Category: vaccine preventable diseases

  • 5 Reasons to include a wellness exam for your child before school starts


    Now that we have arrived the middle of August, and summer is drawing to a close.  Families are planning the seasons last trips to the coast at Brookings in Southern Oregon or Crescent City in Northern California or maybe it is camping along the to the Rogue River.  This is also the beginning of annual preparations for the return to school for many families.  Between purchasing new clothes, shoes, technology, or other staples such as pencils and erasers, scheduling your child for a wellness exam may be neglected.

    Many individuals ask what is the benefit of scheduling an appointment with your child’s  primary care provider if they are not ill.  This is a good time to develop a rapport with your child’s provider, as wellness exams may be given a longer visit length than problem focused visits.

    1) This is a good time to ask questions of your child’s pediatric provider about educational or developmental assessment, if you, your child or their teachers have had concerns.  This is also a good time to initiate new therapies to help ease the transition from summer break to school.  Wellness visits are also time to ask questions or obtain information, below are  5 things you can ask your provider at your child’s next wellness exam include.

    arms,athletes,balls,games,hands,leisure,men,persons,photographs,recreation,soccer,soccer balls,soccer players,sports,sports equipment,teams,uniforms2) Through the course of a wellness exam your child’s fitness for sports participation and relevant forms filled out.  It is important for your child to be healthy to participate in sports.  Additionally, this is time where preventative therapies for injury prevention can be shared to ensure that your child has a healthy and injury free sports season.

    3) Take time to update your child’s family medical history if parents, grandparents or sibling have received new medical diagnoses’ in the past year.  This ensures that your child has the appropriate and relevant screening tests or interventions if there is a predisposition for heritable conditions in your family.

    4)  Vaccinations for school age children. The CDC recommends a booster for measles, mumps rubella.  There is also a 3 dose vaccine gardasil, Hepatitis B for children who did not receive the vaccination series during the first year of life, and a booster for diphtheria, tetanus, pertussis vaccine.  For resources on the current rates of vaccine preventable diseases in the state of Oregon click on the link.

    5)   Talking about sex and drugs may be difficult to initiate at home.  Your child’s physician can be used as a resource for accurate information about risks associated with these behaviors as well as ways to address concerns if they are present.

    In Health,
    Dr Amanda Hochman
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  • Current rates of vaccine preventable diseases

    This is not a piece about whether or not families should choose to vaccinate or not. Instead, it is a review of the current rates of diseases that vaccines are designed to protect against.  From a public health stand point, vaccines are designed to protect individuals through a direct immune response to the viruses and bacterium contained within the inoculation,  but also via herd immunity.  The theory that through high rates of vaccination, those who are unable to be vaccinated due to age, being immune compromised, or previous adverse reaction are also protected from the wild type viruses and bacteria.

    In a number of communities including Ashland here in the Rogue Valley of Southern Oregon, families are choosing no or significantly less vaccines.  Leading to less protection for vulnerable individuals because the herd immunity is not as effective, but also there is the risk that non-vaccinated individuals are also at risk for developing a vaccine preventable disease.  As a result, it is useful to know what communicable diseases are occurring in the Southern Oregon and surrounding regions so families can make informed choices that protect themselves as well as others from exposure to or illness resulting from a vaccine preventable diseases.

     According to the Oregon Health Authorities A Monthly Communicable Disease Surveillance Report for May 2013, there have been 154 cases of pertussis also referred to as whooping cough in the state with 4 of those cases occurring in Jackson County.  Additionally, there has been 1 case of tetanus reported as well.
    Farther from the Rogue Valley, in Seattle, there have been 2 confirmed cases of measles reported by Public Health- Seattle & King County in Washington state.  For individuals who may have been in Seattle or the surrounding areas July 9-10 visit Public Health website for Seattle & King County for more information.

    In Health,
    Dr Amanda Hochman
    Naturopathic Physician at All Paths Naturopathy & Midwifery LLC
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