Measles

Measles is a highly contagious disease that is caused by a virus. It can affect anyone but is most common in children.

Some risk factors for measles include:

  • Being unvaccinated
  • Traveling internationally
  • Having a vitamin A deficiency

Measles infects the respiratory tract and then spreads throughout the body. Signs and symptoms of measles appear around 10 to 14 days after exposure to the virus, they include:

  • Fever
  • Dry cough
  • Runny nose
  • Sore throat
  • Inflamed eyes
  • Koplik’s spots (tiny white spots with bluish-white centers on a red background, which form on the inner lining of the cheek)
  • A skin rash made up of large, flat blotches that often flow into one another

The infection occurs in stages that span over two to three weeks. These stages include:

  • Infection and incubation- the measles virus spreads in the body for 10 to 14 days after infection. During that time, there are no signs or symptoms.
  • Nonspecific signs and symptoms- measles typically begins with a mild to moderate fever, a persistent cough, a runny nose, inflamed eyes, and a sore throat. This mild illness can last two to three days.
  • Acute illness and rash- a rash consisting of small red spots, some may be slightly raised. Spots and bumps in tight clusters give the skin a splotchy red appearance. The face is usually the first place it appears. The rash spreads down the arms, chest, and back, then over the thighs, lower legs, and feet over the next few days. At the same time, the fever rises to temperatures as high as 104 to 105.8.
  • Recovery- the measles rash can last for about seven days. The rash fades gradually from the face and lastly the thighs and feet. As other symptoms go away, coughing and the darkening or peeling of the skin where the rash was, lasts about 10 days.

A person with measles can spread the virus to others for about eight days. Starting four days before the rash appears and ends when the rash has been present for four days.

When an infected person coughs, sneezes, or talks, infectious droplets spray into the air where others can breathe them in. Infectious droplets can stay in the air for about an hour and on a surface for several hours.

Many complications can arise from measles, including:

  • Diarrhea and vomiting
  • Ear infection
  • Bronchitis, laryngitis, or croup
  • Pneumonia
  • Encephalitis
  • Pregnancy problems

The U.S. Centers for Disease Control and Prevention (CDC) recommends that children and adults receive the measles vaccine to prevent infection.

Your healthcare provider can usually diagnose measles based on the disease’s characteristic rash and the Koplik’s spot on the inner lining of the cheek. Your healthcare provider may ask whether you or your child received measles vaccines, whether you traveled outside of the U.S. recently, and if you had contact with anyone who has a rash or fever.

The rash can be confused with many other illnesses, however, a blood test can be done to confirm whether the rash is measles. A test using a throat swab or urine sample can also be used.

There is no specific treatment for a measles infection once it occurs. Treatment can include providing comfort measures to relieve symptoms such as rest and treating or preventing complications.

Some measures can be taken to protect individuals who don’t have immunity to measles after they have been exposed to the virus, they include:

  • Post-exposure vaccination
  • Immune serum globulin
  • Medications
    • Fever reducers
    • Antibiotics
    • Vitamin A

If you become sick with severe symptoms, particularly after potential exposure to the measles virus, you must receive treatment from a doctor as soon as possible. You can schedule an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

MPox

Mpox previously known as monkeypox, is a viral illness caused by the monkeypox virus. The virus usually affects rats, mice, or monkeys. But it can occur in people as well.

Mpox usually occurs in Central and West Africa. Cases outside of Africa are due to international travel, imported animals, and close contact with an animal or person infected with mpox.

Mpox symptoms may start three to 17 days after exposure. Symptoms last two to four weeks and may include:

  • Fever
  • Skin rash
  • Swollen lymph nodes
  • Headache
  • Muscle aches and backaches
  • Chills
  • Fatigue

A skin rash starts about one to four days after a fever. It first appears on the face, hands, or feet and then spreads to other body parts. You can spread mpox while you have symptoms.

