Fighting disease at the CDC-from malaria to COVID-19

Our country and the world are confronting a new and serious health challenge which just a few weeks ago we knew little about but are learning more every day- the COVID-19 disease outbreak. This crisis presents a unique opportunity for us as citizens to watch the private and the public healthcare sectors work together to control and contain the spread of this disease.

Since the start of 2020, you’ve probably heard and learned more acronyms than ever before. Medicine, chemistry, computer science, the military, and government use acronyms- abbreviations formed from the initial letters of words to create new words. Acronyms make it easier to write and say complicated names. But in medicine, sometimes they represent serious and dangerous diseases-

  • MI-myocardial infarction, heart attack
  • CVA-cerebrovascular accident, stroke
  • DM-diabetes mellitus
  • HIV-AIDS-human immodeficiency virus-acquired immundeficiency syndrome
  • SARS-CoV-sudden accute respiratory syndrome (due to coronavirus )
  • SARS-CoV-2 sudden accute respiratory syndrome(due to coronavirus 2)
SARS-CoV-2

In an online article on March 3, 2020 , three physicians from Johns Hopkins School of Public Health reported a December 2019 outbreak of viral pneumonia in Wuhan China, a city of several million people, a place I had never heard of. Scientists determined they were infected with a novel (new) coronavirus which they called SARS-CoV-2, which was soon shortened to COVID-19-corona virus disease 2019. The World Health Organization, WHO, declared this a Public Health Emergency of International Concern. The authors concluded

it is clear now that COVID-19 will spread widely in the world, including in the U.S….health care and public health systems need to move quickly forward in their efforts to be ready to confront this disease around the country

Drs. Adalja, Toner, Inglesby,March 3, 2020, JAMA, The Journal of the American Medical Association
symptoms of COVID-19-fever, cough, shortness of breath

I don’t remember if I had seen that article, but I had been reading about COVID-19 on several medical websites. On March 5, 2020 I spoke at my local DARDaughters of the American Revolution-meeting as chair of the Women’s Issues Committee, which focuses on family, career, and health. By mid April when I looked back at my notes , I was stunned to realize how much had happened and how much our lives had changed in a mere 6 weeks. Here’s what I reported to the group that day.

What I told DAR about COVID-19

Our country and the world are confronting a new and serious health challenge which just a few weeks ago we knew little about but are learning more every day- the COVID-19 disease outbreak.  This crisis presents a unique opportunity for us as citizens to watch the private and the public healthcare sectors work together to control and contain the spread of this disease.

The public health response is coordinated by President Donald Trump –POTUS-and the U.S. Department of Health and Human Services (HHS). The Secretary of Health and Human Services, Alex Azar ,serves in the President’s cabinet.

avoid contact with sick people, do not touch your eyes, nose, mouth; wash hand often
“effective Health and Human Services”

The mission of the U.S. Department of Health and Human Services (HHS) is

“to enhance and protect the health and well-being of all Americans by providing for effective health and human services and by advances in the sciences underlying medicine, public health, and social services.”

The Constitution doesn’t mention health or medical care but maybe the department’s creation was inspired by the preamble to the Constitution which pledges to “promote the general welfare.”

In terms of spending, HHS is now the largest government agency, surpassing even the Department of Defense-DoD. The 2121 budget proposal includes $94.5 billion in discretionary funds and $1.3 trillion in mandatory funding for HHS. (This was prior to the 2020 COVID-19 response.)

This HHS budget funds multiple agencies including 

  • CMS- Centers for Medicare and Medicaid
  • ACA- the Health Insurance Marketplace for the Affordable Care Act 
  • FDA-the Food and Drug Administration 
  • IHS- the Indian Health Service 
  • NIH, the National Institutes of Health, which includes the National Institute of Allergy and Infectious Disease (NIAID) directed by Dr. Anthony Fauci
  • Head Start and other services to children
  • Services to disabled and elderly people
  • Mental health and substance abuse programs 
  • USPHS- the US Public Health Service including the Surgeon General (OSG)
  • CDC-the Centers for Disease Control and Prevention 
What is the CDC ?

The CDC’s mission is

“to work 24/7 to protect America from health, safety and security threats, both foreign and in the U.S.”

The Communicable Disease Center (CDC) opened on one floor of a small building in Atlanta Georgia in 1946, with a simple yet challenging mission: prevent malaria from spreading across the nation, from the southern states, the heart of the malaria zone.

With a budget of $10 million and 400 employees, the agency acquired trucks, sprayers, and shovels to wage war on mosquitoes, whose bite transmits malaria. 

CDC Founder Dr. Joseph Mountin advocated for public health issues and for CDC to extend its responsibilities to other communicable diseases. He was a visionary public health leader with high hopes for this small and insignificant branch of the Public Health Service. 

