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HealthFile
April 2015
Childhood And
Adult Vaccinations
p. 4
Marathon High School
Health Careers Club
p. 16
Keep Your
Bones Strong
p. 22
APRIL 2015 • HEALTH FILE
1
2 HEALTH FILE • APRIL 2015
Contents
4
6
8
11
12
14
16
22
24
Childhood and Adult
Vaccinations
SMILE! IT’S GOOD FOR YOU
FITNESS TRACKING BANDS
CHEMICALS IN COSMETICS
A NURSING SHORTAGE
A FAMILY EFFORT
Marathon High School
Health Careers Club
KEEP YOUR BONES STRONG
VITAL NUTRITION
health file
April 2015
a cooke communications
florida LLC publication
Publisher
Paul Clarin
Advertising Director
Tommy Todd
Graphic Artist
Dannielle Larrabee
Writer
Gena Parsons
APRIL 2015 • HEALTH FILE
3
Measles remains the deadliest of all childhood diseases.
Before the vaccination program started in 1963, of the
estimated three to four million people who contracted
measles each year in the United States, 400 to 500 died, 48,000
were hospitalized and 4,000 developed encephalitis (brain
swelling). The highly contagious disease is still common in many
countries. It was considered eliminated from the U.S. in 2000.
However, since 2008, outbreaks have occurred including nearly
200 cases this year, mostly among the unvaccinated.
Childhood
and Adult
Vaccinations
on
s
A shot
na
Pa
rs
at a healthy future
By
Ge
American memories of diseases such as polio are quickly
fading. Children do not even know what chickenpox looks like.
Yet, these diseases, and many others, still occur and recent
outbreaks of measles and whooping cough highlight the
important role vaccines play in a healthy society.
“People have to have a push, a reason, a motivation to get a
vaccine,” said Joan Higgs, Senior Community Health Nursing
Director with the Monroe County Health Department. “Very
few people have seen very many of these diseases, so they
don’t feel the urgency to get the vaccine.”
Higgs, who survived polio as a young child, and Key West
High School Nurse Dana Portillo view the school system as a
vehicle for spreading the word about preventing disease.
The message appears to be getting through. Monroe County
schools meet the state goal of 95-percent of students being
vaccinated against measles, mumps, rubella, tetanus, diphtheria,
pertussis, polio, chickenpox and hepatitis B.Vaccines for
meningococcal bacteria, Human Papillomavirus and hepatitis
A are recommended in middle school and high school, but are
not mandated.
“After the children have completed their required shots for
kindergarten, they really get away from the wellness visits at
their doctor’s office,” Portillo said.
Although Monroe County schools accept medical and
religious exceptions from immunizations, the opt-out rate
is extremely low. Portillo credits educational outreach for
quelling parental suspicions about a link between vaccines and
autism.
4 HEALTH FILE • APRIL 2015
Mumps can be spread easily and prevented just as
easily. While most people with mumps
recover fully, the disease can have
serious complications. The vaccine is included in the
combination measles-mumps-rubella (MMR) shot. Rubella,
also readily transmissible, is particularly important to prevent
in pregnant women since there is a 20-percent chance of it
causing birth defects during the first trimester.
Young people ages 16 through 21 have the highest rates of
meningococcal disease, a bacterial infection of the brain and
spinal cord, which can cause severe illness including meningitis
and sepsis, and can result in permanent disabilities or death.
Even though the disease is not very common, immunization
is recommended. Many colleges require students to be
vaccinated.
“When we have people that won’t immunize their children,
we respect their decisions, but we educate them because
we never want someone’s child to get one of these deadly
diseases and for us to feel like we didn’t give the parent the
proper information,” Higgs emphasized. “So we’re very careful
to make sure they understand what the risks are because
many people think there’s no risk for these diseases anymore
and, as we’re seeing now, that’s not true.”
Two years ago, the health department and the school
district began an educational campaign about the Human
Papillomavirus, or HPV, a significant cause of cancer. A threedose vaccine is recommended between the ages of 16 and
26. HPV has the strongest causal connection with cancer of
any known virus, and more than half of sexually-active adults
become infected before age 50.
“It’s amazing how one message can
permeate and stick in your brain,”
she said. “The schools and the health
department have to have those
conversations to try to educate.”
Monroe County Medical
Executive Director Dr. Mark
Whiteside noted that despite public
controversy over the vaccine’s
safety, teenage sexuality, mandatory
legislation and cost, there is a
strong medical consensus that the
HPV vaccine is safe and effective.
In fact, the vaccine has proven
90-percent effective in preventing
cervical cancer. It can also prevent
head, neck and anal cancers along
with genital warts, and recurrent
respiratory papillomatosis.
adults usually recover from whooping cough, the virus can be
fatal to a baby before it gains full immunity at about one year
of age. Therefore, pregnant mothers and infant caregivers are
strongly encouraged to get immunized.
“It is important for children
and young people to get a HPV
vaccination series before sexual
activity begins,” Dr. Whiteside said.
