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					  Florida Department of Health • Ana M. Viamonte-Ros, M.D., M.P.H., State Surgeon General

the health advisor               J ULY /AUGUST 2009
        Official Newsletter of the Florida Department of Health

the 5 Ds—

Tobacco Free
Hispanics to

Florida KidCare—
     now easier to get and keep!
                                        the health advisor
                                        Ana M. Viamonte-Ros, M.D., M.P.H., State Surgeon General

                                        July/August 2009

   National Health

          Awareness Month
                                        Health care providers, the goal of the Health Advisor is to present health information to your
    International Group B Strep
          Awareness Month               patients, clients and community partners in a reader-friendly format. Article pages are designed for       posting or handouts. If there is a topic that you would like the Health Advisor to cover, please send
 Juvenile Arthritis Awareness Month     your idea to the editor at

          UV Safety Month
                                      3|Take the bite out of summer! Protect against West Nile virus
    National Youth Sports Week,
                                        and other mosquito-borne diseases
                4|Immunize your children before the last-minute school rush
Phelan-McDermid Syndrome Week,
            July 27–Aug. 2
                                      5|Florida KidCare—same great coverage, only now easier
                                        to get and keep!
                                      6|Bureau of Radiation Control hunts hidden nukes at Superbowl XLIII
   Cataract Awareness Month
           cataract.cfm               7|SWAT member Auriel Rolle-Polk honored at Tobacco Advisory
 Children’s Eye Health and Safety       Council Meeting
                                      8|Tobacco Free Florida encourages Hispanics to “Liberate”
      National Immunization
        Awareness Month              DOH MISSION: To promote, protect and improve the health of all people in Florida.
   Psoriasis Awareness Month
        Awareness Month                 EDITOR-IN-CHIEF ANGELA LYNN
                                        EDITOR AND DESIGNER GEORGIA MURPHY
 World Breastfeeding Week, 1–7
                  (c) 2009 Florida Department of Health
     National Minority Donor            The Health Advisor is published on a bi-monthly basis by the Office of Marketing, and is available on the DOH intranet and
        Awareness Day, 1                Internet Web sites.
                                        Please send articles for submissions and questions regarding the Health Advisor to Georgia Murphy; 850.245.4444, extension
  National Health Center Week,          2123; FAX, 850.488.6495; e-mail,
the health advisor
July/August 2009• 3

Take the bite out of summer!
Protect against West Nile virus & other mosquito-borne diseases
submitted by the Office of Marketing, Florida Department of Health
IN FLORIDA, summer’s rainy season is when mosquito activity is at its
peak. Mosquitos not only seek blood like tiny vampires, they also
transmit mosquito-borne diseases so it’s important to protect
yourself and your family—avoid mosquito bites!
   Most people who become sick from mosquitos have mild
symptoms like headache, fever, dizziness and fatigue, but severe
neurological symptoms can occur. Children and adults over 50 are
at greatest risk for severe disease.
Practice the 5 Ds                                  be used on children who are less       Dead birds can leave a trail
                                                   than three years old. Apply
DUSK AND DAWN: Don’t go outdoors                   repellent first to your hands and      Monitoring wild bird deaths can
when mosquitoes are seeking                        then rub it into your child’s skin     help officials track the spread of
blood.                                             and clothes.                           some mosquito-borne diseases. If
DRESS: Wear clothes that cover most                                                       you discover a dead bird, report
                                                   Keep your infant inside if there is    your finding to the Florida Fish
of your skin.                                      a lot of mosquito activity in your     and Wildlife Conservation
DEET: Use repellents containing up                 area. If staying inside is not an      Commission’s (FWC) Web site:
to 30 percent DEET (N,N-                           option, put mosquito netting over Or
diethyl-meta-toluamide). Other                     your baby’s carrier.                   contact your local county health
effective mosquito repellents                      NEED ADDITIONAL PROTECTION? If         department or FWC office.
include: picaridin, oil of lemon                   you need more protection, apply a         For more information on
eucalyptus and IR3535.                             permethrin repellent directly to       mosquito-borne diseases, visit the
DRAINAGE: Check around your                        clothes or gear.                       following Web sites: the Florida
home and get rid of any standing                                                          Department of Health, www.doh.
water where mosquitoes can lay                                                  
eggs.                                              Drain mosquito breeding sites!         arboviral/index.html; the Centers
                                                   REMOVE WATER in old tires, buckets,    for Disease Control and
                                                   garbage cans and other containers      Prevention,; or
Using repellents                                   where water can collect.               contact your local county health
PAY ATTENTION TO THE LABEL: Always                                                        department.
                                                   CHECK CLOGGED GUTTERS AND
read and follow label repellent                    FLAT ROOFS that may have poor
directions carefully.                              drainage.                              A reminder for
APPLYING REPELLENT: Put insect                     FILL IN HOLES OR DIPS in the ground    health care providers
repellent on exposed skin or on                    that collect water. Level the ground   Health care providers should
your clothes, but not under your                   around your home so water can          contact their county health
clothes. Don’t put repellent on                    run off.                               department if they suspect a
your eyes, mouth, cuts, wounds or                                                         patient may be sick from a
irritated skin.                                    EMPTY birdbaths, water bowls,
                                                   plant pots and wading pools once       mosquito bite. DOH laboratories
PROTECT YOUR CHILDREN: Is your                     or twice a week.                       provide testing services for health
repellent age appropriate? DEET                                                           care providers treating patients
is not recommended for children                    STORE boats upside down or with a      with clinical signs of mosquito-
younger than two months old, and                   cover.                                 borne diseases.
oil of lemon eucalyptus should not
the health advisor
July/August 2009• 4

