Public Health Communicator 

22 N. Georgia Ave. Suite 300 Mason City, IA  50401         

Ph: 641-421-9300      Fax: 641-421-9350    Toll Free: 1-888-264-2581 

 Cerro Gordo County Department of Public Health 

 

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October 2013 

 

Day in the Life of...

 

      

  Sandy Pals,

Disease Prevention

Administrative Aide 

 

If you have ever been to the Health Department, you are normally greeted by a warm smile and friendly hello, all courtesy of Sandy Pals, Disease Prevention Administrative Aide.

 

Pals started her journey at North Iowa Area Community College where she received her Optometric Assistant/Office Practices Associate Degree. From there, she worked at Shopko as an Optician for two years. "I assisted the physicians with pretesting clients and helping clients with contact insertion and removal," Pals said. "One of the neatest parts about this job was cutting lenses to make eye glasses. You were able to help clients from start to finish."

 

Pals put her office practices expertise to good use as she worked for the Mason City Clinic. During her 11 years at the Clinic, Pals worked as a float in the record room and a receptionist in the heart center.  Her responsibilities included transcribing surgical notes into patients' main charts, assisting in the radiology file room and working with the legal release of records.  "As a receptionist for the heart center, I checked patients' in and out," Pals stated. "I was also responsible for our physicians outreach clinics, scheduling patients testing and following up with their appointments."

 

In 2006, Pals saw a job opportunity with the Cerro Gordo County Department of Public Health and has been here ever since. As Disease Prevention Administrative Aide, she assists the Immunization Clinic and staff with immunization needs. "I greet clients, figure out their immunization needs and process their paperwork for their immunizations," she noted. "I assist our nurses with immunizations especially if a child isn't happy to receive an immunization." Pals also works with insurance companies and bills clients for their immunizations, assists clients with immunization records and works with our nurses to audit school immunization records.  

 

Pals believes one of the best parts about working at the Health Department is the people. "We have the pleasure to work with individuals from diverse populations and I love being able to interact with our clients and learn more about them," she stated.  She also believes that the staff she works with is another benefit. "I love that our staff is like a close knit family," Pals said. "We are all so willing to lend a hand whenever a coworker needs help." With benefits always comes with challenges. One of the challenges Pals encounters when working with immunizations and clients is the constant changes. "Every year, we see changes in the field especially dealing with flu vaccine, so we need to stay current on the new health information."  No matter the challenges the Health Department faces, Pals feels the Department will play a vital role in the healthcare industry. "With our population aging, our residents will continue to utilize our home care services," she noted.  

 

We are so glad that our clients are greeted by the contagious smile of Sandy Pals. She is a vital asset to not only our Immunization Clinic and staff but to the entire Health Department!

 

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Pregnant?  

Getting the flu shot?

 

Lately, I have been seeing a lot of my expecting friends post on Facebook asking whether or not they should get the flu shot when pregnant. Responses have been both for and against it. Some thought the flu shot would harm the baby. The truth is the flu shot is safe for expecting mothers and highly recommended for pregnant women and their babies.

 

Influenza (flu) is more likely to cause severe illness in pregnant women than those who are not pregnant. During pregnancy, a women's immune system, heart and lungs change and these changes make women prone to severe illness from the flu. Pregnant women who get the flu are at a higher risk of hospitalization and even death.  Severe illness in the pregnant mother can also be dangerous to the baby because it increases the chance for serious problems such as premature labor and delivery.

 

When you get the flu shot, your body starts to produce antibodies that help protect you against the flu. Antibodies can be passed on to your unborn baby and help protect the baby for up to six months after birth. If you are breastfeeding, you can also pass the antibodies through the breast milk. However, it takes two weeks to produce the antibodies, so make sure to talk to your healthcare provider as soon as possible. It is not recommended that pregnant women or breastfeeding women receive the flu mist. If you have your baby before you get the flu shot, you still need to get vaccinated. The flu is spread from one person to another. You or other caregivers such as household members, relatives and babysitters could get the flu and pass it on to your baby.

 

If you have flu-like symptoms even if you already received the flu shot, call your healthcare provider. Your physician can prescribe medicine to treat the flu and help reduce the chance of a serious illness. It is vital that the medicine is started immediately. If you have any or all of the symptoms below, contact your healthcare provider immediately:

  • Fever
  • Cough
  • Sore throat
  • Headache
  • Body aches
  • Runny or stuffy nose
  • Vomiting
  • Diarrhea

 

Having a fever from the flu or any other infection early in pregnancy increases the chance of having a baby with birth defects or other problems. Tylenol can bring down the fever, but it is important to still call your healthcare provider.

