[Kentucky News]

Get Vaccinated Against the Flu During National Influenza Vaccination Week
Give yourself the gift of health this holiday season


Dr. William D. Hacker

State public health officials are encouraging Kentuckians to get a flu vaccination during National Influenza Vaccination Week, December 8-14, to reduce the spread of illness this holiday season.

“Getting a flu vaccination is a holiday gift you can give now to yourself and your family,” said William Hacker, M.D., commissioner of public health. “Many people visit relatives with small children or those at high risk of complications from flu around this time of year. Receiving a flu vaccination is an opportunity to protect against the flu’s spread and severity.”

National Influenza Vaccination Week is a week-long observation that serves as a reminder to those people who have not yet received a flu vaccination that the time to get vaccinated continues into winter – through January or later, when flu season typically peaks. Throughout the week, the Centers for Disease Control and Prevention (CDC) will highlight the importance of vaccination for those people at high risk, their close contacts and all those who want to be protected against the flu. In addition, good health habits such as washing hands often with soap and water, avoiding touching your eyes, nose or mouth and staying home from work or school when sick will also be emphasized. The CDC’s Advisory Committee on Immunization Practices’ (ACIP) updated recommendations for this year’s flu season include:

• Annual vaccination of all children age 5-18 years.

• Children age 6 months through 4 years continue to be a primary focus of yearly vaccination efforts because these children are at a higher risk for flu complications compared with older children.

• Children age 6 months to 8 years should receive two doses of vaccine if they have not been vaccinated previously.

• Healthy, non-pregnant people age 2 to 49 years can receive either the flu shot or the nasal vaccine spray.

Immunization is also strongly recommended to protect Kentuckians 65 and older and those with a chronic disease such as heart disease, cancer, asthma or diabetes. Healthy individuals 50 to 64 are also strongly encouraged to receive the flu vaccine. Infection with the flu virus can cause fever, headache, cough, sore throat, runny nose, sneezing and body aches. Flu is responsible for approximately 200,000 hospitalizations and 36,000 deaths annually in the U.S.

In addition to flu vaccine, officials encouraged all adults 65 or older and others in high-risk groups to ask their health care provider about the pneumococcal vaccine. This vaccine can help prevent a type of pneumonia, one of the flu’s most serious and potentially deadly complications. For more information on influenza or the availability of flu vaccine, please contact your local health department or visit the Department for Public Health’s flu Web site at:

www.chfs.ky.gov/dph/Influenza.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Think About Safety While Shopping for Toys and Holiday Decorations


Dr. William D. Hacker

The holiday shopping season is here, and many people are purchasing holiday presents and decorations. With that in mind, the Cabinet for Health and Family Services urges shoppers to take a few minutes during this busy time to think about safety.

“Health and Family Services wants all Kentuckians to enjoy a wonderful and healthy holiday season. The best way to do that is to equip yourself with a few simple safety tips to remember before you go shopping, purchase a toy or decorate a Christmas tree,” said William D. Hacker, M.D., commissioner of the Department for Public Health (DPH). “No one should ever suffer an injury – or worse consequence – under circumstances that could have been easily prevented.”

According to the American Academy of Pediatrics and the Consumer Product Safety Commission, the holidays are safer and happier if people take time to follow some simple safety guidelines about toys, trees, lights and decorations. Here’s a closer look at some general safety guidelines for the holidays:

Toy Safety

• Follow recommended age ranges on toy packages. Toys that are too advanced could be a safety hazard for younger children.

Read instructions carefully before buying a toy or allowing your child to play with a toy received as a gift. If the toy is appropriate for your child, show him or her how to use it properly.

• Be careful with holiday gift-wrapping, like bags, paper, ribbons and bows. These items can pose suffocation and choking hazards to a small child.

• Be aware that children age 3 and younger can choke on small parts contained in toys or games and balls with a diameter of 1.75 inch or less (such as a ping pong or golf ball).

• Remove strings and ribbons from toys before giving them to young children. Children younger than age 8 can choke or suffocate on deflated or broken balloons. Watch for pull toys with strings that are more than 12 inches in length, a strangulation hazard for babies.

• Older siblings need to make sure to keep games and toys with small parts away from younger brothers and sisters.

• Toys also should be put away safely to prevent trips or falls. Many injuries occur when toys are left out.

In 2007, more than 230,000 toy-related injuries were treated in hospital emergency rooms. Nationally, there were 18 recorded toy-related fatalities in 2007, up from 16 in 2004. Seven of these fatalities occurred on wheeled toys. Vehicles such as scooters, bicycles, all terrain vehicles (ATVs), skateboards, big wheels and tricycles are often popular holiday gifts. In 2004, there were two scooter-related deaths, one riding toy fatality and four tricycle fatalities.

Overall, wheeled toys, which remain a popular gift choice, account for more injuries than any other toy. If considering the purchase of an ATV, remember to inquire about age and recommended engine sizes measured in cubic centimeters. For example, children younger than 6 should never ride an ATV; ages 6-12 should only ride those with engine sizes smaller than 70cc; ages 12-16 can use engines between 70-90cc; and those older than 16 can ride ATVs with engine sizes larger than 90cc.

Shoppers also need to be careful when purchasing Christmas decorations. Though holiday décor is a part of the celebration, certain items can be dangerous and need to be avoided. Below are a few guidelines endorsed by the Kentucky Department for Public Health to prevent injury.

Decorations

• Use only non-combustible or flame-resistant materials to trim a tree. Choose tinsel or artificial icicles of plastic or nonleaded metals. Leaded materials are hazardous if ingested by children.

• Never use lighted candles on a tree or near other evergreens. Always use non-flammable holders, and place candles where they will not be knocked down.

• Take special care to avoid decorations that are sharp or breakable, keep trimmings with small removable parts out of the reach of children and pets to prevent them from swallowing or inhaling small pieces, and avoid trimmings that resemble candy or food.

• Wear gloves to avoid eye and skin irritation while decorating with spun glass "angel hair." Follow container directions carefully to avoid lung irritation while decorating with artificial snow sprays.

“We have a valuable partnership with the Kentucky Injury Prevention and Research Center (KIPRC), and the Fire Marshal’s Office, where together we help educate, inform and respond to many consumer inquires and monitoring of products,” said Guy Delius, director of the Division of Public Health Protection and Safety in DPH. “We join forces this time of the year to make sure our citizens are informed of product defects, recalls or advisories.”

Annually, hospital emergency rooms treat about 12,500 people for injuries, such as falls, cuts and shocks, related to holiday lights, decorations and Christmas trees. In addition, there are 11,600 candle-related fires each year, resulting in 150 deaths, 1,200 injuries and $173 million in property loss each year. Christmas trees are involved in about 300 fires annually, resulting in 10 deaths, 30 injuries and an average of more than $10 million in property loss and damage. For more information, visit:

www.safekids.org or www.aap.org

www.cpsc.gov

or contact KIPRC at [phone].

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Whooping Cough Cases on the Rise
Older Children, Adults Should Get Booster Vaccine


Dr. William D. Hacker

More Kentuckians, particularly older children and teens, should get a booster vaccine to prevent the onset of pertussis, a highly contagious disease more commonly known as whooping cough, the Kentucky Department for Public Health (DPH) announced today. Though there are relatively few whooping cough cases in the state each year, public health surveillance has detected an increase in recent months. Health officials suspect the spike could be attributed to waning immunity to pertussis vaccination, which typically occurs around age 10 in those vaccinated in infancy and early childhood.

“We strongly encourage those who haven’t done so to get an adolescent or adult pertussis booster vaccine,” said William Hacker, M.D., DPH commissioner. “Often, people don’t realize that vaccines can wear off over a period of time. This can lead to an increase in diseases like whooping cough, a debilitating and prolonged illness.”

Since October, more than 60 whooping cough cases have been reported throughout Kentucky. The highest concentration of cases has occurred in Bullitt, Franklin and Hardin counties. This follows a trend observed nationwide. According to the Centers for Disease Control and Prevention, 5,000-7,000 cases are reported in the United States each year, and the incidence has increased steadily since the 1980s.

“It’s extremely important for communities to work together to control the spread of the disease,” said Kraig Humbaugh, M.D., state epidemiologist for DPH. “Developing community-wide immunity through vaccination is an important strategy for pertussis control.”

Caused by the bacteria Bordetella pertussis, whooping cough is contracted by breathing in contaminated respiratory droplets or contact with articles freshly contaminated with contaminated droplets. Early symptoms of pertussis include runny nose, sneezing, mild cough and low-grade fever. After one to two weeks, long cough spells develop. The illness can last up to 10 weeks.

Pertussis can be dangerous, especially for young children and infants, who can develop breathing problems (apnea), pneumonia, seizures and brain damage. Pertussis can also cause death (rarely), especially in very young infants. Some individuals are at high risk for acquiring severe disease following exposure to pertussis. Those individuals include infants younger than 1 year, and people with certain immunodeficiency conditions, or other underlying medical conditions such as chronic lung disease, respiratory insufficiency or cystic fibrosis. Adults and adolescents are often the reservoirs of pertussis in a community, even though children are more likely to be tested and diagnosed.

Whooping cough, which is highly contagious, can create tremendous burdens for communities, resulting in missed work and school days, numerous doctor visits and sometimes hospitalization. Infants get their first dose of pertussis vaccine, in combination with diphtheria and tetanus (DTaP), at 2 months, 4 months and 6 months of age. Boosters are given at 12 to 15 months and then around age 4 or 5. People ages 10 to 64 can get a pertussis booster. To learn more about pertussis, visit DPH’s Web site at:

chfs.ky.gov/dph/epi/reportablediseases.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Remember Food Safety This Holiday Season


Dr. William D. Hacker

The holidays are filled with delicious tempting treats, but the festive atmosphere doesn’t provide a pass to ignore the Kentucky Department for Public Health’s (DPH) food safety recommendations. Many holiday dinners incorporate meat and poultry, a possible source of food-related disease unless handled and prepared properly. This holiday season, DPH urges consumers to be cautious when purchasing and preparing food items and to pay close attention to good hygiene practices.

“Proper hand washing is the most effective way to keep food and guests safe,” said Christine Atkinson, manager of the food safety branch in DPH. “By following the guidelines recommended by DPH, you and your loved ones can avoid food-related illnesses this holiday season.”

