miércoles, 2 de agosto de 2017

Immunizations provide the ounce of prevention delivering the pound of cure | Health.mil

Immunizations provide the ounce of prevention delivering the pound of cure | Health.mil


Immunizations provide the ounce of prevention delivering the pound of cure

Air Force Col. Tonya Rans, chief, Immunization Healthcare Branch, Defense Health Agency.

Air Force Col. Tonya Rans, chief, Immunization Healthcare Branch, Defense Health Agency.

While a medical student years ago, I recall an infant who was brought in with serious flu symptoms. He was pale and looked exhausted lying in his mother’s arms. He made a high-pitched whistling sound while struggling to breathe. I distinctly remember seeing the outline of his collarbone and ribs while he gasped for air and tiredly looked my way. The medical team immediately assisted him with a breathing tube, started fluids and medication through an IV. He was transferred to the intensive care unit, where I saw his medical team sit just outside of his room overnight so they would be available immediately if the infant needed help. He was diagnosed with a vaccine-preventable disease, although this time, he was too young to be immunized. But it still really drove home in the mind of this doctor the important role vaccines play in preventing so many diseases, including the seasonal flu. During August’s Preventive Health Month, let’s talk about our best preventive health measure we can take: immunizations.
Vaccines are among the most important accomplishments in medicine. They’ve saved more lives throughout the world than any other medical invention, including antibiotics or surgery. The mobile, worldwide nature of the military, and the potential exposure service members have to diseases not common to the general civilian population in the United States, make clear the importance of vaccinations. Vaccines keep you and your team healthy, and healthy troops complete their missions. Getting immunized also keeps you from bringing back diseases to your loved ones. For family members and retirees, keeping up with vaccinations ensures the health of the entire community, especially the elderly and those on treatments that suppress their own immune systems.
For immunizations to be most effective in protecting the entire community, we must rely on something called “herd immunity.” This limits the spread of disease by having a large percentage of the community immunized. Between 80 and 95 percent of the community must be vaccinated for herd immunity to be helpful.
However, not everyone takes advantage of the benefit vaccinations bring, lowering the percentage of those vaccinated, and thus, lowering the overall herd immunity. This has led to several large outbreaks of vaccine-preventable diseases abroad and in the U.S. My office, the Defense Health Agency Immunization Healthcare Branch, pilots programs to help providers engage with vaccine-hesitant parents and help them make the best-informed decisions.
Additionally, to make sure all DoD beneficiaries have a way to ask about any immunization-related concern, we developed four Regional Vaccine Safety Hubs composed of doctors, nurses, and immunization health care specialists. Clinical staff from these safety hubs are available 24/7 to answer your questions through our Immunization Healthcare Support Center at (877) GETVACC (438-8222), option 1. We wholeheartedly encourage using this resource to assist parents and active duty military members in making an informed decision regarding vaccinations.
Beyond the vaccines that virtually wiped out some of the most devastating and deadly diseases on earth, such as smallpox and polio, research continues on the latest illnesses facing not just our military population, but the entire world. Immunizations against Ebola and Zika viruses are in the works, and we hope to soon greet the news of those vaccines as the world did in the 1950s when Dr. Jonas Salk unveiled the vaccine against polio.
That baby I mentioned earlier did make a full recovery and gave big smiles while his tearful parents hugged the medical team as they made their way to the hospital exit. There’s the old saying that an ounce of prevention is worth a pound of cure. During this Preventive Health Month, let’s remember that the ounce of prevention many times comes in the form of a small injection carrying a lifesaving vaccine. Through better science and education, we’ll make sure immunizations continue to be the best way we go from health care to health.
More information on immunizations and the impact for everyone in and associated with the military is available on our website.

One size no longer fits all: MHS’ approach to individualized medicine

Dr. Jonathan Woodson, former assistant secretary of Defense for Health Affairs and member of Uniformed Services University of Health Sciences Board of Regents, provided the opening remarks at the recent Precision Medicine Research Conference in Potomac, Maryland. (Uniformed Services University of Health Sciences photo)
Military Health System experts discussed the importance of individualized approach to prevention and treatment, and the need for MHS and Uniformed Services University of Health Sciences to pave the way
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Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries, Active Component, U.S. Armed Forces, 2016

Did you know  … ? In 2016, essential hypertension accounted for 52,586 encounters for health care among 29,612 active component service members in the U.S. Armed Forces. Of all cardiovascular diseases, essential hypertension is by far the most common specific condition diagnosed among active duty service members. Untreated hypertension increases the risks of subsequent ischemic heart disease (heart attack), cerebrovascular disease (stroke), and kidney failure. CHART: Healthcare burdens attributable to cardiovascular diseases, active component, U.S. Armed Forces, 2016 Major condition: • For all other cardiovascular the number of medical encounters was 70,781, Rank 29, number of individuals affected was 35,794 with a rank of 30. The number of bed days was 4,285 with a rank of 21. • For essential hypertension the number of medical encounters was 52,586, rank 35, number of individuals affected was 29,612 with a rank of 35. The number of bed days was 151 with a rank of 86. • For cerebrovascular disease the number of medical encounters was 7,772, rank 79, number of individuals affected was 1,708, with a rank of 96. The number of bed days was 2,107 with a rank of 32. • For ischemic heart disease the number of medical encounters was 6,629, rank 83, number of individuals affected 2,399 with a rank of 87. The number of bed days was 1,140 with a rank of 42. • For inflammatory the number of medical encounters was 2,221, rank 106, number of individuals affected 1,302 with a rank of 97. The number of bed days was 297 with a rank of 72. • For rheumatic heart disease the number of medical encounters was 319, rank 125, number of individuals affected 261, with a rank of 121. The number of bed days was 2 with a rank of 133. Learn more about healthcare burdens attributable to various diseases and injuries by visiting Health.mil/MSMRArchives. #LoveYourHeart Infogaphic graphic features transparent graphic of a man’s heart illuminated within his chest.
This infographic documents healthcare burdens attributable to cardiovascular diseases among active component, U.S. Armed Forces in 2016.
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CDC Yellow Book