There are many ways that mpox can spread, including:

  • Person to person
    • Direct contact with rashes, scabs, or bodily fluids of a person with mpox
    • Extended close contact with respiratory droplets from an infected person, including sexual contact
    • Clothes, sheets, blankets, or other materials that have been in contact with rashes or bodily fluids of an infected person
    • An infected pregnant person can spread the mpox virus to a fetus
  • Animal to person
    • Animal bites or scratches
    • Wild game that is cooked for food
    • Products, such as skins or furs made from infected animals
    • Direct contact with bodily fluids or rashes of animals with mpox

There are many steps you can take to prevent infection or the spread of the mpox virus, including:

  • Avoiding close contact with people who have a rash that looks like mpox
  • Avoiding the handling of clothes, sheets, blankets, or other materials that have been in close contact with an infected animal or person
  • Quarantining people who have mpox from healthy people
  • Washing your hands well with soap and water after contact with an infected person or animal. If soap and water aren’t available, use an alcohol-based hand sanitizer
  • Avoiding animals that may carry the virus

The treatment for most people with mpox is aimed at relieving symptoms. Care may include managing skin damage from the mpox rash, drinking enough fluids to help keep stool soft, and pain management. There is no specific treatment approved for mpox. Healthcare professionals may treat mpox with antiviral drugs used to treat smallpox. If you have mpox, quarantine at home in a room separate from family and pets until your rash and scabs heal.

You can make an appointment for mpox treatment and prevention at Flushing Hospital Medical Center’s on-site ambulatory care center by calling (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Immunization Awareness Month

August is National Immunization Awareness Month or NIAM. It is an annual observance highlighting the importance of getting routine vaccinations for people of all ages. 

Vaccines work by stimulating the immune system to protect our bodies against viruses or bacteria that cause infection. After vaccination, the immune system is better prepared to respond quickly when the body encounters disease-causing organisms.

Vaccinations are important at every stage of life. They are one of the safest preventative care measures available and help play a vital role in keeping you healthy. When you skip vaccines, you leave yourself vulnerable to illnesses such as shingles, influenza (flu), and both HPV and hepatitis B which are leading causes of cancer. 

Getting vaccinated also helps keep your family and community healthy, as vaccinations can help lessen the severity of illness and keep diseases from spreading. Additionally, vaccinations help protect those most vulnerable to illness, such as infants, elders, and people with weakened immune systems. 

If you or a loved one would like to get vaccinated, schedule an appointment with a physician at Flushing Hospital’s Department of Internal Medicine or your primary care physician as soon as possible.

To schedule an appointment for you or a loved one to get up to date on vaccinations, you can call Flushing Hospital Medical Center’s Ambulatory Care Center at (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

COVID-19 Boosters: Everything You Should Know to Stay Up-To-Date

Since the beginning of the COVID-19 pandemic, new variants of the virus have emerged, causing surges in infections and hospitalizations over time. Staying up to date with your vaccinations is essential for protecting yourself against this evolving health threat. However, recommendations may be different for some people based on factors such as age or other health concerns.

The Centers for Disease Control and Prevention (CDC) recommend that you receive the latest COVID-19 vaccine regardless of whether you received the original doses; the newest version of the vaccine is expected to be available during fall 2023. Additional recommendations include:

  • Children between six months and four years old who receive the Pfizer-BioNTech vaccine should get three doses, including at least one dose of the latest vaccine
  • Children aged five years or older who receive the Pfizer-BioNTech vaccine should get at least one dose of the updated vaccine
  • Children between six months and five years old receiving the Moderna vaccine should get two doses, including at least one dose of the latest vaccine
  • People who are unable or choose not to get a recommended mRNA vaccine should get the Novavax COVID-19 vaccine doses approved for their age group
  • People who got the Johnson & Johnson/Janssen COVID-19 vaccine should get one dose of the updated COVID-19 vaccine

If you are aged 65 or older, you are also eligible to receive an additional dose of the updated vaccine at least four months after your first dose. People who are moderately or severely immunocompromised may receive an additional dose of the vaccine at least two months after their first dose.

You can receive the latest COVID-19 vaccine at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Shingles Vaccine: Everything You Need to Know

Shingles is an infection that can cause painful rashes and blisters anywhere on the body. It is caused by the varicella-zoster virus, which also causes chickenpox. If you’ve had chickenpox at any point in the past, the virus is still present in your body and can re-activate later in life as shingles.

