From the Georgia Department of Public Health 

Safe and Healthy Summer Fun!

ATLANTA – The Georgia Department of Public Health (DPH) wants it to be a safe and healthy summer for all Georgians and visitors to the state. Below are some tips on staying safe while having fun.

MOSQUITOES and summer go hand in hand in Georgia. Avoiding mosquito bites protects you and your family from mosquito-borne illness and helps prevent the spread of mosquito-borne illness in Georgia.

• Use EPA-registered insect repellents containing DEET (20-30%) or Picaridin, IR3535 or Oil of Lemon Eucalyptus. Follow all label instructions for safe and effective use. If you’re using sunscreen, apply it first, followed by insect repellent. Wear light-colored clothing, including loose-fitting long-sleeves, pants and socks to help protect against mosquito bites.
• Tip ‘n Toss standing water after every rainfall or at least once a week to eliminate breeding locations for mosquitoes and prevent the spread of illness.

FOODBORNE ILLNESSES tend to increase during the summer months for two reasons. One reason is that bacteria tend to multiply faster when it’s warm. Another reason is that people are cooking outside more, away from the refrigerators, thermometers and washing facilities of a kitchen.

• Clean surfaces, hands and utensils with warm water and soap. Wash produce under running water before cutting, eating or cooking.
• Separate raw and cooked meat and poultry from ready-to-eat foods (raw vegetables and fruits). Use separate cutting boards and utensils for raw meat and ready-to-eat items like vegetables or bread.
• Cook food to the proper temperature – use a food thermometer to check.

• Beef, pork, lamb and veal (steaks, roasts,chops): 145 °F with a three-minute rest time
• Ground meats: 160 °F
• Whole poultry, poultry breasts and ground poultry: 165 °F

• Chill. Perishable food should not sit out for more than two hours. In hot weather (above 90 °F), food should NEVER sit out for more than one hour.

SWIM SAFELY. We all share the water we swim in, and each of us needs to do our part to help keep ourselves, our families and our friends healthy.

• Don’t swim or let children swim if sick with diarrhea.
• Check out the latest pool inspection results. You can find pool inspection scores online.
• Shower for at least one minute before you get into the water. This will remove most of the dirt and sweat on your body.
• Don’t swallow the water.
• Take children on bathroom breaks and check diapers every hour.
• Change diapers in a bathroom or diaper-changing area—not poolside—to keep germs away from the pool.
• A responsible adult should constantly watch young children.
• Check for a lifeguard or to see where safety equipment, such as a rescue ring or pole, is available.

HEAT AND SUN can cause skin damage, skin cancer and serious illness, but there are ways to enjoy the summer and stay protected.

• Wear lightweight, light-colored clothing, hat and sunglasses.
• Use sunscreen with at least SPF (sun protection factor) 15 and UVA (ultraviolet A) and UVB (ultraviolet B) protection. Reapply sunscreen if you stay out in the sun for more than two hours and after swimming, sweating or toweling off. Click here for more Sun Safety Tips for Families.
• Stay hydrated – drink plenty of water, avoid alcohol.
• Avoid strenuous activity, take breaks.
• Never leave children or pets in a hot car.
• Call 911 if someone has signs of heatstroke:

• Dizziness
• Nausea
• Headache       
• Fatigue
• Confusion
• Find a place out of the sun to cool off.

Click HERE for Safety information from the CDC about TICKS!

Additional Resources:

Undergoing Rabies Post Exposure Vaccinations

Jasper (GA) – Two Pickens County Animal Control Officers have begun post exposure rabies vaccinations due to exposure to a cat that has now tested positive for rabies.

Three weeks ago, a stray cat was found on Lambert Street in downtown Jasper, Georgia and brought to the Pickens County Animal Shelter. Other than having a bite mark, the small adult black and white female cat seemed healthy until it started exhibiting neurological symptoms. It was then sent to the Georgia Public Health Laboratory for rabies testing on Tuesday, May 21. The following day, the lab reported the cat tested positive for rabies.

The two animal control officers are believed to be the only ones exposed to the cat while it became symptomatic for rabies during a 21-day quarantine it had been placed under since arriving to the shelter. Therefore, no other recommendations or warnings are being issued related to this case.

Health officials continue to urge the public to avoid all unfamiliar animals and to report bites or scratches from any animal that could potentially be unvaccinated against rabies to a healthcare provider and to the local environmental health office immediately. The Pickens County Environmental Health Office phone number is (706) 253-0900. If calling after hours, please call the Georgia Poison Control Center, toll-free, at 1-800-222-1222.

