What You Should Know About Measles
Friday, February 6, 2015
In 2000, the U.S.
declared that measles was eliminated from this country. Measles was eliminated
because there is a highly effective vaccine and a strong vaccination program is able to achieve high vaccine coverage in children.
Every year, measles is brought into the United States
travelers who get measles in other countries. They can spread measles to other
people who are not protected against measles, and sometimes, this can lead to
Vaccination is the best protection against measles. Children
are not vaccinated until 12 months of age, which makes those less than 12
months of age vulnerable. The more people vaccinated in a community, the less likely
there is disease, protecting the most vulnerable.
Measles is a highly contagious disease that spreads through
the air and respiratory droplets. The disease can result in severe
complications, including pneumonia.
incubation period ranges from 7 to 21 days.
are infectious 4 days before and after the rash onset.
Measles begins with
watery eyes (conjunctivitis)
Two or three days after symptoms begin, tiny white spots
(Koplik spots) may appear inside the mouth.
Three to five days after symptoms begin, a rash breaks out.
It usually begins as flat red spots that appear on the face at the hairline and
spread downward to the neck, trunk, arms, legs and feet. Small raised bumps may
also appear on top of the flat red spots.
The spots may become joined together as they spread from the
head to the rest of the body. When the rash appears, a person’s fever may spike
to more than 104 degrees Fahrenheit.
After a few days, the fever subsides and the rash fades.
If any one in your family has these symptoms, please contact
your health care provider.
If any one in your family is not vaccinated against measles,
or did not have measles, please stay informed of where measles cases or
suspected cases are developing.
Extreme Cold Weather Prevention Guide 01 30 2015
Friday, January 30, 2015
When the weather is extremely cold, and especially if there are high winds, try to stay indoors. Make any trips outside as brief as possible, and remember these tips below to protect your health and safety.
Dress Warmly and Stay Dry
Adults and children should wear:
- a hat
- a scarf or knit mask to cover face and mouth
- sleeves that are snug at the wrist
- mittens (they are warmer than gloves)
- water-resistant coat and boots
- several layers of loose-fitting clothing
Be sure the outer layer of your clothing is tightly woven, preferably wind resistant, to reduce body-heat loss caused by wind. Wool, silk, or polypropylene inner layers of clothing will hold more body heat than cotton. Stay dry—wet clothing chills the body rapidly. Excess perspiration will increase heat loss, so remove extra layers of clothing whenever you feel too warm. Also, avoid getting gasoline or alcohol on your skin while de-icing and fueling your car or using a snow blower. These materials in contact with the skin greatly increase heat loss from the body. Do not ignore shivering. It’s an important first sign that the body is losing heat. Persistent shivering is a signal to return indoors.
Be Safe During Recreation
Notify friends and family where you will be before you go hiking, camping, or skiing. Do not leave areas of the skin exposed to the cold. Avoid perspiring or becoming overtired. Be prepared to take emergency shelter. Pack dry clothing, a two-wave radio, waterproof matches and paraffin fire starters with you. Do not use alcohol and other mood altering substances, and avoid caffeinated beverages. Avoid walking on ice or getting wet. Carefully watch for signs of cold-weather health problems.
Avoid Frostbite and Hypothermia
When exposed to cold temperatures, your body begins to lose heat faster than it can be produced. Prolonged exposure to cold will eventually use up your body’s stored energy. The result is hypothermia, or abnormally low body temperature. Body temperature that is too low affects the brain, making the victim unable to think clearly or move well. This makes hypothermia particularly dangerous because a person may not know it is happening and won’t be able to do anything about it.
Hypothermia is most likely at very cold temperatures, but it can occur even at cool temperatures (above 40°F) if a person becomes chilled from rain, sweat, or submersion in cold water.
