Highlights North Shore Health Department Highlights 10/8/2019 We are a month into the 2019-2020 flu season. Flu or influenza is a serious disease that can lead to hospitalization or even death for some individuals. During last year’s flu season, 29 influenza related hospitalizations of North Shore residents were reported to the Health Department and there has been one this year already. Every flu season is different, which is why we recommend an annual seasonal flu vaccine as the best way to protect against the flu. Vaccination has been shown to lower the risk of flu-related illnesses, hospitalizations and even flu-related death. There are many vaccine options to choose from, but the most important thing is for all people 6 months and older to get a flu vaccine every year. If you have questions about which vaccine is best for you, talk to your doctor or other health care professional. If you have questions about this year’s flu season, the CDC has more information at: https://www.cdc.gov/flu/season/faq-flu-season-2019-2020.htm The North Shore Health Department is hosting a number of flu clinics this fall. See below for details on where and when these clinics will occur. Walk-in Flu Clinics (No appointment necessary) Regular flu vaccine prices apply at walk-in clinics and scheduled flu vaccine appointments. See website nshealthdept.org for more details Wednesday, October 9, 2019 7:30 am – 4:00 pm Shorewood Office Monday, October 14, 2019 7:30 am – 4:00 pm Brown Deer Office Saturday, October 19, 2019 (At this clinic only, we are offering the flu vaccine for children ages 2-18 years for $10). 9:00 am – 11:00 am Nicolet High School Cafeteria Tuesday, October 29, 2019 3:00 pm – 5:00 pm North Shore Library Wednesday, November 13, 2019 1:00 pm – 5:00 pm Brown Deer and Shorewood Offices Upcoming Immunization Clinics (appointment required) - Please call the North Shore Health Department for an appointment at 414-371-2980. Thursday, October 10, 3-4:30 p.m., Shorewood Tuesday, October 15, 7:30-9:00 a.m., Shorewood Wednesday, October 16, 3:30-4:30 p.m., Brown Deer Tuesday, October 29, 3:30-4:30 p.m., North Shore Library Upcoming Adult Health Clinics (appointment required; 8-10:00 a.m.) Blood analysis for cholesterol, glucose and triglycerides, blood pressure, weight check and a nurse consultation. Please call the NSHD for an appointment at 414-371-2980. Wednesday, October 16th, Brown Deer Tuesday, October 22nd, Shorewood Wednesday, November 20th, Brown Deer Tuesday, November 26th, Shorewood Upcoming Blood Pressure Screening (walk-ins welcome – no appointment necessary) Thursday, October 17, 12:30-1:00 p.m., LX Club (WFB Women’s Club, 600 E. Henry Clay St.) Tuesday, October 22, 1:30-2:30 p.m., WFB Sr. Center (5205 Lydell Avenue) Wednesday, October 23 , 3:30-4:30. p.m. NSHD Shorewood Office 2010 E. Shorewood Blvd For the most up-to-date information on pricing, upcoming clinics and screenings, visit the Clinics page of our website at: http://www.nshealthdept.org/Clinics North Shore Health Department Highlights 10/2/2019 October is Breast Cancer Awareness Month. Breast cancer is the most common cancer affecting women, causing 29% of all female cancers. Breast cancer can result in significant clinical, psychological, and financial burden. Most women understand the importance of monthly self-examinations and regular mammograms for early detection. Less well known is that research in the past decade has consistently shown support for exercise to lower the risk of developing breast cancer, prevent recurrence after treatment, improve quality of life, and counteract side effects from cancer treatments. According to Dana Farber Medical Center, a review of lifestyle factors on breast cancer mortality found that physical activity is consistently linked to a lower risk of breast cancer recurrence. A large study showed that women who exercised moderately (the equivalent of walking three to five hours a week at an average pace) following a breast cancer diagnosis had 40 to 50 percent lower risk of breast cancer recurrence and death compared with women who exercised less. The benefit of exercise was particularly apparent in women with hormone-responsive breast tumors. It can be difficult to find time to exercise. The following tips may help you become more active. · Choose the stairs. · Bike or walk instead of driving. · Take your pet for a walk. · Walk on your lunch break. · Wear a step-tracking device and increase your daily steps. · Skip the coffee shop and walk with a friend—or walk to the coffee shop. · Use a stationary bicycle or treadmill while watching TV. Read more at: https://www.breastcancer.org/research-news/exercise-during-tx-after-sx-offers-benefits North Shore Health Department Highlights 09/24/2019 New baby? Make sure they’re sleeping safely. Approximately 3,500 infants die annually in the United States from sleep-related deaths, including sudden infant death syndrome (SIDS); ill-defined deaths; and accidental suffocation and strangulation. The American Academy of Pediatrics revised their guidelines on safe sleep for infants in 2016 in order to reduce SIDS and other sleep-related infant deaths. AAP recommendations on creating a safe sleep environment include: Put baby on their back on a firm sleep surface such as a crib or bassinet with a tight-fitting sheet. Avoid use of soft bedding, including crib bumpers, blankets, pillows and soft toys. The crib should be bare. Share a bedroom with parents, but not the same sleeping surface, preferably until the baby turns one but at least for the first six months. (Room-sharing decreases the risk of SIDS by as much as 50 percent.) Avoid exposing baby to smoke, alcohol and illicit drugs. Implement skin-to-skin care, regardless of feeding or delivery method, immediately following birth for at least an hour as soon as the mother is medically stable and awake. Breastfeeding is also recommended to add protection against SIDS. After feeding, the AAP encourages parents to move the baby to their separate sleeping space. For more information on safe sleep, visit: https://www.cdc.gov/sids/parents-caregivers.htm North Shore Health Department Highlights 09/17/2019 Did You Know? September 23, 2019, the first day of fall, marks the 10th annual National Falls Prevention Awareness Day, sponsored by the National Council on Aging (NCOA). Falls are the leading cause of injury-related emergency department visits for older adults, the major cause of hip fractures, and responsible for more than half of fatal head injuries. In the US, one in four adults aged 65 or older falls every year. Falls, with or without injury, also carry a heavy quality of life impact. A growing number of older adults fear falling and, as a result, limit their activities and social engagements. This can result in further physical decline, depression, social isolation, and feelings of helplessness. Falls are not an inevitable part of aging. The North Shore Health Department in conjunction with the North Shore Fire Department and local sponsors have held four “Stepping