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Measles Outbreak: Here's what you need to know to protect your child


                                                              Measles Outbreak

Currently in the US, over 25 states have a measles outbreak. All of Europe is having a measles outbreak. In 2018 there were 83,500 cases of measles in Europe and 74 deaths. In the first 2 months of 2019 alone there have been 34,300 cases of measles in Europe. In addition, many other countries throughout the world are having measles outbreaks.

If you are traveling anywhere this summer, please make sure you and your children are protected. The CDC is recommending the following for all International Travel:

For babies 6 months to 11 months old: one dose of MMR (they will still need the routine dose of MMR at 12 months old and 4 years old)

For babies 12 months old and up: 2 doses of MMR given 28 days apart (if they receive both MMR, they will not need the dose at 4 years old)

For adults: please make sure you either have confirmation of 2 MMR or you have your doctor draw titers to make sure you are protected.

If you are traveling in the US, please check the county health clinic where you are traveling to see if they are recommending the above accelerated MMR schedule.

Measles is a devastating illness which can cause complications such as pneumonia and encephalitis (brain infection). One to three out of every 1000 children with measles die.

Please let us know if you have any questions or if your children need an MMR and we can book an appointment for you.

Your doctors of Great Destinations Pediatrics

Toxins in Sunscreen? Avoid Skin Cancer & Toxic Sunscreen

Just as we’re getting our swimsuits, flip flops, and sunscreen ready for another summer, JAMA, Journal of the American Medical Association published a study stating that large amounts of sunscreen ingredients are found in the bloodstream of sunscreen users. The FDA has now ordered sunscreen manufacturers to do safety testing on the chemicals they put in sunscreen. At this point, the FDA is stating they really don’t know the effects these chemicals have on us. However, studies from EWG or Environmental Working Group have cautioned us for years on the use of certain chemicals in sunscreen stating they can potentially cause cancer, hormone disruption (thyroid issues, estrogen or androgen disruption), and birth defects. The following charts break down the chemicals in sunscreen and the research so far.

                                                Safe for use per EWG & FDA:
                                                                Zinc Oxide 
                                                                Titanium Dioxide
                                                                Mexoryl SX (pending FDA approval)

                                                Avoid use per EWG & caution/avoid per FDA:
                                                                Avobenzone?? (needs further study)

To read the full EWG study check out the following link: https://www.ewg.org/sunscreen/report/the-trouble-with-sunscreen-chemicals/

If you have a smart phone, download the EWG Healthy Living Skin Deep and Food Scores app. You can scan sunscreen bar codes to figure out what is the safest, most effective sunscreen to buy.
Now that you know what sunscreen to purchase, the following excerpt from my Luca article published Summer, 2017 outlines why you still need to use sunscreen and how to use it properly.
Did you know, according to the National Cancer Institute:
  • In the past 30 years melanoma (the deadly kind of skin cancer) has tripled in the U.S.
  • The incidence of melanoma in teens is increasing by 2.9% every year.
  • In 2016, 10,000 Americans died of melanoma.
  • The American Cancer Society estimates over two million Americans get skin cancer each year, usually the nonfatal forms--basal and squamous cell cancer.
  • Children and teens who get five or more sunburns or have intermittent intense exposure to the sun are twice as likely to get melanoma
  • Squamous cell and basal cell carcinoma increases by more than 60% for those who use tanning beds in college and/or high school.
  • In 2009, the World Health Organization declared that the ultraviolet light emitted from tanning beds is a carcinogen.
  • The most important risk factor for basal cell cancer of the skin is exposure to ultraviolet radiation in sunlight or tanning beds especially in childhood or teen years.
  • According to a study published in The Archives of Dermatology, both squamous and basal cell carcinoma can be reduced by almost 80% with aggressive sun protection before eighteen years old.
Here’s what you can do to prevent skin cancer:
  1. Never use tanning beds-surely I’ve convinced you of this!
  2. Avoid midday sun exposure when the sun is most intense, usually between 10 a.m. and 4 p.m.
  3. Seek shade when possible.
  4. Wear hats, sunglasses, and photo protective clothing with a UPF rating 25 or more.
  5. Apply sunscreen lip balm SPF 30.
  6. Use sunscreen with an SPF rating of 30 or higher that is broad spectrum meaning it has UVA and UVB protection.
  7. Apply sunscreen fifteen to thirty minutes before you go out and reapply every one to two hours or after swimming.
  8. Use enough sunscreen. Follow the teaspoon rule:
1 teaspoon for your face and neck
2 teaspoons for your front and back
1 teaspoon to each arm
2 teaspoons to each leg
  1. Avoid sunscreen sprays. Sprays may be quick but you risk inhaling unhealthy chemicals and you may miss protecting areas of your skin which will then increase your skin cancer risk.
By Dr. Karen Prentice D.O. F.A.A.P.
Excerpt from original publication Luca Magazine Summer 2017
To read full Luca article and more from the author go to www.anappleadaythedoctorsway.com

Screen Time




Label Mix-Up Prompts Montelukast Recall

Camber Pharmaceuticals is recalling one lot of montelukast sodium tablets because the bottles are labeled "montelukast sodium tablets, 10-mg, 30-count" but actually contain 90 tablets of losartan potassium, 50 mg.

"This tablet mix-up may pose a safety risk as taking losartan tablets when not prescribed has the potential to cause renal dysfunction, elevated potassium levels and low blood pressure," the US Food and Drug Administration (FDA) warns in a news release.

"This risk is especially high for pregnant women taking the allergy and asthma medication montelukast because losartan, which is indicated to treat high blood pressure, could harm or kill the fetus," the FDA says.

The lot number for the recalled product is MON17384, the expiration date is 12/31/2019, and the national drug code is 31722-726-30.

"We want to ensure that patients who take montelukast are aware of this recall due to the serious risks associated with taking losartan in its place," said Donald Ashley, director of the Office of Compliance in the FDA's Center for Drug Evaluation and Research. "Patients who take prescription drugs expect and deserve to have the medication their doctor prescribed."

The FDA is asking patients to contact their healthcare provider or pharmacist to determine whether their montelukast medication has been recalled.

To date, Camber has not received adverse event reports associated with this recall. The FDA encourages healthcare professionals and consumers to report adverse events to the FDA's MedWatch Adverse Event Reporting Program.

This recall is not related to the recent valsartan recalls that were due to an impurity, N-nitrosodimethylamine.