~ Preparedness Plans in Place to Ensure Detection, Care~

TALLAHASSEE – The Florida Department of Health (DOH) continues to closely monitor the influenza A H7N9 outbreak in China and is prepared to activate the agency’s pandemic response team should it be recommended by the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC). No influenza A H7N9 cases have been reported in the United States, however, the Department is being proactive by highlighting CDC guidance for testing and diagnosis of influenza A H7N9 to health care professionals to ensure detection of possible cases in Florida and to provide the best possible care if needed.

“Our Department is actively monitoring developments in China with H7N9,” said Dr. John Armstrong, State Surgeon General and Secretary of Health. “Florida is ready to respond quickly to any public health crisis.” 

According to the CDC, avian influenza A viruses usually do not infect humans, however, rare cases of human infection with avian influenza A viruses have been reported. Most human infections have occurred following direct or close contact with infected poultry and are not transferred from person to person.

Floridians traveling to China should follow some basic safety steps: wash hands often or use hand sanitizer; avoid contact with eyes, nose and mouth; eat meats and poultry products, including eggs, only if they have been cooked thoroughly; avoid touching animals, alive or dead, and stay away from farms, poultry markets, or other markets where animals are present.

If travelers returning from China become ill, they should advise their healthcare provider right away about their recent travel. Symptoms of influenza A H7N9 flu include fever, cough, and shortness of breath. Travelers can visit www.cdc.gov/travel for up-to-date information about CDC’s travel recommendations.

Additional information about the H7N9 virus is available by visiting http://www.cdc.gov/flu/avianflu/h7n9-virus.htm

DOH protects, promotes and improves the health of all people in Florida through integrated state, county and community efforts.

Follow us on Twitter at @HealthyFla and on Facebook. For news story ideas, interviews, videos and more from DOH Communications visit the DOH Online Newsroom.

High Blood Pressure Facts

Think about the last time you had your blood pressure checked. What were the numbers? We’ll help you decode them.

Blood pressure is written as two numbers. The first number (systolic) represents the pressure in your blood vessels when your heart beats. The second number (diastolic) represents the pressure in your vessels when your heart rests between beats.

Blood Pressure Levels

Normal	systolic: less than 120 and diastolic: less than 80
At risk (prehypertension)	systolic: 120–139 and diastolic: 80–89
High	systolic:140 or higher and diastolic: 90 or higher
Hypertensive Crisis Seek – requires emergency care	Systolic greater than 180 Diastolic greater than 110

Prevention

o   Adopt a healthy lifestyle - maintain a healthy weight; be physically active; follow a healthy eating plan that emphasizes fruits, vegetables, and low-fat dairy foods; choose and prepare foods with less salt

o   If you drink alcoholic beverages, drink in moderation

o   Don’t smoke.  If you smoke, quit as soon as possible. Call 1-877-U-CAN-NOW (1-877-822-6669) or visit http://www.quitnow.net/florida.

For more information about high blood pressure and stroke, please visit the following websites:

Centers for Disease Control and Prevention:  http://www.cdc.gov/bloodpressure/

American Heart Association:  http://www.heart.org/HEARTORG/

World Health Organization:  http://www.who.int/world-health-day/en/\

SEE THIS VIDEO:  Stroke Warning Signs/Symptoms—Body Language:

 http://www.youtube.com/watch?v=wH7k5CFp4hI&feature=youtu.be

As the weather continues to warm up and families return to recreational water activities, the Florida Department of Health in Orange County is offering a free small device that could help save a child from drowning. Any Orange County resident who has a residential pool with children between the ages of 1 and 12 years old may be eligible to receive free door alarms that can be placed on a door or window leading out to the pool area.  The alarms, which alert a parent when a child has opened a door, are being provided through a statewide drowning prevention campaign called WaterproofFL while supplies last. 

It takes less than thirty second for a child to drown, and Florida leads the nation in drowning deaths in children between the ages of one and four. The Residential Swimming Pool Safety Act requires pools built after 2000 to have at least one approved pool safety feature. However, over 90% of Florida’s home swimming pools were built before this act.

The WaterproofFL campaign focuses on three layers of protection, supervision, barriers, and emergency preparedness.

