Lead the battle against seasonal flu and colds

The mornings are taking on that characteristic early autumn chill, and the sugar maples are starting to turn red. Pumpkins will soon appear in local farm markets, along with fresh apples, cider and gourds. But as much as we may welcome and savor the oncoming fall, it’s also a harbinger of cold and flu season. And while we can’t totally eliminate seasonal illnesses, there are plenty of steps we can take to ensure a healthier workforce and to limit the spread of germs and bacteria among staff and associates.

If you’re wondering if taking simple, inexpensive steps in the workplace is worthwhile, consider these flu-related costs: The Centers for Disease Control (CDC) estimates that, on average, seasonal flu outbreaks cost the nation’s economy $10.4 billion in direct costs of hospitalizations and outpatient visits. That does not include the indirect costs related to lost productivity and absenteeism.

One CDC study estimates that each flu season, 111 million workdays are lost to flu-related absenteeism, which amounts to about $7 billion annually in lost productivity. And that doesn’t include time lost to “presenteeism,” when employees come to work not feeling well. This has an impact on customer service, productivity, quality and safety, as well.

And if you think you’ll wait until the season arrives, it’ll be too late. Prevention is essential, and for the most part, this entails some simple, common sense measures, such as encouraging employees to wash their hands, offering free or low-cost flu vaccination shots, and routinely washing and disinfecting work surfaces. Most importantly, workers who suspect they are ill should stay home from work.

What to expect, how to react

The timing of flu is very unpredictable and can vary in different parts of the country and from season to season. Most seasonal flu activity typically occurs between October and May. Flu activity most commonly peaks in the United States between December and February.

The CDC recommends a yearly flu vaccine for everyone six months of age and older as the first and most important step in protecting against this serious disease. People should begin getting vaccinated soon after flu vaccine becomes available, if possible by October, to ensure that as many people as possible are protected before flu season begins. However, as long as flu viruses are circulating in the community, it’s not too late to get vaccinated. It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu.

It’s important to get a flu vaccine every season, even if you got vaccinated the season before and the viruses in the vaccine have not changed for the current season. And while you’d think that this message has been heard, the numbers of Americans still not getting vaccinated is extremely high. According to the CDC:

  • Only 49.9 percent of children six months to 17 years received an influenza vaccination during the past 12 months.
  • The number of adults 18-49 years who received an influenza vaccination during the past 12 months was only 31.2 percent.
  • And only 45.5 percent of adults 50-64 years received an influenza vaccination during the past 12 months. The number for adults over 65 was 70 percent.

A number of different private-sector vaccine manufacturers produce flu vaccine for use in the United States. This season, both trivalent (three-component) and quadrivalent (four-component) influenza vaccines will be available. Different routes of administration are available for flu vaccines, including intramuscular, intradermal, jet injector and nasal spray vaccine.

Even if you don’t have a regular doctor or nurse, you can get a flu vaccine somewhere else, like a health department, pharmacy, urgent care clinic, and often through your school, college health center, or at work.

Information, access and accommodation

Employers also can take the lead on educating their workforce about prevention and treatment.

Antiviral drugs are prescription drugs that can be used to treat flu illness. People at high risk of serious flu complications (such as children younger than two years, adults 65 and older, pregnant women, and people with certain medical conditions) and people who are very sick with flu (such as those hospitalized because of flu) should get antiviral drugs. Some other people can be treated with antivirals at their health care professional’s discretion. Prompt treatment can mean the difference between having a milder illness versus very serious illness that could result in a hospital stay.

Treatment with antivirals works best when begun within 48 hours of getting sick, but can still be beneficial when given later in the course of illness. Antiviral drugs are effective across all age-and risk groups. Studies show that antiviral drugs are under-prescribed for people who are at high risk of complications who get flu. This season, three FDA-approved influenza antiviral drugs are recommended for use in the United States: oseltamivir, zanamivir, and peramivir.

Children younger than six months are at higher risk of serious flu complications, but are too young to get a flu vaccine. Because of this, safeguarding them from flu is especially important. If you live with or care for an infant younger than six months of age, you should get a flu vaccine to help protect them from flu.

In addition to getting vaccinated, you and your loved ones can take everyday preventive actions like staying away from sick people and washing your hands to reduce the spread of germs. If you are sick with flu, stay home from work or school to prevent spreading influenza to others.

