AffinityHealthyStreets

A
MEMBER
NEWSLETTER
OF
AFFINIT Y
HEALTH
PL AN
Summer/Verano 2009
HealthyStreets
Affinity
4
Checklist for
growing children
Lista de control
para los niños
crecientes
Smart fun in the
7
Bone health
for teens
Salud en los
huesos para
adolescentes
10
Oh, my aching
back!
Oh, mi dolor de
espalda!
summertime
Tips to safely enjoy the season
S
ummer’s here and the time is right for…
safety! This season, when you step out
to have fun, be summer smart with our
Healthy Streets tips. You and your family will enjoy
yourselves this summer, and for many summers to
come.
Sunny days bring harmful rays
Summer safety starts with taking care in the
sun. Protect yourself from ultraviolet (UV) rays that
can hurt you. They can cause painful sunburn. Bad
sunburns can cause skin cancer.
Always wear sunscreen. Use at least an SPF 15.
Put sunscreen on at least 20 minutes before you
leave the house. Put it on again every 2 hours.
Stay out of the sun between 11am and 4pm
when the sun’s rays are the strongest.
Wear sunglasses and sunhats. Make sure the
sunglasses block UV rays. Wear lightweight
clothing.
People of color can get sunburned, too.
Don’t let yourself get too hot. And watch out
for the kids! It’s easy to get heat exhaustion. That
happens when your body can’t cool itself fast
enough. Heat stroke is more serious. You stop
sweating and your body gets very, very hot.
This is a medical emergency. Get help as soon
as possible.
Drink lots of water.
continued page 3
AffinityHealthyStreets
A
M E M B E R
N E W S L E T T E R
Diversión en
el tiempo de
Consejos para
disfrutar de una
manera segura esta
temporada
H
a llegado el verano y la temporada es buena
para….. Seguridad! Este verano cuando usted
salga a divertirse, sea inteligente y utilize
los consejos de nuestro Healthy Streets. Usted y su
familia disfrutarán este verano, y muchos más por
venir.
Los días soleados traen rayos dañinos
La seguridad en el verano comienza
protegiéndose del sol. Protéjase de los rayos
ultravioletas (UV) que pueden causarle mucho daño.
Pueden provocarle dolorosas quemaduras. Estas
quemaduras pueden causar cáncer de la piel.
Siempre use protector solar. Use por lo menos
un SPF15. Colóquese el protector solar por lo
menos 20 minutos antes de salir de su casa.
Y vuelva a colocárselo cada dos horas.
Manténgase fuera del alcance del sol entre las
11am y las 4pm que es cuando el sol está mucho
más fuerte.
Use gafas de sol y sombreros. Asegúrese de que
sus gafas tengan un bloqueador de rayos
ultravioletas (UV). Use ropa ligera.
Las personas de piel oscura pueden obtener
quemaduras también.
Evite sentirse muy caliente. Y cuide sus niños! Es
muy fácil obtener una (Heat exhaustion)
insolación. Esto ocurre cuando su cuerpo tarda
en retener el frío. Un (Heat Stroke), es algo
mucho mas serio. Usted deja de sudar y su
cuerpo se pone muy, pero muy caliente. Esto
es una emergencia medica. Obtenga ayuda lo
antes posible.
Tome mucha agua.
2
Summer/Verano 2009
O F
A F F I N I T Y
H E A L T H
P L A N
verano
Diversión en el agua
Cada verano, miles de personas mueren
ahogadas en U.S.A. Muchas de estas personas son de
piel oscura. Cuídese. Siga estos consejos.
Nunca nade solo. Trate de nadar solamente
donde haya un salvavidas.
Nunca tome alcohol o consuma drogas mientras
esté nadando o en un bote.
Aunque haya un salvavidas, vigile sus niños.
Los salvavidas están observando a muchas
personas al mismo tiempo. Esté listo para actuar
rápidamente cuando sus niños estén dentro
del agua.
Aun si sus niños han tomado clases de natación,
todavía manténgase vigilándolos.
Asegúrese de saber cuan profunda está el
agua antes de saltar o nadar. Usted puede resultar
seriamente herido si salta o nada y el agua no
está lo suficientemente profunda. Especialmente
los adolescentes los cuales son muy vulnerables.
Tome una clase de primeros auxilios (CPR).
Para saber más sobre clases gratis de natación
para niños y adultos, llame al Departamentos
de Parques y Recreación de la Ciudad de NY,
al 1-718-760-6969.
Deje los fuegos artificiales a los Expertos
En el Estado de Nueva York, es ilegal comprar
o usar fuegos artificiales. Los fuegos artificiales de su
ciudad son divertidos, bonitos y lo mejor de todo,
seguros. Y también usted puede encontrarse con
sus amigos cuando hacen una exposición de fuegos
artificiales.
Piense antes de comer
El verano es también el mejor momento para
hacer picnic. ¿Sabe usted como servir su comida
para que nadie se enferme cuando coma? Aquí le
mostramos algunos consejos que puede seguir para
comer saludable y seguro en la temporada del verano:
Lávese las manos, lave todas las superficies donde
va a cocinar. Lave todos los utensilios de cocina
con agua caliente y con jabón antes y después de
preparar las comidas.
Cocine bien sus comidas. Use un termostato de
cocinar para asegurarse que las carnes queden
bien cocidas.
Trate de servir las comidas calientes, calientes
y las frías, frías. Coloque inmediatamente en el
refrigerador toda la comida que le sobre.
No deje la comida afuera por más de 2 horas.
Si la temperatura afuera está a más de 90°, solo
debe dejarla por una hora. Mantenga la comida
fuera del alcance directo del sol.
Lave las frutas y vegetales.
No olvide sus mascotas
Las mascotas también aman el verano. Ayúdeles
a combatir el calor.
Mantenga su mascota vigilada todo el tiempo.
Nunca deje su mascota desatendida dentro de un
carro, aun con las ventanas abiertas la
temperatura en los carros puede subir hasta 100°
en 10 minutos.
Mantenga los gatos dentro de la casa.
Si su perro está afuera en un día caliente,
asegúrese que tenga un lugar sombrío para
descansar. Las casas de perros conservan
mucho calor.
Siempre déle mucha agua fría, o fresca.
Las aceras y la arena caliente pueden quemarle
las patas a su perro.
En los días muy calientes ejercite su perro
levemente. Haga ejercicios temprano en la
mañana o en el atardecer, que es cuando el sol
está menos caliente.
Mantenga su mascota alejada de jardines y
gramas que tengan fertilizantes.
Los perros también se queman con el sol.
Coloque bloqueador solar en las orejas y nariz de
su mascota 30 minutos antes de salir.
Tenga cuidado con las piscinas y playas. El nadar
es un trabajo difícil y puede ser que su mascota
se canse.
A
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N E W S L E T T E R
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A F F I N I T Y
H E A L T H
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AffinityHealthyStreets
Summertime (cover story continued)...
Fun in the Water
Each summer, a few thousand people in the U.S.
drown. Many of those who drown are people of
color. Be safe. Follow these tips.
Never swim alone. Swim only where there is a
lifeguard.
Never drink or take drugs when you are
swimming or boating.
Even if there is a lifeguard, watch your children.
Lifeguards are watching many people at the
same time. Be ready to act quickly when your
child is in the water.
Even if your children have had swimming
lessons, you still have to watch them.
Make sure you know how deep the water is
before you jump or dive. You can get seriously
hurt if you jump or dive into water that is not
deep enough. Teens are especially vulnerable.
Take a CPR class.
To find out about free swimming lessons
for children and adults, call the New York City
Department of Parks & Recreation
at 1-718-760-6969.
Leave the Fireworks to the Experts
In New York State, it is illegal to buy or use
fireworks. Your town’s fireworks are fun, beautiful,
and most of all safe. Plus you get to see all your
friends at the fireworks.