This image was created by Centers for Disease Control and Prevention (CDC) Public Health Advisor, Cleopatra Adedeji, RRT, BSRT, while the CDC’s 2014, Domestic Training Course for healthcare workers was underway. Outside the mock Ebola Treatment Unit (ETU), under the tutelage of CDC Medical Officer, Dr. Satish Pillai (center, behind gurney), and lead by Epidemic Intelligence Service (EIS) Officer, Dr. Mary Choi, this group of three students, was in the process of assembling, and properly disinfecting a transport gurney they had used in this simulated Ebola patient care scenario.
Additional Information:
The 3-day courses took place at the U.S. Federal Emergency Management Agency Center for Domestic Preparedness in Anniston, Alabama. Training participants included physicians, nurses and other providers who were to be deployed to countries affected by the Ebola epidemic, thereby, providing direct patient care. “The primary purpose of the course was to ensure that clinicians intending to provide medical care to patients with Ebola have sufficient knowledge of the disease, and its transmission routes in order to work safely and efficiently in a well-designed ETU.” CDC/ Cleopatra Adedeji, RRT, BSRT, public domain

In 1947, CDC paid Emory University $10 for 15 acres of land in Atlanta that now serves as CDC headquarters. Since then, its focus has expanded to include all communicable diseases, safety, traveler’s health, environmental health issues, prevention of chronic diseases, and to provide practical help to state health departments when requested.

The CDC and COVID-19

Since February 15, 2020, led by Director Dr. Robert Redfield, the CDC has been studying, monitoring, researching, and reporting the status of the SARS-CoV-2 virus and the disease that apparently first entered the U.S. in January 2020, COVID-19. Both the general public, health care professionals, and government officials depend on the agency for up-to-date and accurate information.

Knowledge about COVID-19 grows and changes daily, and what we thought was true yesterday may be far different tomorrow. I have never seen the medical community acquire and apply knowledge about a disease process so quickly in the 42 years I have been in healthcare.

Dr. Mountin and the other professionals who started out with the goal of eliminating the threat of malaria likely never imagined that their future colleagues would face such a formidable foe. The $10 spent on a plot of land in Atlanta is proving to be one of the best investments our country has made.

exploring the HEART of public health

I appreciate all of you who are following Watercress Words, and if you aren’t I invite you to join the wonderful people who are. You can meet some of them in the sidebar, where you can click on their image and visit their blogs. Use the form to get an email notification of new posts. Don’t worry, you won’t get anything else from me.

Dr Aletha

Vital questions you should ask about immunization

This coronavirus pandemic is serious. We don’t yet have a vaccine or effective treatments. To protect ourselves, our familes, and our entire communities we should all be practicing social distancing and other hygiene measures as we wait for a safe, effective vaccine and treatments.

The sickness and deaths COVID-19 has caused makes immunization more important than ever. While social distancing, hand hygiene, and a clean environment are vital, a safe and effective vaccine will bolster those measures. Around the world, scientists are working on a vaccine for this novel coronavirus.

Fewer and fewer people have had experience with serious infectious diseases like measles, rubella, polio, and diphtheria, so maybe that explains why in recent years immunization rates for many diseases have plummeted. Also due to misinformation about the value and risk of immunization, some people lost confidence in vaccines to protect us against disease without causing significant side effects or adverse events.

As a result, we still have outbreaks of measles and whooping cough (pertussis) and seasonal influenza disease and deaths. The threat of a new virulent disease due to a novel coronavirus highlights the value of immunization.

immunizations by age

On the first two charts, vaccines are listed on the far left column. On the top row, find your age, then scroll down to find the vaccines appropriate for you.

RECOMMENDED ADULT IMMUNIZATIONS 2020
RECOMMENDED CHILD AND ADOLESCENT IMMUNIZATIONS 2020

questions to ask about vaccines and the immunization process include.

  • What contagious diseases am I likely to be exposed to or at risk for?
  • What are the risks of those diseases?
  • What are the risks of a particular vaccine for me?
  • What are the risks versus benefits of immunization?
  • What else can we do to prevent an infection?

vaccines by medical condition

On these charts vaccines are also listed on the far left column. Across the top row are various medial conditions that should be considered along with age in recommending a particular vaccine. It’s just as important to know what vaccines you should not receive as those that you should.

2020 vaccination recommendations from the CDC

Please visit the CDC website for complete details about the various vaccines and discuss your need for immunizations with your and your children’s physicians.

“Am I contagious?”

Most of us have gone to work, school or social events with symptoms suggestive of infection- a cough, runny nose, upset stomach- putting our friends and colleagues at risk. Isolation of sick people and quarantine of their contacts slows the spread of infectious disease and is helping to contain the COVID-19 pandemic.

Even before COVID-19, patients visit me with new onset symptoms, or symptoms that have been present several days, and ask “am I contagious?” Most of the time I can’t tell them definitely whether they are or not. When in doubt, it’s best to not expose other people unnecessarily, especially those who are most susceptible.

This coronavirus pandemic is serious. We don’t yet have a vaccine or effective treatments. To protect ourselves, our familes, and our entire communities we should all be practicing social distancing and other hygiene measures as we wait for a safe, effective vaccine and treatments.

RESOURCES FOR understanding COVID-19

an electron microscope image of the coronavirus
used with permission, CDC.GOV

Tips from your Family Doctor

CDC-Coronavirus Disease 2019

exploring and sharing the HEART of health

Thanks for reading and sharing this important information about protecting the HEART of health.

I appreciate all of you who are following Watercress Words, and if you aren’t I invite you to join the wonderful people who are. You can meet some of them in the sidebar, where you can click on their image and visit their blogs. Use the form to get an email notification of new posts. Don’t worry, you won’t get anything else from me.

Dr.  Aletha 

These may be good options as long as we need to stay in our homes.

a way to exercise at home

a way to get medical supplies delivered

a source for food if you don’t have local delivery

homeschool resources

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