Finally, there are a few other simple steps employers can take at the office, shop floor or in work areas to help protect your workforce from colds and the flu. Here are a few additional examples:

  • Work with your staff or your health and wellness champion to send out regular messages, information and access to websites
  • Increase shifts so there are fewer people in the office at one time
  • Limit meetings and communal lunches during the height of flu and cold season
  • Expand opportunities, if possible, for telecommuting
  • Encourage workers who are sick or becoming sick to work from home or remain home to rest, without fear of compromising their jobs
  • Allow more flexibility for parents with sick children
  • Install “no-touch” garbage cans and hand sanitizers throughout the workplace
  • Encourage hand washing frequently
  • Offer onsite flu clinics for your workers, or work with a local health facility to accommodate your workers at convenient times.

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Putting our shoulder into our work

For pitchers, quarterbacks and carpenters, it can be a career-limiting — or ending — injury. Likewise, if you do manual labor or projects involving lifting, carrying or moving objects, it can sideline you for months. Even working out in the gym, swimming or playing tennis can cause this injury, but the most common catalyst, affecting millions of Americans annually, is advancing age and the normal wear and tears of life.

The culprit is a rotator cuff injury. The rotator cuff is a group of four tendons and muscles that converge around the shoulder joint at the top of the humerus, the upper arm bone above the elbow. Together, they form a ”cuff” that both holds our arm in place and allows it to move in different directions. While our shoulder is one of our most mobile joints, it’s also somewhat weak. Too much stress — or repetitive motion — can cause partial tears and swelling in the tendons of the rotator cuff. Abrupt stress may even cause one of the tendons to pull away from the bone or tear in the middle of the tendon.

Sometimes the shoulder blade is rough or abnormally shaped and rubs or scrapes the tendon. Over time, this can cause tiny tears and bleeding. When these tears heal, the scar tissue is weaker and less flexible than normal tendon, so the whole rotator cuff gets weaker. The weaker the tendon becomes, the greater its chances of tearing.

Most rotator cuff tears develop gradually. But they also can happen suddenly — you might feel a pop, intense pain, and weakness in the arm. Falls, lifting heavy luggage, even shoveling snow or working in the garden can aggravate our shoulders, especially as we age. Aging causes tendons to wear down, which can lead to a tear. Also, previous injuries and genetics may play a role in increasing susceptibility to rotator cuff injuries.

If the shoulder is very painful and motion is limited, or if you have numbness, tingling and a “pins and needles” sensation that travels down through your elbow and into your hands, you should consult your physician, orthopedist, or sport medicine specialist. Without treatment, rotator cuff disease may lead to permanent stiffness or weakness and may result in progressive degeneration of the shoulder joint.

Typical symptoms of a rotator cuff tear include:

  • Pain in the shoulder and arm, which varies depending on how serious the tear is
  • Weakness and tenderness in the shoulder
  • Difficulty moving the shoulder, especially when trying to lift our arm above our head
  • Snapping or crackling sounds when moving the shoulder
  • Inability to sleep on the shoulder

As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. They may simply require a little time and relative inactivity involving the injured shoulder. You also should:

  • Rest the joint as much as possible, and avoid any movement or activity that hurts. Some patients may require slings early in the healing process.
  • Ice the shoulder two to three times a day to reduce pain and swelling.
  • Perform range-of-motion exercises, if your doctor recommends them.
  • Consider physical therapy to strengthen the joint and to learn safe, supportive exercises.
  • Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin. However, these drugs can have side effects, like an increased risk of bleeding and ulcers. They should be used only occasionally, unless your doctor specifically says otherwise.

More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure. During arthroscopy, the patient is put to sleep with general anesthesia. A small camera is inserted into the shoulder to see the injury, and miniature tools are used to repair the rotator cuff tear. In some situations, an open tendon repair may be a better option. In these types of surgeries, your surgeon works through a larger incision to reattach the damaged tendon to the bone. Open tendon repairs typically have a longer recovery time than that seen with more minimally invasive procedures done arthroscopically.

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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!

Spread the word, not the germs

In today’s world, we’re well aware of many deadly viruses, thanks to media, anxious friends and the Internet. This past year Ebola raged in Eastern Africa and even made it to American shores. We’re bombarded almost daily by scary stories about strains of Avian, Swine and Bird flus. And closer to home, many of us are still infected by common contagious culprits such as influenza, measles, chickenpox, tuberculosis and even Whooping Cough.

