Wednesday, March 27, 2013

Ellen Stone


                My best friend is going to be serving her mission in Miami, Florida and so I decided to do some research on the public health trends in her area.  Because I am from the west coast I thought it would also be interesting to do research on an area that I am not familiar with.  I talked to Biological Scientist, Lakisha Thomas, of Dade County.   Their health promotion quest reads, “Our Mission is to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts” which is strikingly similar to the definition we defined in class and gave me comfort in their ability to do so.  Speaking with Lakisha I was able to understand the five major issues that is affecting the health of their community. 
                Out of all five, the first was the only one that I had not heard of.  In their area there have been almost 9000 cases of Chlamydia in the year 2011.  This rate surpasses number two by roughly 6500 cases, thus taking the lead by a long shot.  Chlamydia is the most common sexually transmitted infection in the United States and this is even without a large population of reportings because it is commonly a silent disease- meaning no symptoms.  Studies show that chlamydia can infect men and women; however women are more likely to experience consequences to their reproductive organs from it. 
                The second was gonorrhea.   This is spread by having sex with someone who has the disease or by birth if the mother is infected, passing it on to her baby.  Most people who have gonorrhea have no symptoms.  However, if one is experiencing symptoms of this sexually transmitted disease it is common to feel burning while urinating, itching, and soreness.  Men can experience a white, yellow, or green discharge from the penis up to two weeks after the infection.  They can also get swollen testicles and have pain in their bowels.  For women it is typically milder and is often mistaken as a vaginal infections as burning occurs and sometimes bleeding between menstruation cycles. 
                HIV was the third one and was one that I was not surprised to see on the list.  HIV is a virus that attacks a person’s immune system.  This can be life threatening as they are vulnerable to many infections that can be much more serious than if they did not have HIV.   HIV can be spread by blood, bodily fluids related with sex, or breast milk.  This is devastating as it is common and spreads to those innocent children that do not know better.  With this disease your helper T cells, macrophages, and dendritic cells become infected. 
                The next was yet another sexually transmitted disease, syphilis.  Syphilis is caused by the bacteria Treponema pallidum.  There are different phases of this disease with varying degrees of severity.  People with primary syphilis get sores that look like circular bug bites.  These are often painless and are found around the genitals or the mouth.  Secondary syphilis is when the rash is on the hands.  This can last up to three months after exposure.  The last stage is tertiary and is a problem because it leads to heart, brain, and nerve issues if not treated.  Before penicillin was developed, syphilis was a threat, causing arthritis, brain damage, and sometime even blindness.
                The fifth was salmonella and I was surprised to see it on the list because I have often been jokingly warned of it when eating cookie dough so it almost seemed a novel idea.  This infection is introduced to the body by consuming uncooked meat, eggs, or poultry.  Symptoms can last up to a week, while it can take many months for your intestines to heal completely.  Salmonella can result in typhoid fever which can be a big problem in developing countries.  However, the most common symptoms are less life threating and include vomiting, diarrhea, fever, chills, and blood in the stool.  Treatments include antibiotics and plenty of fluid to replace those lost during diarrhea. 

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