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Healthy Oregonians Asked to Wait for Flu Shots Public health officials in the Oregon Department of Human Services (DHS) have announced a prioritized approach that will reserve Hu shots for those at high risk until Oct. 24. In early September, DHS adopted vaccine prioritization guidelines from the federal Centers for Disease Control and Prevention (CDC) because of anticipated supply issues this flu season. State public health officials are not expecting the majority of flu vaccine to be available until late October because of various supply issues, but some vaccine shipments went out in September. Offi cials are hopeful that there will be more influenza vaccine available than there was last year, but that is still unclear. “We expect there may be delays in vaccine shipments, so we want to make sure that people at highest risk of com plications get it first,” said Susan Allan, M.D., state public health officer at DHS. Effective through Oct. 23, state pub lic health officials are directing that only people in the following groups should receive flu shots: 2.5 2.5 4.5 7.25 3 2 2.5 2 1 .75 2 3.5 2.5 1.75 4.5 7.25 3 2 2.5 2 1 .75 2 3.5 2.5 1.75 2 1.5 .5 4 8/16 2.5 4 8/17-18 8/19-20 8/21-22 8/23 8/24-25 8/26 8/27 8/28 8/29 8/30-31 9/1 9/2 1.5 .5 1.25 1.5 .5 1 2 .5 2.5 4.5 4.5 2.5 4 » • • • • • • Children age 6-23 months Adults age 65 and older Residents of nursing homes and other long-term care facilities Anyone age 2 to 64 with underlying medical conditions Pregnant women Health care personnel who provide direct patient care Out-of-home caregivers and house hold contacts of children under 6 months Allan said the prioritization does not apply to Live Attenuated Influenza Vac cine (LAIV), the nasal spray FluMist™ “We encourage healthy people be tween 5 and 49 who want to be protected against influenza, including health care workers and those who have contacts with infants, to ask for LAIV,” Allan said. “Choosing LAIV means you are helping conserve inactivated influenza vaccine and avoid spreading the flu to others who are more vulnerable than you. Your deci sion could save a life.” Kaiser Permanente, Maxim (fmdaflushot.com), Get a Flu Shot.com, MS Society of Portland, Fred Meyer, and County commissioners mtg., charter school, mail Mail, agenda items, prep for council Regular TC, STBC, return Mail, news article LLC mtg. w/G. Ronde, mail Mail, agenda items Investment Comm., mail, admin Pendleton, Sanchez retirement Return, mail, calls Self-gov. negotiations, mail Mail, agenda items, agenda prep, calls STBC, Special TC - W. Springs, mail Mail, news articles Gmg Ind .5 Tvl 2.5 7/28 7/30 8/1 8/2 8/3 6 1 1 .5 3.25 .75 .5 3 2 1.25 1.5 2 1.25 1.5 3 3.25 2.5 8/6 8/8 8/9-10 2 2.5 3 5.5 1.5 1.5 8/11 8/12 8/13 8/15 8/16 2.5 2 2 6 2 1 1 2.5 8 2 1 1 2 1 1.5 1.5 2.5 7.75 2 1 .75 2 1 1.5 1.5 16 • Siletz Clinic Guidelines Influenza season typically peaks in Oregon between December and March, so it’s not too late to get vaccinated in November or December. Flu shots are OK for breast-feeding mothers, but no one should get a flu shot if they are allergic to eggs. You can get your flu shot in one of three ways: 1. 2. 3. Ask your provider at your next visit. Schedule an appointment with a nurse. Walk-in between 10 a.m.-l 1 a.m. or 3 p.m.-4 p.m. October is Children’s Health Month As parents, we know what is best for the health of our children. There are times, however, when we don’t know where to get information in the case of our chil dren making choices about poor eating habits, low physical activity, using drugs, drinking alcohol, and abusing commer cial tobacco. Remember - you are not alone and parents are the first line of defense when it comes to prevention and education. by Mary Ellen Volansky, RDH, MS Helpful Advice - Have an Oral Cancer Screen: Who, What, When, Why? Why is an oral cancer screen neces sary? A screening of oral structures is done to look for changes. Color (red or