REGION OF WATERLOO PUBLIC HEALTH NEWSLETTER HEALTH IN ACTION HEALTH Breastfeeding is Best Breastfeeding is the best method of feeding your infant. Breastfeeding also offers many benefits for mom, the family, and the environment: ■■ ■■ Healthy Smiles A healthy smile is part of a healthy body. Yet, for some, dental care may not be affordable. Healthy Smiles Ontario (HSO) is a new program children and youth aged 17 and under who do not have any dental coverage. If eligible, children and youth will receive regular dental services at no cost to their family. Children and youth (under age 17) may be eligible if: They are residents of Ontario 2. They are members of a household with an Adjusted Family Net Income of $20,000 per year or below, and 3. They do not have any dental coverage 1. Region of Waterloo Public is working with three local Community Health Centres to provide preventive care and health promotion at these community sites. Services will also be available at Region of Waterloo Public Health dental clinics in Waterloo and Cambridge, and from local dental providers. ■■ ■■ Human breast milk promotes optimal growth and development of a baby’s brain, and immune system Babies who are breastfed are at a decreased risk for common illnesses, especially diarrhea and infections of the respiratory tract, ear, and urinary tract Mom benefits from breastfeeding too—evidence shows that breastfeeding reduces a women’s risk of breast and ovarian cancers. Breastfeeding saves money—costing 5–6 times less than artificial baby milk Health Canada recommends exclusive breastfeeding (feeding only breast milk and vitamins or medicine) for the first six months Health care providers work together with new moms to support their breastfeeding experience. Breastfeeding classes are offered to pregnant women. Teaching and support are provided in hospital and in the community after the baby is born. Peer support is available through the group ‘Breastfeeding Buddies’ and the ‘La Leche League.’ Breastfeeding Resources Pamphlets available at no cost: ■■ ■■ Breastfeeding support in Waterloo Region Ten valuable tips for successful breastfeeding Partners supporting breastfeeding Resources available for borrowing at no cost: ■■ ■■ ■■ ■■ 14 steps to better breastfeeding (DVD) Womanly art of breastfeeding (book) Breastfeeding: how to breastfeed your baby (book) Best Gifts (children’s book) Contact Resource Centre staff at 519-883-2256 for more information. To find o ut more about the eligib ility requ ired for HSO, vis it www.o ntario. ca/health ysmiles o r call Region o f Waterlo o Public Health at 519-883-2 2 22, and selec t option #1 SPRING/SUMMER 2011 The Public Health Department works to build healthy and supportive communities by promoting and protecting health and preventing disease. Health in Action is our Public Health newsletter which is published two times per year. It contains articles and tips that I hope you will find useful. To speak with a nurse about breastfeeding or breastfeeding support services available in Waterloo Region, call the Healthy Children Information Line at 519-883-2245. For available resources about breastfeeding, contact our Public Health Resource Centre staff at 519-883-2256 or [email protected] for more information. New Resources ■■ in Action of your baby’s life. Adding additional foods are recommended only after six months of age, with breastfeeding continuing for up to two years and beyond. The Public Health Resource Centre is a free lending library for anyone who lives, works, or goes to school in Waterloo Region. Teaching kits, displays, DVDs, videos, laminated posters, and books are available to borrow. A variety of pamphlets are available to keep. Bed bugs! For more information about any of the programs or services in this newsletter, or for information about other services that we offer, please contact us at 519-883-2000 or visit our website at www.regionofwaterloo.ca/ph —Dr. Liana Nolan Feedback We welcome your feedback and suggestions about this newsletter. Please use the contact information below to share your thoughts with us. Please contact Region of Waterloo Public Health if you need more information, would like to speak to a Public Health professional, schedule an appointment, or order resources. Region of Waterloo Public Health 99 Regina Street South Waterloo, Ontario N2J 4V3 519-883-2000 Fax 519-883-2241 TTY: 519-883-2427 