                   Immunize your children before the last-minute school rush
                    submitted by the Bureau of Immunization, Florida Department of Health

                   Don’t wait until the last minute! Yes, the school year just ended for many but this is a good
                   time to prepare for the next school year by arranging to get your children vaccinated as soon as
                   possible. Summer has a way of passing quickly as we balance our work responsibilities and our
                   personal and family obligations. Take your children for their vaccinations now and avoid the
                   back-to-school rush in late July and August.
     REQUIREMENTS FOR                          Vaccinating children against preventable diseases, such as diphtheria,
     STUDENTS ENTERING                      influenza, tetanus, pertussis/whooping cough, measles, mumps, rubella,
         PUBLIC AND                         chickenpox, polio and others, is one of the most important things parents and
                                            guardians can do for their children. While specific vaccines are required for
                                            school, other recommended immunizations are hepatitis A, meningococcal,
KINDERGARTEN                                HPV and pneumococcal vaccines. Immunizations have reduced and, in some
THROUGH GRADE 12                            cases, eliminated many serious diseases. However, a few diseases such as
Four or five doses of diphtheria-
tetanus-pertussis (DTaP) vaccine            pertussis and varicella continue to impact children and adults with outbreaks
Two or three doses of hepatitis            occurring in some communities.
B (hep B) vaccine                              Students in kindergarten through grade 12 who are entering a Florida school
Three or four doses of polio               for the first time must present a physical examination record (completed within
Two doses of measles-mumps-                the past 12 months) and an up-to-date “Florida Certification of
rubella (MMR) vaccine                       Immunization” form (DH Form
                                            680). Although a specific exam
                                            record is not required, the Florida
                                            standardized “School Entry Exam”
KINDERGARTEN AND GRADE                      form (DH 3040) completed by a
ONE: Two doses of varicella
vaccine*                                    health care provider—licensed to
                                            perform physical examinations—is
GRADE EIGHT: One dose of                    recommended. A comparable exam
varicella vaccine*                          record from another state is
GRADE SEVEN: In addition to                 acceptable if it was completed
compliance with all other required          within the past 12 months.
immunizations, children entering,              Contact your health care
attending or transferring to the            provider or your local county health
seventh grade in Florida must
receive one tetanus-diphtheria-             department for more information.
pertussis (Tdap) vaccine.                   Additional information about
*Varicella vaccine is not required if       school immunization and school
there is a history of varicella disease     health requirements for children
documented by the health care               can be found at these Florida
provider.                                   Department of Health Web sites:
Parents should also make sure               org/community/index.htm and
their college-bound teenagers are 
up to date with required and                School/parent/parent_info.html.
recommended vaccines.
the health advisor
July/August 2009• 5

                                         Florida KidCare—
                                         same great coverage,
                                         only now easier
                                         to get and keep!
                                         submitted by Children’s Medical Services, Florida Department of Health

                                         FLORIDA KIDCARE provides quality health care to children
                                         under the age of 19. Children enrolled in the program have
                                         access to preventive care such as regular doctor’s visits,
                                         immunizations, dental and vision benefits. Many families pay
                                         $20 or less per month and some pay nothing at all.
                                            A new law signed by Gov. Crist on June 2, makes changes to
                                         the KidCare program and provides more of Florida’s children
                                         greater access to health care. These changes simplify the
                                         enrollment process for families by:
                                         Decreasing the time required for determining eligibility.
                                         Reducing the suspension period for families who miss payment
                                         of the premium.
                                         Streamlining the financial eligibility process by allowing
                                         electronic verification of family incomes.
                                         Creating a “reactivation” option for applicants who have not
     Since it began in 1998, Florida     become enrolled after 120 days.
   KidCare has offered the children      Providing more immediate health care coverage.
   of working families access to high-   Easing eligibility restrictions on families that voluntarily
   quality doctors and preventive        canceled their private or employer-sponsored health insurance.
   care for little to no cost. Florida      In addition, the new legislation expands the Florida Healthy
   KidCare currently serves more         Kids board of directors to include a member from the Florida
                                         Dental Association and the secretary of the Department of
   than 1.6 million children statewide   Children and Families.
   and hopes to reach
   even more families                                           The new law is designed to increase access to children
   through these new                                           eligible for coverage with KidCare. To apply for Florida
   policies.                                                                KidCare, complete an online application at
                                                  or call 1.888.540.5437 to receive
                                                                    an application by mail or get help over the phone.
the health advisor
July/August 2009• 6