“Successful vaccination against
HPV may prevent more cancer than any other public health
measure.Vaccination is not currently mandatory, but it is one
of the most important decisions we can make to protect our
children.”
Tetanus causes painful muscles tightening and can cause the
jaw to lock, preventing mouth opening and swallowing. Tetanus
leads to death in about one in 10 cases.
Local school nurses and health department officials
begin talking to parents about the benefits of the HPV,
meningococcal and hepatitis A vaccines before seventh
grade when students are required to have Tdap, MMR and
chickenpox immunizations.
Vaccinations for a variety of diseases are recommended
throughout life and are often based on age, health, occupation,
travel and behavioral risk factors such as intravenous drug use.
There are four combination vaccines used to prevent
pertussis, diphtheria and tetanus. Two (DTaP and DT) are given
to children younger than seven, and two (Tdap and Td) are
given to older children and adults.
Diphtheria, once a major cause of illness and death among
children, causes a thick covering in the back of the throat
that can lead to breathing difficulty, heart failure, paralysis and
death.
Since 1982, a vaccine has been available for hepatitis B that
is 95-percent effective in preventing infection, the development
of chronic disease and liver cancer. While required for school,
less than 20-percent of adults age 50+ have been immunized.
Vaccination for hepatitis A is not required and less than 10
percent of all adults report haven taken the shot. Cases
in California in March illustrate the need for vaccination,
especially among food handlers, health care workers and
international travelers.
Monroe County health officials encourage residents to
check with their doctor about recommended vaccinations. The
health department administered nearly 18,000 vaccinations
in 2014. Childhood immunizations are provided regardless
of ability to pay. Routine and adult travel immunizations are
available on a fee-for-service basis.
Flu vaccines, available annually for everyone over six months
of age, are especially important for high-risk populations,
including pregnant women, the chronically ill, the elderly and
those with compromised immune systems. Influenza affects 1020 percent of the world’s population each year.
In the United States, more people die from pneumonia than
any other vaccine-preventable disease. More than 175,000
pneumonia patients are hospitalized each year. Adults over
65 are urged to get immunized, as are smokers and the
chronically ill age 2-64. Revaccination may be necessary for the
elderly and high-risk patients.
Adults age 60 and up who have had chickenpox are urged
to be vaccinated against shingles. The virus enters the nervous
system following a case of the chickenpox and can lie dormant
for years before reactivating and traveling along nerve
pathways to the skin, causing a severe rash, pain and sensitivity.
Vaccines
Are available at the health department
headquarters in the Gato Building and the
Roosevelt Sands Center in Key West and
offices in Marathon and Tavernier.
For more information, visit
http://monroe.floridahealth.gov
or call (305) 293-7500.
A surge in whooping cough cases in the past four years
spurred more people to get vaccinated against pertussis. While
APRIL 2015
2015 • HEALTH FILE
APRIL
5
It’s Good for You
If you like to smile, you’re in luck. Studies show that you benefit both
emotionally and physically. A recent study published in Psychological
Science reports that the act of smiling has a positive effect on our
happiness and physical health.
6 HEALTH FILE • APRIL 2015
This can help the heart recover more quickly after stressful events,
altogether boosting our well-being. Researchers deduct that the act
of smiling is so powerful because it actually can rewire your brain to
make positive patterns more often than it does negative ones.
Effect on Others
Another study by Penn State University
found that people who smile appear
to be more likable and courteous. This
can help enhance your beauty in the
eyes of others, who will take positively
to your natural happiness.
Everyone wants to be the person
who walks in and lights up a room.
Your level of social engagement also
plays a role in improving your overall
health, so spread the love and make
new friends along the way.
Smile More
Smiling is obviously linked to happiness
or humor, so what if you’re going
through a particularly tough time,
finding it hard to smile?
Try to think happy thoughts. Do you
have a memory or story that makes
you smile?
Repeat it to yourself during a time
when you need a boost. If you have
trouble conjuring up positive thoughts,
surround yourself with those who can
help you.
Confident Smiles
Some people are afraid to give off
their best smile because they’re selfconscious about their teeth or gums.
Even a subdued smile can have positive
effects on your health, so don’t be
afraid to give a closed-mouth grin.
APRIL 2015 • HEALTH FILE
7
FitBit, Misfit and Jawbone
may sound like names for
underground punk rock
bands, but they are actually
at the forefront of the heath
revolution.
These and many other
athletic brands have carved out a
niche in the fast-growing segment
of wearable fitness-tracking devices
becoming popular with people looking
to gauge their exercise, eating and sleeping habits.
Designed to be worn like watches or simply stowed away
in your pocket, wearable devices are your new workout
partner, helping you count calories, steps and other metrics
throughout your day. Each brand has a different take on its
approach to fitness tracking, so do a little research before
purchasing a new device, some of which can cost hundreds
of dollars.
The Trend
Fitness trackers are the hottest wearable devices on the
market, accounting for 72 percent of all digital fitness device
sales, according to the Consumer Electronics Association.
