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Recent News

The 5 Ws and 1H of Vaccines

08/01/2022

Vaccines are in the news now more than ever, with COVID-19 shining a spotlight on the importance of immunizations in preventing the spread of disease. But in recent years, there has also been more resistance than in years past against getting vaccinated. Between the COVID-19 pandemic interrupting normal vaccination schedules and the growing fear and misinformation surrounding many, if not all, vaccines, society has taken one step forward in innovation…and two steps back in community inoculation. To continue protecting ourselves and our communities, let’s take a moment to understand the 5Ws (and 1H!) of vaccines.

woman getting vaccine in arm

How do vaccines work?

Think of a vaccine-preventable disease as a timed math test that your body has to take, and your immune system is the tools used, like a pencil and calculator. If the test is on a completely new concept and you never studied for it, you could pass the test…but it’d be pretty tough to do. And if your immune system isn’t strong or if you have other conditions that get in the way (for the analogy, you don’t have a calculator and your pencil doesn’t have an eraser) that makes passing even harder.

Now think of the vaccine as your homework. The homework shows you more than just the answer to the problem — it shows you how to solve the problem. The homework is a simpler version than the test is so that you can understand the basics before moving onto more advanced work. It also helps you build the confidence to solve the harder problem quickly when it counts.

If you do the prep homework, there’s no guarantee that you’ll pass the graded test. But the homework gives you a much better chance of passing with flying colors, especially if you’ve got the handicap of no calculator. And even if you don’t ace the test, you could still get a passing grade.

Similarly, a vaccine doesn’t guarantee that you won’t get sick from exposure to the disease, but it does better your chances of recovering. The vaccine can help the illness symptoms be less severe and the results less deadly. By teaching your body to recognize and make antibodies in response to the vaccine, a less threatening version of the disease, you’re setting your immune system up to be able to fight off the full thing if needed.

Who should get vaccinated?

In general, anyone who can get vaccinated should get vaccinated. There are some vaccines that are not recommended in certain age groups or situations. Shingles vaccine, for instance, is not recommended for healthy adults under the age of 50, and the chickenpox vaccine shouldn’t be given to pregnant people. On the flip side, there are some vaccines that are especially recommended during pregnancy. The flu vaccine and Tdap antibodies from the mother will be passed along to the newborn if she is vaccinated while pregnant. This transfer protects babies from the disease when they are still too young to receive the vaccine themselves.

By getting vaccinated if you can, you are protecting the people who can’t get the immunizations. There are several factors that can prevent a person from getting the vaccine beyond not meeting the age or condition requirement. This could include an allergy to an ingredient or a weakened immune system that can’t fight off even minor reactions as the body learns to recognize the infection and form antibodies.

Why should I get vaccinated?

Are you tired of dealing with the spread of rubella? Worried about the crippling effects of polio? Missing too many days of work because of a diphtheria outbreak? Thanks to vaccines, the answer to all of these is generally no. There are many contagious, draining, and even fatal diseases that have been practically eliminated in many parts of the world through vaccines.

But as vaccines have become more misunderstood in recent years, we have seen an increase in cases of diseases that had previously been approaching eradication. When the COVID-19 pandemic hit, many people fell behind in regular health check-ups; this caused many people’s vaccine schedules to fall behind.

As more people miss or pass on vaccines, the less we as a society are protected from the full disease. Very few diseases have been eradicated, which means that they can make a comeback if protections aren’t in place. Vaccines aren’t 100 percent effective, but they can still lessen the impact of the disease. Further, the times where the vaccine does work completely helps stop the spread of the disease to others who may not be able to get vaccinated or fight off the infection with or without the vaccine.

What vaccines should I get?

There are a lot of vaccines out there, and it can be hard to keep track of which one should be administered when — and that’s before factoring in new developments to improve protection or to address new diseases (like COVID-19). That’s where a vaccination schedule comes into play.

The schedule is especially full for children. The first vaccination schedule was officially established in 1995, but the basis for the recommendations began back in the mid-1800s when Massachusetts public schools required vaccination against smallpox. Today, there are 11 different vaccines that are recommended for babies 0 to 15 months; some of these vaccines require multiple doses over several months or even years.

As children grow into teenagers, it’s easier to fall behind in vaccinations simply due to less wellness check appointments. While it’s hard to miss seeing a flu shot reminder, other immunizations are easier to overlook. Some of these immunizations are boosters of what was received as a small child, like the Tdap vaccine. Others, like the meningococcal and human papillomavirus vaccines, are recommended to start in the early teenage years. Without vaccination, these bacterial and viral infections can have serious consequences if contracted, including but not limited to brain damage, loss of limbs, cancer and death.

Beyond 18 years of age, there isn’t a set schedule recommended, but that doesn’t mean that adults don’t need vaccines anymore. Continuing to get the annual flu shot and the tetanus boosters at the recommended interval is important, as is staying up to date on new vaccines that come out.

There are a handful of vaccines that are recommended specifically for adults. The shingles vaccine is recommended for those 50 years or older. The pneumococcal vaccine is recommended for those 65 or older. Both also have several health conditions that would lead to a younger person getting the vaccine.

Keep in mind that these vaccines are all for disease prevention within the United States. If you are traveling, there are additional vaccines that are recommended if not required. Some countries require travelers to be vaccinated against yellow fever before entering their borders. Other vaccines, including typhoid and rabies vaccines, are just recommended by the CDC or the country.

When should I get my vaccines?

Most vaccines are available year-round, which means that people can get the protection they want whenever they’d like. The flu vaccine, meanwhile, is only readily available part of the year and is recommended for an even smaller window. Though many organizations begin offering the flu vaccine as early as August, waiting to get the vaccine until late September or even late October can offer a person more protection when the virus is most often circulating in North America.

Outside of the regular Tdap booster schedule, the vaccine is recommended in another season…the season of new life. Soon-to-be mothers should get the vaccine to pass on antibodies to fight off whooping cough (the “p” of Tdap); other adults that plan to be around babies should also get the vaccine.

Travel vaccines are another area where timing matters. To allow the vaccines to have their best chance at preventing the illness, you should give yourself a few weeks usually between inoculation and traveling. Compared to the more common flu, shingles, and Tdap vaccines, travel vaccines may not be as readily on-hand, so extra planning is a must.

Where can I get vaccinated?

The more common vaccines, like seasonal flu, shingles, pneumonia, and Tdap, are also available at the most places. Others may not be on-hand on a walk-in basis, but many places can request it on a pretty short timeline (sometimes even next day). Children’s vaccine schedules are generally taken care of by their pediatrician.

Here at our pharmacies, we offer most vaccinations and immunizations daily, with no appointment needed. We provide influenza (seasonally), pneumonia, shingles, hepatitis A, hepatitis B, diphtheria, tetanus, pertussis and meningitis vaccinations for ages 7 and over without a prescription. We can immunize under age 7 with a doctor’s prescription. We are also only a phone call away if you want to check your eligibility for certain vaccines or if you have any other questions.

We also offer COVID-19 vaccines. Please visit our COVID-19 Vaccine page to check which vaccines are available and how the location nearest you is handling these vaccines. We also offer COVID-19 testing, if you think you have been recently exposed.

Sources:
https://www.cdc.gov/vaccines/pregnancy/vacc-safety.html
https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
https://historyofvaccines.org/getting-vaccinated
https://wwwnc.cdc.gov/travel/page/travel-vaccines

Filed Under: Wellness Corner Tagged With: COVID-19, flu shots, Immune System, immunizations, vaccines

Sunburns and poison plants and bugs – oh my! Tips to Enjoy Summer Safely

06/30/2022

We all love when the weather warms up and the sun is out most of the day — it can mean camping trips, hiking, family vacations, hitting the beach, or so may other fun outdoor activities. When you and your family are heading outdoors, it’s important to take steps to protect yourself from the dangers of summer, including sun exposure, poison plants, bugs, and excessive heat. Following these simple tips can mean that your summer fun doesn’t end in unwanted body pains.

Enjoy the Sun Responsibly

There’s nothing wrong with catching some rays; in fact, ultraviolet (UV) rays are what helps the body produce Vitamin D on its own, an important part of bone, immune, and overall health. Overexposure to those same UV rays, however, can have severe short- and long-term consequences.

 

The short-term risk of too much sun is a painful sunburn. Some medications can increase your sensitivity to UV light, making sun damage to your skin and eyes more likely. ¹ Tanning is how your body tries to provide a barrier to additional damage, but it is usually not enough protection in reality. Over the longer term, too much UV light can lead to premature skin aging (complete with age spots and wrinkles) and skin cancer, the most common type of cancer in the United States. ²

 

Sunlight is strong, with up to 80% of the rays getting through even on a cloudy day. ² So how do you get the benefits of the sun without taking on too much risk? With basic planning for your time outdoors, you can lower your risk of skin damage.

 

Use Sunscreen ²

Not all sunscreens are created equally — if you’re going to the effort of putting something on, make sure it’s one that actually has benefit. Even indoors, you should use sunscreen if you are getting sunlight as UVA rays can penetrate window glass and damage your skin. Sunscreens labeled as “Broad Spectrum” work to block both UVA and UVB rays, which means that it will help protect you from sunburns as well as lower your risk of premature skin aging and skin cancer. The Food and Drug Administration (FDA) recommends using a sunscreen with a sun protection factor (SPF) of 15 or greater.

 

Make sure you are reapplying sunscreen at least every 2 hours you are in the sun or if you towel off your body; reapply even more often if you are swimming or sweating a lot since sunscreen is not waterproof.

 

Take Advantage of Other Barriers

Sunscreen alone does not always prevent sunburn and skin damage. Pairing it with other preventative measures is important to offer the best protection. An easy step to take is to stick to the shade, especially between 10 am and 2 pm when the sun is at its most intense. ²

 

Not all shade will block all of the sun’s rays either; adding smart clothing options can give you more protection. It doesn’t always make sense to do so, but long-sleeved shirts and pants offer the most protection, as the sun does damage when reaching bare skin. Dry, dark clothing with a tight knit will likely offer a better barrier than dry, light-colored clothing — but in intense heat, that might be too warm. ³ Consider what you can handle, even for part of the time you’re outside.

 

Hats are a great barrier, too! A hat with a wide brim that goes all the way around is your best bet, giving shade to not only your face but also your ears and neck. Canvas is a better material than straw when it comes to creating a barrier from the sun’s rays. ³

 

While you’re taking all these steps to protect your skin, don’t forget about protecting your eyes. Not only can direct rays damage your eyes and the sensitive skin around your eyes, the light reflecting off sand, water, and more can do damage as well. Look for sunglasses that list a UV400 rating or “100% UV protection” on the label; darker tints don’t necessarily mean more protection, so checking the label is important. Bigger sunglasses that wrap around the sides and cover the whole eye socket can offer better protection than smaller options. ²

 

Watch out for Poisonous Plants

If you’re spending time outside in almost any part of the United States, there’s a chance of encountering a poisonous plant. Poison ivy, oak, and sumac look different and grow differently, but they all can cause unpleasant effects if you encounter them. Luckily, there are easy steps you can take to minimize the effects of the plants if you aren’t able to avoid them.

 

Know What to Watch For

Poison ivy is the most common of the three plants and can be found growing in all 48 contiguous states (some more than others) and throughout most of Canada; though most common in the United States, it does grow globally as well. Poison oak is next most common and is primarily found in the western part of North America; poison sumac is the least common of the three and grows in the swampy areas of some southeastern US states. ⁴ All three plants like moisture, so they are often found growing near waterways; they don’t do as well in higher elevations, like the Rocky Mountains. ⁵

 

Even within each species, the appearance can vary; however, they can all be identified in the fall at least by their small berries, which are white, cream, or yellow. Similarly shaped plants that are harmless do not grow berries of this kind. ⁵

 

People often realize they’ve come in contact with one of these plants when they develop a rash. This is a reaction to the oily sap that is on pretty much every part of all three plants. While the oil is still on the skin, your skin may continue to react. The severity often matches the exposure — the more oil on your skin, the worse the rash may be. ⁶

 

The good news is that the rash isn’t contagious. If it seems like it spread, it’s actually the oil transferring from one person to another. The oil can stick to gardening tools, fabric, and even pet fur until it’s washed off, so cleaning your skin along with anything you had with you when you were around one of these poisonous plants is essential. ⁶

 

Speed is Key ⁶

If you do have a run-in with a poisonous plant, or if you even just think you may have been exposed to the plant’s oils, washing off as soon as possible is the best way to prevent the oil’s spread. This includes washing your skin, your clothes, and even other objects that could have touched the plant, such as gardening tools and gloves. The oil can stick to pet fur, too, so be sure to give your pet a bath quickly as well. Our pharmacy can make product recommendations, if needed.

