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NYC HEALTH DEPARTMENT WARNS AGAINST USE OF HERBAL MEDICINE PRODUCTS MADE IN INDIA THAT CONTAIN LEAD OR MERCURY  

NEW YORK CITY December 21, 2005 - The New York City Department of Health and Mental Hygiene (DOHMH) today warned residents against the use of certain herbal medicine products made in India containing dangerous levels of lead or mercury. Though there are no specific federal standards, the Food and Nutrition Board of the Institute of Medicine of the National Academies recommends that certain food additives contain no more than 2 ppm (parts per million) of lead and no more than 1 ppm of mercury. The following products contain very high levels of lead or mercury:  

bulletJambrulin, made by Unjha Ayurvedic Pharmacy, contains 24,300 ppm of lead. Used for diabetes and sugar control.
bulletLakshmivilash Ras (Nardiya), made by Baidyanath, contains 14,100 ppm of mercury. Used for chronic fever, cold, and cough.
bulletMaha Sudarshan, made by Arya Aushadhi Pharmaceutical Works, contains 2,190 ppm of mercury. Used for flu and body ache.

This summer the DOHMH began an investigation of the availability of products containing lead or mercury made in India . The DOHMH visited retail stores serving South Asian residents and purchased Indian products that had been identified in recent research studies and case reports as containing lead or mercury.  

Laboratory tests showed that the above products, purchased in stores in Jackson Heights and Flushing , contain dangerous levels of lead or mercury. Lead and mercury were not listed on the products as ingredients.  The sale of products deemed to contain poisonous substances or to be detrimental to human health is prohibited under New York City Health Code.    

In the past year there have been three confirmed cases of adult lead poisoning among New York City residents who used products they obtained from India . These lead poisoning cases reported that they obtained the tainted products while visiting India or from friends and family living in India .  

“We urge New Yorkers not to use any products known to contain lead or mercury,” said DOHMH Commissioner Thomas R. Frieden, MD, MPH. “These metals are poisons and can cause damage to the brain, nervous system, and kidneys. Children and pregnant women (and their fetuses) are especially at risk. If you or your children have used these products, immediately call a physician to request a blood lead test and urine mercury test.”  

                

 

 DOHMH has condemned and embargoed these products and has ordered store owners where these products are sold to:  

bulletImmediately stop selling and remove Jambrulin (made by Unjha Ayurvedic Pharmacy), Lakshmivlas Ras (Nardiya), (made by Baidyanath), and Maha Sudarshan (made by  Arya Aushadhi Pharmaceutical Works) from store shelves and from store inventory.
bulletPackage and return these products to the distributors.
bulletProvide the DOHMH information on the distributors who sold the products to the stores. Failure to provide the required information will result in the immediate seizure of the embargoed products.
bulletPost a sign in the stores to advise customers to discontinue use of these products and to see a physician if they have used them.

DOHMH advises people who may have obtained these products to:  

bulletImmediately stop using these products.
bulletCall a physician to request a blood lead test and mercury urine test.
bulletKeep products away from children.
bulletReturn products to store where they were purchased.
bulletCall 311 or 212-POISONS to report locations where these products have been sold. 

 

WEST NILE VIRUS ACTIVITY INCREASING IN NEW YORK CITY  

On sixth anniversary of first NYC West Nile case, Health Dept. advises NY’ers, especially those 50 and over, to take precautions against mosquitoes; risk from WNV is greatest during this time of year  

NEW YORK CITY – September 1, 2005 – The New York City Department of Health and Mental Hygiene (DOHMH) today announced a recent increase in the number of mosquito specimens and dead birds that have tested positive for West Nile virus.  The findings were made in the eastern section of the Bronx, the eastern section of Queens, and in southern Brooklyn .  With the arrival of the peak of West Nile virus season, DOHMH Commissioner Thomas R. Frieden, MD, MPH urged New Yorkers – particularly those over the age of 50 – to reduce exposure to mosquitoes and to use insect repellents, as well as to eliminate standing water where mosquitoes can breed.  This is particularly important for residents of neighborhoods where West Nile activity is highest. 

