The Coastal Health District of Georgia serves the counties of Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long & McIntosh

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Family Pets and Pet Owners Exposed to Rabid Cat in Pooler

July 9, 2014 – A feral cat that attacked two family dogs on Old Dean Forest Road in Pooler has tested positive for rabies. The dogs are up-to-date on their rabies vaccinations. The owners of the dogs also came into contact with the cat and are conferring with their healthcare provider.
Rabies is a potentially deadly virus that is primarily spread by infected animals. Symptoms of rabies in animals include a change in behavior, biting, aggression, showing no fear of natural enemies (such as humans), foaming at the mouth, and paralysis.
The Chatham County Health Department Environmental Health Division offers these tips to protect you and your family from rabies:
• Avoid contact with animals you don’t know.
• Make sure your pets receive the proper immunizations. Dogs and cats should get rabies vaccines by four months of age, followed by a booster shot one year later, and another one every one to three years as prescribed by your veterinarian.
• Do not handle, feed, or unintentionally attract wild animals with open garbage cans or by leaving pet food out at night.
• Never adopt wild animals or bring them into your home. Do not try to nurse sick animals to health. Call animal control or a properly licensed animal rescue agency for assistance.
• Teach children to never handle unfamiliar animals, wild or domestic, even if they appear friendly. “Love your own, leave other animals alone” is a good principle for children to learn.
If an animal ever bites you, seek medical care immediately and contact Chatham County Animal Control at 525-2408 and the Chatham County Health Department Environmental Health Division at 356-2160.

Sale of Electronic Cigarettes Illegal to Minors in Georgia

July 2, 2014 – As of July 1, 2014, it is against the law in Georgia to sell or distribute any electronic cigarette to a person who is under the age of 18 years old. The Georgia Department of Public Health (DPH) is urging caution about the use and exposure of children to electronic nicotine delivery systems, including electronic cigarettes and other emissions producing products.
DPH is asking adults to warn children and young adults of the dangers of electronic nicotine delivery systems, sometimes referred to as “e-cigarettes,” “vape pens,” and “e-hookahs,” and to keep these products out of the reach of young children. Emissions from electronic nicotine delivery products may include formaldehyde, propylene glycol, acetaldehyde, acrolein, lead, and tobacco-specific nitrosamines in addition to nicotine.
“These chemicals are toxic, and are particularly dangerous for children,” said Jean O’Connor, JD, DrPH, director of Health Promotion and Disease Prevention for DPH. “Parents should not allow children to handle electronic cigarettes or similar devices. They contain liquid chemicals which, if swallowed, could cause serious health complications.”
During the past five years in Georgia (April 2009 – April 2014), there were a total of 1,169 calls made to the Georgia Poison Center (GPC) for exposures or poisonings from products containing tobacco or nicotine. Between January 1, 2014 and June 14, 2014, the number of calls made to GPC about nicotine poisonings, specifically from e-cigarettes, was 46. In 2011, there were a total of five calls for the entire year.
Parents, teachers, counselors, and other youth leaders should be aware electronic cigarettes and similar electronic nicotine delivery devices are available in a variety of colors and flavors that are attractive to children and young adults, such as bubble gum, strawberry and chocolate. The products are made to look like pens and other small objects that can be hidden in backpacks and clothes. The emissions, although potentially toxic, may smell like the flavoring.
There is no evidence that using current electronic nicotine delivery systems or being exposed to these products is safe, and the research suggests that these products may introduce children to lifelong nicotine and tobacco addiction. Tobacco use is known to cause cancer, heart disease, diabetes, and stroke. Nicotine is a highly addictive chemical that causes hardening of the arteries, which is associated with heart attack and stroke. Pregnant women should avoid using or being exposed to electronic nicotine. It can impact fetal development, affecting the brain, nerves and circulatory systems.
Electronic cigarettes and similar electronic nicotine delivery devices have not been approved by the U.S. Food and Drug Administration as tobacco cessation devices. The only current safe and effective tools to quit nicotine and tobacco products are approved nicotine replacement therapy products, which contain controlled doses of nicotine. The manufacturing of electronic nicotine delivery systems is currently not regulated by any state or federal agency. Consequently, consumers are cautioned they may be exposed to varying levels of chemicals and contaminants in these products.
Most people who use tobacco or nicotine and want to quit are unable to end their nicotine addiction without help. Anyone, including teenagers, who need help quitting tobacco or nicotine, can contact the Georgia Tobacco Quitline:
English:
1-877-270-STOP (877-270-7867)
Spanish:
1-877-2NO-FUME (877-266-3863)
Hearing Impaired:
1-877-777-6534
The Quitline is available 24 hours a day, 7 days a week. It is never too late to quit.
For more information visit: https://dph.georgia.gov

