Quit Smoking in 2012

As the New Year begins, resolve to make 2012 the year that you quitsmoking. The New Year is a symbol of renewal and can be a time to prepare for new beginnings. It is a time to set goals and make them public so that you can get support and encouragement from friends and family. Many smokers use the New Year's holiday as motivation to quit. For some, this is the first time they've tried to quit; for others, they may have tried before. Regardless, this may be the most important resolution a smoker ever makes.

Local help is available to help you quit for good this year through www.thequitlink.com or by calling 1-800-207-1230.

Other online cessation services and resources are also available:

• www.smokefree.gov provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.
• women.smokefree.gov provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of women trying to quit smoking.
• www.ucanquit2.org is a U.S. Department of Defense-sponsored Web site for military personnel and their families.

The National Cancer Institute has launched SmokefreeTXT, a free text message cessation service that provides 24/7 encouragement, advice, and tips to teens trying to quit smoking. For more information: http://go.usa.gov/5Sd

Once they sign up, teens receive text messages timed according to their selected quit date. Following their quit date, they will continue receiving texts for up to six weeks — a critical piece of the SmokefreeTXT service, as research shows that cessation support continues to be important beyond the first few weeks of quitting. Teens can sign up online at teen.smokefree.gov or text QUIT to iQUIT (47848).

Influenza Update 12/29/11

The first laboratory-confirmed case of seasonal flu was reported to Maine CDC on December 23.  Influenza A (2009 H1N1), influenza A (H3), and influenza B are all circulating nationally. For more information, see the Health Alert issued Dec. 27.  

                     

Maine CDC reminds everyone to take everyday preventive measures against the flu:

• Wash your hands frequently
• Cough and sneeze into your elbow or shoulder
• Stay home when you feel sick
• Get vaccinated – you can search for flu clinics by county at http://www.211maine.org/flu-clinics/ or by zipcode at http://www.flu.gov/

Weekly updates on flu activity are available online:

• for Maine: http://go.usa.gov/NoK
• for the US: http://go.usa.gov/ITB
• for the world: http://go.usa.gov/ITK

Influenza A(H3N2)v

Maine CDC investigated two cases of influenza A(H3N2)v in October. For more information about this investigation, see the Health Alert issued Oct. 19. 

For current guidance and information from US CDC:

• Interim guidance for influenza surveillance: http://go.usa.gov/Non
• Interim guidance on case definitions to be used for investigations of influenza A(H3N2)v virus cases: http://go.usa.gov/NoU
• Interim guidance on specimen collection, processing, and testing for patients with suspect influenza A(H3N2)v virus infection: http://go.usa.gov/NoP
• Prevention strategies for seasonal and influenza A(H3N2) in health care settings: http://go.usa.gov/NoE

Vaccination

Maine CDC recommends that Health Care Providers continue vaccinating to protect against influenza this year according to the following guidelines:

Health Care Providers should use state-supplied vaccine for patients in the following circumstances:

• The patient is a child ages 6 months through 18 years;
• The patient is pregnant or the partner of a pregnant patient;
• The patient’s insurance does not cover vaccinations;
• The patient is uninsured.

Health Care Providers may use state-supplied vaccine for other patients only if:

• The Health Care Provider has already vaccinated all eligible patients listed above and has excess state-supplied vaccine; and
• Privately purchased vaccine is not available.

Providers may not charge for state-supplied vaccine. It is reasonable and allowable to charge an administration fee in some circumstances, provided that:

1. MaineCare-eligible children are not charged an out of pocket administration fee;
2. administration fees do not exceed the regional Medicare maximum ($14.37/vaccine administration); and 
3. no one is denied vaccine because of their inability to pay an administration fee.

Salmonella update

 The US Department of Agriculture'sFood Safety and Inspection Service (FSIS), working with US CDC and its state health partners, determined that there is a link between recalled Hannaford ground beef products and an outbreak of salmonellosis in several northeastern states. Four cases were identified in Maine. FSIS is continuing to work with US CDC, public health partners in the affected states, and the company on the investigation.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. Salmonella infections can be life-threatening, especially to those with weak immune systems, such as infants, the elderly, and persons with HIV infection or those undergoing chemotherapy. The most common manifestations of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours. Additional symptoms may be chills, headache, nausea and vomiting that can last up to seven days. Individuals concerned about an illness should contact a health care provider.