Think Before You Eat
Summer is also the time for picnics. Do you
know how to handle food so no one gets sick eating
it? Here are tips on how to handle food safely in the
summertime:
Wash your hands, cooking surfaces, and cooking
tools in hot, soapy water before and after you
prepare the food.
Cook foods enough. Use a cooking
thermometer to make sure meat and poultry
are done.
Serve hot food hot and cold foods cold. Put all
leftovers in the fridge or cooler right away.
Don’t leave food out for
more than 2 hours.
If it is hotter
than 90º
outside,
only leave
the food
out for 1
hour. Keep the
food out of the
direct sun.
Wash the outside of
fruits and vegetables.
Cool ways to a safer summer
S
taying cool is one way to keep healthy this summer. For some people,
including adults aged 65 and older, high heat is more risky. In New York
City, Cooling Centers are available for those at risk. To find a center
near you, call 311 or go to www.nyc.gov/html/oem/html/hazards/heat_cooling.
shtml.
Also, the city’s Cooling Assistance Program provides free air conditioners
for eligible residents over 60 with certain health conditions. To apply, call 311.
To see if your income makes you eligible, go to www.otda.state.ny.us/main/heap
or call 1-800-342-3009. (TTY: 1-866-875-9975)
Remember Your Pets
Pets love the summer, too. Help them beat the
heat.
Keep your pet leashed at all times.
NEVER leave a pet unattended in a parked car.
Even with the windows open the temperature in
the car can climb to over 100º in 10 minutes.
Keep your cat indoors.
If your dog is outside on a hot day, make sure
he has a shady spot to rest in. Doghouses can
get hot too.
Always give plenty of cool, fresh water.
Hot sidewalks or sand can burn your pet’s paws.
Exercise your dog lightly on very hot days.
Get exercise in the early morning or
evening. The sun is less hot then.
Keep your pet away from
lawns and gardens that
have been fertilized. Check
your pet for ticks.
Dogs get sunburned, too.
Put sunblock on your pet’s ears and
nose 30 minutes before you go outside.
Be careful in pools or in the ocean.
Swimming is hard work and your pet
may get tired.
Diferentes maneras de mantenerse
frescos en el verano
E
l estar a buena temperatura en el verano es una forma de mantenerse
saludable. Para algunas personas, incluyendo los adultos mayores de 65
años, las temperaturas altas son un riesgo. En la Ciudad de Nueva York,
hay centros de enfriamientos disponibles. Para encontrar un centro cerca de
usted, llame al 311 o visite la página de Internet www.nyc.gov/html/oem/html/
hazards/heat_cooling.shtml.
Además, los programas de asistencia de enfriamiento proveen el servicio de
aire acondicionado gratis a residentes elegibles mayores de 60 años. Para aplicar,
llame al 311. Para ver si es elegible de acuerdo a sus ingresos, visite la página de
Internet www.otda.state.ny.us/main/heap o llame al 1-800-342-3009.
(TTY: 1-866-875-9975)
All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos.
Summer/Verano 2009
3
AffinityHealthyStreets
A
M E M B E R
N E W S L E T T E R
O F
A F F I N I T Y
H E A L T H
P L A N
Early Intervention Program: Get Help For Your Child
T
he Early Intervention Program (EIP) is a
program run by New York State. It gives
special health services to children under three
years old and their families. If your doctor has told
you your child has a disability or is growing slowly,
ask about the EIP program. Get help early.
Here are 6 basic steps to the program:
Step 1 – Referral
Your doctor can refer you to the Early Intervention
Program. You can also get in touch with EIP yourself.
Step 2 – Initial Service Coordinator
This person will tell you about the program. S/he will
talk to you about what the next steps are.
Step 3 – Evaluation
The coordinator will make sure the program is right
for your child. S/he will start a plan for your child.
This plan is called the Individualized Family Service
Plan (IFSP).
Step 4 – The IFSP Meeting
An Early Intervention Officer (EIO) will work with
you to finish the plan for your child and the family.
You will find out who you will work with for the rest
of the program.
Step 5 – Review
After six months, you and your coordinator will see
if your plan is working. You will make changes if the
plan is not working. You will review the plan again
after one year.
Step 6 – Transition
This step helps you plan for a move to another
program. Your child might need other services or will
become too old for the program.
If you think your child needs extra help, talk
to your doctor. You can call the program yourself at
1-800-522-5006. In New York City, call 311.
Source: The Early Intervention Program: A Parent’s Guide;
Revised 12/04
Checklist for Growing Children
Here’s what you can expect your child to be doing from birth to age three. If you have concerns about your baby’s development, call your local Early Intervention Program.
3 months
6 months
12 months
18 months
2 years
3 years
At three months of age,
most babies:
At six months of age,
most babies:
At 12 months of age,
most babies:
At 18 months of age,
most children:
At two years of age,
most children:
At three years of age,
most children:
turn their heads toward
bright colors and lights
■
move both eyes in the same
direction together
■
■
recognize bottle or breast
■
■
respond to their mother’s
voice
■
make cooing sounds
■
■
■
follow moving objects with
their eyes
■
get to a sitting position
■
like to push and pull objects
■
pull to a standing position
■
say at least six words
turn toward the source of
normal sound
■
stand briefly without support
■
■
reach for objects and pick
them up
■
crawl
follow simple directions
(“Bring the ball”)
■
imitate adults using a cup or
telephone
■
pull off shoes, socks
and mittens
■
play peek-a-boo and patty
cake
■
can point to a picture that
you name in a book
■
wave bye-bye
■
feed themselves
■
put objects in a container
■
make marks on paper
with crayons
■
turn two or three pages
together
■
walk without help
■
like to imitate their parent
■
walk backwards
■
■
point, make sounds or try to
use words to ask for things
identify hair, eyes, ears and
nose by pointing
■
build a tower of four blocks
■
say “no,” shake their head
or push away things they
don’t want
■
show affection
■
switch toys from one hand
to the other
bring their hands together
■
play with their toes
■
wiggle and kick with arms
and legs
■
help hold the bottle
during feeding
lift head when on stomach
■
recognize familiar faces
■
■
say at least one word
become quiet in response to
sound, especially to speech
■
imitate speech sounds
■
■
respond to soft sounds,
especially talking
make “ma-ma” or “da-da”
sounds
■
roll over
■
■
smile
■
throw a ball overhand
■
ride a tricycle
say about 50 words
■
put on their shoes
■
recognize familiar pictures
■
open the door
■
kick a ball forward
■
turn one page at a time
■
feed themselves with
a spoon
■
play with other children for
a few minutes
■
demand a lot of your
attention
■
repeat common rhymes
■
use three-to-five-word
sentences
■
name at least one
color correctly
■
use two-to-three-word
sentences
If your child is having trouble doing some of these things, it may put your mind at ease to talk to someone. Early help makes a difference!
Talk with your doctor or call your local Early Intervention Program.
Source: Brochure - Early Help Makes a Difference NYSDOH 11/08
4
Summer/Verano 2009
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A
M E M B E R
N E W S L E T T E R
Programa de intervención temprana: Obtenga
ayuda para su niño
E
l programa de intervención temprana (EIP) es
un programa dirigido por el Estado de Nueva
York. Le ofrece servicios de salud especiales
a niños menores de tres años de edad y sus familias.
Si su doctor le ha dicho que su niño tiene alguna
inhabilidad o está creciendo lentamente, pregúntele
sobre el programa EIP. Obtenga ayuda temprano!
Aquí le mostramos 6 pasos básicos de éste
programa:
Paso 1 – Referido
Su doctor puede referirlo al programa de intervención
temprana. Usted también puede ponerse comunicarse
con EIP por usted mismo.
Paso 2 – Coordinador de Primeros Servicios
Esta persona le dará información sobre el programa.
Ella/El hablaran con usted sobre cuales son los
siguientes pasos que debe seguir.