Many infectious diseases can be largely prevented by vaccines. Frequent and thorough hand-washing also helps protect you from infectious diseases. The easiest way to catch most infectious diseases is by coming in contact with a person or animal that has the infection. Three ways infectious diseases can be spread through direct contact are:

  • Person to person. A common way for infectious diseases to spread is through the direct transfer of bacteria, viruses or other germs from one person to another. This can occur when an individual with the bacterium or virus touches, coughs on or kisses someone who isn’t infected. These germs can also spread through food handling, the exchange of body fluids from sexual contact or a blood transfusion. The person who passes the germ may have no symptoms of the disease, but may simply be a carrier.
  • Animal to person. Being bitten or scratched by an infected animal — even a pet — can make you sick and, in extreme circumstances, can be fatal. Handling animal waste can be hazardous, too. For example, you can acquire a toxoplasmosis infection by scooping your cat’s litter box.
  • Mother to unborn child. A pregnant woman may pass germs that cause infectious diseases to her unborn baby. Some germs can pass through the placenta. Germs in the vagina can be transmitted to the baby during birth.

Disease-causing organisms also can be passed by indirect contact. Many germs can linger on an inanimate object, such as a tabletop, doorknob or faucet handle. When you touch a doorknob handled by someone ill with the flu or a cold, for example, you can pick up the germs he or she left behind. If you then touch your eyes, mouth or nose before washing your hands, you may become infected.

Some germs rely on insect carriers — such as mosquitoes, fleas, lice or ticks — to move from host to host. These carriers are known as vectors. Mosquitoes can carry the malaria parasite or West Nile virus, and deer ticks may carry the bacterium that causes Lyme disease.

Another way disease-causing germs can infect you is through contaminated food and water. This transmission mechanism allows germs to be spread to many people through a single source. E. coli, for example, is a bacterium present in or on certain foods — such as undercooked hamburger or unpasteurized fruit juice. E. coli makes people violently stomach sick and dehydrated, and may require hospitalization.

In Connecticut, cases of Pertussis (Whooping Cough) have reemerged in the western part of the State, due largely to parents who choose to not vaccinate their children. Tuberculosis (TB) also remains stubbornly entrenched in Connecticut.

Understanding TB

Tuberculosis is a potentially serious infectious disease that mainly affects your lungs. The bacteria that cause tuberculosis are spread from one person to another through tiny droplets released into the air via coughs and sneezes.

Once rare in developed countries, tuberculosis infections began increasing in 1985, partly because of the emergence of HIV, the virus that causes AIDS. HIV weakens a person’s immune system so it can’t fight the TB germs. In the United States, because of stronger control programs, tuberculosis began to decrease again in 1993, but remains a concern and fairly active in most major cities.

Many strains of tuberculosis resist the drugs most used to treat the disease. People with active tuberculosis must take several types of medications for many months to eradicate the infection and prevent development of antibiotic resistance.

Tuberculosis is caused by bacteria that spread from person to person through microscopic droplets released into the air. This can happen when someone with the untreated, active form of tuberculosis coughs, speaks, sneezes, spits, laughs or sings.

Although tuberculosis is contagious, it’s not easy to catch. You’re much more likely to get tuberculosis from someone you live with or work with than from a stranger. Most people with active TB who’ve had appropriate drug treatment for at least two weeks are no longer contagious.

Don’t buy into the myths about vaccines

Earlier this year, hundreds of people contracted measles. “Ground zero,” it turned out, was Disneyland, in Anaheim, California. While there were only 50 reported measles infections in the United States in 2009, there had already been 288 cases in the country this year before the end of May 2015. Most of those cases have been linked to the unvaccinated; a recent study found “substandard vaccination” to have been the cause of the massive measles outbreak at Disneyland.

This month, California passed a mandatory vaccination law requiring children to be fully vaccinated before attending public school or a licensed pre-school program. Vaccinating children poses nearly no risk to their health; choosing not to vaccinate not only puts the child in harm’s way, but also endangers other immunocompromised persons — pregnant women, the elderly, and those who’ve had cancer or organ transplants — that un-vaccinated children come into contact with.

Additionally, adults should verify their own vaccination history. Disease resistance can deteriorate over many years, but your physician can easily search for active antibodies through a simple blood test, and revaccinate you as an adult. This is especially important if you work in healthcare, plan to travel internationally or will be living in communal spaces like college dormitories.

Other than a minuscule population who avoid vaccinations based on religious grounds, most non-conforming parents or individuals worry about contracting autism or other diseases from vaccinations. There are absolutely no scientific or medical grounds for that myth. However, an ingredient commonly found in some vaccinations — thimerosal — does contain trace amounts of mercury. According to the Centers for Disease Control (CDC), these extremely low doses of thimerosal pose no risk to humans, except for minor reactions like redness and swelling at the injection site.

While not dangerous, thimerosal has been removed from most vaccines anyway. In fact, there is no thimerosal present in the vaccine for measles, mumps, and rubella — and there never was.