Protect Children from Vehicle-Related Heatstroke

According to Safe Kids Worldwide, heatstroke is the leading cause of non-crash, vehicle-related deaths for children. As summer heats up, it becomes more and more important to make sure that no child is ever left in a car – even for a minute.
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Follow these tips from Safe Kids Worldwide to reduce the number of deaths from heatstroke.
Remember to ACT:
A: Avoid heatstroke-related injury and death by never leaving your child alone in a car, not even for a minute. And make sure to keep your car locked when you’re not in it so kids don’t get in on their own.
C: Create reminders by putting something in the back of your car next to your child such as a briefcase, a purse or a cell phone that is needed at your final destination. This is especially important if you’re not following your normal routine.
T: Take action. If you see a child alone in a car, call 911. Emergency personnel want you to call. They are trained to respond to these situations. One call could save a life.
The state of Georgia launched a “Look Again” campaign earlier this summer to bring awareness to vehicular heat stroke. Check it out HERE.
More Safety Tips
• Never leave a child alone in a car.
• Don’t let your kids play in an unattended vehicle. Teach them that a vehicle is not a play area.
• Never leave infants or children in a parked vehicle, even if the windows are partially open.
• Keep a large teddy bear or other stuffed animal in the car seat when it’s empty. Move the teddy bear to the front seat when you place the child in the seat as a visual reminder.
• If you are dropping your children off at childcare, but normally your spouse or partner drops them off, have your spouse or partner call you to make sure they were not left in the car.
• Become vigilant about looking in the vehicle before locking the door. Always look front and back before walking away — always!