Holiday buffets, party trays or even a poorly stored turkey could be the culprit of disease. Improperly stored food items provide breeding grounds for bacterial contamination, which causes illness that affects an average 76 million people each year. Here are a few simple food safety tips to avoid getting sick during the holiday season:

• Wash hands – Wash hands for 20 seconds with soap and water and dry your hands with a paper towel following restroom use, before preparing foods, after handling raw meat or before eating. Clean hands will help prevent the spread of potentially illness-causing microorganisms.

• Clean – Wash and sanitize food-contact surfaces often. To sanitize utensils, immerse for 30 seconds in clean, hot water at 170 degrees Fahrenheit, or immerse for at least one minute in a clean solution containing at least 50 parts per million of chlorine (one teasthingy of 5.25 percent household bleach per gallon of water). Bacteria can spread and thrive on cutting boards, knives and counter tops. Wash fruits and vegetables before preparing.

• Thaw properly – Proper methods for thawing a turkey include: thawing in a refrigerator with a temperature of 41 degrees Fahrenheit or less (allow three to four days for thawing); placing under cool running water at a temperature of 75 degrees Fahrenheit or less; or thawing in a microwave and cooking the turkey immediately.

• Take temperatures – Cook at 325 degrees Fahrenheit until the internal temperature of the turkey reaches at least 165 degrees Fahrenheit. Cooked, hot foods should be kept at 140 degrees Fahrenheit or warmer. Be sure to use a food thermometer to check temperatures.

• Keep it cold – Cold foods should be kept at 41 degrees Fahrenheit or less. After the turkey is served, immediately slice and refrigerate on shallow platters. Use refrigerated turkey and stuffing within three to four days. Use gravy within one to two days. If freezing leftovers, use within two to six months for best quality.

• Transport safely – Keep hot foods hot and cold foods cold.

• Reheat – Leftover turkey and stuffing should be stored separately in shallow dishes or platters. Rapidly reheat leftovers to a minimum internal temperature of 165 degrees Fahrenheit.

• Wash your hands before and after handling food. Keep your kitchen, dishes and utensils clean.

• Serve food on clean plates – not those that previously held raw meat or poultry. Otherwise, bacteria that are present in raw products can cross contaminate food.

• If you are cooking foods ahead of time for your party, be sure to cook foods thoroughly at a safe minimum internal temperature.

"Remember the two-hour rule. Do not leave perishable food out at room temperature for more than two hours,” said DPH Commissioner William D. Hacker, M.D.

The cabinet would like to wish you a safe and happy holiday. For more information and free literature about food safety, contact the food safety branch at [phone] or visit:

chfs.ky.gov/dph/info/phps/food.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Breastfeeding Important for Infants Born Premature
December is Prematurity Awareness Month


Dr. William D. Hacker

As part of Prematurity Awareness Month, the Kentucky Department for Public Health (DPH) is stressing the importance of breastfeeding for infants who are born early. DPH recommends all mothers breastfeed their babies, stressing exclusive breastfeeding for the first six months of life and to continue breastfeeding for at least two years while babies begin eating appropriate complementary foods as the gold standard. Public health officials also stress the importance of breastfeeding for premature infants.

“The benefits of breastfeeding, including protection from many diseases, are especially critical for premature infants,” said Ruth Shepherd, M.D., director of the Division of Maternal and Child Health in DPH. “Kentucky has one of the highest rates of premature births in the country, meaning many of our infants need extra care when they are born. Health officials believe that breast milk is the healthiest nutritional option for infants, especially those born premature.”

The U.S. Department of Health and Human Services recently published an analysis of studies on the impact of breastfeeding in developed countries. Published in 2007, one conclusion was that breastfeeding has a profound impact on both infant and maternal health, including reducing the risk of ear infections, gastroenteritis, respiratory tract infections, dermatitis, asthma, obesity, type 1 and 2 diabetes, childhood leukemia and sudden infant death syndrome in the child, as well as breast cancer, ovarian cancer and type 2 diabetes in the mother.

“Breastfeeding is the best choice for both mother and baby, especially babies born premature,” said Becky Derifield, state breastfeeding promotion coordinator. “Many women are faced with challenges or simply don’t know all the health benefits of breastfeeding. Support from family members, loved ones, friends, health care providers and employers is crucial.”

The Kentucky WIC Breastfeeding Peer Counselor Program provides support and information for prenatal and breastfeeding mothers to help ensure good health for Kentucky’s babies. The program is operated through local health departments, provides one-on-one counseling, information and round-the-clock guidance for mothers new to breastfeeding. The United States Department of Agriculture funds the program through a grant. It is available to the participants of the WIC Program in designated agencies.

Additional options for mothers include International Board Certified Lactation Consultants, who provide professional education and support to new mothers and help them work through challenges. For more information, contact Derifield at [phone], ext. 3815, or [e-mail]. Information on breastfeeding can be found at

www.chfs.ky.gov/dph/ach/ns/breastfeeding.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

New Disaster Preparedness Materials Available
To Assist Individuals with Chronic Disease


Dr. William D. Hacker

Newly developed disaster preparedness materials are now available to assist individuals and their caregivers with chronic disease to prepare for disasters and emergencies, according to the Kentucky Department for Public Health (DPH).

“With the high rate of Kentuckians suffering from chronic disease, we need to ensure that our residents living with chronic diseases such as hypertension, heart disease and diabetes have the ability to manage their conditions when disasters strike and services may not be available,” said William Hacker, M.D., commissioner of public health. “These new disaster preparedness materials will assist our citizens who suffer from these conditions to take the necessary steps to prepare for disasters and emergencies.”

The disaster preparedness materials consist of a patient resource manual, a participant training manual and a kit that includes an instructor’s guide, a participant training manual, patient resource manuals for conducting classes in local communities and a new Web site, www.chronicdiseasepreparedness.org. The informative materials highlight the needs of people with chronic diseases during disasters, educating individuals with chronic disease on planning for disasters, instruction on developing emergency contact information to include personal medical information and action checklists, and helpful links.

The publications and Web site were developed by the University of Louisville Hospital through a DPH grant, supported by a cooperative agreement with the Centers for Disease Control and Prevention. The free materials can be ordered directly from the Web site at www.chronicdiseasepreparedness.org. Community organizations such as churches and cooperative extension offices are encouraged to use the preparedness kits to conduct classes in their local communities.

For more information on chronic disease disaster preparedness materials, please contact DPH’s Chronic Disease Prevention Branch at [phone].

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Make Giving Up Tobacco Your News Year’s Resolution
Quit Line Can Help Smokers Kick the Habit


Dr. William D. Hacker

Each year many people use the beginning of the new year to make positive changes in their lives. Some people will make resolutions to lose weight, get in shape, save money or quit smoking. If your New Year’s resolution is to remove tobacco from your life, Kentucky’s Tobacco Quit Line, 1-800-QUIT NOW (1-800-784-8669) can help you reach that goal.

“The nicotine in tobacco is one of the most powerful addicting chemicals,” explains Jan Beauchamp, coordinator for Kentucky’s Tobacco Quit Line. “While many people will want to quit, without support, medication or counseling as few as 5 percent will be successful. The Quit Line has helped many Kentuckians break their addiction to nicotine.”

Kentucky’s Tobacco Quit Line is a statewide telephone service providing free counseling and support for people who want to stop smoking or using other tobacco products. Highly trained cessation specialists answer calls from 9 a.m. to 9 p.m. Monday through Friday helping smokers develop a quit plan.

“Our hope is that people will think about the effects tobacco is having on their health and give some serious consideration to quitting,” said Beauchamp. “The first of the year is a great opportunity to stop smoking, start living a healthier lifestyle and create a healthier environment in your home.”

Research indicates that 70 percent of smokers want to quit, and 50 percent of those will make at least one attempt each year to quit. To assist them, health organizations and health departments across Kentucky will offer smoking cessation programs for smokers who want to become tobacco-free in 2009. Tobacco use and dependence is the leading preventable cause of death in Kentucky and the nation. Nearly 8,000 Kentuckians die each year because of tobacco-related diseases. Eighty-five percent of all lung cancers are caused by cigarette smoking, and Kentucky leads the nation in lung cancer deaths. Smoking is a major risk factor for the four leading causes of death: heart disease, cancer, stroke and chronic obstructive pulmonary disease (COPD).

“It’s important to remember that these are more than just numbers,” said Department for Public Health Commissioner William D. Hacker, M.D. “These people are our friends, neighbors and family members. They should not suffer and die of diseases that could have been prevented.”

The Quit Line offers individual counseling for tobacco users who are ready to quit. After the initial call, smokers may receive up to five scheduled callbacks from their counselor. For smokers considering quitting, the Quit Line staff will provide information about tobacco use and treatment options. Counselors will provide state and local resources to callers as another option for tobacco cessation. Parental consent is required for callers under 18. Callers to the Quit Line after regular hours can leave a message and a cessation specialist will return their call the next business day.
Quit Line services are available in English and Spanish. TDY/TDD is available at [phone]. Counseling and materials are provided at no charge to callers.

For employers wanting to help their employees quit, information is available through the Quit Line and the local health department. Group sessions and cessation materials can be made available at the worksite.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

It’s Time to End Cervical Cancer
January is Cervical Cancer Awareness Month


Dr. William D. Hacker

More women in Kentucky should join the fight to end cervical cancer by getting vaccinated and undergoing regular screenings for the disease, the Kentucky Department for Public Health (DPH) announced today. Women age 9 to 26 years old can receive a vaccine to prevent the human papillomavirus (HPV) linked to cervical cancer. Gardasil, the HPV vaccine, is viewed as one of the most significant women’s health developments in recent years. However, the vaccine is not recommended for all women, and DPH officials stress that it does not prevent all strains of HPV or eliminate the need for annual Pap tests, gynecological exams that screen for cervical cancer.

“A Pap test is one of the most important health tools for women to prevent cervical cancer,” said Health and Family Services Cabinet Secretary Janie Miller. “To maintain good health throughout the course of our lives, we must practice prevention. Doing things like avoiding tobacco, following a healthy diet and getting regular exercise are important, but it’s also important to stay up-to-date on vaccines and get regular health screenings that detect disease.”

According to information from the National Cancer Institute, Kentucky has the seventh highest rate of cervical cancer among all 50 states and the seventh highest number of deaths from cervical cancer each year.