For more information about rabies and its prevention, please log onto the Centers for Disease Control and Prevention (CDC) at https://www.cdc.gov/rabies/.

   Georgia Public Health Association President Colin K. Smith, DrPH, MS, CPH, presents the 2019 GPHA Barfield Nursing Section Award to J. Sharrel Jones, BSN, RN, Whitfield County Health Department manager, at the association’s annual conference in May.

Dalton (GA) – Whitfield County Health Department manager, J. Sharrel Jones, BSN, RN, was named winner of the 2019 Georgia Public Health Association Barfield Nursing Section Award at the association’s annual conference this May in Atlanta.

The Barfield Nursing Section Award was initiated by the Nursing Section of the Georgia Public Health Association in 1983 to honor Dorothy Barfield. Barfield was a lifelong learner who rose up the ranks in the nursing profession, eventually serving as chief nurse at the state level. The purpose of this award is to recognize written works, presentations or projects, including research, that promote public health by contributing to public health issues, programs, evidence and philosophies.

Not only has Jones greatly contributed over the years to local public health efforts to successfully create a community network of prenatal care for uninsured and income challenged residents of Whitfield and Murray counties, she has also presented the model for how to replicate this type of prenatal care synergy between public health and other organizations at several meetings and conferences throughout the state, including the State of the Public’s Health Conference in Athens last October and, most recently, the Georgia Public Health Association annual meeting in May.

Jones has lived in Dalton for the past 25 years but is originally from Quitman, Georgia. After graduating from Valdosta State University with a Bachelor of Science in Nursing degree in 1994, she landed her first position as a registered nurse in pediatrics at Hamilton Medical Center. Jones underwent two years of nursing skill development in the private sector before accepting a position at Whitfield County Health Department in the Children’s Access Clinic, and she eventually transitioned into the Family Planning & Women’s Health programs.

Jones was promoted in 2018 and currently serves as county manager of the Whitfield County Health Department. She has worked in public health since 1997 and has experience in immunizations, child health checks, the Children First program, Women, Infants and Children (WIC), family planning, child passenger seat program, breast and cervical cancer program, maternal/child health, and women’s health, and she serves as the Basic Life Support instructor for the department.

Jones has dedicated 21 years of her nursing career to Public Health and her community.

Our Public Health Nurses are HERE for YOU.

Contact Our District Office or Your Health Department in Cherokee, Fannin, Gilmer, Murray, Pickens or Whitfield County TODAY!

Written by By Raymond King, Environmental Health Director, North Georgia Health District 1-2

Last year set record levels of rainfall in north Georgia, and 2019 is headed in the same direction. More rainfall generally equals more mosquitoes.

There were once two elderly gentlemen in Dalton who enjoyed sitting outside in the shade during warm weather. Both of their properties were well-kept, but neighbors’ properties were not, with multiple objects and containers that held water and mosquito larvae strewn about, including old tires, boats, trash, aluminum cans, cups, flower pots and old appliances.

Although their deaths were separated by more than ten years, both men died of West Nile Virus transmitted by mosquitoes.

Last year, two teens in a nearby county became gravely ill and were hospitalized with La Crosse virus, another kind of encephalitis transmitted by mosquitoes.

Parents and caretakers should understand that children, the elderly and those with compromised immune systems are the groups most likely to get these mosquito-carried diseases.

Mosquito-carried illnesses are on the increase in the United States and disease cases have doubled between 2004 and 2018, according to a report released by the Centers for Disease Control and Prevention.¹ Further, the report found that disease cases from infected mosquitoes, ticks and fleas have tripled in 13 years and nine vector-borne diseases were discovered or introduced for the first time from the United States and its territories. Georgia falls roughly in the middle of the states for ailments spread by bugs.

"Zika, West Nile and chikungunya—a growing list of diseases caused by the bite of an infected mosquito, have confronted the U.S. in recent years, making a lot of people sick. And we don't know what will threaten Americans next," CDC Director Robert R. Redfield said in a news release. "Our nation's first lines of defense are state and local health departments and vector control organizations, and we must continue to enhance our investment in their ability to fight against these diseases."²

Repellants containing DEET are the most effective, but there are alternatives such as picaridin, IR3535, oil of lemon eucalyptus (OLE), oil of para-menthane-diol (PMD), or 2-undecanone. However, these alternatives are somewhat less effective and do not last as long. If using these alternatives to DEET on children, you must repeat applications more often. And there is always the alternative of staying indoors during dusk, night and dawn when most female mosquitoes are out looking for blood. But remember, some mosquito species bite during the day, including the most common species, the Asian tiger mosquito. These repellants also protect you from ticks, another carrier of diseases for humans. Use repellants on your children when they are outdoors and check them thoroughly for ticks when they come home.