Coastal Health District Offers Tips on Summertime Safety

June 23, 2014 – Spending time outdoors is just one of the great things about summer. Coastal Health District officials want coastal Georgia residents to make the most of that time and prevent illness and injury that some summer-related activities can bring.
Heat-related illness
Heat and humidity are a normal part of a Georgia summer but they can also pose a threat to those spending a lot of time outside. To minimize the risk of heat-related illness:
• Don’t wait until you’re thirsty to drink fluids. Drink more fluids regardless of your activity level.
• Don’t drink liquids that contain caffeine, alcohol, or large amounts of sugar-these actually cause you to lose more body fluid. Also, avoid very cold drinks, because they can cause stomach cramps.
• Stay indoors and, if at all possible, stay in an air-conditioned place. If your home does not have air conditioning, go to the shopping mall or public library-even a few hours spent in air conditioning can help your body stay cooler when you go back into the heat. Call your local health department to see if there are any heat-relief shelters in your area.
• Electric fans may provide comfort, but when the temperature is in the high 90s, fans will not prevent heat-related illness. Taking a cool shower or bath, or moving to an air-conditioned place is a much better way to cool off.
• Wear lightweight, light-colored, loose-fitting clothing.
NEVER leave anyone in a closed, parked vehicle.
It’s also important to remember that infants, children, and those 65 and older are at increased risk for heat-related illness. Limiting outdoor activity to morning and evening hours, wearing sunscreen of SPF 15 or higher, and exercising indoors, are other ways for people of all ages to avoid getting heat-related illness.
Mosquitoes
Mosquitoes can be a bother but they can also carry disease such as West Nile Virus (WNV) and chikungunya. WNV can cause mild to serious illness. Approximately 80 percent of people (about 4 out of 5) who are infected with WNV will not show any symptoms at all but some develop more severe illness that may include high fever, headache, neck stiffness, and muscle weakness. The first laboratory-confirmed case of chikungunya in Georgia was reported last week. Chikungunya symptoms usually begin 3-7 days after being bitten by an infected mosquito and the most common symptoms are fever and joint pain. Symptoms can sometimes be severe but most feel better within a week. The mosquitoes that spread the chikungunya virus bite mostly during the daytime. So far, all of the chikungunya patients in the United States have travel histories in areas where chikungunya is circulating.
The best way to prevent mosquito-related diseases is to avoid mosquito bites. Mosquitoes breed in standing water which is why it is important to:
• Remove water-holding containers (buckets, barrels, flower pots, tarps, etc. Drill holes in tire swings so water drains out. Keep children’s wading pools empty and on their sides when they’re not being used).
• Change water frequently in pet dishes
• Change bird bath water at least twice a week
• Avoid using saucers under outdoor potted plants
In addition, following these tips can help lessen the risk of getting bitten by mosquitoes:
• DRAIN all standing water
• Avoid DAWN and DUSK when mosquitoes are most active
• DRESS appropriately in long sleeves and pants.
• DEFEND or DEET yourself against mosquitoes with an effective repellent. Repellents containing DEET, picaridin, IR3535, and oil of lemon eucalyptus and para-menthane-diol products provide long lasting protection.
• DOORS and windows should be in good condition
Septic Systems
Afternoon thunderstorms and rain showers are common during the summer months. Heavy rainfall can cause a septic system to not function properly due to saturation of the soil in and around septic drain fields. It is always important for residents using septic systems to conserve water usage and ensure that surface waters from rain are diverted away from septic drain fields. Some helpful tips include.
• Repair dripping faucets and leaking toilets.
• Run dishwashers only when full.
• Do not do all your laundry in one day. Space out the washing machine use over the week.
• Replace old fixtures with water saving fixtures.
• Do not direct water from gutter downspouts, sump pumps or subsurface drains into the septic tank.
• Always divert water away from septic drain fields.

Pre-Teen Vaccine Awareness: Make a Date to Vaccinate

Let’s face it – nobody likes getting shots. But a shot lasts a second; diseases last much longer. Vaccines are the best defense against serious, preventable, and sometimes deadly contagious diseases. They help families and individuals avoid expensive therapies and hospitalizations to treat infectious diseases like influenza and meningitis. Immunizations also decrease absences from school and after-school activities, and decrease spreading illness into the home and throughout the school and the community.
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The Georgia Department of Public Health’s inaugural Pre-Teen Vaccine Awareness Week coincides with new requirements in Georgia schools starting with the 2014-2015 academic year. Pre-Teen Vaccine Awareness Week promotes immunization specifically for 11- and 12-year old girls and boys.
According to the Georgia Department of Public Health Rule (511-2-2), all students born on or after January 1, 2002 entering or transferring into seventh grade and any “new entrant” into 8th-12th grades in Georgia need proof of an adolescent pertussis (whooping cough) booster vaccination (called “Tdap”) AND an adolescent meningococcal vaccination (MCV4). This law affects all public and private schools including, but not limited to charter schools, community schools, juvenile court schools and other alternative school settings (excluding homeschool).
“Preteens are becoming increasingly social. They go to overnight camps, attend parties and play team sports – they’re beginning to interact with a larger social circle. While these are all fun parts of being a teenager, they could also increase their risk for contracting potentially life-threatening diseases,” said Steven Mitchell, director for the Georgia Department of Public Health Immunization Office. “Couple this with the new school immunization requirements and it’s the ideal time to make sure your preteen is up-to-date on their vaccinations and protected for their future.”
The Centers for Disease Control and Prevention (CDC) currently recommends the following vaccines for preteens and teens:
• Tetanus, Diphtheria and Pertussis (Tdap)
• Influenza (flu)
• Human Papillomavirus (HPV) – three doses
• Meningococcal Disease (MCV4)
The Advisory Committee on Immunization Practices currently recommends that 11 and 12-year-olds receive Tdap, meningococcal vaccine, three doses of HPV vaccine, and an annual flu vaccine. Some preteens may also need to catch up on other immunizations, including chickenpox (many don’t have their second dose), MMR (measles, mumps, rubella) and hepatitis B. Speak to your physician today about whether or not your pre-teen is up-to-date and, if not, make a date to vaccinate.
Want to know more? Click HERE
For more information on the Vaccines for Children (VFC) program, a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay, visit http://dph.georgia.gov/vaccines-children or call (800)-848-3868.