The numbers only look to increase as companies use
consumer feedback to refine their products.
The wearable technology in these devises is the
catalyst behind the segment’s growth, as people can more
accurately than ever record what is happening with their
bodies. Walking, running, eating and sleeping habits are all
measurable with the devices, which also can send you daily,
weekly and monthly breakdowns of your performance.
Motivation
Consumers are buying wearable devices for many reasons.
One of the most prevalent is the motivation they can
provide for more beneficial workouts, better eating and
healthier sleep. With the versatility of the devices – some
Image courtesy of fitbit.com
Womens Health Services
You have questions. We have answers.
At Mariners Hospital, we understand that women put everything into taking
care of those around them and sometimes don’t have enough time for their
personal healthcare. That’s why we brought together an experienced staff
of Board-certified radiologists and certified and registered radiological
technologists at one convenient location.
This team works together to meet your healthcare needs:
The need to know what is going on in your body
The need to prevent major health issues
The need for quality, personalized healthcare
When you need a standard screening mamogram, a specialized diagnostic
mammogram, a breast ultrasound or an osteoporosis bone density
screening, call Mariners Hospital at 305-434-1588.
Visit BaptistHealth.net/Mariners
392737HF
A not-for-profit organization supported by philanthropy and committed to our faith-based charitable mission of medical excellence
8 HEALTH FILE • APRIL 2015
Image courtesy of Misfit.com
brands are even waterproof – you can track your workout
activities from running and tennis to basketball and
swimming.
There’s a wearable fitness product for almost every budget.
While the top-tier products can range into the $200 to
$300 range, many basic fitness trackers begin around $30.
Personal style also is a driving factor behind the sales of
fitness bands, as companies have worked to improve the
aesthetics of their products with smaller sizes and more
modern colors.
We use an artistic expression in our work
“There is an art to every smile”
We believe first and foremost in
treating the patient, not just the tooth.
It is important each patient gets an individual
approach tailored to their concerns and comforts.
No two treatments are alike. Whether it is a tiny
filling or a full mouth rehab prosthetic case,
we feel like we are signing our name to it!
Dr. Kendall Jones
A different kind of dentist
Welcomes new patients for general
and cosmetic dentistry including
young adults.
(13 years and up)
Call us for your consultation.
1460 Kennedy Dr. at Flagler Ave. • 305.293.9876
www.ParadiseDentalCare.com
Image courtesy of Jawbone.com
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APRIL 2015 • HEALTH FILE
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10 HEALTH FILE • APRIL 2015
Chemicals
in Cosmetics
Potentially harmful substances are finding
their way onto the shelves of our health and
beauty aisles, cautions the Breast Cancer
Fund headquartered in San Francisco.
Carcinogens and endocrine-disrupting
chemicals can increase the risk of breast
cancer, and the Fund reports that these
substances are in the makeup many women
are wearing right now.
Dangerous Chemicals
The Breast Cancer Fund posts a list of
chemicals commonly found in cosmetics and
their effect on the body (breastcancerfund.
org). Here are a few:
Phthalates: This group of endocrinedisrupting chemicals are found in synthetic
fragrances. Exposure has been linked to
early puberty in girls, which is a risk factor
for later-life breast cancer.
Parabens: These compounds have
been identified in biopsy samples from
breast tumors, reports the Fund, and are
commonly used as an antifungal agent in
creams, lotions and deodorants.
Lead: The Fund says lead may be a
contaminant in more than 650 cosmetic
products, including sunscreens, foundation,
nail colors, lipsticks and whitening
toothpaste. Lead is dangerous because it is
linked to miscarriage and puberty delays.
Choose Safe Cosmetics
Making sure you’re using the safest
possible products comes down to one
simple strategy: simplicity.
Choosing products with a simple set
of natural ingredients can help reduce
the chance of chemicals making their way
into your system. Simplicity in how much
makeup you use is also part of a smarter
process.
Discard any makeup that contains
ingredients that haven’t been proven safe
or healthy. Cutting back on the amount
of makeup you use is a surefire way to
avoid the dangers of potentially harmful
synthetics.
The Breast Cancer Fund urges women
to avoid products that list the word
“fragrance” on their packaging. Synthetic
fragrance, the Fund reports, can contain
hundreds of chemicals that can cause major
damage to the body.
APRIL 2015 • HEALTH FILE
11
A nursing
Shortage?
If you’ve ever thought about joining the nursing
profession, now may be the perfect time. The
U.S. is projected to experience a shortage of
registered nurses, according to The American
Association of Colleges of Nursing.
This could put a premium on the position
and make it a position with great job security
for many years.
The Issue
According to the “United States
Registered Nurse Workforce Report Card
and Shortage Forecast” published in the
January 2012 issue of the American Journal
of Medical Quality, a shortage of registered
nurses is projected to spread across the
country between 2009 and 2030.
In this state-by-state analysis, the authors
forecast the RN shortage to be most
intense in the South and the West.
