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iAwareables eBorne Newsletter - September 2010
www.iAwareables.com


Roger P. Freeman, D.D.S., Editor   roger@iawareables.com
[Note: We mail this E-Borne newsletter 4x/year +/- to friends, colleagues and suspecting customers of record. If we have mistakenly included you in this mailing, or you wish to be removed from our subscriber list, please refer to end of the newsletter for instructions. We'll miss you, but we promise to honor your request.]
Dear friends and colleagues,

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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:
Falling back, turning the 2010 corner...
1. VACCINATE!
2. CDI (C.difficile infection) vs. MRSA
3. HAIs: Healthcare-associated infections
4. THE SECRET'S IN THEIR EYES
5. REUSEABLE GROCERY BAGS
6. IN MEMORIUM: DR. ROBERT M. CHANOCK, 1924-2010
7. NO BROCHURES THIS YEAR
8. MEETING SCHEDULE
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1. VACCINATE!
Our newest design, gearing up for "the season"

Vaccine Design for Ties and ScarvesOur 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.


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...

  MRSA Scarf ImageMRSA TieC.diff Tie Image








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)


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
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 YellowMad Cow Tie OrangeMad Cow Scarf





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)

5. REUSABLE GROCERY BAGS
Found to be full of bacteria

And 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 TieE.Coli Scarf



E.coli Tie (click image or here to view)                              
E.coli Scarf (click image or here to view)


6. IN MEMORIUM: DR. ROBERT M. CHANOCK, 1924-2010
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.


7. NO BROCHURES THIS YEAR

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.


8. MEETING SCHEDULE 2010

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.
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Email: roger@iawareables.com
Phone: 818.990.6264
Web: www.iawareables.com