On” classes this year. “Stepping On” is an evidence-based fall prevention class which meets for two hours weekly for seven weeks. These classes highlight how exercise, medication management, vision screening, and making your living environment safer are all steps people can do to prevent a fall. The next session begins on September 24, 2019 at the New Perspectives Senior Living Center in Brown Deer. Contact the NSHD at 414-371-2980 if interested in attending. Additionally, there are classes held throughout the year in Milwaukee County that can be found on the Wisconsin Institute for Healthy Aging’s website. https://wihealthyaging.org/stepping-on-consumer North Shore Health Department Highlights for 09/10/2019 Did You Know? September 15-21, 2019 is National Child Passenger Safety Week. The goal is to make sure your child is in the correct car seat, that it’s properly installed, used correctly, and that it’s registered with the manufacturer to ensure you receive important safety updates. Some studies have shown that approximately 75% of child safety seats are not installed correctly. If you are an expectant parent, give yourself enough time to learn how to properly install the car safety seat in your car before your baby is born to ensure a safe ride home from the hospital. Car seat information is easy to find, but often it’s difficult for parents and caregivers to decide which seat is best for their child. Follow these tips to ensure your child is in the right seat: Choose the correct direction: Rear or forward facing? https://www.safekids.org/ultimate-car-seat-guide/ Know your car seat’s history. Seats that have been involved in a crash should be discarded. Check the label to make sure the seat is appropriate for your child’s age, weight, and height. Determine if a tether is necessary. Most forward facing seats require these now. https://www.safekids.org/blog/new-research-car-seat-tethers-released As your child grows, continually re-evaluate the type of car seat that is best for them. https://www.safekids.org/interactive/car-seat-booster-seat-or-seat-belt-where-does-your-kid-fit Make sure your car seat is installed properly and used every time your child takes a ride. Visit our website to learn more about car seat safety and to schedule a car seat installation appointment with the North Shore Health Department or North Shore Fire Rescue: https://www.nshealthdept.org/CarSeatSafety.aspx To make an appointment through Milwaukee Children’s Hospital of Wisconsin, call 414-231-4896. North Shore Health Department Highlights for 09/03/2019 September is National Suicide Prevention Awareness Month, which includes National Suicide Prevention Awareness Week, September 9-15, and World Suicide Prevention Day on September 10. During the month of September organizations highlight suicide prevention efforts by advocating for prevention strategies and networking to share resources and information. Studies by the Center for Disease Control and Prevention show that suicide rates are rising. The rate of suicide has increased more than 30 percent in half of the states across the United States since 1999, with approximately 45,000 lives lost to suicide in 2016 alone. Research has shown that more than half of people who die by suicide did not have a known mental health condition. It is important for people to learn how to recognize and respond to suicide. Research shows people who are having thoughts of suicide feel relief when someone asks after them in a caring way. Findings suggest acknowledging and talking about suicide may reduce rather than increase suicidal ideation. Learn how to recognize and respond by paying attention to the warning signs of suicide: Feeling like a burden Being isolated Increased anxiety Feeling trapped or in unbearable pain Increased substance use Looking for a way to access lethal means Increased anger or rage Extreme mood swings Expressing hopelessness Sleeping too little or too much Talking or posting about wanting to die Making plans for suicide If you notice any warning signs, starting a conversation with the person may save their life. Share the National Suicide Prevention Lifeline number, 1-800-273-8255 (TALK) and be willing to assist the person with the call. Taking the person directly to help can be the best option to ensure they receive the help they need. Additional tips can be found at how to talk about suicide. Your willingness to listen and help can save a life. North Shore Health Department Highlights for 8/27/2019 Drowning remains the number one unintentional cause of death for children in the U.S. ages 1 to 4, and the second leading cause among children ages 5 to 14. Most parents are vigilant when enjoying summer activities with their young kids, but it is important to realize that drownings occur all year long. Bathtubs, fountains, toilets and even buckets also can pose a danger for very young children since most of these drownings are due to children falling into a pool or being left alone in the bathtub. When the unthinkable happens, caregivers often say, “I only looked away for a second.” Following are a few water safety precautions: Never leave your child alone in the bathtub or near water; if you have to leave, take your child with you. Find age-appropriate swim lessons for yourself and child which are available all year long. Go tohttps://www.ymcamke.org/swim-lessons/ to find lessons near you. Scholarships may be available upon proven need. Keep in mind that lessons do not make your child "drown-proof" and that lifeguards aren't babysitters; there is no substitute for a caregiver’s undivided attention near water. If a child is missing, check the water first. Learn CPR and rescue techniques. Although it is true that the younger the child, the greater the risk; it is important to encourage teens and young adults to keep water safety in mind as the dangers may not be on their radar. Make sure the body of water matches your skill level; swimming in a pool is much different than swimming in a lake or river, where more strength is needed to handle currents Never drink alcohol while swimming or operating a boat. Alcohol is involved in about half of all male teen drownings, according to KidsHealth.org North Shore Health Department Highlights for 8/20/2019 The North Shore Health Department has fielded quite a few bat-related calls lately, likely as the breeding season runs from June 1-August 15. Bats are responsible for the majority of human rabies cases. Rabid bats have been documented in all 49 continental states. In Wisconsin there have been almost 400 known rabid bats since 2002. Humans need to exercise extreme caution if a bat is found in their dwelling. Bat bites can be difficult to detect and the virus can be transmitted to humans from minor or unrecognizable bat bites, as well as from scratches. Bats should never be kept as pets. In the case of known or suspected human exposures involving bats, the bat should be safely collected, by an animal control specialist if necessary, and brought to the Wildlife Rehabilitation Center at