This outbreak strain of Salmonella is resistant to many commonly prescribed antibiotics and its resistance can increase the risk of hospitalization or possible treatment failure in infected individuals.

To prevent foodborne illness, take the following precautions:

• Wash hands with warm, soapy water for at least 20 seconds before and after handling raw meat and poultry. Also wash cutting boards, dishes and utensils with hot soapy water. Clean up spills right away.
• Keep raw meat, fish and poultry away from other food that will not be cooked. Use separate cutting boards for raw meat, poultry and egg products and cooked foods.
• Cook raw meat and poultry to safe internal temperatures before eating. The safe internal temperature for meat such as beef and pork is 160° F, and 165° F for poultry, as determined with a food thermometer.
• Refrigerate raw meat and poultry within two hours after purchase (one hour if temperatures exceed 90° F). Refrigerate cooked meat and poultry within two hours after cooking.

For more information: http://go.usa.gov/Nov 

Influenza Update 12/1/11

National Influenza Vaccination Week (NIVW) will be held December 4-10. It is not too late to be vaccinated. As long a flu viruses are spreading and causing illness, vaccination should continue and can provide protection against the flu. Even unvaccinated people who have already gotten the flu can still benefit from vaccination, since the flu vaccine protects against three different flu viruses and more than one flu virus circulates each season.  Last season, all three influenza viruses in the vaccine circulated widely in the US.

CDC recommends a yearly flu vaccine for everyone 6 months of age and older. You can search for flu clinics by county at http://www.211maine.org/flu-clinics/ or by zipcode at http://www.flu.gov/

Maine CDC reminds everyone to take everyday preventive measures against influenza by washing hands, covering coughs, and staying home when sick. No flu activity was reported in Maine for the week ending Nov. 26. Weekly updates on flu activity are available online:

• for Maine: http://go.usa.gov/ITD
• for the US: http://go.usa.gov/ITB
• for the world: http://go.usa.gov/ITK

Maine CDC has already distributed more than 197,000 doses of state-supplied influenza vaccine to registered providers for the 2011-2012 season.

More than 100 school districts are offering school-located flu vaccine clinics (SLVC) again this year. More than 330 clinics are registered. A list of participating schools is posted at http://go.usa.gov/ITk

World AIDS Day

World AIDS Day will be recognized on Thursday, December 1. This observance marks the day when people from different countries, cities, and towns unite in the fight against HIV, show their support for people living with HIV, and observe the countless lives lost to AIDS. The day gives people the opportunity to commemorate the accomplishments and achievements that have been reached so far in the fight against HIV/AIDS. It also is a reminder to researchers, advocates, and affected and infected individuals the work that remains to be done.

The World Health Organization (WHO) reports that as of 2009 the number of people living with HIV reached 33.3 million globally. The numbers of people newly infected with HIV was 2.6 million. AIDS-related deaths reached 1.8 million people.

Maine is not immune to the epidemic; as the end of 2010, there were 1,563 people living with diagnosed HIV in Maine, with 59 cases diagnosed in 2010 alone.

Have a safe and healthy Thanksgiving

Here are some tips and resources to make sure you have a safe and healthy Thanksgiving.

Managing Diabetes

Having diabetes shouldn't stop you from enjoying holiday celebrations and travel. With some planning and a little work, you can stay healthy on the road and at holiday gatherings with friends and family.

The most important step in managing diabetes during holiday travel and festivities is preparing. Know what you'll be eating, how to enjoy a few traditional favorites while sticking with a healthy meal plan, and how to pack necessary supplies for a trip, and you're all set to celebrate!

Family Health History

The best way to learn about your family health history is to ask questions. Family gatherings during holidays like Thanksgiving provide an opportunity to talk about and record your family's health information—it could make a difference in your child's life.

Your family health history could be important for determining your child's health risks. Learn more about how to document your family's health history and share it with your child's doctor.

Food Safety

HolidayFoodSafety.org has resources on purchasing, preparing, and storing food for holidays as well as shopping checklists and recipes.

Make sure you know how to cook safely to prevent scalds, burns, and fires.

The Missouri Department of Health & Senior Services created this 7-minute video on holiday food safety.

And make sure you know how to treat your leftovers!

Great American Smokeout

The 36^th Great American Smokeout will be held Nov. 17, encouraging smokers to use the date to make a plan to quit, or to plan in advance and quit smoking that day.