“This data underscores the imperative need among Kentucky women to join us in the fight against cervical cancer by educating themselves about the disease and talking to their health care provider about the HPV vaccine and Pap test,” said Joy Hoskins, RN, assistant director of the Women’s Health Division in DPH.

The Pap test, also called a Pap smear, screens for abnormal cells in the cervix that may lead to cancer if not treated. The screening is done in a doctor’s office or clinic and only takes a few minutes. Results of the test are usually ready within a few days. If the results of the Pap test show abnormal cells that could become cancerous, numerous treatment options are available to remove the abnormal cells. In most cases, the treatment prevents cervical cancer from developing.

“Cervical cancer remains a serious threat to women’s health despite the development of the HPV vaccine and early detection tools,” said Ruth Ann Shepherd, M.D., director of the Division Maternal and Child Health in DPH. “Women who don’t have health insurance or can’t afford a screening should call 1-800-4CANCER, or your local health department to see if the Kentucky Women’s Cancer Screening Program (KWCSP) can be of assistance. If more women have access to care, we can reduce the rates of cervical cancer.”

The Kentucky Women’s Cancer Screening Program (KWCSP) provides health services for women who meet the program’s income guidelines and do not have health insurance. Three factors are used to determine KWCSP eligibility. To be eligible, patients must be between the ages of 21-64; uninsured (no Medicaid, no Medicare, and no private insurance); and have an income at or below 250 percent of federal poverty guidelines.

• KWCSP offers low-cost mammograms and Pap tests through local health departments in every county.

• Appointments can be made by calling your local health department or 1-800-4CANCER.

• The KWCSP, part of CDC’s National Breast and Cervical Cancer Early Detection Program, also provides diagnostic services. If cancer or pre-cancer of the breast or cervix is found, treatment services are available.

Typically, if abnormal cells are present in the cervix, it takes years before they develop into cervical cancer. First, some cells begin to change from normal to pre-cancer and then to cancer. For this reason, DPH stresses the importance of Pap tests for women who’ve never been screened for cervical cancer or have not had a Pap test for five or more years. If you or a loved one falls into this category, contact your health care provider to schedule an appointment.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

State's First Culture-Confirmed Influenza Case Reported


Dr. William D. Hacker

Kentucky Department for Public Health (DPH) officials are urging Kentuckians to get a flu vaccination after the season’s first culture-confirmed case of influenza was reported by the State Public Health Laboratory this week. The case was from Adair County.

DPH is reporting the results to the Centers for Disease Control and Prevention (CDC) as part of statewide flu surveillance efforts. Kentucky’s flu activity is currently classified as "sporadic," the lowest level of flu activity.

The flu season can begin as early as October and last through May and usually peaks between January and March. January is still a good month to be vaccinated for flu because it takes about two weeks for immunity to develop and offer protection against flu. However, vaccination can be given any time during the flu season, and this year there is a plentiful vaccine supply.

"Getting the flu can be debilitating and sometimes life-threatening, so it’s extremely important to take simple preventive steps to avoid it. The best way to protect yourself and your family is to get a flu shot now," said William Hacker, M.D., commissioner of DPH. “You should also follow the advice your mother gave you to prevent flu and other illnesses that tend to circulate at this time of year - wash your hands frequently, cover your mouth when you cough or sneeze, and stay home when you’re sick.”

Hacker strongly urged anyone who hasn’t received a flu vaccine, particularly those in the groups at high risk for complications related to the flu, to check with local health departments or other providers. The CDC’s Advisory Committee on Immunization Practices’ (ACIP) updated recommendations for this year’s flu season include:

• Annual vaccination of all children age 6 months-18 years.

• Children age 6 months through 4 years continue to be a primary focus of yearly vaccination efforts because these children are at a higher risk for flu complications compared with older children.

• Children age 6 months to 8 years should receive two doses of vaccine if they have not been vaccinated previously.

• Healthy, non-pregnant people age 2 to 49 years can receive either the flu shot or the nasal vaccine spray.

Immunization is also strongly recommended to protect Kentuckians 65 and older and those with a chronic disease such as heart disease, cancer, asthma or diabetes. Healthy individuals 50 to 65 are also strongly encouraged to receive the flu vaccine. Infection with the flu virus can cause fever, headache, cough, sore throat, runny nose, sneezing and body aches. Flu is responsible for approximately 200,000 hospitalizations and 36,000 deaths a year in the U.S.

In addition to flu vaccine, DPH strongly encourages all adults 65 or older and others in high risk groups to ask their health care provider about the pneumococcal vaccine. This vaccine can help prevent a type of pneumonia, one of the flu’s most serious and potentially deadly complications.

For more information on flu or the availability of flu immunizations, please contact your local health department or visit DPH’s flu Web site at

www.chfs.ky.gov/dph/Influenza.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Salmonella Investigation Continues
Bacteria Traced to Georgia Food Manufacturer


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH), the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to investigate the source of an on-going nationwide foodborne illness outbreak. So far, the investigation has traced the outbreak – caused by the bacteria Salmonella typhimurium – to a Georgia-based food manufacturer known as Peanut Corporation of America (PCA).

PCA manufactures numerous items, such as peanut butter sold to institutional settings like long-term care facilities and cafeterias, and peanut paste, a concentrated product frequently used in commercially produced foods like cookies, cakes and crackers. None of the bulk contaminated PCA products has been traced to Kentucky.

“Only three cases of Salmonella infections in Kentucky have been linked to this national outbreak, all of which occurred last fall,” said William Hacker, M.D., DPH commissioner. “We are working to make sure the contaminated peanut butter and peanut butter products have not been distributed in Kentucky. The public needs to be aware of the PCA product recalls.”

PCA was notified that product samples originating from its Blakely, Ga., processing plant tested positive Jan. 16 for Salmonella. Since then, PCA has expanded its voluntary recall to include all peanut butter produced on or after Aug. 8, 2008, and all peanut paste produced on or after Sept. 26, 2008, in its Blakely, Ga., plant because of potential Salmonella contamination.

The product being recalled is sold by PCA in bulk packaging in containers ranging in size from five to 1,700 pounds. The peanut paste is sold in sizes ranging from 35-pound containers to products sold by the tanker container. While the bulk products are not sold directly to consumers, other products made from them may have been. PCA has stopped all production at its plant as the FDA continues its investigation into the source of the Salmonella contamination.

Because identification of products subject to recall is continuing, DPH urges consumers to check the Web site below or postpone eating commercially-prepared or manufactured peanut butter-containing products (such as cookies, crackers, cereal, candy and ice cream) and institutionally-served peanut butter until further information becomes available about which products may be affected. Efforts to specifically identify those products are ongoing.

Recalled product information can be found at www.fda.gov/opacom/7alerts.html To date, no association has been found with major national brand name jars of peanut butter sold in grocery stores.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

State Health Department Issues Guidelines for Food Safety


Dr. William D. Hacker

The hundreds of thousands of Kentuckians left without electricity from the winter ice storm that has been gripping the state are strongly encouraged to follow food safety guidelines from the Kentucky Department for Public Health (DPH) to prevent food contamination and related illness. DPH staff recommends keeping freezers closed to maintain the proper temperature for frozen foods. A full freezer will hold the temperature for approximately 48 hours and for 24 hours if the freezer is half full.

DPH cautions that a refrigerator will only hold its temperature for about four hours, meaning food items such as milk, dairy products, meats, eggs and leftovers should be placed in a cooler surrounded by ice if the outage lasts for more than four hours. Dry ice can be used to keep refrigerators cold. If the outage lasts for several days, 50 pounds of dry ice should preserve food in an 18-cubic foot full freezer for two days. (Be careful when handling dry ice. Never touch dry ice with bare hands or breathe its vapors in an enclosed area. Dry ice is frozen carbon dioxide, a gas).

“Situations like this one emphasize the importance of emergency preparedness in the home,” said William Hacker, M.D., DPH commissioner. “Those without power should remember that improperly stored or handled food can lead to foodborne illness, which can be serious and, in some cases, even life-threatening. By following food safety recommendations such illnesses can be prevented.”

If left without power, purchase one or more coolers, ice and a digital, dial or instant-read food thermometer, DPH recommends. Public health guidelines also recommend keeping appliance thermometers in the refrigerator and freezer, no matter how long the power has been out. The refrigerator temperature should be 41 degrees Fahrenheit or below; the freezer should be 0 degrees Fahrenheit or lower.

“If you are not sure a particular food is cold enough, take its temperature with a food thermometer,” said Dr. Hacker.

DPH recommends limiting the opening of freezer and refrigerator doors, even if an appliance has been out but returns to function within a couple of hours. If the freezer is not full, DPH strongly advises that poultry and meat items be grouped away from other foods to prevent juices from contaminating other items. When the refrigerator and/or freezer are operating again, follow these guidelines to decide what to do with foods:

• Refrigerated foods should be safe as long as power is out for no more than four hours.

• Throw out any perishable food in your refrigerator, such as meat, poultry, lunchmeats, fish, dairy products, eggs and any prepared or cooked foods that have been above 41 degrees Fahrenheit for four hours. Bacteria can multiply to unsafe levels under these conditions.

• Fresh fruits and vegetables are safe as long as they are still firm and there is no evidence of mold or sliminess.• If an appliance thermometer was kept in the freezer, read the temperature when power comes back on. If the appliance thermometer stored in the freezer reads 41 degrees Fahrenheit or below, the food is safe and may be refrozen.

• If a thermometer has not been kept in the freezer, check each package of food to determine the safety.

• If the food still contains ice crystals or is 41 degrees Fahrenheit or below, it is safe to refreeze.

• Raw meats, poultry, cheese, juices, breads and pastries can be refrozen without losing too much food quality.

• Prepared food, fish, vegetables and fruits in the freezer can be refrozen safely, but food quality may suffer.

“Remember, you can’t rely on appearance or odor of the food to determine if it’s safe,” said Hacker. “Food that has thawed or was held above 41 degrees Fahrenheit for more than four hours should be thrown out because bacteria may multiply to unsafe levels.”

To remove spills and freshen the freezer and refrigerator, DPH recommends washing with a solution of two tablesthingys of baking soda dissolved in one quart of warm water. To absorb any lingering odors, place an open box or dish of baking soda in the appliance.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Kentucky State, Local Public Health Departments Assist in Ice Storm Response
Public Health Preparedness Aids Collaborative Statewide Recovery Efforts


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) and local health departments across the state have been working with emergency management officials and other partners this week to aid response and recovery efforts related to the historic ice storm.