Paso 3 – Evaluación
El coordinador se asegurará de que este programa
sea el correcto para su niño. El/Ella comenzará un
plan para su niño. Este plan es conocido como Plan
Familiar de Servicios Individualizados. (IFSP).
Paso 4 – La reunión del IFSP
Un Oficial de Intervención Temprana (EIO) trabajará
con usted para coordinar el plan para su niño y su
familia. Usted sabrá con quien estará trabajando hasta
finalizar el programa.
Paso 5 – Revisión
Después de seis meses, usted y su coordinador
deberán revisar si su plan está funcionando. De no
ser así, usted deberá hacer algunos cambios. Usted
revisará su plan nuevamente después de un año.
Paso 6 – Transición
Estos pasos le ayudaran a planificar como podrá
cambiar a otro programa. Su niño tal vez necesite de
otros servicios o ya estará fuera de la edad para este
programa.
Si usted cree que su niño necesita ayuda
adicional, hable con su doctor. Usted puede llamar
el programa usted mismo al 1-800-522-5006. En la
Ciudad de Nueva York, llame al 311.
Fuente de información: The Early Intervention Program: A
Parent’s Guide; Revised 12/04
O F
A F F I N I T Y
H E A L T H
P L A N
AffinityHealthyStreets
Keep Your Child Safe from Lead Poisoning
Tips to stop lead poisoning:
Test all children ages 1 and 2 years for lead.
Wash your children’s hands (always before eating
and sleeping).
Wash your children’s toys.
Clean your house often. Use paper towels.
Keep children away from peeling paint.
Tell your landlord about any peeling paint in your house. Your landlord must get rid of
the paint.
Cover loose paint. Use contact paper or
duct tape.
Run water for 15 to 30 seconds before using it.
Use cold water for cooking and making baby
formula.
Products from other countries can have lead
in them.
Feed your children good food. These foods make
it harder for lead to get into your child’s body:
• foods with a lot of iron (meat)
• calcium (milk, yogurt)
• vitamin C (oranges) • foods low in fat
Does your home have lead in it? Call the New
York City Department of Health’s Lead Poisoning
Hotline: 212-226-5323 (212-BAN-LEAD).
Mantenga sus niños a salvo de
envenamiento por plomo
Consejos en como detener el
envenenamiento por plomo:
Hágale la prueba del plomo a todos los niños de
1 y 2 años de edad.
Lave las manos de sus niños (siempre antes de
comer y dormir).
Lave los juguetes de sus niños.
Limpie su casa frecuentemente. Use servilletas.
Mantenga sus niños alejados de la pintura que se
quitan fácilmente de las paredes.
Informe al dueño de su vivienda de cualquier
pintura que se esté despendiendo en su casa. El
dueño deberá remover esa pintura.
Cubra cualquier pintura que se esté despegando.
Use cinta pegante o papel.
Deje correr el agua por 15 o 30 segundos antes
de usarla.
All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos.
Use agua fría para cocinar y hacer la formula de
su bebe.
Productos de otros países pueden contener
plomo.
Alimente a sus niños con buena comida. Las
siguientes comidas pueden hacer que el cuerpo
de sus niños sea mas saludable y no permitan el
fácil acceso del plomo en sus cuerpos:
• alimentos con mucho hierro (carnes)
• calcio, (leche, yogurt)
• vitamina C (Naranjas)
• comidas bajas en grasas
¿Su casa tiene plomo? Llame a la línea de salud
al departamento De envenamiento por plomo de la
Ciudad de Nueva York: 212-226-5323 (212-BANLEAD).
Summer/Verano 2009
5
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A
M E M B E R
N E W S L E T T E R
Vaccinations
T
he American Academy of Pediatrics (AAP) advises you to
give your children the vaccinations shown on the charts at
right. Shots may vary from year to year. Your doctor will
tell you which shots your child should have.
Vaccines are very safe. It is safer to get a shot than get the
illness. Vaccines keep your child healthy and stop the spread of
illness.
Take this chart with you the next time you take your child to
the doctor. The doctor will answer any questions you may have
about the shots and when your child should get them.
Vacunas
L
a Academia Americana de Pediatría (AAP) le aconseja
suministrarles a sus niños las vacunas mostradas en el
siguiente cuadro. Las vacunas pueden variar cada año. Su
doctor le dirá cual de las vacunas su niño necesita.
Las vacunas son muy seguras. Es mas seguro vacunarse que
enfermarse. Las vacunas mantienen a sus niños saludables y les
previene de cualquier enfermedad.
Lleve ésta lista con usted la próxima vez que usted lleve
su niño al doctor. El doctor contestará cualquier pregunta que
pueda tener sobre las vacunas y cuando su niño debe obtenerlas.
O F
A F F I N I T Y
H E A L T H
P L A N
Recommended Immunization Schedule for Persons Aged 0 Through 6 Years—United States • 2009
For those who fall behind or start late, see the catch-up schedule
Vaccine 
Age 
Birth
HepB
1
Hepatitis B
2
1
month
2
4
6
12
15
18
19–23
months months months months months months months
see
footnote 1
HepB
RV
Rotavirus
3
RV
RV
see
footnote 3
DTaP
DTaP
DTaP
DTaP
Hib
Hib
Hib
Hib
Pneumococcal
5
PCV
PCV
PCV
PCV
Inactivated Poliovirus
IPV
IPV
4
4–6
years
2
Haemophilus influenzae type b
Diphtheria, Tetanus, Pertussis
2–3
years
HepB
4
DTaP
PPSV
IPV
IPV
Range of
recommended
ages
Certain
high-risk
groups
T
Influenza (Yearly)
Influenza6
MMR
see footnote 7
MMR
Varicella
see footnote 8
Varicella
7
Measles, Mumps, Rubella
8
Varicella
HepA (2 doses)
9
Hepatitis A
HepA Series
MCV
10
Meningococcal
This schedule indicates the recommended ages for routine administration
the series. Providers should consult the relevant Advisory Committee on
of currently licensed vaccines, as of December 1, 2008, for children aged
Immunization Practices statement for detailed recommendations, including
high-risk conditions: http://www.cdc.gov/vaccines/pubs/acip-list.htm.
0 through 6 years. Any dose not administered at the recommended age
United States
• 2009
should be administered at a subsequent visit, when indicated and feasible.
Clinically significant adverse events that follow—
immunization
should
Licensed combination
vaccines
may
be
used
whenever
any
component
be
reported to the
Vaccine
Adverse
Event Reporting
System (VAERS).
For those who fall behind or start late, see the schedule
below
and
the catch-up
schedule
of the combination is indicated and other components are not contraindicated
Guidance about how to obtain and complete a VAERS form is
and if approved by the Food and Drug Administration for that dose of
available at http://www.vaers.hhs.gov or by telephone, 800-822-7967.
Recommended Immunization Schedule for Persons Aged 7 Through 18 Years
Vaccine 
Age 
7–10 years
11–12 years
13–18 years
•AdministerPPSVtochildrenaged2yearsorolderwithcertainunderlying
1. Hepatitis B vaccine (HepB). (Minimum age: birth)
medical conditions (see MMWR2000;49[No.RR-9]),includingacochlear
At birth:
Tdap
see footnote 1
Tdap
Tetanus, Diphtheria, Pertussis1
implant.
•AdministermonovalentHepBtoallnewbornsbeforehospitaldischarge.
Range of
6. Influenza vaccine. (Minimum age: 6 months for trivalent inactivated
•IfmotherishepatitisBsurfaceantigen(HBsAg)-positive,administerHepB
2
Seriesinfluenza vaccine
see footnote 2
HPV
(3 doses)
Human
Papillomavirus
recommended
influenza
vaccine [TIV]; 2 years forHPV
live, attenuated
[LAIV])
and0.5mLofhepatitisBimmuneglobulin(HBIG)within12hoursofbirth.
ages
•Administerannuallytochildrenaged6monthsthrough18years.