The Cause
One of the main indicators that predicts a
nursing shortage is the amount of aging baby
boomers. Two million to 3 million are entering
Medicare each year, according to the American
Nurses Association.
12 HEALTH FILE • APRIL 2015
A new emphasis on covering more Americans
through the Affordable Care Act also could
put a strain on the nursing profession, as the
number of patients needing care is outpacing
the number of graduates from nursing schools.
Faculty shortages at American colleges
also is a major issue. Nearly 79,000 qualified
applications were turned down in 2013 from
nursing programs because schools simply didn’t
have enough staff members to accommodate
the learning needs of that many students.
Solutions
In October 2010, the Institute of Medicine
released its report on The Future of
Nursing. It called for increasing the number
of baccalaureate-prepared nurses in the
workforce to 80 percent, as well as doubling
the population of nurses with doctoral degrees.
The report stated that the current nursing
workforce only fields 55 percent of registered
nurses prepared at the baccalaureate or graduate
degree level, leaving much room for improvement.
Encourage your children, peers or friends to join
the nursing profession if they can find openings at
their college of choice. Doing so can take the nursing
industry one step closer to compensating for future
increases in patients.
APRIL 2015 • HEALTH FILE
13
After the excitement and
motivation of a new workout or
dieting plan fade, where are you
supposed to look for a spark?
Your children need exercise
as much as you do, so why not
involve them in your routine?
According to the national
fitness program Let’s Move,
children should get a total
of 60 minutes of physical
activity each day, and adults
need at least 30.
Exercise has never
been more important
to protecting children
from incurring preventive
illnesses later in life.
Childhood obesity rates
have tripled since the
1980s, according to the
Centers for Disease
Control and Prevention.
14 HEALTH FILE • APRIL 2015
At this rate, one-third
of children born in 2000
or later will suffer from
diabetes in their lifetime.
Below are some easy
ways to create familyfriendly exercise habits.
Music
Firing up the music is a
great way to keep your
family in shape. Research
has shown that music
benefits our health in a
variety of ways.
This can include our
ability to cope with pain,
as well as overall physical
and mental well-being.
Whether you’re using
music to motivate your
family during a workout
or simply dancing along,
you can reap the rewards
of rocking out.
One study reported by
the National Institutes of
Health even found that
playing soft music and
dimming the lights during
meals can help people
slow down while eating,
ultimately consuming less
food.
Join a Center
Particularly if you live in
a cold-weather area, it
can be challenging to find
ample year-round physical
activity. If you’re fortunate
enough to live near a city
with a large recreation
center, your problem
could be solved.
Paying for a membership
can unlock a portal of
activities for your family,
from swimming and
dancing to basketball and
karate classes.
You and yours can enjoy
the convenience of taking
part in the activity of
your choice, all without
having to worry about
battling the outdoor
elements.
Quick Tip:
Be on the lookout for
special sign-up deals
announced during slower
seasons, such as in the
middle of winter or
summer.
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APRIL 2015 • HEALTH FILE
15
Marathon High School Health Careers Club
By Gena Parsons
Early exploration exposes students to the
real world
The MHS Health Careers
Club has 15 to 20 members.
New members (kneeling)
are Dayana Vallecillo, Claudia
Bacallao, Kenna Welever,
Lauraline Valenzuela, April
Sullivan, Samantha Arbuckle
and Manuel Calabrese;
returning members
(standing) are Jinett
Rodriguez, Alexis Mendoza,
Secretary/Treasurer Carlos
O’Farrill, Vice President
Samantha Bonilla, Lori Denny,
sponsor, President Rosalia
Parrado, Khatune Fatema and
Celenny Rodriguez.
If you see teenagers in scrubs, take
heart that they are exploring health care
employment opportunities and could, some
day, provide service to improve your life.
The Health Careers Club at Marathon
High School educates and encourages
students to pursue a broad range of
professions. It is a model program in Florida
as a Junior Medical Reserve Corps.
“I would like to pursue nursing
because it’s a profession that is needed
wherever I go, and I also like taking
care of people,” Parrado said. “My
experiences in the club contributed
to my future goals by taking me to
different health-related places and
watching other nurses. It helped me
grow as a person in the medical field.”
President Rosalia Parrado joined the club
as a freshman and plans to attend Florida
International University when she graduates
next June.
16 HEALTH FILE • APRIL 2015
The U.S. Department of Labor projects
nursing and other health care jobs to
grow substantially faster than most other
employment sectors as America’s baby
boomer population ages. Job security is an
aspect that club sponsor and school nurse
Lori Denny stresses when she talks to
students about the diverse options in health
care.
“I try to encourage them to come into
the club if they’re interested in a health
profession because: a) They’ll either find
out they don’t like it, or, b) They’ll find out
that ‘Oh, this is cool’ before wasting their
money and applying to colleges and saying,
‘Oh gosh, I don’t like this,’” said Denny.
