A Roundup of Women’s Health Issues

Is it Women’s Health Month? Not according to the calendar. But as you browse through this month’s issue of AJN, you may indeed get the impression that we decided to focus on women’s health for the month of August.

This month’s Viewpoint, by Julie Michelle Haracz, “Making OTC Oral Contraceptives Available for All Women,” reminds us that “No woman should have to wait months for an appointment to see a physician, travel long distances, or pay more than she can afford to prevent an unintended pregnancy.” Haracz notes that oral contraceptives already are available over the counter in more than 100 other countries.

In the news: quick takes and closer looks.

Our August news section is filled with stories of particular importance to women. Our reporters cover the flurry of recent state laws that would significantly limit a women’s ability to obtain an abortion (all facing court challenges), an interesting UK study showing that a single dose of antibiotic after forceps-assisted or vacuum-assisted births reduced the incidence of infection, and sobering new CDC statistics suggesting that 60% of U.S. pregnancy-related deaths are preventable.

Did you know that suicide is the second-leading cause of death among young people in the U.S.? Sadly, the rate of suicide among girls ages 10 to 14 is rising, narrowing the gap between rates rates for boys and girls.

Some positives.

Bringing the Faces of Addiction—and Recovery—to Schools

Nancy Labov, RN, CADC. Photos courtesy of Nancy Labov.

A nurse speaks from experience.

In nursing school, Nancy Labov felt a kinship with the patients she encountered during a rotation on a rehabilitation unit. She realized that she wanted to spend her career caring for patients like them. Their struggles with addiction struck a chord: alcoholism ran in her family, and she, too, had a substance abuse problem, though she was in denial about it at the time.

In her mid-20s, Labov got sober; she has maintained her sobriety ever since. She’s also persisted in her mission to help people recover from addiction. As an RN and a certified alcohol and drug counselor, she has spent the past three decades working on rehab and detox units across the country.

Labov is also the founder of Alumni in Recovery (AIR)—a nonprofit through which young adults in recovery give talks at schools in the communities they grew up in. As she discusses in the July Profile in AJN, “Helping Students See the Realities of Addiction and Recovery,” the New Jersey-based volunteer organization fights stigma by opening a dialogue about addiction and showing teens a young, local, and relatable face of recovery.

A peer-to-peer approach is key.

“How do we reach […]

Are You Checking for Ticks?

” . . . cases of tick-borne diseases [in the U.S.] increased more than twofold between 2004 and 2017. . . .Tick-borne diseases now make up more than three-quarters of all vector-borne disease reports.”

I live in a small town dotted with grassy and wooded areas, brush, and plenty of mammalian wildlife, so the possibility of contact with ticks is present even on a walk to the compost bin or train station.

I’ve become really good at tick identification and removal, but I can’t claim any special expertise in recognizing the early signs of tick-borne diseases.

CDC warns of tick-borne rickettsial disease increase.

For that information, we have help this month from Centers for Disease Control and Prevention (CDC) staff, who steer readers to new resources in the Update from the CDC column in AJN’s July issue, “Increase in Reports of Tick-Borne Rickettsial Diseases in the United States.”

Alison Binder and Paige Armstrong tell us about the CDC’s new online training toolkit and learning module, both designed to raise awareness about tick-borne rickettsial diseases. […]

Can You ‘Stop the Bleed’?

Reconsidering tourniquets.

Bystanders apply pressure to woman’s leg to stop bleeding after explosion at 117th Boston Marathon. Photo by John Tlumacki / Boston Globe via Getty Images.

Have you ever used a windlass tourniquet? I had never even heard of one until recently. The only tourniquets I knew were fashioned from belts, scarves, or neckties, and we were always admonished to use these sparingly, because it was thought that they could cause severe damage to a limb.

In “Leading the Effort to Promote Bleeding Control in Our Communities” in this month’s AJN, James Reed and Margaret Carman dispel myths about tourniquets and share the growing evidence for their safety.

They also introduce us to the Stop the Bleed campaign. Hemorrhage is the second-leading cause of death (head injury, the first) after a traumatic injury, and when an extremity is the source of bleeding, rapid tourniquet application saves lives.

“More than 50,000 casualties sustained in the wars in Central and Southwest Asia have provided evidence that recognizing hemorrhage and controlling it should be the highest priority in caring for an […]

2019-05-16T12:15:52-04:00May 16th, 2019|Nursing, Public health|0 Comments

Measles Outbreaks, and an Unexpected Vulnerability

The second-greatest number of cases since ‘elimination.’

3D graphical representation of spherical-shaped, measles virus particle studded with glycoprotein tubercles. CDC/ Allison M. Maiuri, MPH, CHES

Last month, a state of emergency—which has now been halted by state court—was declared in nearby Rockland County, New York, barring children who hadn’t been vaccinated against measles from public places. The unprecedented step made worldwide news and highlights the public health measures being taken to stem the six currently ongoing measles outbreaks in the United States.

Measles was eliminated in the United States in 2000, but outbreaks have occurred since, increasingly so in recent years. The CDC reported this week that almost 400 cases of measles have been confirmed in 15 states during the first three months of this year alone. This is the second-greatest number of reported cases since eradication of the disease. The most—667 cases—occurred in 2014.

Public health authorities are clear about the cause of these outbreaks: people contract measles abroad and bring it back to the United States, where groups of people who are unvaccinated are particularly susceptible to developing and spreading this highly contagious disease. Up to 90% of unvaccinated people […]

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