Allergy symptoms due to pollen are not common in winter. However, cedar tree pollinates in Winter. Cedar pollen allergy can induce sneezing, wheezing, and triggering of an asthma attack. Cedar trees grow in abundance in the Southern United States is a predominant source of allergy in December.”The pollen appears copiously from late fall to late winter” inducing misery to patients with sinus allergy and asthma. Other Juniper species include red eastern cedar.
Treatment for allergy to cedar pollen is basically allergy shots; pollen extract immunotherapy produces significant decreases in symptoms during the cedar pollen season.
Obesity Prevention in Children
Five Practical Tips to Reduce Obesity in Children:
1. Avoid sugar containing drinks.
2. Reduce screen-time (TV, Games) to less than 2 hours per day.
3. Do not eat or drink while watching television
4. Make vegetable half of the quantity consumed at each meal.
5. Play outside with friends.
Click here for more details on obesity in children.
Chronic pain and narcotics have been a topic of serious discussion in recent months. People seek pain medications for many chronic pain conditions such as low back pain and arthritis. Physicians often find it very difficult to convince these patients to stay away from narcotics. There is clear evidence that narcotic pain medications do more harm than good in any chronic pain.
A recent report in Journal of American Medical Association it was reported that there is no significant improvement in pain scores or any substantial improvement in function or disability by use of narcotic pain medication in chronic back pain. On the contrary, the research shows a higher risk of death from unintentional overdose and higher risk for heart disease-related deaths in patients taking narcotic pain medications.
Beyond Allergy – Zika Virus – a prevailing threat
Powlin Manuel MD, MBA, MS.
Zika virus threat seems to be closer to home than we anticipated with new cases being reported in Florida. Threat of difficulty to control mosquitoes that carry the virus is even more with the enormous flooding in recent days in Louisiana. All physicians need to participate in spreading the information provided by CDC to their patients so that everyone can implement “baby steps” to protect from the infection as well as the spread of the virus.
Zika virus is spread by a type of mosquito called Aedes aegypti. Center for Disease Control(CDC) informs that “different mosquitoes spread different viruses and bite at different times of the day”.
CDC informs us that these mosquitoes spreading Zika virus bite primarily during the daytime, but can also bite at night.
CDC recommends using insect repellents to reduce the chance of getting bitten, in addition to use of protective clothing.
The following brand names are published by CDC for information of our patients. These include: Off, Cutter, Sawyer, Ultrathon, Cutter Advanced, Skin So Soft Bug, Guard Plus, Repel, and SkinSmart.
Authorities in USA use aerial spratying regularly to control mosquitoes. However, it is not easy to control these moqquitoes as
“aegypti eggs are capable of surviving adverse conditions, such as dry or cold weather, as well as vector elimination efforts, including insecticide spraying .. efforts to eliminate Zika virus in a region will be more difficult than removing the adult vectors” (researcher Dave Muoio). “Spraying affects adults, but it does not usually kill the immature forms — the eggs and larvae. Spraying will reduce transmission, but it may not eliminate the virus.” the research reports states.
All of us need to be informed, vigilant, and takes measures to protect our families!
More on mosquito-repellents
Beyond Allergy – Insect Repellents and Protection against Zika Virus
Powlin Manuel MD, MBA, MS
To protect against mosquito bites is the most important step in preventing Zika Virus infection and consequent medical conditions. Zika virus is spread by a type of mosquito called Aedes aegypti. Center for Disease Control (CDC) informs that “different mosquitoes spread different viruses and bite at different times of the day”.
Aedes aegypti bite primarily during the daytime, but can also bite at night.
Insect repellents are the best source of protection to reduce the chance of getting bitten, in addition to use of protective clothing.
The following brand names are published by CDC:
- Cutter Advanced
- Skin So Soft Bug
- Guard Plus
Authorities in USA use aerial spraying regularly to control mosquitoes. However, it is not easy to control these mosquitoes.
CDC cautions that the effectiveness of natural insect repellents not registered with EPA are is not established. CDC suggest the following as the best practices
- Always follow the product label instructions
- Reapply insect repellents every few hours, depending on which product or strength you choose.
- Do not spray repellents on the skin under clothing
- If you are using sunscreen, apply sunscreen first and insect repellents second.
- Use EPA registered insect repellent.
Takes measures to protect our families from Zika Virus
Zika virus prevention is important especially with recent floods in many states. The environment is ripe for the spread of the virus unless the government takes urgent measures for control mosquitos.
Many countries have intensified vector control operations to control the Aedes mosquito population. Vector control measures include:
- Inspecting all premises, ground and congregation areas
- Conducting mandatory treatment such as ultra-low volume misting of premises and thermal fogging of outdoor areas to kill adult mosquitoes
- Increasing frequency of drain flushing and oiling to prevent breeding
- Public education outreach and distribution of insect repellents.”
According to CDC, also, to bite by an infected Aedes species mosquito, Zika virus can spread from:
- Sex with a person who is infected by Zika virus.
The sexual transmission can take place during oral, vaginal, anal sex as well as the sharing of sex toys.
- From an infected pregnant woman to her fetus.
- Through blood transfusion.
According to CDC the most common symptoms are:
- joint pains
- red eyes
- muscle pain
For more information on personal protection go to Zika Virus By: Manuel Allergy Center
All physicians and anyone involved in taking care of patients need to participate in public awareness. Zika virus infection has been a topic of discussion in many international airports to increase public awareness and educate travelers of the risk of Zika virus exposure when they travel to a foreign country.