Georgia Coastal Health District

ATLANTA – The Georgia Department of Public Health (DPH) is urging caution about the use and exposure of children and youth to electronic nicotine delivery systems, including electronic cigarettes. The U.S. Surgeon General issued a report this week on the dangers of electronic nicotine delivery systems saying “nicotine-containing products are unsafe for youth.”

Electronic nicotine delivery systems are known by a variety of names, including “vapes,” “e-cigarettes,” “pens” and “e-hookahs.” They come in thousands of flavors and colors. Parents, teachers, coaches, counselors and other youth leaders should be aware of the dangers of these products and that they can be made to look like pens and other small objects that can be hidden in plain sight.

It is against the law in Georgia to sell or distribute any electronic cigarette to a person who is under the age of 18. As of October 2014, it is against state policy to use these products on any University System of Georgia property. Federal law also prohibits sales of e-cigarettes to minors, restricts sales in vending machines, and requires these products to have a nicotine warning label.

Nicotine is a neurotoxin that can damage the developing adolescent brain by causing permanent changes and contributing to mental health problems and mood disorders as well as other health problems. In addition to nicotine, the aerosol from electronic nicotine delivery products may include formaldehyde, propylene glycol, lead and other toxic chemicals.

Use of electronic nicotine delivery systems or devices, particularly by youth, is associated with other tobacco use.

“We know youth and young adults are trying these unsafe products in increasing numbers. This is an emerging public health crisis that threatens the health of our youth and our progress in reducing dependence on tobacco statewide” said Jean O’Connor, JD, DrPH, director of Chronic Disease Prevention for DPH.

The emissions from e-cigarettes have not been proven to be safe for anyone. Along with the dangers to the developing youth brain, nicotine is a highly addictive chemical for people of all ages that causes hardening of the arteries, which is associated with heart attack and stroke. Pregnant women or women who may become pregnant should especially avoid using or being exposed to 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.

Most people who want to quit tobacco or nicotine need help to end their addiction. Anyone, including teenagers, who needs help quitting tobacco or nicotine, should talk with their doctor. Help quitting tobacco is covered by Georgia Medicaid and other health plans. Or, they can contact the Georgia Tobacco Quitline for free, confidential support:

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 24/7. It is never too late to quit.

For more information visit dph.ga.gov/tobacco or email chronic.disease@dph.ga.gov

Shifting winds are pushing smoke from several fires burning in North Georgia and parts of Tennessee into the state, including the metro Atlanta area. The Georgia Department of Public Health is urging people, especially individuals with chronic heart and lung diseases, to protect themselves from smoke from wildfires.

For healthy people, smoke from wildfires that contains particles from burning trees and shrubs can irritate your eyes and respiratory system. However, smoke can worsen chronic health problems such as lung disease, asthma, allergies and increased risk of heart attacks and stroke. People with existing respiratory conditions, young children and elderly people are especially susceptible to health effects from this smoke.

“We especially urge parents and caregivers to pay careful attention to children and older adults and seek medical care if needed,” said Jean O’Connor, director of Chronic Disease Prevention at the Georgia Department of Public Health. “Older adults are more susceptible to smoke because of their increased risk of heart and lung problems. Children’s airways are still developing and they breathe more air per pound of body weight than adults.”

Smoke can irritate the eyes and airways, causing coughing, a scratchy throat, irritated sinuses, headaches, stinging eyes or a runny nose. People with heart disease might experience chest pain, palpitations, shortness of breath or fatigue. People with lung disease may not be able to breathe as deeply or as vigorously as usual, and they may experience symptoms such as coughing, phlegm, chest discomfort, wheezing and shortness of breath.