the Wisconsin Humane Society for euthanasia. NSHD will coordinate the submission of the bat to the state lab for rabies testing. Rabies post exposure prophylaxis (PEP) treatment is recommended for all persons with bite, scratch, or mucous membrane exposure to a bat, unless the bat is available for testing and is negative for evidence of rabies. Follow these tips on how to minimize exposure to bats: Prevent bats from entering outdoor living quarters and other occupied space by sealing all holes to the outside. Screens or mosquito netting can provide a useful barrier against direct bat contact. Teach children to never handle live or dead bats, and not to approach any unfamiliar wild or domestic animals (even if they appear friendly). Tell them to report any contact or unusual animal behavior to an adult right away. Keep all pets up to date on their rabies vaccines and municipal licenses. This will help to keep your family safe from potential rabies exposures via domestic animals. The good news is that rabies in humans is 100% preventable through prompt appropriate medical care. If you are bitten, scratched, or unsure about exposure to a wild animal, wash the wound immediately and talk to a healthcare provider about whether you need PEP. To learn more about rabies and bats, visit: http://www.cdc.gov/rabies/exposure/animals/bats.html To learn more about the prevalence of rabies in Wisconsin this year, go to:https://datcp.wi.gov/Documents/RabiesMap2019.pdf and in past years, go to: https://datcp.wi.gov/Documents/RabiesMap2018.pdf andhttps://datcp.wi.gov/Documents/RabiesCountCumulative.pdf North Shore Health Department Highlights for 8/13/2019 Did You Know? The North Shore Health Department participates in a variety of community events throughout the summer including: National Night Out, Safety Days, Farmers’ Markets, Car Seat events, Bayside’s My Night in Blue event and many more. Community events build cohesion and resiliency among residents, businesses, government and community groups to make communities and neighborhoods safe and free of crime and violence. Community cohesion is the coming together of people with a shared vision and sense of belonging in which the diversity of people’s backgrounds and circumstances are valued and appreciated. Community resilience is the sustained ability of a community to utilize available resources to respond to, withstand and recover from adverse situations. Both community cohesion and resiliency are important elements of a safe and healthy community and are fostered through fun events and activities involving the whole community. Information about these and other events can be found on the NSHD website. Additionally, links to other information such as the CPSC’s (US Consumer and Product Safety Commission) website (https://www.cpsc.gov/recalls/) that provides information regarding recalls on products that have been linked to injuries and death. A link to FDA/USDA food product recalls (https://www.foodsafety.gov/recalls-and-outbreaks) can also be found on our website (https://www.nshealthdept.org/). North Shore Health Department Highlights for August 6, 2019 Did you know? The American Psychological Association (APA) provides information on how to manage stress and distress in the aftermath of mass shootings or other traumatic events (https://www.apa.org/helpcenter/mass-shooting). As the North Shore Health Department focuses on mental health and emotional well-being as one of our health priority areas, we wanted to share tips for managing the variety of emotions that may have surfaced with the recent mass shootings in Texas and Ohio. Some of these strategies include: Trust your instincts: If you see suspicious activity, report it to law enforcement. Talk about it: Ask for support from people who care and will listen to your concerns. Strive for balance: When a tragedy occurs, it’s easy to become overwhelmed and adopt a negative or pessimistic outlook. Balance that viewpoint by reminding yourself of people and events which are meaningful and comforting, even encouraging. Check out: https://www.msn.com/en-us/news/good-news for some good news. Striving for balance is empowering and allows for a healthier perspective on yourself and the world around you. Turn it off and take a break: Keeping informed is important, but if the news is upsetting, try to limit the amount you take in whether it’s from the Internet, television, newspapers or magazines. Take care of yourself: Engage in healthy behaviors to enhance your ability to cope with excessive stress. Eat well-balanced meals, drink water, get plenty of rest and build physical activity into every day. Help others or do something productive: Locate resources in your community to find ways that you can help people who have been affected by these incidents or have other needs. Helping someone else often has the benefit of making you feel better, too. The National Suicide Prevention Lifeline provides 24/7 free and confidential support for people in distress, and prevention and crisis resources for you and loved ones. Help is just a phone call or internet search away. Visit https://www.mentalhealth.gov/get-help, or call 1-800-273-8255 (Suicide Prevention Lifeline) or 1-800-662-4357 (SAMHSA Referral and Information line). Make the contact for yourself or a loved one. North Shore Health Department Highlights for July 30, 2019 Did you know? Over ten years ago, July was designated Minority Mental Health Awareness Month in the United States to bring awareness to the struggles underrepresented groups face with regards to mental illness. Data suggest racial and ethnic minority groups in the U.S. are less likely to have access to mental health services, less likely to use community mental health services, more likely to use emergency departments, and more likely to receive lower quality care. Poor mental health care access and quality contribute to multiple poor mental health outcomes, including suicide, among racial and ethnic minority populations. Some barriers to care have included lack of culturally competent providers, lack of diversity among mental health care providers, language barriers, mental health stigma, lack of insurance or underinsurance. While the term ‘minority’ is traditionally associated with racial, ethnic, or cultural minorities within the U.S., Mental Health America expands this term to include individuals from a wide-range of marginalized and underserved communities, including those who may identify as part of the LGBTQ+ spectrum, refugee and immigrant groups, religious groups, and others who are often overlooked. Mental health conditions do not discriminate based on race, color, gender or identity. Anyone can experience the challenges of mental illness regardless of their background. However, background and identity can make access to mental health treatment much more difficult. Help is just a phone call or internet search away. Visit https://findtreatment.samhsa.gov/ or https://www.mentalhealth.gov/get-help, or call 1-800-273-8255 (Suicide Prevention Lifeline) or 