Sometimes, getting stuck isn’t bad

Can you remember the last time you had a tetanus shot?  In fact, can you remember the last time you had any kind of shot at all? If you can, chances are it was a flu shot, since most of the immunizations we require are received during childhood. But there are other immunizations we should be receiving periodically, because some lose their effectiveness over time.

Checking up on your personal immunization record, and making sure your loved ones are properly immunized as well, is a simple and critical step for helping to protect yourself and your family from preventable illness and related serious medical conditions. And if you’re an employer, encouraging your staff to do the same helps protect them, their families and everyone around them.

Even though some diseases, such as polio, rarely affect people in the U.S., all of the recommended childhood immunizations and booster vaccines are still needed. These diseases still exist in other countries. Travelers can unknowingly bring these diseases into the U.S. and infect people who have not been immunized. Without the protection from immunizations, these diseases could be imported and could quickly spread through the population, causing epidemics.

Additionally, influenza – the flu – mutates and reappears in different strains, requiring different vaccines every year. Organizations like the Centers for Disease Control (CDC) and World Health Organization work together to try and identify likely strains and prepare millions of doses of flu vaccines, which typically are administered from late summer to early winter to children and adults. They are safe, readily accessible and effective – and side effects are rare.  When employees get the flu or another preventable illness, they miss work and get other people sick.  That has a negative impact on productivity and service, and the related healthcare costs are significant.

August is National Immunization Awareness Month. Non-immunized people living in healthy conditions are not protected from disease; only immunizations prepare the immune system to fight the disease organisms. Most of us choose to immunize our children from the day they’re born. In fact, children can’t attend public school, go to camp, compete in many sports or travel outside of the country without a proven medical history of required immunizations. But as adults, we may not have received all the necessary immunizations, some of them may no longer be working effectively, and others, such as the vaccination for tetanus, have to be repeated periodically … in the case of tetanus, once every 10 years.

Today, children and adults receive a “Tdap” booster for tetanus, diphtheria, and pertussis. If you doubt the importance of this, note that pertussis (Whooping Cough) has recently reappeared in Connecticut. Pertussis is caused by bacteria spread through direct contact with respiratory droplets when an infected person coughs or sneezes. The reason for its reemergence, experts believe, is because our bodies may have stopped producing antibodies in response to the vaccinations we received as children, or because some parents are not protecting their children through recommended vaccinations. This disease is particularly dangerous for babies, so protecting yourself also protects others.

Diphtheria, also prevented through the Tdap booster, is a very contagious bacterial disease that affects the respiratory system, including the lungs. And Tetanus, which is caused by bacteria found in soil, enters the body through a wound, such as a deep cut. When people are infected, the bacteria produce a toxin in the body that causes serious, painful spasms and stiffness of all muscles in the body. This can lead to “locking” of the jaw so a person cannot open his or her mouth, swallow, or breathe. Complete recovery from tetanus can take months. Three of 10 people who get tetanus die from the disease.

If you can’t remember if or when you had your Tdap booster, talk to your doctor. Additionally, if you or your employees plan to travel outside of the United States or Canada, it’s wise to speak with a physician or an infectious disease specialist about immunizations to consider, such as protection against Hepatitis A, before traveling. In many foreign countries, especially third-world nations, diseases can still be contracted through impure water systems, through food that hasn’t been properly protected, and by air-borne particles.

If your personal immunization record doesn’t exist or has been lost, your physician can order a simple blood test that checks for the antibodies currently active in your system. He or she can then offer you the missing vaccinations, bringing you up-to-date as required. Typically, you’ll only have to do this once, unlike the vaccination for preventing influenza, which has to be received annually. Influenza may lead to hospitalization or even death, even among previously healthy children, so it’s smart to speak with your doctor annually about whether or not you should respond proactively rather than take your chances.

Protecting ourselves and our loved ones is our most important job. Today’s medical advances and access make that far easier, but only if we each take personal responsibility to ensure that our immunizations are up-to-date. Encourage staff to stay on top of their personal immunization histories, consider offering flu-shot clinics at your worksite, and share this information to promote good health and wellness for everyone. For more information, call toll free 1-800-CDC-INFO (1-800-232-4636) or visit http://www.cdc.gov/vaccines.

###

If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Resistance is not futile: Negating antibiotic myths

We all can relate to the telltale sounds of winter:  Fresh snow crunching under our feet, shovels sliding along sidewalks, ice scrapers chipping at frozen windshields  . . . and lots and lots of coughing and sneezing! It’s flu, ear, sinus and throat infection season in America, and decongestants, cough medicine and throat lozenges are jumping off the shelves as we also line up at the pharmacy to get our antibiotics.

With kids back in school, poor hand-washing habits, and everyone sneezing and snorting around us, our natural immunities to bacterial and viral infections are taxed, leaving us more likely to contract a variety of illnesses. But it’s important to know the difference between bacterial and viral maladies, and the best ways to fight those symptoms once we’re sick.

Bacteria are single-celled organisms usually found all over the inside and outside of our bodies, except in the blood and spinal fluid. Many bacteria are not harmful. In fact, some are actually beneficial. However, disease-causing bacteria trigger illnesses, such as strep throat and some ear infections. Viruses are even smaller than bacteria. A virus cannot survive outside the body’s cells. It causes illnesses by invading healthy cells and reproducing.

