Medical Matters and Public Health Concerns in the News | AWARE! | WSRE

Medical Matters and Public Health Concerns in the News | AWARE! | WSRE


Coming up aware focus is on an important medical issue and two major public health concerns Making national headlines and impacting our community breast cancer in men a flesh-eating bacteria reported in some parts of the Gulf and Health issues with each cigarette sore vaping the aware show starts right now This original wsre presentation is made possible by viewers like you. Thank you Hi, I’m Dee Dee sharp and welcome to this special edition of the aware show We’re glad to have you right there where you are Well today we are taking a look at not just one but three medical matters making headlines including e-cigarettes and vaporizers Vaping is a seven billion dollar industry sweeping the country and leaving in its wake Possible life-threatening crippling effects coming up a little later in our show We’ll talk with an expert from the Florida Department of Health and this can be a County about this growing industry and the health concerns that come with it Also ahead it lurks in warm water And with the threats of global warming comes a bigger problem with a flesh-eating bacteria We’ll talk with a local health official and a research scientist Biologist and tell you more about this deadly bacterium and let you know what you need to know to avoid Becoming infected with this bacterium that and more is still to come on the aware show, but first October is Breast Cancer Awareness Month and with it? It’s often associated with women, but more and more. There’s been an increased focus on men with breast cancer In fact beyonce knows his father Disclosed in an interview with ABC News sport and sports commentator Michael Strahan that he had undergone treatment for breast cancer Michael also revealed that his brother had been diagnosed as well well you think it can’t happen to you according to the American Cancer Society this year an Estimated two thousand six hundred and seventy men in the United States will be diagnosed with breast cancer Black men as you see according to the numbers here have a higher rate of getting it followed by white men It is estimated that 500 men will die from breast cancer this year Well, what are the signs and symptoms of breast cancer in men and what’s being done here locally to help in the right against breast Cancer for the answer to these and many other questions we’re joined in the studio Now by Kate Mitchell kay is the community development manager with the American Cancer Society Southeast region, thank you so much for joining us kay You’re welcome so much information out there now about men and breast cancer than what we’ve ever had before most of the time we think of breast cancer we think of women and You know every time I get a chance to talk about breast cancer awareness and that sort of thing I’m always reminded to mention about my own mother who my loss that our dear and tender age of 57 year old Freddie Oh death of Carter Kenny died of breast cancer in 2000. So it’s been quite some time, but my heart goes out to Breast cancer survivors and the fight of breast cancer and so in doing that often Supporting the American Cancer Society and everything that you all are trying to do to get the word out and try to help people prevent This deadly disease that even if it tries to take hold that you guys are doing everything you can on the forefront to fight it and for our men We’re really doing making some strides there as well. We are Just getting the word out and letting men know that they can get it to is a big deal If you don’t know that it’s possible, you’re not gonna look for the symptoms So it probably with men as with any other medical issue They probably don’t go in to get things checked as much not at all women as you know We get mammograms at 40 every two years unless you have a history man. That’s just not the case They’re not asked to get mammograms. So they have to really know what to look for Mm-hmm, the American Cancer Society does so much to fight against cancer I would be remiss if I just didn’t give you an opportunity before we get too far ahead Zooming in and focusing on men just give you a chance to talk about the American Cancer Society and what you all do abroad and then we’ll just narrow the focus here so normally when people think of the American Cancer Society They think of research and we do a lot in that regard we partner with the experts and make sure that we’re funding the proper programs that can help not just Fight it but cure it that is our ultimate goal Right here in Pensacola though the programs that we offer for those that are fighting breast cancer or any type of cancer Locally we offer free rides to treatment which is huge A lot of doctors won’t even prescribe or I guess write their prescriptions to get treatment if they can’t provide that they have Brides to treatment because once you start chemo, you know, you have to go everyday for a length of time So that’s something that we’ve stepped in to help with is offering free rides to and home from treatment I’m another thing that we do is if they’ve lost their hair we give free wigs and they’re not cheap wigs They’re really nice expensive wigs Free scarves we offer free hotel stays if they’re having to travel for treatment as well and then support not just for If you’re going through anything that traumatic, it’s nice to have somebody that can That’s been there You know as a support So we offer that it’s free and then we also offer support for the caregivers because it’s taxing on anyone that has to deal with that it really is and that’s why I wanted to give you an opportunity to tell a Little bit more about the things that you all do that we don’t know that’s out there and I know you you all actually helped my mom when she needed a prosthetic breast and so I Appreciate it what was offered to her to make her feel as beautiful as what she really was Regardless of the cancer and she wasn’t a vain person so, you know, but you still You know what? I mean those kinds of things help Yeah, yeah, so I’m glad that you all were there for her and I’m glad that you’re there for our community at large so much more to dive in and focus on you know on men and breast cancer because oftentimes they don’t get diagnosed because they they kind of ignore things and The numbers that we gave at the beginning of the show same kind of small But not really when you consider that there’s a possible prevention For them so that we don’t have 500 men who lose their lives kids Well being that only 2600 or died notes and 500 are dying from it. That’s a fourth That is a huge number and a lot of that is because they’re catching it so late so the awareness part of what we do is it’s just It’s not only important. It’s imperative if you don’t know