n Region of Waterloo Public Health 150 Main Street Cambridge, Ontario N1R 6P9 519-883-2000 Fax 519-621-5967 n www.regionofwaterloo.ca/ph In this issue… Bed bugs! Reports of bed bug infestations are on the rise in Waterloo Region Working outdoors? Life’s a beach! Lyme Disease Changes to Prebirth and Postbirth Clinics Healthy Smiles Breastfeeding is Best New Resources: Breastfeeding Resources Bed bugs are small, brownish insects, about the size of an apple seed, which feed solely on blood. Individual bed bug bites are usually painless, despite leaving small visible puncture marks on the skin. Bed bug bites do not usually require any medical treatment. Even though bed bugs do not carry disease, they can cause significant stress and anxiety. Bed bug infestations are increasing around the world, and in our own community. In general, infestations are most common in urban multi-unit dwellings, but they can also occur in a variety of other locations including hotels, hospitals, group homes, and movie theatres. An integrated pest management program is usually required to prevent and manage bed bug infestations. This means that chemicals alone are rarely enough to eliminate a bed bug infestation, and a number of additional measures are generally needed. The Ontario government recently launched a new website (www.bedbugsinfo.ca) that includes a range of information, tools, and resources that address how to “identify, act and prevent” bed bugs. Region of Waterloo Public Health is working with health professionals, and municipal and community partners to develop strategies to help prevent, identify, and control bed bugs in our community. For more information about bed bugs, please visit www.bedbugsinfo.ca or call 519-883-2008, ext. 5147, and ask to speak with a Public Health Inspector. Lyme disease Working outdoors? Did you know that if you work outdoors you have a higher risk of developing skin cancer, eye cancer, and cataracts? Working outdoors regularly exposes you to the damaging effects of the sun for long periods. As an outdoor worker you can, and should, take some simple steps to protect yourself: ■■ ■■ ■■ ■■ ■■ Lyme disease is a bacterial infection transmitted to humans and animals when they are bitten by an infected blacklegged tick, sometimes referred to as a deer tick. Seek out shade on your lunch and coffee breaks Slip on sun-protective clothing. Choose long pants and long sleeve shirts with collars In Ontario, established colonies of blacklegged ticks have been found in Long Point Provincial Park, Turkey Point, Point Pelee National Park, Rondeau Provincial Park and Wainfleet bog conservation area. Ticks can be found in tall grasses, wooded areas and marshlands. They attach themselves to humans and animals that are passing through these areas. Slop on SPF 30 sunscreen and lip balm. Don’t forget to reapply it every two hours Slap on a broad-brimmed hat at least 8 centimetres wide. If you wear a hard hat, attach a back flap and visor to it Slide on sun glasses. Choose close fitting wrap around styles with UVA UVB protection. For more information about sun protection, contact Anne Marie Ramsay, RN, at 519-740-5793 ext. 3494, [email protected] or visit the following websites: www.dermatology.ca, Canadian Dermatology Society, www.cancer.ca Tick at actual size 3–5 mm Blacklegged ticks are about the size of a sesame seed. As they feed on a host (human or animal), they slowly become larger in size and can be seen more easily. Once the bacteria enters the bloodstream of the human, Lyme disease can develop. Usually the tick must be attached for 24 hours or more before transmission of disease takes place. It can take anywhere from 3–32 days for symptoms of the disease to appear, but on average symptoms begin within 7–10 days. Symptoms of Lyme Disease include: ■■ ■■ ■■ ■■ ■■ Lyme disease can be treated with antibiotics if they are taken soon after infection. If left untreated the disease can last up to several months and include: nervous system disorders, multiple skin rashes, arthritis and arthritic symptoms, heart palpitations, extreme fatigue and general weakness. How do I prevent Lyme disease? ■■ ■■ ■■ ■■ ■■ Changes to Prebirth and Postbirth Clinics Life’s a beach! There have been no increases in provincial Healthy Babies Healthy Children (HBHC) funding for the past three years. Because of this, Region of Waterloo’s Child and Family Health Assessment