Antibiotics are drugs that fight infections caused by bacteria. After the first use of antibiotics in the 1940s, they transformed medical care and dramatically reduced illness and death from infectious diseases. The term “antibiotic” originally referred to a natural compound produced by a fungus or another microorganism that kills bacteria which cause disease in humans or animals.

Antibiotics are our chosen line of offense against many types of infections, but they don’t work against all. For example, we should not treat viral infections such as colds, the flu, sore throats (unless caused by strep), most coughs, and some ear infections with antibiotics. Although antibiotics have many beneficial effects, their use has contributed to the problem of antibiotic resistance.

Antibiotic resistance is nothing to sneeze at

Antibiotic resistance is a quickly growing, extremely dangerous problem. World health leaders have described antibiotic-resistant bacteria as “nightmare bacteria” that pose a catastrophic threat to people in every country in the world. Each year in the United States, at least two million people become infected with bacteria that are resistant to antibiotics, and at least 23,000 people die each year as a direct result of these infections. Many more people die from other conditions that were complicated by an antibiotic-resistant infection.

Antibiotic resistance is the ability of bacteria or other microbes to resist the effects of an antibiotic. When bacteria are exposed to antibiotics, they start learning how to outsmart the drugs. This process occurs in bacteria found in humans, animals, and the environment. Resistant bacteria can multiply and spread easily and quickly, causing severe infections. They can also share genetic information with other bacteria, making the other bacteria resistant as well. Each time bacteria learn to outsmart an antibiotic, treatment options are more limited, and these infections pose a greater risk to human health. These antibiotic-resistant bacteria can quickly spread to family members, schoolmates and co-workers, threatening the community with a new strain of infectious disease that is more difficult to cure and more expensive to treat.

Separating myth from truth

A report from the World Health Organization (WHO) released in late 2015 reports that 64 percent of people surveyed say they know antibiotic resistance is a problem, but they are less aware of how it affects them and what they can do about it. To reach these findings, the WHO surveyed 10,000 people in 12 different countries. They found that misunderstandings of antibiotic resistance were prevalent worldwide. Here are some common misconceptions that showed up in the survey results:

  • You don’t have to take all the antibiotics you’re prescribed. Among people surveyed, 32 percent said they thought you should stop taking antibiotics when you feel better, instead of completing the prescribed treatment plan. However the truth is that taking the full dose over the prescribed time frame is what’s recommended. Not doing so means an infection might not be fully treated, and can spur antibiotic resistance.
  • Antibiotic resistance means the body no longer responds to drugs. The WHO reports that 76 percent of people surveyed said antibiotic resistance is what happens when the body becomes resistant to antibiotics, when in fact it is the bacteria that becomes resistant and spreads illness.
  • Only people who use antibiotics regularly are at a risk for antibiotic resistance. Forty-four percent of people thought this was true, but in actuality, as the WHO points out, anyone can get an infection that’s resistant to antibiotics.
  • Antibiotics can be used to treat colds and flu. We can’t use antibiotics to treat the cold or flu. These are caused by viruses, and antibiotics are used to treat bacteria. Taking antibiotics when we don’t need them can lead to resistance problems. Despite that, 64 percent of people in the survey thought you could use them for colds or the flu.
  • There’s nothing we can do to lower our risk. There are things that both the medical community and patients can do to lower the risk antibiotic-resistance. The U.S. Centers for Disease Control and Prevention (CDC) says people should take their antibiotics exactly as the doctor prescribes them, should not share or use leftover antibiotics, should not ask for antibiotics if the doctor doesn’t think they’re necessary and should prevent infection by practicing good hygiene and getting vaccines.

So the next time you or someone you care for is sick, remember that taking antibiotics for viral infection such as colds, flu, most sore throats, bronchitis, and many sinus or ear infections will NOT cure the infection; will not keep other people from getting sick; will not help you, your partner or your child feel better; and may cause unnecessary and harmful side effects. Rest, fluids, and over-the-counter products may be your or your child’s best treatment option against viral infections.

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Welcome to Lyme Disease central

It’s nice to brag about Connecticut’s shoreline, rolling hills, beautiful rivers and scenic vistas. We’re among the leaders in quality of life, have a highly skilled workforce, and a history rich in innovation, invention and discovery. Unfortunately, we’re also the national poster child for Lyme Disease, which — literally and figuratively — has made the nutmeg state its bull’s eye.

Lyme Disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected blacklegged ticks. Typical symptoms include fever, headache, fatigue, joint pain and in many, but not all cases, that characteristic “bull’s-eye-like” skin rash called erythema migrans. It’s estimated to affect 300,000 Americans a year and 65,000 in Europe, typically in the spring and early summer.

If left untreated, infection can spread to joints, the heart, and the nervous system. Lyme disease is diagnosed based on symptoms, physical findings and the possibility of exposure to infected ticks.  Laboratory testing is helpful but not always conclusive, and Lyme Disease often is misdiagnosed. It is the most commonly reported vector-borne illness (meaning transmitted via organisms such as ticks or mosquitoes) in the United States, even though it does not occur nationwide and is heavily concentrated in the northeast and upper Midwest.

