1. Susan M Ahlness APRN, BC Nurse Practitioner Sleep y Eye Medical Center Women’s Expo – September 28.2013

3. Childhood Immunizations Birth to age 2 22 vaccinations (Dtap, Hib, Pneumo, HepB, HepA, IPV, MMR, Varicella) 3 oral doses (Rotavirus) Kindergarten 4 vaccinations (Dtap, IPV, MMR, Varicella) 7 th grade 1 or more vaccinations (Dtap) (Does not include annual flu vaccinations)

4. Tetanus, Diptheria and Pertussis (Tdap) Tetanus (Td) Given as a childhood series, then a booster is required every 10 years May give booster early if there is a serious injury or risk of infection

5. Should I get Tdap or Td? Pregnant women are revaccinated with Tdap during pregnancy to prevent transmission of pertussis (whooping cough) to infants Grandparents, daycare workers, etc. should consider a booster with Tdap if caring for infants A small percentage of people have a serious reaction to pertussis vaccine and require Td

6. Zostavax (Shingles) One dose suggested after age 60 About 50% effective in preventing an episode of shingles (herpes zoster) infection Shingles is caused by a reactivation of the chicken pox virus that is dormant in your body Can cause painful, irritating rash almost anywhere on the body. Sometimes the rash causes long-term, severe pain

7. Zostavax (Shingles) Helpful hint: check with your insurance/Medicare before getting the vaccination, as there sometimes are payment or reimbursement issues

8. Pneumococcal (Pneumonia) Primary series given in childhood May be repeated in early adulthood with certain risk factors such as lung disease, diabetes, immune disorders A one-time vaccination, is suggested after age 65

9. Influenza (Flu) Seasonally given in fall of each year Recommended for all over 6 months of age Each year the flu vaccine is different – it is made up of three of four of the flu strains expected to be most prevalent – you need to be revaccinated every year

10. Influenza (Flu) Influenza/Flu is an upper respiratory illness Headache, fever, body aches, cough The “stomach flu” is not prevented by a flu shot – they are two different illnesses! You cannot get Influenza from the vaccination

11. Influenza (Flu) Flu Clinics at SEMC Monday, September 30 Thursday, October 3 Friday, October 4 Tuesday, October 8 Make an appointment with the receptionist

12. Influenza (Flu) Several ways to get protection Injectable (in a muscle) Injectable (intradermal/top layer of skin) Inhaled (nasal) There a special requirements for each type of immunization Age Other medical conditions Availability Check at your clinic to see what is right for you

13. Other Vaccinations MMR (measles, mumps and rubella) Varicella (chicken pox) HPV (human papilloma virus) Meningitis Hepatitis A Hepatitis B Consider updating these vaccines, depending on where you live, where you work, where you are travelling, your age, your health and other factors

14. “When did I get my last tetanus shot?” MIIC – Minnesota Immunization Information Connection – statewide database accessible by providers to check immunization status from any clinic in MN

16. Becoming a non-smoker Nicotine is highly addictive Nicotine affects the brain within 10 seconds of inhaling – faster than any other psychoactive drug For smokers, it is pleasurable and is a very important part of their lives Recognize habits, behavior patterns To become a non-smoker, need to develop new habits and behaviors that take priority over smoking Reinforcement and support during tough times is very important

17. Becoming a non-smoker Motivation – the smoker must want to quit Health Family’s health Personal appearance, odor Financial $7.50 per pack x 365 days = $2737.50 per year x 10 years = $27,375 x 40 years = $109,500

18. Becoming a non-smoker Pharmaceutical aids Nicotine Gum Nicotine Lozenges Nicotine Patches Nicotine inhaler Pills – Chantix Check with your insurance policy for assistance – many of these items can be FREE!

19. Smoking Cessation Classes Freedom From Smoking is a seven week program endorsed by the American Lung Association Group and individual learning Recognition of behavior patterns Goal setting Coaching, support and reward system

20. Freedom From Smoking Classes available at SEMC Check with us for dates and times Three certified instructors Rachel Severson Sandy Domeier Sue Ahlness Available to set up classes at your worksite – just ask!