Frostbite is an injury to the body that is caused by freezing. Frostbite causes a loss of feeling and color in affected areas. It most often affects the nose, ears, cheeks, chin, fingers, or toes. Frostbite can permanently damage the body, and severe cases can lead to amputation. The risk of frostbite is increased in people with reduced blood circulation and among people who are not dressed properly for extremely cold temperatures.
For more information about frostbite and hypothermia, see Stay Safe & Healthy(http://emergency.cdc.gov/disasters/winter/staysafe/index.asp)
Cold weather puts an extra strain on the heart. If you have heart disease or high blood pressure, follow your doctor’s advice about shoveling snow or performing other hard work in the cold. Otherwise, if you have to do heavy outdoor chores, dress warmly and work slowly. Remember, your body is already working hard just to stay warm, so don’t overdo it.
Understand Wind Chill
The Wind Chill index is the temperature your body feels when the air temperature is combined with the wind speed. It is based on the rate of heat loss from exposed skin caused by the effects of wind and cold. As the speed of the wind increases, it can carry heat away from your body much more quickly, causing skin temperature to drop. When there are high winds, serious weather-related health problems are more likely, even when temperatures are only cool.
The Center for Disease Control and Prevention offers an Extreme Cold Prevention Guide available on their website: http://emergency.cdc.gov/disasters/winter/guide.asp
Protect Yourself and Be Prepared - NJ Poison Experts Warn of Snow-Related Poisoning Exposures 01 26 2015
Monday, January 26, 2015
(Newark, NJ) –
January 26, 2015 — Dangerous
conditions lay ahead for residents of the Garden State as they prepare
for a massive winter
storm expected later today into tomorrow. This storm is expected to cause
extremely dangerous driving/traveling conditions – heavy snow with high
strong, gusty winds causing snow drifts; low visibility;
slippery/icy roads; and frigid temperatures. The NJ Poison Experts have
weathered all storms alongside residents (24 hours a day/7 days a week/365 days
a year). From our experience with Super Storm Sandy, we learned a great deal
about unintentional poisonings/exposures that may occur in the midst of severe
like the one we will be expecting later today into tomorrow are known to result
in illness and even deaths from hypothermia and carbon monoxide poisoning, as
well as exposures to a variety of substances.” said Steven Marcus, MD, executive
and medical director of the NJ Poison Center. Exposures to carbon monoxide often
happen when people attempt to heat their homes by using space heaters and
portable generators that run on kerosene, propane, or natural gas without proper
ventilation. The danger occurs when too much carbon monoxide gets trapped inside
an area that is poorly ventilated.
in mind, high winds can result in power outages across the state. If power is lost
it may be lost for an extensive period of time and your cell phone may become
your lifeline! “Remember, the experts are hard at work responding to your calls
for help, 24/7/365,” said Dr. Marcus. Protecting yourself and being prepared is
half the battle when dealing with such intense weather.
“We learned from
Super Storm Sandy how important a fully charged cell phone can be when dealing
with severe weather,” said Marcus. “To prepare for this storm, program the
Poison Help Hotline (800-222-1222) into all phones (home, cell, office) now.”
Keep your cell phone charged whenever possible.
Below you will
find key safety tips and prevention precautions that may potentially save your
life or the life of a loved ones.
Safety Tips to
Prevent Carbon Monoxide Poisoning:
batteries in your carbon monoxide detector and smoke detector. If you don’t have
either detector, install before the storm hits.
Clear any snow
accumulation from all outside dryer and heating vents.
Remove snow from
car exhaust pipe(s) before sitting in car and letting it warm up. Failure to
remove snow can result in carbon monoxide poisoning. Be sure there is ample room
for air to circulate behind your car to allow any exhaust to dissipate and not
build up around your car.
not bring a portable
gas powered generator into the home or garage –
Do not place
them outside near any open windows/doors
They should be
at least 25 feet from any house
bring other gas powered equipment, propane stoves, propane lights, or kerosene
camping stoves into the house or garage.
heat your home with your stove.
cook with charcoal indoors or inside your house or garage.