 

“This is the active season for mosquitoes, with the highest activity occurring in the eastern Bronx, eastern Queens and in southern Brooklyn ,” Dr. Frieden said.  “If you are outdoors between dusk and dawn, continue to take precautions against mosquitoes, especially if you are 50 years and older, and even more so if you are over the age of 65.  The Department also reminds all New Yorkers to get rid of standing water on their property and to make sure window and door screens are intact and free of tears or holes.”

Personal Precautions to Prevent WNV

The Department urges all New Yorkers, particularly those 50 and older, to take the following personal precautions:

bulletUse repellents that contain DEET or oil of lemon eucalyptus.  Also, repellents containing picaridin have been approved for sale in New York State and may soon be available for purchase.  ALWAYS use repellents according to manufacturers’ instructions on the label.
bulletIf outside from dusk to dawn – when mosquitoes are most active – or during the day in an area where there are weeds, tall grass, or bushes:
bulletWear protective clothing if possible, such as long pants; loose-fitting, long-sleeved shirts; and socks.
bulletAvoid shaded, bushy areas where mosquitoes like to rest.
bulletMake sure that doors and windows have tight-fitting screens. Repair or replace all screens that have tears or holes.  

 

Recommendations to Reduce Exposure to Mosquitoes Around Your Home

 

bulletEliminate any standing water that collects on your property:
bulletDispose of containers that can collect standing water
bulletMake sure roof gutters drain properly
bulletClean and chlorinate swimming pools
bulletDrain water that collects in pool and hot tub covers
bulletChange water in birdbaths every three to four days
bulletTurn over plastic wading pools and wheelbarrows when not in use
bulletRemove discarded tires on your property
bulletRemind or help neighbors to eliminate breeding sites on their properties

 

2005 Positive Results Summary

 

WNV POSITIVE RESULTS

Citywide

The Bronx

Brooklyn

Manhattan

Queens

Staten Island

Birds

11

6

2

0

3

0

Mosquito Pools

75

34

4

0

33

4

 

To report dead birds online, visit: http://www.nyc.gov/html/doh/html/wnv/wnvbird.shtml; to report   standing water online, visit: http://www.nyc.gov/html/doh/html/wnv/wnvwater.shtml. New Yorkers can also call 311 or visit nyc.gov/health/wnv for more information about West Nile virus.

 

 

 

 

Recommendations to Avoid Direct Exposure to Pesticides  

People should take care to minimize exposure to pesticides.  Anyone who experiences adverse reactions to pesticides should seek medical care or call the New York City Poison Control Center at (212) POISONS (212-764-7667).   

DOHMH offers these recommendations on avoiding direct exposure to pesticides:  

bulletPersons with asthma or other respiratory conditions are encouraged to stay inside during spraying since there is a possibility that spraying could worsen these conditions.
bullet Wash skin and clothing exposed to pesticides with soap and water.
bulletAs always, rinse fresh fruits and vegetables with water before eating.
bulletIt is recommended that food sold or prepared outdoors in the spraying area be covered with a non-porous material, such as plastic sheeting, during the spraying event.
bulletAir conditioners may remain on. But if you wish to reduce the possibility of exposure to pesticides, set the air conditioner vent to the closed position, or choose the “exhaust” function.
bulletIf outdoor equipment and toys are exposed to pesticides, they may be washed with soap and water to reduce the possibility of exposure.

To report dead birds online, go to http://www.nyc.gov/html/doh/html/wnv/wnvbird.shtml.  And to report standing water online, visit http://www.nyc.gov/html/doh/html/wnv/wnvwater.shtml. 

Improving Health Over 50 

 

New Yorkers -- especially those over the age of 50 – may not be doing
enough to keep themselves healthy. Take Care New York (TCNY), the City’s
health policy, provides a framework to improve the health of New Yorkers
and focuses on ten key areas to improve health.  TCNY includes life-saving
strategies such as cancer screenings, immunizations, keeping a healthy
heart and living tobacco free.  This year, the Department’s Summer
Outreach Team will conduct a range of presentations relevant to older
adult health, highlighting Take Care New York and West Nile virus.

Please contact our office at our Outreach Coordinator, Rebecca Berger, at
347-723-1436 or email: rberger1@health.nyc.gov to schedule a presentation
for your organization or group.