Most cases of Lyme disease can be treated successfully with a few weeks of antibiotics. It is not contagious and cannot be spread from person to person. But there are certain precautions we can take to prevent the spread of the illness, including using insect repellent, removing ticks promptly, applying pesticides, and reducing tick habitat, especially since the ticks that transmit Lyme Disease can occasionally transmit other tick-borne diseases as well.

While it is a good idea to take preventive measures against ticks year-round, we should be extra vigilant in warmer months (April through September) when ticks are most active. And in summer, when we’re out hiking, biking, camping, and spending a lot more time in and around grass and woods, there are several steps we can take to limit bites from ticks, mosquitoes and other disease-bearing insects.

Avoid direct contact with ticks and mosquitoes when possible. If you can, avoid wooded and bushy areas with high grass and leaf litter. When hiking, picnicking or walking, try to remain in the center of trails.

Wear long pants and protective clothing, and when you’re done recreating or working outdoors, check your clothing for ticks, since they can migrate once in the car or home.

Use appropriate repellants. We can repel ticks and mosquitoes with DEET or Permethrin. Here are some useful hints for maximizing our use of tick repellant:

  • Use repellents that contain 20 percent or more DEET (N, N-diethyl-m-toluamide) on the exposed skin for protection that lasts up to several hours. Always follow product instructions. Parents should apply this product to their children, avoiding hands, eyes, and mouth.
  • Use products that contain permethrin on clothing. Treat clothing and gear, such as boots, pants, socks and tents. It remains protective through several washings. Pre-treated clothing is available and remains protective for up to 70 washings.
  • If you’re using other repellents, go to the Environmental Protection Agency (EPA) website for safety information.

Find and remove ticks from our bodies. Finding and removing ticks embedded in our skin can be gross, but painless. The best bet is to keep them at bay. But if they do find us, here are tips for dealing with them easily and effectively:

  • Bathe or shower as soon as possible after coming indoors (preferably within two hours) to wash off and more easily find ticks that are crawling on us.
  • Conduct a full-body tick check using a hand-held or full-length mirror to view all parts of the body upon return from tick-infested areas. Parents should check their children for ticks under the arms, in and around the ears, inside the belly button, behind the knees, between the legs, around the waist, and especially in their hair.
  • Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and day packs. Tumble clothes in a dryer on high heat for an hour to kill remaining ticks.
  • Consult a doctor or a nurse (or check on the Internet) to determine the best method for removing the tick; it’s important to remove the entire tick, or it can leave parts embedded in our skin.

Should you or a family member develop a bull’s-eye-type red rash near the bite site, or exhibit other side effects such as a fever, lethargy or extreme exhaustion, consult a doctor and ask to be tested for Lyme Disease.

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Time to don your sunscreen and hats

After a long, cold winter, little feels better than being outdoors in the mild weather. Sunshine beckons, motivates us, and seems to physically and mentally replenish our spirits. And while those bountiful beams help stimulate chemical and physical reactions in our bodies and contribute to our health, it’s important to remember that as we savor the sun’s warmth and work on our tans, we’re also soaking up damaging ultraviolet (UV) rays.

May is UV and Skin Cancer Awareness Month. Skin cancer is the most common form of cancer in the United States. Unprotected exposure to UV radiation is the most preventable risk factor for skin cancer. In fact, UV radiation from the sun is classified as a human carcinogen by the U.S. Department of Health and Human Services and the World Health Organization. Each year, more new cases of skin cancer are diagnosed in the U.S. than new cases of breast, prostate, lung, and colon cancer combined. One in five Americans will develop skin cancer in their lifetime, and one American dies from skin cancer every hour.

Chronic exposure to the sun suppresses our natural immune system and also causes premature aging, which over time can make the skin become thick, wrinkled and leathery. Since it occurs gradually, often manifesting itself many years after the majority of a person’s sun exposure, premature aging is often regarded as an unavoidable, normal part of growing older. However, up to 90 percent of the visible skin changes commonly attributed to aging are caused by the sun. With proper protection from UV radiation, many forms of skin cancer and most premature aging of the skin can be avoided.

How to protect ourselves from extra UV exposure

The best way to lower our risk of skin cancer is to protect our skin from the sun and ultraviolet light. Using sunscreen and avoiding the sun helps reduce the chance of many aging skin changes, including some skin cancers. However, it is important not to rely too much on sunscreen alone. Also, we should also not use sunscreen as an excuse to increase the amount of time we spend in the sun – remaining outside too long during peak sunlight hours is very dangerous, and UV rays penetrate our clothes and skin.

When possible, avoid sun exposure during the peak hours of 10 am to 4 pm, when UV rays are the strongest. Clouds and haze do not protect you from the sun, so use sun protection even on cloudy days. Use sunscreens that block out both UVA and UVB radiation. Products that contain either zinc oxide or titanium oxide offer the best protection.