Follow these tips to decrease your risk of infecting yourself or others:

  • Wash your hands. This is especially important before and after preparing food, before eating and after using the toilet. And try not to touch your eyes, nose or mouth with your hands, as that’s a common way germs enter the body.
  • Get vaccinated. Immunization can drastically reduce your chances of contracting or spreading many diseases. Make sure to keep up to date on your recommended vaccinations, as well as your children’s.
  • Stay home. Don’t go to work if you are vomiting, have diarrhea or are running a fever. Don’t send your child to school if he or she has these signs and symptoms, either.
  • Prepare food safely. Keep counters and other kitchen surfaces clean when preparing meals. Cook foods to the proper temperature using a food thermometer to check for doneness. For ground meats, that means at least 160 F (71 C), for poultry, 165 F (74 C), and for most other meat, at least 145 F (63 C). In addition, promptly refrigerate leftovers — don’t let cooked foods remain at room temperature for extended periods of time.
  • Practice safe sex. Always use condoms if you or your partner has a history of sexually transmitted infections or high-risk behavior.
  • Don’t share personal items. Use your own toothbrush, comb and razor. Avoid sharing drinking glasses or dining utensils.
  • Travel wisely. If you’re traveling out of the country, talk to your doctor about any special vaccinations you may need or foods to avoid.

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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 moving — even when you’re not!

Unless you work in an environment that is physically challenging or potentially dangerous, the worst most of us have to fear at work is eye or ear strain, sore backs or necks, repetitive motion injuries or circulation problems. The latter issue can result from sitting too long at your desk or workstation, in a plane, bus or another vehicle. Repeated inactivity or lack of entire-body movement for extended periods inhibits circulation and can lead to clotting problems.

Two of the more common circulation-related health issues include the risk of developing Deep Vein Thrombosis or a Pulmonary Embolism.

Veins are blood vessels that return blood from the tissues of the body back to the heart. The body has two distinct systems of veins — superficial and deep. The superficial system is made up of veins that are close to the skin. These are the blood vessels we frequently can see on our hands, arms or legs that can become more prominent when we exercise. The deep system comprises veins within the muscles of the body. The two systems are connected by small communicating veins. The body regulates the amount of blood going through both systems as a way of rigidly controlling the body’s central temperature.

Deep vein thrombosis (DVT) is a condition where a blood clot forms in a vein of the deep system. DVTs can occur anywhere in the body, but are most frequently found in the deep veins of the legs, thighs, and pelvis. They may infrequently arise from the upper extremities usually because of trauma.

Thrombophlebitis is a condition in which there is both inflammation and a blood clot in a vein. Thrombophlebitis can occur in either superficial or deep veins. Superficial thrombophlebitis occurs in veins close to the skin surface, and usually causes pain, swelling and redness in the area of the vein. Superficial thrombophlebitis usually is treated with heat, elevation of the affected leg or arm, and anti-inflammatory medications.

A thrombosis in a deep vein is a much more serious problem than one in a superficial vein, because a piece of the clot can break off and travel through the deep veins back to the heart, and eventually be pumped by the heart into the arteries of the lung. When this happens, the condition is called pulmonary embolism (PE). Pulmonary embolisms occur in 30 percent of people with DVT, and cause 60,000 deaths annually, many of them unrecognized and labeled incorrectly as heart attacks. Blood clots from DVT can lodge in the legs, heart, kidneys, lungs or brain.

Symptoms of deep vein thrombosis may be difficult to identify. That’s because DVT symptoms are similar to many other health problems. People most at risk from DVT are over 60, smoke, or are overweight. Women on birth control or patches, or people who sit for long periods of time can be at risk as well.

If you or someone you know has any of the DVT symptoms below — especially if they occur suddenly — call your doctor right away:

  • Swelling in one or both legs
  • Pain or tenderness in one or both legs, which may occur only while standing or walking
  • Warmth in theskin of the affected leg
  • Red or discolored skin in the affected leg
  • Visible surface veins
  • Leg fatigue

If a blood clot breaks free and travels to your lungs, it’s called a pulmonary embolism, and it can be fatal. Pulmonary embolism may not cause symptoms, but if you ever suffer sudden coughing, which may bring up blood; sharp chest pain; rapid breathing or shortness of breath; or severe lightheadedness, call 911 or go to an emergency room immediately.

How to improve your circulation and avoid potential clots

About 350,000 Americans are diagnosed with DVT and pulmonary embolism each year, although it is estimated that some 300,000 more adults have undiagnosed DVT/PT. The condition has a 6 percent to 12 percent mortality rate.