•Ifmother’sHBsAgstatusisunknown,administerHepBwithin12hoursof
3
MCV
MCV
MCV
birth.Determinemother’sHBsAgstatusassoonaspossibleand,if
•Forhealthynonpregnantpersons(i.e.,thosewhodonothaveunderlying
Meningococcal
HBsAg-positive,administerHBIG(nolaterthanage1week).
medical conditions that predispose them to influenza complications) aged
2 through
49 years, either LAIV or TIV may be used.
4
After
the birth
dose:
Influenza
(Yearly)
Influenza
•ChildrenreceivingTIVshouldreceive0.25mLifaged6through35months
•TheHepBseriesshouldbecompletedwitheithermonovalentHepBora
Catch-up
or0.5mLifaged3yearsorolder.
combinationvaccinecontainingHepB.Theseconddoseshouldbe
5
Pneumococcal
PPSV
immunization
administered at age 1 or 2 months. The final dose should be administered
younger
•Administer 2 doses (separated by at least 4 weeks) to children aged
no earlier than age 24 weeks.
than 9 years who are receiving influenza vaccine for the first time or who
6
HepA
Series
were
vaccinated
for
the
first
time
during
the
previous
influenza
season but
Hepatitis
A
•
InfantsborntoHBsAg-positivemothersshouldbetestedforHBsAgand
only received 1 dose.
antibodytoHBsAg(anti-HBs)aftercompletionofatleast3dosesofthe
HepBseries,atage9through18months(generallyatthenextwell-childvisit).
HepB
Series
7.
Measles,
mumps, and rubella vaccine (MMR). (Minimum age:Certain
12 months)
Hepatitis
B7
4-month dose:
•Administertheseconddoseatage4through6years.However,thesecond
high-risk
•Administrationof4dosesofHepBtoinfantsispermissiblewhencombination
dose
may be administered before age 4, provided at least 28 days
have
8
groups
IPV
Series
Inactivated
Poliovirus
vaccinescontainingHepBareadministeredafterthebirthdose.
elapsed since the first dose.
2. Rotavirus vaccine (RV). (Minimum
age: 6 weeks)
8.
Varicella
vaccine. (Minimum age: 12 months)
MMR
Series
Measles, Mumps, Rubella9
•Administerthefirstdoseatage6through14weeks(maximumage:
•Administertheseconddoseatage4through6years.However,thesecond
14 weeks 6 days). Vaccination should not be initiated for infants aged
dosemaybeadministeredbeforeage4,providedatleast3monthshave
10
Varicella
15 weeks or older (i.e., 15 weeks 0 days or older).
Varicella
elapsed Series
since the first dose.
•Administerthefinaldoseintheseriesbyage8months0days.
•Forchildrenaged12monthsthrough12yearstheminimuminterval
®
schedule
the at
recommended
ages for
routine
thebetweendosesis3months.However,iftheseconddosewasadministered
series. Providers should consult the relevant Advisory Committee on
is indicates
administered
ages 2 and 4 months,
a dose
at 6administration
months is
This
•IfRotarix
at least 28 days
after the
first dose,for
it can
be accepted
as valid.
Practices
statement
detailed
recommendations,
including
of currently
licensed vaccines, as of December 1, 2008, for children aged Immunization
not indicated.
7 through 18 years. Any dose not administered at the recommended age 9.high-risk
http://www.cdc.gov/vaccines/pubs/acip-list.htm.
Hepatitis conditions:
A vaccine (HepA).
(Minimum age: 12 months)
3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP).
should
be
administered
at
a
subsequent
visit,
when
indicated
and
feasible.
Clinically
significant
adverse
events
that
follow
immunization
should
•Administertoallchildrenaged1year(i.e.,aged12through23months).
(Minimum age: 6 weeks)
combination vaccines may be used whenever any component of
beAdminister
reported 2todoses
the Vaccine
Event Reporting System (VAERS).
at least 6 Adverse
months
Licensed
•Thefourthdosemaybeadministeredasearlyasage12months,provided
—apart.
about how to obtain and complete a VAERS form is
theatcombination
is indicated
andsince
otherthe
components
least 6 months
have elapsed
third dose. are not contraindicated Guidance
•
C
hildrennotfullyvaccinatedbyage2yearscanbevaccinatedat
Theif table
below
and minimum
intervals
between
for children whose vaccinations
have800-822-7967.
been delayed. A vaccine
atdoses
http://www.vaers.hhs.gov
or by telephone,
approved
byprovides
the Foodcatch-up
and Drugschedules
Administration
for that dose
of available
subsequent
visits.
and
•Administerthefinaldoseintheseriesatage4through6years.
series does not need to be restarted, regardless of the time that has
elapsed between doses. Use the section appropriate for the child’s age.
•HepAalsoisrecommendedforchildrenolderthan1yearwholiveinareas
4. Haemophilus influenzae type b conjugate vaccine (Hib).
CATCH-UP
SCHEDULE
FOR
PERSONS
AGED
4
MONTHS
THROUGH
6
YEARS
where
vaccination
programs
target
older
children
or
who
are
at
increased
1.(Minimum
Tetanus age:
and 6diphtheria
toxoids and acellular pertussis vaccine
5. Pneumococcal polysaccharide vaccine (PPSV).
weeks)
of infection.
MMWR
2006;55(No.
RR-7).
®
(Minimum age:®10
yearsMinimum
for BOOSTRIX
Minimum
Interval
Between
Doses
•risk
Administer
toSee
children
with
certain underlying
medical conditions
Age ® and 11 years for ADACEL®)
•(Tdap).
IfPRP-OMP(PedvaxHIB
orComvax
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•2 Administer
at aage
11ator
126years
foris1those
who have
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the
and 4 months,
dose
age
months
not indicated.
(see
MMWR
1997;46[No.
RR-8]),
including
a
cochlear
implant.
for Dose
10.
Meningococcal
vaccine.
(Minimum
age:
2
years
for
meningococcal
Dose 1 to Dose 2
Dose 2 to Dose 3
Dose 3 to Doseconjugate
4
Dose 4 to Dose 5
®
vaccine
[MCV]
and for meningococcal
vaccine
[MPSV]) with
recommended
childhood DTP/DTaP vaccination series and have
A single
revaccination
should polysaccharide
be administered
to children
(DTaP/Hib)shouldnotbeusedfordosesatages2,4,or6months
•TriHiBit
8 weeks
•AdministerMCVtochildrenaged2through10yearswithterminalcomplement
4orweeks
Hepatitis
B1used aastetanus
not
received
booster
dose.
functional
anatomic
asplenia
or other immunocompromising
but
can
be
the finaland
dosediphtheria
inBirth
childrentoxoid
aged 12(Td)
months
older.
(and at or
least
16 weeks after
first dose)
component
deficiency,
anatomic
or
functional
asplenia,
and
certain
other
condition
after
5
years.
• Persons
aged
13 through
18 years
have
not receivedconjugate
Tdap
5. Rotavirus
Pneumococcal
vaccine.
(Minimum
6who
weeks
for pneumococcal
2
high-risk groups. 4
See
MMWR2 2005;54(No. RR-7).
4 weeks
weeks
6age:
wks
should
receive
a dose.
vaccine
[PCV];
2 years
for pneumococcal polysaccharide vaccine [PPSV])
6. Hepatitis A vaccine (HepA).
A 5-yearTetanus,
intervalPertussis
from the3last6Td
dose is encouraged
Tdap is •PersonswhoreceivedMPSV3ormoreyearspreviouslyandwhoremain
Diphtheria,
••PCVisrecommendedforallchildrenagedyoungerthan5years.
4 when
weeks
4 weeks
6 months3
wks
•atincreasedriskformeningococcaldiseaseshouldberevaccinatedwithMCV.