Less expensive products that have the same ingredients work as well as expensive ones. Older children and adults (even those with darker skin) benefit from using SPFs (sun protection factor) of 15 and over. Many experts recommend that most people use SPF 30 or higher on the face and 15 or higher on the body, and people who burn easily or have risk factors for skin cancer should use SPF 50+.

Here are helpful tips on when and how to use sunscreen:

  • Adults and children should wear sunscreen every day, even if they go outdoors for only a short time.
  • Apply sunscreen 30 minutes before going outdoors for best results. This allows time for the sunscreen to be absorbed.
  • Remember to use sunscreen during the winter when snow and sun are both present.
  • Reapply at least every two hours while you are out in the sunlight.
  • Reapply after swimming or sweating. Waterproof formulas last for about 40 minutes in the water, and water-resistant formulas last half as long.

Wearing sunscreen is critical, but only half the battle. Here are additional safety tips and information for protecting yourself from harmful UV radiation:

  • Adults and children should wear hats with wide brims to shield from the sun’s rays.
  • Wear protective clothing. Look for loose-fitting, unbleached, tightly woven fabrics. The tighter the weave, the more protective the garment.
  • Buy clothing and swimwear that block out UV rays. This clothing is rated using SPF (as used with sunscreen) or a system called the ultraviolet protection factor (UPF) index.
  • Avoid surfaces that reflect light, such as water, sand, concrete, snow, and white-painted areas.
  • Beware that at higher altitudes you burn more quickly.

###

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

When it comes to vitamins, C it all clearly

Spring is only weeks away, and the worst of cold and flu season, hopefully, is behind us. But we still can’t let down our guards. It’s a germ jungle out there, and we have to stay on our toes when it comes to nutrition, exercise and general health.

Chances are many of us aren’t eating the right foods to help strengthen our immune systems. We also may be inclined to take supplements to prevent illness, or larger doses of vitamins to fight cold and bugs once they have us in their grasps. If you fall into either of these categories, you’re not alone – supplements are a multi-million-dollar industry. But it’s important to separate fact from fiction, and to understand what works best, why and how.

To start, nothing we take as a supplement beats the benefits of eating healthfully and obtaining the vitamins and minerals we need through our diet. One of the best-known and most-studied examples is Vitamin C, which we get naturally through fruits and vegetables.

Vitamin C, also known as ascorbic acid, is a water-soluble nutrient that acts as an antioxidant, helping to protect cells from damage caused by free radicals, compounds that are formed when our bodies break down food or when we are exposed to tobacco smoke or radiation and air pollution. Vitamin C is also needed for the growth and repair of tissues in all parts of the body, and it helps the immune system work to protect the body from disease. 

Sufficient quantities of Vitamin C must be consumed every day. Unlike fat-soluble vitamins, vitamin C is not stored in the body. That is why eating at least a few servings a day of citrus fruits and other vitamin C-rich food is so important. Luckily, getting the recommended daily amount of Vitamin C is not difficult, since a single orange contains 150 percent of the government’s recommended daily allowance of Vitamin C.

Vitamin C is cited as effective for fighting infections including gum disease, acne and other skin infections, bronchitis, and human immunodeficiency virus (HIV) disease. It is used for infections of the bladder and prostate, and people also put vitamin C on their skin to protect it against the sun, pollutants, and other environmental hazards. Vitamin C is also applied to the skin to help with damage from radiation therapy.

Additionally, Vitamin C is used for fighting depression, dementia, Alzheimer’s disease, physical and mental stress, fatigue, and attention deficit-hyperactivity disorder (ADHD). It’s also believed that Vitamin C might help the heart and blood vessels. It is used for hardening of the arteries, preventing clots in veins and arteries, heart attack, stroke, high blood pressure, and high cholesterol. Other uses include improving physical endurance and slowing aging, as well as counteracting the side effects of cortisone and related drugs, and aiding drug withdrawal in addiction.

Where to find it, and where not

Most experts recommend getting Vitamin C from a diet high in fruits and vegetables rather than taking supplements. Fresh-squeezed orange juice or fresh-frozen concentrate is a better pick than ready-to-drink orange juice. The fresh juice contains more active Vitamin C. Drink fresh-frozen orange juice within one week after reconstituting it for the most benefit. It you prefer ready-to-drink orange juice, buy it three to four weeks before the expiration date, and drink it within one week of opening.

People may view supplements such as Airborne and Emergen-C as quick and easy fixes; each contains 1,000 milligrams (mg) of Vitamin C along with other vitamins and minerals. And while Vitamin C has been seen as a potential remedy for the common cold, research shows that for most people, Vitamin C supplements or Vitamin-C- rich foods do not reduce the risk of getting a cold. And once you have a cold, rest, fluids and a healthy diet stimulate recovery. However, people who take Vitamin C supplements regularly might have slightly shorter colds or somewhat milder symptoms when they do have a cold.