NYC HEALTH DEPARTMENT ANNOUNCES ALL CITY PUBLIC AND PRIVATE BEACHES

OPEN FOR SWIMMING BEGINNING SATURDAY, MAY 28th

 

Regularly Updated Information on Beach Water Quality and Safety

Available at www.nyc.gov/health/beach

 

NEW YORK CITY - May 27, 2005 – The New York City Department of Health and Mental Hygiene (DOHMH) today announced that all of the City’s 19 public and private beaches will be open for swimming beginning May 28th.  Based on the federal Environmental Protection Agency (EPA) guidelines, DOHMH performs regular testing of the City’s beaches to determine whether or not waters are safe for swimming.  Test results will be continually updated throughout the summer and are posted online at www.nyc.gov/health/beach; beach advisories and closures will be issued as necessary and will also be available online or via 311.  

Public beaches open for swimming beginning May 28th are:

         The Bronx: Orchard Beach

Brooklyn: Brighton Beach , Coney Island, Manhattan Beach

Queens: Rockaway Beach

Staten Island: Midland Beach , South Beach , Wolfes Pond Park             

New York City beaches are generally safe for swimming, and this can be a great form of exercise during the summer months,” said Health Commissioner Dr. Thomas R. Frieden. “New Yorkers should be sure to enjoy the water only when lifeguards are on-duty, and to avoid diving in unfamiliar waters, or where ‘No Diving’ signs are posted.”     

He continued, “Water near our beaches can sometimes become contaminated, which may pose a health risk, especially for infants and toddlers, people over age 65, and those with underlying medical conditions.  Check for beach closures and advisories by visiting our website at www.nyc.gov/health/beach or by calling 311, and always heed posted warnings.”   

Swimming in the waters surrounding New York City is permitted only at approved beaches, and is prohibited at all other waterfronts, including the East River, Harlem River, Hudson River, Upper New York Bay, the Kill Van Kull and the Arthur Kill, as well as Jamaica Bay, which includes Howard Beach, Canarsie Beach, and Broad Channel.  

OPEN

Swimming and bathing permitted

WET WEATHER

ADVISORY

Advisory – Wet weather conditions;

swimming and bathing not recommended

ADVISORY

Advisory – swimming and bathing not recommended

CLOSED

Closed – swimming and bathing temporarily not permitted

DOHMH Beach Advisory System (see next page for full descriptions)  

Wet Weather Advisory

Issued following a period of heavy rainfall, which could lead to sewer overflows and storm runoff (e.g., from streets and other properties).  That in turn may lead to elevated levels of bacteria in some beach waters, which may pose a public health risk.  Ingesting water with bacteria can lead to stomach illness. Infants and toddlers, people over 65, and people with underlying medical conditions are more likely to have severe illness that could occur if contaminated beach water is swallowed.  DOHMH does not recommend swimming and bathing in any area impacted by a Wet Weather Advisory.  

Only certain beaches may be affected by a Wet Weather Advisory.  For a complete list visit

http://www.nyc.gov/html/doh/html/beach/beach_adv.shtml#wetweather.  

Advisory

Issued to warn the public against swimming and bathing when bacteria levels or other conditions may contribute to possible illness.  DOHMH does not recommend swimming and bathing in areas identified as being impacted by an Advisory.   

Closed

Beaches will be Closed if weather or environmental conditions warrant, and if there is a significant threat to public health.  City beaches may be classified as Closed when one or a combination of any of the following conditions exists:  

bulletConfirmed samples show that enterococci (bacteria) levels in beach waters exceed recommended water standards.
bulletTest results indicate a significant incidence of related illnesses or repeated complaints/reports of illness/injury received from beach patrons.
bulletThere are potentially hazardous amounts of floating debris, medical or infectious waste, toxic contaminants, petroleum products or other contamination on the beach, or there is evidence of sewage and wastewater discharge in sufficient quantities that will adversely affect the quality of the beach water.
bulletAny other environmental factors exist which DOHMH determines to be a public health or safety hazard.

Water Quality Testing

Using EPA standards, DOHMH tests beach water for the presence of enterocci bacteria. These microscopic organisms are commonly found in the feces of humans and other warm-blooded animals. The presence of enterococci in water is an indication of fecal pollution and the possible presence of enteric (intestinal) pathogens.  Studies conducted by the EPA demonstrate that for marine waters, enterococci are best suited for predicting the presence of pathogens that cause illness.   