Administer 2 doses
at least 6 months apart. 6 months
used as a1booster
dose;
however,
a shorter
interval
may be
Administer
dose of PCV
to all
healthy children
aged
24 through
59 used if
4 children older than 1 year who live in
• HepA is recommended
4 weeksfor
pertussis
is needed.
months
whoimmunity
are not completely
vaccinated for their age. 4 weeks
whereage
vaccination
programs
if current
is younger than
12 monthstarget older children or who are
if first dose administered at younger than areas
4 MMWR
2.
papillomavirus
vaccinefor(HPV).
age:
9 years)
increased
riskon
of(as
infection.
See
RR-7).
8 2006;55(No.
weeks (as final
dose)
age
12
months
TheHuman
Recommended
Immunization Schedules
Persons (Minimum
Aged 0 Through
18 Years
are approved by the at
Advisory
Committee
Immunization
Practices
(www.cdc.gov/vaccines/recs/acip),
8 weeks
final dose)
• Administer the the
firstAmerican
dose toAcademy
females
age 11(http://www.aap.org),
12 years.
This dose only necessary for
if current
age
is 12Physicians
months
or (http://www.aafp.org).
older and
of at
Pediatrics
the American
Academy
of
Family
8orweeks
(as finaland
dose)
7. Hepatitis
B
vaccine
(HepB).
Haemophilus
children aged 12 months through
second
dose administered
at
younger
than
• Administer the4second
dose 26months
after
first
dose Services
and
the12-14
wks
Department
of Health
and
Human
• Centers
for
Disease
Control
and
Prevention
if firstthe
dose
administered
at age
months
• Administer theage
3-dose
series to those not
previously
vaccinated.
influenzae
type
b
59 months
who received
3 doses
15 months
third dose
6 months
after the first dose (at No
leastfurther
24 weeks
after the
doses
needed • A 2-dose series (separated by at least 4 months)
beforeofage
12 months
adult
formulation
No further
doses needed
first dose).
if first dose administered at age
®
Recombivax
licensed at
forage
children aged 11 through 15 years.
if previousHB
doseisadministered
months
• Administer the series to females at age 13 through1518
yearsor ifolder
not
Catch-up Immunization Schedule for Persons Aged 4 Months Through 18 Years
Who Start Late or Who Are More Than 1 Month Behind United States • 2009
Vaccine
CS103164
15 months or older
previously vaccinated.
8. Inactivated poliovirus vaccine (IPV).
4 weeks
received an all-IPV or all-oral poliovirus (OPV) series,
if first dose administered at younger than • For children who
3. Meningococcal conjugate vaccine (MCV).
4 weeks
a fourth
dose
necessary
if the third8dose
was administered
age 12
weeks
(as final dose) at
if current
ageisis not
younger
than 12 months
• Administer at age 11 or 12 years, or at age 13 through
18months
years if
age 4 years or older.
This dose only necessary for
8 weeks
not previously vaccinated.
8 weeks
children
aged
12
months athrough
•
If
both
OPV
and
IPV
were
administered
as
part
of
a
series,
total of
6
wks
(as final
dose for living
healthyin
children)
(as final dose for healthy children)
5 previously unvaccinated college
• Administer to
freshmen
Pneumococcal
59 months
received
3 doses
should
beis administered,
of thewho
child’s
current
age.
if first dose administered at age 12 months or 4 doses
if current
age
12 months or olderregardless
a dormitory.
before age 12 months or for
older or current age 24 through 59 months
No mumps,
further and
doses
needed
high-risk children who received
• MCV is recommended for children aged 2 through 10 years with
9. Measles,
rubella
vaccine (MMR).
No
further
doses
needed
for healthy children if previous dose
3 doses
at any
age
terminal complement component deficiency,
anatomic
or
functional
•
If
not
previously
vaccinated,
administer
2
doses
or
the
second
dose
for healthy children if first dose administered
administered at age 24 months or older
asplenia, and certain other groups at high risk. See
for those who have received only 1 dose, with at least 28 days
at ageMMWR
24 months or older
2005;54(No. RR-7). 6
4 weeks
wks
Inactivated
Poliovirus
• Persons who
received MPSV 65 or
more years previously
and
remainMumps,
at increased
risk7for meningococcal
disease should
be
4 weeks
12 mos
Measles,
Rubella
revaccinated with MCV.
between doses.
4 weeks
10. Varicella vaccine.
4
A
weeks6
• For persons aged 7 through 18 years without evidence of immunity
(see MMWR 2007;56[No. RR-4]), administer 2 doses if not previously
8
3 months
12 mos
4.Varicella
Influenza vaccine.
vaccinated or the second dose if they have received only 1 dose.
6 months
12 mos
• Administer
aged 6 months through
18 years.
Hepatitis
A9 annually to children
• For persons aged 7 through 12 years, the minimum interval
• For healthy nonpregnant persons (i.e., those who do not have
between doses is 3 months. However, if the second dose was
CATCH-UP
AGED at
7 THROUGH
18after
YEARS
underlying medical conditions that predispose
themSCHEDULE
to influenza FOR PERSONS
administered
least 28 days
the first dose, it can be accepted
4 weeks
complications) aged 2 through 49 years, either LAIV or TIV may be used.
as valid.
Tetanus,Diphtheria/
first dose administered
at younger
than the minimum
6 months
• Administer 2 doses (separated by at least 4 weeks) to children aged
• Forifpersons
aged 13 years
and older,
interval
age 12 months
if first dose administered at
7 receiving
yrs10
4 weeks
Tetanus,Diphtheria,
younger than 9 years who are
influenza vaccine
for the
between doses
is 28 days.
younger than age 12 months
6 months
10 or who were vaccinated for the first time during the previous
first time
Pertussis
if first dose administered at age 12 months or older
influenza season but only received 1 dose.
Human Papillomavirus11
9 yrs
Routine dosing intervals are recommended11
The Recommended
9 Immunization Schedules for Persons Aged 0 Through 18 Years are approved by the Advisory Committee on Immunization Practices (www.cdc.gov/vaccines/recs/acip),
Hepatitis A
Inactivated Poliovirus6
Measles, Mumps, Rubella7
6 wks
4 weeks
12 mos
4 weeks
Varicella8
12 mos
4 weeks
4 weeks6
CS103164
Hepatitis B1
12 mos
6 months and the American Academy of Family Physicians (http://www.aafp.org).
the American Academy
of Pediatrics (http://www.aap.org),
Department of Health and Human Services • Centers for Disease
Control and Prevention
8 weeks
4 weeks
Birth
(and at least 16 weeks after first dose)
3 months
if the person is younger than age 13 years
4 weeks
if the person is aged 13 years or older
6
1. Hepatitis B vaccine (HepB).
Summer/Verano 2009
•Administerthe3-doseseriestothosenotpreviouslyvaccinated.
•A2-doseseries(separatedbyatleast4months)ofadultformulationRecombivaxHB® is licensed
for children aged 11 through 15 years.
2. Rotavirus vaccine (RV).
•Themaximumageforthefirstdoseis14weeks6days.Vaccinationshouldnotbeinitiatedfor
infants aged 15 weeks or older (i.e., 15 weeks 0 days or older).
•Administerthefinaldoseintheseriesbyage8months0days.
•IfRotarix® was administered for the first and second doses, a third dose is not indicated.
3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP).
•Thefifthdoseisnotnecessaryifthefourthdosewasadministeredatage4yearsorolder.
4. Haemophilus influenzae type b conjugate vaccine (Hib).
6. Inactivated poliovirus vaccine (IPV).
•Forchildrenwhoreceivedanall-IPVorall-oralpoliovirus(OPV)series,afourthdoseisnot
necessary if the third dose was administered at age 4 years or older.
•IfbothOPVandIPVwereadministeredaspartofaseries,atotalof4dosesshouldbeadministered,
regardless of the child’s current age.
