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No.2/November 2010AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
Give Your health a shotActress Amanda Peet speaks out about her choice to vaccinate
VACCiNES & iMMUNiZAtioNS
get the fl u shotprotection encouraged by the CdC
Photo: michelle GrinBlat
luke duvallHighschool jock hit hard with H1N1
Whooping cough What you can do to stop the spread
Kelly cooPer/arKansas children’s hosPital
PH
OTO
: MAT
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W H
rA
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K Give Your health a shot3
TIPS
2 · November 2010 AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
CHALLENGESIn the 1950’s polio killed and injured thousands of Americans. Parents lost children, children lost friends, people of all ages lost the ability to walk or even breathe.
A community responsibility
the country was ter-rifi ed of a disease that had no cure. When a vaccine became avail-able in 1955, com-munities worked
together with public health depart-ments, doctors, nurses, schools and volunteers to make sure that every-one was vaccinated. Within fi ve years of introducing the vaccine, the incidence of polio went from 58,000 cases in 1952 to 161 cases in 1961. It was a tremendous achieve-ment and spurred the development of more vaccines and eff orts to sup-port and educate the community about vaccine-preventable diseases.
We no longer see polio in the United States and the disease has nearly been eliminated in other parts of the world thanks to vac-cine. Nearly, but not completely.
Polio, along with measles, mumps, whooping cough and many other infectious diseases still exist and are truly just a plane ride away. Absent is not the same
as eliminated. Just because we do not see the disease today or see as many cases in the U.S. does not mean it is gone forever. Like the pertussis or whooping cough epi-demic we are currently experienc-ing in California, it is conceivable that even polio could return. We need to ensure that our communi-ties, our families and especially our children are protected.
Don’t take chancesThere is a considerable amount of misinformation about vaccines on the internet. In certain areas of California, some parents have made a choice to not immunize their children out of a mistaken belief that these diseases no longer exist. Some adults have also passed up the opportunity to protect themselves from diseases that are serious, but easily preventable by receiving a vaccine. In turn they run the risk of infecting vulnerable family members such as newborn babies and older adults.
The California Immunization
Coalition supports a parent’s and individual’s right to make an informed choice about vaccines. Our Coalition connects individuals, parents and providers with accu-rate, reliable, science-based infor-mation that can help them make the best decision about vaccines for themselves and their children. We urge them to consult their physi-cians or other health care providers to learn the facts about vaccine ben-efi ts, safety and eff ectiveness. The California Immunization Coalition is pleased to be included in this spe-cial report on vaccines and immu-nizations, to help get the word out about the continued importance of vaccines as a way to prevent disease and maintain a healthy lifestyle.
The deaths of ten babies, along with over 6,500 cases of whooping cough, (more than we have seen since 1955) has focused national attention on California and it is a wake up call to our community. We must protect our children, adoles-cents and adults from these pre-ventable diseases.
Catherine Flores Martinexecutive director,California immunization Coalition
Share your storyVaccine-preventable diseases still aff ect people in our own communities and cause a huge amount of suff ering and death worldwide. People who have been touched by vaccine-preventable diseases have powerful stories to tell. To listen to real-life stories or if you have a story to share, visit www.ShotbyShot.org.
DON’T MIss!
Mark Sawyer, MDdiscusses CA’s whooping cough epidemic.
We reCOMMeND
pAge 5
VACCINes & IMMUNIZATIONs,2ND eDITION, NOVeMBer 2010
Country Manager: Allan [email protected] Manager: Jackie [email protected]
responsible for this issuePublisher: Michelle [email protected] Developer: Brian [email protected]: Missy [email protected]: Catherine flores Martin; California Immunization Coalition; David Duffy; every Child By Two; Lisa B. Kritz, MsW, MBA; Mark sawyer, MD; Wendy Taylor
Distributed within: Los Angeles Times, November 2010This section was written by Mediaplanet and did not involve Los Angeles Times News or editorial Departments.
mediaplanet’s business is to create new customers for our advertisers by providing readers with high-quality editorial content that motivates them to act.
STAY uP TO DATe WITH
vACCINATIONS
AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
STAY uP TO
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vaccines and travel p. 10learn how to protect your healthbefore you pack your bags.