The minimum daily requirement of Vitamin C for adults is 75 mg for women and 90 mg for men, with an extra 35 mg needed by smokers.  Citrus fruits, such as oranges and grapefruit, along with their juices, have high amounts of Vitamin C. Five servings a day of fruits and vegetables – or about 2 1/2 cups – averages out to between 200 mg to 250 mg of Vitamin C. Besides citrus, the fruits that have high amounts of Vitamin C include: 

  • Cantaloupe
  • Kiwi fruit
  • Mango
  • Papaya
  • Pineapple
  • Strawberries, raspberries, blueberries, cranberries
  • Watermelon

Vegetables that have the highest amounts of Vitamin C include: 

  • Broccoli, Brussels sprouts, cauliflower
  • Green and red peppers
  • Spinach and other leafy greens
  • Sweet and white potatoes
  • Tomatoes and tomato juice
  • Winter squash

###

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

The Eyes Have It

Our eyes, it’s said, are our windows to the world. Romantic and aesthetic benefits aside, taking care of our peepers is an important and often overlooked task, especially since we don’t think about eye health until we have a problem. But as January is National Glaucoma Awareness Month, it’s a good time to consider how best to care for our eyes, and to become aware of warning signs that may require medical care or interventions.

Glaucoma is a group of diseases that damage the eye’s optic nerve and can result in vision loss and blindness. The optic nerve is a bundle of more than 1 million nerve fibers, and it is necessary for good vision as it connects the retina to the brain. The retina is the light-sensitive tissue at the back of the eye.

Studies have shown that eye pressure is a major risk factor for optic nerve damage. In the front of the eye is a space called the anterior chamber. A clear fluid flows continuously in and out of the chamber and nourishes nearby tissues. The fluid flows through a spongy meshwork, like a drain, and leaves the eye.

With glaucoma, the fluid passes too slowly through the meshwork drain. Since the fluid builds up, the pressure inside the eye rises to a level that may damage the optic nerve. When the optic nerve is damaged from increased pressure, glaucoma — and vision loss — may result. That’s why controlling pressure inside the eye is important.

Another risk factor for optic nerve damage relates to blood pressure. It is important to make sure that your blood pressure is at a proper level. This can be determined by visiting your primary care physician.

Glaucoma has no early warning signs. However, symptoms can include blurriness or clouded vision, sensitivity to light, headaches, reduced peripheral or “side” vision, or “tunnel vision.” It’s more common in adults over 60, in African American adults over 40, or in adults with diabetes or a family history of glaucoma. It’s most often treated through medications and surgery.

Not every person with increased eye pressure will develop glaucoma. Some people can tolerate higher levels of eye pressure better than others. Also, a certain level of eye pressure may be high for one person but normal for another.

Whether you develop glaucoma depends on the level of pressure your optic nerve can tolerate without being damaged. This level is different for each person. That’s why a comprehensive dilated eye exam is very important. It can help your eye care professional determine what level of eye pressure is normal for you.

Take care of your eyes, and they’ll take care of you

Adults should visit with an optometrist or an ophthalmologist at least once every other year, and annually if you have bad eyesight or a family history of glaucoma, cataracts, or other congenital or age-related eye ailments. Many eye maladies develop as we get older, part of the natural aging process. Through a comprehensive eye exam that typically involves dilating your pupils and conducting a number of standard (and painless) tests, eye care professionals not only determine sight deficiencies and illnesses, but also find warning signs pointing to other dangers such as heart disease, diabetes, high blood pressure, and cancer.

Being aware of the potential damage from ultraviolet light also is important. Sunglasses and clear eyeglasses with protective coatings filter out the sun’s damaging rays, so if you work or spend a lot of time outdoors, you need that extra protection.

Dry eye syndrome also affects us as we age. If the glands in our eyes stop making enough natural lubricants, we can buy over-the-counter remedies, but should have our eyes checked for inflammation or infection. Sometimes dry eyes occur from living or working in windy, dry, or low-humidity environments, or in buildings with air-blown hot air. Doctors recommend “fake tears,” which don’t have as many chemicals as the “get the red out” eye drops. Anti-inflammation medications and vitamins or foods like fish oil, which are high in Omega-3, are often recommended.

Through comprehensive, regular eye exams, doctors can check for early warning signs of glaucoma, potential retinal detachment (which causes floaters or flashes in the eye but can be sight threatening) and other common eye diseases, and help keep those beautiful eyes of ours sparkling and healthy.

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Keep Your Skin in the Game

The cold weather often means an increase in chapped lips, dry, itchy skin, rashes and a worsening of skin conditions like eczema or psoriasis. The main culprit is lack of moisture. During winter, the humidity in the outside air plunges, and thanks to indoor heating, we’re assailed by dry, warm air in our house, office, school or workplace.

During flu and cold season, we’re also washing our hands more often than ever, which saps the natural oils in our skin, leaving them dehydrated until they crack, peel and bleed.

The skin barrier is a mix of proteins, lipids and oils. It protects your skin, and how good a job it does is largely genetic, but also a measure of environmental conditions. If you have a weak barrier, you’re more prone to symptoms of sensitive skin such as itching, inflammation and eczema. Your hands are also more likely to become very dry in winter if they’re constantly exposed to cold air, water, extreme heat or other environmental factors.

One solution is to keep ourselves, and our skin, properly hydrated. But drinking water alone won’t do the trick for your skin; it also requires replenishment. Using moisturizers especially formatted for your skin is an important tool in your hydration arsenal. But putting moisturizers on once a day isn’t enough – you need to apply five or more applications daily to afford day-long protection. Coverage should include hands, fingernails, face, arms and legs and even your feet.