“Many people do not think of emergency preparedness and response when they think of public health,” said William Hacker, M.D., commissioner of DPH. “Since 2001, however, there has been a concerted effort to build the capacity of public health to assist in responding to emergencies of all types, including the development of strong relationships with emergency management, hospitals, and other key partners. Those efforts have allowed public health at the state and local level to step up to the plate and provide a wide range of assistance to the primary response agencies during this event.”

DPH began its efforts by opening its in-house departmental emergency operation center (DOC) on Tuesday morning, to field questions and requests for help from state and local agencies, and by providing representatives to assist at the state emergency operations center (EOC) coordinated by the Division of Emergency Management. The DOC operates from 7 a.m.-11 p.m. daily, while the EOC is open 24-7.

Aid offered by the state health department this week has ranged over a variety of activities. Health officials have arranged for the loan of equipment, including a generator that is being used to power a Grayson County shelter serving 300 people and 14 mobile response trailers with 25 cots each to shelters across the state. Among other key activities are: facilitating the supply of fuel and other needed resources to health care facilities and shelters; working with the Kentucky Pharmacy Association to provide necessary prescription medications to individuals in shelters through local pharmacies; and giving emergency officials guidance related to food safety, other public health issues related to power outages, and medical advice about health issues at shelters.

DPH continues to coordinate the deployment of so-called “strike,” or assistance, teams of public health professionals from around Kentucky to areas hit harder by the storm. Shelters are also drawing on DPH’s Kentucky Health Emergency Listing of Professionals for Surge (K HELPS) program, which includes a variety of health care professionals that sign up in advance to volunteer in emergencies and are then assigned to a local Medical Reserve Corps program. To contact K HELPS, call [phone].

In addition, DPH has requested assistance from other southeastern states with providing special needs nurses to help in shelters and environmental specialists to assist in assessments related to food safety in shelters and restaurants. Two officials from the federal Department of Health and Human Services will join the public health effort today, assisting at both the DOC and the state EOC. Those officials will help provide a close link between Kentucky and the federal government during recovery efforts.

Local health departments have provided key assistance at the community level, in some cases opening shelters at their locations, as well as assisting emergency management in other ways.

“A response of this magnitude requires that we make the best use possible of all the resources at our disposal across the state,” said Dr. Hacker. “I want to commend the staff at our local health departments and at the state health department for their continued hard work to support the statewide response to this emergency.”

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

March 1-7 is Black Church Week of Prayer for the Healing of AIDS


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) is working to promote Black Church Week of Prayer for the Healing of AIDS, an observance held March 1-7 that includes thousands of churches across the country. As part of the observance, DPH and community-based organizations are inviting churches to participate in a “Prayer for the Healing of AIDS,” an educational event set for 6 p.m. March 1 at St. Paul AME Church, 251 North Upper St., Lexington. Free HIV testing will be available at the same location from 4 to 8 p.m.

“Churches and faith-based organizations, as entities people look to for personal guidance and support, can play an important role in promoting HIV/AIDS awareness,” said William Hacker, M.D., DPH commissioner. “Through the Black Church Week of Prayer for the Healing of AIDS, we hope more people will become educated about HIV/AIDS issues and will be motivated to get tested, which is particularly important as it is the first step in linking people with HIV to medical treatment and supportive care.”

As part of the observance, pastors and clergy people are encouraged to discuss the HIV/AIDS epidemic with members of their congregations and become centers for HIV/AIDS ministries, education and compassion by partnering with their local health department or local AIDS community service to support HIV testing and education efforts.

A new study from the Centers for Disease Control and Prevention (CDC) found that one in five HIV-infected people are unaware of their status and that these undiagnosed individuals are mainly responsible for transmitting the disease to others. Substantially greater numbers of African-Americans are living with undiagnosed HIV infection than other races. Among those living with HIV nationally, African-Americans (22.2 percent) and Latinos (21.6 percent) were less likely to be diagnosed compared to Caucasians (18.8 percent).

Data from Kentucky mirror national findings. Between Jan. 1, 2005, and June 30, 2008, African-American Kentuckians accounted for 35 percent of the cases that were concurrently diagnosed with AIDS during the same calendar month as the initial HIV diagnosis - an indication that a person was unaware of his or her HIV infection for the significant duration of time it took for the disease to progress to AIDS.

For more information about Black Church Week of Prayer and about HIV/AIDS prevention and testing, contact Beverly Mitchell or Michael Hambrick, prevention initiatives coordinators, at [phone], ext. 3558 and 3560 respectively, or visit

chfs.ky.gov/dph/epi/hivaids.htm

More information is available on the Black Church Week of Prayer Web site at

www.balmingilead.org/programs/weekofprayer2008/what_is_wop.asp

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

DPH Supports the American Diabetes Alert
March 24 Serves as ‘Call to Action’ for Americans


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) wants residents of the commonwealth to recognize the American Diabetes Alert, an annual event that serves as a one-day wake-up call to remind everyone about the seriousness of diabetes. DPH and the American Diabetes Association are working to encourage people to take the Diabetes Risk Test to find out if they or their loved ones are at risk for developing type 2 diabetes. Current estimates show the disease affects millions of people.

“In Kentucky, an estimated 445,200 adults are living with diagnosed and undiagnosed diabetes, and many more are at risk for developing the disease,” said DPH Commissioner William D. Hacker, M.D. “We must make better choices about the things we eat and the amount of physical activity we get and start curbing rates of this disease.”

Diabetes is a condition that results when the body’s blood glucose (sugar) is too high. Type 2 diabetes is the most common form of diabetes. In type 2 diabetes, the body may not produce enough insulin or it doesn’t effectively use the insulin it has, or both occur at the same time. Insulin is necessary for the body to be able to use glucose, which is the basic fuel for the cells in the body. When glucose builds up in the blood instead of going into the cells, the cells may feel starved for energy and the elevated blood glucose may damage the eyes, kidneys, nerves or heart.

Many people can have diabetes for years and not know it because they may not have any symptoms. Signs of diabetes are: thirst, frequent urination, feeling very hungry or tired, unintentional weight loss, having sores that heal slowly, dry and itchy skin, blurred vision, and a tingling or loss of feeling in the feet. A blood test to check your glucose levels will show if you have pre-diabetes or diabetes. Pre-diabetes is present when blood sugar levels are elevated, but not high enough to be classified as diabetes.

“The good news is you can do things now to lower your risk for diabetes, such as keeping your weight in control; eating low fat meals that include fruits, vegetables and whole grain foods; and staying physically active most days of the week,” said Linda Leber, education coordinator for the Kentucky Diabetes Prevention and Control Program. “If you think you may be at risk, talk to your health care provider about being tested for diabetes.”

The disease affects all races and ethnic groups, but African-Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders are more commonly affected. Other risk factors include having high blood pressure; having a family history of the disease; having diabetes during pregnancy; or having a baby that weighs more than nine pounds at birth. To obtain a copy of the Diabetes Risk Test or for more information about diabetes and Alert Day ideas (English or Spanish), go to the American Diabetes Association Web site

www.diabetes.org/alert

or call 1-800-DIABETES (1-800-342-2383).

For more diabetes-related information, call the Kentucky Diabetes Prevention and Control Program at [phone] or visit its Web site at:

chfs.ky.gov/dph/mch/cd/diabetes.htm

or the National Diabetes Education Program site at:

www.ndep.nih.gov

or contact Leber at [phone].

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Public Health Asks for Input
Maternal and Child Health Programs


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH), in collaboration with local health departments, will host 11 Maternal and Child Health community forums to gather input from state and local government, education, health care, private industry and other interested individuals. Participants will discuss the economic and societal impact of health, including the oral, physical and mental health of mothers and children. Health officials are seeking input on local initiatives, gaps and ways that local communities can partner with government and the private sector to implement strategies to increase the health status of mothers and children.

"Our maternal and child health programs are a vital piece of our health care infrastructure and have helped countless mothers and children," said DPH Commissioner William Hacker, M.D. "We are asking communities to help us shape the future of these programs, whether it’s identifying areas that need focus or simply tweaking already existing programs. Your input is valued and an integral piece to improving Kentucky’s health status."

People interested in attending a forum may register at:

apps.chfs.ky.gov/GenRegistration/ClassConf.aspx?AGY=6

The statewide events will take place at the following times and locations:

• Louisville: 5:30 to 8 p.m., Tuesday, March 24, Hotel Louisville Downtown

• Maysville: 4:30 to 7:30 p.m., Thursday, March 26, Mason County Health Department

• Elizabethtown: 1 to 4 p.m., Monday, April 6, Lincoln Trail District Health Department

• Somerset: 1 to 4 p.m., Wednesday, April 8, Lake Cumberland District Health Department

• Lexington: 1:30 to 4:30 p.m., Thursday, April 30, Northeast Christian Church

• Hazard: 9 a.m. to noon, Tuesday, May 5, Primary Care Centers of Eastern Kentucky

• Burlington: 1 to 4 p.m., Thursday, May 7, Boone County Main Library

• Paducah: 9 a.m. to noon, Monday, May 11, Luther F. Carson Four Rivers Center

• Ashland: 1 to 4 p.m., Thursday, May 14, First Christian Church

• Owensboro: 9 a.m. to noon, Tuesday, May 19, River Park Center

• Bowling Green: 9 a.m. to noon, Thursday, May 21, First Christian Church

Every five years, state health departments must conduct a statewide needs assessment to include in their Maternal and Child Health Services Title V Block Grant Applications. A goal of the assessment is to strengthen partnerships and collaborative efforts at federal, state and local levels. DPH will use the information gathered to determine what health issues are important throughout the state and set priorities for program activities.

For more information or if sign language interpreter services will be needed, should contact the Division of Maternal and Child Health at [phone].

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Public Health Promotes Tobacco Quit Line to Potential Quitters
Upcoming Tax Increases Could Encourage More People to Kick the Habit


Dr. William D. Hacker

In light of tax increases on the purchase of tobacco products, the Kentucky Department for Public Health (DPH) is offering assistance to the many Kentuckians who may be considering quitting smoking or smokeless tobacco. The Kentucky Tobacco Quit Line, 1-800-QUIT NOW, is a public health service that helps residents of the state who are trying to quit smoking. The free service provides ongoing counseling to those working through the quitting process and houses information on other quitting resources, such as the Cooper/Clayton Method to Stop Smoking offered through local health departments.

