Roger P. Freeman, D.D.S., Editor roger@iawareables.com
[Note:
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Dear friends and colleagues,
By now, surely you have marked the Autumnal Equinox (the what?), that time of year when days start to get shorter than nights and the sun does something or other with the celestial equator. Which prompts us to ponder Steven Wright's question, "OK, so what's the speed of dark?" Fall colors, falling leaves, falling.... ah, but that's another subject. Autumn's here, a season to savor and enjoy. Not a leaf to lose....
Visit the IA Showroom: A very cool bird's eye view of the complete Awareables necktie and scarf collection, past and present:
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| 1. VACCINATE! |
Our
newest design, gearing up for "the season"
Our new Vaccine design will be available mid-October, a
reminder of the importance of yearly vaccinations. It also serves as a visual reminder of the importance of comprehensive
vaccination schedules, from MMR to Shingles, covering both the young and the
not-so-young. As for Swine Flu,
while it has abated, it is not gone, nor have the multitudes of other strains
that threaten young and old alike. Our IA design captures the process of vaccine creation and immunization in dramatic form,
using the influenza virus as subject. Watch for it soon.
This year's influenza's vaccine will include three different
strains, including the H1N1 pandemic virus. The CDC advises that between 5% and 20% of the American
population develops influenza annually, resulting in over 200,000
hospitalizations and about 36,000 (*see below) deaths! Spread it around; make sure the
family's protected. ** Note: The CDC reports that the actual numbers of deaths
from influenza varies widely, per year - as low as 3,300 to nearly 50,000 in
the last 30 years. "There is no
average flu season," says Dr. David Shay of CDC's National Center for
Immunization. The number of deaths
"can vary dramatically" from year to year, the most important factor being the
particular strain of flue predominating in the season. The 36,000 figure above was an average
for the decade of the 1990's, when H3N2 predominated in most years.
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2. CDI (C. difficile infection) VS MRS
| (Gulp) We have a new champion superbug
According to some recent studies, C. difficile has surpassed
methicillin-resistant Staph aureus as the most prevalent HAI (hospital acquired
infection) in hospitals. C.
difficile is a spore-forming bacterium that can be part of the normal
intestinal flora, but can also turn ugly when given a chance by an altered environment. C.difficile-associated disease (CDAD) occurs when the normal
flora is changed, by antibiotic use for example, causing serious and difficult-to-control
gastro-intestinal symptoms. By
forming spores, C. diff presents a difficult infection control challenge, with
its tough outer shell resistant to all but the most stringent infection control
methods. (It scoffs at alcohol-based hand rubs). Meticulous
physical removal appears to be the best intervention for this interloper, which
is shed in stool, and can remain on environmental surfaces for some time. Person-to-person transmission is common,
made more problematic by the sticky surface of the spore that resists many of
the common hand-hygiene products. We don't take sides in the
superbug supremacy race: we have 'em both
(figuratively, that is). Our
MRSA (designed in collaboration with the Alliance for the Prudent Use of
Antibiotics) and C. diff items are understated and elegant, made to satisfy the
most demanding sartorial challenges. In fact, they're hard to resist...   
Staph/MRSA Scarf (click image or here to view) Staph/MRSA Tie (click image or here to view) Clostridium difficile Tie (click image or here to view)
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| 3. HAIs: Healthcare-Associated Infections |
Length and cost of hospital
stays continues to rise
The Agency for
Healthcare Research and Quality reports that a patient with a hospital-associated
infection will likely have facility stays 19 days longer than those that were infection
free. Other unsettling stats: the
death rate for HAI patients was six times as high as those without; the average
cost differential was about $43,000 ($52,096 vs. $9377); the highest rate of
HAI was seen in the 42- to 64-year-old group.
The most
startling statistic: CDC indicates that approximately 99,000 die yearly from
preventable hospital infections. The
Health and Human Service's Department's 2009 quality report to Congress
reported very little progress on eliminating HAIs and called for "urgent
attention" to the shortcomings.