what to look for then you’re not going to go to the doctor and Men don’t like to go to the doctor anyway, so and then you think about that’s embarrassing, you know I mean if they’re one of the symptoms is Tenderness and redness or they there something’s hard and if you feel something and it’s like, okay Do I really want to go to the doctor and there’s an embarrassment factor there? And I think that’s part of the reason why the numbers are so high Because it gets so bad to where there’s nothing that can be done. Mm-hmm. And so you’re mentioning some of the symptoms So we’re just gonna go straight to that as well as we pull that up on the screen My car director can bring that up for us and we can just kind of go down the list These are some of the symptoms but not all of them So you do keep that in mind and you know, I could read them all off But you can read them as well here on your screen lump and swelling which is often but not always Painless, so don’t get caught up if it doesn’t hurt if there’s if there’s some swelling there There’s a lump there be concerned skin dimpling or puckering Nipple retraction redness or scaling of the nipple or breast and a discharge from the nipple These are just some of the things that you can look out for and it is the same for women and men Okay, it should me and do the same type of breast cancer they can Self-examination they can t so just just the the feeling around with the arm race and to see if you have that Feeling that lump. Okay, very good so the American Cancer Society is doing it here locally is doing something grand and I just wanted to make sure we brought it on the aware show And you’ve been doing it now for about four years And it’s called men in pink and you got to hear all about it and you’re over it. Tell us more about it cash So a lot of men that are dealing with their wives or their sisters or their daughters that have breast cancer They’re going through it just like they are and they wanted to do something to show that. Hey, I’m in this fight with you So four years ago we created this program called real men wear pink and we pick 20 distinguished men in our community that Have no problem not only wearing pink and wearing Well, not just wearing pink but raising awareness and funds to help Hopefully cure this disease. So this like you said, it’s been four years and Pensacola, you know, it’s not a big city, but it’s impactful. There’s a lot of people that live here that just have huge hearts in 2016 and in 2017 Pensacola raised the most money out of all the real men wear pink candidates in the state Which is amazing to me Last year, we came in second, but we’re still in the campaign right now So they have until the end of the year to hit their goal, which is a hundred and five thousand dollars. Very good Yeah, so who’s like the front-runner this year? So Thomas Greek? He’s a director at Navy Federal last year he won he raised over 34,000 dollars with the help of excellent Navy federal and right now he’s number one at $30,000 so we good. Yeah So how did you all come up with the men who are gonna participate in doing this? A lot of them have been nominated? We do seek nominations they have about six months to submit who they think would make a good candidate and We it would need to be someone who’s in good standing with the community It helps if they are well known And they have support Okay, so we have a variety of men from all different backgrounds some CEOs and business owners attorneys doctors But it’s it’s fun to watch them Get out there anything in their pink and they go all out. I mean some of them just they go all Really and it’s really cool to see so they’re having a lot of fun. They are. Yeah. Yeah this year We actually started the first annual Beer tasting so it was a way to come up with that Yes, okay. It was really neat they all in Their friends and family and sold tickets and it was packed I’m gonna have to change the video because the room we were in it was over capacity. It was good. Yeah, it’s great fundraiser. Mm-hmm and so I you know You’d love to mention all the men who are involved at least hats off to all of them involved For sure and appreciate them for participating in this and raising the funds And of course you are using those funds to benefit the American Cancer Society here locally Yeah, my top. Three Thomas is number one number two Peter mo J. And number three is al Brown and he did something interesting to raise his money. He’s at ten thousand $32, so he started a poker tournament It was a memorial Poker tournament for john mize like who just passed away from cancer a couple months ago So his friends and family showed up and supported in two weeks ago. They held a poker tournament at the CSI building in Own garden. It was phenomenal So I’m excited that that’ll be something that will be able to keep going in his memory good stuff Also the big thing that everybody hears about when they think about the American Cancer Society is the wall Yes, you got it. You got it. Tell us about that. We’re in our 17th year, which is amazing and it’s grown from two or three hundred people to last year we had 12,000 show up in support in a sea of pink all different backgrounds and ages November 9th and this year and we’re just we’re excited to be able to offer an opportunity to not only remember those that have we’ve lost but to celebrate those that are still here and Fighting and and just be a support and let them know that we’re here for them. Mm-hmm. I love the diversity of this because cancer You know, it’s it doesn’t pick one race or when people it’s just an equal opportunity disease Yeah, I had no idea how many people were affected by breast cancer until I started fundraising I was a team leader for years just doing the walk and Hosting events and trying to raise money and do my part and just being in the community seeking donations every Business, I want you. They had a story to tell me and I just was shocked I had no idea how many people have been affected So it’s 1 in 8 women? Which is that’s scary Yeah, it’s very scary is you never know you don’t and chances are you will know someone if not you Oh Yeah big I was saying I had a scare this year turned 14 Got ready to get ready to go for my first mammogram and found a lump and I’m freaking out thinking I’m I’m about to go through what I deal with every day is Thankfully it turned out it wasn’t anything but that’s it’s a scary place to be I had that scare myself a few years ago So I know what you mean. Yeah and I typically will do my breast exam and I’ve started this since I was 40 because my mother You know got this disease at a very young age And so I had to start doing screenings early on and I would do it in the month of October because that was her birthday So and I always said, you know, I hate that, you know, you hate to lose your