Unit had to make changes to the prebirth and postbirth clinic services. There’s nothing like a day at the beach, but before you hit the water for a swim, read the signs! If you swim when the water is contaminated, you can get sick. To help you stay healthy, public health inspectors and the Grand River Conservation Authority check the conditions at the beach and the quality of the bathing water at Shades Mill Conservation Area and Laurel Creek Conservation Area, every week. When the weekly sample reveals high levels of bacteria, the beach will be posted with a warning sign. Beaches are ‘posted’ when levels of E. coli exceed Ontario Ministry of Health guidelines. High bacteria levels can increase a swimmer’s risk of developing irritations and infections. The most common problems are minor skin, eye, ear, nose and throat infections and stomach disorders. Public Health discourages swimming when beaches are posted. What do moms and service What do moms and service providers need to know about providers need to know about the changes to prebirth the postbirth changes? Postbirth clinics are no longer offered on the clinics? It’s important to note that a beach ‘posting’ is different from a ‘closure’. Occasionally, beaches may be closed due to chemical or sewage spills or due to growth of Blue Green Algae. weekends. Instead, more clinics have been added on Mondays and Fridays. All new moms will continue to receive a postbirth clinic appointment. Have fun, but swim safe! REGION OF WATERLOO PUBLIC HEALTH NEWSLETTER ■■ Most moms will continue to be seen at 48 hours after discharge. However, some moms will now be seen at 24 hours after hospital discharge and others at 72 hours after discharge. There were also some changes made to prebirth clinics. indicates that beaches are open indicates that beaches are bacteriologically unsafe indicates that no data was collected ■■ It is important that all pregnant women continue to go to the hospital to preregister but appointments for prebirth clinics will now only be offered to moms if they are: ––First-time moms ––Teen moms ––Moms with a language barrier ––Moms having their first baby in Canada These changes to our clinic services will allow Region of Waterloo Public Health to continue to offer HBHC services and to minimize any further cuts to the program in 2011. We are committed to working with our community partners to provide the best service possible to our prenatal and postpartum clients with the resources currently available. For more information, please contact Cathy Dean, Assessment Unit Manager, 519-740-5793 ext. 7019 a painless round red rash that looks like a bull’s eye fever headache muscle aches stiffness of the neck ■■ Do not walk barelegged in tall grass, wooded areas or marshlands Wear long sleeved shirts and pants Wear light coloured clothing—this will help you to spot ticks more easily Tuck any loose clothing into socks and wear fullyclosed shoes or boots Use insect repellent that contains DEET on skin and outer clothing. Read the label before using any repellent, especially when using it on young children Check for ticks after any outdoor activities. Tick bites are often painless so you may be unaware that you have been bitten What do I do if I find a tick? ■■ ■■ ■■ ■■ Carefully remove attached ticks using tweezers. Grasp the tick’s head and mouth parts as close to the skin as possible and pull slowly until the tick is removed. Do not twist or rotate the tick and try not to squash or crush the tick during removal After the tick is removed wash the bite site with soap and water or disinfect it You may be submit the tick to Region of Waterloo Public Health for identification and testing Contact a doctor if you develop symptoms of Lyme disease Can my dog get Lyme Disease? Yes, dogs can get Lyme Disease. Consult with a veterinarian for precautions to take when planning a trip with your dog to a tick established area. Check your pet for ticks after visiting a tick established area. Submit any tick found on your pet to your veterinarian for identification. Should your pet show any signs of illness contact your veterinarian. For more information on Lyme disease, call Public Health at 519-883-2008 ext. 5147 or speak with your family physician. You can also visit www.regionofwaterloo/ph or www.health.gov.on.ca/en/public/ publications/disease/lyme.aspx HEALTH IN ACTION Lyme disease Working