1-800-662-4357 (SAMHSA Referral and Information line). Make the contact for yourself or a loved one. North Shore Health Department Highlights for July 23rd, 2019 Did you know? July 28th is world Hepatitis Day. Worldwide, 300 million people are unknowingly living with viral hepatitis. On World Hepatitis Day we call on people to take action and raise awareness to find these “missing millions”. Hepatitis can be acute (short-term) or chronic (long-term), which can lead to liver failure, cirrhosis, or liver cancer if left untreated. Common symptoms include fever, fatigue, nausea, vomiting, dark urine, joint pain, light-colored stools, and jaundice. Symptoms can appear 2 weeks to 6 months after an acute infection or decades later with chronic infections. However, many people with hepatitis never experience symptoms, leaving many people undiagnosed. Currently, about 66% of people with Hepatitis B and 50% of people with Hepatitis C are unaware of their infection. As of 2017, an estimated 90,000 people were living with Hepatitis C in Wisconsin, with less than half having been identified and reported. How is it spread? Hepatitis A: Contact with objects, food, or drinks contaminated by feces or stool from an infected person Hepatitis B: Contact with blood, semen, or certain other body fluids from an infected person (i.e. unprotected sex, sharing dirty needles, sharing personal hygiene products) Hepatitis C: Contact with blood from an infected person (i.e. sharing dirty needles/syringes) Prevention Vaccinations are available to protect against Hepatitis A and B. However, there is currently no vaccine available for Hepatitis C. Wash your hands after going to the bathroom and before fixing food or eating. Use latex condoms for intercourse, which may lower the risk of sexual transmission. Avoid tap water when traveling to certain countries or regions. Ask your doctor about risks before you travel. Don't share drug needles. Don't share personal items—such as toothbrushes, razors and nail clippers—with an infected person. Who should be tested? Hepatitis A: No routine recommendations Hepatitis B: Current injection drug users, men who have sex with men, pregnant women and infants born to infected mothers, people on immunosuppressive therapy, people with end-stage renal disease Hepatitis C: Adults born between 1945 – 1965, current or former injection drug users, , long-term hemodialysis patients, infants born to infected mothers To learn more about hepatitis and the different viruses visit: https://www.cdc.gov/hepatitis/abc/index.htm http://www.worldhepatitisday.org/ North Shore Health Department Highlights 07/16/2019 Did you know? The forecast for our area indicates heat index values rising above 95 to 100 this week, creating potentially dangerous conditions, especially for those most susceptible to heat-related illness; such as infants, the elderly and individuals with chronic heart and lung conditions and those on certain medications (those for blood pressure, heart disease and mental health). People who work outdoors or in hot settings should also be aware of the symptoms of heat-related illness and take precautions. The North Shore Health Department (NSHD) reminds residents to take steps to stay cool and safe during this heat wave. · Symptoms of heat-related illness: Muscle cramping may be the first symptom. Headaches nausea, strong or rapid pulse, dizziness and even death. Infants, children, and individuals 65 or older are at a higher risk of developing heat related illness because they are less likely to notice and less able to moderate the change in their body’s temperature. · Be aware of warning signs of dehydration for babies: dark urine or a child may have less urine in their diaper a dry or sticky mouth, no tears when crying, not appear active or playful, no appetite. Tips to reduce heat-related illness : Stay cool – wear light clothing, reduce sun exposure, and stay in air-conditioned buildings as much as possible. Do not rely on fans as a primary cooling device. If your home does not have air conditioning, consider public places such as shopping malls, movie theaters, or libraries. During extreme heat events, local cooling centers may open. Take cool baths or showers and use wet towels on your skin to help you cool down. Stay hydrated – increase water intake and never wait until you are thirsty to drink fluids. Limit dehydrating beverages – avoid alcohol and caffeinated beverages and those containing large quantities of sugar. Check on at-risk individuals (elderly twice a day. Wear lightweight, loose-fitting, light-colored clothing. Never leave children, disabled persons, or pets in a parked car – even briefly. For more information on the symptoms of heat-related illness, visit: https://www.cdc.gov/extremeheat/warning.html or https://www.dhs.wisconsin.gov/climate/heat.htm In conditions of high or extreme heat, the NSHD encourages residents to seek out designated cool sites. A list of cooling sites in Milwaukee, as well as heat safety tips, can be found at: https://city.milwaukee.gov/health/HotWeatherSafety#.XSzJG-hKjZs North Shore Health Department Highlights 07/09/2019 Did you know? Nutrition and Physical Activity is one of the focus areas for both the North Shore’s 2014-19 Community Health Improvement Plan (CHIP) and the 2020-2025 CHIP (currently under development). The USDA recommends filling half of your plate with fruits and vegetables at every meal. Fruits and vegetables provide the human body with micronutrients that are essential for development and disease prevention. According to the Dietary Guidelines Advisory Committee and Institute of Medicine, a poor diet can lead to energy imbalance and can increase one’s risk for becoming overweight or obese. Dietary and physical activity recommendations for healthful living are inextricably intertwined. Adequate physical activity provides protection against chronic diseases and helps to balance energy expenditure and intake. To help keep your body at its healthiest, stop by any of the North Shore’s local Farmers’ Markets to purchase seasonal, fresh produce. For a list of farmers markets state-wide check out https://www.ams.usda.gov/local-food-directories/farmersmarkets or farmfreshatlas.org. Brown Deer (June 12th - October 30th): Wednesdays, 9:00am - 5:30pm at the Marketplace Shopping Center – 9078 N. Green Bay Rd. Fox Point (June 15th – October 12th): Saturdays, 8:00am - 12:00pm at North Shore Congregational Church – 7330 N. Santa Monica Rd. Shorewood (June 16th – October 27th): Sundays, 9:30am – 1:00pm at the Lake Bluff Elementary playground – 1600 E. Lake Bluff Blvd. Whitefish Bay (July 8th - October 1st): Saturdays, 8:00am - 12:00pm at the Aurora Parking Lot– 324 E. Silver Spring Dr. Follow the tips below on easy ways to increase physical activity: • Join a walking group in the neighborhood or at the local shopping mall. • Do stretches, exercises, or pedal; a stationary bike while watching television. • Plant and care for a vegetable or flower garden. • Replace a coffee break with a brisk 10-minute