white), texture, and size changes have a range of causes: mechani cal, medicines, chemicals, and infection. Some changes are normal or expected: soreness of a tooth erupting, or throat red ness or soreness with a cold. Repeated mechanical movements such as biting/chewing our cheek or tongue can cause changes. Also, our tongue rubbing against a rough spot on a tooth can cause changes. Mechanical changes can resolve themselves if the cause is corrected. Ever had a pizza burn on your palette? Besides hurting, it can cause color and texture changes. Fortunately those changes are short-lived. Tissue changes are caused by germs (bacteria or viruses) - cold sores, canker sores, and abscesses. Medicines cause oral changes too - hairy tongue, dry mouth, or stained teeth. A chemical change can be caused by tobacco. Chewing tobacco can cause white folded tissue in the mouth where chewing tobacco is stored. Unfortunately, oral cancer is “more common than leukemia, Hodgkin s dis ease, and cancers of the brain, liver, bone, thyroid gland, stomach, ovaries, and cer vix ... ” according to the National Cancer Institute (NCI). In the early stages, oral cancer can be treated in up to 90 percent of cases. That is why it’s important for an oral can Phil Rilatos Sr. - 7/28/05-9/1/05 TC .5 Safeway already have agreed to the vol- untary prioritization, she said. The state will monitor the process and if client needs are not being met or the availability of the supply changes, DHS will re-evaluate the voluntary approach, Allan said. This year, Oregon SafeNet and the American Lung Association of Oregon are making flu vaccine clinic information available at www.lungoregon.org/ . People without Internet access can call 1-800-SAFENET. Toothtalk 1.75 8/17 8/19-20 8/23 8/25 8/26 8/28 8/29 8/31 9/1 4 4.5 2 2.5 2.5 1 Siletz News 2 • Superstar awards ceremony Review Jan.-June CW fin. reports Review TC packets, Health Board docs Review A&D and CW docs - planning/prep TC planning wkshp. - A&D, CW, TC packets Health Board, General Council Mtg. w/Grand Ronde Review TC docs, review casino and STGC docs Gaming Board Pow-wow - float Pow-wow - parade, grand entry Review casino fin. reports Mtg. w/county commissioners, ESP interviews Review TC docs, TC mtg. notebook Regular TC, STBC wkshp. Joint mtg. w/G. Ronde ESP interviews COHO, Investment Comm. Auditor eval, review TC docs, e-mail Title VI loan guar. trng. Review TC, gaming, STBC docs, e-mail Mtg. w/W. Springs, STBC October 2005 DeAnna Pearl, Coordinator CTSI Tobacco Prevention and Education 541-444-9659 or 1-800-648-0449, ext. 1659 Letitia Williams, Exercise Coordinator CTSI Diabetes Program 541-444-9633 or 1-800-648-0449, ext. 1633 cer screen to be done regularly. The Siletz Community Dental Clinic provides this service with each examina tion and at each recall appointment. Call the Dental Clinic if you find anything out of the ordinary. Call if anything does not heal or go away in two weeks. Early detection is the key. Untreated oral cancers can spread to other parts of Delina John, Prevention Coordinator CTSI Alcohol & Drug Program 541-444-8286 or 1-800-600-5599 the body. This spread makes it difficult Jenifer Metcalf, Youth Development Specialist CTSI Alcohol and Drug Program 541-444-8286 or 1-800-600-5599 not have noticed. For more information about oral Parents may not always have the an swer right in the moment, but half the battle is knowing where to get the infor mation. Each program has videos, bro chures, posters, and educational materials to help with healthy choices. Prevention works! or nearly impossible to treat. Dental hy gienists and dentists can alert you to changes and suspicious growths you may health care, visit the American Dental Hy gienists’ Association's Web page at www.adha.org or visit the American Den tal Association’s Web page at www.ada.org. Source: American Dental Hygienists ’ Association, "Want Some Life Saving Ad vice: Ask Your Dental Hygienist About Oral Cancer,” 2005