Stroke: What is YOUR risk?

Risk of Stroke, whether TIA (Transient Ischemic Attack*) or full Cerebro Vascular Attacks varies by heredity, lifestyle, and other factors, but trends exist, and knowing your non-controllable risks can help you determine the importance of watching the controllable risk factors.

What is little known is that across all ethnicities, about 20% of strokes occur under the age of 20!

*TIA: A brief stroke-like attack that, despite resolving within minutes to hours, still requires immediate medical attention to distinguish from an actual stroke.

Stroke deaths, by age group and race and Hispanic origin: average annual, 2010–2013:

Stroke by Age

The age distribution of stroke deaths varied by race and Hispanic origin during 2010–2013.

  • More than one-fourth of the stroke deaths among non-Hispanic black persons aged 45 and over (28.6%) occurred to those in the youngest age group (45–64.) By contrast, the portion of stroke deaths in this age group among the other race˗ethnicity groups ranged from one-tenth among non-Hispanic white persons (10.0%) to less than one-fourth among Hispanic persons (22.4%).

Learn how to prevent stroke:

Stroke mortality among adults aged 45 and over varied by race and Hispanic origin and sex during 2010–2013.

  • The age-adjusted stroke death rate for non-Hispanic black men aged 45 and over (154.8 deaths per 100,000 population) was 54% higher than the rate for non-Hispanic white men, 67% higher than the rate for non-Hispanic Asian or Pacific Islander men, and 68% higher than the rate for Hispanic men of the same age.
  • The rate for non-Hispanic black women (131.4 per 100,000 population) was 30% higher than the rate for non-Hispanic white women, 58% higher than the rate for non-Hispanic Asian or Pacific Islander women, and 61% higher than the rate for Hispanic women of the same age.
  • Non-Hispanic Asian or Pacific Islander and Hispanic men and women had the lowest
    age-adjusted stroke death rates (men: 92.8 and 91.9 per 100,000 population; women: 83.0 and 81.6).
  • Non-Hispanic white men and women aged 45 and over had similar age-adjusted stroke death rates (100.7 and 101.1 deaths per 100,000 population). Men in the other race-ethnicity groups had higher age-adjusted stroke death rates than women of the same race and ethnicity (12% to 18% higher).

Age-adjusted stroke death rates among men and women aged 45 and over, by race and Hispanic origin: average annual, 2010–2013:

Hispanic Stroke

Data from the National Vital Statistics System, Mortality

  • During 2010–2013, the age-adjusted stroke death rate for non-Hispanic black men aged 45 and over (154.8 deaths per 100,000 population) was 54% to 68% higher than the rates for men of the same age in other race-ethnicity groups. The rate for non-Hispanic black women aged 45 and over was 30% to 61% higher than the rates for women of the same age in other race-ethnicity groups.
  • The age distribution of stroke deaths differed by race and ethnicity.
  • Stroke death rates were 32% higher in counties in the lowest median household income quartile than in counties in the highest income quartile.
  • Nonmetropolitan counties had higher stroke death rates than counties at other urbanization levels.
  • Stroke mortality inside and outside the Stroke Belt differed by race and ethnicity.

Despite steady decreases in U.S. stroke mortality over the past several decades, stroke remained the fourth leading cause of death during 2010–2012 and the fifth leading cause in 2013. Most studies have focused on the excess mortality experienced by black persons compared with white persons and by residents of the southeastern states, referred to as the Stroke Belt. Few stroke mortality studies have focused on Asian or Pacific Islander and Hispanic persons or have explored urban–rural differences. This report provides updated information about stroke mortality among U.S. residents aged 45 and over during 2010–2013 by age, race and ethnicity, income, urban–rural residence, and residence inside or outside the Stroke Belt. Learn more

Extreme Heat and Your Health

It seems to be getting warmer each year. Extreme heat events, or heat waves, are one of the leading causes of weather-related deaths in the United States. When temperatures rise in the summer, extremely hot weather can cause sickness or even death. Heat stress is heat-related illness caused by your body’s inability to cool down properly. The body normally cools itself by sweating. But under some conditions, sweating just isn’t enough. In such cases, a person’s body temperature rises rapidly. Very high body temperatures may damage the brain or other vital organs.

Learn more:

heat

Heat and Heat Related Injuries and Illness ☀️

It’s time to the about Heat Related Injuries again!

HEAT EXHASTION

Symptoms:

Heavy sweating
Weakness
Cool, pale, clammy skin
Fast, weak pulse
Possible muscle cramps
Dizziness
Nausea or vomiting
Fainting

First Aid:

Move person to a cooler environment
Lay person down and loosen clothing
Apply cool, wet cloths to as much of the body as possible
Fan or move victim to air conditioned room
Offer sips of water
If person vomits more than once, seek immediate medical attention.