DO NOT idle a
car in a closed garage. Once you pull in, immediately turn off the
Keep your home
well ventilated. If need be, keep a window slightly cracked to allow air
cleanup, keep all gas powered cleaning equipment outside away from the house
when in use. Bringing and using them indoors could result in serious
If you suspect
Carbon Monoxide Poisoning, Take Immediate Action:
If a loved one
is unconscious or unresponsive, get out them out of the house and call 911
house/building immediately. Do not waste time opening windows to “air” it out;
this will delay your escape and cause you to breathe in more dangerous
local fire department/energy provider.
Call the NJ
Poison Experts, 800-222-1222, for immediate treatment advice.
Do not waste
time looking for information on the internet about carbon monoxide poisoning.
Call us for fast, free and accurate information.
flashlight with fresh batteries ready to use (you may have used the flashlight
during previous storms including Hurricane Sandy, replace the batteries if you
Make sure to use
a flashlight when giving or taking medication. Read all labels
battery-operated radio available and be sure the batteries are
for hypothermia increases with frigid temperatures. Infants, children, and the
elderly are at greatest risk for hypothermia.
and symptoms include headaches, sleepiness, fatigue,
confusion and irritability, nausea, vomiting, irregular heartbeat, impaired
vision and coordination, and death
Stay warm and
dress appropriately! For prolonged exposure to cold, wear insulated or layered
clothing that does not retain moisture. Wear a head
over-exertion and excessive sweating in the cold. Snow shoveling is a very
intense exercise. If you are not in top physical shape, don’t attempt it
can help increase the body temperature.
alcohol, especially in cold temperatures.
may increase your risk. Check with your doctor, pharmacist or call the Poison
Safety Tips to
Prevent Food Spoilage during a Power Outage:
With the threat
of power outages, it is important to be careful about food stored in
refrigerators and freezers. Food-borne illness, also known as food
poisoning, results from the eating of food that is contaminated with harmful
bacteria, viruses or other foreign material. Contamination is caused by improper
food handling and preparation practices. The symptoms of food-borne illness are
flu-like and may include abdominal pain, diarrhea, nausea, vomiting and fever.
In preparing for
a power outage, make the temperature colder than usual on both freezers and
refrigerators. This will prolong the cold after a power
During a power
outage, keep the refrigerator and freezer doors closed and open them only when
refrigerator thermometer in the center of the middle shelf and check the
temperature. If it has risen to 40 degrees Fahrenheit or higher, discard any
potentially spoiled foods. Such foods include meat, poultry, fish, dairy and egg
products, soft cheese, cooked beans, cooked rice, cooked potatoes, cooked pasta,
potato salad, custard and pudding.
Fill freezers to
capacity, but refrigerators need room for air to circulate.
When power is
restored, allow time for the refrigerator to reach below 40 degrees Fahrenheit
If it looks
funny, smells funny or if you are just unsure, "When in doubt, throw it
valuable time looking up information on the Internet when every minute counts.
“Many of the calls we get are genuine emergencies,” said Marcus. Poisons may act
very quickly. Having a poison expert give you exact instructions for your
specific situation can help significantly during those critical first few
Seasonal Flu At Elevated Levels
Wednesday, January 7, 2015
The flu season has begun with an earlier than usual start. Flu activity is expected to continue in the coming weeks.
Seasonal flu is a serious disease that causes illness, hospitalizations, and unfortunately, deaths. Those most vulnerable are older adults and the very young.
"Flu vaccination can reduce flu illnesses, doctors' visits, absenteeism from work or school, as well as prevent flu-related hospitalizations and deaths," said Deputy Health Commissioner Dr. Arturo Brito. "Even unvaccinated people who have already gotten sick with flu can still benefit from vaccination since the flu vaccine protects against the different viruses expected to circulate each season."