If you’re at risk, there is much you can do to prevent DVT. Here are 10 tips to help avoid circulation-related clotting or related problems:

  • Eat a healthy diet, maintain an active lifestyle andexercise regularly — daily, if possible. Walking, swimming, and bicycling are all great activities.
  • If you smoke, quit! Nicotine therapy (in patches, gums, or sprays) and support groups can make this easier to do.
  • Getyour blood pressure checked regularly; take steps to lower it, if necessary, and report any family or personal history of blood-clotting problems to your doctor.
  • Discuss alternatives tobirth control pills or hormone-replacement therapy with your doctor.
  • If you are on an airplane for more than four hours, walk when possible and while awaiting connecting flights, or do leg stretches in your seat.
  • Stay well-hydrated and avoid alcohol and caffeine consumption – both contribute to dehydration, which cause blood to thicken and the veins to narrow.
  • In the workplace, stretch, move around regularly, and walk as often as possible, even if to the lunch room, bathrooms or outside during breaks.
  • Avoid wearing short, tight socks or crossing your legs for long periods.
  • When traveling by car, stop once every hour or two to walk around and stretch.
  • Consider purchasing compression stockings at a medical supply store and wearing them during your travels to help reduce swelling.

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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!

Good fish, bad fish

When you stop to consider that most of the earth is covered by water, it’s a wonder that our diets aren’t primarily made up of seafood. But we’re land dwellers, and it’s far easier to chase something on the ground or dig it out of the garden than to rustle up dinner from the ocean. Still, fish are an inherently healthy food source — or were, at least, before we started polluting the world’s oceans, rivers and lakes. Much of our “fresh” fish is now farmed, as well, and can be treated with antibiotics or fed contaminants that aren’t good for us in larger quantities.

So how do we know what is safe to consume, how much, and when it’s good or bad for us?

Fish is a good source of protein and, unlike fatty meat products, it’s not high in saturated fat. Fish also is a good source of omega-3 fatty acids.  Omega-3 fatty acids benefit the heart of healthy people and those at high risk of — or who have — cardiovascular disease.  Research has shown that omega-3 fatty acids decrease risk of arrhythmias (abnormal heartbeats), which can lead to sudden cardiac death. Omega-3 fatty acids also decrease triglyceride levels, slow the growth rate of atherosclerotic plaque and lower blood pressure.

Fatty fish like salmon, mackerel, herring, lake trout, sardines and albacore tuna are high in two kinds of omega-3 fatty acids which have demonstrated benefits at reducing heart disease.

That’s all positive. But here’s the negative: Some types of fish may contain high levels of mercury, PCBs (polychlorinated biphenyls), dioxins and other environmental contaminants. Levels of these substances are generally highest in older, larger predatory fish and marine mammals.

The benefits and risks of eating fish vary depending on a person’s stage of life:

  • Children and pregnant women are advised by the U.S. Food and Drug Administration (FDA) to avoid eating those fish with the potential for the highest level of mercury contamination (e.g., shark, swordfish, king mackerel or tilefish); to eat up to 12 ounces (two average meals) per week of a variety of fish and shellfish that are lower in mercury (e.g., canned light tuna, salmon, pollock, catfish).
  • For middle-aged and older men and postmenopausal women, the benefits of eating fish far outweigh the potential risks when the amount of fish that are eaten is within the recommendations established by the FDA and Environmental Protection Agency.
  • Eating a variety of fish will help minimize any potentially adverse effects due to environmental pollutants.

Nutritional experts recommend eating fish (particularly fatty fish) at least two times (two servings) a week. Each serving should be approximately 3.5 ounces cooked, or about three-quarters of a cup of flaked fish.  Enjoy fish baked or grilled, not fried.  Choose low-sodium, low-fat seasonings such as spices, herbs, lemon juice and other flavorings in cooking and at the table. 

For many people, tuna is a lunchtime staple. The FDA and EPA continue to recommend that no more than six ounces of fish per week (of your 8 to 12 ounces weekly) should be white (albacore) tuna. Although canned light tuna is lower in mercury, albacore tuna has more of it.

Five of the most commonly eaten fish or shellfish that are low in mercury are shrimp, canned light tuna, salmon, pollock, and catfish.   

Avoid eating shark, swordfish, king Mackerel, or tilefish because they contain high levels of mercury. Also, be careful when buying canned seafood, as cans often are lined with a BPA-plastic coating. Look for seafood packed in shelf-stable, flexible pouches, as this is the environmentally preferable packaging.

Regardless of your age or gender, check local advisories about the safety of fish caught by family and friends in local lakes, rivers and coastal areas. If local advice isn’t available, you should eat six ounces or less of these locally caught fish per week, and children should eat no more than one to three ounces per week. Then avoid eating other fish for the rest of the week.