outdoors? Did you know that if you work outdoors you have a higher risk of developing skin cancer, eye cancer, and cataracts? Working outdoors regularly exposes you to the damaging effects of the sun for long periods. As an outdoor worker you can, and should, take some simple steps to protect yourself: ■■ ■■ ■■ ■■ ■■ Lyme disease is a bacterial infection transmitted to humans and animals when they are bitten by an infected blacklegged tick, sometimes referred to as a deer tick. Seek out shade on your lunch and coffee breaks Slip on sun-protective clothing. Choose long pants and long sleeve shirts with collars In Ontario, established colonies of blacklegged ticks have been found in Long Point Provincial Park, Turkey Point, Point Pelee National Park, Rondeau Provincial Park and Wainfleet bog conservation area. Ticks can be found in tall grasses, wooded areas and marshlands. They attach themselves to humans and animals that are passing through these areas. Slop on SPF 30 sunscreen and lip balm. Don’t forget to reapply it every two hours Slap on a broad-brimmed hat at least 8 centimetres wide. If you wear a hard hat, attach a back flap and visor to it Slide on sun glasses. Choose close fitting wrap around styles with UVA UVB protection. For more information about sun protection, contact Anne Marie Ramsay, RN, at 519-740-5793 ext. 3494, [email protected] or visit the following websites: www.dermatology.ca, Canadian Dermatology Society, www.cancer.ca Tick at actual size 3–5 mm Blacklegged ticks are about the size of a sesame seed. As they feed on a host (human or animal), they slowly become larger in size and can be seen more easily. Once the bacteria enters the bloodstream of the human, Lyme disease can develop. Usually the tick must be attached for 24 hours or more before transmission of disease takes place. It can take anywhere from 3–32 days for symptoms of the disease to appear, but on average symptoms begin within 7–10 days. Symptoms of Lyme Disease include: ■■ ■■ ■■ ■■ ■■ Lyme disease can be treated with antibiotics if they are taken soon after infection. If left untreated the disease can last up to several months and include: nervous system disorders, multiple skin rashes, arthritis and arthritic symptoms, heart palpitations, extreme fatigue and general weakness. How do I prevent Lyme disease? ■■ ■■ ■■ ■■ ■■ Changes to Prebirth and Postbirth Clinics Life’s a beach! There have been no increases in provincial Healthy Babies Healthy Children (HBHC) funding for the past three years. Because of this, Region of Waterloo’s Child and Family Health Assessment Unit had to make changes to the prebirth and postbirth clinic services. There’s nothing like a day at the beach, but before you hit the water for a swim, read the signs! If you swim when the water is contaminated, you can get sick. To help you stay healthy, public health inspectors and the Grand River Conservation Authority check the conditions at the beach and the quality of the bathing water at Shades Mill Conservation Area and Laurel Creek Conservation Area, every week. When the weekly sample reveals high levels of bacteria, the beach will be posted with a warning sign. Beaches are ‘posted’ when levels of E. coli exceed Ontario Ministry of Health guidelines. High bacteria levels can increase a swimmer’s risk of developing irritations and infections. The most common problems are minor skin, eye, ear, nose and throat infections and stomach disorders. Public Health discourages swimming when beaches are posted. What do moms and service What do moms and service providers need to know about providers need to know about the changes to prebirth the postbirth changes? Postbirth clinics are no longer offered on the clinics? It’s important to note that a beach ‘posting’ is different from a ‘closure’. Occasionally, beaches may be closed due to chemical or sewage spills or due to growth of Blue Green Algae. weekends. Instead, more clinics have been added on Mondays and Fridays. All new moms will continue to receive a postbirth clinic appointment. Have fun, but swim safe! REGION OF WATERLOO PUBLIC HEALTH NEWSLETTER ■■ Most moms will continue to be seen at 48 hours after discharge. However, some moms will now be seen at 24 hours after hospital discharge and others at 72 hours after discharge. There were also some changes made to prebirth clinics. indicates that beaches are open indicates that beaches are