Tuesday, March 26, 2013

Mikayla Burton and health trends in Omaha


I talked to the Supervisor of Communicable Disease Epidemiology named Justin Frederick because I am interested in epidemiology. He had a lot to say about recent disease trends, and also shared with me a few new programs in the area that the entire health department is working on. He had much information to share, so I picked the topics I found most interesting.

1. STDs have become a growing concern in Omaha. This has become such a major problem that the county health department recently created a new division to deal specifically with STD education, prevention, and testing. They now offer free testing for HIV and cheap testing for many STDs, such as gonorrhea and syphilis. This is in an effort to try and reduce the spreading of the diseases and increase awareness of and protection against them. When people come into the clinic for testing, they are taught about the disease, infection, and prevention. They are also encouraged to talk to their partners to encourage them to come in for testing as well.
2.  The outbreak of influenza this year in Omaha was a cause for concern. Officials were concerned with the high number of cases reported in such a short time. When cases were reported in a neighboring state, the health department reminded the public to get the vaccination (which was very close to the flu strains this year), especially pregnant women and young children. The first cases were reported much earlier than the first cases reported in other years. By November, there were 27 confirmed cases, compared to the normal 5 or 6 cases. After the death of a woman hospitalized with flu complications, the health department again reminded the public to get the vaccination and suggested many actions everyone could do to keep from spreading the illness.
3. There was also an abnormally high outbreak of Shigellosis cases this year in Omaha. Shigellosis is a diarrheal illness caused by the bacterium Shigella. Over 50 cases were reported since May. Many of those cases involved young children who were associated with child care settings. It also affected many food handlers, which caused problems with the return of students to school in August. The health department worked the best they could with food handlers to keep the illness contained. They required each infected person to complete treatment and be symptom free for 48 hours before returning to work. This temporary loss of food handlers caused problems with serving food to students and to those workers because most rely on that job to support themselves and families.
4. Histoplasmosis is a respiratory fungal infection that affected 32 camp counselors this past summer in Omaha. These counselors worked in city-sponsored day camps and had contracted this infection by cleaning up the parks in preparation for the camps. These camps had been flooded the past two years, which required much cleanup from the counselors. The health department determined that digging fire pits increased the counselors’ risk of contracting the disease as they were breaking up the dirt and allowing the spores that had collected in the soil to be exposed to the air. They also found a bat population living in a shelter, which promoted bacterium growth in the soil because of their poop. None of the affected counselors were hospitalized and all camp attendees were fine.
5.  WIC (women, infants and children) is a new program offered through the Omaha health department. This program was created to increase the healthiness of pregnant women, mothers, and young children. It offers healthy meal and snack ideas to help increase awareness of the importance of eating foods from all the basic food groups each day. It also provides checks to those in need to help them buy the food items they need to eat better. There is a campaign that corresponds with this program. It’s called “Show Your Love” and focuses on healthy habits before pregnancy. They are trying to help women who desire to be mothers understand the importance of being healthy before and during a pregnancy.

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