For regularly updated information on beach closures and advisories, go to the Beach Quality and Safety page at http://www.nyc.gov/health/beach, or call 311.  

BLACK, HISPANIC, AND LOW-INCOME WOMEN IN NEW YORK CITY

AT INCREASED RISK FOR PREMATURE ILLNESS AND DEATH

“Women At Risk: The Health of Women in New York City ” Report Released

 

NEW YORK CITY – March 8, 2005 – New York City Department of Health and Mental Hygiene (DOHMH) Commissioner Dr. Thomas R. Frieden today presented findings from Women at Risk: The Health of Women in New York City,” a new report that outlines health behaviors, health care access, and health outcomes among different economic and racial/ethnic groups of women in New York City.  The report, which is structured around the ten key areas from Take Care New York, the City’s health policy, is available online at http://www.nyc.gov/html/doh/pdf/data/data-womenatrisk-2005.pdf.  It was released at a breakfast event at KPMG in Manhattan co-sponsored by DOHMH, The Commonwealth Fund, the Fund for Public Health in New York , and the NYC Commission on Women’s Issues.

Overview of the “Women at Risk” Report

·  The health of women in New York City has greatly improved over the past decade, but some groups of women – particularly black, Hispanic, and low-income women - still experience poor health.

·  Many women in New York City do not receive appropriate levels of preventive care, including regular cancer screenings and immunizations.

·  Women lag behind men in heart disease prevention efforts, such as exercising regularly and maintaining a healthy weight.

 

 

 

 

 
 

 

 

 

 

 

 

 


Among the report’s specific findings are:

·  Women in New York City ’s poorest neighborhoods have a life expectancy 5 years shorter than those who in the highest income neighborhoods.  Black women have a life expectancy almost 5 years shorter than white women.

·  Data suggest that women are more obese than men.  An estimated 30% of black women, 26% of Hispanic women, 15% of white women, and 10% of Asian women are obese.

·  Hispanic women and women with low incomes are less likely than most other women to have health care coverage.

·  Black women are more than twice as likely as white women to die from pregnancy-related complications. 

·  Among women, 27% of years of potential life lost are due to cancer, while cancer is responsible for only 17% of the years of potential life lost among men.

·  Nearly one-quarter of women age 40 and older have not received a mammogram in the past two years; fewer than half of women age 50 and over have ever had a colon cancer screening; and 1 in 5 women have not had a Pap test in the past three years.  Asian women are least likely to receive colon cancer screenings and Pap tests.

·  The rate of new AIDS diagnoses is 11 times higher among black women than white women and the rate of AIDS deaths is 7 times higher.  

Dr. Frieden was joined at the event by Dr. Harold Freeman, Medical Director of the Ralph Lauren Center for Cancer Care and Prevention; cardiologist Dr. Nieca Goldberg; Dr. Marjorie Hill, Director of the Women’s Institute at Gay Men’s Health Crisis; Dr. Karen Davis, President of the Commonwealth Fund; and radio personality Valerie Smaldone, of 106.7 Lite-FM.  The event focused on three areas of women’s health: cancer, HIV/AIDS, and heart health.  

DOHMH Commissioner Frieden said, “Women’s health has improved greatly in the past decade, but we can do even better.  The findings of the “Women at Risk” report identify critical issues, intervention strategies, and particularly vulnerable groups of women.”

One of the greatest risks for women in New York City is not to have access to cancer screening, timely diagnosis and treatment,” said Dr. Harold Freeman of the Ralph Lauren Center for Cancer Care and Prevention.

Cardiologist Dr. Nieca Goldberg said, “This conference is vital to the health of women in New York City , particularly when it comes to their hearts. Now is the time to focus on the heart health of women at the greatest risk because they are the heart of their families and heart of our city.”

Dr. Marjorie Hill of Gay Men’s Health Crisis said, "Gender specific HIV prevention, care and treatment must take into account the myriad of psychosocial, economic, human rights and cultural nuances that impact the lives of women, especially women of color. No woman is an island, but many HIV positive women feel isolated and alone."  

“These findings highlight the critical importance of health care coverage in ensuring access to medical care; too many women are needlessly at risk for preventable illness because they are uninsured,” said Commonwealth

Fund President Karen Davis. “Improving coverage for eligible low-income women in Medicaid and Family Health Plus is a particularly effective way to improve the health of millions of New Yorkers.”  