In addition, the Maine Tobacco HelpLine (1-800-207-1230) celebrates its 10^th anniversary this month. The HelpLine has served more than 75,000 customers in 10 years, reaching an average of 3% of smokers annually – a rate that is ranked fourth in the U.S.

The HelpLine is one facet of the Partnership for a Tobacco-Free Maine (PTM). The adult smoking rate in Maine has dropped from 30% when PTM began in 1997 to 18% in 2010.

One of the hardest things to do is to quit using tobacco. Quitting is a process and sometimes it takes more than one try. The HelpLine offers support that can help people stay tobacco-free for life. The Maine Tobacco HelpLine answers questions and offers friendly support to those who are thinking about quitting or who are ready to quit smoking, or those who want to help a friend or family member quit.

For more information, visit http://www.tobaccofreemaine.org/ 

Pertussis

 There have been about 150 cases of pertussis (whooping cough) reported in Maine so far in 2011, compared with 53 for all of 2010 and 80 in 2009. About 64% of 2011 cases have been in residents of Penobscot County. Clusters of pertussis have been reported in schools, camps, sport teams, and workplaces.

Pertussis is a highly communicable, vaccine-preventable respiratory disease that can last for many weeks. It is spread from person to person through the air.  The first signs of pertussis are similar to a cold (sneezing, runny nose, low-grade fever, and a cough).  After one or two weeks, the cough gets worse.  For example:

• The cough occurs in sudden, uncontrollable bursts where one cough follows the next without a break for breath.
• Many children will make a high-pitched whooping sound when breathing in after a coughing episode.  Whooping is less common in infants and adults.
• After a coughing spell, the person may throw up.
• The person may look blue in the face and have a hard time breathing. 
• The cough is often worse at night.
• Between coughing spells, the person seems well, but the illness is exhausting over time.
• Over time, coughing spells become less frequent, but may continue for several weeks or months.

Pertussis can be very serious, especially in infants. The most common complication of pertussis is bacterial pneumonia. Rare complications include seizures, inflammation of the brain, and death.

Pertussis can be treated with antibiotics, but treatment may not cure the coughing right away.

The most effective way to prevent pertussis is through vaccination with DTaP for infants and children and with Tdap for pre-teens, teens, and adults. Clinicians should check the vaccine status of their patients to make sure they are up to date for their age. A summary of pertussis vaccine recommendations broken down by age and other life factors is available at http://go.usa.gov/ITj

For More Information:

• General information on pertussis can be found on the Maine CDC website http://maine.gov/dhhs/boh/ddc/epi/vaccine/pertussis.shtml or US CDC website http://www.cdc.gov/pertussis/ 
• For information about pertussis vaccine or vaccine schedules, please contact the Maine Immunization program at www.immunizeme.org or by calling 1-800-867-4755
• Disease reporting or consultation is available by calling Maine CDC at 1-800-821-5821

HPV Vaccine Questions and Answers

   
   
   
   
   

American Diabetes Month

The President has proclaimed November to be National Diabetes Month.

You have the power to prevent and control diabetes. If you already have diabetes, work to lower your risk of serious complications. If you don't have the disease, learn if you are at risk for type 2 diabetes.

America is facing an epidemic of diabetes, a serious disease that damages bodies and shortens lives. In the next four decades, the number of US adults with diabetes is estimated to double or triple, according to US CDC scientists. That means anywhere from 20 to 33 percent of adults could have the disease. About 1 in 9 adults have diabetes now, and it’s the seventh leading cause of death in the U.S.

If you already have diabetes, managing the disease can lower your risk of complications such as kidney failure, heart disease and stroke, blindness, and amputations of legs and feet. Here are some important steps to take to control diabetes:

• Talk to your health care provider about how to manage your blood glucose (A1c), blood pressure, and cholesterol.
• Stop smoking and do not use any other tobacco products.
• Get a flu vaccine. For those with diabetes, type 1 and type 2, it is important to ask for the "shot" version. Talk to your health care provider about a pneumonia (pneumococcal) shot. People with diabetes are more likely to die from pneumonia or influenza than people who do not have diabetes. CDC recommends that everybody aged 6 months and older get a flu vaccine, including family members of people with diabetes.
• Reach or stay at a healthy weight.
• Make sure you're physically active. Plan for 2 hours and 30 minutes each week of moderate physical activity, such as walking quickly or gardening, or 1 hour and 15 minutes each week of vigorous physical activity, such as jogging or jumping rope. Add muscle strengthening activities on 2 or more days each week. Physical activity can help you control your weight, blood glucose, and blood pressure, as well as raise your "good" cholesterol and lower your "bad" cholesterol.