7. Measles, mumps, and rubella vaccine (MMR).
•Administertheseconddoseatage4through6years.However,theseconddosemaybe
administeredbeforeage4,providedatleast28dayshaveelapsedsincethefirstdose.
•Ifnotpreviouslyvaccinated,administer2doseswithatleast28daysbetweendoses.
8. Varicella vaccine.
•Hibvaccineisnotgenerallyrecommendedforpersonsaged5yearsorolder.Noefficacydataare availableonwhichtobasearecommendationconcerninguseofHibvaccineforolderchildrenand
adults.However,studiessuggestgoodimmunogenicityinpersonswhohavesicklecelldisease,
leukemia,orHIVinfection,orwhohavehadasplenectomy;administering1doseofHibvaccineto •Administertheseconddoseatage4through6years.However,theseconddosemaybe
administered before age 4, provided at least 3 months have elapsed since the first dose.
•Forpersonsaged12monthsthrough12years,theminimumintervalbetweendosesis3months.
However,iftheseconddosewasadministeredatleast28daysafterthefirstdose,itcanbe
accepted as valid.
•Forpersonsaged13yearsandolder,theminimumintervalbetweendosesis28days.
c
s
m
c
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N E W S L E T T E R
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A F F I N I T Y
H E A L T H
Bone Health M
For Teens
The Recipe for Healthy Bones for Teens1
Stir 1300 milligrams of calcium into your
body every day
Add some foods with vitamin D
Blend with 60 minutes of physical activity
Mix it with some bone-strengthening activity
ake sure your bones are strong and healthy by
following this recipe.
Calcium Bones are made up mostly of calcium.
Most teens do not get enough calcium. Teens need
1300 milligrams of calcium each day. You can get
calcium from milk, green leafy vegetables, almonds,
soy nuts, cereals and juices with added calcium.
Vitamin D Calcium needs vitamin D to make
it work. Teens need at least 200 international units
every day; 400 IUs is better. You can get vitamin
D from the sun, but that is often not enough. Not
many foods have vitamin D. It is often added to
foods like milk, orange juice, yogurt and cereals.
Physical Activity Exercise helps build bones.
Teens should try to get a total of 60 minutes of
exercise each day.
Bone-Strengthening Activity Weightbearing exercises are important to bone health. You
can jog, walk, jump rope, or lift weights.
Don’t smoke or drink alcohol. They can limit
growing bone. Drink less soda and more drinks that
have calcium in them.
AffinityHealthyStreets
Calcium-Rich Foods
Food
Portion Calcium (in mgs)
Plain, fat-free yogurt
1 cup
450
Grilled cheese sandwich 1 sandwich 371
Fruit yogurt
1 cup
315
Milk (fat-free or low-fat) 1 cup
300
Orange juice with calcium 1 cup
300
Pudding made with milk ½ cup
147-160
Broccoli, cooked or fresh 1 cup
90
Almonds, dry roasted
1 ounce 80
Here are some fun ways to get your calcium:
Pink lemonade yogurt pops: Mix together 1 cup
plain non-fat yogurt and 4 tablespoons of undiluted
pink lemonade. Pour into ice cube trays or paper
cups with popsicle sticks. Freeze and eat.
Add a handful of almonds to dried fruit and toss
it in a zipped plastic bag.
A breakfast banana split: Top a banana with a
small cup of low-fat or fat-free fruit yogurt. Add a
sprinkle of cereal and pieces of your favorite fruit.
Sources: “Calcium”. TeensHealth, www.kidshealth.org. “What girls need to know about bone health”, www.4girls.gov/nutrition/onehealth/. Teens, NYSOPEP (New York State
Osteoporosis Prevention & Education Program), www.nysopep.org/ChildrenTeens. “Bone Builders”, The University of Arizona, http://ag.arizona.edu/maricopa/fsc/bb/teen.html.
Alimentos ricos en calcio
Salud en los huesos
para adolescentes
5
d,
P L A N
Receta para unos huesos saludables en los
adolescentes1
Consumir 1300 miligramos de calcio todos
los días
Añadir algunas comidas con vitamina D
Ejercitarse por 60 minutos con alguna actividad física
Realizar alguna actividad de endurecimiento
de los huesos
A
segure el endurecimiento y fortaleza de sus
huesos siguiendo la siguiente receta:
Calcio Los huesos están hechos mayormente de
calcio. La mayoría de los adolescentes no obtienen
suficiente calcio. Los adolescentes necesitan 1300
miligramos de calcio cada día. Usted puede obtener
calcio del la leche, vegetales verdes, almendras,
cereales y jugos con calcio.
Vitamina D El calcio necesita vitamina D para
poder funcionar. Los adolescentes necesitan 200
unidades internacionales cada día. Usted puede
obtener vitamina D del sol, pero generalmente no es
suficiente. No todas las comidas tienen vitamina D.
Usualmente es añadida a la leche, jugos de naranja,
yogurt y cereales.
Actividades Físicas El ejercicio ayuda
a construir sus huesos. Los adolescentes deben
tratar de hacer ejercicios por lo menos 60 minutos
diariamente.
Actividades fortalecedoras de los huesos
Los ejercicios que incluyen algún levantamiento de
pesas son importantes para la salud de los huesos.
Usted puede caminar, saltar cuerdas o levantar pesas.
No fume o tome alcohol. Esto puede limitar el
crecimiento de sus huesos. Tome menos soda y más
bebidas que contengan calcio.
Comida
Yogurt sin grasa
Sándwich de queso a la parrilla
Yogurt de fruta
Leche (baja en grasa o sin grasa)
Jugo de naranja con calcio
Pudín hecho con leche
Brócoli, cocinado o fresco
Almendras, secas
Cantidad
1 taza
1 sándwich
1 taza
1 taza
1 taza
½ taza
1 taza
1 onza
Calcio (en mgs)
450
371
315
300
300
147-160
90
80
Aquí le mostramos algunas formas divertidas
de obtener calcio:
Limonada rosada con toques de yogurt: Mezcle
1 taza de yogurt sin grasa y 4 cucharadas de limonada
no diluida. Viértalo en bandejas con hielo o vasos de
papel. Póngala en el congelador y cómalos después.
Añada almendras a algunas frutas secas y
póngalas en una bolsita plástica con zipper.
Un desayuno con banana: cubra una banana con
una taza pequeña de yogurt bajo en grasa o yogurt de
frutas bajo en grasa. Añada un poco de cereal y unos
pedacitos de su fruta favorita.
Sources: “Calcium”. TeensHealth, www.kidshealth.org. “What girls need to know about bone health”, www.4girls.gov/nutrition/onehealth/. Teens, NYSOPEP (New York State Osteoporosis
Prevention & Education Program), www.nysopep.org/ChildrenTeens. “Bone Builders”, The University of Arizona, http://ag.arizona.edu/maricopa/fsc/bb/teen.html.
All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos.
Summer/Verano 2009
7
AffinityHealthyStreets
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N E W S L E T T E R
O F
A F F I N I T Y
H E A L T H
P L A N
Exercise
¿C
Your Heart
D
oes thinking about exercise make you want to
curl up on your couch and turn on the TV?
Exercise may be one of the best things you
can do for your health.
Exercise can do all this (and more) for your
heart:
Your heart is a muscle. Exercise makes it stronger
Help the heart and lungs work better
Help you lose weight or keep your weight down
Reduce stress
Reduce the risk of heart attack
When you think of exercise, do these
thoughts come to mind?
Exercising makes me tired – The truth is…..
Exercise really gives you more energy.
Exercising takes too much time – The truth
is…..All you need is 10 minutes a few times a day,
2-3 times a week.
The older I get, the less exercise I need – The
truth is….. As we age, exercise makes everyday tasks
easier. Exercise can keep older adults strong and
healthy.
I’m not an athlete so I can’t exercise – The
truth is…..You don’t have to be an athlete to do
most physical activities. One example is walking, an
exercise that is easy to do.