"The NYC Commission on Women's Issues continues to focus on the health of women throughout the city for the very reasons this report cites," said Chair of the Commission, Anne Sutherland Fuchs.  "We are committed to keeping the health of women in New York a top priority through programs such as Step Out New York, which encourages women to become more physically active."  

Data Sources

The report, which was funded by the Commonwealth Fund, is based on a comprehensive review of health data on New York City women aged 18 and older, as well as additional data on female adolescents, from a variety of City, State, and national sources.  

“Women at Risk: The Health of Women in New York City” is being distributed to community organizations, elected officials, universities, health care providers, and others throughout the City.  The report is online at http://www.nyc.gov/html/doh/pdf/data/data-womenatrisk-2005.pdf, or through The Commonwealth Fund website at: http://www.cmwf.org.   To request copies, send an email to womenhealth@health.nyc.gov.  

 

NEW YORK CITY RESIDENT DIAGNOSED WITH RARE STRAIN OF

MULTI-DRUG RESISTANT HIV THAT RAPIDLY PROGRESSES TO AIDS  

Highly Virulent Strain Resistant to Three Types of HIV Drugs Is Rare In Patients Not Previously Treated for HIV; Strain Is Also Associated with Rapid Onset of AIDS

 

Health Dept. Urges At-Risk Groups To Stop Risky Sexual Behavior; Patients Who Are On Treatment For HIV/AIDS And Are Doing Well Do Not Need Susceptibility Testing Unless Advised By Their Physician

 

NEW YORK CITY – February 11, 2005 – A highly resistant strain of rapidly progressive human immunodeficiency virus (HIV) has been diagnosed for the first time in a New York City resident who had not previously undergone antiviral drug treatment, according to the Department of Health and Mental Hygiene (DOHMH).  The strain of three-class antiretroviral-resistant HIV – or 3-DCR HIV – does not respond to three classes of anti-retroviral medication, and also appears to greatly shorten the interval between HIV infection and the onset of AIDS.  

The patient is a male in his mid-40s who reported multiple male sex partners and unprotected anal intercourse, often while using crystal methamphetamine (crystal meth).  He was first diagnosed with HIV in December 2004 and appears to have been recently infected.  The diagnosis of 3-DCR HIV was made shortly thereafter at the Aaron Diamond AIDS Research Center .  Since then, the patient has developed AIDS. DOHMH is counseling and offering HIV testing to those contacts of the patient who have been identified.  

While drug resistance is increasingly common among patients who have been treated for HIV, cases of 3-DCR HIV in newly-diagnosed, previously untreated patients are extremely rare, and the combination of this pattern of drug resistance and rapid progression to AIDS may not have been seen previously.  Strains of 3-DCR HIV are resistant to three of the four available types of antiviral drugs that are most commonly prescribed: nucleoside reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors, and protease inhibitors. This strain also caused a rapid onset of AIDS, which usually occurs more than ten years after initial infection with HIV.  In this patient’s case, onset of AIDS appears to have occurred within two to three months, and at most 20 months, after HIV infection.  

Health Commissioner Thomas R. Frieden, MD, MPH said, “This case is a wake-up call.  First, it’s a wake up call to men who have sex with men, particularly those who may use crystal methamphetamine.  Not only are we seeing syphilis and a rare sexually transmitted disease – lymphogranuloma venereum – among these men, now we’ve identified this strain of HIV that is difficult or impossible to treat and which appears to progress rapidly to AIDS.  This community successfully reduced its risk of HIV in the 1980s, and it must do so again to stop the devastation of HIV/AIDS and the spread of drug-resistant strains.  Second, doctors in New York City must increase HIV prevention counseling, increase HIV testing, obtain drug susceptibility testing for patients testing HIV-positive who have not yet been treated, improve adherence to antiretroviral treatment, and improve notification of partners of HIV-infected patients.  Third, the public health community has to improve our monitoring of both HIV treatment and of HIV drug resistance, and we have to implement prevention strategies that work.”  

The Health Department recently issued a Health Alert to physicians, hospitals and other medical providers asking them to test all previously untreated patients newly diagnosed cases for anti-HIV drug susceptibility.  The Department is monitoring laboratories for additional cases of 3-DCR HIV in newly diagnosed persons.  DOHMH is also working with New York State to establish a long-term system for monitoring drug resistance in HIV-positive patients who have not yet undergone treatment.   