• Supervision is the first and most crucial layer of protection, meaning that someone is always actively watching when a child is in the pool.
• Barriers mean that a child should never be able to enter the pool area unaccompanied by a guardian. A barrier should physically block a child from the pool.
• Emergency preparedness. The moment a child stops breathing there is a small, precious window of time in which resuscitation may occur, but only if someone knows CPR. Knowing how to perform CPR can mean the difference between life and death.

You can help prevent Florida’s children from drowning by implementing the layers of protection and pledging to become a Water Watcher. To receive a Free Door Alarm, contact Karen Johnson at the Florida Department of Health in Orange County at 407-858-1456.  For more information on the campaign, go to http://www.waterprooffl.com/. 

The Florida Department of Health in Orange County is celebrating and observing this week, April 1-7, 2013, as National Public Health Week (NPHW).  In its 18th year, National Public Health Week, sponsored by the American Public Health Association (APHA), seeks to educate the public, policy-makers, and public health professionals about issues important to improving public health. This year’s theme is “Public Health is ROI. Save Lives, Save Money.”

The Florida Department of Health in Orange County will continue educating the community about the importance of living a healthy lifestyle and preventing chronic diseases throughout National Public Health Week. The Florida Department of Health in Orange County has created a web-based educational program to inform the public about the role of public health and the public health return on investment.  This information can be found by visiting www.orchd.com .

Every day, public health practitioners’ work to ensure everyone has the opportunity to lead a healthy life. They work to implement programs in the community that will enhance the quality of life, help in the control of diseases, educate and create awareness of important health topics, provide care through clinical services, build partnerships, and empower communities to make a difference and take charge of their health.

“Public Health Week is a great opportunity to highlight the initiatives and health services we provide to the entire county every day, year round.  The health and safety of all people is our highest priority,” said Lesli Ahonkhai, Interim Administrator of the Florida Department of Health in Orange County. 

The value of public health is all around us, we are living examples of the ROI (Return On Investment) of public health. It’s in the air we breathe, the water we drink, the food we eat, and the places we all live, work and play. It’s in thousands of people whose lives are saved by seat belts and children protected from diseases through vaccination.

The Florida Department of Health in Orange County joins with other health departments across the country for this annual recognition of the many significant contributions public health workers make to ensure and promote the health and safety of our communities.

Orlando – The Florida Department of Health in Orange County recognizes the value in measuring health outcomes and expresses appreciation to the University of Wisconsin and the Robert Wood Johnson Foundation for the fourth annual County Health Rankings & Roadmaps tool released today. This study uses traditional, established data, much of which was obtained from the Department and is available to the people of Florida at www.floridacharts.com. 

These rankings serve as a snapshot of the health of individuals across counties in each state. The report highlights that health is a combined work in progress across a variety of community partners. The Florida Department of Health (DOH), through its county health departments, works together to improve the health of all Floridians. The data used in these rankings are available in each state and include information related to physical environment, social and economic factors, health behaviors, education, crime rate/law enforcement and clinical care.

“The Florida Department of Health works every day to bring together community partners around shared goals to improve health,” said Dr. John Armstrong, Surgeon General and Secretary of Health. “As we track our progress, we are reminded there is no finish line in our efforts for better health.”

For the third straight year, Orange County’s health ranking has moved up to show an overall improvement in the county’s health, but there are areas of continuing opportunity. Orange County is ranked 12^th out of 67 counties in Florida. This can be partly attributed to continuing improvements in premature death, including infant mortality, and adult smoking rates to name a few measures.

Challenges remain for the larger community in adult obesity, rate of physical activity when compared to national benchmarks. The Department has partnered with many stakeholders to implement a Community Health Improvement Plan which has a focused effort to decrease diabetes, heart disease rates and deaths with the help of an online tool called Healthy Measures that tracks many factors that contribute to an individual’s health.

“There are many elements that impact the overall health of our community and together with the health department we are committed to making the best use of resources and services to help families choose a healthy lifestyle,” said Ken Peach, Executive Director, Health Council of East Central Florida.

“Health is everyone’s business,” said Lesli Ahonkhai, Interim Administrator of the Florida Department of Health in Orange County. “Optimal health really involves a broad spectrum of partners in government, education, business and civic organizations.”

The Rankings include a snapshot of each county in Florida with a color-coded map comparing each county’s overall health ranking. There are also new county-level trend graphs detailing change over time for several of the measurements including children living in poverty, unemployment, and quality of care.