4 · November 2010 AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
NEWS
■ Question: What’s the single best thing almost all of us can do to protect against the fl u?■ Answer: get vaccinated—it’s that simple.
This fl u season, for the fi rst time, the Centers for Disease Control’s Advisory Committee on Immuni-zation Practices recommends that all Americans age six months and older get vaccinated against the fl u.
The 2010-2011 vaccine protects against three fl u viruses, including H1N1, the subject of much atten-tion during the 2009-2010 season. Healthy individuals age two to 49, including women who are not preg-nant, can choose between the tra-ditional fl u shot and a nasal-spray vaccine. The rest of us must submit to the needle, but it’s important that we do so, particularly people who are at risk of developing fl u-related complications. This group includes
pregnant women, children younger than fi ve, those over 50, and people living in nursing homes or who live with or care for those at high risk of complications. It also includes indi-viduals with underlying medical conditions such as asthma, heart or lung disease, and blood, kidney or liver disorders.
expanding the recommen-dation “universe”“We’ve recognized for years that vaccination is the most important thing people can do to protect themselves,” says Tom Skinner, a spokesman for CDC. “This year, the vaccine should be plentiful and everyone who wants a vaccination can get one.”
Skinner says the CDC has been expanding the universe covered by its recommendations for the last fi ve to six years. “Previous recommen-dations covered about 85 percent of
the population,” he says. This year, 18 to 50 year-olds with no underly-ing health conditions have been added. The only exception now are babies under six months since their immune systems are not suffi ciently developed to handle the vaccine.
As in past years, CDC will be pro-moting the importance of fl u vac-cination in a variety of ways, among them working with such organiza-tions as the American Lung Associ-ation, which is mounting the “Faces of Influenza” program (www.facesofinfluenza.org.) National Influenza Vaccination week is December 5-11, but you don’t need to wait. According to CDC, the tim-ing of the fl u season can vary, but vaccination season begins in Sep-tember and continues into Decem-ber, January and beyond.
Flu vaccination For all in 2010
david duFFy
GeT A YeARLY FLu SHOT
GeT A YeARLY
2TIP
November 2010 · 5AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
profESSioNAL iNSiGHt
A whooping cough epidemic? Sound like something out of the 1950’s? Well, California has already had more cases of whooping cough in 2010 than have been seen in the state since 1950.
Sadly, ten California babies have died of whooping cough this year. Why is this hap-pening? First, whooping cough, also known as pertussis, is among the most contagious of infectious diseases. Second, people can have pertussis without even knowing it. In older children and adults, pertussis often appears to be just a bad cough—one that goes on for weeks. We now know that older children and adults are an important source for spreading whooping cough to young children, who can become severely ill from the disease. The third reason we are seeing a pertussis epidemic is that not enough of us are protected through immunization. A pertussis vaccine is now recommended for all older children and adults in California.
There are several important steps you can take to stop California’s pertussis epidemic. The first step is to think about pertussis when you or any family member develops a prolonged cough-one that lasts for more than a week. You should really
suspect pertussis if your cough comes in a series of coughing spells that you cannot stop or if you vomit after coughing. The second step, which helps stop all respira-tory infections, is to wash your hands fre-quently and cover your cough. Pertussis spreads by small droplets generated when you cough. The most important step you can take to protect yourself and your family is to get immunized. Young children should receive a series of five doses of DTaP vaccine beginning as early as six weeks of age. This vaccine also protects against diphtheria and tetanus. Older children, beginning at age 10 and all adults need to have a booster dose with a vaccine called Tdap—a form of pertussis vaccine designed for them. This year the California Department of Public Health recommends Tdap vaccine for chil-dren and adults of all ages. It is especially important that close contacts of new babies get immunized. Together we can stop this epidemic—get your family immunized.
pertussis: What you can do to stop California’s epidemic
Mark Sawyer, MD professor, Clinical pediatrics and pediatric infectious disease specialist 1
Pertussis is the only vac-cine preventable disease that is on the rise in the
U.S. In 2010, pertussis was declared an epidemic in several states that are experiencing high incidence of the disease that resulted in the deaths of numerous infants.