Retention and graduation rates are
higher among students who enter college
with a clear plan for their future. Yet the
majority of freshmen start college with an
undeclared major, or in a major they later
find is not a good fit. At the University of
Florida, 61 percent of students change their
majors by the end of their second year.
Megan Gardner took advantage
of a high school internship at a
pharmacy and quickly realized that
it was not the appropriate career
path. Instead, she chose to go to
Florida Keys Community College
and complete a bachelor’s degree in
health service administration from
the University of Phoenix while
working at Marathon Veterinary
Hospital.
“This job is just like a human
health career. However, I get
the pleasure of dealing with
animals every day,” Gardner
said. “There are a variety of
health careers out there that
many people do not know
about. I am lucky enough to
have found a career that excites
me every day. I plan on focusing
on gaining more experience in
administration before pursuing
my master’s degree. I look
forward to one day either
running a health career office,
or being a practice manager of a
hospital.”
The Health Careers Club exposes
students to real-world jobs through
shadowing and community service
opportunities. In partnership with
the Area Health Education Center
(AHEC), the club places members
in doctors offices, pharmacies,
veterinary clinics and other healthcare occupations. Students also
become junior members of the
Medical Reserve Corps, a network
of volunteers trained to respond to
emergencies and natural disasters.
“We saw opportunity to
streamline their efforts and partner
with them not only to help support
their funding and programs, but
also to strengthen our units as well,
hoping that these kids will go into
medicine,” said Florida Keys Medical
Reserve.
Through the MRC, club members
participated in a radiologic exercise
earlier this year that involved
emergency management, law
enforcement, FEMA, and state and
local health departments. Students
received the same training as adult
members and acted as victims for
the drill.
AHEC support also involves
certification in first aid, CPR/AED
and the National Incident Command
System, as well as field trips to
Florida International University and
the University of Miami including
Ryder Trauma Center and Bascom
Palmer Eye Institute.
“We have been lucky enough to
travel and visit the University of
Miami and view doctors in the field.
We have also had many professional
guest speakers share very helpful
and poignant information, like what
to be doing at our age to prepare
us for the future. The training in
the club has given me a good idea
of what to expect and what to
do in my near future,” said Carlos
O’Farrill, club treasurer.
Rosalia Parrado: Senior / President
Why did you join the club?
I am interested in pursuing a career in the health field.
What benefit do you get from being a
member of the club?
I get to see different aspects of the health profession.
There are activities that programs such as AHEC sponsor
that I am able to attend.
What would you tell other students
about joining the club?
It is a good way to see if you are really
interested in the health careers professions.
Samantha Bonilla: senior / Vice
President
Why did you join the club?
I joined the club to help me learn more about the different
jobs in the medical field.
What benefit do you get from
being a member of the club?
As a member of the club, you are introduced to many
opportunities to learn about different jobs, and have the
chance to ask health professionals what it takes to get to
where you want to be.
What would you tell other students
about joining the club?
I would tell other students that the Health Careers Club
is one of the most hands-on and active clubs. If you want
to learn things to potentially better your future career, the
Health Careers Club is definitely worth joining.
Carlos O’Farrill: senior / Treasurer
Why did you join the club?
I joined the Health Careers Club because I saw the
opportunity to learn and educate myself about
what the health field had to offer.
What benefit do you get from
being a member of the club?
Benefits I receive from the club are learning the basic
skills I need to have in order to aid me in my heath career
future. Also, how to work together with peers with the
same goal, and that is to help others.
What would you tell other students
about joining the club?
I would tell MHS students that this club is like no other at our
school, in the sense, that if you can dedicate your time,
effort and contribute, the club will reciprocate.
APRIL 2015 • HEALTH FILE
17
Experiences through the Health Careers
Club convinced O’Farrill to become
a pediatrician. For club Vice President
Samantha Bonilla, a summer camp exposed
her to jobs that piqued her interest.
“I plan to become a physical therapist and
eventually open my own clinic, or become
an orthodontist with my own office. These
two careers have always interested me. I
always love helping others, so why not help
people get better or have a nicer smile?”
she said.
Bonilla hopes to earn a bachelor’s degree
from the University of Central Florida and
get a master’s in physical therapy from
Nova Southeastern University in Miami, or
go to dental school in San Francisco at the
University of the Pacific.
To be eligible for the Health Careers
Club, students must maintain a minimum
2.5 weighted GPA and attend meetings
and training sessions. Beyond certification
programs and job-shadowing opportunities,
members learn about the Health Insurance
Portability and Accountability Act (HIPAA),
assist with mandatory health screenings in
the school, practice bed making and patient
assistance at a convalescent center, and
perform community service that counts
toward their graduation requirement.
High school opportunities for career
exploration present a pathway to a
promising future. Just ask Marathon High
and University of Phoenix graduate Megan
Gardner.
“Learning your options while you’re
young will help make you more prepared for
the future,” Gardner said. “I am glad I spent
the time focusing on my future at that age. I
do not regret one minute of it.”