Dr. Frieden added, “Patients who are on treatment for HIV/AIDS and are doing well do not need susceptibility testing unless advised to by their physician.”  

REMARKS BY MEDICAL AND COMMUNITY LEADERS  

Dr. David Ho, CEO and Director of the Aaron Diamond AIDS Research Center , said “This patient’s infection with an HIV-1 strain that is not amenable to standard antiretroviral therapy, along with his rapid clinical and immunological deterioration, is alarming.  While this remains a single case, it is prudent to closely watch for any additional possible cases while continuing to emphasize the importance of reducing HIV risk behavior.”  

"The rapidly growing crystal meth epidemic in New York city continues to play a significant role in facilitating the transmission of HIV. In light of the emergence of this virulent new strain, health care providers must be especially vigilant in not only recognizing and diagnosing HIV infection, but also in recognizing the signs and symptoms of crystal methamphetamine use in their patients," said Dr. Antonio Urbina, Medical Director of HIV education and training, at St. Vincent’s Catholic Medical Center.  

“Callen-Lorde is deeply concerned about this newly identified case of multiple drug resistant HIV,” said Jay Laudato, Executive Director of the Callen-Lorde Community Health Center .  “We urge all persons, both HIV negative and positive, to only engage in safer sex practices in order to prevent new infections or re-infection.  For those persons who don’t know their status, we urge HIV testing and obtaining the information and support necessary to reduce their risk for HIV infection. We also ask all gay and bisexual men to become knowledgeable about the dangers of crystal methamphetamine and in particular its relationship to sexual risk taking."  

Dr. James Braun, President of the Physicians Research Network, said “We believe that the transmission of treatment-resistant HIV was a disaster waiting to happen, particularly in communities where safer sex is not practiced regularly and in light of people using drugs like crystal meth.  All primary care providers in acute care settings need to know how to diagnose HIV in its earliest stages and where to refer people so that new infections are properly worked up and treated.”  

“HIV prevention is an ongoing process,” said Ana Oliveira, Executive Director of Gay Men’s Health Crisis.  We have to double our efforts and resources to maintain treatment and prevention education for people who are infected as well as for those who are not.  New Yorkers must be vigilant and know that infection with resistant strains of HIV can be avoided.  People living with HIV can live healthy and satisfying lives by protecting themselves and their partners, regardless of HIV status.”  

Tokes M. Osubu, Executive Director of Gay Men of African Descent, said, "This is the news we have all been fearing.  While the recent advances in HIV treatment have led to the improvement of countless lives, we have always known that many people respond poorly to these therapies and for many others, the side effects are devastating.  Continued education about staying safe and avoiding HIV remains our most potent weapon."  

Dr. Jay Dobkin, Director of the AIDS Program at Columbia University Medical Center , said, "This case is a striking reminder that the risk of getting infected with HIV has not gone away. In fact, risky behavior may be even more dangerous now since there is a chance of infection with a virus we may not be able to treat."  

"This case should drive home the point that substance use can lead to unsafe sex, and unsafe sex can lead to infection with a highly drug-resistant strain of HIV that can be extraordinarily difficult to treat

and may cause rapid progression to AIDS," said Roy M. Gulick, MD, Associate Professor of Medicine at Weill Cornell Medical College in Manhattan .  

Dr. Jack DeHovitz, Professor at SUNY-Downstate Medical Center said, "This finding supports the need for enhanced availability of HIV testing, as well as preventive interventions, which are effective in reducing subsequent HIV transmission."  

Know Your HIV Status  

There is an epidemic of HIV and AIDS in New York City: more than 88,000 New Yorkers are known to be living with HIV/AIDS, and an estimated 20,000 more are believed to be living with HIV/AIDS and don’t know it.  

By knowing your HIV status, you can protect yourself, anyone you are having sex with, and, if you are pregnant or planning pregnancy, your baby.  Free and fully confidential STD exams and treatment, as well as confidential or anonymous HIV testing, are available at Health Department clinics throughout New York City .  Health insurance, proof of citizenship and/or parental consent are not required to receive these services. Please call 311 or visit http://www.nyc.gov/health for a list of clinics and hours of operation.