bacteriologically unsafe indicates that no data was collected ■■ It is important that all pregnant women continue to go to the hospital to preregister but appointments for prebirth clinics will now only be offered to moms if they are: ––First-time moms ––Teen moms ––Moms with a language barrier ––Moms having their first baby in Canada These changes to our clinic services will allow Region of Waterloo Public Health to continue to offer HBHC services and to minimize any further cuts to the program in 2011. We are committed to working with our community partners to provide the best service possible to our prenatal and postpartum clients with the resources currently available. For more information, please contact Cathy Dean, Assessment Unit Manager, 519-740-5793 ext. 7019 a painless round red rash that looks like a bull’s eye fever headache muscle aches stiffness of the neck ■■ Do not walk barelegged in tall grass, wooded areas or marshlands Wear long sleeved shirts and pants Wear light coloured clothing—this will help you to spot ticks more easily Tuck any loose clothing into socks and wear fullyclosed shoes or boots Use insect repellent that contains DEET on skin and outer clothing. Read the label before using any repellent, especially when using it on young children Check for ticks after any outdoor activities. Tick bites are often painless so you may be unaware that you have been bitten What do I do if I find a tick? ■■ ■■ ■■ ■■ Carefully remove attached ticks using tweezers. Grasp the tick’s head and mouth parts as close to the skin as possible and pull slowly until the tick is removed. Do not twist or rotate the tick and try not to squash or crush the tick during removal After the tick is removed wash the bite site with soap and water or disinfect it You may be submit the tick to Region of Waterloo Public Health for identification and testing Contact a doctor if you develop symptoms of Lyme disease Can my dog get Lyme Disease? Yes, dogs can get Lyme Disease. Consult with a veterinarian for precautions to take when planning a trip with your dog to a tick established area. Check your pet for ticks after visiting a tick established area. Submit any tick found on your pet to your veterinarian for identification. Should your pet show any signs of illness contact your veterinarian. For more information on Lyme disease, call Public Health at 519-883-2008 ext. 5147 or speak with your family physician. You can also visit www.regionofwaterloo/ph or www.health.gov.on.ca/en/public/ publications/disease/lyme.aspx HEALTH IN ACTION REGION OF WATERLOO PUBLIC HEALTH NEWSLETTER HEALTH IN ACTION HEALTH Breastfeeding is Best Breastfeeding is the best method of feeding your infant. Breastfeeding also offers many benefits for mom, the family, and the environment: ■■ ■■ Healthy Smiles A healthy smile is part of a healthy body. Yet, for some, dental care may not be affordable. Healthy Smiles Ontario (HSO) is a new program children and youth aged 17 and under who do not have any dental coverage. If eligible, children and youth will receive regular dental services at no cost to their family. Children and youth (under age 17) may be eligible if: They are residents of Ontario 2. They are members of a household with an Adjusted Family Net Income of $20,000 per year or below, and 3. They do not have any dental coverage 1. Region of Waterloo Public is working with three local Community Health Centres to provide preventive care and health promotion at these community sites. Services will also be available at Region of Waterloo Public Health dental clinics in Waterloo and Cambridge, and from local dental providers. ■■ ■■ Human breast milk promotes optimal growth and development of a baby’s brain, and immune system Babies who are breastfed are at a decreased risk for common illnesses, especially diarrhea and infections of the respiratory tract, ear, and urinary tract Mom benefits from breastfeeding too—evidence shows that breastfeeding reduces a women’s risk of breast and ovarian cancers. Breastfeeding saves money—costing 5–6 times less than artificial baby milk Health Canada recommends exclusive breastfeeding (feeding only breast milk and vitamins or medicine) for the first six months Health care providers work together with new moms to support their breastfeeding experience. Breastfeeding classes are offered to pregnant women. Teaching and support are provided in hospital and in the community after the baby is born. Peer support is available through the group ‘Breastfeeding Buddies’ and the ‘La Leche League.’ Breastfeeding Resources Pamphlets available at no cost: ■■ ■■ Breastfeeding support in Waterloo Region Ten valuable tips for successful breastfeeding Partners supporting breastfeeding Resources available for borrowing at no cost: ■■ ■■ ■■ ■■ 14 steps to better breastfeeding (DVD) Womanly art of breastfeeding (book) Breastfeeding: how to breastfeed your baby (book) Best Gifts (children’s book) Contact Resource Centre staff at 519-883-2256 for more information. To find o ut more about the eligib ility requ ired for HSO, vis it www.o ntario. ca/health ysmiles o r call Region o f Waterlo o Public Health at 519-883-2 2 22, and selec t option #1 SPRING/SUMMER 2011 The Public Health Department works to build healthy and supportive communities by promoting and protecting health and preventing disease. Health in Action is our Public Health newsletter which is published two times per year. It contains articles and tips that I hope you will find useful. To speak with a nurse about breastfeeding or breastfeeding support services available in Waterloo Region, call the Healthy Children Information Line at 519-883-2245. For available resources about breastfeeding, contact our Public Health Resource Centre staff at 519-883-2256 or [email protected] for more information. New Resources ■■ in Action of your baby’s life. Adding additional foods are recommended only after six months of age, with breastfeeding continuing for up to two years and beyond. The Public Health Resource Centre is a free lending library for anyone who lives, works, or goes to school in Waterloo Region. Teaching kits, displays, DVDs, videos, laminated posters, and books are available to borrow. A variety of pamphlets are available to keep. Bed bugs! For more information about any of the programs or services in this newsletter, or for information about other services that we offer, please contact us at 519-883-2000 or visit our website at www.regionofwaterloo.ca/ph —Dr. Liana Nolan Feedback We welcome your feedback and suggestions about this newsletter. Please use the contact information below to share your thoughts with us. Please contact Region of Waterloo Public Health if you need more information, would like to speak to a Public Health professional, schedule an appointment, or order resources. Region of Waterloo Public Health 99 Regina Street South Waterloo, Ontario N2J 4V3 519-883-2000 Fax 519-883-2241 TTY: 519-883-2427 n Region of Waterloo Public Health 150 Main Street Cambridge, Ontario N1R 6P9 519-883-2000 Fax 519-621-5967 n www.regionofwaterloo.ca/ph In this issue… Bed bugs! Reports of bed bug infestations are on the rise in Waterloo Region Working outdoors? Life’s a beach! Lyme Disease Changes to Prebirth and Postbirth Clinics Healthy Smiles Breastfeeding is Best New Resources: Breastfeeding Resources Bed bugs are small, brownish insects, about the size of an apple seed, which feed solely on blood. Individual bed bug bites are usually painless, despite leaving small visible puncture marks on the skin. Bed bug bites do not usually require any medical treatment. Even though bed bugs do not carry disease, they can cause significant stress and anxiety. Bed bug infestations are increasing around the world, and in our own community. In general, infestations are most common in urban multi-unit dwellings, but they can also occur in a variety of other locations including hotels, hospitals, group homes, and movie theatres. An integrated pest management program is usually required to prevent and manage bed bug infestations. This means that chemicals alone are rarely enough to eliminate a bed bug infestation, and a number of additional measures are generally needed. The Ontario government recently launched a new website (www.bedbugsinfo.ca) that includes a range of information, tools, and resources that address how to “identify, act and prevent” bed bugs. Region of Waterloo Public Health is working with health professionals, and municipal and community partners to develop strategies to help prevent, identify, and control bed bugs in our community. For more information about bed bugs, please visit www.bedbugsinfo.ca or call 519-883-2008, ext. 5147, and ask to speak with a Public Health Inspector.
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