IMAGES
FROM LEFT TO RIGHT
Carlos O’Farrill practices
cardiopulmonary resuscitation
on a mannequin during
training at the Area Health
Education Center.
Jinett Rodriguez learns to place
a mask on a victim before
performing CPR that includes
mouth-to-mouth resuscitation to
prevent spread of disease.
IMAGES
FROM LEFT TO RIGHT
Rosalia Parrado demonstrates mouth-to-mouth resuscitation
as part of administering CPR and using an AED.
Keith Harris, Florida Keys AHEC director of professional
education, and Bryn Morey, AHEC program coordinator, conduct
training on the proper use of AED.
18 HEALTH FILE • APRIL 2015
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APRIL 2015 • HEALTH FILE
19
6:00am GET BATH READY FOR DAD 6:30am PACK LUNCH FOR THE
KIDS 10:00am GIVE DAD HIS MEDICINE 1:00pm FOLD EVERYONE’S
LAUNDRY 2:00pm SORT DAD’S BILLS 3:30pm PICK UP THE KIDS
4:20pm TAKE DAD OUT FOR FRESH AIR 5:30pm REMEMBER
THE DAYS WHEN DAD TOOK CARE OF ME 6:00pm MAKE
DINNER 8:00pm HELP DAD TO BED 11:00pm FINALLY GO TO SLEEP
Only those who care for others know what it’s really like to care for others.
That’s why AARP created a community with experts and other caregivers
to help us better care for ourselves and for the ones we love.
aarp.org/caregiving or call 1-877-333-5885
20 HEALTH FILE • APRIL 2015
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HealthFile
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CALL (305)292-7777 EXT. 204
Distributed Keys wide and
on KeysNews.com
APRIL 2015 • HEALTH FILE
21
Keep Your Bones
Strong
When you think physical health, you may start with
the skin, hair or teeth, because these are the parts of
the body you can see.
But sitting beneath the surface are the vital pieces
making up the ultimate structure of your body — the
bones. They play many crucial roles in the body,
including protection of organs, anchoring of muscles
and storage of calcium.
Taking care of your bones is a practice that should
start in childhood and continue throughout your life.
22 HEALTH FILE • APRIL 2015
The Numbers
Why is bone health so important? The Office of the Surgeon
General reports an assortment of statistics that call for healthier,
bone-focused diets to help the country’s population.
How likely you are to develop osteoporosis — a condition that
causes bones to become weak and brittle – depends on a variety
of lifestyle, diet and exercise factors.
Calcium &Vitamin D
Calcium is a mineral needed by the body for healthy bones. Since the
body cannot produce calcium, it must be absorbed through food
or vitamins.
Good sources can include low-fat dairy products, dark green
leafy vegetables and calcium-fortified products such as orange
juice, cereal and bread.
The daily recommended amount of calcium varies for
individuals, so check with your physician to see how much you
should be taking in.
Physical Activity
Bones also can be strengthened through regular physical
activity. Weight-bearing physical activities cause muscles and
bones to work against gravity. This can be strenuous, so consult
your physician before increasing the amount of weight-bearing
exercises.
According to the
Surgeon General:
The risk of a fracture increases
with age and is greatest in
women. In fact, roughly four
in 10 Caucasian women ages
50 or older in the United States
will experience a hip, spine or
wrist fracture sometime during
the remainder of their lives.
•
Osteoporosis is the most
common cause of fractures.
Roughly 10 million individuals
over age 50 in the United States
have osteoporosis of the hip.
Exercises can include:
•
• Walking
• Jogging or running
By 2020, one in two Americans
over age 50 is expected to have
or be at risk of developing
osteoporosis of the hip.
More vigorous activities
can include:
• Field Hockey
• Hiking
• Weightlifting
strong /strôNG/
adjective
1. having great physical power and ability
2. having a lot of strength 3. not easy to break
or damage 4. not sick or injured
APRIL 2015 • HEALTH FILE
23
VITAL NUTRITION
Healthy way to get
the wilted
spinach salad
out of the
By Melissa D’arabian
Associated Press
24 HEALTH FILE • APRIL 2015
Remember the warm spinach salad?
That hot bacon dressing, crumbles of blue
cheese, crunchy nuts and those canned
orange slices, all mounded over a bed of
slightly wilted spinach?
I have fond memories of
those now pretty dated
creations. My aunt used
to take me to the mall
restaurant for special
occasions, and since she
was my favorite relative
I grew up loving those
salads. And I was so proud
of loving a “health food”
like spinach. Then again, no
matter how healthy the
spinach was, I’m willing
to bet the rest of those
ingredients weren’t doing
me any favors.
So with spring here —
and spinach being more
abundant than ever — I
decided to recreate that
spinach salad, with some
updates and tweaks to
improve the nutrient
profile.
I swapped out the canned
oranges (which usually are
packed in a light syrup)
for fresh oranges that are
roasted at high heat just
long enough to coax out
the natural sweetness
and add depth of flavor.