walk. Ask a friend or co-worker to go with you. • Take a class and do something you like (martial arts, dance, yoga). • Most importantly, have fun while being active! Upcoming Immunization Clinics (appointment required) - Please call the North Shore Health Department for an appointment at 414-371-2980. Thursday, July 11, 3-4:30 p.m., Shorewood office Tuesday, July 16, 7:30-9:00 a.m., Shorewood office Wednesday, July 17, 3:30-4:30 p.m., Brown Deer office NO NS LIBRARY CLINIC IN JULY Thursday, August 8, 3-4:30 p.m., Shorewood office Tuesday, August 13, 10-11:00 a.m., Brown Deer office Tuesday, August 20, 7:30-9:00 a.m., Shorewood office Wednesday, August 21, 3:30-4:30 p.m., Brown Deer office Tuesday, August 27, 3:30-4:30 p.m., North Shore Library Upcoming Adult Health Clinics (appointment required; 8-10:00 a.m.) – Blood analysis for cholesterol, glucose and triglycerides, blood pressure, weight check and a nurse consultation. Please call the NSHD for an appointment at 414-371-2980. Wednesday, July 17, Brown Deer office Tuesday, July 23, Shorewood office Wednesday, August 21, Brown Deer office Tuesday, August 27, Shorewood office Upcoming Blood Pressure Screening (walk-ins welcome – no appointment necessary) Thursday, July 18, 11:30a.m.-12:00 p.m. LX Club (Bavarian Bierhaus at 700 W. Lexington Blvd, Glendale) Wednesday, July 24, 3:30-4:30 p.m., Shorewood office Wednesday, August 7, 12:15-1:00 p.m. Dolan Center (4355 W Bradley Rd) Thursday, August 15, 11:30a.m.-12:00 p.m. LX Club (WFB Women’s Club, 600 E. Henry Clay St) Wednesday, August 28, 3:30-4:30. p.m. Shorewood office For the most up-to-date information on pricing, upcoming clinics and screenings, visit the Clinics page of our website at: http://www.nshealthdept.org/Clinics North Shore Health Department Highlights 07/02/2019 Did you know? The UW – Medical Entomology Lab has confirmed that a group of mosquitos in the City of Milwaukee has tested positive for the West Nile Virus (WNV). This is the first evidence of WNV activity reported in Wisconsin this year. Mosquitos get infected when feeding on infected birds, so dead birds are also tracked in Wisconsin as an early warning sign of the presence of WNV in a county. While the possibility of exposure to the virus is present anytime mosquitos are active, as of 6/27/19, there have been no confirmed cases of infected humans in WI. Approximately 80% of people infected with WNV do not show symptoms. The other 20% may experience fever, rash, headache, fatigue, and joint pain. Immunocompromised people (such as infants, elderly and the ill) may be hit particularly hard. WNV is spread to people through the bite of an infected mosquito and is not transmitted person to person. There is no specific treatment. Prevention is the way to go. The NSHD reminds individuals to take steps to prevent mosquito bites, including: Apply an insect repellant with DEET, IR 3535, Picaridin, or oil of lemon eucalyptus to clothing as well as exposed skin (see restrictions for use in children). All these products can be found in your local drug or outdoor stores. For more information on repellent use, visit the CDC’s website: https://www.cdc.gov/westnile/faq/repellent.html Wear long-sleeved shirts and pants to cover exposed skin. Limit time outdoors at dusk and dawn, when mosquitos are most active. Prevent mosquitos from breeding by removing stagnant water from areas such as flowerpots, plastic containers, gutters and downspouts. Water in birdbaths and pet dishes should be changed at least every three days. Swimming pools, outdoor saunas and hot tubs should be cleaned and chlorinated. Trim tall grass, weeds, and vines as mosquitoes use these areas to rest during hot daylight hours, and regularly assess landscaping to prevent water from pooling in low-lying areas. Report sick or dead birds to the Dead Bird Hotline at 1-800-433-1610; the line is open each year from May 1st – October 31st. Mosquito-proof your home by fixing holes in screens, windows, and doors. North Shore Health Department Highlights 6/25/19 In Wisconsin bats and skunks are the leading carriers of rabies, but in the U.S. bats are responsible for the greatest number of rabies infections. Annual rabies cases have decreased due to routine pet vaccines and postexposure prophylaxis (PEP), which is a preventative medical treatment started immediately after exposure. While rabies is one of the most deadly infectious diseases, it is also very preventable. How to protect yourself: Never touch or feed wild animals and avoid contact with unfamiliar dogs and cats. If you see an animal acting strangely, unusually vicious or aggressive, or having trouble walking, report it to local animal control. After an animal bite, gently clean out the wound with soap and water. If necessary, receive PEP early to prevent development of rabies infection. If there is no bite, but you think you may have been exposed, talk to a healthcare provider to determine if you need PEP. Once symptoms develop, rabies is almost always fatal. To learn more about symptoms, postexposure prophylaxis, and rabies vaccines, go to https://www.rabieswatch.com North Shore Health Department Highlights 6/18/19 Did you know? Men have higher rates of death than women for most of the leading causes of death (CDC). The top causes of death for men, in the United States, are: Heart Disease Cancer Injuries Why are men at higher risk? A report from the CDC in 2001 revealed that women are 100% more likely to pursue preventative care and have an annual appointment with their physician than men. Men are more often employed in dangerous occupations than women. Men may lead less healthy lifestyles and participate in more risky activities in their younger years (Men’s Health Network). The good news is that many health conditions can be prevented. Ways to reduce your risk include: Annual check up with a doctor: this can help address any issues before symptoms become unmanageable A balanced diet high in vitamins and minerals Regular exercise Connection with others Stress reduction Avoidance of drugs, alcohol, and smoking For more information on men’s health, visit http://www.menshealthnetwork.org/healthfactsand https://www.cdc.gov/features/healthymen/index.html. North Shore Health Department Highlights 6/11/19 Did you know? The North Shore Health Department investigates several tickborne infections including Lyme disease, babesiosis, ehrlichiosis, anaplasmosis, and rocky mountain spotted fever. Lyme disease is the most frequently reported tickborne illness in Wisconsin (3105 cases in 2018), but numbers for the other conditions are increasing. Common symptoms of tickborne diseases may include fever, chills, muscle aches, headaches and a circular rash. Preventing tick bites is the key to reducing your risk of tickborne diseases. During high tick season, April through September: • Avoid areas with tall grass and brush where ticks are common. • Apply repellents that contain at least 20%–30% DEET. • Wear long pants, tall socks, and a long sleeve shirt to minimize exposed skin. Light colored