Potential exposure to some contaminants can be reduced by removing the skin and surface fat from these fish before cooking. Consumers should also check with local and state authorities about types of fish and watersheds that may be contaminated and visit the FDA website for the most up-to-date information on recommendations for specific subgroups of the U.S. population such as children and pregnant women.

Last, but not least, another important consideration when you consume fish should be about environmental sustainability. Some varieties of seafood have been overfished or caught in ways that may cause lasting damage to our oceans and marine life. Here are some basic rules to make smart seafood shopping choices that are good for your health and the health of our oceans.

  • Eat fish that are lower on the food chain – typically, smaller fish are more plentiful and contain less mercury.
  • Know how sustainable your seafood choices are. This link to the Monterey Bay Aquarium’s Seafood Watch guide provides valuable information on which fisheries provide the most sustainable seafood choices, based on health and a variety of other measurements.
  • Buy American. The United States has stricter fishing and farming standards than do other parts of the world.
  • Know how it’s caught. Hook and line is a low-impact method of fishing that does not damage the seafloor and let’s fisherman use intelligently designed traps and throw back unwanted species.
  • Eat Local. You’re usually better off eating the local variety of a particular type of fish instead of its counterpart from across the country or another part of the world, unless that species has been depleted in local waters. Even out of season, the local fish that has been frozen is preferable, since fresh fish must be transported by air, the most energy-intensive method of shipping.
  • Look for the label. The Marine Stewardship Council certifies seafood that is caught or raised in a sustainable, environmentally friendly manner. Items that meet its criteria are marked with a MSC-certified label.

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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

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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.

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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!

Is it time to see a therapist?

The holidays and cold wintery months bring many types of pressures that can cause stress, irritability, sleeplessness, anger, and depression. Additionally, isolation, family dynamics, work and financial hardships strain us in many insidious ways. When you throw in the challenges of day-to-day life, it can result in depression and anxiety.

Many of us have the tools and resources to deal with these issues patiently and reasonably. But for others, daily stresses accumulate to unhealthy levels and can result in unpleasant and sometimes dangerous behaviors. Situational or cumulative triggers affect us in a variety of ways. But it becomes far more complicated when you add to the mix chemical imbalances or deep-rooted psychological problems that may be undiagnosed or untreated.

Seeking help from a therapist is a healthy choice. Unfortunately, it’s often avoided due to the stigma of therapy, lack of health insurance, or financial resources. However, contrary to popular perception, you don’t have to be “falling apart” to seek help. Most people can benefit from therapy at some point in our lives. Many of us turn to family and friends as support groups, but that doesn’t always provide the answers we seek.

When things start to become unmanageable or worries and pressures start redefining us, affect performance or control our actions, it’s time for assistance. Support can be found through Employee Assistance Programs at work or through school, or by talking with social workers, counselors and other providers. We can visit walk-in clinics or hospitals, speak with our physicians, or seek access through the panels of behavioral health professionals and programs available in every community.

We also turn to therapists for many positive reasons such as improving the overall quality of our lives, career or interests. Sometimes it’s for help with grief or trauma, but it can be to help us learn how to face situations that may be preventing us from reaching personal goals.

Whether the need for therapy is short-or longer-term, there are a variety of different therapeutic options to pursue. However, it all starts with determining whether or not we should see a therapist.  Here are some common catalysts, concerns and behaviors:

  • Feeling sad, angry or otherwise “not yourself.” Uncontrollable sadness, anger or hopelessness may be signs of a mental health issue that can improve with treatment. If you’re eating or sleeping more or less than usual, withdrawing from family and friends, or just feeling “off,” talk to someone before serious problems develop that can have a significant impact on your quality of life. If these feelings escalate to the point that you question whether life is worth living or you have thoughts of death or suicide, reach out for help right away.
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    • Abusing drugs, alcohol, or food to cope. When you turn outside yourself to a substance or behavior to help you feel better, your coping skills probably need adjustment. If you feel unable to control these behaviors or you can’t stop despite negative consequences in your life, you may be struggling with addictive or compulsive behavior that requires treatment.
    • You’ve lost someone or something important to you. Grief can be a long and difficult process to endure without the support of an expert. While not everyone needs counseling during these times, there is no shame in needing a little help to get through the loss of a loved one, a divorce, significant breakup, or the loss of a job, especially if you’ve experienced multiple losses in a short period of time.
    • Something traumatic has happened. If you have a history of abuse, neglect or other trauma that you haven’t fully dealt with, or if you find yourself the victim of a crime or accident, chronic illness or some other traumatic event, the earlier you talk to someone, the faster you can learn healthy ways to cope.
    • You can’t do the things you like to do. Have you stopped doing the activities you ordinarily enjoy? Many people find that painful emotions and experiences keep them from getting out, having fun and meeting new people. This is a red flag that something is wrong in your life.
    • Everything you feel is intense. Feeling overcome with anger or sadness on a regular basis could indicate an underlying issue. Also, when an unforeseen challenge appears, do you immediately assume the worst-case-scenario will take place? This intense form of anxiety, in which every worry is super-sized and treated as a realistic outcome, can be truly debilitating.
    • You have unexplained and recurrent headaches, stomach-aches or a rundown immune system. When we’re emotionally upset, it can affect our bodies. Research confirms that stress can manifest itself in the form of a wide range of physical ailments, from a chronically upset stomach to headaches, frequent colds or even a diminished sex drive.
    • You’re getting bad feedback at work. Changes in work performance are common among those struggling with emotional or psychological issues. You might feel disconnected from your job, even if it used to make you happy. Aside from changes in concentration and attention, you might get negative feedback from managers or co-workers that the quality of your work is slipping. This could be a sign that it’s time to talk to a professional.
    • Your relationships are strained. If you find yourself feeling unhappy during interactions with loved ones, family or friends on a regular basis, you might make a good candidate for therapy. Oftentimes, those closest to us recognize changes in our behaviors that we might not be ready to personally acknowledge — when these changes are pointed out to us, they’re worth considering.