 

FLU IS NOW WIDESPREAD IN NEW YORK CITY  

Doctors Can Order More Flu Vaccine Online at nyc.gov/health/flusurvey or by Calling 311 until January 9, 2005  

NEW YORK CITY – December 21, 2004 – Flu is now widespread in the City, the Department of Health and Mental Hygiene (DOHMH) reported today. Additionally, until January 9, 2005, area doctors can order additional flu vaccine for their patients at highest risk of severe illness from the flu. DOHMH doesn’t typically distribute flu vaccine directly to private physicians who care for adults, but is doing so because many of them did not receive any flu vaccine this year. DOHMH has already distributed more than 200,000 doses of flu vaccine to nursing homes, AIDS clinics, hospitals, doctors, health centers and other institutions.  

DOHMH continues to recommend flu shots for people age 65 and older and others at highest risk of serious illness and death if they get the flu. DOHMH is reviewing the City’s vaccine supply and the federal recommendation made last Friday by the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices to relax age guidelines for flu shot eligibility and will make a determination for New York City in January 2005.  

 “Flu is now widespread in New York City ,” said DOHMH Commissioner Thomas R. Frieden, MD, MPH. “There is enough vaccine for those at high risk and there is still time to get a flu shot. Talk to your doctor about getting flu shot or call 311 and find out where you can get one at our clinics located throughout the City. Particularly for people over 65, a flu shot could save your life. For those who have colds or flu, covering your cough and staying home if you have fever and other flu symptoms will help prevent the spread of illness.”  

Through monitoring of outbreaks in healthcare facilities (including nursing homes) and its syndromic surveillance system – which monitors for flu activity among emergency department visits, local laboratories and physicians’ offices, as well as sales of over the counter cold/flu medication – DOHMH detected the increase in flu activity in the City over the past week. Additionally, DOHMH has identified 21 outbreaks in health care or other institutional facilities so far this season, nearly twice as many as had been reported by this time last year.  

Ordering More Flu Vaccine – Information for Doctors

Dr. Frieden continued, “We now have adequate supplies of flu vaccine in New York City . The medical community should make sure patients at highest risk of serious illness from the flu get vaccinated. Those physicians who do not have vaccine can contact us at 311 or log on to nyc.gov/health/flusurvey before January 9, 2005, to order vaccine. With flu activity increasing, this is the time to make sure their patients are protected.”   

Doctors who want to order vaccine can complete a form available online at nyc.gov/health/flusurvey. DOHMH will review all requests for flu vaccine. The minimum order is 40 doses (10 doses per vial), and the cost is approximately $8 per dose. Vaccine billing and shipment will be handled between the physician and the distributor directly. Vaccine will be shipped within approximately two weeks of the request.  

**NOTE: This process is not to be used by providers in the Vaccines for Children Program (VFC).  Providers may request additional influenza vaccine for VFC-eligible children through the regular channels.**  

In order to be able to receive additional flu vaccine, doctors must be registered with NYCMED, a free, web-based service offered by DOHMH that allows doctors to get up-to-date health alert information via email, access to a wealth of public health information, opportunities for continuing medical education courses online, and the ability to report diseases and conditions. NYCMED already has more than 10,000 members to date.  

Who Is Eligible for the Flu Shot?

·    People 65 and older;

·    Children 6-23 months of age;

·    Residents of nursing homes and chronic-care facilities;

·   People age 6 months and older with chronic medical conditions, including heart disease, pulmonary disorders (including asthma), diabetes, kidney disease, hemoglobinopathies, and compromised immune systems (HIV or immunosuppressive therapy);

·  Women who will be pregnant (at any gestational age) during the influenza season;

·   Children and adolescents, age 6 months to 18 years, receiving long-term aspirin therapy;

·   Healthcare workers providing direct patient care;

·   Household members and care givers of children under 6 months of age.  

For more information about flu, or where to get a flu shot from the Health Department, call 311 or visit nyc.gov/health/flu. See list of Health Department flu shot clinics for the rest of the year attached

 

FLU SHOTS AT WALK-IN CLINICS

 December 6-10th, 2004

**More vaccine is being shipped to area doctors in the coming weeks, and New Yorkers are advised to stay in close touch with their doctor before coming to a City clinic. There are many days, weeks, and months left in flu season to get vaccinated.