It’s important to limit your exposure to smoke and there are precautions you can take:

• Use common sense. If it looks and smells smoky outside limit outdoor activities; yard work, exercise, children playing.
• Pay attention to local air quality reports and news coverage related to smoke.
• Keep indoor air as clean as possible if you are advised to stay indoors. Keep windows and doors closed. Run an air conditioner if you have one, but keep the fresh-air intake closed and the filter clean to prevent outdoor smoke from getting inside.
• Avoid activities that increase indoor pollution. Burning candles, fireplaces, or gas stoves can increase indoor pollution. Vacuuming stirs up particles already inside your home, contributing to indoor pollution. Smoking also puts even more pollution into the air. 
• Do not rely on dust masks for protection. Paper “comfort” or “dust” masks commonly found at hardware stores are designed to trap large particles, such as sawdust. These masks will not protect your lungs from the small particles found in wildfire smoke. 
• Follow the advice of your doctor or other health care provider about medicines and about your respiratory management plan if you have asthma or another lung disease.

For more information about smoke and health go to www.cdc.gov/features/wildfires/.

Smoke created from residents burning debris generally does not pose a health hazard but it may worsen symptoms for people who have pre-existing respiratory conditions such as respiratory allergies, asthma and chronic obstructive pulmonary disease (COPD).

The best protection for these individuals is to avoid areas where burning is taking place or stay indoors. If that is not possible, parents or caregivers of persons with respiratory conditions should monitor the individual carefully; ensure all medication is taken as directed; and, seek medical attention immediately if the In addition:

• Make sure to keep windows and doors shut.
• Use the recycle or re-circulate mode on the air conditioner in your home or car.
• Asthmatics should follow their asthma management plan.
• Contact your doctor if you have symptoms such as chest pain, chest tightness, shortness of breath, or severe fatigue. This is important not only for people with chronic lung or heart disease, but also for individuals who have not been previously diagnosed with such illnesses. Smoke can “unmask” or produce symptoms of such diseases.

Residents facing the daunting task of cleaning up flooded homes and wondering whether high water or power outages have ruined their food can follow a simple rule: When in doubt, throw it out.

Once power is off, the refrigerator keeps food at safely cold temperatures for 4 hours, while food in a freezer remains safe for approximately 8 hours. If your power is off longer, your food is not safe to eat and should be discarded.

• Do not consume anything that flood water may have touched. Flood water carries disease-causing organisms.
• Do not eat any food that may have come into contact with flood water. If in doubt, throw it out.
• Do not eat food packed in plastic, paper, cardboard, cloth, and similar containers that have been water damaged.
• Discard food and beverage containers with screw-caps, snap lids, crimped caps (soda bottles), twist caps, flip tops, and home canned foods, if they have come in contact with flood water. These containers cannot be disinfected.
• Undamaged, commercially-prepared foods in all-metal cans or retort pouches can be saved if you remove the labels, thoroughly wash the cans, rinse them, and then disinfect them with a sanitizing solution consisting of 1 tablespoon of bleach per gallon of potable water. Finally, re-label containers that had the labels removed, including the expiration date, with a marker. Discard any canned foods that are dented as this can increase the risk of contracting botulism, a rare but very serious illness.
  For more information, please go to www.fda.gov.

From the U.S. Food and Drug Administration:

Battle Creek, MI – Kellogg Company today announced a voluntary recall of approximately 10,000 cases of Kellogg’s® Eggo® Nutri-Grain® Whole Wheat Waffles because they have the potential to be contaminated with Listeria monocytogenes. No other Eggo products are impacted by this recall.

Listeria monocytogenes can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The company has received no reports of illness to date but is taking this action as part of its commitment to the health and safety of the people who eat its foods.

HOW TO IDENTIFY THE RECALLED PRODUCT

Recalled product was distributed to customers and retailers in 25 states (CO, CT, DE, GA, IA, IL, IN, KS, MA, MD, ME, MI, MN, MO, ND, NE, NH, NJ, NY, OH, PA, VA, VT, WI, WY). The affected product is:

Description
UPC Code
Size
Better If Used Before Date
Kellogg’s ® Eggo® Nutri-Grain® Whole Wheat Waffles
38000 40370
12.3 oz (10 ct)
NOV21 17 and NOV22 17
The date code can be found on the side of the package. Images of the product can be found at www.Kelloggs.com/eggorecall.