mother but I said her death actually was an awakening for me it gave me a chance for cure because now I know To try to prevent it by getting those exams And so I was doing it on her birthday. And now I’ve kind of lost track of it But I still get them yearly and that’s the idea And so then the other thing about breast cancer we talked about some of the symptoms For me and but I also want to talk about some of the risks so, you know, we’re gonna be bringing back up in just a moment the symptoms to look out for and the health risk that Could cater to this and so that will be coming up again in just a moment Just want you to know and some additional information. If you want to contact the American Red Cross But during this segment and talking to you I also want to go ahead and mention What some of those risk factors might be for men in getting breast cancer and we’re showing that on the screen right now, so age family history an inherited gene mutation radiation exposure alcohol liver disease obesity testicular conditions and estrogen treatments all of these things can Become a risk factor for a man getting breast cancer. So you may find yourself somewhere on that List to be concerned and I know alcohol Consumption and and liver and disease and things like that Obesity is something that we really don’t think about but all of those things can put you on the radar for this at the end of the day What would you want someone to walk away with a man? I would say men cuz this is what we really wanted to focus on to walk away from this segment knowing that Because they they’ve watched because they’ve heard what we’ve had to say They need to get their breast exam and they need to do it at home they need to take it one step further if they see or feel anything that’s there at the end of the day what we our Viewers need to walk away the take away. Well, they have one body They got to take care of it if something doesn’t feel right go to the doctor get it checked out because Prevention and catching it early means you could be saving your life and the impact that men Leave when they’re not here anymore on their families. I don’t think they think about that So I would would just hope that they would Remove the embarrassment factor if they feel like something’s wrong and just go get it checked out. Okay? I said the American crossover we’re talking about the American Cancer Society their community programs that help so they fit there, but with the American Cancer Society We appreciate all that you all do here locally I love this concept of getting the men in pink and raising money and raising awareness for this All-important, you know issue of breast cancer for men and women and I want to thank you also for being here on our show wish You most success with this and hope y’all raise a whole bunch of money We’re so close to hitting our goal. So, okay. Thank you. Good deal. All right All right, coming up what you need to know to protect you and your family from a flesh-eating bacteria call necrotizing fasciitis That and more after this recap And welcome back We’re turning her attention now to a disease making headlines After many people were hospitalized and others have even died after coming in contact with a flesh-eating bacteria, according to the Centers for Disease Control since 2010 an estimated 700 to 1200 cases Occur annually in joining me in her studio now to tell us a little bit more about necrotizing fasciitis our my guest, dr John Jay Lanza, Escambia County director with the Florida Department of Health. And dr Alisa Wagner a research scientist and a professor for the biology department for the University of West Florida center for environmental diagnostics and bioremediation Dr. Wagner is also director of the Wagner research lab associated with the University of West, Florida We want to welcome both of you to the aware show. Thank you Don’t want to just scare folks about what’s going on out there in the Gulf or what? Has been going on because at the end of the day it is about it has been going on We’re just now hearing a little bit more about it. Dr. Lindsay social media. Yes. Yes that we hear about Necrotizing fasciitis because I don’t use the other words, okay on social media before we get a report from the hospital typically and we will frequently hear about social media and there’s really Not a case of necrotizing fasciitis or a disease similar to it So that’s why I think is the reason we’re we’re hearing about more cases. Okay now that we’re hearing about it Let’s talk about it make your use aware of what it is and start with that Well, basically necrotizing fasciitis is a disease that affects the tissue below the skin from the outside or the inside bacteria gets into the muscles and the tissue between the muscles and the skin and that’s In it causes degradation of that tissue and can lead to death very quickly Depending on the situation that that person was in the most common cause of necrotizing nikkor Titus fasciitis rather is The strep bacteria that produces strep throat. Yes No, I didn’t know that people need to know this and the second one is probably this the staff he gets staph skin infections all The time so the one that we’re really interested though is the one that you can pick up from being in Brackish or salt waters, which is the Vibrio the Vibrio vulnificus That’s the one you hear about and that’s the one that people talk about. That’s when you hear about on social media but the most common way to get a skin infection which might lead to necrotizing fasciitis is actually with the Strap that produces a strep throat secondary to scratching and insect bite for example And you can be on land a thousand miles from the ocean. You can still have the same problem, but since we are talking about the disease that deals with Vibrio That is something we do see in the Gulf Because of the warm waters here, you can’t see it other places But it’s mainly the warm ordinance and I’m gonna let Lisa go and talk about that sand She’s the ecologist as to why we have that sure and it’s surprisingly in 2017 218 there were more cases in Delaware than previously reported and it’s thought that is a big deal Well, because that’s a colder climate and water temperatures there right now We’re running around 57 degrees where our waters are over 75 degrees So the big deal then is we’re talking about global warming causes more possibly an increase of this bacterium in the water But we’re finding that It’s actually the same or if not worse in Delaware where the water isn’t as warm, right exactly So it’s very scary for the folks up north and it’s been more often a problem down here in the Gulf Coast area Generally because the waters are warmer all bacteria will do better in warm water but the higher incidence of this bacterium is more evident one because there’s warmer, temperature waters