clothing makes ticks easier to spot. • Wear clothing treated with 0.5% permethrin. • Shower soon after coming indoors. • Perform daily checks. Check your entire body after being outside even if you were only in your yard. Concentrate on the hairline, abdomen, groin, armpits, and behind the knees. It is important to remember that ticks are present in all counties in Wisconsin. People living in any county in Wisconsin can contract Lyme disease or other tick-borne diseases. Ticks must be attached for at least 24 hours to spread Lyme Disease, so remove ticks as soon as they are found. For a map showing Lyme disease incidence in Wisconsin by county, visit https://www.dhs.wisconsin.gov/tick/lyme-data.htm. For information on how to safely remove a tick, visit https://www.cdc.gov/ticks/removing_a_tick.html. For more information on Lyme Disease, including photos of blacklegged ticks and what the characteristic Erythema migrans rash looks like, visit https://www.dhs.wisconsin.gov/tick/lyme.htm. North Shore Health Department Highlights 6/4/2019 Did you know? The North Shore Health Department receives a grant from the Wisconsin Department of Natural Resources (DNR), through the US Environmental Protection Agency (EPA) to conduct beach monitoring for presence of E. coli at the three Lake Michigan beaches in our area—Atwater in Shorewood, Klode in Whitefish Bay, and Doctor’s/Tietjen in Bayside/Fox Point. We work with the Shorewood DPW and the North Shore Water Commission to test water at least twice a week using the Most Probable Number (MPN) method. Look for beach advisory signs to gauge safe water conditions. Green signs represent <235 MPN/100 mls of water tested, indicating that the water is unlikely to contain disease causing levels of organisms. Yellow signs signify levels of 235-1000 MPN/100mls and an Advisory (Caution) level. If 1000 or greater MPN/100 mls is measured, the beach will be closed, signified by a Red sign. If you would like to check before you head for the beach, current status of E. coli levels in most Wisconsin beaches, including the North Shore beaches, is also available at: https://www.wibeaches.us. Please note that as water conditions can change rapidly, should you choose to swim in open water; showering immediately afterwards is always recommended, as is thorough hand washing before consuming any picnic items you may have brought along. North Shore Health Department Highlights for 5/28/2019 Did you know? Last week was the CDC’s Annual Healthy and Safe Swimming Week which focuses on simple steps swimmers and pool operators can take to help ensure a safe swimming experience for all. Recreational water illnesses (RWIs) are caused by germs in contaminated water in swimming pools, hot tubs, water parks or play areas, lakes, or other recreational water. RWIs can also be caused by chemical treatments in the water or that evaporate from the water, causing air quality problems. Diarrhea is the most common RWI, but other common RWIs include skin, ear, respiratory, eye, neurologic, and wound infections. Children, pregnant women, and people with weakened immune systems are most at risk for RWIs. Below are some simple steps to protect your health, and the health of others, every time you swim. Don’t swim or let children swim if sick with diarrhea, colds or open wounds. (If you are diagnosed with cryptosporidiosis, don’t swim for an additional 2 weeks after diarrhea has resolved.) Shower for a full minute before entering a pool or hot tub to remove dirt and germs. Check for the presence of lifeguards and/or signs at the beach designating water quality. Wisconsin beach water quality testing begins this week and results can be accessed at https://www.wibeaches.us Once in: Don’t swallow the water. Don’t pee or poop in the water. Keep a close eye on children at all times--kids can drown in seconds and in silence. Every Hour, Everyone Out: Take kids on bathroom breaks and check diapers every hour. Change diapers in the bathroom or diaper changing area--not poolside--to keep germs away from the water. Reapply sunscreen and stay hydrated. Always wash hands after swimming and before eating and shower after swimming. Dry ears thoroughly with a towel. For more information on health swimming, go to: https://www.cdc.gov/healthywater/swimming/swimmers/swim-healthy.html North Shore Health Department Highlights for 5/21/2019 Did you know? As we (tentatively) approach warmer weather, more of us will be out biking, skateboarding and playing sports. According to the Centers for Disease Control and Prevention (CDC), in the US in 2015 over 1,000 U.S bicyclists died and there were almost 467,000 bicycle-related injuries. Bicycle helmets reduce the risk of head and brain injuries in the event of a crash. All bicyclists, regardless of age, can help protect themselves by wearing properly fitted bicycle helmets every time they ride. The North Shore Health Department would like to remind everyone, especially parents, to check the fit of their and their children’s bikes AND helmets. Now is the perfect time to replace helmets if they are too old or too small. Like car seats, bicycle helmets are only effective for a limited time and if they are involved in a substantial crash should be replaced. Temperature extremes impact helmets, causing the components to rapidly lose their strength and risk failing after about five years. Note that while many sports require helmets for safe participation, bicycle helmets are not the right helmet for all sports. If you have helmet questions or need help determining if a helmet fits correctly, contact the North Shore Health Department. Our trained staff will assist you and your family with a helmet fitting. We have Bell bike helmets available for $10 if you have it fitted by our staff. Schedule a fitting at either location (Brown Deer or Shorewood) by calling 414-371-2980. For more bike safety information, please consult: https://www.cdc.gov/motorvehiclesafety/bicycle/ North Shore Health Department Highlights for 5/14/2019 Did you know? Motor vehicle crashes are the leading cause of death for US teens. School is almost out for summer, which will likely translate to more teen drivers (with friends along) on the roads for the next few months. According to the CDC, driver inexperience is a main cause of fatal crashes for teen drivers. Fortunately, many motor vehicle crashes are preventable, and parents can make a big difference in keeping teen drivers safe. The more time teens spend behind the wheel, supervised by a parent truly present in the role of driving instructor, the better. Here are some effective ways to get involved in your teen’s driving: Ride along with your teen for at least 30-50 hours offering calm, helpful advice-at different times of day and night, in all kinds of weather and traffic patterns. Understand Wisconsin’s Graduated Driver’s Licensing Laws. Go to: https://www.ghsa.org/state-laws/issues/teen%20and%20novice%20drivers or watch the Crossroads videos below. Consider using a Parent-Teen Driving Agreement that spells out rules of