Hopefully the creation of mandatory state HAI Reporting Programs will
help to stem the tide. In
the meantime, forewarned is... |
4. THE SECRET'S IN THEIR EYES
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Mad Cow disease detected in cattle's eyes?
A research study done at Iowa State University's Department
of Chemistry reported that the first signs of prion formation (prions are the
wayward proteins that contribute to mad cow and associated brain diseases)could be detected in an animal's retina
as a result of interpreting a spectropscopic signature indicative of
neurological disease. In the study, a beam of light produced a characteristic
"glow" from the light sensitive tissue lining the eye of sheep infected with
scrapie, a close relative of "mad cow" disease. We personally don't get close enough to cows, unless in ribeye
form and accompanied by a baked potato, to detect neurological issues. And you have to wonder how comfortable a
cow's going to feel with all these white-coat humans staring into their
eyes. Fortunately, by
sporting an IA "mad cow" design, people will mostly be looking at your
neckwear. The cows? You're on your own!   
Mad Cow Tie in Yellow/Red (click image or here to view) Mad Cow Tie Burnt Orange (click image or here to view) Mad Cow Scarf (click image or here to view)
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5. REUSABLE GROCERY BAGS
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Found to be full of bacteriaAnd just when you thought you were doing a good thing! Researchers at the University of
Arizona and Loma Linda University found that nearly every reusable grocery bag
examined contained contamination by some form of "bug," with Coliform bacteria
in half the bags and E.coli showing up in a significant percentage of
others. Both would suggest
raw-meat or uncooked-food contamination.
Washing in hot water solved the problem, but the question is....how many
shoppers wash the bags regularly - or ever! To make it worse, a third of the shoppers indicated they
used the food-shopping bags to haul around non-food items. Ooops. Disclosure: The
study was funded by the American Chemistry Council in midst of opposition to a
California bill that would ban single-use plastic bags. The council was opposed to the measure,
which was recently rejected by the California legislature.   E.coli Tie (click image or here to view) E.coli Scarf (click image or here to view)
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6. IN MEMORIUM: DR. ROBERT M. CHANOCK, 1924-2010
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Broke new ground in infectious disease research
Dr. Robert M. Chanock, a virologist, was responsible for a
remarkable series of discoveries about infectious disease, among which were: identifying "walking pneumonia;"
isolating the deadly respiratory syncytial virus and four para-influenza
viruses; laying the foundation for discovery of Hepatitis B and its vaccine;
playing a key role in isolating the Norwalk virus, (seen commonly on cruise
ships today); and pioneering the development of the nasal spray influenza
vaccine. Dr. Chanock at one time
worked with Dr. Albert Sabin, developer of the oral polio vaccine, who once called
him "my star scientific son." A colleague at National Institutes of Health wrote of Dr.
Chanock that "never in the history of infectious disease research has one
person developed so much definitive information about the causes of so much human
disease in so short a period of time." Next time you take a cruise, you can thank Dr. Chanock for
all the precautions now being taken by ship's crew to save you from a nasty
bout with your G-I tract. An
amazing body of work, another unsung hero.
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7. NO BROCHURES THIS YEAR
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We're online all-the-time, up-to-date and current.
After 12 years of brochures, we've finally gone "paperless."
Our design inventory has become so pandemic, it's simply become too
difficult to stay current in print.
So stay in touch with us at iAwareables.com, where the sun never sets.
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8. MEETING SCHEDULE 2010
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For the first time in 13 years, we will not be attending
APHA in the fall. We'll miss our
many friends and colleagues in Denver, but will hope to reconnect in Washington
D.C., 2011
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Enjoy the fall, our favorite season. Yikes, can the holidays be far
behind? Awareably yours,
RPF Roger P. Freeman, D.D.S. and the IA Team
Copyright 2010 Infectious Awareables, Inc. Please feel free to pass this Ezine along to your friends. All we ask is that you keep it intact and forward it in its entirety.
NOTICE: To subscribe to the IA newsletter: www.iawareables.com/a_main.htm
Email:
roger@iawareables.com
Phone:
818.990.6264
Web: www.iawareables.com |
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