February 2019 Epi Bulletin
Pregnant woman

Sexually Transmitted Diseases (STDs): Screening During Pregnancy


CDC recommends screening all pregnant women for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and syphilis. However, data shows the highest percentages of women screened as, 80 percent for HIV infection, 88 percent for HBV infection and 85 percent for syphilis, all among women with commercial insurance.1

STDs screening and treatment during pregnancy protect the well-being of mothers and babies. Screening women only during the early stages of pregnancy is not enough. Healthcare providers need to be aware that a pregnant woman may continue to be exposed to STDs through pregnancy, therefore, subsequent screenings and proper treatments of both women and their sexual partners is important.

Depending on a women’s risk for each infection, repeat testing may be warranted through pregnancy and at birth. Click here to learn more about the recommended screening timelines for healthcare providers.
 
Disease specific recommendations:

Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), and Syphilis
Screen all women for HIV, HBV, and Syphilis early during pregnancy. This provides opportunities for informed and timely decisions on treatments to address medical needs and prevent transmissions to infants. Also, screen all pregnant women for hepatitis B surface antigen (HBsAg) in early first trimester visit, regardless of history of prior vaccination and test.

Chlamydia and Gonorrhea
Screen for chlamydia and gonorrhea early in the first trimester for pregnant women over 25 years of age and older pregnant women with new or multiple partners, sex partners with concurrent partners, and sex partners with a sexually transmitted disease.

Hepatitis C Virus (HCV)
Screen for HCV for women with risk factors. 2 The timing for HCV screening in the first trimester is not consistently recommended but is usually displayed in CDC's guidlines in the first trimester. Therefore, HCV screening is recommended at any time during pregnancy for a woman with risk factors.

 
Healthy Weight

With Body Weight, the Focus is Health Not Image


A healthy body weight is important to health and well-being. Body weight conversation is important and recommended with a focus on health and well-being not body image.

Our communities are constantly exposed to images showing thin and muscular figures as a standard of beauty, elegance and masculinity. Children and youths get more of these exposures on social media websites. These images portray body weight from the view of image and not health, and this affects public health. It leads to poor body image and low self-esteem which are linked with various mental health and other health conditions like depression, unhealthy dieting, eating disorders, self-harm, suicides and substance abuse. 1, 2
 
According to research studies, “adolescents with negative body image concerns are more likely to be depressed, anxious, and suicidal than those without intense dissatisfaction over their appearance, even when compared to adolescents with other psychiatric illnesses.” 4 

Children who feel good about themselves are more able to resist negative peer pressure and to make better choices. Also, they are more likely to be independent, with their own personality and interest. 3 

Below are few tips on how to support healthy bodies: 3

  • Be a supportive, none judgmental role model. Adopt and practice healthy behaviors 
  • Provide plenty of fruits and vegetables; limit foods high in solid fats, added sugars, or salt, and prepare healthier foods for family meals
  • Meal time is very important for families. Eat together to encourage better food choices and family time to talk with each other. A child who eats meals with the family is more likely to get better grades and less likely to smoke, drink, or use drugs, and less likely to get into fights, think about suicide, or engage in sexual activity
  • Encourage your child to participate in an hour a day of physical activities that are age appropriate, enjoyable and offer varieties of activities. For example, join a team sport, take up an individual sport, help with household tasks or chores to keep active
  • Limit screen time for your child to no more than 1 to 2 hours per day of quality programming
  • Encourage your child to get enough sleep 
  • Keep television sets out of your child’s bedroom
 


Clay County Communicable Disease Data Summary


The 2018 year-to-date disease report for MMWR Week 4 shows that most reportable disease conditions are within or lower than the county's expectations for this period. Streptococcus pneumoniae invasive is the only disease above expectations. Remember, vaccines are not just for kids! Ask your doctor if pneumococcal vaccines are recommended for you or your loved ones.

County influenza cases continues to be lower than expected for this period but reported flu cases is increasing. "CDC continues to recommend flu vaccination as the best way to reduce the risk of flu and its potentially serious complications, including death in children. People who are very sick or who are at high risk of serious flu complications and get flu symptoms should see a health care provider early in their illness for possible treatment with a flu antiviral drug." 1
 

 

January 2019 Communicable Disease Data


To view the chart of communicable disease data, click here.

 
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