Although shingles isn’t life-threatening, it can be very painful. Additionally, it can lead to postherpetic neuralgia, a complication that causes shingles pain to occur long after rashes and blisters are no longer present.

According to the Centers for Disease Control and Prevention, the only protection available against shingles is vaccination. Two doses of the shingles vaccine, also known as Shingrix, are recommended for all adults over the age of 50, as well as adults over the age of 19 who have weakened immune systems due to disease or medical treatment. You should also get the vaccine if you’ve already had shingles, as it can prevent future occurrences of the condition.

The shingles vaccine is safe, with side-effects generally going away no more than three days after receiving a dose. Side-effects are also more common in young people. They typically include:

  • Soreness in the injected arm
  • Redness and swelling around the vaccination site
  • Fatigue
  • Headaches
  • Muscle pain
  • Fever
  • Stomach pain
  • Nausea

There is also a very small risk of Guillain-Barré syndrome (GBS), a serious nervous system disorder, associated with the shingles vaccine; this risk, however, is also associated with the shingles itself.

While most people should get the shingles vaccine at some point, it may not be right for everyone based on certain factors. You should not receive the vaccine while you currently have shingles, are pregnant, or if you have previously had a severe allergic reaction to any component of the vaccine.

You can receive the shingles vaccine at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Infant Immunization Week

Infants under the age of two are susceptible to a variety of serious illnesses that can significantly harm or even kill them, as their immune system is still in an early stage of development. This is why the Centers for Disease Control and Prevention (CDC) recommends a series of immunizations that can protect infants against some of the most dangerous diseases to their health.

Many parents may have concerns about vaccinating their children due to potential side effects. While mild adverse reactions are possible with many vaccines, they typically disappear on their own within a few days. Generally, the side effects most children may expect include reactions such as fever, fatigue, body aches, and swelling or tenderness around the site of the injection. More serious, long-lasting side effects are extremely rare.

Vaccines such as those given to infants only use the ingredients necessary to be safe and effective. These ingredients may often include adjuvants (commonly found in antacids and antiperspirants), stabilizers (such as sugar or gelatin), and formaldehyde (which is already present in the body). Additionally, all vaccines go through extensive lab testing, often for years, before they are available to the general public.

The CDC recommends vaccinating children under the age of two against:

  • Hepatitis B
  • Rotavirus
  • Diphtheria, tetanus, & acellular pertussis
  • Haemophilus influenzae type b
  • Pneumococcal conjugate
  • Inactivated poliovirus
  • COVID-19
  • Influenza
  • Measles, mumps, rubella
  • Varicella
  • Hepatitis A

You can find the complete schedule of recommended vaccines for your child by age on the CDC’s website. To schedule an appointment for your child to receive the vaccines they need, you can call Flushing Hospital Medical Center’s Ambulatory Care Center at (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Immunization Awareness Month

August is National Immunization Awareness Month, and we’re here to help you learn more about what makes getting vaccinated so important, which immunizations you should receive, and what they protect you against.

Vaccinations against prevalent, dangerous diseases are an important part of protecting both your own health and the health of those around you. Issues like pneumococcal disease, hepatitis A and B, chickenpox, and more can introduce potentially lifelong complications that may reduce your quality of life or even shorten it.

The benefits of vaccinations hold true at any age, though some immunizations are more important at certain ages than others.

Children whose immune systems are still developing, for instance, need them not only as a protective measure for themselves, but often as a requirement for enrolling in school and participating in other activities. As another example, adults over 60 years of age may still need pneumococcal vaccines, seasonal flu vaccines, and more.

Though the list of necessary immunizations evolves as new diseases are discovered and researched, the most common vaccinations recommended by the CDC include:

  • HepA, HepB (Hepatitis A and B)
  • DTaP (Diphtheria, tetanus, and whooping cough)
  • Hib (Haemophilus influenza type B)
  • IPV (Polio)
  • PCV (Pneumococcal)
  • RV (Rotavirus)
  • Varicella (Chickenpox)
  • MMR (Measles, mumps, and rubella)
  • Influenza (flu)
  • Meningococcal conjugate
  • HPV
  • Zoster

If you or your child aren’t up to date with your immunizations, schedule an appointment with a physician at Flushing Hospital’s Department of Internal Medicine or your primary care physician as soon as possible.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What Type Of Flu Vaccine Is Best For Seniors

With flu season upon us, it is recommended that everyone six months and older receive their annual influenza (flu) vaccine.  This is especially true for senior citizens as they are at a greater risk of developing serious complications from the flu. While there is no debate over whether or not seniors should get their flu shot, there is one about what type of vaccine they should receive.