Instead of using hot bacon
grease for the warmth, I
let the roasted oranges
(and sweet shallot) do
the mild wilting. (You can
let the roasted elements
completely cool if you’d
prefer the spinach not wilt
at all).
Blue cheese and
bacon are added in tiny
quantities to keep the
saturated fat content in
check, but mixing it into
the dressing means their
flavor impact is maximized.
Using avocado is a great
trick for bringing in the
silky creaminess that
cheese usually offers while
adding some fiber and
healthier fats.
The result is a fresher,
healthier version of that
‘70s salad that made me
fall in love with the nowubiquitous baby spinach in
the first place.
Recipe ON Page 26
APRIL 2015 • HEALTH FILE
25
SPINACH SALAD WITH ROASTED
ORANGES AND SHALLOTS
Start to finish: 20 minutes
Servings: 4
For the dressing:
3 tablespoons white wine
vinegar or white balsamic
vinegar
1 tablespoon water
2 tablespoons olive oil
1 tablespoon blue cheese
crumbles
1 strip bacon (turkey or regular),
cooked crisp and crumbled
2 teaspoons minced fresh thyme
Kosher salt and ground black
pepper
Heat the oven to 425 F. Line a rimmed
baking sheet with kitchen parchment.
To prepare the dressing, in a small
bowl, whisk together the vinegar
and water, then drizzle in the olive
For the salad:
2 navel oranges
Olive oil
Kosher salt
1 small shallot, thinly sliced
4 cups baby spinach
1 cup cooked and cooled quinoa
1 small avocado, peeled, pitted
and cubed
1/3 cup toasted pecans, chopped
26 HEALTH FILE • APRIL 2015
oil while whisking to emulsify. Add
the blue cheese, bacon crumbles and
thyme, then whisk just enough to
turn the vinaigrette a little bit creamy.
Season with salt and pepper and set
aside.
oil and a sprinkle of salt. After the
oranges have baked for 5 minutes, add
the shallot to the baking sheet and
bake for another 5 minutes, or until
the edges of the oranges begin to
caramelize. Set aside to cool slightly.
To prepare the oranges, slice off
and discard a 1/4-inch slice from the
top and bottom of each orange. Use
a paring knife to trim away the skin
and pith (white membrane) from the
oranges, working from top to bottom.
Set the oranges on their sides and
gently slice them crosswise 1/4-inch
slices.
In a medium bowl, gently combine
the orange slices with a drizzle of
olive oil and a generous pinch of
salt. Arrange in a single layer on the
prepared baking sheet. Baker for 5
minutes.
To assemble the salads, divide the
spinach between 4 serving plates, then
top each portion with 1/4 cup of the
quinoa. Divide the still slightly warm
orange slices and shallots between the
salads, then top with avocado cubes
and pecans. Spoon dressing over top of
each salad.
Meanwhile, in the same bowl toss
the shallot with a drizzle of olive
Nutrition information per serving:
340 calories; 220 calories from fat
(65 percent of total calories); 25 g
fat (3.5 g saturated; 0 g trans fats); 5
mg cholesterol; 26 g carbohydrate; 9
g fiber; 8 g sugar; 7 g protein; 230 mg
sodium.
THE OPTICAL SHOPPE
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2357 Overseas Highway
Marathon
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99696 Overseas Highway
Key Largo
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“We Treat You Like Family”
Since 2003, Total Home Health has been meeting
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APRIL 2015 • HEALTH FILE
27
5healthy
tips for
skin
Good skin care, including sun protection and gentle
cleansing, can keep your skin healthy and glowing
for years to come. By Mayo Clinic Staff
Don’t have time for
intensive skin care? You
can still pamper yourself
by acing the basics. Good
skin care and healthy
lifestyle choices can help
delay the natural aging
process and prevent
various skin problems.
Get started with these
five no-nonsense tips.
1. Protect yourself
from the sun.
One of the most
important ways to take
care of your skin is to
protect it from the sun. A
lifetime of sun exposure
can cause wrinkles, age
spots and other skin
problems, as well as
increase the risk of skin
cancer.
2. Don’t smoke
Smoking makes your
skin look older and
contributes to wrinkles.
Smoking narrows the
tiny blood vessels in
the outermost layers of
skin, which decreases
blood flow. This depletes
the skin of oxygen
and nutrients that are
important to skin health.
28 HEALTH FILE • APRIL 2015
3. Treat your skin
gently
Daily cleansing and
shaving can take a toll
on your skin. To keep it
gentle:
Limit bath time. Hot
water and long showers
or baths remove oils
from your skin. Limit
your bath or shower
time, and use warm,
rather than hot water.
4. Eat a healthy diet
A healthy diet can help
you look and feel your
best. Eat plenty of fruits,
vegetables, whole grains
and lean proteins. Some
research suggests that
a diet rich in vitamin C
and low in unhealthy fats
and processed or refined
carbohydrates might
promote younger looking
skin.
5. Manage stress
Uncontrolled stress can
make your skin more
sensitive and trigger acne
breakouts and other skin
problems. To encourage
healthy skin, and a
healthy state of mind,
take steps to manage
your stress.