Ways You Can Help Prevent Diabetes

Having a condition called prediabetes means you are at high risk of developing type 2 diabetes within 3 to 6 years. People with prediabetes have blood glucose (sugar) levels that are higher than normal, but not high enough to be diagnosed as diabetes. An estimated one of every three U.S. adults has prediabetes, yet just 7% of those with prediabetes know they have it. Prediabetes increases the risk of type 2 diabetes, heart disease, and stroke. Click below to learn whether or not you are at risk for prediabetes and type 2 diabetes.

 

Prediabetes Screening Test

Research trials have shown that type 2 diabetes can be prevented or delayed in people at high risk for the disease who make lifestyle changes. Weight loss of 5 to 7 percent (about 10 to 14 pounds for a 200-pound person) and increasing physical activity to 150 minutes per week can reduce or delay the development of type 2 diabetes by nearly 60 percent. You can find written and electronic resources to help through the National Diabetes Education Program, sponsored by US CDC and the National Institutes of Health, and community-based group classes through the US CDC-led National Diabetes Prevention Program.

For more information, visit Maine CDC’s Diabetes Prevention and Control Program

Have a safe and healthy weekend

Forecasts are calling for snow in various parts of the state this weekend. Make sure you know how to stay safe and healthy in winter weather.


Many people will be celebrating Halloween this weekend. Below are some tips to make sure it's a healthy, fun holiday.

This Fact Sheet from the American Academy of Pediatrics has a lot of great safety information -- from pumpkin carving to costumes to actual trick-or-treating activities -- in simple bullet points. US CDC and FDA have similar advice.


Check out these resources for additional information:

Costumes

When purchasing a costume, masks, beards, and wigs, look for the label Flame Resistant. Although this label does not mean these items won't catch fire, it does indicate the items will resist burning and should extinguish quickly once removed from the ignition source. To minimize the risk of contact with candles or other sources of ignition, avoid costumes made with flimsy materials and outfits with big, baggy sleeves or billowing skirts. For more safety information, read this US Consumer Product Safety Commission's Halloween Safety Alert.

Does your costume involve face paint or other makeup? Make sure you check out FDA's website on novelty makeup before you apply it.


Candy and Treats

These Halloween Food Safety Tips for Parents include basic information about inspecting your children's candy and not accepting anything that isn't commercially packaged. It also describes how to avoid bacteria from apple cider and if you go bobbing for apples.


Do you want to provide more nutritious treats? Here are some excellent ideas from Clemson University Cooperative Extension in South Carolina.

Influenza Update 10/27/11

Maine CDC reminds everyone to take everyday preventive measures against influenza:

•           Wash your hands

•           Cover your cough

•           Stay home when ill

•           Get vaccinated - a searchable county listing of flu clinics is available at http://www.211maine.org/flu-clinics/

Surveillance

Maine CDC reported no flu activity for the week ending Oct. 22. Weekly updates on flu activity in Maine are available at http://www.maine.gov/dhhs/boh/influenza_surveillance_weekly_updates.shtml

Weekly updates for the US are available at http://www.cdc.gov/flu/weekly/summary.htm and international updates are available at http://www.cdc.gov/flu/international/activity.htm.

Maine CDC issued a health alert on Oct. 19 about a human case of novel influenza virus of swine origin.  US CDC confirmed the novel strain in a child from Cumberland County.  A primary care provider evaluated the child, and provided treatment.  The child was not hospitalized. 

Maine CDC recommends the following for healthcare providers:

•           Maintain a heightened awareness for influenza-like illness (ILI) defined as fever greater than 100° with cough or sore throat, in the absence of another known cause.

•           Consider influenza testing by PCR for:

o          patients with ILI with recent exposure to pigs

o          patients with ILI who are hospitalized

o          patients with ILI who have died

o          patients where a diagnosis of influenza would affect clinical care, infection control, or management of contacts

•           Consider use of antivirals to quickly limit potential human transmission

•           Vaccinate patients and healthcare workers as a primary strategy to prevent influenza

Please report any cases of laboratory positive influenza to Maine CDC by fax (1-800-293-7534) or by phone through our 24-hour Disease Reporting and Consultation Hotline (1-800-821-5821).  All influenza A rapid positive tests should be confirmed by PCR.