people are more often out and about in the waters playing in the waters crabbing fishing and then There are other factors that we believe as ecologists are contributing to the success of this particular bacterium in these warm waters And we’re still investigating that okay, cuz I was about to zoom in and focus but that’s that’s under research right now That’s under research right now. We we hypothesized that the turbidity of the water may be responsible The increased storm events which would mix up the waters turn it up and make it more turbid The salinity of course is a big factor. So if you have a big rain event, you’ll have freshening of the water and the turbidity may be counteracted by that and then salinity and other factors such as chlorophyll a into Indicating how well the phytoplankton or ZOA plankton are doing in the water. So this bacteria is always out there exactly okay, so we need to know that anything new is just that we’re hearing more about it and like you’re saying that because of possibly warmer waters and possibly because of Storms and that sort of thing mixing this thing up and bringing it more than we’re and then it’s driven by social media But sorting is okay. The reporting is probably why we know more is scared, but this is all about perception It’s all about perception right and anything In which someone posts pictures of them an emergency department or in the hospital and has been surgery done to remove the the dead tissue? Essentially that is the necrotizing fasciitis That’s scary. I mean it really is but it’s also very rare. It’s probably for getting necrotizing fasciitis associated with Vibrio the bacteria that we’re talking about the same as getting struck by lightning is part about one in a million something like that in comparison Your chances of being in a car wreck in your lifetimes about one in two chance of died in a car wreck is about one In seventy, so you know how many times have you been at the beach and any kind of you had necrotizing fasciitis? Everything else going But there is an issue with certain individuals. Who are you promis– they have decreased immunity for a number of different reasons number one is liver disease hepatitis B hepatitis C Cirrhosis of the liver they’re alcoholics diabetics have cancer HIV or on medications that decrease the immunity interestingly enough those Little purple pills the what we call proton pump inhibitors. They decrease the amount of gastric acid that we have And you know, you’ve had gastric service surgery stomach surgery that increases your risk. Yes Why because when you drink in the water that may have the beer Bo the asses don’t kill off the bacteria so you have an increased risk of it getting absorbed into the gastrointestinal system and becoming a Systemic disease we call septicemia which can be very serious typically with the Vibrio You’ll get a localized gastroenteritis in that individual nausea vomiting diarrhea and you usually get over it That’s probably more common than we know but what we’re talking about here I think is the the Vibrio infection that produces the significant skin infection. Yes, which is typically associated with Being Having a wound and the wound you owning the water and you pick up the beer beer because of Vibrio is everywhere in varying concentrations and it gets into the wound or you get stuck by a crab, shell or a clam shell an oyster shell or something like that and You can then get infected very quickly within hours and then end up in the hospital very quickly, hopefully Because you notice that there’s redness there’s pain is oozing this fever stiffness in that area and you need to Go to emergency department and be evaluated if you have any of that do not wait to be God Call your doctor you go to the emergency department and get evaluated if you have a cut like that, and it’s become infected I’m glad that you mentioned some of that we brought some Symptoms that we were going to show our viewers on the screen here as you were going through some of that you’ve probably already mentioned most of them Do want to let you know that we will be showing this again in just a moment just in case you miss it right now So that you’ll know what to look out for painless a pain red swollen skin and near the wound flu-like symptoms you just talked about some of that and of course the redness and the Wehling but these are just some of the things I mean doesn’t mean that this has to be all there is to it so you need to be aware of What happened? What is happening to you? And then what happens after you’ve stepped on something you had a wound you went in? You know what? I mean? You just have to be aware of what’s going on with your body Yeah through smart and you have to be aware first. You don’t go into the water if you have a wound, right? You just don’t can do that and you can part you can talk about waterproof bandages and that sort of stuff I wouldn’t trust my life with it Okay, I mean see, you know, the funny thing is and we’re gonna get hold on to those tips Leave them up there, but you know the thing is is that often times? You think if you’re going to the salt water, it might actually help you but in this case Let’s talk about leases would be the expert on that because she knows about back to your levels Well, let’s talk about these tips right now So we’re just talking about that what you can do to actually avoid Having an issue with this don’t walk sit swim in the waters If you have an open wound That’s what you’re seeing exactly and say or you get an open wound because you are walking in the wall And if you do make sure you properly wash or treat that When you rinse with fresh water after swimming, it reduces the risk of exposure as well and then lastly seek immediate medical attention Which is what look at, dr. Lanza has just told us The only thing I would add is if you are on a beach or in the water And you are immune compromised? You know wear those shoes that you can wear in the water or really anybody can do that to be extra safe I’m not saying that everyone is going to do that, but it would make sense Especially if you have liver disease or cancer HIV etc. You’re smart be smart you want your feet all in Twinkletoes We live in a paradise Doctor water, you know waiter you you work a lot with making sure that that You all do the research so that you can keep us informed and aware about what we need to do to be safe for in the water Right. So the research at UW F is primarily undergraduate student driven And so we have a lot of students that volunteer to do work We have people from the biology department primarily, but also from Earth and mental Sciences. I have one graduate student Who’s finishing writing up his thesis which has has been all about Vibrio vulnificus? And we are now also enumerated Vibrio parahaemolyticus In the same DNA samples