Controlling mosquitoes by destroying their larvae and breeding places is a hundred times more efficient than killing adult mosquitoes. Killing adult mosquitoes is difficult but necessary where larvae control is limited or not possible. Pest control companies can apply barrier sprays to outside areas of your home and may also offer mosquito traps. The use of Ultra Low Volume sprayers at night by government programs is not very effective against the Yellow Fever Mosquito or Asian tiger mosquito because these species are mainly daytime biters.

Objects or areas that cannot be emptied of water should be treated with Mosquito Dunks® which contain bacteria fatal to mosquito larvae but absolutely harmless to everything else. Mosquito Dunks® are safe for bird baths and even your pet’s water bowl. You can break up these donut-shaped dunks by hand and use smaller pieces for small areas. Mosquito Dunks® kill larvae for at least a month unless they are washed away. They are made in the shape of a donut, so you can tie it to a rock with string. Placed this way in ditches and water holes, they will not wash away with the next rain. They must be replaced every thirty days or so. Bacteria in dunks will not hurt pets, children, birds or wildlife.

If you have a large area of permanent stagnant water, consider introducing small fish such as the native Mosquito Fish, Gambusia affinis. You can order mosquito fish online at http://www.kens-fishfarm.com/. Small bream and other native fish will work as well if there is enough oxygen in the water. There are a number of products to treat stagnant water areas, ranging from biological controls like mosquito fish and growth regulators (methoprene contained in Altosid) to potentially hazardous pesticides. Of course, Mosquito Dunks® work as well but require more of them, about one for every 100 square feet of water.

Call a mosquito control professional or your environmental health office if you are not sure what to do. Don’t treat stagnant pools with an inappropriate insecticide or the wrong amount. Always follow the label directions! If the pesticide is not labeled for killing mosquito larvae, don’t use it. Using a pesticide for a purpose other than what it is labeled for or in greater concentrations than required is a violation of state and federal regulations. You may poison yourself, the environment, your family and your pets. Always use protective gloves when handling pesticides and use other precautions as recommended.

You want to keep adult mosquitoes out of your home. Doors to the outside should not be left open during mosquito season unless protected by tight-fitting screen doors. If you have shaded areas around your doors, these are great areas for adult mosquitoes to hang out during the day and enter your home as you open and close the doors. These shaded areas around doors should be treated with a residual insecticide at least once a month. You may buy these at hardware stores in ready-to-use sprayers or mix your own from insecticide concentrates and apply with a simple pump sprayer. Use safety precautions and follow label directions.

On a small scale around your home, you have several choices for killing mosquito larvae, the most basic of which is emptying all containers and draining stagnant puddles. Of course, your neighbors must do the same and that is sometimes a difficult problem. You may apply a little mineral oil or even cooking oil to small containers, which will suffocate mosquito larvae. Mosquitoes love to breed in the pans under flower pots, so don’t over water or at least keep them treated with dunks. 

There are devices you can purchase that lure female mosquitoes into a trap, devices made especially for female container mosquitoes, Aedes aegypti and Aedes albopictus. Two of these products are Mosquito Trap-N-Kill© and Ovitrap©. If not available at your local stores, they may be ordered online.

And lastly, remember that mosquitoes also carry heartworms and other diseases to your pets. When you rid your property of mosquito breeding habitats, you protect them as well.

_______________________

 Reference  

¹ https://www.cdc.gov/vitalsigns/vector-borne/index.html

² https://www.cdc.gov/media/releases/2018/p0501-vs-vector-borne.html

Routine childhood immunizations help protect infants and children from 14 vaccine-preventable diseases before age two!

North GA - National Infant Immunization Week (NIIW) is an annual observance to promote the benefits of immunizations and to improve health of children two years old or younger. 2019 marks the 25th anniversary of this initiative that emphasizes the critical role routine childhood immunizations play in helping protect infants and children from 14 vaccine-preventable diseases before age two. These vaccines are available at all County Health Departments in the North Georgia Health District, which include Cherokee, Fannin, Gilmer, Murray, Pickens and Whitfield counties.

Log onto Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2019 on the Centers for Disease Control and Prevention (CDC) website to find out which vaccines are needed at each stage from early childhood through teen years.