             Bureau of Radiation Control hunts
              hidden nukes at Superbowl XLIII
                            by James Futch, Bureau of Radiation Control, Florida Department of Health

      Ever attend a Superbowl? Neither had 15 members of the Bureau of Radiation Control
      (BRC) until this year. And then it wasn’t to watch the game, but to do something new
                            called Preventive Radiological and Nuclear Detection (PRND).
    PRND uses sensitive radiation          Dennis Mitchell and Alfredo                       meters to narrow down to a
equipment to detect the presence of        Ortega.                                           particular person. The person was
an improvised nuclear device (IND)             Federal agencies brought                      then brought out of line and
or a radiological dispersal device         radiation detection backpacks and                 questioned to see if they had recently
(RDD or “dirty” bomb) and prevent          other devices called radioisotope                 had any nuclear medicine
the use of these devices by terrorists.    identifiers (RIIDs). The $20,000                  procedures (these patients remain
PRND work is typically conducted at        backpacks detect very small                       radioactive for days). A RIID was
national events like the Superbowl.        quantities of radioactive material                used to confirm the presence of
    How is the BRC involved?               from several yards away, while the                medical isotopes. If confirmed, the
Florida’s PRND is coordinated by a         $90,000 RIIDs identify the type of                person was ushered back in line with
state committee co-chaired by the          material present. FDOT provided a                 a “thank you.” If the RIID scan was
BRC and the Florida Department of          $400,000 detection vehicle called                 inconclusive, the results were sent to
Transportation’s (FDOT) Motor              an ASP (Advanced Spectroscopy                     a federal agent back at the command
Carrier Compliance Office (MCCO            Portal—Variant L) that instantly sees             post for additional analysis. If the
is the law enforcement arm of              and identifies even smaller amounts               scan showed IND or RDD material,
FDOT). BRC provides the radiation          of material from tens of yards away.              law enforcement was on hand to
expertise and works in teams with              The night before the Superbowl,               investigate and make the arrest,
law enforcement and military               BRC staff used the backpacks to                   which fortunately, wasn’t necessary.
agencies, which have the tactical          search the NFL Experience tents and                  BRC staff received certificates of
expertise and legal authority to           special venues for hidden INDs and                appreciation from State Surgeon
detain suspects. Teams often include       RDDs. BRC staff worked behind K-                  General Viamonte-Ros for
personnel from the FDOT, Florida           9 units that were looking for                     volunteering for PRND duty.
National Guard, and sheriffs’ or           conventional bombs. Other teams
police departments’ SWAT teams             swept the stands at Raymond James                Bureau of Radiation Control member
                                                                                            Charlie Hamilton (far left) using a hand-held
and bomb squads.                           stadium, and the FDOT team                       radioisotope identifier to survey patrons at a
    A week before the Superbowl, a         monitored the parking lots and                   security checkpoint at Superbowl XLIII.
command post was set up in an old          roadways that surround
Delta hanger at Tampa International        the stadium.
Airport. Fifteen BRC staff members             On game day, the
worked at the command post: John           teams screened patrons
Williamson, James Futch, Charlie           at the stadium
Hamilton, Tristan Timm, Cindy              entrances. If a backpack
Becker, Mark Seidensticker, Charley        registered an elevated
Adams, David Ferguson, Steve               reading from a group of
Furnace, Joy Stephenson, Randy             patrons, team members
Penn, Gary Joseph, Tim Dunn,               silently used hand-held

                      In addition to Superbowl XLIII, BRC staff
       have assisted with PRND screening at many other events
                                           during the past year.
the health advisor
July/August 2009• 7

                                                                          SWAT member
                                                                          Auriel Rolle-Polk
                                                                          honored at
                                                                          Tobacco Advisory
                                                                          Council Meeting
                                                                          submitted by the Bureau of Tobacco Prevention Program,
     Left to right: Deputy Secretary Kim Berfield and Auriel Rolle-Polk   Florida Department of Health