that he collected from one location over the series of a month a year and three months The salinity is one thing the temperature we were talking prior to this Doctor Lanza and I were talking about the numbers in the water that are potentially dangerous and that is a very difficult thing to assess Because there’s some that are more pathogenic than others and we are not medical doctors. We are environmental scientists So we’re interested in the ecology of this group of bacteria So a minimum number and we talked about 30 per milliliters is one possibility But there it’s possible that lower numbers could also be potentially dangerous We’re more ecologists were interested But of course getting this information out to the public about which locations but potentially could have higher levels. That’s one thing but Also just having a baseline information is what we’re trying to get some external funding to get students out there Get them away from their humdrum jobs So they can still be paid to do the research do their studies and help build up a really solid data set from perdido key to the other side of Escambia Bay and that’s our goal is to get You’re really challenged because you need research dollars things We need some research dollars to get a really solid solid data set at least one time in The summer and one time in the winter To get a good feel for what’s the baseline levels of Vibrio in various locations in around our playground? So how important is it to get this funded and to do this research? I mean we’re talking about this but really I mean for someone sitting at home to understand the magnitude of it because it sounds like There’s not like this are great scare of it. It’s still know. Okay It’s because of social media. It’s a different thing today. Okay, and we don’t know what the numbers are. I couldn’t tell you What the numbers of the really it’s in the Gulf of Mexico are right now Okay, or a month ago because we haven’t been able to sample there I’ll tell you what of great concern to me is what you said at the beginning of this segment and that saying That no longer. Can we just say it’s about warm water when it’s in Delaware didn’t think either bay up and Delaware? It’s not warm like it is down here not as one so that alone is enough to bring out sure Ecology is a very complex thing. So it’s a it’s more than just a food web or a food chain It’s a mixture of food webs that are all intertwined and they’re all related to temperature and salinity and turbidity chlorophyll a nutrient levels perhaps inputs of storm water treatments We don’t know that but we know that they’re not related at all Their abundance is not related at all to Inter caucus levels Which is what’s currently tested by the county and state governments in our in our areas. Well, I got you right there What other things do you all? Research if you have your own lab And so I’m primarily a microbial ecologist So I research other groups of bacteria that are not pathogenic and therefore people don’t care about them But ecology is ecology whether it’s a pathogenic bacterium or not Okay They all follow the same rules to growth rates temperatures The success after storm events before storm events salinity, etc Okay, so ecology is universal and being able to hone in on this particular group Maybe that we get research dollars because this is scary to humans Okay, and research dollars for funding of general microbial ecology for another group of bacteria that are not pathogenic Maybe not as easy. Mm-hmm I love how you’re able to explain this even though it has to potential be Difficult to understand but you’re able to really bring this into layman terms so that we can understand what you’re talking about Michael. Yeah Dr. Lanza at the end of the day, I mean because I almost got these these things a little confused you’re saying that we have the the Fasciitis is there then the Concern is greater with trap and those kinds of diseases because there’s a greater chance of us getting those things and being impacted and possibly getting well Because you don’t know about the strep right the strep throat causing necrotizing fasciitis Okay sepsis systemic disease or or the staff because of social media and because we live here we Assume that anyone who goes into water and gets necrotizing fasciitis It’s due to the Vibrio and that’s probably the case but it’s still very rare But I would be remiss if I didn’t talk about raw oysters and clams Okay, so I told you previously the last time I ate a raw oyster was May 27th 1988 Okay And I remember that specifically because that was a going-away party for the pediatric residents here at Sacred Heart when I was a resident way back when and Subsequent to that I learned well, you know their real problems would raw Shellfish like oysters or clams and I don’t do that anymore I eat oysters, but they’re always cooked catch and they’re always cause you sonar way, right? Well what happens with the raw oysters and clams is they’re they’re contaminated with the Vibrio both of them Lucas and the parahaemolyticus and he gets into the gastrointestinal tract and Most of the time it doesn’t cause any problems at all just passes right through Some people get a nausea vomiting diarrhea a little bit of fever that sort of thing But it’s those people that have liver disease some sort of immune compromised cancer HIV or whatever Or as I mentioned, it’s got through those aunt a sour acid fighting Medications and surgery the bacteria gets into the bloodstream becomes sepsis a body Infection and that’s when the fatality rates are really high So once again, and I’ve been saying this for 26 years that I’ve been at the Health Department Do not eat raw oysters or clams I eat clams and oysters, but they’re always cooked Okay, and what happens when we cook it, we know that we kill off. Yes. Is that what happens? All right. So bacteria are just like us there’s a certain level of temperature that we can tolerate without Okay. Yes So we’re just killing any living organisms that live on the surface or inside of the tissue of the oyster the clamp Okay The other he pointed at me John pointed because discussion before yes about vulnificus versus Perry Hume a little kiss and so parahaemolyticus is one that’s often associated with the food poisoning okay of eating the raw oyster and having just some gastrointestinal discomfort My graduate student mark the one who’s finishing up his thesis work Looked at a year and a half of DNA samples for vulnificus He is now going back and sampling every single one of those because once we extract the DNA we can sample it for anything Pathogens are nasty So he is now examining those those DNA samples for parahaemolyticus And we think that that might be more abundant in this one particular location that we assess now what we plan to do is expand our program if we can get