Many providers are now recommending that patients over the age of 65 receive the vaccine Fluzone, a higher dose injectable vaccine formulated specially for seniors.  Like other flu vaccines, Fluzone is comprised of three different strains of the influenza virus that are most likely to cause the flu during the upcoming season.  However, Fluzone contains four times the amount of antigen (the inactivated virus that promotes a protective immune response) as a regular flu vaccine and produces a stronger immune response.

This high-dose vaccine was created specifically for seniors because their immune defenses are weakened due to their age. It is estimated that approximately 75% of seasonal flu-related deaths have occurred in people 65 years and older and between 50% and 70% of seasonal flu-related hospitalizations have occurred among people in this age group.

The results of seniors who have taken high-dose vaccines are promising. Initial studies have indicated that 25% fewer cases of influenza occurred in adults 65 years or older who took the high-dose vaccine compared with those who took the standard-dose vaccine, but other studies also revealed that seniors who received the high-dose vaccine were more likely to develop side effects, such as a fever and soreness at the injection site, during the week after vaccination.

If you are over 65 years old and still haven’t received your flu vaccine this year, speak to your doctor about whether or not a high-dose vaccine is right for you.

If you would like to make an appointment with a doctor at Flushing Hospital, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Shingles Vaccine

Shingles is a painful rash that is caused by the herpes zoster virus. This is the virus that causes chicken pox.  Everyone is susceptible, but people who had chicken pox as a child are more susceptible. It is estimated that one million people each year in the United States will have an outbreak of shingles.

According to the Center for Disease Control, the people who are most at risk for getting shingles and should get the vaccine are:
• Those who are fifty years of age or older
• People who either had chickenpox as a child or don’t know if they had it
• People who already had shingles in the past
• Anyone who had the shingles vaccine Zostavax previously

Currently there are two vaccines that have been approved by the Food and Drug Administration to prevent shingles. They are Zostavax, which is a weakened version of the live virus, and Shingrix which is a laboratory manufactured version of the viral DNA.  The CDC recommends Shingrix as the preferred vaccine.

Anyone who is pregnant or breast feeding, is currently experiencing  a shingles outbreak, or who tests negative for the varicella zoster virus should not get the vaccine. Additionally, people should not be given the Zostavax vaccine if they are allergic to gelatin, Neomycin, or any ingredients in the vaccine, have compromised immune systems such as HIV, are taking steroids , have had an organ transplant, are receiving chemotherapy or radiation, or have cancer affecting the lymphatic system or the bone marrow.

Speak with your physician if you are interested in receiving the shingles vaccine. You can schedule an appointment with a physician at Flushing Hospital Medical Center by calling 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Flu Season Precautions

We are in the month of December and cases of flu are being reported by hospital emergency rooms.  None of us want to catch the flu so it is a good idea to take some preventative measures that can help us to stay healthy.

Here are a few of the ways we can prevent getting the flu:
• Everyone who is six months of age and older should get the vaccine every year
• Avoid close contact with people who are sick
• Wash your hands frequently with soap and water.
• Keep a hand sanitizer handy for the times soap and water are not available.
• Avoid touching your hands to your eyes, nose and mouth.
• Whenever possible, disinfect surfaces that are frequently used by others such as tables and chairs.
• Clean your drinking glasses and dishes in hot water and with soap
• Keep your immune system healthy by eating a balanced diet, exercising  regularly and getting enough sleep every night
• Tobacco can suppress the immune system, so it is highly recommended to quit smoking.

If you would like to schedule an appointment with a physician at Flushing Hospital to discuss the flu vaccine and other ways to stay healthy, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.