.fda.gov.
Rotavirus vaccines are given by mouth to young infants to prevent rotavirus disease, which can cause severe diarrhea and dehydration. Rotavirus disease causes the deaths of more than 500,000 infants around the world each year, primarily in low- and middle-income countries. Before the introduction of vaccination, the disease caused more than 50,000 hospitalizations and several dozen deaths in the United States each year.
There are two licensed rotavirus vaccines in the United States: RotaTeq (Merck) and Rotarix (GlaxoSmithKline). Because RotaTeq was licensed in 2006 and Rotarix in 2008, most children vaccinated in the United States received RotaTeq.
RotaTeq is made using a different process from Rotarix. Preliminary studies on the RotaTeq vaccine, both by the academic research team and by FDA, have not shown the presence of PCV1 DNA. FDA is working with Merck to confirm these findings.
Within approximately four to six weeks, FDA will convene an advisory committee to review the available data and make recommendations on the licensed rotavirus vaccines. FDA will also seek input on the use of new techniques for identifying viruses or viral particles in vaccines.
MAINE AWARDED FEDERAL OBESITY PREVENTION FUNDS
First Lady Michelle Obama and US DHHS Secretary Kathleen Sebelius announced last week that Maine is one of 9 states to receive American Recovery & Reinvestment Act funds focused on preventing obesity. Maine’s award is $4.28 million over a 2-year period.
Maine CDC’s Division of Chronic Disease conducted a mini-RFP process prior to submitting the federal application, which resulted in the selection of two Healthy Maine Partnerships – Healthy Portland and Communities Promoting Health Coalition, which serves the Sebago Lakes region.
To view a complete listing of grant awardees, visit http://www.hhs.gov/recovery/programs/cppw/grantees.html
To view a fact sheet on Communities Putting Prevention to Work visit http://www.hhs.gov/recovery/programs/cppw/factsheet.html
To learn more about Communities Putting Prevention to Work, visit http://www.hhs.gov/recovery and http://www.cdc.gov/chronicdisease/recovery
STAY UPDATED
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· For clinical consultation and outbreak management guidance, call Maine CDC’s toll free 24-hour phone line at: 1-800-821-5821.
· For general questions on flu, call 2-1-1 from 8 a.m. to 8 p.m. seven days per week
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