There are many effective hand creams and body lotions available in our local drugstores and supermarkets.  Choosing the one that’s best may require some trial and error, but focus on the two main ingredients that make the greatest difference:  emollients and humectants.

Emollients act as lubricants on the surface of the skin. They fill the crevices between cells that are ready to be shed and help the loose edges of the dead skin cells that are left behind stick together. Emollients help keep the skin soft, smooth, and pliable. Look for ingredients such as lanolin, jojoba oil, isopropyl palmitate, propylene glycol linoleate, squalene, and glycerol stearate.

Humectants draw moisture from the environment to the skin’s surface, increasing the water content of the skin’s outer layer. Scan the ingredients label for common humectants such as glycerin, hyaluronic acid, sorbitol, propylene glycerol, urea, and lactic acid.

If your hands go from just being dry and rough to having little cracks, or fissures, and are tender or bleeding, it’s time to move on to more therapeutic moisturizers. Petroleum jelly is a reliable standby. Or choose a thick, rich moisturizer in a formula that contains heavier ingredients such as dimethicone, cocoa or shea butter, or beeswax. Applying a generous coating at bedtime, and wearing a pair of cotton gloves will help retain the healing salve until it can be fully absorbed while you sleep.

If you already have sensitive skin, look for a moisturizer that contains soothing ingredients such as chamomile or aloe, and doesn’t contain potential allergens such as fragrances or dyes. Also, avoid products containing acids, which can irritate sensitive skin.

As we age, our skin tends to become drier because our oil-producing glands become less active. To keep skin soft and well hydrated, choose an oil-based moisturizer that contains petrolatum as the base, along with antioxidants or alpha hydroxy acids to combat wrinkles. These ingredients help hold in moisture and prevent flaky, scaly skin.

Hand washing, though critical for your overall health and to prevent the spread of germs, also dries out skin and hands. The best bet is to choose a mild soap, use warm — not hot — water, pat your hands dry and apply a moisturizer right away. If you have severely dry hands or you wash your hands a dozen or more times a day, substitute a hand-sanitizing gel or wipes for some soap-and-water sessions.

Other tricks for limiting dry skin is to sleep with a humidifier at night, take short, warm (not hot) showers, and to wear gloves, a hat and sunscreen when you’re outdoors. A balanced diet rich in vegetables and fruits also provides the vitamins and minerals your body needs to help it remain healthy. If redness, peeling and tenderness persist, see a dermatologist. He or she can prescribe a steroid cream to help fight inflammation, and also check on whether your dry hands may be due to a skin condition such as eczema or psoriasis.

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

October is time to bone up on your bones!

Sure, it’s almost Halloween, and bones are everywhere…hanging from doorways, draped in trees, and propped in gardens. But October is also Bone and Joint Health Awareness Month, so unwrap a chocolate bar and pay attention to this important information — you’ll appreciate it as your own bones get older!

It’s important to take steps now so that your bones will be healthy and strong throughout your lifetime. If you’re still young or a parent, note that it’s especially critical in the childhood and teen years to avoid osteoporosis and other bone problems later in life. Osteoporosis is a condition in which bones become softer and fragile, making them fracture or break much easier.

Your body continually removes and replaces small amounts of calcium from your bones. If your body removes more calcium than it replaces, your bones will become weaker and have a greater chance of breaking. By getting lots of calcium when you’re young, you can make sure your body doesn’t have to take too much from your bones.

Calcium is a mineral that is necessary for life. In addition to building bones and keeping them healthy, calcium helps our blood clot, nerves send messages and muscles contract. About 99 percent of the calcium in our bodies is in our bones and teeth. Each day, we lose calcium through our skin, nails, hair, sweat, urine and feces. But our bodies cannot produce new calcium — that ability ends around age 18. You can only maintain what is already stored to help your bones stay healthy.

Calcium is found in a variety of foods. Milk and other dairy products are great sources of calcium. Tweens and teens can get most of their daily calcium from three cups of low-fat or fat-free milk, but they also need additional servings of calcium to get the 1,300 mg necessary for strong bones. In addition:

  • The calcium in milk and dairy products is easy for the body to absorb and in a form that gives the body easy access to the calcium
  • Milk has added vitamin D, which is important for helping your body better absorb calcium
  • In addition to calcium, milk and dairy products provide other essential nutrients that are important for optimal bone health and development.

Other good sources of calcium include dark green, leafy vegetables such as spinach, broccoli and bok choy. There also are foods with calcium added, such as calcium-fortified tofu, orange juice, soy beverages, and breakfast cereals or breads. Adults or youth who can’t process lactose also can take calcium supplements but you should check with your physician to ensure compatibility with other medicines or conditions.

There are a variety of calcium supplements available over the counter and by prescription. The amount of calcium you need from a supplement depends on the amount of calcium you get from food. If you get enough calcium from the foods you eat, then you don’t need to take a supplement. In fact, there is no added benefit to taking more calcium than you need in supplements and doing so may even have some risks.  