a little bit of money and look at Austere surfaces because that’s where vulnificus and parahaemolyticus thrive if they live on surfaces. They’re very good at Attaching to surfaces some bacteria are better at that than others, but they put out a slime It’s called extracellular polysaccharides matrix EPM but we just call it slime buyers line and they do a very good job of sticking to things So people are afraid of stepping on oyster getting cut and then getting and that’s often where you’ll see the worst cases where you get a cut from a Crab, or an oyster. Okay We’ll see. Okay, we would like to expand our program and look at Easter’s and water samples good So the thing I love about this is is that we’re not just talking about cuts and wounds we’re talking about something we eat Thin so all the more reason to fund the research and get this done so that we know what’s going on out there so that we know what we’re Susceptible, right, right. I love that Dr. Weiner, so coming up in the near future What can we expect coming from you and your research and all that other good stuff We will continue to do more Vibrio work mark is going to finish up and graduate soon I have two more lined up behind. We’re ready to roll Okay And if we can get more undergraduates involved in boat time Paid for because boats do cost money fuel cost money and we’ll be able to expand our program way beyond the one Location we’ve currently been passing. Okay, very good. And dr. Lanza I know we could go almost anywhere with you and what you do with the Health Department But I just want to give you a closing remark here about our subject matter here and this Perception is everything again Sometimes everything and what you see on social media is not that’s really what it purports to be But you have to be aware of your surroundings. If you have a cut don’t go into the water brackish water or salt water Wait till it heals then go into the water Don’t eat raw oysters or clams if you’re walking on the beach You know where some sort of a slipper or shoe or something about to protect your feet if you do get cut Wash it off very well with soap and water if you do see redness streaking warmth firmness fever then you need to seek medical care immediately because You could have a fatal outcome in less than 48 hours if you don’t But as I said, it is very very rare But it can happen especially those who are immune compromised liver disease You have to be aware of your own Self and I think that I love that and I think the important thing to note here Is that while we didn’t go into any particular cases? It is happening. People are Losing limbs people are getting sick people are dying So we don’t want to not say that that’s not happening But we didn’t want to get in any particular cases and tell about any and thing here in the local area because we don’t want to Put out people’s information about their health issues, right, but we have had a mix of everything Or oysters be needing we’ve had people stepping on clam shells or oyster shells and getting Infection from that way, we’ve had all the different things that we’ve been talking about have happened here over the past several years Cause for concern so there you have Caused you to be here. Yes Thank you all for being here and sharing this information with us here on the aware show good stuff. All right we want to share some information with you as well about this deadly a Bacteria here on your screen just a moment, but still to come here on the aware show We have just a few more minutes left We’re gonna be talking about vaping and we’ll be talking about how this is seen as something that doesn’t necessarily make you Sick, but it could be more I should say sickening than what you might think so stick around for that It’s coming up next Welcome back vaporizers and electronic cigarettes are the latest craze and they’re making the headlines The CDC has issued an advisory concerning severe pulmonary disease associated with e-cigarettes many people especially teenagers have been hospitalized or have even died because of vaping lawsuits have been filed against several companies who manufacture These devices and if you eat use e-cigarettes, or you even vape you could be putting yourself at risk Dr. Vanessa Phillips is here from the Florida Department of Health. Tobacco free, Florida Their mission is to protect the people of Florida from the dangers of tobacco. Thank you so much for being here. Dr. Phillips Thank you for having me. Yeah, and we we hear about this I first heard about tobacco free Florida a few years ago. You all do a lot of things I wanted you to give us an overview of that and then I want to zoom in and focus on e cigarettes and vaping because it’s All the latest craze is everything everybody’s doing and they don’t realize that what they may be doing is putting themselves at risk But let’s start with where you are and with the Florida Department of Health and what you all do for the tobacco-free, Florida program Absolutely. So tobacco-free Florida has been in existence for more than a decade and It’s a collective across the state of Florida to ensure that we are adopting tobacco-free policies and tobacco-free initiatives across the state in each of the 67 counties so it’s a larger program to ensure that we’re driving down youth tobacco use rates and increasing the health of all people in Florida, okay, and in keeping with that Everybody knows that you all are about Making sure that we have tobacco-free living Working conditions and and all of those sorts of things So what are you all doing to ensure that and working with policies and in instituting? Those types of programs that make sure that we do have a tobacco free environment Absolutely. So tobacco-free Florida is 80 percent youth focused. So youth to us are ages 11 to 17 Of course, it goes a little little younger than that, but ages 11 and 17 is our focus and we have student run student lead students working against tobacco programs so that peer to peer contact is definitely important and what we’re doing to drive down prevention is the number one key when it comes down to using tobacco and vaping and Things of that nature so we’re using our young people Empowering them in such a ways that they can be The advocate that they can educate the community not just the young people their peers But the community at large and so we’re driving down policy. That way we’re also doing things like Advocating and assisting with tobacco-free housing if you’re living in a multi-unit housing situation or an apartment. We’re also In businesses we go in and assist business owners with their wellness policies and we provide technical assistance We look at some things and we provide language or optional language Suggested language. We’re definitely not legal experts at all, but we are wanting everyone to Live a