PrEP means Pre-Exposure Prophylaxis, and it’s the use of anti-HIV medications to keep HIV negative people from becoming infected. PrEP is approved by the FDA and has been shown to be safe and effective at preventing HIV infection.
Even though PrEP has been around in the U.S. since 2012, a lot of people still are looking to learn about it. And, even fewer people feel like they know enough about it to be able to make an informed decision about whether or not to use it. For people using PrEP, you can’t really feel or see PrEP working when you use it- so it can help to have a mental picture of what is happening each time you take a dose.
This video was made to provide an illustration of HIV infection and how PrEP generally works to prevent it, and why “once a day” dosing is recommended.
Those same numbers also say the liver disease’s blob of infection expanding from Central Florida has touched, but not covered, South Florida — yet.
The Florida Department of Health says, “Hepatitis A is a contagious liver disease usually spread person to person through objects, food or drink that are contaminated by small amounts of fecal matter from a person with Hepatitis A.”
Symptoms usually start within 28 days, but can take as long as 50 days before showing. The symptoms usually pass within two months. Hepatitis A doesn’t hang around forever. It’s a liver problem, so one of the symptoms is jaundice, a yellowing of the eyes or skin. Nausea and vomiting are common, as well as diarrhea, joint pain, pale poop and dark urine.
The CDC said in a March health alert, “Multiple states across the country have reported outbreaks of hepatitis A, primarily among people who use drugs and people experiencing homelessness. Since these outbreaks were first identified in 2016, more than 15,000 cases and 8,500 (57%) hospitalizations have been reported. Hospitalization rates have been higher than typically associated with HIV infection. Severe complications have also been reported, sometimes leading to liver transplantation or death; at least 140 deaths have occurred nationwide.”
The Florida Department of Health’s Reportable Disease Frequency Report says there have been 745 confirmed cases of Hepatitis A in the state this year as of April 6. The full year total of 2018: 548. The full year total of 2017: 261. The combined full-year totals of 2014, 2015, 2016 and 2017: 574.
The full year total of 2019 at the current pace: 2,832.
Just looking at the counties of other major cities, Pinellas County, which has St. Petersburg, also has a state-high 168 Hepatitis A cases. Hillsborough County contains Tampa and 63 cases. Orange County is home of Orlando, Disney World and 74 cases. Only Jacksonville’s Duval County, with two cases, comes in lower than the South Florida counties when considering the state’s big metropolitan areas.
Some of the smaller counties are being inundated. The U.S. Census Bureau’s latest estimate puts Pasco County’s population at 525,643, about one-fifth of Miami-Dade County. Pasco has 152 cases. Marion County, with only 354,353 residents or about 100,00 less than the city of Miami, has 43 cases.
Manatee County’s also less populous than the city of Miami, estimated 2017 poplation of 385,571, but has 11 confirmed Hepatitis A cases.
The Florida Department of Health’s Hepatitis A handout says, “Hepatitis A virus is in the poop of people who have the virus. If a person with the virus doesn’t wash his or her hands after going to the bathroom, poop can transfer to people, objects, food and drinks.”
That’s why the Department of Health in Miami-Dade issued a notice in February when a restaurant worker at Primo’s Italian Kitchen & Bar, inside the DoubleTree Grand Hotel Biscayne Bay, 1717 N. Bayshore Dr., was diagnosed with Hepatitis A. And it’s why handwashing violations get quickly noted on state inspections of restaurants, supermarkets and other food handlers.
The CDC’s health alert said the most vulnerable groups are the homeless; drug users; men who have sex with men; people who are or were recently incarcerated; people with chronic liver diseases.
As for day-to-day prevention, proper handwashing (soap, warm water, at least 20 seconds) after using the restroom or many other common handwashing situations. The Department of Health recommends vaccination, two shots taken six months apart. Call your doctor or your county’s Department of Health if you want to get vaccinated.
If you’ve already been vaccinated, you don’t need another shot. If you’ve had Hepatitis A in the past, your body formed antibodies as a future defense against Hepatitis A recurrence.
Read more here: https://www.miamiherald.com/news/health-care/article229118004