Vaccination

Maine CDC has already distributed almost 190,000 doses of state-supplied influenza vaccine to registered providers for the 2011-2012 season.

Nearly 80 school districts are offering school-located flu vaccine clinics (SLVC) again this year. Almost 270 clinics are registered. A list of participating schools is posted at http://www.maine.gov/dhhs/boh/maineflu/flu-clinics.shtml

Schools offering vaccine to students may also provide state-supplied flu vaccine to staff and their dependents to make school clinics more simple, sustainable, and consistent with past practices.  Maine CDC will be evaluating the sustainability of this approach for future years. Schools wishing to provide state-supplied flu vaccine to staff and their dependents must be registered through the SLVC process and report vaccine usage through ImmPact2.  The letter regarding roster billing for staff vaccinations at school clinics and the roster form are both available in the SLVC toolkit at www.maineflu.gov. 

US CDC updates

US CDC has updated the following information on its website:

•           vaccineeffectiveness

•           vaccineeffectiveness Q&A for health professionals

•           seasonalflu vaccine dosage and administration Q&A 

Lead-free kids for a healthy future – National Lead Poisoning Prevention Week

Nearly a quarter of a million children living in the United States have blood lead levels high enough to cause significant damage to their health, estimates the US Centers for Disease Control and Prevention, based on data from a 2003–2004 national survey. If high blood lead levels are not detected early, children with such high levels of lead in their bodies can suffer from damage to the brain and nervous system. They can develop behavior and learning problems (such as hyperactivity), slowed growth, hearing problems, and aggressive patterns of behavior.

To raise awareness of the consequences of lead poisoning among parents and pregnant women who live in homes built before 1978, Maine CDC is participating in National Lead Poisoning Prevention Week (NLPPW) October 23–29. Maine CDC joins US CDC, the U.S. Environmental Protection Agency, and the U.S. Department of Housing and Urban Development in encouraging parents to learn more about how to prevent lead poisoning.

This year's NLPPW theme, "Lead-Free Kids for a Healthy Future," underscores the importance of testing your home, testing your child, and learning how to prevent lead poisoning’s serious health effects.

Established in 1999 by the US Senate, National Lead Poisoning Prevention Week occurs every year during the last week in October. To mark the week, Maine CDC is offering parents of all children born in Maine in 2010 a free home lead dust test kit.

The offers for free tests come with an educational brochure that is being mailed to more than 11,000 families as part of Maine’s effort to eliminate childhood lead poisoning. Instructions on how to schedule a test are included in the mailer.

"The goal of the mailing is to prevent lead poisoning. The test kits we are offering can help parents find out if their home has a lead dust problem," said Dr. Sheila Pinette, Director of Maine CDC. "Then they can address any problems and keep their children safe from lead."

Exposure to dust that comes from lead paint in homes built before 1950 is the most common way children are poisoned by lead in Maine. Lead paint is often found in homes built before 1950 and sometimes in homes built before 1978. Lead poisoning can cause behavior problems, learning disabilities, speech and language delays, and lower intelligence.

Made possible by the Lead Poisoning Prevention Fund, this is the second annual mailing of its kind. Nearly 300 families in Maine took advantage of the prior mailing and tested their homes for lead dust. About one quarter of those families identified lead dust problems in their homes and received education to properly address the problems.

"We hope parents who live in older homes will take advantage of the offer for a free lead dust test kit, especially if they live in a house or apartment built before 1950," said Dr. Pinette.

For more information, go to www.maine.gov/healthyhomes.

Physical activity and nutrition

Dr. Sheila Pinette, Director of Maine CDC, presented Richmond Area Health Center with a certificate of recognition on Oct. 11 for their work as leaders in combating obesity and helping to decrease chronic disease and health care costs in Maine.

Over the past year, 700 patients at the health center have lost weight totaling more than 2 tons (4,000 pounds). The health center's incentive program didn't cost any money, but helped reduce health care costs because many patients were able to cut back or completely eliminate medications for chronic diseases as a result of their weight loss.

Under the direction of Tom Bartol, NP, and the assistance of Healthy Communities of the Capital Area, the health center encouraged patients through a simple system of positive reinforcement. Patients who has lost weight from one appointment to the next would write their names and the amount lost on paper stars posted on the health center wall. After hanging up their stars, patients rang a bell announcing to everyone they has lost weight. Staff would hear the bell and applaud to congratulate them.

Richmond Area Health Center is a practice of the HealthReach Community Health Centers, a system of eleven federally-qualified health centers and two dental practices in central and western Maine.

This announcement comes during National School Lunch Week. This USDA press release explains how more schools are providing healthier meal options for our children. USDA’s Center for Nutrition Policy and Promotion also launched a new website with information for eating healthy on a budget.

For more information about healthy eating, visit Maine CDC’s Physical Activity and Nutrition Program.

Public Health Update 10/13/11

Breast Cancer Awareness Month

US CDC has a special Q&A feature about breast cancer and mammograms available at http://www.cdc.gov/Features/BreastCancerAwareness/

The Maine Breast and Cervical Health Program (MBCHP) is a comprehensive breast and cervical cancer early detection program housed within Maine CDC’s Division of Chronic Disease. Early detection continues to be the best way to combat breast and cervical cancer. The program’s mission is to help low-income, uninsured and underinsured women gain access to breast and cervical cancer screening and diagnostic services to support and enhance breast and cervical cancer control activities statewide.

For more information: http://www.maine.gov/dhhs/bohdcfh/bcp/

World Arthritis Day

Physical activity is beneficial for the management of arthritis, yet data show that 44% of people with arthritis are physically inactive. In recognition of World Arthritis Day on Oct. 12, adults with arthritis are encouraged to engage in regular physical activity to better manage their arthritis each and every day.

For more information about arthritis and physical activity, see this US CDC feature: http://www.cdc.gov/Features/Arthritis/

For more information about World Arthritis Day, see this MMWR: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6039a7.htm

Drinking and driving

Alcohol-impaired driving crashes account for nearly 11,000 crash fatalities, or about one third of all crash fatalities in the United States. US CDC’s monthly Vital Signs feature has important information about drinking and driving: http://www.cdc.gov/VitalSigns/DrinkingandDriving/

For more information, see this MMWR: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6039a4.htm

HIV/STD update

The monthly HIV/STD update for September has been posted at http://www.maine.gov/dhhs/boh/ddc/hiv-std/data/documents/Data-Update-09-2011.pdf

US CDC has made popular STD fact sheets available for smart phones and other mobile devices: http://m.cdc.gov/menu.aspx?menuId=64&language=en

Influenza update

Maine CDC has already distributed almost 174,000 doses of state-supplied influenza vaccine to registered providers for the 2011-2012 season.

Almost 240 clinics at 70 school districts have already been registered for this season. A list of schools with registered school-located vaccine clinics is available at http://www.maine.gov/dhhs/boh/maineflu/flu-clinics.shtml

If you still need your flu shot, a searchable county listing of flu clinics is available at http://www.211maine.org/flu-clinics/ or you can search by zipcode at http://www.flu.gov/

Infectious disease conference

Maine CDC’s Division of Infectious Disease will hold its annual conference from 8:30 a.m. – 4:00 p.m. Nov. 15 at the Augusta Civic Center. Issues presented will include challenges in controlling infectious diseases, information on responding to new disease threats, and clinical updates and approaches. Cost: $35 before Oct. 24 and $50 after. Space is limited. For more information and to register: http://adcarecdc.neias.org/idhome/

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Influenza Update 9/29/11

Maine CDC has already distributed almost 154,000 doses of state-supplied influenza vaccine to registered providers for the 2011-2012 season.

Information about second doses for children under 9, school-located vaccine clinic (SLVC) registration forms, and other related materials are available in our SLVC toolkit.

Almost 160 clinics at 49 school districts have already been registered for this season. Maine CDC is pleased to announce that certain vaccine clinic supplies will be available for free to schools offering SLVC this year. Schools that have the supplies they need for clinics can still order items that may help in the prevention and control of influenza in the school. For more information: http://www.maine.gov/dhhs/boh/maineflu/h1n1/toolkit/SLVC-supplies.pdf

US CDC has posted a study on 115 influenza-associated pediatric deaths from September 2010 through August 2011 and highlights the importance of both annual vaccination and rapid antiviral treatment.

A searchable county listing of flu clinics is available at http://www.211maine.org/flu-clinics/

Breast Cancer Awareness Month

The 14th Annual Silver Tea to kick off Breast Cancer Awareness Month was held Sept. 28. The tea was sponsored by Maine First Lady Ann LePage and the member organizations of the Breast Health Cooperative:

American Cancer Society, Maine CDC’s Breast and Cervical Health program, Maine Breast Cancer Coalition, Maine Breast Nurse Network, Maine Cancer Foundation, and the Maine affiliate of Susan G. Komen for the Cure.