The Department works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts.

Cases of measles are rarely seen in the United States, but they are still common in some countries in Europe, Asia, the Pacific, and Africa. Anyone who is not protected against measles is at risk of getting infected when they travel internationally. They can bring measles to the United States and infect others. Unvaccinated people put themselves and others at risk for measles and its serious complications.

Individuals who have received their complete routine measles vaccination, including most children, or those who had measles in the past, will have immunity to this disease.  Adults born after 1957 should receive at least one dose of measles vaccine unless they have already had measles or the vaccine and are immune. (This vaccine can also be given as measles mumps rubella (MMR) vaccine or measles rubella (MR) vaccine.) Those at increased risk of getting measles — college students, international travelers and healthcare workers — should receive two doses, provided they are given no less than 1 month apart.

Children should be immunized against measles with the combination MMR (measles, mumps, and rubella) vaccine. Children should receive two doses, with the first at 12 to 15 months of age, and the second at four to six years of age. 

The symptoms of measles generally begin approximately seven to 14 days after a person is exposed to someone with measles, and include:

• Blotchy rash
• Fever
• Cough
• Runny nose
• Red, watery eyes (conjunctivitis)
• Feeling run down, achy (malaise)
• Tiny white spots with bluish-white centers found inside the mouth (Koplik’s spots)  

Measles is spread through the air by infectious droplets and is highly contagious. It can be transmitted from four days before the rash becomes visible to four days after the rash appears.

The Florida Department of Health in Seminole County provides measles and other routine vaccinations at 400 West Airport Blvd, Sanford, FL 32773.  For more information, go to www.cdc.gov/measles/index.html  or http://www.seminolecohealth.com/Immunizations.html      

The Florida Department of Health in Seminole County has confirmed one measles case in a 39 year old woman. The health department is conducting active routine surveillance to find any other potential cases. Epidemiologists are notifying any and all facilities the patient visited during her infectious period. The medical community has also been notified to consider the possibility of measles in patients with rash-like illnesses.    

Cases of measles are rarely seen in the United States, but they are still common in some countries in Europe, Asia, the Pacific, and Africa. Anyone who is not protected against measles is at risk of getting infected when they travel internationally. They can bring measles to the United States and infect others. Unvaccinated people put themselves and others at risk for measles and its serious complications.

Individuals who have received their complete routine measles vaccination, including most children, or those who had measles in the past, will have immunity to this disease.  Adults born after 1957 should receive at least one dose of measles vaccine unless they have already had measles or the vaccine and are immune. (This vaccine can also be given as measles mumps rubella (MMR) vaccine or measles rubella (MR) vaccine.) Those at increased risk of getting measles — college students, international travelers and healthcare workers — should receive two doses, provided they are given no less than 1 month apart.

Children should be immunized against measles with the combination MMR (measles, mumps, and rubella) vaccine. Children should receive two doses, with the first at 12 to 15 months of age, and the second at four to six years of age.

The symptoms of measles generally begin approximately seven to 14 days after a person is exposed to someone with measles, and include:

• Blotchy rash
• Fever
• Cough
• Runny nose
• Red, watery eyes (conjunctivitis)
• Feeling run down, achy (malaise)
• Tiny white spots with bluish-white centers found inside the mouth (Koplik’s spots)

Measles is spread through the air by infectious droplets and is highly contagious. It can be transmitted from four days before the rash becomes visible to four days after the rash appears.

The Florida Department of Health in Seminole County provides measles and other routine vaccinations at 400 West Airport Blvd, Sanford, FL 32773.  For more information, go to www.cdc.gov/measles/index.html  or http://www.seminolecohealth.com/Immunizations.html    

Orlando - The Florida Department of Health in Orange County announces an affordable insurance option to help children of families without health insurance. Florida KidCare is Florida's child health insurance program for kids through age 18 who do not have insurance.  

“During a time when too many Floridians continue to struggle from the worst economic downturn since the Great Depression, there can be no higher or more immediate priority than having health insurance,” said Larry Williams, KidCare Regional Navigator. “The real value of health insurance may not present itself on a daily basis, but you may be only one incident away from incurring unsuspecting medical debt.”  

Parents and families that may have unique employment arrangements, or are currently unemployed may utilize Florida KidCare. It includes four different parts. When you apply for the insurance, Florida KidCare will check which part your child may qualify for based on age and family income.  