The media has been reporting that the main circulating flu virus is not perfectly matched by the vaccine. Flu viruses can change and sometimes this happens. Yet, the flu vaccine is still the best protection and can minimize symptoms of flu. In the context of reduced vaccine effectiveness, however, the use of influenza antiviral drugs as a second line of defense against the flu becomes even more important, especially for those at high risk and people who are very sick. This is a prescription medication, so if you have signs of the flu, contact your health care provider, as the medication is most effective when used within 48 hours of symptoms.
Flu symptoms include:
- Fever* or feeling feverish/chills
- Sore throat
- Runny or stuffy nose
- Muscle or body aches
- Fatigue (very tired)
- Some people may have vomiting and diarrhea, though this is more common in children than adults.
*It's important to note that not every one with flu will have a fever.
The New Jersey Department of Health (NJDOH) would like to remind all healthcare providers to:
encourage all patients 6 months of age and older who have not yet received an influenza vaccine this season to be vaccinated against influenza start antiviral treatment as early as possible for any patient with confirmed or suspected influenza and not wait for laboratory confirmation of influenza to make treatment decisions promote preventive health practices that help decrease the spread of influenza.
Ebola Update: 10-24-2014
Friday, October 24, 2014
With the first confirmed case of Ebola in NYC, we remind Morris County residents that there are no cases in New Jersey. The patient in NYC remains in isolation and the three close contacts have been identified and are now in quarantine. NYC has begun to identify people who may have had contact with the patient, but are not considered close contacts.
We continue to update the Morris Health website with the most current information on Ebola from New Jersey Department of Health and the Centers for Disease Prevention and Control. We are coordinating with state and local health care partners to be watchful for any potential cases or close contacts.
What You Need to Know About Ebola 10-15-2014
Wednesday, October 15, 2014
A person infected with Ebola can’t spread the disease until symptoms appear
The time from exposure to when signs or symptoms of the disease appear (the incubation period) is 2 to 21 days, but the average time is 8 to 10 days. Signs of Ebola include fever (higher than 101.5°F) and symptoms like severe headache, muscle pain, vomiting, diarrhea, stomach pain, or unexplained bleeding or bruising.
Ebola is spread through direct contact with blood and body fluids
Ebola is spread through direct contact (through broken skin or through your eyes, nose, or mouth) with:
Ebola is not spread through the air, water, or food
- Blood and body fluids (like urine, feces, saliva, vomit, sweat, and semen) of a person who is sick with Ebola.
- Objects (like needles) that have been contaminated with the blood or body fluids of a person sick with Ebola.
Protect yourself against Ebola
There is no FDA-approved vaccine available for Ebola. Experimental vaccines and treatments for Ebola are under development, but they have not yet been fully tested for safety or effectiveness.
To protect yourself from Ebola
- DO wash your hands often with soap and water or use an alcohol-based hand sanitizer.
- Do NOT touch the blood or body fluids (like urine, feces, saliva, vomit, sweat, and semen) of people who are sick.
- Do NOT handle items that may have come in contact with a sick person’s blood or body fluids, like clothes, bedding, needles.
- Do NOT touch the body of someone who has died of Ebola
Enterovirus D68 In Communities in New Jersey 10-01-2014
Wednesday, October 1, 2014
As NJ continues to test people that may be sick with Enterovirus D68, they are beginning to find cases in N.J. So far a handful of people have tested positive. More people have tested positive for other enteroviruses and the cold virus It is important to know that this is the end of the enterovirus season and the beginning of flu season.
Anyone who has a cold that worsens quickly and/or develops breathing difficulties should contact their health care provider. Once again, the best prevention for illness is hand washing: often and with warm water and soap. Hand sanitizers are not as effective against viruses.
For more information, visit the New Jersey Department of Health website and review the Frequently Asked Questions, which is routinely updated. http://www.nj.gov/health/cd/documents/faq/ev_faq.pdf
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