The recall is a result of routine tests that the company conducts which identified the potential for contamination. As soon as the company learned of a potential concern, it moved quickly to identify any foods that might be impacted and resolve the issue.

Kellogg is asking that people who purchased affected product discard it and contact the company for a full refund. Consumers can call 1-800-962-1413, Monday through Friday, 9 a.m. – 6 p.m. ET or by visiting https://www.kelloggs.com/en_US/contact-us.html [JPG, 120.30 KB]

Today the U.S. Environmental Protection Agency – in conjunction with federal, state and local government and private sector partners – is kicking off its fourth annual SepticSmart Week to encourage American homeowners and communities to properly maintain their septic systems.

More than 26 million homes in the United States – one in five households – depend on septic systems to treat wastewater. If not maintained, failing septic systems can contaminate groundwater and harm the environment by releasing bacteria, viruses and household hazardous waste to local waterways. Proper septic system maintenance protects public health and the environment and saves the homeowner money through avoided costly repairs.

“By taking small steps to maintain septic systems, homeowners not only protect our nation’s public health and keep our water clean, but also save money and protect their property values,” said Joel Beauvais, Deputy Assistant Administrator for EPA’s Office of Water.

Simple tips for homeowners:

• Protect It and Inspect It: Homeowners should generally have their system inspected every three years by a qualified professional or according to their state or local health department’s recommendations. Tanks should be pumped when necessary, typically every three to five years.
• Think at the Sink: Avoid pouring fats, grease, and solids down the drain. These substances can clog a system’s pipes and drainfield.
• Don’t Overload the Commode: Only put things in the drain or toilet that belong there. For example, coffee grounds, dental floss, disposable diapers and wipes, feminine hygiene products, cigarette butts, and cat litter can all clog and potentially damage septic systems.
• Don’t Strain Your Drain: Be water efficient and spread out water use. Fix plumbing leaks and install faucet aerators and water-efficient products. Spread out laundry and dishwasher loads throughout the day: too much water at once can overload a system that hasn’t been pumped recently.
• Shield Your Field: Remind guests not to park or drive on a system’s drainfield, where the vehicle’s weight could damage buried pipes or disrupt underground flow.

EPA’s SepticSmart program educates homeowners about proper septic system care and maintenance all year long. In addition, it serves as an online resource for industry practitioners, local governments and community organizations, providing access to tools to educate clients and residents.

For information on SepticSmart Week or tips on how to properly maintain your septic system, visit www.epa.gov/septicsmart.

Often when people hear the word “tuberculosis,” they think of a disease that caused harm decades ago. But tuberculosis, commonly referred to as TB, is still a very real problem in the United States and in Georgia where 335 new cases of TB were reported in 2014. In fact, Georgia ranked fifth highest in the country for newly reported TB cases in 2014. March 24 is World TB and this year’s theme is “End TB.”

“TB is still a threat to public health,” said Coastal Health District Tuberculosis Coordinator, Janice Maxwell, R.N. “We had 18 active TB cases in the Coastal Health District in 2014 and while that may not sound like a lot, it just takes one person with active TB to spread it to others. One of the biggest steps we can take toward ending TB is to educate people about the disease in order to prevent its spread.”

TB is a disease that usually affects the lungs but can attack any part of the body. TB is caused by germs that are spread from person to person through the air when a person with active TB coughs, sneezes, speaks, or sings. Although a relatively small number of people exposed to the disease actually contract the infection, active TB disease can be life threatening if left untreated.

People with active TB disease may spread the TB germs to other persons who are usually individuals with whom they have been with in an enclosed space for a prolonged period of time, such as family members and co-workers. Symptoms of TB include a bad cough that lasts three weeks or longer, pain in the chest, coughing up blood or sputum, weakness or fatigue, weight loss, no appetite, chills, fever, and sweating at night.

Anyone who thinks he has been exposed to TB should contact a healthcare provider or local health department to get tested.

For more information on TB, go to cdc.gov/tb.