Tuesday, March 26, 2013

Abigail Gunn: Public Health Trends in Pittsburgh, PA


Allegheny County in Pittsburgh, PA is my specific county.  I talked with the supervisor, of the Public Health Nurses at the Allegheny County Health Department, and her name was Irene.  Irene told me that at the moment their main concern is Influenza and Legionella and then as the spring season comes they will also be focusing on Pertussis.

1.     Influenza is an annual disease that hits the entire population as the winter season comes.  The Health Department focuses on making sure that they vaccinate as many people as possible.  The Health Department along with many other institutions throughout the city make the current flu vaccine available for anyone who comes in, they even offer it for free for anyone between the ages of 6mo and 18yrs old.  The Health Department also has good relations with the local news agencies.  As the flu season comes around they are able to publicize precautions and the availability of the vaccine to the public through PSA’s, newspapers, and news shows.
2.     Legionella, a type of pneumonia, has become a growing concern in Pittsburgh due to a recent outbreak at the VA hospital.  The Health Department immediately contacted the CDC when they found that one of the hospital greeters had contracted Legionella.  The CDC confirmed the outbreak and immediately news agencies were informed and therefore informed the public.  Reporters informed the public of signs and symptoms, which include a high fever, muscle aches, and headaches.  The Health Department worked with the CDC to effectively track down all those that had come in contact with the infected persons and treated according to CDC protocol.
3.     The Legionella outbreak also brought up a good point about safety, and how we can protect against disease.  One thing that Irene mentioned is how they deal with the occasional foodborne diseases.  It is the job of the Health Department not only to find the source of the outbreak, but to keep it from spreading further.  To do this they make sure that if a food industry worker is sick that they stay home from work, and are kept from contaminating the food.  They also make sure that once they have removed the main problem that any food that may have been contaminated is gotten rid of.
4.     As the spring season rolls around the Health Department will face and increased amount of Pertussis cases.  They work in conjunction with hospitals and health care providers to make sure that children receive their TDaP shot.  Pertussis can be a harsh disease and can only be treated with antibiotics when detected early enough.  The Health Department works with doctors to make sure that parents are made aware of the signs and symptoms of Pertussis, but more importantly that it is a vaccine preventable disease.  Irene said the most effective prevention is education of parents and immunization of the children.
5.     Finally, the health department also deals with STD’s within the community.  The department offers immunizations throughout the year for free or little charge to those who are at risk, but may be unable to afford it.  They also offer testing for individuals, and refer patients for counseling for those who are tested positive.  When there are unusually large numbers reported to the department they are able to interview those who have been affected and find the point source.  Once they have found the source they are able to make them aware of their condition and keep them from further spreading the disease.

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