the road, thus setting clear expectations and limits. For a template, go to: https://www.cdc.gov/parentsarethekey/pdf/PATK_2014_TeenParent_Agreement_AAP-a.pdf Be a good role model for your teen--always put down the cell phone and buckle up. Refusing to drive distracted and always wearing seat belts are simple ways for teens and all of us to prevent car crash injuries and death. For a new video series about teen driving, go to https://www.crossroadsteendriving.org/Crossroads or on https://www.youtube.com/, search Crossroads Teen Driving. Crossroads is a program of Children’s Hospital of WI, and the videos were produced in partnership with State Farm and WI Department of Transportation and feature WI teens. North Shore Health Department Highlights 5/7/2019 It’s the time of year when everyone is happy to be outside-including mosquitos and the birds that feed on them. West Nile Virus (WNV) is a mosquito-transmitted virus that causes most cases of West Nile infection. Wisconsin tracks the presence of WNV in the state by testing birds—specifically Corvids (crows, blue jays or ravens), which are more likely to die when infected with WNV. Call the Dead Bird Reporting Hotline (800-433-1610 or 608-837-2727 from a non-WI area code) to report a sick or dead bird, and coordinate West Nile virus testing. The hotline is open from May 1 to October 31 each year. Note that once a county has one positive dead bird result, testing of other dead birds in that county for West Nile virus will be stopped until the next season begins. The North Shore Health department recommends the following tips to prevent mosquito bites: • Limit time spent outside at dawn and dusk, when mosquitoes are most active. • Apply insect repellent to clothing as well as exposed skin. • Ensure window and door screens are in good repair to prevent mosquito entry. • Limit standing water by properly disposing of items that could hold water, cleaning roof gutters and downspouts, and cleaning and chlorinating swimming pools and hot tubs. • Trim tall grass, weeds, and vines where mosquitoes collect. Learn more about WNV at: https://www.cdc.gov/westnile/index.html https://www.cdc.gov/westnile/resources/pdfs/13_240124_west_nile_lifecycle_birds_plainlanguage_508.pdf North Shore Health Department Highlights 4/30/2019 Did you know? It is important to keep up-to-date on immunizations for yourself and your family. Every year thousands of children and adults in the U.S. become sick from vaccine-preventable diseases which can be easily spread from person to person. While there have been no confirmed cases of measles in Wisconsin yet this year, most health care professionals believe it is just a matter of time. The North Shore Health Department is notified when someone who lives or works in our jurisdiction tests positive for a one of these diseases and it is our job to investigate each case, seek out people exposed and try to control an outbreak. To do this, local health departments have the authority to exclude individuals from public activities, such as going to work or school, if they do not provide proof of immunity. Proof of immunity includes: • Birth before January 1st, 1957. Adults born before 1957 are likely to have had measles and/or mumps disease as a child and are generally (but not always) considered immune. Consult with your physician if you are concerned about your immunity to measles. Healthcare personnel born before 1957 without laboratory evidence of immunity or disease should consider getting two doses of MMR vaccine because they are at greater risk of exposure due to their jobs. There is no harm in getting another dose of MMR vaccine if you may already be immune to measles (or mumps or rubella), but it may not be covered by insurance. Again, please consult with your physician and /or insurance company. • Serologic proof of immunity- If you remember having measles or mumps or think you were vaccinated as a child (but have no proof), you can get a blood test (a titer) to check for your immunity. • Documentation of adequate vaccination with MMR (Measles, Mumps, Rubella) vaccine. In certain situations, you may be able to receive a post-exposure vaccine to avoid exclusion from public activities. It is not harmful to get MMR vaccine after being exposed to measles, mumps, or rubella, and doing so may possibly prevent later disease. Maintaining vaccination records is also important. These records may be required for certain jobs, travel, or school or daycare registration. You can locate your immunization record on the Wisconsin Immunization Registry (WIR) at: https://www.dhfswir.org/PR/clientSearch.do?language=en If you are unable to locate your record on WIR or have not received your MMR vaccine, contact your physician to discuss your record or if you should be vaccinated. For FAQ’s about measles, please visit: https://www.cdc.gov/vaccines/vpd/mmr/public/index.html To view immunization schedules and what other vaccines are recommended, please visit: https://www.cdc.gov/vaccines/schedules/index.html North Shore Health Department Highlights 4/23/2019 Did you know? All seven police departments in the North Shore are regularly available to receive and properly dispose of expired or unused personal medications. The Police Departments of Bayside, Glendale, Shorewood and Whitefish Bay will be participating in the Wisconsin Department of Justice’s Statewide Prescription Drug Take Back Initiative on Saturday, April 27 from 10am-2pm, along with many other community partners. Bring: Prescription (controlled and non-controlled) and over-the-counter medications, ointments, patches, non-aerosol sprays, inhalers, creams, vials and pet medications. Contact the location you plan to visit as to that location’s ability to accept liquids/non-solid medications. While solid medications (pills/capsules) should be placed in a zip-lock plastic bag, liquids and creams need to remain in their original labeled containers. Do Not Bring: Illegal drugs, needles/sharps, aerosol cans, bio-hazardous materials (anything containing a bodily fluid or blood), mercury thermometers, personal care products (shampoo, soaps, lotions, sunscreens, etc.), household hazardous waste (paint, pesticides, oil, gas). The goal of this event is to provide a safe, convenient, and responsible means of disposal of prescription medications, while also educating the general public about the potential problems caused by these medications. Unused prescription medications in homes create a public health and safety concern because they can be accidentally ingested, stolen, misused, and abused. In general, it is not recommended that unused medications be flushed or poured down the drain, as water reclamation facilities are not designed to remove all medications and trace amounts of pharmaceuticals are showing up in rivers and lakes around the world. However, some medications are so dangerous and prone to abuse/overdose risk that the FDA actually does suggest flushing instead of keeping in your home (list can be found at