“With the cost of cigarettes increasing, we anticipate that large numbers of people will attempt to quit smoking,” said DPH Commissioner William Hacker, M.D. “The Kentucky Tobacco Quit Line is a wonderful, free resource that offers counseling and support for anyone interested in or trying to quit. I strongly encourage Kentuckians to use this free and highly effective resource.”

The federal government recently passed legislation to more than double the federal cigarette tax to pay for an expansion of health insurance for poor children. The 62-cents per pack increase, which amounts to a total federal tax of $1.01, takes effect April 1. Similarly, Kentucky legislators voted to increase the state excise tax on cigarettes by 30 cents, bringing the state tax to 60 cents per pack. The state tax increase also takes effect April 1.

DPH projects the increased cost of cigarettes will have a dramatic impact on household budgets, estimating that a pack-a-day smoker will spend more than $1,380 on cigarettes in a year and a two pack-a-day smoker will spend almost $2,760.

“We anticipate the cost of tobacco will rise dramatically as not only the taxes increase, but also the tobacco industry adjusts its prices to make up for lost revenue as more people stop using tobacco products,” said Irene Centers, coordinator of Kentucky’s tobacco prevention and cessation program. “The time to quit is now. Every smoker deserves the emotional, practical and medical support they need to quit successfully. Kentucky’s Tobacco Quit Line helps provide that support.”

The Quit Line provides each caller access to a trained cessation specialist who will work with the caller to help him or her quit and avoid things that lead back to tobacco. After the initial call, smokers may receive up to five scheduled call backs from their counselor. For smokers considering quitting, the Quit Line staff will provide information about tobacco use and treatment options. Counselors will provide state and local resources to callers as another option for tobacco cessation. Parental consent is required for callers under 18.

Kentucky’s Tobacco Quit Line is available statewide, Monday through Friday from 9 a.m. to 9 p.m. EST. After regular hours, callers can leave a message, and their call will be returned. The Quit Line (1-800-QUIT NOW) services are available in English and Spanish. For individuals who are deaf or hard of hearing, TDY/TDD is available at [phone].

Counselors will request brief demographic information from callers such as age, smoking history and zip code; however, all calls are confidential. There is no limit in the number of times someone can participate in the Quit Line counseling program. Tobacco users who may have contacted the Quit Line previously then returned to smoking are encouraged to try again.

If employers want to help their employees quit, information is available through the Quit Line and local health departments. Group sessions and cessation materials can be made available at the worksite.

Tobacco use remains the leading cause of preventable disease and death in the United States as well as Kentucky. At present, Kentucky’s smoking rate, at 28.2 percent, is dramatically higher than the national average of 19.8 percent, and nearly 8,000 Kentuckians die prematurely each year of tobacco use. Smoking is a major risk factor for the four leading causes of death - heart disease, cancer, stroke and chronic pulmonary disease.

According to the 2008 U.S. Surgeon General’s Report on the Health Consequences of Smoking, smoking harms virtually every organ in the body. In addition to lung cancer, heart attacks and stroke, cigarette smoking has been found to cause coronary heart disease, ulcers, and cancers of the mouth, throat, esophagus, bladder, kidney and pancreas.

For more information about the Quit Line, contact Jan Beauchamp at [e-mail] or [phone], ext. 3817.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Average Diet is too High in Sodium
Public Health Advises Heart Healthy Diet


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) is reaching out to the public and health care providers to educate more people about the dangers of consuming too much sodium, particularly among those at risk for or currently struggling with high blood pressure.

A new study from the Centers for Disease Control and Prevention (CDC) shows that more than 2 out of 3 adults fall into a risk group recommended for lower sodium intake. These groups include people who have been diagnosed with high blood pressure, African-Americans, middle-aged people and older adults. Yet, the study found, in 2005-06, the estimated average sodium intake among Americans was 3,436 mg a day – more than double the recommended amount for most people.

“Studies have shown that a diet high in sodium content can contribute to high blood pressure,” said William Hacker, M.D., DPH commissioner. “By lowering the sodium content in our diets, we can possibly control blood pressure and reduce the risk of developing heart disease. This is yet another example of how nutrition and lifestyle choices can contribute to overall well-being.”

The Dietary Guidelines for Americans 2005 recommends that adults, in general, should consume less than 2,300 mg of sodium per day (about one teasthingy). People considered at risk for hypertension should consume no more than 1,500 mg per day. A diet high in sodium increases the risk of having high blood pressure, also known as hypertension. According to DPH, hypertension is a major cause of heart disease and stroke, diseases that claimed the lives of 13,879 Kentuckians in 2005.

“Hypertension is a significant risk factor for all forms of atherosclerotic vascular disease (hardening of the arteries), and increased salt intake contributes to high blood pressure. The mere presence of atherosclerotic vascular disease places a patient in jeopardy for premature death or major disability,” said Patrick Withrow, M.D., a Paducah cardiologist and member of the Lieutenant Governor’s Task Force on Cardiovascular Health. “Often, people are hesitant to scale back on their salt intake due to the impact on the taste of food. I’ve found, with many of my patients, if they are willing to make the change to low salt, their personal tastes often change within two months.”

“Reducing the amount of salt in a person’s diet is recommended for anyone with high blood pressure and is our first line of defense in treating people who are considered to fall into the category of prehypertension,” said Hacker. “We strongly urge that the health care community discuss sodium consumption with patients, particularly those who fall into high risk groups.”

Choosing foods like fresh fruits and vegetables, requesting that restaurants prepare foods without added salt, and reading the nutrition label of foods before purchasing them can improve health for all adults. For more informatSion on sodium intake and other components of a heart healthy diet, contact DPH at [phone] or visit the department’s Web site at:

chfs.ky.gov/dph/info/dpqi/cd/default.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Kentucky Asks Health Care Providers to Be Alert for Possible Swine Flu Cases
Public Health Requests Share of Federal Medical Supplies as Precaution


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) is asking health care providers and public health officials to be on the alert for potential cases of swine flu in Kentucky.

“We are closely monitoring developments involving swine flu cases in the United States, Mexico and abroad,” said Public Health Commissioner William Hacker, M.D. “We continue to provide information to health care providers and other stakeholders about this evolving situation, and are preparing for a wider response should that become necessary.”

While no cases have yet been identified in Kentucky, DPH is asking that physicians, hospitals, public health workers and other health care providers submit samples from any patient testing positive for influenza A or that a health care provider strongly suspects might be infected with swine flu to the State Public Health Laboratory for further testing. The State Public Health Laboratory can determine if the illness is caused by human influenza. Samples that require further evaluation will then be sent to the Centers for Disease Control and Prevention, which has the capability to determine whether a patient is infected with the new strain of swine flu.

Over the weekend, the federal government declared a state of public health emergency to allow federal, state and local governments to prepare for the need for additional response efforts. As part of that declaration, states may request 25 percent of allotted supplies and countermeasures for pandemic influenza, such as antiviral drugs and masks, held by the Strategic National Stockpile. Kentucky has asked for these supplies to be delivered to the state as a precautionary measure, and has been informed they should arrive within approximately one week.

“Kentucky’s public health officials and medical community have been preparing for widespread cases of a new strain of influenza, often referred to as pandemic flu, for several years,” said Gov. Steve Beshear. “That preparation is allowing us to quickly coordinate the appropriate response to protect Kentuckians.”

DPH also asks that Kentuckians who may have traveled recently to Mexico or affected areas, or who are planning such travel, be alert for the symptoms of swine flu in the following ways:

• Monitor yourself and travel companions for symptoms of fever, chills, headache, sore throat, cough, body aches, and vomiting or diarrhea.

• If symptoms of influenza-like illness develop within seven days of travel return, seek evaluation by a health care provider as soon as possible.

• Be sure to tell your health care provider about your recent travel and suggest testing for influenza.

• Stay home from work, school and other public places until you are feeling well.

As always, DPH reminds individuals to take common sense precautions to prevent illness, including: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing.

Currently, there are approximately 40 confirmed cases of swine flu in the U.S., a number that is expected to grow. The World Health Organization and CDC have reported numerous human cases of a severe respiratory illness in at least three different regions of Mexico. The number of cases has risen steadily since the beginning of April 2009. Laboratory testing of patient specimens has confirmed infections with swine influenza ("swine flu") A/H1N1 virus. This is a newly emerging, animal-origin virus that is now being spread from an infected person to another person. For more information on swine flu and updated case counts, visit:

cdc.gov/swineflu

healthalerts.ky.gov

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Public Health Reports Probable H1N1 Swine Flu Case in Fayette County Resident
Specimen Has Been Sent to CDC for Further Testing


Dr. William D. Hacker

Health officials and Lexington Mayor Jim Newberry announced Friday that the Kentucky Department for Public Health (DPH) will report Kentucky's second probable case of H1N1 (swine flu), involving a Fayette County man, to the Centers for Disease Control and Prevention (CDC).

"Although we have not identified many probable or confirmed cases to date, we remain concerned about how widespread H1N1 might become," said William Hacker, M.D., commissioner of DPH. "At this time, we continue to recommend that individuals stay aware of new developments related to swine flu and focus on practicing good health habits.”

Lexington-Fayette County Health Department Commissioner of Health Melinda Rowe, M.D. reports that the new probable case in Fayette County involves a man with a history of recent travel to another state by car. The man has not been hospitalized. Health officials from the Lexington-Fayette County Health Department are investigating the case, and will evaluate close contacts for illness and possible preventive treatment.

Yesterday, DPH reported Kentucky’s first cases of swine flu, a confirmed case involving a Warren County woman who is hospitalized in Georgia and a probable case involving an infant in the Barren River Health District. Results from CDC on the sample for the infant are not yet available.

Kentucky health officials continue to ask that Kentuckians who have traveled recently to Mexico or other countries or communities within the U.S. where the new H1N1 influenza strain known as swine flu has been reported, or who are planning such travel, be alert for the symptoms of swine flu in the following ways:

• Monitor yourself and travel companions for symptoms of fever, chills, headache, sore throat, cough, body aches, and vomiting or diarrhea.

• If symptoms of illness develop within seven days of travel return, seek evaluation by a health care provider as soon as possible.

• Be sure to tell your health care provider about your recent travel and suggest testing for influenza.

• Stay home from work, school and other public places until you are feeling well.