Seeing a therapist doesn’t mean a lifetime obligation. A study in the Journal of Counseling Psychology found that most people feel better within seven to 10 visits. In another study, published in the Journal of Consulting and Clinical Psychology, 88 percent of therapy-goers reported improvements after just one session.

Although severe mental illness may require more intensive intervention, most people benefit from short-term, goal-oriented therapy to address a specific issue or interpersonal conflict, get out of a rut, or make a major life decision. The sooner you choose to get help, the faster you can return to enjoying life to its fullest.

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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!

Stop blowing smoke — tobacco kills, in every form

For all we’ve heard, read or been told by experts, physicians and concerned friends or family, tobacco use remains the single largest preventable cause of disease and premature death in the United States. Yet more than 45 million Americans still smoke cigarettes. More than half of these smokers have attempted to quit for at least one day in the past year. There also are approximately 13.2 million cigar smokers in the U.S., and 2.2 million who smoke tobacco in pipes.

But cigarettes, pipes and cigars are only one third of this axis of unhealthy evil — when you add smokeless tobacco products and now, e-cigarettes, the numbers increase dramatically, as do the personal and national healthcare costs.

November is Lung Cancer Awareness Month, but rather than focus on lung cancer specifically, let’s take a look at the role tobacco products play in destroying your health, and in contributing directly to lung cancer, other cancers and respiratory illnesses. Consider these facts:

  • Tobacco contributes to 5 million deaths worldwide every year. For centuries, cigarettes have remained basically the same:  Tobacco rolled in paper. What makes them so deadly are the estimated 4,000 chemicals they give off when lit. Some of those chemicals, like arsenic, formaldehyde and lead can cause cancer and a long list of other deadly diseases.
  • Chewing tobacco comes as long strands of loose leaves, plugs, or twists of tobacco. Pieces, commonly called plugs, wads, or chew, are chewed or placed between the cheek and gum or teeth. The nicotine in the piece of chewing tobacco is absorbed through the mouth tissues. The user spits out the brown saliva that has soaked through the tobacco.
  • An e-cigarette is a battery-powered tube about the size and shape of a cigarette. A heating device warms a liquid inside the cartridge, creating a vapor you breathe in. Puffing on an e-cigarette is called “vaping” instead of “smoking.” E-cigarettes also make chemicals, but in much smaller numbers and amounts than tobacco cigarettes.

The devil is in the details: Smokeless tobacco

Smokeless tobacco products are glorified through their use by many professional athletes, especially baseball players. In addition to the chewing tobacco mentioned above, snuff — which is finely ground tobacco packaged in cans or pouches — also is popular.

Moist snuff is used by placing a pinchdiplipper, or quid between the lower lip or cheek and gum. The nicotine in the snuff is absorbed through the tissues of the mouth. Moist snuff is also available in small, teabag-like pouches or sachets that can be placed between the cheek and gum. These are designed to be both “smoke-free” and “spit-free” and are marketed as a discreet way to use tobacco. Dry snuff is sold in a powdered form and is used by sniffing or inhaling the powder up the nose.

Data collected in 2012 showed that about 3.5 percent of people aged 12 and older in the United States used smokeless tobacco — that’s about 9 million people. Use of smokeless tobacco was higher in younger age groups, with more than 5.5 percent of people aged 18 to 25 saying they were current users. About 1 million people age 12 and older started using smokeless tobacco in the year before the survey. About 46 percent of the new users were younger than 18 when they first used it.

