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Community
Educate community groups
ADOLESCENTS
Adolescence is thought of as a period of wellness with the individual
seeking health care for:
o Sports physicals
o STDs/STI's
o Pregnancy
During these visits, the health care provider should be aware of
immunization updates for the adolescent.
Adolescents need to receive booster doses of vaccines to maintain high
levels of immunity.
Rates of immunization against measles, mumps, rubella, and hepatitis B
are increasing with the adolescent between the ages of 13 to 15 at or very
near the Healthy People 2010 goal for those diseases.
Approximately 15%of older adolescents remain unprotected against
hepatitis B, a virus that can be acquired through sexual contact.
Prevalence of sexual intercourse as well as the rate of STDs has increased
amongst adolescents
Factors include: unprotected sex, biological susceptibility to disease, and
difficulty in accessing and utilizing confidential health care.
Those at high risk for disease include intravenous drug users, sexually
active heterosexuals and male homosexuals (CDC, 2006)
Adolescents need a booster dose of tetanus and diphtheria vaccine (Td)
about TEN YEARS after their first dose received prior to starting
kindergarten.
Unprotected sexual intercourse and injection drug use have been linked to
an increased rate of STDs.
Preadolescent and adolescents should be seen alone, apart from their
caregivers, during a portion of the interview to assess their knowledge
about disease transmission, especially STDs.
INFECTIOUS DISEASES IN DAY CARE AND SCHOOL SETTINGS
Factors that influence the incidence of infection as young infants and
children are cared for in out-of-home settings such as day care and school,
including the following:
o Personal hygiene and immunization status of the caregiver
o Personal hygiene and immunizations status of the children
o Sanitation of the environment
o Specific procedures for toileting and diaper changing
o Procedures for the handling and preparing of food
o Caregiver-to-child ratio
o Quality and physical space of the facility
o Specific exclusion criteria for children with potentially infectious
illnesses
o Good lines of communication with parents
o Access to qualified health consultants and public health personnel
FAMILY TEACHING
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CYTOMEGALOVIRUS (CMV)
DIPTHERIA
ERYTHEMA INFECTIOSUM (FIFTH'S DISEASE)
INFECTIOUS MONONUCLEOSIS
LYME DISEASE
MUMPS
PERTUSSIS (WHOOPING COUGH)
POLIO
ROCKY MOUNTAIN SPOTTED FEVER
ROSEOLA HUMAN HERPESVIRUS 6
ROTAVIRUS
RUBELLA (GERMAN MEASLES)
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RUEBOLA (MEASLES)
SCARLET FEVER
TETANUS
VARICELLA (CHICKENPOX)
SYPHILIS
HIV
GIARDIA
PINWORMS (ENTEROBIUS)
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