·                     MEDIKIDS: children ages 1 through 4.
·                     HEALTHY KIDS: children ages 5 through 18.
·                     CHILDREN’S MEDICAL SERVICES NETWORK: children birth through 18 who have special health care needs.
·                     MEDICAID: children birth through 18. A child who has other health insurance may still qualify for Medicaid.
 

Services that Florida KidCare covers include the following:

·                     doctor visits
·                     check-ups and shots
·                     hospitalization and surgery
·                     prescriptions
·                     emergencies
·                     vision and hearing
·                     dental
·                     mental health
 

Simeon Resource and Development Center has been contracted to assist families in completing applications and conducting KidCare informational presentations for civic, social and faith based groups.  For assistance in completing applications and presentations, contact Larry Williams 407-574-5436. For more information or a KidCare application, call toll-free 1-888-540-5437 (KIDS) or visit the Florida KidCare website at www.floridakidcare.org.  

A recent article in the Tampa Bay Times shows how Florida Governor Rick Scott is now sending new baby congratulations and vaccine reminders to parents.  The initiative will help remind new parents to have their children immunized to protect them from vaccine preventable diseases. 

To see the entire article go to http://www.tampabay.com/news/health/gov-scott-to-send-new-baby-congratulations-8212-and-vaccine-reminders/1272089  

~Parents urged to make sure children are up to date on basic vaccinations~

The Orange County Health Department (OCHD) has confirmed four measles cases in children of an Orange County family. Through routine epidemiology investigation of these children’s activities, one child who attended a local daycare center, was identified with measles. The other three were infectious during the winter holidays when school was out of session.

The Department has sent a letter notifying any and all facilities the children visited while being infectious and encouraged them to also notify others who may have had contact with the children during that time. Each facility is in the process of contacting any potential contacts. The medical community has also been notified to be aware of rash-like illness in any patient. Individuals who have received their routine measles vaccination, including most children, or those who had measles in the past, will have immunity to this disease. 

The Department encourages families to help protect their children by making sure they have their children immunized against measles with the combination MMR (measles, mumps, and rubella) vaccine. Children should receive two doses, with the first at 12 to 15 months of age, and the second at four to six years of age.

The symptoms of measles generally begin approximately seven to 14 days after a person is exposed to someone with measles, and include:

• Blotchy rash
• Fever
• Cough
• Runny nose
• Red, watery eyes (conjunctivitis)
• Feeling run down, achy (malaise)
• Tiny white spots with bluish-white centers found inside the mouth (Koplik’s spots)

Measles is spread through the air by infectious droplets and is highly contagious. It can be transmitted from four days before the rash becomes visible to four days after the rash appears.

The Orange County Health Department provides measles and other routine vaccinations at the Department’s Central Health Center located at 832 West Central Boulevard.  For more information about measles and vaccination information, go to www.cdc.gov/measles/index.html , or www.orchd.com/personalHealth/immunizations/index.asp.

ORLANDO – An Interim Administrator has been named to lead The Orange County Health Department (OCHD) after the agency’s Director was appointed to an interim state level leadership role at the Florida Department of Health. 

The Orange County Health Department’s Health Protection Bureau Division Director
Lesli Ahonkhai, MA, has been appointed Interim Administrator of OCHD.  Ms. Ahonkhai will be leading the health department while the current Director Dr. Kevin Sherin fills an interim position. 

“I am pleased to announce the appointment of an experienced and competent leader. Lesli has been the Bureau Chief of Health Protection since 2008 and possesses solid public health and administrative skills to successfully lead the public health team in Orange County.
I look forward to returning to the county in the spring,” said Dr. Kevin Sherin. 

State Surgeon General and Secretary of Health Dr. John Armstrong recently appointed OCHD Director Kevin Sherin, MD, MPH, MBA, FACPM, to serve as the Interim Director of the Division for Disease Control and Health Protection in Tallahassee, effective Jan. 11.  Dr. Sherin will temporarily oversee bureau programs of communicable diseases, environmental health and epidemiology.

Dr. Sherin is a Past President of the Florida Public Health Association, Florida Association of County Health Officials, and the American Association of Public Health Physicians. He has served on local and national Public Health and Family Practice boards and co-chaired national work groups. He is a Past Board Chair of the Florida Public Health Institute, served on the State Tobacco Advisory Council, and currently serves on the National Association of County and City Health Officials Board. 