DURING THE TOBACCO ADVISORY COUNCIL MEETING in Tallahassee on June 1, 2009, a talented young
lady was recognized. Auriel Rolle-Polk was presented a certificate of appreciation from Deputy
Secretary Kim Berfield on behalf of the Florida Department of Health, the State Surgeon General
and the Tobacco Advisory Council. Rolle-Polk has provided the Bureau of Tobacco Prevention
Program’s youth organization, Students Working Against Tobacco (SWAT), with unbelievable energy
and direction.
   Rolle-Polk has been an instrumental member of SWAT serving as a regional representative and as
a leader on the statewide Youth Advocacy Board. In fact, in 2005, Rolle-Polk lead a movement at
her high school to resurrect the SWAT program that had ended after
several years of no funding. Rolle-Polk has worked tirelessly               “I would like to thank all of the
recruiting and retaining SWAT members, setting agendas, leading             Department of Health staff, who have
SWAT meetings, issuing press releases and organizing anti-tobacco           not only supported me and my efforts,
efforts at schools and local communities.                                   but those who have continuously stood
   In 2008, Rolle-Polk was awarded the Southeastern Youth Advocate          behind SWAT and our movement. We
of the Year by the Campaign for Tobacco Free Kids—an honor                  truly would not be the same without
awarded to youth who demonstrate a commitment to local and                  your support. Thanks to all of your help,
national advocacy for tobacco control. She also worked with other           I will be attending the University of
youth advocates to raise national awareness and support for the U.S.        Florida and plan to major in
Food and Drug Administration’s (FDA) legislation that requires FDA          telecommunications. You all have been
regulation of tobacco products.                                             influential in my development as an
   Rolle-Polk was one of the national spokespersons for Kick Butts          advocate and I will always appreciate
Day ’09. In this role, she outlined anti-tobacco efforts and gave           that more than you’ll know. Thanks
updates on Kick Butts Day activities throughout the day on live             again!"
television and radio broadcasts from Washington, D.C.                       —Auriel Rolle-Polk
   Rolle-Polk recently graduated cum laude from Lawton Chiles High
School in Tallahassee.

           Why is SWAT important? Because 90% percent of all adult smokers start smoking in their teens, and of that group,
                                two-thirds become daily smokers before they reach the age of 19*
 SWAT is a Florida statewide youth                     manipulates and targets youth to use tobacco      For more information about SWAT, contact:
 organization that works to prevent and reduce         products. SWAT is a united movement of            Laura Corbin, Regional Tobacco Prevention
 tobacco use among youth and to protect youth          empowered youth working towards a tobacco-        Coordinator, at 321.403.0926.
 from secondhand smoke. The group aims to              free future.
                                                                                                         *Source: Substance Abuse & Mental Health
 educate its peers on how the tobacco industry                                                            Services Administration
the health advisor
July/August 2009• 8

Tobacco Free Florida
Hispanics to “Liberate”
submitted by the Bureau of Tobacco Prevention Program, Florida Department of Health

                    According to the Centers for Disease Control,
          about 16% of Hispanics in the U.S. smoke and most of those smokers
                           want to quit—an estimated 61.5%.
   Tobacco Free Florida is reaching out to Hispanics                            Tobacco Free Florida’s Hispanic television,
who make up over 20% of Florida’s population, by                             radio and print ads send the message that smoking
encouraging Hispanics who smoke to quit and                                  can define your everyday life and impact what you
“Liberate” (“Be Free”) from tobacco.                                         can and can’t do—smoking affects what you value
   Tobacco products are advertised and promoted                              the most, your relationships and time with family.
disproportionately to Hispanics and other racial and                         The ads promote the benefits of quitting tobacco
ethnic minority communities. Examples of targeted                            and the positive lifestyle changes that can result.
promotions include the introduction of cigarette                                All advertising directs consumers to the Florida
brands with names such as “Rio” and “Dorado.” The                            Quitline. Staffed by trained bilingual counselors
tobacco industry also supports scholarship programs                          24 hours a day, the Quitline provides cessation
that target Hispanics, advertises in community                               support and helps tobacco users break the cycle of
publications and sponsors Hispanic cultural events.                          addiction.
   According to Kim Berfield, deputy secretary of                               With all of these combined efforts focusing on
the Florida Department of Health, it is crucial to                           the Hispanic community in Florida, even more
target the Hispanic population with an appealing                             Floridians who want to stay or become tobacco free
tobacco-free message. “As the Hispanic population                            can get help.
continues to be one of the largest and fastest growing                          For more information on Tobacco Free Florida,
segments in the state, it is important they are reached                      please visit
with a message that keeps their culture, values and
beliefs in mind.”