Residents Exposed to Rabid Kitten; Public Health and Animal Control Officials Remind Residents to Avoid Wild or Stray Animals

June 18, 2014 – A feral kitten being fed by several neighbors in the Wilmington Park area of Wilmington Island has tested positive for rabies and there have been eight confirmed human exposures. Those exposed have been advised to contact their healthcare provider. It is possible that the kitten got rabies after being exposed to a potentially rabid raccoon. Savannah Chatham Animal Control is attempting to capture the raccoon along with up to six other cats in the same neighborhood that may have been exposed to the rabid kitten. Chatham County Health Department Environmental Health Division and Savannah Chatham Animal Control want to remind residents to always avoid contact with wild or stray animals, watch for unusual behavior in pets and wildlife, and get pets vaccinated against rabies.
Animal Control officers are advising anyone in the area that had such contact with the kitten, a raccoon or other animal, to contact them.
Rabies is a potentially deadly virus that is primarily spread by infected animals. Symptoms of rabies in animals include a change in behavior, biting, aggression, showing no fear of natural enemies (such as humans), foaming at the mouth, and paralysis.
The Chatham County Health Department Environmental Health Division offers these tips to protect you and your family from rabies:
• Avoid contact with animals you don’t know.
• Make sure your pets receive the proper immunizations. Dogs and cats should get rabies vaccines by four months of age, followed by a booster shot one year later, and another one every one to three years as prescribed by your veterinarian.
• Do not handle, feed, or unintentionally attract wild animals with open garbage cans or by leaving pet food out at night.
• Never adopt wild animals or bring them into your home. Do not try to nurse sick animals to health. Call animal control or a properly licensed animal rescue agency for assistance.
• Teach children to never handle unfamiliar animals, wild or domestic, even if they appear friendly. “Love your own, leave other animals alone” is a good principle for children to learn.
If an animal ever bites you, seek medical care immediately and contact Chatham County Animal Control at 525-2408 and the Chatham County Health Department Environmental Health Division at 356-2160.

Free HIV Testing Event Scheduled for June 27

June 6, 2014 – The Coastal Health District HIV program will hold a free HIV testing event from 10 a.m. to 4 p.m. on Friday, June 27 at Oglethorpe Mall (outside of Belk) in Savannah. Educational information, music and other entertainment will also be on hand. All testing will be done without needles and results will come back quickly and remain confidential.
The event is being held in support of National HIV Testing Day (NHTD) which takes place annually on June 27. Every year on NHTD, HIV testing events are held all over the country to encourage people to “Take the Test, Take Control.” Close to 1.1 million people are living with HIV and almost one in five don’t know they are infected. National HIV Testing Day is an opportunity for people to learn their HIV status and to gain knowledge that will help them take control of their lives and health.
The event is being sponsored by the Coastal Health District, M.A.C. Cosmetics, and WEAS 93.1.
Click on image for full screen view.
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Preventing Norovirus

Every year about 20 million people get sick from norovirus which is the leading cause of disease outbreaks from contaminated food in the United States, according to the Centers for Disease Control and Prevention (CDC). Norovirus is very contagious and can cause diarrhea and vomiting. Food can get contaminated with norovirus when infected people who have stool or vomit on their hands touch the food; it is placed on counters or surfaces that have infectious stool or vomit on them; or tiny drops of vomit from an infected person spray through the air and land on the food.Norovirus image for Hot topic.jpg
What is norovirus and how can it be prevented?
Norovirus Symptoms
NorovirusTransmission

Norovirus Prevention

Norovirus Treatment
How can those in the food service industry help prevent norovirus?
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Does Your Child Have Asthma?