 

Remember if you are pregnant or around someone who is expecting a newborn baby, it is vital to get the flu vaccine. It could help save their life!

 

*Information provided by the Centers for Disease Control and Prevention

 

 

Happy October!

The mornings are colder and the leaves are changing. That means winter is just around the corner. We assume that the colder weather brings flu season. Influenza (the flu) has already entered Iowa. Right now is the perfect time to get your flu vaccine. Our Immunization Clinic is open Monday - Friday from 10:00 AM - Noon and 12:30 - 4:00 PM. We also have a Saturday morning clinic this Saturday, October 19 from 9:00 - Noon.

 

The Health Department would like to congratulate Brian Hanft, Environmental Health Service Manager for receiving the 2013 Iowa Public Health Hero Award. Through the annual award program, the University of Iowa College of Public Health celebrates the exceptional efforts of Iowa's public health practitioners and recognizes individuals from across a range of career paths who have worked to promote a healthier state.  Congrats Brian, we are so proud of all your hard work!

 

The Health Department also received an award from the American Cancer Society for participating in the cancer prevention study. The goal for Mason City was to have 250 people volunteer and we had 286! The study was open to anyone. Participants had to complete a survey and body assessments. Partners of the study included: Mercy Medical Center - North Iowa, Mason City Family YMCA, Three Eagles Communications and the Health Department. Way to go, Mason City!

 

In this month's Public Health Communicator, Teresa Heitland, North Iowa Komen Project and Care For Yourself Coordinator celebrates National Breast Cancer Awareness Month with insight on breast cancer education and awareness. October is also recognized as Healthy Lung Month, we provide tips to keep your lungs safe and healthy.Getting a flu shot is always a hot topic for expecting or breastfeeding mothers, so we include information to help make the right choice and get vaccinated. As always we include the "Day in the Life of" column and the Wellness Corner. Enjoy!
 

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For more information about our services, visit our website at www.cghealth.com.

 

Best wishes,  

 

Nola Aigner

Public Information Officer

Cerro Gordo County Department of Public Health 

 

 

Are you good to your lungs?

Lungs? Are we always good to them or do we take our lungs for granted? Your lungs are a part of a group of organs and tissues that work together to help you breathe. This is called your respiratory system and its main job is to move fresh air into and get waste gases out of the body. Taking care of yourself is one of the easiest ways to keep your lungs healthy. Lifestyle choices such as exercising, eating a balanced diet and reducing stress will help improve your breathing.

 

Yet, there are ways to keep your lungs safe and healthy. Your lungs are different than most of the organs in your body. They are made up of fragile tissues that are directly connected to the outside including the environment. Anything you breathe in can affect your lungs. Germs, smoke or other harmful substances that can cause damage to your airways and harm how your lungs function.

 

One of the best ways you can protect your lungs is by not smoking.  Cigarette smoking is one of the major causes of COPD (chronic obstructive pulmonary disease) and lung cancer. The smoke from cigarettes restricts your airways and makes it hard to breathe.  Smoking cigarettes can cause chronic inflammation and swelling in the lung which can lead to chronic bronchitis.  Over time, the smoke destroys the tissues in the lungs which may trigger changes and grow into cancer.

 

We don't really think about it but outdoor air pollution, secondhand smoke and chemicals in the home and workplace can cause or enhance lung disease.  Here are a couple of ways to make your car and home free of pollutants:

  • Test your home for radon.
  • Avoid exercising on days with heavy outdoor air pollution.
  • Make your home and car smoke-free.

Having a good cold or a respiratory infection can also have a serious effect on your lungs.

  • Make sure to wash your hands with soap and warm water. Alcohol-based cleaners are a good substitute if you cannot wash your hands.
  • Good oral hygiene can protect you from the germs in your mouth leading to infections.
  • Get vaccinated against the flu every year.
  • If you get sick, stay home from work or school. Do not get the people around you sick too.

Regular check-ups are also an important part of disease prevention, especially with your lungs. Lung disease sometimes goes un-detached until its serious. Your health care provider will check your lungs to make sure they sound healthy.

 

Your lungs are a vital organ in your body. Keep them healthy not only for Healthy Lung Month, but always!

 

*Information provided by the American Lung Association

 

 

Pinktober Puzzlement  

 

Every year in October I get a chance to reflect on the previous year in our breast cancer prevention programs and draft my observations in a message to share with you. I tend to read a lot of studies on treatments and recommendations and I watch the statistics on breast cancer rates.  I coordinate the Care for Yourself program and the Komen funded North Iowa Breast Health Resource Program at the Cerro Gordo County Department of Public Health. The Care for Yourself program provides assistance for mammograms and pap smears to women who are uninsured or underinsured. The North Iowa Breast Health Resource is a multi-county program which provides breast screening and diagnostic services to uninsured and underinsured women when the Care for Yourself program is depleted for the year. It also covers some of the expenses for breast biopsies that the Care for Yourself program does not pay. 

