Provider News Fall 2015

Articles:

Majority of sexually active adolescents not using effective contraceptive methods

Schizophrenia treatment - by Dr. Shepard Greene, MD

Studies show that parents still have sway over teenage drinking

In brief:

Free "Safe Prescribing" talk planned: Dr. Roneet Lev, an emergency room physician at Scripps San Diego and chair of the San Diego County Rx opiate task force, and Mike Small, head of California Department of Justice’s CURES Project, are coming to Redding. The pair will present a free "Safe Prescribing Talk" from 5:30 to 7:30 p.m. Dec. 3 in the Diestelhorst Room at Shasta Community Health Center, 1035 Placer St.

Syphilis on the rise: There has been a significant increase in reported syphilis cases locally. Please encourage your patients to get screened if they are sexually active, especially with multiple partners, or if they have had an STD diagnosis in the last year.

Personal medical exemptions to school-entry vaccines: For 2014-2015, there were only four children with Personal Medical Exemptions to school entry immunizations among students entering kindergarten in Shasta County, compared with 161 entering kindergartners with Personal Belief Exemptions on file (out of approximately 2,175 total kindergartners in Shasta County). True medical contraindications to required vaccines are very rare. For nearly every vaccine, severe allergic reaction (eg anaphylaxis) to a component of the vaccine is such a medical contraindication. A chart of contraindications and precautions is available at www.cdc.gov/vaccines/recs/vac-admin/
contraindications-vacc.htm.

Accreditation process: Shasta County Public Health recently began the process of becoming accredited. Currently, Public Health, healthcare professionals and numerous community organizations are helping to create a population-based, prevention-oriented Community Health Assessment. Later, a Community Health Improvement Plan will be developed with prioritized health needs that will inform Public Health’s next strategic plan. We hope other agencies and coalitions will align their strategic efforts with some of these priorities. We will keep you informed as progress continues on this exciting effort to improve community health.

smShasta Co GACH HCW Vaccination Rates 2007-2015_Page_03Flu vaccine for long-term care staff: The National Vaccine Program Office has a toolkit to help long-term care employers understand and promote the importance of flu vaccine for their staff. The toolkit components are available free at www.cdc.gov/flu/toolkit/long-term-care. Please remember to report your numbers of flu vaccinated SNF or hospital staff by April 30 each year to Shasta County HHSA’s infectious disease epidemiologist Jennifer Black, MPH, at jblack@co.shasta.ca.us or 245-6838.

Naloxone kits available: Naloxone kits are now available to appropriate patients and household members from CVS pharmacists in Shasta County with or without a prescription. Owens Pharmacy at 2025 Court St. in Redding has had Narcan since early 2015. At this time it is available at Owens by prescription only. The Owens kit contains 2 syringes of Naloxone 2mg (1mg/ml) and 2 Mucosal Atomizing Devices as well as an instruction card. The cost is approximately $130 per kit and the pharmacy cannot bill insurance. Please prescribe this as follows: Naloxone Nasal Kit (4ml), SIG: Spray ½ syringe (1ml) into each nostril upon signs of opioid overdose. Call 911. May repeat once if needed.

Cancer and obesity are linked: Being overweight or obese is a risk factor for several types of cancer. Although a higher weight may not necessarily cause cancer, maintaining a healthy weight is thought to be associated with a lower risk of many chronic diseases. More than two-thirds of American adults are overweight or obese. People who are obese have more fat tissue that can produce hormones, such as insulin or estrogen, which may cause cancer cells to grow. Some types of cancer appear to be closely linked to weight, including:

  • Breast (in women who have been through menopause)
  • Colon and rectum
  • Uterine
  • Kidney
  • Esophageal
  • Pancreatic
  • Endometrium (lining of the uterus)
  • Thyroid
  • Gallbladder

Research suggests that maintaining a healthy weight is associated with a lower risk of cancer and a lower risk of recurrence in cancer survivors.