CDC Health Information for International Travel 2018
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DoD vaccine research saves military, civilian lives

Mosquitoes lie in a petri dish for testing. Personnel at the Walter Reed Army Institute of Research, a Defense Department biomedical facility in Silver Spring, Maryland, are researching and developing vaccines that can save military and civilian lives. (U.S. Air Force photo)
Personnel at the Walter Reed Army Institute of Research are researching and developing vaccines that can save military and civilian lives
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DoDEA Immunization Requirements School Year 2017-18

Students who enroll in Department of Defense Education Activity (DoDEA) schools are required to meet specific immunization requirements.
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Protect your back during your PCS

Service members and their families relocate a lot, and moving to a new home is hard enough without adding a back injury to the mix. So be mindful of how you’re lifting and moving while you’re packing up and loading up. (U.S. Navy photo)
Service members and their families relocate a lot, and moving to a new home is hard enough without adding a back injury to the mix
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Immunization Healthcare nurses have all bases covered

Immunization Healthcare Branch nurse practitioner Ann Morse (left) speaks to Sailors about immunizations at a health fair. The Health Fair was part of a long-range plan to improve the overall health and wellness of Sailors.(U.S. Navy photo by Lt. j.g. Mckensey Smith)
The nurses and nurse practitioners of the DHA Immunization Healthcare Branch carry on a proud tradition of nursing in military medicine, through education, policy development, adverse event management, research and training all done in the name of caring for patients and providers and ensuring the health of our warfighters.
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Surveillance of Vaccination Coverage Among Adult Populations — United States, 2015

The findings provided in this report indicate that vaccination coverage levels among U.S. adults are not optimal. Improvement in adult vaccination is needed to reduce the health consequences of vaccine-preventable diseases among adults.
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General Best Practice Guidelines for Immunization

The Centers for Disease Control and Prevention (CDC) recommends routine vaccination to prevent 17 vaccine-preventable diseases that occur in infants, children, adolescents, or adults. This report provides information for clinicians and other health care providers about concerns that commonly arise when vaccinating persons of various ages.
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Mentorship creates unique comradery, opportunities for African Americans

Dr. Limone C. Collins, Jr., Chief of Vaccine Safety and Evaluation, Immunization Healthcare Branch, Public Health Division, Defense Health Agency (U.S. Army photo by Joseph Palgutt)
Dr. Limone Collins Jr, Chief of Vaccine Safety and Evaluation, Defense Health Agency Immunization Healthcare Branch (DHA-IHB), has served the United States for more than 40 years, in the Army and now as a DoD civilian
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CDC Pink Book Supplement 2017

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Avoid sitting disease

A DHHQ employee bikes to work. Bike or walk to work, if possible. If you don’t live close enough to bike or walk the entire commute, try walking for at least part of your travel time. For example, park further from your building. Or choose a higher level in the parking garage. (Courtesy photo)
The more time you spend sitting, the greater your risk of disease
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Malaria vaccine candidate proves effective in Navy Medicine clinical trial

Navy Petty Officer 1st Class James Bowes, Camp Lemonnier's expeditionary medical facility senior preventive-medicine technician, places mosquitoes on a dish to view under a microscope at Camp Lemonnier, Djibouti. Bowes, a member of the camp's mosquito-control program, routinely analyzes mosquitoes to help determine the risk of mosquito-borne diseases like malaria. (U.S. Navy photo by Petty Officer 1st Class Tom Ouellette)
An effective malaria vaccine would be an ideal tool to prevent malaria in deployed military personnel
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Proper dental care can prevent disease

Navy Lt. Michelle Romeo teaches a first-grade student proper brushing techniques during  Dental Health Month at Graham A. Barden Elementary School in Havelock N.C. (U.S. Marine Corps photo by Cpl. Grace L. Waladkewics)
More than fighting bad breath or preventing gingivitis, research shows that dental health also contributes to the overall well-being of people
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One Health concept highlights collaboration as key

Given its nature and the potential for pandemics, flu is of particular concern regarding Force Health Protection and global health. Navy Petty Officer 3rd Class Esteven Baca, from the immunizations department at Naval Hospital Pensacola, administers a flu shot to Lt. Alison Malloy, Staff Judge Advocate for the Center for Information Warfare Training. (U.S. Navy photo by Petty Officer 3rd Class Taylor L. Jackson)
Experts, including those at the Defense Health Agency’s Public Health Division, are integrating human medicine, animal health and environmental science to prevent and treat the flu, as well as other serious public health threats
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