Page A 5 O c to b e r 2 8 , 2 0 0 9 H ealth matters When a Flu-Like Illness Hits Guide tells when medical care is necessary As the flu season intensifies, many people with flu-like illness are visiting doctors’ offices and emergency rooms. Some of these visits are es­ sential for people to receive care that prevents com plica­ tions and saves lives. Many other visits, however, aren’t necessary because most people can safely recover from flu at home without the need for out­ side medical care. “We want people to get medi­ cal care when they need it,” said Dr. G ary O xm an, Multnomah County health of­ ficer. “We’re also concerned that when people unnecessar­ ily visit doctors’ offices and hospitals, they can decrease the ability of healthcare providers to get care to people with se­ vere flu or other conditions.” Health officials in Oregon and S ou th w est W ashington have d ev elo p ed a d ecisio n chart to help people decide when to seek medical attention for flu-like illness. The chart in­ cludes the following guidelines: Adults and children with flu Denise Revels Robinson A child reacts as he receives the H1N1 swine flu vaccine in a nasal spray. keep liquids down. Additionally, children with these symptoms need immedi­ Dr. Gary Oxman ate emergency care: Fever in an symptoms (fever, sore throat, infant under 3 months old; or co u g h , h e a d a c h e , m uscle excessive irritability. aches) who also exhibit any of The following people should the follow ing warning signs contact their healthcare pro­ should receive emergency care vider right away if they have as soon as possible and call 9- flu sy m p to m s: P re g n a n t 1-1 if necessary: Confusion or women; anyone age 65 or older; can’t be woken up; difficulty anyone with one or more of the breathing; pain or pressure in following conditions: cancer; chest or abdomen; blue lips or blood disorders; chronic lung skin rash; or unable to drink or disease like asthma or emphy­ sema; diabetes; heart, kidney or Advil). Do not use aspirin for liver disease; nervous system fever control in children under or muscle diseases, weakened age 18. If symptoms improve immune system; obese (over and then worsen, seek medical 250 pounds for women, 300 attention. pounds for men); and if flu-like The follow ing prevention symptoms clearly improve, then measures can help prevent the spread of flu, colds, and other worsen. People with flu-like illness diseases and should be o b ­ who don’t have warning signs served by everyone at all times or any of the medical conditions of the year: Wash your hands listed above can stay home and frequently, Cough or sneeze rest, drink plenty of fluids, and into your arm or elbow rather treat fever with acetaminophen than into your hands, and stay (Tylenol) or ibuprofen ( Motrin, home if you are sick. Food Choices for Mom, Kids Fighting Obesity Early Day Care next frontier in prevention (AP) - Grilled chicken re­ placed the hot dogs. Strawber­ ries instead of cookies at snack time. No more fruit juice — wa­ ter or low-fat milk only. This is the new menu in a movement to take the fight against obesity to pudgy preschoolers. Day care is the next frontier: New Harvard research shows few states require that child­ care providers take specific nu­ trition and physical activity steps considered key to keep­ ing the under-5 crowd fit. And while years of work now have older kids starting to get healthier food in schools, more and more kindergarteners show up their first day already over­ weight or obese. T h is isn 't ab o u t p u ttin g youngsters on a diet. It's about teaching them early, before bad habits form, how being active and eating healthy can be the norm — and that junk food, in­ cluding the chicken nuggets- Jean Carlos Rubell, 3, helps himself to grapes type fare that we call "kid food" during preschool lunch at the Latin American — should be a rare treat. Community Center in Wilmington, Del. (AP photo) Local mothers and their children will have access to healthy new food choices under the new supplemental nutrition program for Women, Infants and Children. The menu includes ftesh fruits and veg­ etables, whole grain breads, brown rice, tofu and soy beverages and baby foods in jars. WIC will continue to provide low fat milk, cheese, eggs, peanut butter, legumes, break­ fast cereals and infant formula. “This is great news for our clients,” said Tricia Mortell, WIC program manager for Clark County in Vancouver. “More fruits and vegetables as part of a healthy diet can help reduce the risk of chronic diseases, and stud­ ies show that people who eat whole grains reduce their risk of heart disease, Type 2 dia­ betes, digestive cancers and stroke.” As part of this effort, WIC will continue to promote breastfeeding. L o tte ry D o lla rs H e lp R e s t o r e Fish H a b ita t In H ood R iver. It wasn’t long ago that the waters ■ of the Pacific Northwest ran And in those there were fish. ■ lots of fish. But then people ■ moved here, and more people ■ moved here, doing what people do. which isn’t always the best ® thing for fish. So fish populations suffered. But Oregon wouldn't be Oregon without fish, which ■ s why Lottery dollars are being used to restore fish habitat. One ' example is Hood River, where J with the help of Lottery funds, ? good old fashioned Jiard work, 1 and business cooperation, the vital tributary of Neal Creek has been restored. Spawning] grounds were cleaned up, I improved, and returned to more natural conditions to create the cool, clear, sediment-free ¡^■w aters fish need. The result is mi les of more healthy water |fo r endangered Coho Salmon and Steelhead populations to grow. Restoring vital habitat to endangered fish species, it’s just one of the many ways Lottery dollars help give back to Oregon. _____ It does good things? bowwl on chooc« and dxxdd ba played for enMr*n.nnwM only Child Welfare Advocate Named An A frican-A m erican leader in child welfare is­ sues has been named As­ sista n t S e c re ta ry for Children’s Administration in the state of Washington. Denise Revels Robinson brings 40 years experience working for children and families, most recently as executive policy advisor at the Wisconsin Department of Children and Families. She also served for five years as the director of the Family and Children’s Ser­ vices Division of the Min­ nesota Department of Hu­ man Services, where she led and directed state pub­ lic child welfare programs across a county-adm inis­ tered human services sys­ tem. “Denise is clearly a pas­ sionate and proven leader in child welfare,” Gov. Chris Gregoire said. “Our employ­ ees and co m m u n ities th ro u g h o u t W ashington will come to know her as a leader who believes in them and who will work with them on behalf of the chil­ dren and families we serve.”