The damages from smokeless tobacco products include throat, tongue, sinus, jaw, esophageal and mouth cancers, lesions, damage to teeth and gums, heart disease and stroke.

What you should know about e-cigarettes

All e-cigarettes work basically the same way. Inside, there’s a battery, a heating element, and a cartridge that holds nicotine and other liquids and flavorings. Features and costs vary. Some are disposable. Others have a rechargeable battery and refillable cartridges.

The nicotine inside the cartridges is addictive. When you stop using it, you can get withdrawal symptoms including feeling irritable, depressed, restless and anxious. It can be dangerous for people with heart problems. It may also harm your arteries over time and contribute to respiratory ailments, heart disease and cancers.

So far, evidence suggests that e-cigarettes may be safer than regular cigarettes. The biggest danger from tobacco is the smoke, and e-cigarettes don’t burn. Tests show the levels of dangerous chemicals they give off are a fraction of what you’d get from a real cigarette. But what’s in them can vary, and while they may appear to be safer, research now being conducted requires years’ of statistical information to identify actual side effects… and by then, the damage will have occurred in regular users.

Quitting is hard, but you can increase your chances of success with help. The American Cancer Society can tell you about the steps you can take to quit smoking and provide the resources and support that can increase your chances of quitting successfully. To learn about available tools, call the American Cancer Society at 1-800-227-2345 or visit www.cancer.org.

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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!

Tell the fairy to keep the sweet tooth

Oh, how we love our sugar. As we come off our annual Halloween high and contemplate the approaching holidays, now would be a good time to take stock of how our individual and collective sweet teeth are affecting our personal health and the healthcare costs we all help shoulder.

In the United States alone, 25.8 million children and adults — 8.3 percent of the population — have diabetes. Only 18.8 million have been diagnosed, meaning another 7 million are walking around sick, and medical researchers estimate that 79 million people are pre-diabetic, with 1.9 million new cases of diabetes diagnosed annually in people aged 20 and older.

According to the National Institutes of Diabetes and Digestive and Kidney Diseases, part of the National Institutes of Health, Type 2 diabetes has become one of the most common and costly diseases in the United States and around the world, creating an enormous, and costly, strain on the U.S. healthcare system.

Beyond the physical and quality-of-life costs, the costs of diagnosed diabetes in the United States are approximately $245 billion, including $176 billion for direct medical costs. Complications include heart disease and stroke, high blood pressure, kidney and nervous system diseases, blindness and an increased risk of amputation of lower limbs from complications including poor circulation and wounds.

According to researchers, the side effects of diabetes also represent $69 billion in reduced productivity. And after adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.

With November being Diabetes Awareness Month, this is a good time to take stock of your diet and exercise routines. Studies by the National Diabetes Research Foundation have determined that just 30 minutes of moderate physical activity daily, and a 5 percent to 10 percent reduction in body weight can reduce the risk of diabetes by almost 60 percent. To help you achieve these goals, here are healthy living tips for the whole family:

  • Try to eat regular, balanced meals every four to five hours. Smaller amounts eaten more often are better for healthy blood-sugar levels
  • Eat carbohydrates in moderation. Carbohydrates raise blood sugar more than foods with protein or fat. Carbohydrates include milk, fruit, bread, rice, pasta, potatoes, corn and peas.
  • Eat plenty of fruits and vegetables every day.
  • Eat more fiber from whole grains and dried beans.
  • Eat less fat and less saturated fat. Choose lean meats, low-fat dairy products and low-fat snack foods.
  • Use drinks that do not raise blood sugar such as water, diet soda, coffee and tea.
  • Choose desserts occasionally. Look for dessert foods that are lower in carbohydrates and fat.
  • Read labels, and be aware of your sugar intake – for example, one teaspoon of granulated sugar equals 4 grams of sugar. To put it another way, 16 grams of sugar in a product is equal to about 4 teaspoons of granulated sugar.
  • As possible, avoid or limit products with high fructose corn syrup, a commonly added sweetener found in most processed foods.
  • Look for healthy substitutes, such as mustard in place of ketchup, and avoid condiments like barbeque sauce, sweet relish and other flavor enhancers high in calories, fat, sodium and sugar.

While watching your nutritional intake and snacking is important, walking and moderate exercise every day or every other day also plays a critical role in preventing weight gain, reducing stress, strengthening heart health and reducing chances for diabetes later in life. We don’t have to punish ourselves — a little candy and dessert is good for our souls — but if eaten in moderation, your chances of avoiding sugar-related health issues will improve exponentially and that’s pretty sweet!

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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!