Mrs. LePage read the 2011 Governor’s Proclamation designating October as Breast Cancer Awareness Month.

Robert J. Ferguson, PhD, from the Maine Outpatient Rehabilitation Center at Eastern Maine Medical Center, spoke about the association between adjuvant chemotherapy and mild cognitive decline among breast cancer survivors.

Donna Green, RN, BSN, OCN, Clinical Manager of Oncology Administration at Maine Medical Center, was honored with the 2011 Breast Health Leadership Award among professionals.

Patco Construction Company, a family-owned construction business in Sanford, received the 2011 Breast Health Leadership Award among volunteers. The company annually sponsors breast cancer awareness activities, and this year coordinated the production of a two-CD collection that brings together more than two dozen of Maine’s most talented female performers.

World Rabies Day

On September 28, Maine CDC will celebrate the fifth annual World Rabies Day. Established in 2007 by U.S. CDC and the Alliance for Rabies Control, a U.K. charity, this day is dedicated to raise awareness about rabies. Worldwide, more than 50,000 people die from rabies each year.

Rabies is a deadly disease caused by a virus. Rabies is 100% preventable by avoiding wild animals and any animal that you do not know, or by getting rabies shots if an exposure already occurred. A rabies exposure happens when a person or animal comes into contact with the saliva or tissue from the nervous system (brain or spinal cord) of a rabid animal. This contact can be from a bite or scratch, or if the animal’s saliva gets into a cut in the skin or in the eyes, nose, or mouth.

Rabies in people is very rare in the United States, with only one to two cases each year. The last human case of rabies in Maine was in 1937, but this does not mean that rabies is not a problem. Rabies in animals, especially wildlife, is common in most parts of the country, including Maine. The most commonly infected animals in Maine are raccoons, skunks, bats, and foxes. To date in 2011, 51 animals tested positive for rabies.

If you think that you have been exposed to rabies, wash the wound right away with soap and water. Then, call your doctor and the Maine CDC at 1-800-821-5821 to evaluate the need for animal testing and rabies shots. In addition, if you or your pet is exposed to a suspect rabid animal, call your veterinarian and local Animal Control Officer. If you or your pet is exposed to a wild animal, call your local Game Warden.

Follow these steps to prevent rabies:

• Vaccinate your pet cats and dogs against rabies; it is the law.
• Avoid contact with wild animals or other animals that you do not know.
• Bat-proof your home. Wildlife biologists can provide tips on how to bat proof your home without harming bats but preventing them from entering your home.

For more information about rabies, visit the Maine CDC website at www.mainepublichealth.gov/rabies.

Contagion

In the last two years, US CDC has sent scientists and doctors out more than 750 times to respond to health threats.

A new movie called Contagion is showing on screens nationwide. Although Contagion is a work of fiction, US CDC scientists were consulted for their help in making the movie as scientifically accurate as possible.

However, the film doesn’t provide a complete picture of the extensive role that state and local public health agencies would play in responding to a major disease pandemic. Over the last ten years, a major effort has been underway to strengthen the emergency response capabilities of state and local public health.

A quick overview of disease outbreak investigation is available from this Public Health Matters blog

Arsenic

There has been publicity recently over the amount of arsenic in the apple juice that many children drink. The Food and Drug Administration (FDA) has issued a statement that there is no evidence of any public health risk from drinking these juices and that FDA has been testing them for years.

Arsenic is a naturally occurring element found in water, air, food, and soil in organic and inorganic forms. Inorganic arsenic compounds can be harmful at high and long-term levels of exposure. Organic arsenic compounds are essentially harmless. Because both forms of arsenic have been found in soil and ground water, small amounts may be found in certain food and beverage products, including fruit juices and juice concentrates.

FDA has been tracking total arsenic contamination in apple and other juices for about six years, since foreign producers started gaining an increasing share of the juice market.

Most people ingest small amounts of arsenic each day from various foods, including rice products and shellfish. One of the big sources of arsenic exposure to be on the lookout for in Maine is arsenic in private well water. Half of Maine families get their drinking water from private wells, and 10% of these wells have arsenic levels above the current drinking water standard of 10 micrograms per liter. Only about 45% of families with wells have tested their well water for arsenic -- if you have a well, make sure you have tested it for arsenic.

For more information about arsenic, see this US CDC fact sheet.