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91550 Overseas Highway #207 • Tavernier, FL 33070
392732HF
APRIL 2015 • HEALTH FILE
29
P R ESS
AHF: FL Insurance
Commissioner
McCarty Announces
Improved
Nationwide Access
to HIV Medications
Aetna, Inc. and Coventry
Health Care of Florida,
Inc. are revising their HIV/
AIDS drug formularies
for individual health
plan members; changes
mean a majority of HIV
drugs currently labeled
as specialty drugs in the
highest cost tier will
be reclassified as either
generic or non-preferred
brand drugs and moved into
the lower cost tiers.
TALLAHASSEE,
Fla. – Florida Insurance
Commissioner Kevin M.
McCarty announced this
week that Aetna, Inc.
and Coventry Health
Care of Florida, Inc.
are revising their HIV/
AIDS drug formularies
for individual health plan
members. The new change
means a majority of HIV
drugs currently labeled
as specialty drugs in the
highest cost tier of the
drug formulary are being
reclassified as either
30 HEALTH FILE • APRIL 2015
generic or non-preferred
brand drugs and moved into
the lower cost tiers.
Effective June 1, 2015,
individual health plan
members of these two
insurers will be able
to purchase oral HIV
drugs as generic or nonpreferred brands, resulting
in reduced costs and
better access to these
important medications.
This coverage will also
extend to individual health
plan members in 2016
and extend geographically
throughout the United
States, and not just in
Florida, according to
sources contacted at Aetna.
“It is great to see that
the results of months of
dialogue and advocacy
among key stakeholders
throughout the U.S. have
yielded such positive
results with an impact that
could ultimately be far
more significant if adopted
throughout the industry,”
said AIDS Healthcare
Foundation Southern
Bureau Chief Michael
Kahane. The stakeholders
involved in these
negotiations included AIDS
Institute, NHeLP, AIDS
Foundation of Chicago,
and AIDS Healthcare
Foundation (AHF).
“Aetna and Coventry’s
actions represent a high
level of commitment and
responsiveness to the
needs of its members,”
stated Commissioner
McCarty. “I look forward
to working with the other
health insurance companies
who have also committed
to focusing their efforts on
this important issue.”
“It is also important to
note that Aetna/Coventry’s
change from the specialty
tier for these important
life-saving drugs will
provide more choice for
the patients in that they will
have the option to visit a
brick and mortar pharmacy
or can choose to receive
their medication through
mail order,” said AHF
Southern Bureau Director
of Legislative Affairs David
Poole.. “We hope this
decision will become a
trend in the industry.”
Last year, the Florida
Office of Insurance
Regulation became aware
of allegations that several
health insurance companies
may have been violating
Florida law by placing all
HIV/AIDS medications in
the highest tier of their
drug formulary. The Office
performed an in-depth
review of the allegations,
met with the health
insurance companies and
reached agreements on
this issue. The insurance
companies agreed to
implement interim
measures to limit health
plan members’ cost-sharing
responsibility for HIV/AIDS
drugs in the highest tier
of their drug formularies;
ensure prior authorizations
or step therapy were not
required for prescribed
HIV/AIDs drug treatments;
and look for long-term
solutions that would better
address the affordability
and accessibility of HIV/
AIDS medications.
About AIDS
Healthcare
Foundation
AIDS Healthcare Foundation
(AHF), the largest global
AIDS organization, currently
provides medical care and/or
services to more than 403,000
individuals in 36 countries
worldwide in the US, Africa,
Latin America/Caribbean, the
Asia/Pacific Region and Eastern
Europe. To learn more about
AHF, please visit our website:
www.aidshealth.org, find us on
Facebook: www.facebook.com/
aidshealth and follow us on
Twitter: @aidshealthcare.
APRIL 2015 • HEALTH FILE
31
Now accepting patients...
Jerome Covington, MD
(305) 517-6613 ext. 320
Internal Medicine
3710 N. Roosevelt Blvd.,
Key West
Samantha Reynolds, ARNP
(305) 517-6613 ext. 340 & 341
3710 N. Roosevelt Blvd.,
Unit G,
Key West
Oral Health Care for Everyone!
KEY WEST
MARATHON
3706 N. Roosevelt Blvd.,
Suite F, Key West
2901 Overseas Hwy.,
Suites 1 & 2, Marathon
Mon. - Fri., 8am - 5pm
Last appointment at 4pm
Mon. - Fri., 8am - 5pm
Last appointment at 4pm
Times & days may vary
depending on demand.
Two dentists and one hygienist
and a full compliment
support staff are available
to serve your needs.
Children from age 2 to
senior adults.
One dentist and a full
compliment support staff are
available to serve your needs.
Children from age 2 to
senior adults.
Phone: 305-292-6422
Phone: 305-289-8915
Coming Soon: OBGYN Care
32 HEALTH FILE • APRIL 2015
392735 HF