Ms. Ahonkhai is a graduate of the University of Central Florida, University of South Florida Public Health Leadership Institute, and Leadership Orlando.  She has led national and state public health practice collaboratives, served on state and local advisory committees and is President elect for the Florida Public Health Association.

The Florida Department of Health continues to work the CDC and FDA and will provide updates to all Floridians as needed.

DOH protects, promotes and improves the health of all people in Florida through integrated state, county and community efforts.

###

TALLAHASSEE – State Surgeon General and Secretary of Health Dr. John Armstrong today appointed Kevin Sherin, MD, MPH, MBA, FACPM, to serve as the Interim Director of the Division for Disease Control and Health Protection, effective Jan. 11. Dr. Sherin will oversee bureau programs of communicable diseases, environmental health and epidemiology. He is currently the Director of the Orange County Health Department.

"Dr. Sherin brings tremendous skills in collaboration and leadership to this division," said Dr. Armstrong. "He understands that disease control is best achieved through integrated state, county, and community efforts."

Prior to his work in Orange County, he was a residency Director at the University of Illinois Family Medicine Residency at Advocate Christ Medical Center in Chicago from 1994-2004. He graduated from the University of Notre Dame, received his MD from Loyola Medical School, in Chicago, and received an MPH from the University Of Illinois College Of Public Health in Chicago, and completed an MBA from the University of Massachusetts, Isenberg School of Management at Amherst. He completed a residency in Family Practice with the University of Illinois and served as Chief Resident. He completed the Centers for Disease Control and Prevention’s Public Health Leadership Institute and its new health officer orientation.

Dr. Sherin is a Past President of the Florida Public Health Association, Florida Association of County Health Officials, and the American Association of Public Health Physicians. He has served on local and national Public Health and Family Practice boards and co-chaired national work groups. He is a Past Board Chair of the Florida Public Health Institute, served on the State Tobacco Advisory Council, and currently serves on the National Association of County and City Health Officials Board.

Between 1990-2000, Dr. Sherin established three HIV clinics in three cities, and two states and served as an HIV Clinician. He has authored and is publishing guidelines for HIV in Public Health and Primary Care.

DOH protects, promotes and improves the health of all people in Florida through integrated state, county and community efforts.

Follow us on Twitter at

@HealthyFlaand on Facebook. For news story ideas, interviews, videos and more from DOH Communications visit the DOH Online Newsroom.

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Orange County Health Department’s “Climate Change and Your Health” video is one of several products created by the Environmental Health office for the National Association of County & City Health Officials (NACCHO) and the Centers of Disease Control and Prevention (CDC), as part of the Climate Change Demonstration Site grant the Health Department received in 2009. The video is collaboration of NACCHO, CDC and DOH with assistance from Orange TV. It covers public health topics such as air, water, society, nutrition and disease impacts as they relate to climate change and includes focused discussion with experts from both the CDC and the Florida Department of Health.

Climate Change: The Effects on Air and Water
Transcript

Climate Change: Disease and the Effects on Health
Transcript

Climate Change: The Effects on Society
Transcript

FOR IMMEDIATE RELEASE
Contact:  Dain Weister
July 13, 2010 
(407) 858-1429

RESIDENTS URGED TO AVOID CONTACT WITH WILD & STRAY ANIMALS

ORLANDO – Orange County health officials urge residents to avoid contact with wild and stray animals to protect themselves from the risk of rabies exposure.

In Florida, raccoons, bats and foxes are the animals most frequently diagnosed with rabies. Other animals that are at high risk for rabies include skunks, otters, coyotes, bobcats, and stray or unvaccinated cats, dogs and ferrets. Each year, Orange County receives reports of rabid animals. In 2009, 10 rabid animals including eight raccoons, one cat, and one dog were reported in Orange County. Six rabid animals have been reported in Orange County in 2010 including most recently, one fox and one raccoon in July.    

“Rabies is a potentially fatal disease.  It is important not to handle wild animals, to be aware of unusual acting animals, and to keep pets vaccinated against rabies,” said Dr. Kevin M. Sherin, Director Orange County Health Department.