tobacco-free life which in turn will make them and their employers employees Healthier and it’ll actually drive down those health care costs and things like that. They experience good stuff now people use vaping and a cigarette and all these other things thinking that they’re doing something to Stop or kick the habit of using tobacco and that sort of thing But what they’re actually doing maybe something that’s even riskier when it comes to their health This is also a daily encounter that we we here. We do a lot of Prevention education all throughout the community. We are a community based program so whether it’s in a church or in a school, we are ensuring that everyone knows the dangers that are associated with tobacco use and Vaping is no different the common Misconception is that vaping is not a tobacco product and though there are newer products on the market it is primarily a tobacco product and has been deemed as though as under the FDA’s laws and rules and definitions of tobacco so With vaping. It’s people tend to think it’s something that’s used to help you quit smoking and it’s definitely not It is not something that’s an approved cessation aid, but we have tons of free resources available with tobacco free Florida we have programs that are Able to allow people to quit their way whether it’s sitting on the computer whether it’s in a chat room Whether it’s on your cell phone text messaging or with a counselor You don’t even have to leave your home in order to receive free Cessation assistance and they can send it right to your house Mm-hmm, you know the thing about vaping and a cigarette says you’re tasting something that tastes good So you’re not thinking that it’s bad, you know And so I think the thing here in the aware show is to let folks know that While it seems like it’s a cool thing to do and it might even taste like it’s okay. It’s not Okay and the other thing with a Cigarette and all this stuff with vaping is the targeting of the younger folks because they’re there now One of the biggest audiences ours should say consumers of these these devices Absolutely. This is something that’s not new Young people have been a target for more than 60 years and they were the target for regular tobacco products for a very long time and Because we’ve driven down that number and in fact, Florida has the lowest smoking they have the lowest smoking rate in the nation All right. Now smoking rate amongst teens. Should I say but Vaping is something that’s new and it’s something that we are looking at that changing the way that young people think They think tobacco and cigarettes are bad but vaping is not and that’s a common misperception that It’s not one in the same and there’s a lot of nicotine that’s available in those particular products young people really believe that they’re just having flavor and It’s cool it’s just something that’s cool that can vape that between classes or At practice or what have you but it’s still the use of a nicotine product and in most cases It’s more nicotine than one pack of cigarettes That’s in one vape pot and that’s just incredible to know because like some of the flavors Like I said, it tastes good, you know, and so it’s hard to believe that it’s not good for you And so I’m glad you’re telling us that yeah, it still has nicotine. It still has a problem with nicotine is highly Addictive. Yeah, so that’s one thing we want to convey to every single body whether you’re a young person or a more seasoned person nicotine is still highly addictive and those vape products do have nicotine in them and I will not just Reverse here and go back because you kind of raked over it and I just want to blow it up and just tell our viewers that you you all are to be congratulated because as she mentioned you have the lowest numbers for teens the smoking rate for teens and so you know again You know an applause for you all because you all are doing some good stuff to get the word out and it must be working Yeah, you do a lot of prevention programs I can definitely say that Tobacco free Florida is really again. It’s 80 percent focused on prevention if you keep them from ever starting We won’t have as much of a problem so that alone with the things that we’re doing out in the community we have Community partnerships where we invite parents we invite people who are on the school committees parent-teacher Associations things of that nature to come in and learn how to prevent these things from happening. Learn how to keep our young people from purchasing tobacco We have something that’s called point-of-sale. There are some things that young people see and they look like candy or they’re brightly colored or they’re Really appetizing to them but we really want to make sure that they understand just because it looks good just because they have a flavor Just because it may taste good. It’s definitely not good for you I’m glad you said that because I had to have been about 18 years old when I bought me my first pack of Virginia Slims And I did it because one of my aunt’s smoked them, but I thought it had to be the coolest thing to do Thank goodness. I never picked up the habit. But the point was I thought it looks sexy Look cute, but there’s nothing cute about this Using you know nicotine over extended period of time absolutely Tobacco use is still the number one most preventable cause of death in the world So that’s something that we want to make sure that we’re telling young people and we’re telling adults still Nothing has changed with that I remember I used to like the candy cigarettes back in the day But in this job, I’ve done this job almost twelve years and I learned that those things were training products there’s lots of things that kids see and We start to emulate the habit. And so if we can break those habits we can definitely ensure that we have a tobacco-free Florida and it’s a backhoe free nation I just put my head down cuz I know all about those candy cigarettes and never thought that that was an in a way to get in and to have us yeah as young kids think that that is a Adult thing to do and the thing that’s interesting that you and I talked about in the green room I want to talk about now. Is that someone who doesn’t smoke might think that this doesn’t apply to them We’re here’s where it does because we’re also talking about second and now third hand smoke and the effects of that now absolutely, so most of us have heard secondhand smoke and that’s when somebody’s sitting in a room with you and they have a lit cigarette or cigar and you are actually seeing This smoking you’re inhaling it nine times out of ten There is a such thing as third hand smoke if you walk into a room But there is actually nobody smoking but you can smell that cigarette smell there’s still chemical present that’s especially important for people who have asthma Which is