 

If you do get blisters or a rash, try not to itch them and irritate the skin further. Instead, try over-the-counter options to treat the cause as well as the symptoms. Our pharmacists can help with suggestions for removing the oil from the skin as well as relieving the itch. If the rash doesn’t get better, spreads, or has pus, talk to your healthcare provider right away. You should also seek medical advice if you have a high fever or difficulty breathing following exposure.

 

Keep the Bugs Away

Bug bites aren’t just annoying, they can be dangerous. Beyond the painful itch they can leave behind, many bugs carry dangerous illnesses, including West Nile virus and Lyme disease. Before you go outdoors into the bug’s world, take precautions to make sure you don’t bring bad souvenirs back home with you.

 

Get the Right Repellent ⁷

Manufacturers of insect repellent can register with the Environmental Protection Agency (EPA) when they have proven that their product is safe and effective, including when used by pregnant or breastfeeding women.

 

EPA-registered repellents will have one of the below active ingredients:

  • DEET
  • Picaridin (known as KBR 3023 and icaridin outside the US)
  • IR3535
  • Oil of lemon eucalyptus (OLE)
  • Para-menthane-diol (PMD)
  • 2-undecanone

 

It’s important to pay attention to the label ingredients and instructions. When applying, be sure to spray the repellent on any exposed skin; you do not need to spray it on skin that is covered by your clothes. When used at the same time of sunscreen, the sunscreen should be applied before the repellent.

 

If you are using the repellent on children, you should spray the repellent on your hands and then spread it on the child’s face rather than spraying it on directly. If your child is three years or younger, make sure that the active ingredient is not OLE or PMD.

 

Wearing long sleeves and pants when possible, along with tall socks and boots, can offer an additional barrier between you and the bugs. You can treat your clothes with 0.5% permethrin to add more protection (or you can buy pre-treated clothing).

 

Limit Your Exposure

Knowing where the bugs are likely to be — and limiting your chances of coming across them in those places — is an easy step to prevent a bug bite. Ticks, for instance, like wooded areas with a lot of ground cover, like tall grass and thick leaf litter. Sticking to the middles of trails and areas with less ground cover can help lower your chances of ticks getting on you. ⁸

 

Mosquitos, meanwhile, flourish in humidity and like to lay their eggs near standing water. Do what you can to limit the mosquito population near your own home by regularly cleaning damp, dark areas around the outside of your home and by making sure water isn’t forming puddles or pools of water anywhere on your property.

 

Even if you take all the necessary precautions, bugs may still get through to your skin. If you have been somewhere you may have come across a tick, it’s important to check yourself over immediately when you get home. Ticks can catch a ride on pets, clothes, and gear, so give everything a good check. Showering within two hours of getting home is recommended by the CDC, as it can help remove unattached ticks and gives you a better opportunity for a thorough once-over. Ticks tend to gravitate toward certain areas of the body: ⁸

  • Under the arms
  • In and around the ears
  • Inside belly button
  • Back of the knees
  • In and around the hair
  • Between the legs
  • Around the waist

 

 

Paying attention to your surroundings and the weather can go a long way toward having a safe summer. You can take simple steps to prevent the outdoors from putting a damper on your summer fun — and if you do end up dealing with the not-so-great consequences of enjoying the outdoors, make sure to stop by our pharmacy for treatment options!

 

Sources:

¹ https://www.cdc.gov/nceh/radiation/ultraviolet.htm

² https://www.fda.gov/consumers/consumer-updates/tips-stay-safe-sun-sunscreen-sunglasses

³ https://www.cdc.gov/cancer/skin/basic_info/sun-safety.htm

⁴ https://www.cdc.gov/niosh/topics/plants/geographic.html

⁵ https://wa.kaiserpermanente.org/kbase/topic.jhtml?docId=hw74805

⁶ https://www.fda.gov/consumers/consumer-updates/outsmarting-poison-ivy-and-other-poisonous-plants

⁷ https://www.cdc.gov/ncezid/dvbd/about/prevent-bites.html

⁸ https://www.cdc.gov/ticks/avoid/on_people.html

⁹ https://www.cdc.gov/zika/prevention/controlling-mosquitoes-at-home.html

Filed Under: Wellness Corner

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