When choosing the best supplement to meet your needs, keep the following in mind:

  • Choose brand-name supplements with proven reliability. Look for labels that state “purified” or have the USP (United States Pharmacopeia) symbol. The “USP Verified Mark” on the supplement label means that the USP has tested and found the calcium supplement to meet certain standards for purity and quality.
  • Read the product label carefully to determine the amount of elemental calcium, which is the actual amount of calcium in the supplement, as well as how many doses or pills to take. When reading the label, pay close attention to the “amount per serving” and “serving size.”
  • Calcium is absorbed best when taken in amounts of 500-600 mg or less. This is the case when you eat calcium-rich foods or take supplements. Try to get your calcium-rich foods and/or supplements in smaller amounts throughout the day, preferably with a meal. While it’s not recommended, taking your calcium all at once is better than not taking it at all.
  • Take most calcium supplements with food. Eating food produces stomach acid that helps your body absorb most calcium supplements. The one exception to the rule is calcium citrate, which can absorb well when taken with or without food.

Exercise also builds strong bones

Even if you’re older, there are a variety of steps you can take to ensure healthier bones and joints. Bones are living tissue. Weight-bearing physical activity causes new bone tissue to form, which makes bones stronger. When muscles push and tug against bones during physical activity, bones and muscles become stronger.

There are two types of exercises that are important for building and maintaining bone density:  Weight-bearing and muscle-strengthening exercises. Weight-bearing exercises include activities that make you move against gravity while staying upright. These can be high-impact or low-impact. High-impact weight-bearing exercises help build bones and keep them strong. If you have broken a bone due to osteoporosis or are at risk of breaking a bone, you may need to avoid high-impact exercises. If you’re not sure, you should check with your healthcare provider.

Examples of high-impact weight-bearing exercises include dancing, aerobics, hiking, jogging or running, jumping rope, stair climbing and racquet sports such as tennis. Low-impact weight-bearing exercises can also help keep bones strong and are a safe alternative if you cannot do high-impact exercises. Examples of low-impact weight-bearing exercises include using elliptical training machines, doing low-impact aerobics, using stair-step machines, and fast walking on a treadmill or outside.

Muscle-strengthening exercises include activities where you move your body, a weight or some other resistance against gravity. They are also known as resistance exercises and include:

  • Lifting weights
  • Using elastic exercise bands
  • Using weight machines
  • Lifting your own body weight
  • Functional movements, such as standing and rising up on your toes.

Yoga and Pilates can also improve strength, balance and flexibility. However, certain positions may not be safe for people with osteoporosis or those at increased risk of broken bones. For example, exercises that have you bend forward may increase the chance of breaking a bone in the spine. A physical therapist or your physician should be able to help you learn which exercises are safe and appropriate for you.

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Wash your hands of flu, colds, and viruses

For all our technology, medical advances and sophisticated health resources, it often seems we’re no closer to taming the common cold, eliminating flu and infections, or reducing many common and costly chronic diseases and illnesses. In part, that’s the insidious nature of human health and the ability of diseases to transform and elude researcher’s best efforts. But often, it’s also the result of misinformation, and our unwillingness — purposely or through lack of accurate direction or failed compliance — to help ourselves through knowledge and prevention.

As the annual flu season descends, we need to protect ourselves. Flu vaccine is plentiful and often effective against specific strains of influenza, but many people still choose to not get themselves or their children vaccinated. That’s a personal decision, but it can mean that you or your kids spread illness and disease to others, including the most vulnerable — the sick, elderly and babies.

Amid heightened global concerns over Ebola, which has now reached American shores, another far more common virus has been making the rounds. This flu-like strain, called Enterovirus (EV) D68, is now afflicting people across the country, and is particularly dangerous to infants, seniors, or anyone with respiratory illnesses, asthma, or chronic, obstructive pulmonary disease (COPD). Strains of the Enterovirus (there are more than 100) are not new — they’ve been formally catalogued since the early 1960s — but this year’s outbreak has been more virulent than in recent years.

Most common in the summer and early fall, mild symptoms may include fever, runny nose, sneezing, cough and body and muscle aches. Sound familiar? Unfortunately, it presents like the common cold and many other viruses. Severe symptoms may include wheezing and difficulty breathing. Since Enterovirus causes respiratory illness, the virus can be found in an infected person’s respiratory secretions, such as saliva, nasal mucus, or sputum. EV-D68 spreads from person to person when an infected person coughs, sneezes, or contaminates common surfaces or objects through touch.

There is no specific treatment for people with respiratory illness caused by EV-D68, nor a vaccine to prevent it. For mild respiratory illness, you can help relieve symptoms by taking over-the-counter medications for pain and fever (aspirin should not be given to children). Some people with severe respiratory illness may need to be hospitalized — if symptoms worsen, you should see your physician.