Make sure you speak to your doctor before you
start any exercise program.
Exercise
May Lower
Your Blood
Pressure
S
Sources: “Exercise and Your Heart: A Guide to Physical Activity”, National Heart, Lung and Blood Institute “Starting an
Exercise Program”, Health Article, DukeHealth.org “Tips for Starting an Exercise Program….And Sticking With It!”, School
of Education, University of Kansas. www.soe.ku.edu/uploads/hses/Robinson-Center/ExerciseTips.doc “Healthy Hearts: Everyday
Heart Health Tips”, The Franklin Institute, www.fi.edu/learn/heart/healthy/tips/html
8
Summer/Verano 2009
taying active makes your heart stronger. It
is easier for a strong heart to pump blood.
A strong heart can also pump more blood.
A strong heart may lower your blood pressure.
The best exercise for people with high blood
pressure is aerobic exercise. Aerobic exercise
uses the big muscles in your body. Walking and
swimming are aerobic. Exercise a total of 30
minutes every day.
Talk to your doctor before you start
exercising. If you take medicine, find out if
exercise will change the way it works. Also ask if
the medicine will change the way you feel when
you exercise.
Source: “Exercise: A drug-free approach to lowering blood
pressure”, www.mayoclinic.com
t
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d.
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N E W S L E T T E R
O F
A F F I N I T Y
H E A L T H
P L A N
AffinityHealthyStreets
Ejercite su Corazón
¿C
uándo piensa en hacer ejercicios, le provoca
quedarse en su sofá y encender el televisor?
Ejercitarse es una de las mejores cosas que
usted puede hacer por su salud.
El ejercicio puede hacer
todo esto, (y más),
por su corazón:
Su corazón es un
músculo. El hacer
ejercicio lo hace
mucho más
fuerte.
Ayuda a su
corazón y sus
pulmones a
trabajar mejor.
Ayuda a perder
peso y mantenerse
bajo de peso.
Reduce las preocupaciones.
Reduce el riesgo de un ataque al
corazón.
Cuando usted piensa en hacer ejercicios, ¿le
vienen estos pensamientos a la mente?
Ejercitarme me provoca cansancio –La verdad
es …. El ejercicio realmente le da más energía
Hacer ejercicios toma mucho tiempo –La
verdad es …. Todo lo que usted necesita
son 10 minutos unas cuantas veces al
día, 2-3 días a la semana.
Mientras mas mayor soy, menos
ejercicio necesito –La verdad
es …. A medida que envejecemos,
el ejercicio hace que las tareas diarias
sean más fáciles. El ejercicio puede
mantener a las personas mayores mucho más
fuertes y saludables.
Yo no soy un atleta, por lo tanto no
puedo hacer ejercicios –La verdad es ….
Usted no tiene que ser un atleta para poder
hacer la mayoría de las actividades físicas.
Por ejemplo, caminar, es un ejercicio muy
fácil de realizar.
Asegúrese de hablar con su doctor
antes de comenzar cualquier programa de
ejercicios.
Fuentes de Información: “Exercise and Your Heart: A Guide to Physical Activity”, National Heart, Lung and Blood Institute
“Starting an Exercise Program”, Health Article, DukeHealth.org “Tips for Starting an Exercise Program….And Sticking With
It!”, School of Education, University of Kansas. www.soe.ku.edu/uploads/hses/Robinson-Center/ExerciseTips.doc “Healthy Hearts:
Everyday Heart Health Tips”, The Franklin Institute, www.fi.edu/learn/heart/healthy/tips/html
Hacer ejercicios puede reducir
su presión arterial
M
antenerse activo puede hacer que su
corazón sea más fuerte. Es mucho más
fácil para un corazón saludable bombear
sangre. Un corazón fuerte puede también bombear
mas sangre. Un corazón fuerte puede disminuir el
riesgo de una alta presión arterial.
El mejor ejercicio para personas con alta
presión arterial son los ejercicios aeróbicos. Los
ejercicios aeróbicos utilizan los músculos más
grandes de su cuerpo. Caminar y nadar son
ejercicios aeróbicos. Puede ejercitarse por lo menos
30 minutos todos los días.
Hable con su doctor antes de comenzar
cualquier rutina de ejercicios. Si está tomando
medicamentos, asegúrese de que el ejercicio no
cambie la forma en que este medicamento trabaja.
También pregúntele a su doctor si la medicina
provocará algún cambio en la forma de usted sentirse
al momento de hacer ejercicios.
Fuentes de Información: “Exercise: A drug-free approach to lowering blood pressure”, www.mayoclinic.
All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos.
Summer/Verano 2009
9
AffinityHealthyStreets
A
M E M B E R
N E W S L E T T E R
O F
A F F I N I T Y
H E A L T H
P L A N
Oh, My Aching Back!
F
our out of five people in the Unites States
You are at greater risk for low-back pain if you:
will have low-back pain at some time in their
Are obese
lives. The good news is low-back pain can be
Smoke
prevented.
Are older
Most low-back pain gets better by itself. Stay
Either sit at work all day or do hard physical work.
as active as you can. Staying in bed can often make
You can prevent low-back pain by:
things worse. If you do not feel better in three days,
Exercising regularly to stay strong and flexible
see your doctor.
Maintaining a healthful weight
People think they must have an X-ray or other
Quitting smoking
test to find out what is wrong. In fact, usually these
Keeping good posture while sitting and standing
tests are useless and are not recommended for most
Using proper lifting techniques.
patients. Your doctor will ask you about your medical
history. S/he will then decide if you need further tests.
How to lift correctly
Como levantar correctamente
Correct standing posture
Posturas correctas al pararse
Sources: www.patienteducationcenter.org; Medline Plus,
www.nlm.nih.gov/medlineplus; www.mayoclinic.com;, “Back
Pain”; www.medicalnewtoday.com, “Imaging for Low-Back
Pain Without Indication of Serious Underlying Conditions
Does Not Improve Clinical Outcomes, 09 Feb 2009”.
Correct sitting posture
Posturas correctas al sentarse
OH, Mi Dolor de Espalda!
C
uatro de cinco personas en los Estados Unidos
sufrirán alguna vez en su vida de dolores en la
parte baja de la espalda. La buena noticia es
que los dolores de espalda pueden prevenirse.
La mayoría de los dolores de la parte baja de la
espalda se mejoran por si mismos. Manténgase tan
activo como usted pueda. El quedarse en cama puede
hacer que las cosas se empeoren. Si usted no se mejora
en tres días, vea a su doctor.
Las personas piensan que deben hacerse chequeos
de rayos X u otros exámenes para saber si algo está
mal. Lo cierto es que usualmente estos exámenes no
son efectivos y no son recomendables para la mayoría
de los pacientes. Su doctor le preguntará sobre su
historial medico. El / Ella entonces decidirán si usted
posteriormente deberá hacerse algunos exámenes.
Usted está en mayor riesgo de sufrir de
dolores de espalda si usted:
Está en sobre peso
Fuma
Es mayor
Trabaja sentado todo el día o hace trabajo
físico duro.
Usted puede prevenir los dolores de espalda
haciendo lo siguiente:
Ejercitándose regularmente para mantenerse
fuerte y flexible
Manteniendo un peso saludable
Dejando de fumar
Manteniendo buena postura mientras está
sentado o parado
Usando las técnicas adecuadas de levantamiento
de cualquier objeto.
Fuentes de Información: www.patienteducationcenter.org; Medline Plus, www.nlm.nih.gov/medlineplus; www.mayoclinic.com;, “Back Pain”; www.medicalnewtoday.com, “Imaging for Low-Back
Pain Without Indication of Serious Underlying Conditions Does Not Improve Clinical Outcomes, 09 Feb 2009”.