2During a pertussis out-break, children who have received all their
pertussis vaccinations are six times less likely to become infected than those who have never been vaccinated.
3Seventy percent of infants who contract pertussis are infected by
their own family members. Most unvaccinated children living with a family member with per-tussis will contract the disease.
Vaccines protect your patients, your community, & YOU!Don’t risk it. Be vaccinated!
www.ANAImmunize.org
This project is supported by Cooperative Agreement Number 1U01P000378-01 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.
Photo: california immunization coalition
PerTUssIs fACTs
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TGA101072_100336_AskLATimesROP 1 10/12/10 2:30 PM
Route:L TYPE:N/A Date:N/A N/A Apple Macintosh, Application/Version: InDesign 6.0.4Layout EP: N/A Date: N/AKeyline EP: Heather.Kern Date: 09/22/2010Keyline Release EP: Heather.Kern Date: 09/23/2010Final Board 3 EP: Heather.Kern Date: 10/6/10Final Release EP: Heather.Kern Date: 10/08/2010
Promo 100336 9/24/10 Ask Us Flu ROP Market: LA TimesTRIM: CD: MP: EPA: SEP:LIVE: CM: PM: Type: Printer/Mfg:BLEED: AD: CE: PB: Dept/Merchant:CREATED AT: CB: CW: LS: Trims Dev:COLOR:
100%
21.25” x 10”0.25” x 0.25”0” x 0”
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any questions?Or, search pharmacy at Target.com.
Being a mom is hectic enough without having to worry about the latest research, product recalls, and the difference between an anti- and a probiotic. That’s where we come in. At Target Pharmacy® we fill prescriptions, but our expertise doesn’t stop at the counter. In fact, throughout the day you’ll find us walking the aisles, answering all your questions about how best to keep your family happy and healthy.
the counter. In fact, throughout the day you’ll find us walking the aisles, answering all your questions about how best to keep your aisles, answering all your questions about how best to keep your family happy and healthy.family happy and healthy.
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8 · November 2010 AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
pErSoNAL iNSiGHtMy husband and I were ecstatic when we learned we would be having our fi rst baby. As we planned the new nursery and counted down the days, our friends started asking us the same question: Do you plan to vaccinate your baby?
A mother’s choiceM
any of our friends in H o l l y w o o d were choos-ing not to v a c c i n a t e their babies
(or to delay vaccines) because they feared that they might cause autism or other disorders. We were torn.
We had never thought about not vaccinating, but when we went online to educate ourselves on vaccines, we found website after website warning us about their dangers. Naturally, we were very concerned about what we read.
explore your optionsWe took the time to speak with several doctors about our con-cerns. They recommended that we explore several reputable websites—sites that included scientifi c research supported by credible organizations like the World Health Organization, the National Academy of Sciences, and the American Academy of Pediatrics.
What became clear to us after all of our research was that scientists around the world clearly refuted any connection between vaccines and autism or other disorders. Most importantly, I learned that delay-
ing vaccines could jeopardize our baby’s life.
After my experiences I realized that many parents must be going through the same turmoil over this critical decision. I was determined to do whatever I could to help par-ents like us get the facts straight on this very important issue.
vaccines save livesThat’s why I have teamed up with Every Child By Two. They also trust in the conclusions of the worldwide scientifi c community that vaccines are safe. We know vaccinating your baby on time is the right choice. We hope that
you will use this website to navi-gate your way through the online myths and fi nd the scientifi cally proven facts.
That’s why I volunteered to be a spokesperson for Every Child By Two’s Vaccinate Your Baby Cam-paign. The campaign website—www.vaccinateyourbaby.org—will help you navigate your way th-rough the online myths and fi nd the scientifi cally-proven facts. Get the facts: vaccines save lives.
EvEry Child By Two www.vaCCinaTEyourBaBy.org
Amanda PeetActress and spokesperson for every Child by two
November 2010 · 9AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
pErSoNAL iNSiGHt iNSpirAtioN
Luke DuvALL with the helicopter crew that cared for him when he was transported to Arkansas Children’s Hospital.Photo: Kelly cooPer/arKansas
children’s hosPital
Bouncing back from H1N1Luke Duvall, a healthy, athletic 15-year-old, was exhausted on the evening of October 2, 2009 but geared up and played in his high school football game anyway.