HEAT STROKE

Symptoms:

Altered mental state
One or more of the following symptons: throbbing headache, confusion, nausea, dizziness, shallow breathing
Body temperature above 103°F
Hot, red, dry or moist skin
Rapid and strong pulse
Faints, loses consciousness

First Aid:

Heat stroke is a severe medical emergency. Call 911 or get the victim to a hospital immediately. Delay can be fatal.
Move the victim to a cooler, preferably air-conditioned, environment.
Reduce body temperature with cool cloths or bath.
Use fan if heat index temperatures are below the high 90s. A fan can makes you hotter at higher temperatures.
Do NOT give fluids.

HEAT CRAMPS

Heat cramps may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke.

Symptoms:

Painful muscle cramps and spasms usually in legs and abdomen
Heavy sweating

First Aid:

Apply firm pressure on cramping muscles or gently massage to relieve spasm.
Give sips of water unless the person complains of nausea, then stop giving water

Heat Stress & Heat-Related Illness

Heat Stress & Heat-Related Illness

Hot Weather Health Emergencies

Summertime:

You’ve gotten your Summer First Aid Kit,

You’ve Slathered on the Sunscreen,

You’ve Reviewed your Summer Safety Tips,

You’ve even Read all about Electrolytes,

Now what?

Photo of thermometer measuring high temperature.Even short periods of high temperatures can cause serious health problems. During hot weather health emergencies, keep informed by listening to local weather and news channels or contact local health departments for health and safety updates. Doing too much on a hot day, spending too much time in the sun or staying too long in an overheated place can cause heat-related illnesses. Know the symptoms of heat disorders and overexposure to the sun, and be ready to give first aid treatment.

Heat Stroke

Heat stroke occurs when the body is unable to regulate its temperature. The body’s temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down. Body temperature may rise to 106°F or higher within 10 to 15 minutes. Heat stroke can cause death or permanent disability if emergency treatment is not provided.

Recognizing Heat Stroke

Warning signs of heat stroke vary but may include the following:

  • An extremely high body temperature (above 103°F, orally)
  • Red, hot, and dry skin (no sweating)
  • Rapid, strong pulse
  • Throbbing headache
  • Dizziness
  • Nausea
  • Confusion
  • Unconsciousness

What to Do

If you see any of these signs, you may be dealing with a life-threatening emergency. Have someone call for immediate medical assistance while you begin cooling the victim. Do the following:

  • Get the victim to a shady area.
  • Cool the victim rapidly using whatever methods you can. For example, immerse the victim in a tub of cool water; place the person in a cool shower; spray the victim with cool water from a garden hose; sponge the person with cool water; or if the humidity is low, wrap the victim in a cool, wet sheet and fan him or her vigorously.
  • Monitor body temperature, and continue cooling efforts until the body temperature drops to 101-102°F.
  • If emergency medical personnel are delayed, call the hospital emergency room for further instructions.
  • Do not give the victim fluids to drink.
  • Get medical assistance as soon as possible.

Sometimes a victim’s muscles will begin to twitch uncontrollably as a result of heat stroke. If this happens, keep the victim from injuring himself, but do not place any object in the mouth and do not give fluids. If there is vomiting, make sure the airway remains open by turning the victim on his or her side.

Heat Exhaustion

Photo of man exhausted from playing tennis.Heat exhaustion is a milder form of heat-related illness that can develop after several days of exposure to high temperatures and inadequate or unbalanced replacement of fluids. It is the body’s response to an excessive loss of the water and salt contained in sweat. Those most prone to heat exhaustion are elderly people, people with high blood pressure, and people working or exercising in a hot environment.

Recognizing Heat Exhaustion

Warning signs of heat exhaustion include the following:

  • Heavy sweating
  • Paleness
  • Muscle cramps
  • Tiredness
  • Weakness
  • Dizziness
  • Headache
  • Nausea or vomiting
  • Fainting

The skin may be cool and moist. The victim’s pulse rate will be fast and weak, and breathing will be fast and shallow. If heat exhaustion is untreated, it may progress to heat stroke. Seek medical attention immediately if any of the following occurs:

  • Symptoms are severe
  • The victim has heart problems or high blood pressure

Otherwise, help the victim to cool off, and seek medical attention if symptoms worsen or last longer than 1 hour.

What to Do

Cooling measures that may be effective include the following:

  • Cool, nonalcoholic beverages
  • Rest
  • Cool shower, bath, or sponge bath
  • An air-conditioned environment
  • Lightweight clothing

Heat Cramps

Heat cramps usually affect people who sweat a lot during strenuous activity. This sweating depletes the body’s salt and moisture. The low salt level in the muscles may be the cause of heat cramps. Heat cramps may also be a symptom of heat exhaustion.

Recognizing Heat Cramps

Heat cramps are muscle pains or spasms—usually in the abdomen, arms, or legs—that may occur in association with strenuous activity. If you have heart problems or are on a low-sodium diet, get medical attention for heat cramps.