why we work on tobacco-free housing policies so that you are not triggered by those smells all the time And that’s important for people who have young children because if you’re in a house or an apartment With a couch per se that you’re smoking in that particular living room and then you lay the baby on the couch they’re constantly inhaling those chemicals and that’s things that we don’t typically think about and I think I’m Really impacted with what the allergies because I’ve noticed that I have a lot more Sneezing and other issues related to the allergy type symptoms when I’m around that So yeah, it’s it’s I think it’s bigger than what we think So I’m glad to hear you all now look at second third hand impact of people smoking and I’m also glad when we talk about the lines of Prevention and what you all do that one of those things includes you actually helping people quit their way That’s interesting. You have to Everything’s not cookie cutter. And so when tobacco from Florida realize that and they came up with quit your write your way The rates went up a bit and We’re taking the barriers out and one of the things that I am Especially proud of over at the Florida Department of Health in Escambia County we sit right next to the e-cat station, which is a line of bus transportation and We have a class that’s there and it’s one time for two hours and people at the end of that class can come in Receive two weeks worth of patches if there is funding available They can also get lozenges or gum in addition to that and that’s a kickstart for them But we’re taking out those barriers that exist and we’re taking out the excuse There are free programs available and we really want people to be alive and well And tobacco free. Mm-hmm and you actually go out and do prevention I don’t want to say tox, but I’ll say presentations About that. Absolutely presentations from tobacco 101 which is really what’s tobacco all about because we assume that everybody knows tobacco is bad for you, but Not necessarily. Some people have that. I’m gonna die anyway, but You don’t necessarily want to speed up that process by using tobacco products and what not So we talked about tobacco one one we talked about cessation we talked about Marketing because marketing is a big thing in tobacco with its when you wanted to Virginia slim it was running into women it was marketed as something that was sleek and sexy and so we talked about those tactics that were being used we talked about how populations were segmented and we talked about how you can spot those things and get around them and we especially Talked to young people in their parents. We want them to be aware of what those new products are not everything That’s tobacco now looks like a cigarette there are things that look like a tic-tac but they’re called orbs. They’re things that look like a toothpick that are called sticks There’s snus there’s a whole lot of tobacco products that don’t look like tobacco products of yesterday I’m so glad that you’re sharing that with us and I’m going to put my mom back in here and did a little bit earlier when we were talking about breast cancer, but I’m doing it again because I noticed that even in You know the later stages of breast cancer she was a smoker and she’s still wanted cigarettes and it was the one thing I told I’m not buying this because I know That this is not good for you. But she’s still this is how food the reason why I’m bringing it up Is this is how bad the addiction was? For you know to have the nicotine even when you’re in these These high stages in the in the cancer that you still wanted And so I think we need to really see and understand that this is a real problem It’s a real addiction And if you have this problem there are programs out here in the community to help you Absolutely. We’re here to help every single body That’s especially if you’re a Florida resident Even if you’re not a Florida resident and you’re listening to this or you’re here and your visit our health department even if you’re not afford a resident There are programs nationwide that are available to help you The CDC has a strong robust program and our program is definitely abiding by those CDC rules we are in close contact with what CDC has and We’re definitely in tune with ensuring that our nation Drives down that how big of a problem is this before we let you go so that again viewers understand that this isn’t just Somebody else’s problem. It’s everybody’s problem again Tobacco use is the most preventable cause of death in the world and I want to emphasize preventable if we never start we can drive down that high incidence of Death rate on average you’re looking at taking off 15 years of your life if you are a tobacco user So we really want to drive down those. It’s not just the Yes, the in death rate is very very important but it impacts us all because we’re talking about insurance. We’re talking about money Somebody’s gonna foot the bill somebody’s got for all this Absolutely. It’s a high cost when it comes down to insurance. That’s one of the things that we work with Employers on we want to drive down their insurance cost We want to drive down presenteeism that’s people that are there and not doing anything because they’re say yes. Yeah absenteeism They’re sick. Yeah. Asthma rates are up things like that So it affects us all across the board closing comments 15 seconds go Anybody who’s willing and ready to quit we have free resources available for you at tobacco free, Florida You can go to tobacco free florida calm or you can contact us over at the Florida Department of Health in Escambia County We are here for you to help you quit your way. You took the words right out of my mouth Being here with us and if you would like more information as dr Phillips just told you on how you can kick the smoking habit including vaping Be sure to go to the Florida Department of Health Website and visit their tobacco-free florida website shown to you on your screen here And then that will give you what you need to know to give them a call and get the help you need That’s all the time we have for now Hopefully you learned a little bit more about the growing concerns of men’s breast cancer symptoms diagnosis treatment and prevention also the dangers of the flesh-eating bacteria necrotizing fasciitis and What you can do to protect you and your family from this bacteria last but not least. We hope that you have made we’ve got more information to become more aware of the health risk associated with Vaping and ecig arrests at the end of the day we want to thank all of our guests and the Organizations represented here on our show for sharing that information with you and we thank you for being there for us I’m Dee Dee sharp saying until the next time stay informed and stay aware

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