We can help protect ourselves from Enterovirus, the flu, other viruses and colds by following these simple steps:

  • The easiest, safest, cheapest and most effective way to prevent the spread of disease or to limit infection is to wash your hands often. That includes when you come home from anywhere, before you eat in a dining hall or restaurant, after you use a restroom, visit the supermarket, ride a bus or train, or touch an ATM. And when it isn’t easy to wash your hands, use a hand sanitizer. Also, don’t share toothbrushes, razors or other personal grooming products, and avoid sharing food, drinks or eating off of one another’s plates.
  • Avoid touching eyes, nose and mouth with unwashed hands
  • Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick
  • Sneeze into tissues or your arm, not your hands and not into the air — airborne pathogens spread highly contagious viral or bacterial infections
  • Get a flu shot! Flu vaccines are very safe and can’t infect you with the flu. Injected flu vaccines only contain dead virus, and a dead virus can’t infect you. There is one type of live virus flu vaccine, the nasal vaccine, FluMist. But in this case, the virus is specially engineered to remove the parts of the virus that make people sick. The standard flu vaccine can be dangerous if you’re allergic to eggs, so you should always talk with your doctor before taking the vaccine.
  • Stay home when you’re sick; incubation time — or the days it takes for germs to turn into something truly nasty in your system — allow you to spread those germs to many other people before you even realize you’re infectious.

Additionally, remember that antibiotics won’t help you fight the flu or a cold, which are not caused by bacteria, but by a virus. Taking antibiotics unnecessarily weakens your body’s ability to fight bacterial illnesses, since many bacteria become resistant to antibiotics due to overuse and bad prescribing practices.

However, there are instances of flu complications that involve bacterial infection. The flu virus can weaken your body and allow bacterial invaders to infect you. Secondary bacterial infections due to the flu include bronchitis, ear infections, sinusitis, and most often, pneumonia. The flu doesn’t peak until February or March, and it hits all across the country, so if you haven’t had your flu shot there’s still plenty of time to protect yourself and your family.

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Don’t Let Your Teeth Mouth Off!

Understanding and practicing the tenets of good oral health should be an important part of our general personal wellness strategy. We should eat well, exercise regularly, protect ourselves from the sun’s damaging ultraviolet rays, sleep soundly, comply with medical direction and focus daily on maintaining a healthy mouth!

Oral health is not only important to our appearance and sense of well-being, but also to our overall health. Cavities and gum disease may contribute to serious conditions such as diabetes and respiratory disease, and untreated cavities can be painful and lead to serious infections. Poor oral health has been linked to sleeping problems, as well as behavioral and developmental problems in children. It can also affect our ability to chew and digest food properly.

There are threats to oral health across the lifespan. Nearly one-third of all adults in the United States have untreated tooth decay. One in seven adults aged 35 to 44 years has gum disease; this increases to one in every four adults aged 65 years and older. Oral cancers are most common in older adults, particularly those over 55 years who smoke and are heavy drinkers.

Plaque is a sticky, colorless film of bacteria that constantly builds up, thickens and hardens on the teeth. If it is not removed by daily brushing and flossing, this plaque can harden into tartar and may contribute to infections in the gums. Left untreated, gum disease can lead to the loss of teeth and an increased risk of more serious illnesses.

The bacteria in plaque can travel from the mouth to the lungs, causing infection or aggravating existing lung conditions. It creates risks for heart patients, too, as it can travel through the bloodstream and get lodged in narrow arteries, contributing to heart attacks. There also is a link between diabetes and gum disease. People with diabetes are more susceptible to gum disease and it can put them at greater risk of diabetic complications.

With proper care, your teeth and gums can remain healthy throughout your life. There are four basic steps to caring for teeth and gums:

  • Brushing
  • Flossing
  • Eating right
  • Visiting the dentist

Brush teeth and gums at least twice a day. If you can, brush 30 minutes to one hour after every meal. Brushing removes plaque. When bacteria in plaque come into contact with food, they produce acids. These acids lead to cavities.

Flossing our teeth is a critical part of good oral hygiene. Often overlooked, it should be practiced adjunct to brushing daily. While brushing is critical, flossing does about 40 percent of the work required to remove plaque from the hard-to-reach spaces between our teeth.

Most floss is made of either nylon or Teflon, and both are equally effective. People with larger spaces between their teeth or with gum recession (loss of gum tissue, which exposes the roots of the teeth) tend to get better results with a flat, wide dental tape. If teeth are close together, try thin floss that bills itself as “shred resistant.”

Bridges and braces require more effort to get underneath the restorations or wires and between the teeth. Use a floss threader, which looks like a plastic sewing needle. Or look for a product called Super Floss that has one stiff end to fish the floss through the teeth, followed by a spongy segment and regular floss for cleaning.

The third step to good oral health is proper nutrition. Food high in processed sugars and fats are not good for body or your teeth – they contribute to weight gain, diabetes, heart disease, hypertension and even certain types of cancers. A well-rounded, vitamin-rich, balanced diet high in fiber and filled with vegetables, fruits and plenty of water will help you maintain a healthy mouth, as well as a healthier body.

Finally, make sure and visit a dentist regularly for preventative screenings, and to check for cavities, infections or other abnormalities. As we age, the prevention or removal of plaque becomes more important for heart health, and regular checkups and diagnostic images can tell your dentist what’s going on “behind the scenes” in our mouths. Don’t wait for something to hurt before you go to the dentist – remember, the rest of your body is counting on your mouth!

# # #

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!