 

To describe the program year in one sentence, it would be, "it was a tough year." The two programs combined provided services for 176 women in our communities. A total of 6 of them were diagnosed with breast cancer this year. In a typical year, the programs may see one or two women diagnosed with breast cancer. The women enrolling in the programs are between the ages of 40 and 65. Two of the women diagnosed with breast cancer were in their 40's. Unfortunately one of these women died from breast cancer. She was in her 40's as was a program participant who died the year before.

 

I shared that because it relates to the other challenge that made the last year a little tough. There has been a lot of confusion around the recommendations for breast cancer screening, specifically mammograms. The US Preventive Services Task Force came out with guidelines in 2009 that recommended against routine mammograms for women in their 40's. In the smaller print in the study summary, it states that women in their 40's should consult with their health care provider to make the decision whether to have a mammogram. This study spawned a firestorm of controversy and rightfully so. This left women in their 40's confused as to what to do. It created questions about the safety of annual mammograms and the possibility of biopsies on non-cancerous lesions. The American College of Obstetricians and Gynecologists and the American Cancer Society continue to recommend annual mammograms for women in their 40's. A recent Harvard study supported annual screenings for women in their 40's. The research showed that the majority of women who die from breast cancer have not had regular screenings and half of those are under 50 years of age. The Harvard study noted that breast cancers in the younger women tend to be more aggressive where those in the older women tended to grow slower. 

 

This takes me back to my annual reflection. What if the two local women in their 40's did not get screened? I can't tell you that I never see women scheduled for breast biopsies take the time to have it done, worry about the test results and possibly experience some discomfort to find out that the lesion is not cancerous. On the other hand, I can say I am always grateful that the women had local access to the procedure and that the results were good. I know a number of women who have experienced (survived!) breast cancer in their 40's.  I will continue to advocate for mammograms for women in their 40's. I have included the basic recommendations for breast health screenings that I borrowed from the Susan G. Komen website at ww5.komen.org.
  
Know your risk. That means being aware of your family history as well as talking to your doctor about your personal risk factors for breast cancer.
  
Get screened. Have a mammogram annually starting at age 40. If you are at higher risk, talk to your health care provider about your screening schedule. Have a clinical breast exam at least every 3 years starting at age 20, then annually after age 40.
  
Know what is normal for you. See your health care provider if you notice abnormal lumps, swelling, change in shape, new pain that does not go away, or puckering of the skin of a breast as well as nipple sores, rashes or discharge.

Make healthy lifestyle choices. Maintain a healthy weight, exercise regularly, limit alcohol intake and don't smoke.

  

If you or someone you know is a woman over the age of 40 who does not have health insurance that covers mammograms, please call my office at 421-9315 or visit our website at www.cghealth.com. Have a happy, healthy "Pinktober"!

 

 

Wellness Corner
Healthy Bites

 

We all know the basics of good oral care: Brush twice a day, floss daily, and visit the dentist twice a year. But there are additional ways we can guarantee good oral health, and that includes the food we eat. Food choices can feed our mouth's nemesis: plaque.

Plaque Feeding Foods and Drinks:

  • Sugary Foods
  • Starchy Foods
  • Acidic Foods
  • Sticky Foods

These foods feed plaque and can break down hard enamel on the surface of the teeth, leading to tooth decay. But be cautious about brushing directly after eating a sugary food, as the softened enamel can further be damaged by the toothbrush. Dentists recommend waiting 20-40 minutes after eating before we brush.

 

SOLUTION - Choose foods that stimulate saliva production:

 1. Cheese: Low in sugar and acid; high in calcium and casein, a protein that fortifies tooth enamel

2. Sugar Free Gum: the artificial sweetener prevents harmful bacteria in plaque from metabolizing sugar into harmful acids

3. Celery: raw vegetables are good for teeth due to their fibrous nature, in particular, celery as its fibrous strands act as floss as we chew

4. Tap Water: most public water supplies are treated with fluoride, which helps re-mineralize teeth, reversing the damage caused by acids

5. Pears: this fibrous fruit stimulates saliva and neutralizes acids

6. Yogurt: another healthy casein protein, with calcium and phosphates for re-mineralization

7. Sesame Oil: studies show gargling with sesame oil is more effective than with mouthwash! (who knew!)


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The Cerro Gordo County Department of Public Health works to

optimize the health of all people in Cerro Gordo County.

 

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county in Iowa.

 
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