Rabies is transmitted through exposure to the saliva and nervous tissue from a rabid animal through a bite, scratch, or contact with mucous membranes such as the eyes, nose, or mouth.  Orange County Health Department (OCHD) works with Orange County Animal Services in responding to incidents of animal bites, tests animals for rabies through the Florida Bureau of Laboratories, and quarantines animals as necessary. OCHD also provides rabies vaccinations to victims of animal bites, the only known effective treatment for rabies prevention in humans. In 2009, rabies vaccinations were provided for 88 animal bite victims through the Orange County Health Department.
The following are steps you can take to protect yourself and your loves ones against rabies:

• Keep rabies vaccinations up to date for all pets.
• Keep your pets under direct supervision so they do not come in contact with wild animals. If your pet is bitten by a wild animal, seek veterinary assistance for the animal immediately and contact Orange County Animal Services at (407) 836-3111.
• Call your local animal control agency to remove any stray animals from your neighborhood.
• Spay or neuter your pets to help reduce the number of unwanted pets that may not be properly cared for or regularly vaccinated.
• Do not handle, feed, or unintentionally attract wild animals with open garbage cans or litter.
• Never adopt wild animals or bring them into your home.
• Teach children never to handle unfamiliar animals, wild or domestic, even if they appear friendly. 
• Prevent bats from entering living quarters or occupied spaces in homes, churches, schools, and other similar areas, where they might come in contact with people and pets.

Unusual acting animals should be reported to Orange County Animal Services at (407) 836-3111 for handling. Anyone who is bitten or scratched by wild animals or strays should report the incident to their doctor immediately, as well as Orange County Animal Services and their local health department. The contact number to report an animal bite to the Orange County Health Department is (407) 858-1420.
 
For information on rabies vaccinations for your dogs and cats visit the Orange County Animal Services website at www.orangecountyfl.net. Orange County Animal Services offers free rabies vaccinations for your dogs and cats through “Pet Amnesty Day” once a month. This outreach and education event provides an opportunity for the Animal Services mobile clinic to enter targeted communities to offer free rabies vaccines for dogs and cats over 4 months old. It also provides citizens the opportunity to surrender pets they are no longer able to care for.

ORLANDO - The Orange County Health Department (OCHD) is urging parents to make sure they and their children are up to date on pertussis or whooping cough vaccinations as a recent pertussis epidemic was declared in California. The best way to prevent pertussis is to get vaccinated. In the United States, the recommended pertussis vaccine for children is called DTaP.  This is a safe and effective combination vaccine that protects children against three diseases: diphtheria, tetanus, and pertussis. For maximum protection against pertussis, children need five DTaP shots.

“Pertussis can cause serious illness in infants, children and adults,” said Dr. Kevin M. Sherin, Director of the Orange County Health Department. “Anyone in close contact with infants should be vaccinated.”  The Orange County Health Department offers the pertussis vaccine to children and adults at its immunization clinic at 832 W. Central Boulevard, Orlando, 32805.  

The disease starts like the common cold, with runny nose or congestion, sneezing, and maybe mild cough or fever. But after 1–2 weeks, severe coughing begins. Infants and children with the disease cough violently and rapidly, over and over, until the air is gone from their lungs and they are forced to inhale with a loud "whooping" sound. Pertussis is most severe for babies; more than half of infants less than 1 year of age who get the disease must be hospitalized.

People with pertussis usually spread the disease by coughing or sneezing while in close contact with others, who then breathe in the pertussis bacteria. Many infants who get pertussis are infected by parents, older siblings, or other caregivers who might not even know they have the disease.

Seven pertussis cases have been reported to the OCHD so far this year. Three of the seven cases were infants.  All three of the infants became infected before they could receive the three primary shots necessary for immunity. This highlights the importance of vaccinating the parents of newborns and anyone who will be taking care of the child who could possibly expose them to the infection. 

Vaccine protection for pertussis, tetanus, and diphtheria can fade with time. Today there are boosters for adolescents and adults that contain tetanus, diphtheria, and pertussis (called Tdap). Pre-teens going to the doctor for their regular check-up at age 11 or 12 years should get a dose of Tdap. Adults who did not get Tdap as a pre-teen or teen should get one dose of Tdap instead of the Td booster. Getting vaccinated with Tdap is especially important for families with and caregivers of new infants. 
For more information about pertussis, go to www.cdc.gov/vaccines/vpd-vac/pertussis/default.htm