FLORIDA DEPARTMENT O F HEALTH JACKSON COUNTY Wellness Buddy February 2015

Measles — A Vaccine Preventable Disease

derlying health condi- Special points Measles is a highly run down, achy, and tions should talk with of interest: contagious disease, tiny white spots with their health care pro-  There have transmitted by respira- bluish-white centers vider to determine the been no con- tory aerosols when an found inside the mouth need for additional infected person coughs (Koplik’s spots). firmed cases of booster doses. The or sneezes. The virus Florida Department of measles among can live for up to two The most effective Health encourages all Florida residents hours on surfaces or in form of protection Floridians who have  If you think you an airspace where the from this virus is not been immunized to have been ex- infected person through vaccination. get vaccinated immedi- coughed or sneezed. Rash appears approximately posed to measles Children should be ately. The incubation period 3 days after onset of illness. contact you health immunized against ranges from 7-21 measles with the com- Vaccines are availa- care provider or (average 10-12) days bination measles, ble at all Local the Florida De- and an individual can mumps and rubella County Health De- partment of pass the virus to oth- vaccine (MMR) and partments at a min- Health Jackson ers before feeling ill. should receive two imal cost or free. County for guid- Signs and symptoms of doses, with the first at See the Think Measles measles include: 12 to 15 months of ance right away. handout on page 3 for blotchy rash, fever, age, and the second at more information. cough, runny nose, red four to six years of watery eyes, feeling age. People with un-

Be Heart Smart—February is American Heart Month

Do you know your 1) high blood pressure, having a heart attack risk for heart disease? 2) tobacco use, 3) in the next 10 years. February is American raised blood glucose This tool is designed Heart Month. Take a (diabetes), 4) physical for adults aged 20 few moments and inactivity, 5) unhealthy and older who do learn your risks for diet, 6) raised choles- not have heart dis- heart disease and terol/lipids, and 7) ease or diabetes. To stroke and begin the overweight/obesity. find your risk score, journey with steps to enter your information stay “heart healthy.” The risk assessment in the calculator be- tool at http:// low. Uncontrollable risk cvdrisk.nhlbi.nih.gov/ factors include: 1) age, uses information from 2) gender, and 3) fami- the Framingham Heart ly history. Controlla- Study to predict a ble risk factors include: person’s chance of

Florida Department of Health Jackson County 4979 Healthy Way Phone: 850-526-2412 Fax: 850-718-0489 Marianna, Florida E-mail: 32446 [email protected]

Providing support and guidance to make the “healthy choice the easy choice!”

Mission: "To protect, promote, & improve the health of all peo- ple in Florida through integrated state, county, & community efforts." We’re on the Web! Vision: To be the Healthiest State in the Nation example.com Values: (ICARE)

Innovation: We search for creative solutions and manage resources wisely.

Collaboration: We use teamwork to achieve common goals & solve problems.

Accountability: We perform with integrity & respect.

Responsiveness: We achieve our mission by serving our customers & engaging our partners.

Look for it! 5,2,1,0 coming soon near you!

Chicken, Potato, and Leek Pie

Ingredients ½ (14.1-ounce) package refriger- 3.Slowly add broth to pan, stirring ated pie dough constantly; bring to a boil. Cook 1 slice smoked bacon, chopped 2 minutes or until slightly thick, 1 tablespoon fat-free milk stirring occasionally. Spoon mix- 1 ½ cups cubed red potato (about ture into a 1 ½-quart glass or 8 ounces) 1 large egg white ceramic baking dish. Top with 1 cup chopped carrot Preparation dough, folding under and pressing down on edges to seal. 6 skinless, boneless chicken thighs, 1.Preheat oven to 450º. Chicken, Potato, and cut into bite-sized pieces 4.Combine milk and egg white; Leek Pie from Cook- 2. Cook bacon in a large Dutch brush mixture over to of dough. ing Light AUGUST 3 ½ tablespoons all-purpose flour oven over medium heat until Cut small slits in dough to vent. 2012 almost crisp, stirring frequently. Bake at 450º for 30 minutes or 3 cups sliced leeks (about 2) Increase heat to medium-high. until crust is golden. Let stand Add potato and carrot to pan; 10 minutes. ½ teaspoon kosher salt sauté 3 minutes or until lightly Nutritional Information Amount per serving ¼ teaspoon pepper browned, stirring occasionally. Calories: 298 Fat: 11.9g Saturated fat: 4.5g Stir in flour and next 3 ingredi- Monounsaturated fat: 3.6g Polyunsaturated fat: 3g Protein: 18g Carbohydrate: 31g 2 cups fat-free, lower-sodium ents (through pepper); sauté 1 Fiber: 2.2g Cholesterol: 62mg Iron: 2.1mg chicken broth minute, stirring frequently. Sodium: 561mg Calcium: 42mg Think Measles Florida Department of Health • Find county contact information at: FloridaHealth.gov 1. IDENTIFY 2. ISOLATE 3. INFORM

Suspect measles n Implement airborne infection Immediately report in patients with: control precautions, mask ALL suspected n and isolate patient in a measles infections to Fever and rash. negative pressure room, if n your county health History of available. department. Notify international travel or n Permit only staff immune to contact with visitors measles to be near the other facilities of from locations with patient. suspected measles before known measles outbreaks in the past 3 weeks. n transport. n Collect nasopharyngeal swab, urine, and serum No or unknown MMR vaccine status. History for measles IgG, IgM and PCR. of MMR vaccine does not exclude a measles < FIND YOUR COUNTY diagnosis. Vaccination Protects Against Measles This is the skin of a A single dose is 93% effective and two doses are 97% effective. patient after 3 days of measles infection. Risk Factors Photo courtesy of the CDC.  History of international travel, contact with international travelers, or domestic travel to locations with known measles outbreaks.  No or unknown MMR vaccine status. History of MMR vaccine does not exclude a measles diagnosis.  Contact with a person that had a febrile rash illness. Prodrome  Head and shoulders of Fever, cough, coryza, conjunctivitis boy with measles; third day of rash. Rash Onset Photo courtesy of the CDC.  Fever spikes, often up to 104⁰F.  Red, maculopapular rash that may become confluent—typically starts at hairline, then face and spreads down body.  The rash may be difficult to see on darker skin.  Koplik’s spots (small, red, irregularly-shaped spots with blue-white centers found on the oral mucosa) may be present in a small number of cases.

02/03/15