The next day he awoke feeling worse, and by Sunday, he had a fever of 104.3 degrees. His parents worried that he was suffering from H1N1 influenza (flu) and tried to get him into see a doctor but the first available appointment was not until Monday afternoon. The fever continued through Monday, and when his father took him to the medical clinic, Luke was diagnosed with the flu. He was sent home to rest and was given diarrhea and nausea medicine. One important thing that the doctor overlooked
was that Luke’s lung was filling up with mucus.
The next day Luke began spitting up blood and had great difficulty breathing. He was rushed to the hospital in an ambulance. With his lung packed with bloody mucus, Luke was kept in the ICU in critical condition. The following morning Luke was medevaced to Arkansas Children’s Hospital for more inten-sive care. Luke was tested and his parents’ fears were confirmed, he was diagnosed with H1N1.
A difficult cycleLuke could not breathe without a ventilator and remained in the Pediatric Intensive Care Unit for days. The doctors induced a coma so that he would remain uncon-scious and not have to bear the pain and discomfort of the ventilator.
His condition would improve and then worsen again, a cycle that was very difficult for his parents to wit-ness. After a week, Luke suffered a serious setback. The doctors called in his family and his mother fell on
her knees to pray for his life. From that point forward, Luke improved as his lungs got better and his blood pressure stayed normal. Luke came out of his coma after 12 days but a tube remained in his throat for the next five days. He was extubated on October 24 and entered rehab four days later in order to regain his basic living skills.
One month after the onset of H1N1, Luke returned home 36 pounds lighter and substantially weaker. Thanks to the support of his family, doctors and the rehabilitation workers, Luke has returned to school and continues to get stronger. He just completed football season and is gearing up as the ace pitcher for his high school baseball team.
While Luke has his health back, he continues to think about the
young children he witnessed suf-fering from H1N1 in the hospital, some who didn’t make it out alive. He wonders how different things would have played out if he and the others in the hospital had been vaccinated against H1N1. Now, Luke serves as a spokesperson for Every Child By Two, raising aware-ness about the importance of the influenza vaccine.
“Don’t just think about yourself, you may be in great health just like I was. You can still contract influ-enza and worse yet, you may infect other vulnerable people such as pregnant women and infants along the way.”
EvEry Child By Two www.vaCCinaTEyourBaBy.org
STAYING SAFe. Luke receives his flu vaccine on the one-year anniversaryof his illness. Photo: joshua mashon
10 · November 2010 AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
NEWS
immunizations: Your most important travel preparationThe Center for Disease Control (CDC) and World Health Organization websites provide detailed health information and warnings to millions of globetrotters.
Subjects arranged by destination vary from guarding against tick-borne encephalitis during a Span-ish beach holiday to recommend-ing typhoid immunizations for travel in Malaysia.
While the CDC advises travelers to heed warnings regarding travel immunizations and medications, International Health Regulations only require two vaccines. Tra-velers to sub-Saharan Africa and regions of South America must receive a yellow fever vaccine. Like-wise, the Saudi Arabian governme-nt mandates meningococcal vac-cinations for all those traveling to Mecca during the Hajj.
Secure all immunizationsIdeally, travelers should contact local medical professionals four-to-six weeks prior to travel to ensure routine immunizations are current and receive destination-specifi c instructions. Many vac-cines require a timed series for maximum effectiveness, while others simply require an extended incubation to fully guard against disease. However, last-minute
travelers should not forego a trip to their physician simply because they feel they’re past the ideal window. Physicians may offer immunizations on short notice and additional medication may be provided for potential exposure to some illnesses.
While clinics specializing in traveler’s needs exist in many areas, an advance call often al-lows your primary care physici-an to secure all immunizations. Some doctors require a specifi c appointment to see those prepa-ring for travel, so it’s best not to rely on an afterthought conversa-tion when visiting for cold symp-toms. As well, it’s always smart to check your insurance policy prior regarding immunization and tra-vel medication coverage.