10
Summer/Verano 2009
A
M E M B E R
N E W S L E T T E R
O F
A F F I N I T Y
H E A L T H
HIV/AIDS Basics
A
IDS (acquired immunodeficiency syndrome)
is a sickness caused by a virus called HIV
(human immunodeficiency virus). HIV
affects the part of the human body that keeps you
from getting sick.
When people have AIDS, their bodies cannot
fight sickness. They get sick easily and have a hard
time getting better. There is no cure for HIV/AIDS.
Get tested today! If the test tells you that
you have HIV, call Affinity Health Plan. We have
a Special Care Program for people with HIV/
AIDS. Nurses will help you find a doctor, make
appointments, get transportation and manage
symptoms. If you would like to find out more please
call Ketty Elien, RN at 718-794-6443.
P L A N
AffinityHealthyStreets
You can’t get AIDS from:
hugging
holding hands
sneezes or coughs
sitting near someone who has AIDS
sharing drinking glasses or silverware
public bathrooms
water fountains
bug bites
swimming pools or saunas pets
k
The main ways HIV/AIDS can be spread: / Las maneras en que nos podemos contagiar con HIV/AIDS:
Sharing needles with someone who
has HIV/AIDS / Compartiendo agujas
con alguien que tenga HIV/AIDS
Having unprotected sex with someone
who has HIV/AIDS / Teniendo sexo
sin protección con alguien que esté
infectado con HIV/AIDS
Información de HIV/AIDS
A
IDS (Síndrome de inmunodeficiencia
adquirida) es una enfermedad causada
por un virus llamado HIV (virus de
inmunodeficiencia humana). HIV afecta la parte del
cuerpo humano que le protege de enfermarse.
Cuando las personas tienen AIDS, sus cuerpos
no pueden combatir las enfermedades. Se enferman
rápidamente y le es muy difícil sanarse. No existe
ninguna cura para el HIV/AIDS.
Hágase la prueba hoy! Si el resultado es positivo,
llame a Affinity Health Plan. Tenemos un Programa
Especial de Cuidados para personas con HIV/AIDS.
Las enfermeras le ayudarán a encontrar un doctor,
hacer citas, obtener transportación y controlar los
síntomas. Si necesita más información, por favor
llame a Keith Elien, RN al 718-794-6443.
All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos.
A mother with HIV/AIDS can give it to her baby
before he is born, during birth, or through
breastfeeding. / Una madre con HIV/AIDS
puede infectar a su niño antes de nacer,
durante el parto o cuando le da el pecho.
Usted no se infecta cuando:
Abraza a alguien
Agarra las manos de alguien
Estornuda o tose
Se sienta cerca de alguien que tenga AIDS
Toma del mismo vaso o come en el mismo
plato de alguien que tenga AIDS
Usa baños públicos
Usa fuentes de agua publica
Le pica algún insecto
Usa piscinas o saunas
Esta cerca de alguna mascota
Summer/Verano 2009
11
AffinityHealthyStreets
Non-Profit Org.
US Postage
PAID
2500 Halsey Street • Bronx, NY 10461
President and CEO
Maura Bluestone
Permit No. #99
Saugerties, NY 12477
Editorial Advisory Board
Abenaa Abboa-Offei, Barbara Hurley,
Emeka Anunkor, Rosemary Aponte
Editor
Richard Scala
Coordinating Editor
Judith Leuchter
Editorial Assistant (Translations)
Miosotis Belmarez
Affinity Healthy Streets is published quarterly by Affinity Health Plan.
All rights reserved. No material in this issue may be reproduced
without written permission from Affinity Health Plan. Affinity Healthy
Streets is meant to supplement, not replace, advice and care from
health care professionals. It does not encourage the self-management
of medical conditions. Please consult your health care provider for
any medical condition you may have.
©2009 by Affinity Health Plan.
Affinity Community Service Centers
Bronx
2831 3rd Avenue
Bronx, NY 10455
1-866-247-5678
301 E. Fordham Road
Bronx, NY 10458
1-718-794-7679
Brooklyn
709 Brighton Beach Avenue
Brooklyn, NY 11235
1-718-794-5126
2230D Church Avenue
Brooklyn, NY 11226
1-718-469-1464
Manhattan
239 Grand Avenue
New York, NY 10013
408 Rockaway Avenue
Brooklyn, NY 11212
1-866-247-5678
1386 St. Nicholas Avenue
New York, NY 10033
1-718-794-7281
5221 8th Avenue
Brooklyn, NY 11220
1-718-794-5150/5148
121 St. Nicholas Avenue
New York, NY 10026
Queens
1304 Beach Channel Drive
Far Rockaway, NY 11691
1-718-327-6012
5515 Eighth Avenue
Brooklyn, NY 11220
Orange
149 Broadway
Newburgh, NY 12550
1-866-247-5678
41-46 Main Street
Flushing, NY 11355
1-718-794-7870/7872
80-12 Roosevelt Avenue
Jackson Heights, NY 11372
1-718-794-7891
204 North Street
Middletown, NY 10940
1-866-247-5678
82-12 37th Avenue
Jackson Heights, NY 11372
Rockland
5 Main Street
Haverstraw, NY 10927
1-866-247-5678
Nassau
101 South Bergen Place
Freeport, NY 11520
25 Main Street
Spring Valley, NY 10977
391B Fulton Avenue
Hempstead, NY 11550
1-866-247-5678
Quick Facts About STIs
S
exually transmitted infections (STIs) are
spread by having sex with someone who
has an STI. STIs are also called sexually
transmitted diseases (STDs). Most STIs can be
treated. Some have no cure, such as HIV and HPV.
Suffolk
210 Broadway
Amityville, NY 11701
353 Horseblock Road
Farmingville, NY 11738
1-516-779-8020
727-759 Suffolk Avenue
Brentwood, NY 11021
1-866-247-5678
Westchester
10 Palisades Avenue
Yonkers, NY 10701
1-866-247-5678
If you are a female, 12 – 26 years, ask your
doctor about the vaccine.
Trichomoniasis is a common STI. It is easy
to cure. Many women think they have a yeast
Right now, chlamydia is the most
infection. Ask your doctor if you have “trich”
common STI.
or a yeast infection. Different medicines are
Teenagers and young adults (ages 15 – 24) make used to treat them.
up almost half of the people who get STIs.
®
HIV/AIDs is an STI with very serious effects.
Gardasil is a vaccine. It can protect against HPV.
Everyone should get tested for HIV.
Sources: “Facts and Information about STDs”. www.epigee.org; National Institute of Allergy and Infectious Diseases, “Sexually Transmitted Infections: Quick Facts”, www3niaid.nih.gov/topics/sti.
Breves datos sobre STIs
L
as Infecciones Sexuales, (STIs), son
transmitidas al tener sexo con alguien que
tenga cualquier STI. STIs también son
conocidas como enfermedades transmitidas
sexualmente. La mayoria de las STIs pueden ser
tratadas. Algunas no tienen cura, como es el HIV
y el HPV.
Ahora mismo la Clamidia es la mas común
Los adolescentes y jóvenes adultos (entre las
edades de 15 – 24) son mas de la mitad de
las personas contagiadas con STIs.
Gardasil es una vacuna, la cual puede protegerle
en contra del HPV. Si usted es una mujer entre
las edades de 12- a 26 años, pregúntele a su
doctor sobre la vacuna.
Tricomoniasis es una STI común. Es muy fácil
de curar. Muchas mujeres piensan que ellas
pueden Tener una infección vaginal. Pregúntele
a su doctor si usted puede tener una infección
vaginal. Existen diferentes medicinas que
pueden ser usadas para su tratamiento.
El HIV/AIDs es una STI con serios efectos.
Todo el mundo debería hacerse la prueba
de HIV.
Fuentes de información: “Facts and Information about STDs”. www.epigee.org; National Institute of Allergy and Infectious Diseases, “Sexually Transmitted Infections: Quick Facts”, www3niaid.nih.gov/topics/sti.
12
Summer/Verano 2009