What to Do

If medical attention is not necessary, take these steps:

  • Stop all activity, and sit quietly in a cool place.
  • Drink clear juice or a sports beverage.
  • Do not return to strenuous activity for a few hours after the cramps subside, because further exertion may lead to heat exhaustion or heat stroke.
  • Seek medical attention for heat cramps if they do not subside in 1 hour.

Sunburn

Photo of sun bather.Sunburn should be avoided because it damages the skin. Although the discomfort is usually minor and healing often occurs in about a week, a more severe sunburn may require medical attention.

Recognizing Sunburn

Symptoms of sunburn are well known: the skin becomes red, painful, and abnormally warm after sun exposure.

What to Do

Consult a doctor if the sunburn affects an infant younger than 1 year of age or if these symptoms are present:

  • Fever
  • Fluid-filled blisters
  • Severe pain

Also, remember these tips when treating sunburn:

  • Avoid repeated sun exposure.
  • Apply cold compresses or immerse the sunburned area in cool water.
  • Apply moisturizing lotion to affected areas. Do not use salve, butter, or ointment.
  • Do not break blisters.

Heat Rash

Photo of woman's face sweating.Heat rash is a skin irritation caused by excessive sweating during hot, humid weather. It can occur at any age but is most common in young children.

Recognizing Heat Rash

Heat rash looks like a red cluster of pimples or small blisters. It is more likely to occur on the neck and upper chest, in the groin, under the breasts, and in elbow creases.

What to Do

The best treatment for heat rash is to provide a cooler, less humid environment. Keep the affected area dry. Dusting powder may be used to increase comfort.

Treating heat rash is simple and usually does not require medical assistance. Other heat-related problems can be much more severe.

Beat the Heat ☀️

Feel the Heat? Beat it!

Humidity is a whopper, too!

Spending time in the sun on vacation?  Heat related illness is a possibility if you don’t take certain precautions. Beat the Heat!

Learn More:

North American summers are hot; most summers see heat waves in one or more parts of the United States. Heat is one of the leading weather-related killers in the United States, resulting in hundreds of fatalities each year and even more heat-related illnesses.Beat-the-Heat9

 

#HeatSafety #BeattheHeat #WRW

National HIV Testing Day

Take the Test: Protect Yourself and Others

According to the Centers for Disease Control and Prevention (CDC), an estimated 1.2 million people in the United States are living with HIV, and nearly 1 in 8 doesn’t know it. 

It is important to get tested and know if you are in this group, only then can you take the next steps to protect your health and others. Find a free testing site near you and take today as an opportunity to share this information and raise awareness about preventing the spread and reducing your risk of getting HIV.

Medical and Health Apps and AEDs under FDA surveillance

With the flood of “Health Apps” on the market, and rapid increase in OTC medical devices (AEDs for one) leading to perhaps-lesser-quality-assurance, the FDA is ramping up its after-market performance scrutiny.

According to the FDA:

Despite rigorous premarket evaluation, what really counts is how well a medical device works when it’s used day-to-day by patients, caregivers and clinicians. Beyond clinical trials, real-life patient experience may reveal unanticipated device risks and confirm long-term benefits. Similar to other medical products such as drugs or vaccines, medical devices offer vital, sometimes life-saving, benefits, but they must be balanced against certain risks. A strong postmarket surveillance system can provide more robust and timely benefit-risk profiles for devices so that providers and patients can make better informed health care decisions.

Medicine doctor pushing on first aid sign with modern computer interface

Medicine doctor pushing on first aid sign with modern computer interface

Learn more at the FDA

Also read:

The Impact of Climate Change on Your Health

You think sniffles are bad?

climate_change_health_impacts600wClimate change, together with other natural and human-made health stressors, influences human health and disease in numerous ways. Some existing health threats will intensify and new health threats will emerge. Not everyone is equally at risk. Important considerations include age, economic resources, and location.

In the U.S., public health can be affected by disruptions of physical, biological, and ecological systems, including disturbances originating here and elsewhere. The health effects of these disruptions include increased respiratory and cardiovascular disease, injuries and premature deaths related to extreme weather events, changes in the prevalence and geographical distribution of food- and water-borne illnesses and other infectious diseases, and threats to mental health.

How Healthy is Your Community?

CommunityHave you considered the health of your Community as a whole? Interesting…

Health and well-being are products of not only the health care we receive and the choices we make, but also the places where we live, learn, work, and play. Community health improvement (CHI) is a process to identify and address the health needs of communities.

About CDC’s Online CHI Navigator

The Centers for Disease Control and Prevention’s (CDC) online CHI Navigator is a one-stop-shop that offers hospitals, health systems, public health agencies, and other community stakeholders expert-vetted tools and resources for: