A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N. Checklist for growing children Lista de control para los niños crecientes

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1 A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N Affinity HealthyStreets Checklist for growing children Lista de control para los niños crecientes Bone health for teens Salud en los huesos para adolescentes Oh, my aching back! Oh, mi dolor de espalda! Smart fun in the summertime Tips to safely enjoy the season Summer s here and the time is right for safety! This season, when you step out to have fun, be summer smart with our Healthy Streets tips. You and your family will enjoy yourselves this summer, and for many summers to come. Sunny days bring harmful rays Summer safety starts with taking care in the sun. Protect yourself from ultraviolet (UV) rays that can hurt you. They can cause painful sunburn. Bad sunburns can cause skin cancer. Always wear sunscreen. Use at least an SPF 15. Put sunscreen on at least 20 minutes before you leave the house. Put it on again every 2 hours. Stay out of the sun between 11am and 4pm when the sun s rays are the strongest. Wear sunglasses and sunhats. Make sure the sunglasses block UV rays. Wear lightweight clothing. People of color can get sunburned, too. Don t let yourself get too hot. And watch out for the kids! It s easy to get heat exhaustion. That happens when your body can t cool itself fast enough. Heat stroke is more serious. You stop sweating and your body gets very, very hot. This is a medical emergency. Get help as soon as possible. Drink lots of water. continued page 3

2 AffinityHealthyStreets A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N deverano Diversión en el tiempo Consejos para disfrutar de una manera segura esta temporada Ha llegado el verano y la temporada es buena para.. Seguridad! Este verano cuando usted salga a divertirse, sea inteligente y utilize los consejos de nuestro Healthy Streets. Usted y su familia disfrutarán este verano, y muchos más por venir. Los días soleados traen rayos dañinos La seguridad en el verano comienza protegiéndose del sol. Protéjase de los rayos ultravioletas (UV) que pueden causarle mucho daño. Pueden provocarle dolorosas quemaduras. Estas quemaduras pueden causar cáncer de la piel. Siempre use protector solar. Use por lo menos un SPF15. Colóquese el protector solar por lo menos 20 minutos antes de salir de su casa. Y vuelva a colocárselo cada dos horas. Manténgase fuera del alcance del sol entre las 11am y las 4pm que es cuando el sol está mucho más fuerte. Use gafas de sol y sombreros. Asegúrese de que sus gafas tengan un bloqueador de rayos ultravioletas (UV). Use ropa ligera. Las personas de piel oscura pueden obtener quemaduras también. Evite sentirse muy caliente. Y cuide sus niños! Es muy fácil obtener una (Heat exhaustion) insolación. Esto ocurre cuando su cuerpo tarda en retener el frío. Un (Heat Stroke), es algo mucho mas serio. Usted deja de sudar y su cuerpo se pone muy, pero muy caliente. Esto es una emergencia medica. Obtenga ayuda lo antes posible. Tome mucha agua. Diversión en el agua Cada verano, miles de personas mueren ahogadas en U.S.A. Muchas de estas personas son de piel oscura. Cuídese. Siga estos consejos. Nunca nade solo. Trate de nadar solamente donde haya un salvavidas. Nunca tome alcohol o consuma drogas mientras esté nadando o en un bote. Aunque haya un salvavidas, vigile sus niños. Los salvavidas están observando a muchas personas al mismo tiempo. Esté listo para actuar rápidamente cuando sus niños estén dentro del agua. Aun si sus niños han tomado clases de natación, todavía manténgase vigilándolos. Asegúrese de saber cuan profunda está el agua antes de saltar o nadar. Usted puede resultar seriamente herido si salta o nada y el agua no está lo suficientemente profunda. Especialmente los adolescentes los cuales son muy vulnerables. Tome una clase de primeros auxilios (CPR). Para saber más sobre clases gratis de natación para niños y adultos, llame al Departamentos de Parques y Recreación de la Ciudad de NY, al Deje los fuegos artificiales a los Expertos En el Estado de Nueva York, es ilegal comprar o usar fuegos artificiales. Los fuegos artificiales de su ciudad son divertidos, bonitos y lo mejor de todo, seguros. Y también usted puede encontrarse con sus amigos cuando hacen una exposición de fuegos artificiales. Piense antes de comer El verano es también el mejor momento para hacer picnic. Sabe usted como servir su comida para que nadie se enferme cuando coma? Aquí le mostramos algunos consejos que puede seguir para comer saludable y seguro en la temporada del verano: Lávese las manos, lave todas las superficies donde va a cocinar. Lave todos los utensilios de cocina con agua caliente y con jabón antes y después de preparar las comidas. Cocine bien sus comidas. Use un termostato de cocinar para asegurarse que las carnes queden bien cocidas. Trate de servir las comidas calientes, calientes y las frías, frías. Coloque inmediatamente en el refrigerador toda la comida que le sobre. No deje la comida afuera por más de 2 horas. Si la temperatura afuera está a más de 90, solo debe dejarla por una hora. Mantenga la comida fuera del alcance directo del sol. Lave las frutas y vegetales. No olvide sus mascotas Las mascotas también aman el verano. Ayúdeles a combatir el calor. Mantenga su mascota vigilada todo el tiempo. Nunca deje su mascota desatendida dentro de un carro, aun con las ventanas abiertas la temperatura en los carros puede subir hasta 100 en 10 minutos. Mantenga los gatos dentro de la casa. Si su perro está afuera en un día caliente, asegúrese que tenga un lugar sombrío para descansar. Las casas de perros conservan mucho calor. Siempre déle mucha agua fría, o fresca. Las aceras y la arena caliente pueden quemarle las patas a su perro. En los días muy calientes ejercite su perro levemente. Haga ejercicios temprano en la mañana o en el atardecer, que es cuando el sol está menos caliente. Mantenga su mascota alejada de jardines y gramas que tengan fertilizantes. Los perros también se queman con el sol. Coloque bloqueador solar en las orejas y nariz de su mascota 30 minutos antes de salir. Tenga cuidado con las piscinas y playas. El nadar es un trabajo difícil y puede ser que su mascota se canse. 2

3 A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N AffinityHealthyStreets Summertime (cover story continued)... Fun in the Water Each summer, a few thousand people in the U.S. drown. Many of those who drown are people of color. Be safe. Follow these tips. Never swim alone. Swim only where there is a lifeguard. Never drink or take drugs when you are swimming or boating. Even if there is a lifeguard, watch your children. Lifeguards are watching many people at the same time. Be ready to act quickly when your child is in the water. Even if your children have had swimming lessons, you still have to watch them. Make sure you know how deep the water is before you jump or dive. You can get seriously hurt if you jump or dive into water that is not deep enough. Teens are especially vulnerable. Take a CPR class. To find out about free swimming lessons for children and adults, call the New York City Department of Parks & Recreation at Leave the Fireworks to the Experts In New York State, it is illegal to buy or use fireworks. Your town s fireworks are fun, beautiful, and most of all safe. Plus you get to see all your friends at the fireworks. Think Before You Eat Summer is also the time for picnics. Do you know how to handle food so no one gets sick eating it? Here are tips on how to handle food safely in the summertime: Wash your hands, cooking surfaces, and cooking tools in hot, soapy water before and after you prepare the food. Cook foods enough. Use a cooking thermometer to make sure meat and poultry are done. Serve hot food hot and cold foods cold. Put all leftovers in the fridge or cooler right away. Don t leave food out for more than 2 hours. If it is hotter than 90º outside, only leave the food out for 1 hour. Keep the food out of the direct sun. Wash the outside of fruits and vegetables. Remember Your Pets Pets love the summer, too. Help them beat the heat. Keep your pet leashed at all times. NEVER leave a pet unattended in a parked car. Even with the windows open the temperature in the car can climb to over 100º in 10 minutes. Keep your cat indoors. If your dog is outside on a hot day, make sure he has a shady spot to rest in. Doghouses can get hot too. Always give plenty of cool, fresh water. Hot sidewalks or sand can burn your pet s paws. Exercise your dog lightly on very hot days. Get exercise in the early morning or evening. The sun is less hot then. Keep your pet away from lawns and gardens that have been fertilized. Check your pet for ticks. Dogs get sunburned, too. Put sunblock on your pet s ears and nose 30 minutes before you go outside. Be careful in pools or in the ocean. Swimming is hard work and your pet may get tired. Cool ways to a safer summer Staying cool is one way to keep healthy this summer. For some people, including adults aged 65 and older, high heat is more risky. In New York City, Cooling Centers are available for those at risk. To find a center near you, call 311 or go to shtml. Also, the city s Cooling Assistance Program provides free air conditioners for eligible residents over 60 with certain health conditions. To apply, call 311. To see if your income makes you eligible, go to or call (TTY: ) Diferentes maneras de mantenerse frescos en el verano El estar a buena temperatura en el verano es una forma de mantenerse saludable. Para algunas personas, incluyendo los adultos mayores de 65 años, las temperaturas altas son un riesgo. En la Ciudad de Nueva York, hay centros de enfriamientos disponibles. Para encontrar un centro cerca de usted, llame al 311 o visite la página de Internet hazards/heat_cooling.shtml. Además, los programas de asistencia de enfriamiento proveen el servicio de aire acondicionado gratis a residentes elegibles mayores de 60 años. Para aplicar, llame al 311. Para ver si es elegible de acuerdo a sus ingresos, visite la página de Internet o llame al (TTY: ) All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos. 3

4 AffinityHealthyStreets A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N Early Intervention Program: Get Help For Your Child The Early Intervention Program (EIP) is a program run by New York State. It gives special health services to children under three years old and their families. If your doctor has told you your child has a disability or is growing slowly, ask about the EIP program. Get help early. Here are 6 basic steps to the program: Step 1 Referral Your doctor can refer you to the Early Intervention Program. You can also get in touch with EIP yourself. Step 2 Initial Service Coordinator This person will tell you about the program. S/he will talk to you about what the next steps are. Step 3 Evaluation The coordinator will make sure the program is right for your child. S/he will start a plan for your child. This plan is called the Individualized Family Service Plan (IFSP). Step 4 The IFSP Meeting An Early Intervention Officer (EIO) will work with you to finish the plan for your child and the family. You will find out who you will work with for the rest of the program. Step 5 Review After six, you and your coordinator will see if your plan is working. You will make changes if the plan is not working. You will review the plan again after one year. Step 6 Transition This step helps you plan for a move to another program. Your child might need other services or will become too old for the program. If you think your child needs extra help, talk to your doctor. You can call the program yourself at In New York City, call 311. Source: The Early Intervention Program: A Parent s Guide; Revised 12/04 Checklist for Growing Children Here s what you can expect your child to be doing from birth to age three. If you have concerns about your baby s development, call your local Early Intervention Program years 3 years At three of age, most babies: turn their heads toward bright colors and lights move both eyes in the same direction together recognize bottle or breast respond to their mother s voice make cooing sounds bring their hands together wiggle and kick with arms and legs lift head when on stomach become quiet in response to sound, especially to speech smile At six of age, most babies: follow moving objects with their eyes turn toward the source of normal sound reach for objects and pick them up switch toys from one hand to the other play with their toes help hold the bottle during feeding recognize familiar faces imitate speech sounds respond to soft sounds, especially talking roll over At 12 of age, most babies: get to a sitting position pull to a standing position stand briefl y without support crawl imitate adults using a cup or telephone play peek-a-boo and patty cake wave bye-bye put objects in a container say at least one word make ma-ma or da-da sounds At 18 of age, most children: like to push and pull objects say at least six words follow simple directions ( Bring the ball ) pull off shoes, socks and mittens can point to a picture that you name in a book feed themselves make marks on paper with crayons walk without help walk backwards point, make sounds or try to use words to ask for things say no, shake their head or push away things they don t want At two years of age, most children: use two-to-three-word sentences say about 50 words recognize familiar pictures kick a ball forward feed themselves with a spoon demand a lot of your attention turn two or three pages together like to imitate their parent identify hair, eyes, ears and nose by pointing build a tower of four blocks show affection At three years of age, most children: throw a ball overhand ride a tricycle put on their shoes open the door turn one page at a time play with other children for a few minutes repeat common rhymes use three-to-fi ve-word sentences name at least one color correctly If your child is having trouble doing some of these things, it may put your mind at ease to talk to someone. Early help makes a difference! Talk with your doctor or call your local Early Intervention Program. Source: Brochure - Early Help Makes a Difference NYSDOH 11/08 4

5 A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N AffinityHealthyStreets Programa de intervención temprana: Obtenga ayuda para su niño El programa de intervención temprana (EIP) es un programa dirigido por el Estado de Nueva York. Le ofrece servicios de salud especiales a niños menores de tres años de edad y sus familias. Si su doctor le ha dicho que su niño tiene alguna inhabilidad o está creciendo lentamente, pregúntele sobre el programa EIP. Obtenga ayuda temprano! Aquí le mostramos 6 pasos básicos de éste programa: Paso 1 Referido Su doctor puede referirlo al programa de intervención temprana. Usted también puede ponerse comunicarse con EIP por usted mismo. Paso 2 Coordinador de Primeros Servicios Esta persona le dará información sobre el programa. Ella/El hablaran con usted sobre cuales son los siguientes pasos que debe seguir. Paso 3 Evaluación El coordinador se asegurará de que este programa sea el correcto para su niño. El/Ella comenzará un plan para su niño. Este plan es conocido como Plan Familiar de Servicios Individualizados. (IFSP). Paso 4 La reunión del IFSP Un Oficial de Intervención Temprana (EIO) trabajará con usted para coordinar el plan para su niño y su familia. Usted sabrá con quien estará trabajando hasta finalizar el programa. Paso 5 Revisión Después de seis meses, usted y su coordinador deberán revisar si su plan está funcionando. De no ser así, usted deberá hacer algunos cambios. Usted revisará su plan nuevamente después de un año. Paso 6 Transición Estos pasos le ayudaran a planificar como podrá cambiar a otro programa. Su niño tal vez necesite de otros servicios o ya estará fuera de la edad para este programa. Si usted cree que su niño necesita ayuda adicional, hable con su doctor. Usted puede llamar el programa usted mismo al En la Ciudad de Nueva York, llame al 311. Fuente de información: The Early Intervention Program: A Parent s Guide; Revised 12/04 Keep Your Child Safe from Lead Poisoning Tips to stop lead poisoning: Test all children ages 1 and 2 years for lead. Wash your children s hands (always before eating and sleeping). Wash your children s toys. Clean your house often. Use paper towels. Keep children away from peeling paint. Tell your landlord about any peeling paint in your house. Your landlord must get rid of the paint. Cover loose paint. Use contact paper or duct tape. Run water for 15 to 30 seconds before using it. Mantenga sus niños a salvo de envenamiento por plomo Consejos en como detener el envenenamiento por plomo: Hágale la prueba del plomo a todos los niños de 1 y 2 años de edad. Lave las manos de sus niños (siempre antes de comer y dormir). Lave los juguetes de sus niños. Limpie su casa frecuentemente. Use servilletas. Mantenga sus niños alejados de la pintura que se quitan fácilmente de las paredes. Informe al dueño de su vivienda de cualquier pintura que se esté despendiendo en su casa. El dueño deberá remover esa pintura. Cubra cualquier pintura que se esté despegando. Use cinta pegante o papel. Deje correr el agua por 15 o 30 segundos antes de usarla. Use cold water for cooking and making baby formula. Products from other countries can have lead in them. Feed your children good food. These foods make it harder for lead to get into your child s body: foods with a lot of iron (meat) calcium (milk, yogurt) vitamin C (oranges) foods low in fat Does your home have lead in it? Call the New York City Department of Health s Lead Poisoning Hotline: (212-BAN-LEAD). Use agua fría para cocinar y hacer la formula de su bebe. Productos de otros países pueden contener plomo. Alimente a sus niños con buena comida. Las siguientes comidas pueden hacer que el cuerpo de sus niños sea mas saludable y no permitan el fácil acceso del plomo en sus cuerpos: alimentos con mucho hierro (carnes) calcio, (leche, yogurt) vitamina C (Naranjas) comidas bajas en grasas Su casa tiene plomo? Llame a la línea de salud al departamento De envenamiento por plomo de la Ciudad de Nueva York: (212-BAN- LEAD). All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos. 5

6 AffinityHealthyStreets A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N 6 Vaccinations The American Academy of Pediatrics (AAP) advises you to give your children the vaccinations shown on the charts at right. Shots may vary from year to year. Your doctor will tell you which shots your child should have. Vaccines are very safe. It is safer to get a shot than get the illness. Vaccines keep your child healthy and stop the spread of illness. Take this chart with you the next time you take your child to the doctor. The doctor will answer any questions you may have about the shots and when your child should get them. Vacunas La Academia Americana de Pediatría (AAP) le aconseja suministrarles a sus niños las vacunas mostradas en el siguiente cuadro. Las vacunas pueden variar cada año. Su doctor le dirá cual de las vacunas su niño necesita. Las vacunas son muy seguras. Es mas seguro vacunarse que enfermarse. Las vacunas mantienen a sus niños saludables y les previene de cualquier enfermedad. Lleve ésta lista con usted la próxima vez que usted lleve su niño al doctor. El doctor contestará cualquier pregunta que pueda tener sobre las vacunas y cuando su niño debe obtenerlas. Recommended Immunization Schedule for Persons Aged 0 Through 6 Years United States 2009 For those who fall behind or start late, see the catch-up schedule Vaccine Age Birth 1 month Hepatitis B 1 HepB 2 4 see footnote1 6 Rotavirus 2 RV RV RV 2 Diphtheria, Tetanus, Pertussis 3 DTaP DTaP DTaP Haemophilus influenzae type b 4 Hib Hib Hib 4 Pneumococcal 5 PCV PCV PCV Inactivated Poliovirus IPV IPV Influenza 6 Measles, Mumps, Rubella 7 Varicella 8 Hepatitis A 9 HepB Meningococcal 10 This schedule indicates the recommended ages for routine administration of currently licensed vaccines, as of December 1, 2008, for children aged 0 through 6 years. Any dose not administered at the recommended age should be administered at a subsequent visit, when indicated and feasible. Licensed combination vaccines may be used whenever any component of the combination is indicated and other components are not contraindicated and if approved by the Food and Drug Administration for that dose of 12 see footnote3 HepB Hib PCV IPV MMR 15 Varicella DTaP 18 HepA (2 doses) Influenza (Yearly) see footnote7 see footnote8 2 3 years PPSV 4 6 years DTaP IPV MMR Varicella HepA Series MCV Range of recommended ages Certain high-risk groups the series. Providers should consult the relevant Advisory Committee on Immunization Practices statement for detailed recommendations, including high-risk conditions: Recommended Immunization Schedule for Persons Aged 7 Through 18 Years United States 2009 Clinically significant adverse events that follow immunization should be reported to the Vaccine Adverse Event Reporting System (VAERS). Guidance about how to obtain and complete a VAERS form is available at or by telephone, For those who fall behind or start late, see the schedule below and the catch-up schedule Vaccine Age 7 10 years years years 1. Hepatitis B vaccine (HepB). (Minimum age: birth) Administer PPSV to children aged 2 years or older with certain underlying At birth: medical conditions (see MMWR 2000;49[No. RR-9]), including a cochlear Tetanus, Diphtheria, Pertussis 1 see footnote 1 Administer monovalent HepB to all newborns before hospital discharge. implant. Tdap Tdap If mother is hepatitis B surface antigen (HBsAg)-positive, administer HepB 6. Influenza vaccine. (Minimum age: 6 for trivalent inactivated Range of Human and 0.5 Papillomavirus ml of hepatitis B see footnote 2 immune globulin (HBIG) within 12 hours of birth. HPV influenza (3 doses) vaccine [TIV]; 2 years for HPV live, attenuated Seriesinfluenza vaccine recommended [LAIV]) If mother s HBsAg status is unknown, administer HepB within 12 hours of Administer annually to children aged 6 through 18 years. ages Meningococcal birth. Determine mother s HBsAg status as soon as MCV possible and, if For MCV healthy nonpregnant persons (i.e., MCV those who do not have underlying HBsAg-positive, administer HBIG (no later than age 1 week). medical conditions that predispose them to influenza complications) aged After the birth dose: 2 through 49 years, either LAIV or TIV may be used. Influenza 4 Influenza (Yearly) The HepB series should be completed with either monovalent HepB or a Children receiving TIV should receive 0.25 ml if aged 6 through 35 combination vaccine containing HepB. The second dose should be or 0.5 ml if aged 3 years or older. Catch-up Pneumococcal administered at age 1 or 2. The final dose should be administered Administer PPSV 2 doses (separated by at least 4 weeks) to children aged immunization younger no earlier than age 24 weeks. than 9 years who are receiving influenza vaccine for the first time or who Hepatitis Infants born A 6 to HBsAg-positive mothers should be tested for HBsAg and HepA were Series vaccinated for the first time during the previous influenza season but antibody to HBsAg (anti-hbs) after completion of at least 3 doses of the only received 1 dose. HepB series, at age 9 through 18 (generally at the next well-child visit). Hepatitis B 7 7. HepB Measles, Series mumps, and rubella vaccine (MMR). (Minimum age: Certain 12 ) 4-month dose: Administer the second dose at age 4 through 6 years. However, high-risk the second Administration of 4 doses of HepB to infants is permissible when combination dose may be administered before age 4, provided at least 28 days have Inactivated vaccines containing Poliovirus HepB IPV Series groups are administered after the birth dose. elapsed since the first dose. 2. Rotavirus vaccine (RV). (Minimum age: 6 weeks) 8. Varicella vaccine. (Minimum age: 12 ) Measles, Mumps, Rubella 9 MMR Series Administer the first dose at age 6 through 14 weeks (maximum age: Administer the second dose at age 4 through 6 years. However, the second 14 weeks 6 days). Vaccination should not be initiated for infants aged dose may be administered before age 4, provided at least 3 have Varicella 15 weeks or older (i.e., 15 weeks 0 days or older). Varicella elapsed Series since the first dose. Administer the final dose in the series by age 8 0 days. This If Rotarix schedule is indicates administered the at recommended ages 2 and 4, ages for a dose routine at 6 administration is For children aged 12 through 12 years the minimum interval the between series. doses Providers is 3. should However, consult the if the relevant second Advisory dose was administered Committee on of currently not indicated. licensed vaccines, as of December 1, 2008, for children aged Immunization least 28 days Practices after the statement first dose, for it can detailed be accepted recommendations, as valid. including 7 through 18 years. Any dose not administered the recommended age 3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP). 9. high-risk Hepatitis conditions: A vaccine (HepA). (Minimum age: 12 ) should (Minimum be administered Catch-up age: 6 weeks) at a subsequent Immunization visit, when indicated Schedule and feasible. for Clinically Persons Administer significant Aged to all children adverse 4 Months aged 1 events year (i.e., that Through aged follow 12 through immunization 18 Years 23 ). should Licensed The fourth combination dose may Who vaccines be administered Start may be Late as used early whenever or as age Who 12, any Are component provided More of Than be Administer reported 1 Month 2 to doses the Vaccine at least Behind United 6 Adverse apart. Event Reporting States System 2009 (VAERS). the at combination least 6 is indicated have elapsed and since other the components third dose. are not contraindicated Guidance Children not about fully vaccinated how to obtain by age 2 and years complete can be vaccinated a VAERS at form is and The Administer if table approved below the final by provides the dose Food catch-up in the and series Drug schedules at age Administration and minimum 4 through 6 years. for that dose intervals of available between subsequent at doses for children whose vaccinations visits. or by telephone, have been delayed. A vaccine series does not need to be restarted, regardless of the time that has elapsed between doses. Use the section appropriate for the child s age. 4. Haemophilus influenzae type b conjugate vaccine (Hib). HepA also is recommended for children older than 1 year who live in areas 1. (Minimum Tetanus age: and 6 diphtheria weeks) toxoids and CATCH-UP acellular SCHEDULE pertussis vaccine FOR PERSONS 5. Pneumococcal where AGED vaccination 4 MONTHS polysaccharide programs THROUGH target older vaccine 6 children YEARS (PPSV). or who are at increased (Tdap). If PRP-OMP (Minimum (PedvaxHIB age: 10 or years Comvax Minimum for BOOSTRIX [HepB-Hib]) Age and is 11 administered years for ADACEL at ages ) risk Administer of infection. Minimum to See children Interval MMWR with 2006;55(No. Between certain underlying Doses RR-7). medical conditions Vaccine 2 Administer and 4, at a age dose 11 at or age 126 years for Dose for is 1those not indicated. who have Dose completed 1 to Dose 2the 10. Meningococcal (see MMWR Dose 1997;46[No. vaccine. 2 to Dose (Minimum RR-8]), 3 age: including 2 years for a Dose cochlear meningococcal 3 to Dose implant. conjugate 4 Dose 4 to Dose 5 TriHiBit recommended (DTaP/Hib) childhood should not DTP/DTaP be used for vaccination doses at ages series 2, 4, or and 6 have vaccine A single [MCV] revaccination and for meningococcal should polysaccharide be administered vaccine to children [MPSV]) with Hepatitis but not can received be B 1 used a as tetanus the final and dose diphtheria in Birth 8 weeks children toxoid aged 12 (Td) booster 4 or weeks older. dose. Administer functional (and MCV at or least anatomic 16 children weeks aged after asplenia first 2 through dose) or other 10 years immunocompromising with terminal complement component deficiency, anatomic or functional asplenia, and certain other 5. Pneumococcal Persons aged vaccine. 13 through (Minimum 18 years age: 6 who weeks have for pneumococcal not received conjugate Tdap condition after 5 years. Rotavirus high-risk groups. See MMWR 2005;54(No. RR-7). vaccine should [PCV]; receive 2 years a dose. 6 wks 4 weeks 4 weeks 2 for pneumococcal polysaccharide vaccine [PPSV]) 6. PCV A 5-year is recommended interval from for all the children last Td aged dose younger is encouraged than 5 years. when Tdap is Hepatitis Persons who A received vaccine MPSV (HepA). 3 or more years previously and who remain Diphtheria, Tetanus, Pertussis 3 6 wks 4 weeks Administer used as a 1 booster dose of PCV dose; to all however, healthy children a shorter aged interval 24 through may be 59 used if at Administer increased risk 2 for doses 4 meningococcal weeks at least 6 disease should apart. be revaccinated 6 with MCV. 6 3 pertussis who immunity are not completely is needed. HepA is recommended for children older than 1 year who live in vaccinated for their age. 4 weeks 4 weeks 4 if first dose administered at younger than areas if current where age vaccination is younger than programs 12 target older children or who are 2. The Human Recommended papillomavirus Immunization Schedules vaccine for (HPV). Persons (Minimum Aged 0 Through age: 18 Years 12 9 years) are approved by the at Advisory increased Committee 8 weeks risk on of (as Immunization infection. final dose) See Practices MMWR ( ;55(No. weeks (as final RR-7). dose) Administer the the first American dose to Academy females of Pediatrics age 11 ( 12 years. Haemophilus 8 weeks (as final and dose) the American 7. Hepatitis Academy if current B of vaccine age Family is 12 Physicians (HepB). or ( older and This dose only necessary for Administer the second Department dose 2 of Health after the and first Human dose Services and the Centers Administer for Disease the Control 3-dose series and Prevention influenzae to those not previously vaccinated. third dose type 6 b 4 6 wks if first dose administered at age second dose administered at younger than children aged 12 through after the first dose (at least 24 weeks after the age who received 3 doses No further doses needed first dose). A 2-dose No further series (separated doses needed by at least 4 ) before of age adult 12 formulation if first dose administered at age Recombivax HB Administer the series to females at age 13 through 18 years if not is licensed for children aged 11 through 15 years. 15 or older if previous dose administered at age 15 or older previously vaccinated. 8. Inactivated poliovirus vaccine (IPV). 4 weeks 3. Meningococcal conjugate vaccine (MCV). if first dose administered at younger than For children who 4 weeks received an all-ipv or all-oral poliovirus (OPV) series, a fourth dose is not necessary if the third dose was administered at Administer at age 11 or 12 years, or at age 13 through age years if if current age is younger than 12 8 weeks (as final dose) age 4 years or older. not previously vaccinated. 8 weeks This dose only necessary for 8 weeks If both OPV and IPV were administered as part of a series, a total of Pneumococcal Administer to previously unvaccinated 6 wks college (as final freshmen dose for living healthy in children) children aged 12 through (as final dose for healthy children) if first dose administered at age 12 or 4 doses should be administered, regardless of the child s current age. a dormitory. if current age is 12 or older 59 who received 3 doses older or current age 24 through 59 before age 12 or for MCV is recommended for children aged 2 through 10 years with 9. Measles, No mumps, further and doses rubella needed vaccine (MMR). high-risk children who received terminal complement component deficiency, No anatomic further or doses functional needed for healthy children if previous dose If not previously vaccinated, administer 2 doses 3 doses or the at any second age for healthy children if first dose administered administered at age 24 or older dose asplenia, and certain other groups at high risk. See at age MMWR 24 or older for those who have received only 1 dose, with at least 28 days 2005;54(No. RR-7). between doses. Inactivated Persons who Poliovirus received MPSV 65 or wks more years previously 4 weeks and 4 weeks 4 weeks 6 remain at increased risk for meningococcal disease should be 10. Varicella vaccine. Measles, Mumps, Rubella 7 12 mos 4 weeks revaccinated with MCV. For persons aged 7 through 18 years without evidence of immunity (see MMWR 2007;56[No. RR-4]), administer 2 doses if not previously 4. Varicella Influenza 12 mos 3 vaccine. vaccinated or the second dose if they have received only 1 dose. Hepatitis Administer A 9 annually to children 12 mos aged 6 through 6 18 years. For persons aged 7 through 12 years, the minimum interval For healthy nonpregnant persons (i.e., those who do not have between doses is 3. However, if the second dose was underlying medical conditions that predispose CATCH-UP them SCHEDULE to influenza FOR PERSONS administered AGED at 7 THROUGH least 28 days 18 after YEARS the first dose, it can be accepted complications) aged 2 through 49 years, either LAIV or TIV may be used. as valid. 4 weeks Tetanus,Diphtheria/ Administer 2 doses (separated by at least 4 weeks) to children aged For if persons first dose administered aged 13 years at younger and older, than the minimum 6 interval Tetanus,Diphtheria, younger than 9 years who are 7 receiving yrs 10 influenza vaccine 4 weeks age 12 for the between doses is 28 days. if first dose administered at Pertussis first time or who were vaccinated for the first time during the previous 6 younger than age 12 if first dose administered at age 12 or older influenza season but only received 1 dose. Human Papillomavirus 11 9 yrs Routine dosing intervals are recommended 11 The Recommended Immunization Schedules for Persons Aged 0 Through 18 Years are approved by the Advisory Committee on Immunization Practices ( Hepatitis A 9 the American Academy 12 mos of Pediatrics ( 6 and the American Academy of Family Physicians ( Hepatitis B 1 Department of Health and Human Services Centers for Disease 8 weeks Control and Prevention Birth 4 weeks (and at least 16 weeks after first dose) Inactivated Poliovirus 6 6 wks 4 weeks 4 weeks 4 weeks 6 Measles, Mumps, Rubella 7 12 mos 4 weeks Varicella 8 12 mos 3 if the person is younger than age 13 years 4 weeks if the person is aged 13 years or older 1. Hepatitis B vaccine (HepB). Administer the 3-dose series to those not previously vaccinated. A 2-dose series (separated by at least 4 ) of adult formulation Recombivax HB is licensed for children aged 11 through 15 years. 2. Rotavirus vaccine (RV). The maximum age for the first dose is 14 weeks 6 days. Vaccination should not be initiated for infants aged 15 weeks or older (i.e., 15 weeks 0 days or older). Administer the final dose in the series by age 8 0 days. If Rotarix was administered for the first and second doses, a third dose is not indicated. 6. Inactivated poliovirus vaccine (IPV). For children who received an all-ipv or all-oral poliovirus (OPV) series, a fourth dose is not necessary if the third dose was administered at age 4 years or older. If both OPV and IPV were administered as part of a series, a total of 4 doses should be administered, regardless of the child s current age. 7. Measles, mumps, and rubella vaccine (MMR). Administer the second dose at age 4 through 6 years. However, the second dose may be administered before age 4, provided at least 28 days have elapsed since the first dose. If not previously vaccinated, administer 2 doses with at least 28 days between doses. CS CS103164

7 A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N AffinityHealthyStreets Bone Health For Teens The Recipe for Healthy Bones for Teens 1 Stir 1300 milligrams of calcium into your body every day Add some foods with vitamin D Blend with 60 minutes of physical activity Mix it with some bone-strengthening activity Make sure your bones are strong and healthy by following this recipe. Calcium Bones are made up mostly of calcium. Most teens do not get enough calcium. Teens need 1300 milligrams of calcium each day. You can get calcium from milk, green leafy vegetables, almonds, soy nuts, cereals and juices with added calcium. Vitamin D Calcium needs vitamin D to make it work. Teens need at least 200 international units every day; 400 IUs is better. You can get vitamin D from the sun, but that is often not enough. Not many foods have vitamin D. It is often added to foods like milk, orange juice, yogurt and cereals. Physical Activity Exercise helps build bones. Teens should try to get a total of 60 minutes of exercise each day. Bone-Strengthening Activity Weightbearing exercises are important to bone health. You can jog, walk, jump rope, or lift weights. Don t smoke or drink alcohol. They can limit growing bone. Drink less soda and more drinks that have calcium in them. Calcium-Rich Foods Food Portion Calcium (in mgs) Plain, fat-free yogurt 1 cup 450 Grilled cheese sandwich 1 sandwich 371 Fruit yogurt 1 cup 315 Milk (fat-free or low-fat) 1 cup 300 Orange juice with calcium 1 cup 300 Pudding made with milk ½ cup Broccoli, cooked or fresh 1 cup 90 Almonds, dry roasted 1 ounce 80 Here are some fun ways to get your calcium: Pink lemonade yogurt pops: Mix together 1 cup plain non-fat yogurt and 4 tablespoons of undiluted pink lemonade. Pour into ice cube trays or paper cups with popsicle sticks. Freeze and eat. Add a handful of almonds to dried fruit and toss it in a zipped plastic bag. A breakfast banana split: Top a banana with a small cup of low-fat or fat-free fruit yogurt. Add a sprinkle of cereal and pieces of your favorite fruit. Sources: Calcium. TeensHealth, What girls need to know about bone health, Teens, NYSOPEP (New York State Osteoporosis Prevention & Education Program), Bone Builders, The University of Arizona, Salud en los huesos para adolescentes Receta para unos huesos saludables en los adolescentes 1 Consumir 1300 miligramos de calcio todos los días Añadir algunas comidas con vitamina D Ejercitarse por 60 minutos con alguna actividad física Realizar alguna actividad de endurecimiento de los huesos Asegure el endurecimiento y fortaleza de sus huesos siguiendo la siguiente receta: Calcio Los huesos están hechos mayormente de calcio. La mayoría de los adolescentes no obtienen suficiente calcio. Los adolescentes necesitan 1300 miligramos de calcio cada día. Usted puede obtener calcio del la leche, vegetales verdes, almendras, cereales y jugos con calcio. Vitamina D El calcio necesita vitamina D para poder funcionar. Los adolescentes necesitan 200 unidades internacionales cada día. Usted puede obtener vitamina D del sol, pero generalmente no es suficiente. No todas las comidas tienen vitamina D. Usualmente es añadida a la leche, jugos de naranja, yogurt y cereales. Actividades Físicas El ejercicio ayuda a construir sus huesos. Los adolescentes deben tratar de hacer ejercicios por lo menos 60 minutos diariamente. Actividades fortalecedoras de los huesos Los ejercicios que incluyen algún levantamiento de pesas son importantes para la salud de los huesos. Usted puede caminar, saltar cuerdas o levantar pesas. No fume o tome alcohol. Esto puede limitar el crecimiento de sus huesos. Tome menos soda y más bebidas que contengan calcio. Alimentos ricos en calcio Comida Cantidad Calcio (en mgs) Yogurt sin grasa 1 taza 450 Sándwich de queso a la parrilla 1 sándwich 371 Yogurt de fruta 1 taza 315 Leche (baja en grasa o sin grasa) 1 taza 300 Jugo de naranja con calcio 1 taza 300 Pudín hecho con leche ½ taza Brócoli, cocinado o fresco 1 taza 90 Almendras, secas 1 onza 80 Aquí le mostramos algunas formas divertidas de obtener calcio: Limonada rosada con toques de yogurt: Mezcle 1 taza de yogurt sin grasa y 4 cucharadas de limonada no diluida. Viértalo en bandejas con hielo o vasos de papel. Póngala en el congelador y cómalos después. Añada almendras a algunas frutas secas y póngalas en una bolsita plástica con zipper. Un desayuno con banana: cubra una banana con una taza pequeña de yogurt bajo en grasa o yogurt de frutas bajo en grasa. Añada un poco de cereal y unos pedacitos de su fruta favorita. Sources: Calcium. TeensHealth, What girls need to know about bone health, Teens, NYSOPEP (New York State Osteoporosis Prevention & Education Program), Bone Builders, The University of Arizona, All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos. 7

8 AffinityHealthyStreets A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N Exercise Your Heart Does thinking about exercise make you want to curl up on your couch and turn on the TV? Exercise may be one of the best things you can do for your health. Exercise can do all this (and more) for your heart: Your heart is a muscle. Exercise makes it stronger Help the heart and lungs work better Help you lose weight or keep your weight down Reduce stress Reduce the risk of heart attack When you think of exercise, do these thoughts come to mind? Exercising makes me tired The truth is.. Exercise really gives you more energy. Exercising takes too much time The truth is..all you need is 10 minutes a few times a day, 2-3 times a week. The older I get, the less exercise I need The truth is.. As we age, exercise makes everyday tasks easier. Exercise can keep older adults strong and healthy. I m not an athlete so I can t exercise The truth is..you don t have to be an athlete to do most physical activities. One example is walking, an exercise that is easy to do. Make sure you speak to your doctor before you start any exercise program. Sources: Exercise and Your Heart: A Guide to Physical Activity, National Heart, Lung and Blood Institute Starting an Exercise Program, Health Article, DukeHealth.org Tips for Starting an Exercise Program.And Sticking With It!, School of Education, University of Kansas. Healthy Hearts: Everyday Heart Health Tips, The Franklin Institute, Exercise May Lower Your Blood Pressure Staying active makes your heart stronger. It is easier for a strong heart to pump blood. A strong heart can also pump more blood. A strong heart may lower your blood pressure. The best exercise for people with high blood pressure is aerobic exercise. Aerobic exercise uses the big muscles in your body. Walking and swimming are aerobic. Exercise a total of 30 minutes every day. Talk to your doctor before you start exercising. If you take medicine, find out if exercise will change the way it works. Also ask if the medicine will change the way you feel when you exercise. Source: Exercise: A drug-free approach to lowering blood pressure, 8

9 A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N AffinityHealthyStreets Ejercite su Corazón C uándo piensa en hacer ejercicios, le provoca quedarse en su sofá y encender el televisor? Ejercitarse es una de las mejores cosas que usted puede hacer por su salud. El ejercicio puede hacer todo esto, (y más), por su corazón: Su corazón es un músculo. El hacer ejercicio lo hace mucho más fuerte. Ayuda a su corazón y sus pulmones a trabajar mejor. Ayuda a perder peso y mantenerse bajo de peso. Reduce las preocupaciones. Reduce el riesgo de un ataque al corazón. Hacer ejercicios puede reducir su presión arterial Mantenerse activo puede hacer que su corazón sea más fuerte. Es mucho más fácil para un corazón saludable bombear sangre. Un corazón fuerte puede también bombear mas sangre. Un corazón fuerte puede disminuir el riesgo de una alta presión arterial. El mejor ejercicio para personas con alta presión arterial son los ejercicios aeróbicos. Los ejercicios aeróbicos utilizan los músculos más grandes de su cuerpo. Caminar y nadar son Cuando usted piensa en hacer ejercicios, le vienen estos pensamientos a la mente? Ejercitarme me provoca cansancio La verdad es. El ejercicio realmente le da más energía Hacer ejercicios toma mucho tiempo La verdad es. Todo lo que usted necesita son 10 minutos unas cuantas veces al día, 2-3 días a la semana. Mientras mas mayor soy, menos ejercicio necesito La verdad es. A medida que envejecemos, el ejercicio hace que las tareas diarias sean más fáciles. El ejercicio puede mantener a las personas mayores mucho más fuertes y saludables. Yo no soy un atleta, por lo tanto no puedo hacer ejercicios La verdad es. Usted no tiene que ser un atleta para poder hacer la mayoría de las actividades físicas. Por ejemplo, caminar, es un ejercicio muy fácil de realizar. Asegúrese de hablar con su doctor antes de comenzar cualquier programa de ejercicios. Fuentes de Información: Exercise and Your Heart: A Guide to Physical Activity, National Heart, Lung and Blood Institute Starting an Exercise Program, Health Article, DukeHealth.org Tips for Starting an Exercise Program.And Sticking With It!, School of Education, University of Kansas. Healthy Hearts: Everyday Heart Health Tips, The Franklin Institute, ejercicios aeróbicos. Puede ejercitarse por lo menos 30 minutos todos los días. Hable con su doctor antes de comenzar cualquier rutina de ejercicios. Si está tomando medicamentos, asegúrese de que el ejercicio no cambie la forma en que este medicamento trabaja. También pregúntele a su doctor si la medicina provocará algún cambio en la forma de usted sentirse al momento de hacer ejercicios. Fuentes de Información: Exercise: A drug-free approach to lowering blood pressure, All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos. 9

10 AffinityHealthyStreets A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N Oh, My Aching Back! F our out of five people in the Unites States will have low-back pain at some time in their lives. The good news is low-back pain can be prevented. Most low-back pain gets better by itself. Stay as active as you can. Staying in bed can often make things worse. If you do not feel better in three days, see your doctor. People think they must have an X-ray or other test to find out what is wrong. In fact, usually these tests are useless and are not recommended for most patients. Your doctor will ask you about your medical history. S/he will then decide if you need further tests. You are at greater risk for low-back pain if you: Are obese Smoke Are older Either sit at work all day or do hard physical work. You can prevent low-back pain by: Exercising regularly to stay strong and flexible Maintaining a healthful weight Quitting smoking Keeping good posture while sitting and standing Using proper lifting techniques. Sources: Medline Plus, Back Pain ; Imaging for Low-Back Pain Without Indication of Serious Underlying Conditions Does Not Improve Clinical Outcomes, 09 Feb How to lift correctly Como levantar correctamente Correct standing posture Posturas correctas al pararse Correct sitting posture Posturas correctas al sentarse OH, Mi Dolor de Espalda! C uatro de cinco personas en los Estados Unidos sufrirán alguna vez en su vida de dolores en la parte baja de la espalda. La buena noticia es que los dolores de espalda pueden prevenirse. La mayoría de los dolores de la parte baja de la espalda se mejoran por si mismos. Manténgase tan activo como usted pueda. El quedarse en cama puede hacer que las cosas se empeoren. Si usted no se mejora en tres días, vea a su doctor. Las personas piensan que deben hacerse chequeos de rayos X u otros exámenes para saber si algo está mal. Lo cierto es que usualmente estos exámenes no son efectivos y no son recomendables para la mayoría de los pacientes. Su doctor le preguntará sobre su historial medico. El / Ella entonces decidirán si usted posteriormente deberá hacerse algunos exámenes. Usted está en mayor riesgo de sufrir de dolores de espalda si usted: Está en sobre peso Fuma Es mayor Trabaja sentado todo el día o hace trabajo físico duro. Usted puede prevenir los dolores de espalda haciendo lo siguiente: Ejercitándose regularmente para mantenerse fuerte y flexible Manteniendo un peso saludable Dejando de fumar Manteniendo buena postura mientras está sentado o parado Usando las técnicas adecuadas de levantamiento de cualquier objeto. Fuentes de Información: Medline Plus, Back Pain ; Imaging for Low-Back Pain Without Indication of Serious Underlying Conditions Does Not Improve Clinical Outcomes, 09 Feb

11 A M E M B E R N E W S L E T T E R O F A F F I N I T Y H E A L T H P L A N AffinityHealthyStreets HIV/AIDS Basics AIDS (acquired immunodeficiency syndrome) is a sickness caused by a virus called HIV (human immunodeficiency virus). HIV affects the part of the human body that keeps you from getting sick. When people have AIDS, their bodies cannot fight sickness. They get sick easily and have a hard time getting better. There is no cure for HIV/AIDS. Get tested today! If the test tells you that you have HIV, call Affinity Health Plan. We have a Special Care Program for people with HIV/ AIDS. Nurses will help you find a doctor, make appointments, get transportation and manage symptoms. If you would like to find out more please call Ketty Elien, RN at You can t get AIDS from: hugging holding hands sneezes or coughs sitting near someone who has AIDS sharing drinking glasses or silverware public bathrooms water fountains bug bites swimming pools or saunas pets The main ways HIV/AIDS can be spread: / Las maneras en que nos podemos contagiar con HIV/AIDS: Sharing needles with someone who has HIV/AIDS / Compartiendo agujas con alguien que tenga HIV/AIDS Having unprotected sex with someone who has HIV/AIDS / Teniendo sexo sin protección con alguien que esté infectado con HIV/AIDS A mother with HIV/AIDS can give it to her baby before he is born, during birth, or through breastfeeding. / Una madre con HIV/AIDS puede infectar a su niño antes de nacer, durante el parto o cuando le da el pecho. Información de HIV/AIDS AIDS (Síndrome de inmunodeficiencia adquirida) es una enfermedad causada por un virus llamado HIV (virus de inmunodeficiencia humana). HIV afecta la parte del cuerpo humano que le protege de enfermarse. Cuando las personas tienen AIDS, sus cuerpos no pueden combatir las enfermedades. Se enferman rápidamente y le es muy difícil sanarse. No existe ninguna cura para el HIV/AIDS. Hágase la prueba hoy! Si el resultado es positivo, llame a Affinity Health Plan. Tenemos un Programa Especial de Cuidados para personas con HIV/AIDS. Las enfermeras le ayudarán a encontrar un doctor, hacer citas, obtener transportación y controlar los síntomas. Si necesita más información, por favor llame a Keith Elien, RN al Usted no se infecta cuando: Abraza a alguien Agarra las manos de alguien Estornuda o tose Se sienta cerca de alguien que tenga AIDS Toma del mismo vaso o come en el mismo plato de alguien que tenga AIDS Usa baños públicos Usa fuentes de agua publica Le pica algún insecto Usa piscinas o saunas Esta cerca de alguna mascota All models are shown for illustrative purposes only. / Los modelos que aparecen son solo con fines ilustrativos. 11

12 President and CEO Maura Bluestone Editorial Advisory Board Abenaa Abboa-Offei, Barbara Hurley, Emeka Anunkor, Rosemary Aponte Editor Richard Scala Coordinating Editor Judith Leuchter Editorial Assistant (Translations) Miosotis Belmarez Affinity Healthy Streets is published quarterly by Affinity Health Plan. All rights reserved. No material in this issue may be reproduced without written permission from Affinity Health Plan. Affinity Healthy Streets is meant to supplement, not replace, advice and care from health care professionals. It does not encourage the self-management of medical conditions. Please consult your health care provider for any medical condition you may have by Affinity Health Plan. AffinityHealthyStreets 2500 Halsey Street Bronx, NY Non-Profit Org. US Postage PAID Permit No. #99 Saugerties, NY Affinity Community Service Centers Bronx rd Avenue Bronx, NY E. Fordham Road Bronx, NY Brooklyn 709 Brighton Beach Avenue Brooklyn, NY D Church Avenue Brooklyn, NY Rockaway Avenue Brooklyn, NY th Avenue Brooklyn, NY / Eighth Avenue Brooklyn, NY Manhattan 239 Grand Avenue New York, NY St. Nicholas Avenue New York, NY St. Nicholas Avenue New York, NY Queens 1304 Beach Channel Drive Far Rockaway, NY Main Street Flushing, NY / Roosevelt Avenue Jackson Heights, NY th Avenue Jackson Heights, NY Nassau 101 South Bergen Place Freeport, NY B Fulton Avenue Hempstead, NY Orange 149 Broadway Newburgh, NY North Street Middletown, NY Rockland 5 Main Street Haverstraw, NY Main Street Spring Valley, NY Suffolk 210 Broadway Amityville, NY Horseblock Road Farmingville, NY Suffolk Avenue Brentwood, NY Westchester 10 Palisades Avenue Yonkers, NY Quick Facts About STIs S exually transmitted infections (STIs) are spread by having sex with someone who has an STI. STIs are also called sexually transmitted diseases (STDs). Most STIs can be treated. Some have no cure, such as HIV and HPV. Right now, chlamydia is the most common STI. Teenagers and young adults (ages 15 24) make up almost half of the people who get STIs. Gardasil is a vaccine. It can protect against HPV. If you are a female, years, ask your doctor about the vaccine. Trichomoniasis is a common STI. It is easy to cure. Many women think they have a yeast infection. Ask your doctor if you have trich or a yeast infection. Different medicines are used to treat them. HIV/AIDs is an STI with very serious effects. Everyone should get tested for HIV. Sources: Facts and Information about STDs. National Institute of Allergy and Infectious Diseases, Sexually Transmitted Infections: Quick Facts, www3niaid.nih.gov/topics/sti. Breves datos sobre STIs L as Infecciones Sexuales, (STIs), son transmitidas al tener sexo con alguien que tenga cualquier STI. STIs también son conocidas como enfermedades transmitidas sexualmente. La mayoria de las STIs pueden ser tratadas. Algunas no tienen cura, como es el HIV y el HPV. Ahora mismo la Clamidia es la mas común Los adolescentes y jóvenes adultos (entre las edades de 15 24) son mas de la mitad de las personas contagiadas con STIs. Gardasil es una vacuna, la cual puede protegerle en contra del HPV. Si usted es una mujer entre las edades de 12- a 26 años, pregúntele a su doctor sobre la vacuna. Tricomoniasis es una STI común. Es muy fácil de curar. Muchas mujeres piensan que ellas pueden Tener una infección vaginal. Pregúntele a su doctor si usted puede tener una infección vaginal. Existen diferentes medicinas que pueden ser usadas para su tratamiento. El HIV/AIDs es una STI con serios efectos. Todo el mundo debería hacerse la prueba de HIV. Fuentes de información: Facts and Information about STDs. National Institute of Allergy and Infectious Diseases, Sexually Transmitted Infections: Quick Facts, www3niaid.nih.gov/topics/sti. 12