In the United States, more than 25 million people are known to have asthma. About 7 million of these people are children. Asthma is a chronic disease that affects the lungs. It causes coughing, wheezing, chest tightness and shortness of breath. In an asthma attack, muscles around the airways tighten and the airway lining swells, making it hard to breathe.
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Who gets asthma?
Asthma affects people of all ages. In Georgia, about 12 percent of children aged 0-17 years have asthma and about 8 percent of adults do, too. In most cases, we don’t know what causes asthma, but we do know that if someone in your family has it, you’re more likely to have it, too.
How is asthma treated?
While asthma has no cure, it can be controlled. There are many things people can do to control their asthma:
Have an Asthma Action Plan:
With a health care provider, write an asthma action plan. The asthma action plan shows your daily treatment, such as what kind of medicines to take and when to take them. Your plan describes how to control asthma long term AND how to handle worsening asthma, or attacks. The plan explains when to call the doctor or go to the emergency room. If your child has asthma, make sure their school, day-care provider, babysitters, camps and other caregivers have a copy of their plan.
Take controller medications:
Doctors can prescribe medication that can help people have fewer and milder asthma attacks. It’s important to take these controller medications as your doctor prescribes them. If you are using quick-relief medications, such as an inhaler, more frequently or daily, you should talk to your health care provider about getting your asthma under control.
Manage your disease:
Learn more about your asthma triggers, symptoms and how to get relief. Talk with an asthma educator to learn about asthma self-management.
Avoid asthma triggers:
An asthma attack can happen when a person is exposed to certain triggers. Common asthma triggers include cigarette smoke, mold, dust mites, air pollution, exercise, pests, strong emotions, respiratory infections and strong odors. Learn more about how to prevent these asthma triggers and make your home, school or day-care facility an asthma-friendly environment.
Click HERE for asthma resources for kids and parents.
Information provided by the Georgia Department of Public Health.

Glynn County Health Department Officials Encourage Rabies Precautions Following Fox Bite

May 7, 2014 – A Glynn County resident was bitten by a fox that later tested positive for rabies and as a result, Glynn County Health Department environmental health officials are encouraging residents to be aware of unusual behavior in wildlife. The incident took place in the area of Osprey Place. Another potentially rabid fox was spotted in the same area so health officials are asking residents that live in and around that region (specifically the area East of the airport runway property; South of Harry Driggers; North of Joyce Drive and Windward Acres; and East to the marsh) to pay particular attention to wild animals acting strangely.
Symptoms of rabies in animals include a change in behavior, biting, aggression, showing no fear of natural enemies (such as humans), foaming at the mouth, and paralysis. Rabies is a potentially deadly virus that is primarily spread by infected animals. Residents should always avoid contact with wild or stray animals, watch for unusual behavior in pets and wildlife, and get pets vaccinated against rabies. Leaving food outdoors for family pets or undomesticated animals can attract potentially rabid wildlife.
The Glynn County Health Department offers these tips to protect you and your family from rabies:
• Avoid contact with animals you don’t know.
• Make sure your pets receive the proper immunizations. Dogs and cats should get rabies vaccines by four months of age, followed by a booster shot one year later, and another one every one or three years depending on the type of vaccine used.
• Do not handle, feed, or unintentionally attract wild animals with open garbage cans or by leaving pet food out at night.
• Never adopt wild animals or bring them into your home. Do not try to nurse sick animals to health. Call animal control or a properly licensed animal rescue agency for assistance.
• Teach children to never handle unfamiliar animals, wild or domestic, even if they appear friendly. “Love your own, leave other animals alone” is a good principle for children to learn.
If an animal ever bites you, seek medical care immediately and contact Glynn County Animal Control at 912-554-7500 and the Glynn County Health Department Environmental Health Division at 912-279-2940.