The importance of pre-travel medical visits increase for those with special considerations, such as travelers with compromised immune systems due to HIV, wo-men who are pregnant or breast-feeding, and young children who have not received all routine vac-cination series.
While no one likes to see a line of needles waiting, a little prepa-ration delivers healthy travel and peace of mind.
wEndy Taylor
QUesTION & ANsWer
What is the difference between a required vaccination and a recommended vaccination?■ The term “required” is used when a country’s government requires a traveler to present formal proof of vaccination in order to enter the country. A “recommended” vaccination is one that is suggested to protect travelers from illnesses present in other parts of the world and to prevent the importation of infectious diseases across inter-national borders.
Under the International Health Regulations, govern-ments of countries may require proof of yellow fever vaccination for individuals entering their country. Some countries require this proof of vaccination for all individuals above a certain age, while others require it for indi-viduals who are traveling from a country where yellow fever is endemic. For information about country-specific yellow fever vaccination requirements, see the CDC’s Travelers’ Health site.
Source: http://wwwnc.cdc.gov/travel
ReSeARCH THe COuNTRY YOu
TRAveL TO
ReSeARCH THe
3TIP
Question: Could small pox or whooping cough be potential souvenirs from your next vacation?Answer: Smart travelers realize health information and immunizations save time, money and misery.
November 2010 · 11AN iNdepeNdeNt AdvertisiNg supplemeNt by mediAplANet to los ANgeles times
NEWS
Vaccines have a long and storied history throughout modern medi-cine. The number of lives that have been saved by immunizations are literally immeasurable.
We know vaccinesprotect againstdevastating diseasesVaccines are one of the greatest achievements of medicine and have saved millions of people from the effects of devastating diseases. The current childhood immunization schedule protects against fifteen serious diseases:■ Hepatitis B, a serious liver disease
■■ Diphtheria■■ Tetanus (lockjaw)■■ Pertussis (whooping cough)■■ Pneumococcal, a serious blood,
lung and brain infection■ Haemophilus influenzae type b, a serious brain, throat and blood infection■ Polio, a serious paralyzing disease
■■ Rotavirus infection, a serious diarrheal disease■ Influenza, a serious respiratory infection■ Measles
■■ Mumps■■ Rubella■■ Hepatitis A, a serious liver disease■■ Chickenpox■■ Meningococcal disease, a seri-
ous bacterial illness.
We know these diseases are dangerous■ In 1920, before the diphtheria vaccine was developed in 1923, there were close to 150,000 diph-theria cases reported in the U.S. with 13,170 deaths.
■ 1n 1964/1965, before the rubella vaccine was developed in 1969, there was an epidemic of rubella that resulted in approximately 20,000 infants born with Con-genital Rubella Syndrome; a syn-drome that can result in, among other things, hearing, visual and neurological problems. There were also 2,100 neonatal deaths.
■■ Between 1951 and 1954, before the polio vaccine was developed in 1955, over 16,000 paralytic polio cases were reported in the
U.S. with 1,879 deaths.■■ By 1989, immunization rates
were waning in the U.S. Vaccines had been so successful that par-ents began thinking they did not need to immunize their children anymore. In 1990, The United States experienced a measles outbreak. Close to 28,000 measles cases were reported. Of these cases, over 20 percent were hospi-talized. There were 123 measles-associated deaths. More than half of the deaths were children less
than five years old.
We know dangerous disease outbreaks continue to occur in the u.S.Recently, pertussis, more com-monly known as whooping cough, has made a comeback. We know that vaccinating yourself and your family is one of the most important decisions you can make to protect your family from preventable illness.
A decision not to immunize
yourself or your child involves great risk. This is the risk of put-ting an unvaccinated person and those who come in contact with him or her at risk of contracting a dangerous or deadly disease.
how immunizations have shaped modern public health
lisa B. KriTz, Msw, MBa
direCtor, CHiCAgo AreA
immuNiZAtioN CAmpAigN
WeLLbee, the CDC’s national symbol for public health in the 1960’s, promotes immunizations. Photo: (l) cdc/mary hilPertshauser, 1964; (r) cdc/mary hilPertshauser, 1963