People who have been in close contact with a person who has been diagnosed with swine flu or who reside in communities where there are one or more confirmed swine flu cases should also be alert for these symptoms.

"Like the rest of the nation, Kentucky is taking every precaution in responding to this new strain of H1N1," said Gov. Beshear. "Health officials are working to detect all possible cases of swine flu and respond with the appropriate preventive measures. Individuals should continue to monitor this situation as it develops and practice basic measures to stay healthy, such as hand washing and staying home when sick."

Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing.

Currently, there are more than 141 confirmed cases of swine flu reported in the U.S., a number that is expected to continue to grow. The World Health Organization and CDC have reported numerous human cases of a severe respiratory illness in at least three different regions of Mexico. The number of cases has risen steadily during April 2009. Laboratory testing of patient specimens has confirmed infections with swine influenza ("swine flu") A/H1N1 virus. This is a newly emerging, animal-origin virus that is now being spread from an infected person to another person.

For more information on swine flu, visit: cdc.gov/swineflu. Individuals can also visit healthalerts.ky.gov for information on swine flu and Kentucky, or follow KYHealthAlerts on Twitter to be notified when new information is posted at the Web site.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Public Health Reports Three More Probable H1N1 Swine Flu Cases


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) announced Friday it will report three more probable cases of H1N1 (swine flu), involving a young adult male and young child from Louisville and a young adult female from Kenton County, to the Centers for Disease Control and Prevention (CDC).

"We remain concerned about the spread of H1N1 and continue to keep the public updated on recent developments in Kentucky," said William Hacker, M.D., commissioner of DPH. "At this time, we continue to advise residents of the state to practice good health habits, including frequent hand washing and staying home from work or school if you’re sick.”

The Louisville Metro and Northern Kentucky health departments are investigating the cases, and will evaluate close contacts for illness and possible preventive treatment. Neither of the recently reported adult probable cases is hospitalized. Details about the child’s status were not immediately available.

At this time, three confirmed cases of H1N1 and five probable cases are reported in Kentucky. CDC notified DPH Thursday that a third case of H1N1 swine flu had been confirmed in a man from Fayette County. The state has two previously confirmed cases, involving residents of Daviess and Warren counties.

Specimens from Kentucky's remaining probable cases are pending at CDC. No new confirmed cases are being reported today.

Kentucky health officials continue to ask that Kentuckians who have traveled recently to Mexico or other countries or communities within the U.S. where the new H1N1 influenza strain known as swine flu has been reported, or who are planning such travel, be alert for the symptoms of swine flu in the following ways:

• Monitor yourself and travel companions for symptoms of fever, chills, headache, sore throat, cough, body aches, and vomiting or diarrhea.

• If symptoms of illness develop within seven days of travel return, seek evaluation by a health care provider as soon as possible.

• Be sure to tell your health care provider about your recent travel and suggest testing for influenza.

• Stay home from work, school and other public places until you are feeling well.

People who have been in close contact with a person who has been diagnosed with swine flu or who reside in communities where there are one or more confirmed swine flu cases should also be alert for these symptoms. Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing.

Currently, there are more than 1,639 confirmed cases and 849 probable cases of swine flu reported in the U.S., a number that is expected to continue to grow. The World Health Organization and CDC have reported numerous human cases of a severe respiratory illness in at least three different regions of Mexico. The number of cases has risen steadily during April 2009. Laboratory testing of patient specimens has confirmed infections with swine influenza ("swine flu") A/H1N1 virus. This is a newly emerging, animal-origin virus that is now being spread from an infected person to another person. For more information on swine flu, visit:

cdc.gov/swineflu

Individuals can also visit:

healthalerts.ky.gov

for information on swine flu and Kentucky, or follow KYHealthAlerts on Twitter to be notified when new information is posted at the Web site.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Coalition Formed to Help Prevent Falls among Seniors
Simple Measures Can Reduce Risk of Falls


Dr. William D. Hacker

Falls in the home are a significant and under-recognized health issue for older Kentuckians, causing many life-threatening injuries each year among the state’s senior citizens.

To further address the seriousness of falls, the Kentucky Injury Prevention and Research Center (KIPRC) organized the Safe Aging Coalition along with several agencies and organizations, including the Kentucky Department for Public Health (DPH), the University of Kentucky College of Public Health, the Kentucky Department for Community Based Services (DCBS), the Kentucky Department for Aging and Independent Living (DAIL), the American Association for Retired Persons (AARP), Cardinal Hill Rehabilitation Hospital and Hospice of the Bluegrass. The purpose of the coalition is to form a more comprehensive and collaborative approach to keeping seniors healthy and independent by identifying and reducing risk factors for falling. The coalition also urges residents of the commonwealth to be mindful of potential injuries and take steps to prevent them.

“Injury prevention is extremely important at all stages of life,” said DPH Commissioner William D. Hacker, M.D. “For many older Kentuckians, certain types of injuries can be life threatening. Often, these are injuries that could have been prevented by taking simple, precautionary measures to avoid falls.”

“We know elderly people who have osteoporosis or arthritis are more at-risk of severe complications for a fall,” said DAIL Commissioner Deborah Anderson. “We want to let our residents know that there are steps that can be taken to reduce these risks.”
Nationally, falls are the leading cause of injury-related deaths among older adults. According to the Centers for Disease Control and Prevention (CDC), one in three Americans age 65 and older experiences a fall each year.

According to KIPRC, in Kentucky, only one in seven older adults hospitalized due to a fall was routinely discharged home from the hospital, compared to two-thirds of patients under 65. Similarly, patients 65 and older were six times more likely than younger patients to be discharged from the hospital into a nursing home for intermediate or long-term care.

“For older adults, lowering the risk of falling is essential to preserve health and independence," said Julia Costich, director of KIPRC and chair and associate professor, Department of Health Management, UK College of Public Health. "Simple steps can lead to a safer environment and greater self-confidence.”

To prevent falls, older Kentuckians should adhere to the following guidelines:

• Exercise regularly to increase strength and improve balance.

• Ask a physician to review medications to reduce the risk of harmful side effects.

• Have a vision check at least once a year.

• Improve lighting in the home.

• Reduce hazards in the home that can lead to falls.

“These simple precautions can make all the difference when it comes to staying safe, healthy and independent,” said Hacker.

For data on falls specific to your county, visit:

www.kspan.uky.edu/data.htm

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Tetanus Vaccine Available for Injured Flood Victims
Knowledge of Vaccine History is Extremely Important


Dr. William D. Hacker

Due to flooding in areas of Eastern Kentucky and subsequent cleanup work that has exposed people to potential health hazards, the Kentucky Department for Public Health (DPH) wants flood victims to be aware they may need a tetanus vaccine.

Four combination vaccines are used to prevent diphtheria, tetanus and pertussis: DTaP, Tdap, DT, and Td. Two of these (DTaP and DT) are given to children younger than 7 years of age, and two (Tdap and Td) are given to older children and adults. The adult booster is available through local health departments and most private health care providers.

“While everyone in flooded areas does not need a tetanus booster, those with exposed wounds who have contact with flood waters should seek medical attention for an evaluation,” said William Hacker, M.D., DPH commissioner. “If you fall into this category and it has been more than five years since your last tetanus booster, call your local health department or health care provider. If you don’t know your vaccine history, it is extremely important you find out when your last tetanus booster was received before getting another one.”

DPH stresses that just being exposed to flood waters does not mean you should get a tetanus vaccination. However, those who have exposed wounds (nail punctures, cuts, etc.) and have been in flood waters should be evaluated by their health care provider if it has been more than five years since their last tetanus vaccination. Tetanus is a disease of the nervous system caused by bacteria that enter the body through a break in the skin. Early symptoms include lockjaw, stiffness in the neck and abdomen and difficulty swallowing, followed by severe muscle spasms, seizure, and severe autonomic nervous system disorders. The disease can be deadly, particularly among elderly people.

“After a flood, numerous health and hygiene issues abound,” said Hacker. “Always remember simple public health practices, such as the importance of washing your hands with soap and clean, running water, especially before work breaks, meal breaks, and at the end of the work shift. Assume that waters in flooded and surrounded areas are not safe unless local or state authorities have declared them to be.”

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

DPH Releases 2008 Health Behavior and Chronic Diseases Survey Findings


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) today announced the release of the state’s 2008 Behavioral Risk Factor Surveillance Systems (BRFSS) data, a national survey conducted in all states now considered the world’s largest, ongoing telephone health survey system. Among other things, the survey found that in 2008 vast numbers of Kentuckians continue to categorize themselves as unhealthy and leading unhealthy lifestyles. The BRFSS, which is conducted by the Division of Prevention and Quality Improvement in DPH, looks at numerous health indicators, such as diet and physical activity, to determine the health and lifestyle habits of Kentuckians.

“The BRFSS is a wonderful tool that allows us to paint a portrait of our state’s health status,” said William Hacker, M.D., DPH commissioner. “Each year, we use information from this survey to learn more about health risk behaviors, shape recommendations for preventive health practices, and determine to what extent Kentuckians have access to care, particularly for chronic diseases like diabetes and heart disease.”

The BRFSS program tracks health conditions and risk behaviors of adults 18 and older in the U.S. The Centers for Disease Control and Prevention (CDC) established the survey in 1984. The Kentucky BRFSS is the main source of non-reportable disease data in Kentucky broken down by demographics like gender, race, age group, income levels, education status and geographic areas like Area Development Districts.

In 2008, Kentucky adults 18 years and older reported a 20.3 percent prevalence of fair or poor general health. In general, residents of Kentucky’s Appalachian counties reported higher rates of poor health and chronic diseases than those in non-Appalachian counties. In addition, Kentuckians with a high school degree or less and those with lower income levels reported higher rates of poor health and chronic diseases.

In terms of health care access, the BRFSS data found that 14.4 percent of Kentuckians 18 years and older reported lack of health care coverage in 2008. Lack of health care access is highest among residents of Appalachia with 20 percent prevalence, men with 15.3 percent prevalence, and those ages 18-24 with 29.8 percent prevalence. Furthermore, those with less than a high school education and those earning less than $15,000 per year reported 25.6 percent and 30.8 percent prevalence of lack of health care coverage respectively. Here’s a look at some other findings from the survey:

• 30.4 percent of Kentucky adults reported that they did not participate in any physical activities or exercise such as running, golf, gardening or walking for exercise other than their regular jobs.

• 9.6 percent of Kentuckians reported that they had been told by a doctor that they currently had asthma.

• 66.8 percent of Kentuckians are overweight or obese (have a Body Mass Index of 25 or greater).

• 30.2 percent of Kentuckians are obese (have a Body Mass Index of 30.0 or greater).

• Kentucky adults reported some of the highest prevalence of chronic diseases in the nation, such as diabetes, stroke and heart disease.

• 9.8 percent of Kentucky adults reported being told by a doctor that they had diabetes (not including women who were told they had diabetes when they were pregnant).

• 5.8 percent of Kentuckians reported that they had been told by a doctor that they had coronary heart disease.

• 5.4 percent of Kentuckians reported that they had been told by a doctor that they had suffered a heart attack.

• 3.5 percent of Kentuckians reported being told by a doctor that they had suffered a stroke.

• 25.2 percent of Kentuckians reported having smoked at least 100 cigarettes in their entire lifetime and now smoke some days or every day.

The BRFSS data contains more health indicators in addition to those listed in this report. To make an inquiry or request data or datasets please send a request to either Tracey Sparks, program coordinator, at [e-mail], or Yvonne Konnor, epidemiologist, at [e-mail], or call [phone].

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

H1N1 Update: New Confirmed Cases Reported to CDC
Cases Include Cluster Involving Madison County Community Living Residents


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) has confirmed and reported several new cases of H1N1 swine flu involving residents from Madison, Jefferson and Scott counties, including a cluster of associated cases in Madison County. Kentucky has now reported 20 confirmed cases of H1N1.

"We are continuing to monitor the spread of this new strain of H1N1 around the state, and to respond with the appropriate preventive measures," said William Hacker, M.D., commissioner of DPH. "We continue to advise Kentuckians to practice good health habits, including frequent hand washing and staying home from work or school when sick.”

Currently, the State Public Health Lab has confirmed one case in an individual who resides in a Supports for Community Living (SCL) residence in Madison County. Illness suspected to be H1N1 has also been identified in approximately 20 other individuals who live in residential settings owned by the same provider and in several staff members. The Madison County Health Department and the SCL are working in close collaboration with DPH to prevent the further spread of illness through voluntary isolation and quarantine of individuals who are ill or have close contact with others who are ill for seven days or until one day after symptoms resolve, whichever comes sooner. All group activities have also been canceled by the provider.

"State and local health officials are working closely with the SCL provider, who has been extremely cooperative in responding quickly to limit this outbreak of illness," said Dr. Hacker. "It is not unexpected that we would begin to see associated cases develop as this illness spreads and becomes more common, as many other states have already experienced."

In addition, the State Public Health Lab also confirmed new cases in Scott County (1) and Jefferson County (3). A listing of all reported cases by county can be found at:

healthalerts.ky.gov

Kentucky health officials continue to ask that Kentuckians be alert for the symptoms such as fever, chills, headache, sore throat, cough, body aches, and vomiting or diarrhea. Individuals should seek evaluation by a health care provider if necessary and stay home from work, school and other public places until feeling well. People who have been in close contact with a person who has been diagnosed with swine flu or who reside in communities where there are one or more confirmed swine flu cases should also be alert for these symptoms. Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing. For more information on swine flu, visit:

cdc.gov/h1n1flu

Individuals can also visit healthalerts.ky.gov for information on swine flu and Kentucky, or follow KYHealthAlerts on Twitter to be notified when new information is posted at the Web site. An updated listing of cases by county will also be available at the Health Alerts Web site.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Kentucky Department for Public Health Launches Swine Flu Hotline
Hotline staff, Web site will help Kentuckians find information


Dr. William D. Hacker

The Kentucky Department for Public Health (DPH) encourages Kentuckians to call a new toll-free hotline with their questions related to 2009 H1N1 influenza (swine flu) and seasonal flu for the latest news and information about flu. The toll-free hotline number is 1(877)843-7727, and it will operate from 8 a.m.-10 p.m. daily. Information on the H1N1 virus is also readily available by visiting the redesigned Health Alerts Web site at:

healthalerts.ky.gov

"We want Kentuckians to be able to access the most current and accurate information related to the ongoing 2009 H1N1 flu situation," said Gov. Steve Beshear. "Particularly now that vaccine is beginning to become available, we know that citizens will have questions about whether the H1N1 flu vaccine is right for them and when they might be able to receive it. The hotline and Health Alert Web site will provide easier access to the information they need."

The flu hotline will be staffed by nurses and administered by Kosair Children’s Hospital, a part of Norton Healthcare, through a contract with DPH funded by a federal grant award related to H1N1 activities. Kosair Children’s Hospital also operates the state's Regional Poison Center hotline. The flu hotline will be active through at least the end of December.

“As an advocate for children and families across the state, we are committed to ensuring that the public has access to the most accurate, up-to-date information about health issues, including H1N1influenza,” said Thomas D. Kmetz, president of Kosair Children’s Hospital and pediatric services at Norton Healthcare. “We are pleased to be able to partner with the state to help people get their questions and concerns about H1N1 answered.”

The Health Alerts Web site has also been relaunched in an easy-to-navigate format, and will be updated daily with new information about swine flu, seasonal flu and flu vaccines, as well as any other breaking health news. It includes resources for families and individuals, health care professionals, schools and day cares, other community organizations and business owners. It also provides information for the media.

Kentucky was eligible to begin ordering 24,300 doses of nasal spray H1N1 vaccine last week, and expects shipments to begin arriving this week. The nasal spray vaccine can be taken by healthy individuals ages 2-49. The first doses will be targeted mainly at health care workers under age 40 who are healthy, with broader availability as supplies increase. The H1N1 flu shot vaccine is expected to be available mid- to late October, with vaccine clinics for the public likely to be scheduled in early November.

The symptoms of both seasonal and H1N1 influenza include fever, chills, headache, sore throat, cough, body aches, and may include vomiting or diarrhea. Individuals at higher risk for complications—such as those with chronic health conditions or who are pregnant—should contact a health care provider early, in case treatment with antiviral medication is necessary.

Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing. For more information on seasonal and swine flu, visit:

healthalerts.ky.gov

or follow KYHealthAlerts on Twitter.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Department for Public Health Expects More Seasonal Flu Vaccine
Some Areas Experiencing Temporary Shortages


Dr. William D. Hacker

Kentucky Department for Public Health officials expect plenty of seasonal influenza vaccine to be available over the months ahead, but have received reports of temporary shortages in some areas due to early, increased demand.

"We encouraged individuals not to delay getting their annual seasonal flu shots this year, with vaccine arriving earlier than usual in many places around the state," said William Hacker, M.D., commissioner of DPH. "What we're experiencing now are some spot shortages due to increased uptake earlier than normal, but at this time we expect those to be temporary. Flu vaccine manufacturers typically keep shipping vaccine into November and December—or even later—and the federal government says an adequate supply of seasonal flu vaccine will ultimately be available this year. At this point, we are not yet seeing the seasonal type of flu circulating, so there is still plenty of time for Kentuckians to get their flu shots and be protected."

The increased demand for the seasonal flu shot is thought to be tied to increased awareness about the flu season due to widespread activity of 2009 H1N1 influenza (swine flu). The nasal vaccine against the 2009 H1N1 influenza strain began arriving this week in Kentucky in limited quantities, and will be initially targeted primarily to health care workers. The H1N1 shot vaccine should be available later this month, with H1N1 vaccination clinics and greater availability for the general public likely to begin in early November. Vaccination against 2009 H1N1 influenza does not protect against seasonal influenza.

Seasonal flu vaccine is highly recommended for: children age 6 months to 19 years old; pregnant women; people 50 years old or older; people of any age with chronic health problems; people who live in nursing homes and other long-term care facilities; health care workers; caregivers of or people who live with a person at high risk for complications from the flu; and out-of-home caregivers of or people who live with children less than 6 months old.

Individuals may also want to talk to their health care provider about whether they should receive the pneumococcal vaccine. This vaccine protects against pneumococcal pneumonia, a relatively common complication of the flu, and there are no current shortages of it. The Centers for Disease Control and Prevention's Committee on Immunization Practices (ACIP) now recommends this vaccine for all people 65 years and older and for persons 2 to 64 years of age with certain high-risk conditions. A single revaccination at least five years after initial vaccination is recommended for people 65 years and older who were first vaccinated before age 65 years as well as for people at highest risk, such as those who have no spleen, and those who have HIV infection, AIDS or malignancy. Visit:

healthalerts.ky.gov

for information on seasonal flu and 2009 H1N1 flu in Kentucky, or follow KYHealthAlerts on Twitter. Kentucky's toll-free influenza hotline number is 1(877)843-7727, and operates from 8 a.m.-10 p.m. daily.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Two Additional H1N1-related Deaths Reported


Dr. William D. Hacker

Kentucky Department for Public Health (DPH) officials provided an update today on H1N1 (swine flu) activity in the state, including the reporting of two additional H1N1-related deaths.

The deaths involved a woman in her 80s from Knox County with significant underlying health issues who died in September, and a man in his 40s from the Kentucky State Reformatory in Oldham County who was being treated off-site. The state now has 10 recognized H1N1-associated deaths.

"It is always a tragedy when we lose any Kentuckian to illness," said DPH Commissioner William Hacker, M.D.. "We know that seven of the 10 individuals we have lost in Kentucky are in target groups for the H1N1 vaccine. People in these groups are at higher risk for complications from the swine flu and should get the H1N1 vaccine as soon as it is available in their community. While we don't yet have as much of the swine flu vaccine on hand as we would like, we know more will arrive in the coming weeks."

Kentucky has been allocated 177,400 doses of the swine flu vaccine so far, with more than 138,000 doses of that having shipped to health departments and health care providers in the state.

"Kentucky continues to experience widespread flu activity at the moment. I'd like to remind everyone that your mother's advice—washing your hands, covering your cough and staying home when sick—is very effective at preventing the spread of flu," said Dr. Hacker. "The flu vaccine is also one of the most effective tools we have against influenza, and while there are a few clinics already taking place in the state, we hope to begin immunizing more Kentuckians in the weeks ahead. We ask that people find out if they or their family members are in a target group for the H1N1 vaccine, and that we all let those higher-risk individuals get vaccinated first."

The state's allotment of vaccine so far has been about half nasal spray vaccine, which can only be taken by healthy individuals ages 2-49, with the rest in the form of the H1N1 flu shot vaccine. The target groups that health officials are recommending receive vaccine first are:

- pregnant women;

- people who live with or care for children younger than 6 months old;

- health care and emergency medical services workers;

- children and young adults 6 months to 24 years old, especially those with chronic health problems; and

- people 25 to 64 years old with chronic health problems.

People over the age of 65 appear to be at lower risk of catching the swine flu, and should receive the vaccine once those in the target groups have received it.

The preceding was a press release from Clay County native and current Commissioner, Kentucky Department for Public Health, William D. Hacker.

[Kentucky News]

Health and Family Services Cabinet
Safe Kids Launches Awareness Campaign to Reduce Child Deaths from Heat Stroke


Dr. William D. Hacker

Kentucky Department for Public Health Commissioner William Hacker, M.D., joined representatives from Safe Kids and other advocates at the Capitol today to unveil the elements of a national education and awareness campaign to help reduce child vehicular deaths caused by heat stroke. The event comes on the heels of a weekend tragedy in Louisville in which a 2-year-old died after being left in a hot car.

According to Safe Kids, two additional child vehicular deaths (in Texas and Louisiana) have already occurred in 2011. Last year, the worst year on record, 49 children in the U.S. died from heat stroke while unattended in vehicles. From 1998-2010, at least 494 deaths are known to have occurred nationally. In Kentucky, there have been 13 deaths attributed to vehicular hyperthermia during the same time period and one death every year since 2004.

“The tragedy in Louisville illustrates the continued need for awareness and action on this issue. We want our citizens to understand the dangers of extremely hot cars and not to leave children in vehicles,” said Hacker. “Not only is this an issue of caretaker neglect, but we must advocate against leaving children unattended in vehicles – particularly in warmer months when cars can heat up quickly – as a means of ensuring the child’s health and well-being.”

The Safe Kids USA network is composed of 600 coalitions and chapters around the country, including in Kentucky. The “Never Leave Your Child Alone in a Car” program will unite and mobilize a wide range of partners – police and fire, hospitals, government agencies, child care centers, businesses and others – to share with parents and other caregivers prevention messages to address the dangers to children in vehicles. The program will include an advertising campaign of billboards, print ads, web banners and radio announcements as well as tip sheets. The materials will be available in both English and Spanish.

“The loss of a child due to hyperthermia is a horrific tragedy that, sadly, we are seeing every year in this state,” said Dr. Susan Pollack, M.D., pediatrician and coordinator for Kentucky’s State Safe Kids Coalition. “We are working to raise awareness of the fact that children should never be left unattended in a vehicle. Parents and caregivers need to take steps to ensure that children cannot gain entrance to vehicles on their own by locking their cars and teaching children never to play in vehicles. It’s also important to realize that more than half the deaths occur when everyday working people have a change in morning routine, so the prevention tips that follow are important to put in place. If your child is missing, checking the vehicle first may save a life.”

Several measures are recommended to prevent these types of deaths from occurring. As part of the national campaign, Safe Kids is recommending:

* Create reminders. More than half of child heat stroke deaths occur because parents and caregivers become distracted and exit their vehicle without their child. To help prevent these tragedies parents can:

*Place a cell phone, PDA, purse, briefcase, gym bag or something that is needed at your next stop on the floor in front of a child in a backseat. This will help you see your child when you open the rear door and reach for your belongings.

* Set the alarm on your cell phone as a reminder to you to drop your child off at day care.

* Set your computer calendar program to ask, “Did you drop off at day care today?” Establish a plan with your day care that if your child fails to arrive within an agreed upon time, you will be called. Be especially mindful of your child if you change your routine for day care.

* Don’t underestimate the risk. The inside of vehicles can quickly heat up, even on relatively cool days, so you should never leave your child alone in a car. Don’t underestimate the risks and leave them even “just for a minute.”

* Lock cars and trucks. Thirty percent of the recorded heat stroke deaths in the U.S. occur because a child was playing in an unattended vehicle. These deaths can be prevented by simply locking the vehicle doors to help assure that kids don’t enter the vehicles and become trapped.

* Immediately dial 911 if you see an unattended child in a car. EMS professionals are trained to determine if a child is in trouble. The body temperature of children rises three to five times faster than adults. As a result, children are much more vulnerable to heat stroke. Check vehicles and trunks first if a child is missing.

For more information on preventing child heat stroke deaths, please visit:

www.ggweather.com/heat and www.safekids.org/nlyca.

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The preceding was a press release from....

[Kentucky News]

Health and Family Services Cabinet

Remember to Follow Public Health Guidelines on Memorial Day


Dr. William D. Hacker

For many, Memorial Day represents the unofficial beginning of summer, marking the onset of barbecues, parties and water sports. With that in mind, the Kentucky Department for Public Health (DPH) reminds the public to continue to follow guidelines for food, outdoor and water safety.

“Activities like grilling, spending time outdoors and swimming are wonderful ways to celebrate the holiday and the onset of warm weather, but it’s important to practice a few standard rules of public health,” said DPH Commissioner Dr. William Hacker. “Practicing food safety while preparing and storing food will prevent harmful bacteria from multiplying and causing foodborne illness. The same goes for the pool and spending time outdoors – take necessary steps to eliminate unhealthy conditions from the water, sun exposure and mosquitoes.”

Food Safety

Here are some food safety tips from the DPH Food Safety Branch:

Wash your hands before and after handling food. Be sure all utensils and plates are clean.

Use the refrigerator for thawing or thaw food under cool running water. You may also use the microwave for thawing, but food should be immediately grilled when thawed. Always marinate meats in the refrigerator.

Use a meat thermometer to check for the following internal meat temperatures:

o Poultry - 165 degrees Fahrenheit
o Red meat - 160 degrees F
o Pork - 160 degrees F
o Fish - 160 degrees F

Refrigerate meat and poultry until ready for use. After cooking meat and poultry on the grill, keep it at 135 degrees F or warmer. To properly judge the temperature of meat, use a meat thermometer.

Place leftovers into shallow containers and promptly refrigerate.

Sun Safety

Overexposure to sunlight can lead to extreme pain and skin injury, particularly for young children. DPH stresses the importance of adults supervising and taking adequate precautions on behalf of children to protect them from serious sunburn.

In addition to immediate pain, overexposure to sunlight, sun damage and burns can heighten the risk for developing skin cancer. Some tips for avoiding sunburn or side effects linked to sun exposure are:

Avoid sunbathing.

Avoid tanning parlors.

Wear a hat that shields your face from the sun.

Limit your sun exposure. The sun is hottest and strongest between 10 a.m. and 3 p.m.

Use sunscreen with a sun protection factor of 15 or greater.

Wear sunglasses that are UV rated.

Choose cosmetics, moisturizing creams and lotions that contain sunscreen.

Protect your lips with products that have a sun protection factor of 15 or greater.

Water Safety

To avoid illness related to swimming or exposure to water (known as recreational water illnesses or RWIs), DPH advises that swimmers visit the Centers for Disease Control and Prevention’s website at:

www.cdc.gov/healthywater/swimming

A variety of illnesses fall under the RWI category, including gastrointestinal, skin, ear, respiratory, eye, neurologic and wound infections. The most commonly reported RWI is diarrhea. Diarrheal illnesses can be caused by germs such as Crypto (short for Cryptosporidium), Giardia, Shigella, norovirus and E. coli O157:H7.
Also remember to:

Check residential pool water by using test strips purchased at your local hardware or pool supply store.

Ask public pool operators about chlorine and other chemical levels and request information on the latest pool inspection score.

Encourage pool operators to follow procedures for killing the germs that cause RWIs.

In addition, swimmers are advised not to swallow pool water or swim when you have diarrhea. Practice good hygiene, including showering with soap before swimming and washing hands after using the toilet or changing diapers. Parents of young children should take them on bathroom breaks or check diapers often. Diapers should be changed in a bathroom or a diaper-changing area and not poolside. Children should be thoroughly washed with soap and water before swimming.

For more information, please contact your local health department’s environmental health professionals, or the department’s food safety branch at [phone], or environmental management branch at [phone].

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[Press Release]

Make Your Community Heart Safe
New Program Involves Communities to Improve Response to Cardiac Arrest
Health and Family Services Cabinet Press Release


Dr. William D. Hacker

The Kentucky Department for Public Health’s (DPH) Heart Disease and Stroke Prevention Program is working with communities to improve the chances that anyone suffering a sudden cardiac arrest will have the best possible chance for survival. DPH is collaborating with the Kentucky Board of Emergency Medical Services (KBEMS) and American Heart Association on the project.

Approximately 4,600 Kentucky residents die each year due to cardiac arrest that occurs out of the hospital, away from advanced medical assistance. Typically, these events happen in the presence of a family member or friend.

The HeartSafe Community program focuses on strengthening links within the community that contribute to the likelihood of survival of cardiac arrest.

“By taking action, you can help save a life in your community,” said Dr. William Hacker, DPH commissioner. “We are working directly with Kentucky communities to increase access to care, public awareness and the prevention of heart disease. By working together and developing a network of ‘heart safe’ communities across the state, we can improve the health and well-being of our fellow Kentuckians now – and years from now.”

To become a HeartSafe Community, applicants must review criteria for the program, complete an application, and mail or fax the application to DPH. The recognition is valid for a period of three years and is renewable through the application process.

“By becoming HeartSafe, communities are showing they are willing to go the extra mile to ensure the health and well-being of their citizens,” said Bonita Bobo, manager for the heart disease and stroke prevention program. “Not only does this project illustrate a commitment to health, but communities will reap the rewards of having healthier populations.”

“HeartSafe” communities provide a combination of factors viewed as preferable in the communities’ ability to recognize and respond to cardiac arrest. These factors include:

− Early access to emergency care in which bystanders recognize the symptoms of cardiac arrest and call 911 immediately.

− Early CPR, a simple, easily learned emergency procedure used when someone's breathing and heartbeat stop suddenly.

− Early defibrillation, the delivery of electric shock to restore the heart's normal rhythm.

− Early advanced care delivered by a response vehicle staffed by advanced life support personnel.

Communities must apply to be HeartSafe through the DPH Heart Disease and Stroke Prevention Program. Applications are available at:

chfs.ky.gov/dph/info/dpqi/cd/cardiovascular.htm

or by calling [phone].

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