https://www.fda.gov/downloads/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm337803.pdf). Properly disposing of unused drugs year round at police stations and on Take Back Days like April 27th remove potentially dangerous pharmaceutical substances from our state's medicine cabinets and will help to prevent them from going into our water supply. For locations of the North Shore Police Departments, and other locations participating in theDrug Take Back Day, visit https://takebackday.dea.gov/ North Shore Health Department Highlights 4/16/2019 What is Mold? Mold refers to the more than 300,000 species of fungi that can be found both indoors and outdoors. While mold grows best in warm, damp, and humid conditions, their spores can survive harsh environmental situations, such as dry conditions, and then bloom again when conditions are ripe. Though mold growth can occur year-round, it is encouraged by warm and humid conditions such as those that occur in the Spring here in Wisconsin. Outdoor mold can be found in shady, damp areas or places where leaves or other vegetation are decomposing. Indoor mold can be found where humidity levels are high, such as basements or showers. If you can see or smell a mold problem, testing or sampling is typically not necessary. It is more important to identify and remediate the moisture source and clean up the mold, than to spend the time and money on testing. In addition, there are no agreed-upon, health-based standards for human exposure to mold or mold spores. Small areas of mold growth on nonporous surfaces can usually be cleaned by the removal of the gross mold buildup, followed by application of a simple bleach solution (1 cup bleach in 1 gallon water). The affected area(s) should be allowed to dry thoroughly. Extensive cleanup of large areas may require the use of a mold/water cleanup service and the removal of mold-contaminated surfaces (including drywall, carpeting, or wood flooring). Specific Recommendations to help control mold: Keep humidity levels as low as you can—no higher than 50%--all day long. An air conditioner or dehumidifier will help keep the level low. Humidity levels change over the course of a day with changes in the moisture in the air and the air temperature, so you will need to check the humidity levels more than once a day. Use an air conditioner or a dehumidifier during humid months. Be sure the home has adequate ventilation, including exhaust fans. Add mold inhibitors to paints before application. Clean bathrooms with mold killing products. Do not carpet bathrooms and basements. Remove or replace previously soaked carpets and upholstery. Seeking professional help: If you suspect you have an indoor air quality problem, you may want to discuss it with an indoor air quality specialist. The Wisconsin Department of Health Services has information on mold and a list of Indoor Air Quality Consultants. The list can be accessed at the following link: https://www.dhs.wisconsin.gov/mold/consultants.htm If you are renting and feel your landlord is not being responsive to your concerns, you can call the Tenants’ Rights and Responsibilities at 608-224-4976 or Toll-free in WI at 800-422-7128. North Shore Health Department Highlights 4/9/2019 Did you know? The North Shore Health Department (NSHD) operates offices in both Brown Deer and Shorewood. At these sites, we offer appointment-based immunization and Adult Health Screening clinics, as well as regularly scheduled walk-in blood pressure screening clinics. Additionally, we offer a monthly immunization clinic at the North Shore Library (appointments are still necessary) as well as five other blood pressure clinics at locations throughout the North Shore. Besides these clinics, NSHD provides many other great services to you and your community. When we are not hosting a clinic or answering calls from the public, we can be found out in the community promoting and protecting the public’s health. We may be visiting a family with a newborn baby and offering lactation support. We may be collecting water samples at the beaches to test for E.coli levels. We could be hosting a fall prevention class at the senior center. We may be attending a conference to help us better prepare for a coordinated response to a public emergency. Or we may be completing a state mandated investigation on one of a variety of communicable diseases. If you have questions or need to speak with someone from the North Shore Health Department, you may: Call our main number at 414-371-2980. Staff are available to answer and assist during our main business hours of 8:00am – 4:30pm. If no one answers, please leave a message and someone will get back to you promptly. Send us an email at email@example.com. We will call you back or reply by email. Visit our website: http://www.nshealthdept.org Schedule an appointment for any of our clinics or stop in for blood pressure during our open blood pressure clinic times. Stop by either of our offices to speak with staff. If no one is available, there will be a sign in the window spelling out when we will return. NSHD staff are always working to keep the communities we serve healthy and safe. Even if our staff are not available in the office, NSHD is still open for business. Please reach out to us with any questions or concerns and we will do our best to provide prompt and thorough answers and assistance. North Shore Health Department Highlights 4/2/2019 April 1-7, 2019 is National Public Health Week. The American Public Health Association leads this annual charge to celebrate the power of prevention, advocate for healthy and fair policies, share strategies for successful partnerships and champion the role of a strong public health system. We are highlighting the daily themes on our social media, or you can read more about NPHW at: http://www.nphw.org/nphw-2019 Speaking of prevention, did you know that most flu is preventable? Diagnosed cases of influenza have dramatically increased over the last month in our region. The Wisconsin Department of Health Services believes that flu activity has not yet peaked in Wisconsin and that high influenza activity will continue well into April. The North Shore averaged one flu-associated hospitalization case each day last week (394 state wide) including patients of all age groups. Additionally, an area long term care facility had a small outbreak which was kept in check by mass vaccination in the Fall, early diagnosis, prophylactic treatment of the exposed with TamiFlu and quick isolation of the ill. The best way to prevent flu is to get the vaccination in the fall. However, it is not too late to receive the flu vaccine. It is still recommended if you are medically able. Even if you have been vaccinated, if you suspect you have the flu (sudden onset of fever, chills and cold-like symptoms accompanied by muscle aches), early diagnosis by a medical professional is essential as treatment to lessen symptoms is only provided within the first 48 hours. To learn more about flu, go to: https://www.cdc.gov/flu/index.htm or https://www.dhs.wisconsin.gov/influenza/index.htm.