Some diseases that once harmed or killed thousands of children are no longer common in the United States, primarily due to safe and effective vaccines.

One example of the positive impact that vaccines have had in the United States is polio. Polio was once America’s most feared disease, causing death and paralysis across the country; but today, thanks to vaccination, there are no reports of polio in the U.S.

Though many diseases are rare in this country, they still occur around the world and can be brought into the United States, putting unvaccinated children at risk. Continued vaccination is still necessary to keep outbreaks from happening. If infants are not immunized, the consequences can be severe. 

The need for continued vaccination is pronouncedly underscored by the current increase in measles cases or outbreaks in the United States. From January 1 to April 19, 2019, 626 individual cases of measles have been confirmed in 22 states, including Georgia. This is the second-greatest number of cases reported in the U.S. since measles was eliminated in 2000, second only to the 667 cases reported during 2014. In the coming weeks, 2019 confirmed case numbers will likely surpass 2014 levels. The outbreaks are linked to travelers who brought measles back from other countries where large measles outbreaks are occurring. Therefore, heeding the CDC’s advice to get vaccinated against measles is especially important before traveling internationally.

Our Gilmer County International Travel Clinic, located in Ellijay, Georgia, serves the entire region and provides comprehensive health services that travelers need before leaving the country, including appropriate travel vaccines to ensure a healthy journey abroad and back home again. Click HERE for more information and to make an appointment that can be scheduled right away.

During the 25th anniversary of NIIW, established in 1994, local and state health departments, national immunization partners, healthcare professionals, community leaders from across the United States, and the Centers for Disease Control and Prevention have worked together through NIIW to highlight the positive impact of vaccination on the lives of infants and children, and to call attention to immunization achievements efficacy.

Several important milestones in controlling vaccine-preventable diseases among infants worldwide have already been reached:

• Vaccines have drastically reduced infant death and disability caused by preventable diseases in the United States.
• Through immunization, we can now protect infants and children from 14 vaccine-preventable diseases before age two.
• Routine childhood immunization among children born 1994-2018 will prevent an estimated 419 million illnesses, 26.8 million hospitalizations, and 936,000 early deaths over the course of their lifetimes, at a net savings of $406 billion in direct costs and $1.9 trillion in total societal costs.
• The National Immunization Survey has consistently shown that childhood immunization rates for vaccines routinely recommended for children remain at or near record levels.

The federally funded Vaccines for Children (VFC) program can assist uninsured and underinsured families by providing vaccines free of charge to qualifying children. To help keep your babies safe, it is important that you and other family members are fully immunized. 

To schedule an appointment for you or your child to receive immunizations, contact your County Health Department in North Georgia by clicking on the name of your county to link to that Health Department page on this website: Cherokee, Fannin, Gilmer, Murray, Pickens or Whitifield.

Learn more about National Infant Immunization Week on the CDC website at www.cdc.gov/vaccines/events/niiw/overview.

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References: 

https://www.cdc.gov/measles/cases-outbreaks.html; 

https://www.cdc.gov/vaccines/events/niiw/overview.html;  https://www.vaccines.gov/getting/for_parents/five_reasons

Let your inner super hero shine at the Express Your SuperPower 5K/10K on Saturday, September 21, 2019. Come solo or bring the whole family for this exciting event held annually at the Etowah River Park on Brown Industrial Parkway in Canton. Be sure to dress as your favorite super power hero for a chance to win a prize for your costume!

Preregister at www.expressyoursuperpower5k.com to guarantee receiving an Express Your SuperPower T-shirt, or you may register that morning prior to race time.

Both a walking and running event, the Express Your SuperPower 5K/10K begins at 8 a.m. See the following Express Your SuperPower 5K/10K Activities and Details at a Glance guide.

Fun activities are planned for people of all ages as we raise awareness of breastfeeding and the health of babies and children.

Carol Hendrix, WIC Breastfeeding Coordinator for the North Georgia Health District, said, “We join each year with our breastfeeding coalition at the local and state levels to present the Express Your SuperPower 5K/10K as an extension of our celebration of World Breastfeeding Week, observed annually August 1 – 7. Proceeds go to the Northwest Georgia Breastfeeding Coalition and the Georgia Breastfeeding Coalition.”

Breastfeeding is a vitally important public health issue that affects all Georgians.

According to the Centers for Disease Control and Prevention (CDC), breastfeeding is the best method for early infant feeding and the healthiest option for most mothers and babies. Mothers and their children show short-term and long-term health benefits from breastfeeding. Although 80% of mothers start out breastfeeding, more than 50% stop before they intended. Only about 22% of infants are being exclusively breastfed as recommended by the time they are 6 months old. These low rates of breastfeeding add more than $2 billion a year to direct medical costs in the United States.

The CDC also emphasizes the necessity of physical activity for everyone.

The CDC states that physical activity offers many benefits for the health of individuals and communities. Getting enough physical activity can prevent 1 in 8 cases of breast cancer, 1 in 8 cases of colorectal cancer, 1 in 8 cases of type 2 diabetes and 1 in 12 cases of heart disease.

The Express Your SuperPower 5K/10K is not only a terrific opportunity for you and your family to engage in physical activity but to also support breastfeeding awareness.

Register today for the Express Your SuperPower 5K/10K at www.expressyoursuperpower5k.com.

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Express Your SuperPower 5K/10K Activities and Details at a Glance Guide:

September 21, 2019

Etowah River Park
Brown Industrial Pkwy.
Canton, GA

Race Starts: 8:00 AM

Awesome flat & fast course completely inside the parks, so the little super heroes won't have to run on the street. The 5K/10K starts at 8:00 AM, then a 1-mile Fun Run, and a Tot Trot. The finish line will have loads of fun things to do before the awards are given out (Overall M/F, Master's Overall M/F, & top 3 in all the regular age groups).

 Runners & Walkers are both welcome.

 Great technical race shirts to everyone preregistered.

Race Day Schedule
7:00 AM - Race Day Check in Starts
8:00 AM - 5K & 10K Start


Course
The 5K course starts and finishes in Etowah River Park and is FLAT, except for the bridge over the river. The 10K course is a double loop and should provide a perfect opportunity if you're wanting to do your 1st 10K. If you're a seasoned 10K vet, this should provide you with an opportunity to get a PR.

Timing & Awards
The event will be chip timed and we'll have awards for the Overall M/F, Overall Master's M/F, as well as top finishers in all the normal 5yr age groups starting at 10 & under through 75+.

Finish Line & Post Race Refreshments
Super Heroes, music, & a ton of fun stuff await you at the end of your run.

Five Star Turkey Trot & Five Star Championships
All participants will be eligible for free entry into the Five Star Turkey Trot on Thanksgiving Day. Top finishers will earn a spot in the Five Star 5K championships to be held on 12/17.

Entry Fee Registration

Regular Entry...Through 9/20

5K...25
10K...$25
Fun Run...25
Tot Trot...$10
Virtual 5K...$27
Phantom 5K...$27

Race day registrations are welcome for $5 more... and shirts are not guaranteed.

Timing & Awards

The event will be chip timed and we'll have awards in the following Categories:

Overall M/F
Overall Master's M/F
Overall Grand Master's M/F
Overall Senior Master's M/F
Top finishers in all the normal 5yr age groups starting at 10 & under through 75+.

Finish Line & Post Race Refreshments:

Super Heroes, music, & a ton of fun stuff await you at the end of your run.


Teams & Groups

Grab your family, friends, and co-workers and participate as a team…you can score a great discount, and nothing will replace the additional fun.

5+...Save 10%
11+…Save 15%
21+…Save 20%
51+…Save 25%
100+…Save 30%

Resident undergoing series of rabies postexposure vaccinations

North Georgia – While preparing to fish on Hot House Creek between Curtis Switch Road and Old Mill Pond Road in Mineral Bluff, Georgia on Sunday, April 7, a local resident was chased and bitten on the ankle by a raccoon.

The animal continued pursuing, so the resident shot and killed it.

The raccoon has now been tested and confirmed as positive for rabies by the Georgia Public Health Laboratory.

The resident began receiving rabies postexposure vaccinations on Sunday.

Postexposure prophylaxis (PEP) consists of a regimen of one dose of immune globulin and four doses of rabies vaccine over a 14-day period and should begin as soon as possible after exposure. 

A bite or scratch from any wild mammal should cause concern and be reported to a health care provider and the local environmental health office. Fannin County Environmental Health can be reached at (706) 632-3024. If calling after hours, contact the Georgia Poison Control Center, toll-free, at 1-800-222-1222.

All residents are urged to avoid wild or feral animals and to maintain rabies vaccinations in pets. If a pet receives an initial one-year vaccine, it can receive a three-year vaccination the following year.

For more information about rabies and its prevention, log onto the Centers for Disease Control and Prevention (CDC) website at www.cdc.gov/rabies.