**Only those at highest risk will be able to get a flu shot
·    People ages 65 years and older;
·    Children 6 -23 months of age;
·    People six months of age and older who have serious underlying medical conditions such as:
.    heart failure,
.    asthma,
.    emphysema,
.    coronary artery disease (those with high blood pressure or high cholesterol are NOT considered at high risk),
.    diabetes, or
.    weakened immune systems (e.g., those with HIV/AIDS or cancer or who are on chemotherapy, radiation treatment or high dose steroid treatment);
·    Women who will be pregnant during the flu season;
·    Residents of nursing homes and other long-term facilities;
·    Children and teenagers ages 6 months to 18 years who are on long-term aspirin therapy;
·    Caregivers and household members of infants under 6 months; and
·    Health care professionals who have direct contact with patients.

Many physicians and hospitals now have flu vaccine.  Please call your doctor first to see if they can provide you with a flu shot.

 

CLINIC

 

POPULATION SERVED

 

 

DAYS/TIMES OF OPERATION

 

TRAVEL DIRECTIONS

 

Queens

 

 

 

 

Corona Health Center

34-33 Junction Blvd - 1st Fl.

Queens , NY 11372

Btwn: 34th Ave. & 34th Rd.

 

SPECIAL NOTE:

Location on Thursday, Dec. 9 is La Guardia Community College Mainstage Theater (entrance on Van Dam Street between Thomson Avenue and 47 Avenue).

 

 

 

 Adults

 

 

Tuesday, Dec. 7 at Corona

 

Thursday, Dec. 9 (see note below)

 

SPECIAL NOTE:

Location on Thursday, Dec. 9 is La Guardia Community College Mainstage Theater (entrance on Van Dam Street between Thomson Avenue and 47 Avenue).

 

Opens 8:30 AM

 

 

#7 train to Junction Boulevard (for Corona )

 

 

Go to location directly, or take free shuttle bus from the DOHMH health center to this location

 

Jamaica Health Center

90-37 Parsons Blvd - 4th Fl.

Queens, NY 11432

Btwn: 90th Ave & Jamaica Ave

 

 

 

Adults

 

 

 

 

Monday, Dec. 6

Friday, Dec. 10

 

Opens 8:30 AM

 

 

 

F, J or E train to Parsons Boulevard

Brooklyn

 

 

 

 

Crown Heights Health Center

1218 Prospect Place , 1st Fl.

Brooklyn , NY 11213

Btwn: Schenectady & Troy Aves.

 

Adults  &

 Children over 4 years of age

 

 

 

Monday, Dec. 6

Wednesday, Dec. 8

Friday, Dec. 10

 

Opens 8:30 AM

 

 

#3 or #4 train to Utica Avenue or B46 bus to Utica Avenue and Prospect Place or B15 or B65 bus to Troy Avenue

 

 

Homecrest Health Center

1601 Avenue S – 1st Fl

Brooklyn , NY 11229

Btwn: East 16th  & E 17th Sts.

 

SPECIAL NOTE:

Location on Wednesday, Dec. 8 is TBA.

 

 

 

Adults  &

 Children over 4 years of age

 

 

 

Wednesday, Dec. 8

 

SPECIAL NOTE:

Location on Wednesday, Dec. 8 is TBA.

 

Opens 8:30 AM

 

 

 

Q train to Ave. U or B or Q train to Kings Highway

 

 

Go to location directly, or take free shuttle bus from the DOHMH health center to this location

 

 

 

Other Vaccinations

Childhood and school vaccinations will be given at regular clinic times.  Please see nyc.gov/health for the schedule.

 

Long Lines

Due to unprecedented demand for flu shots, people who visit a Health Department clinic may experience long lines; some people may be asked to return at a later date to receive the flu shot.

 

Clinic Times

While vaccinations are generally given from 8:30 AM to 2:30 PM, Health Department clinics may close early for flu shots if daily limits are reached. However, the Health Department expects to continue providing vaccinations throughout the flu season as vaccine supplies last.

 

For additional information about

DOHMH Immunization Clinic Services and Flu Shots,

call 311 or visit nyc.gov/health/flu.

 

All clinics are CLOSED on Tuesday, November 2 for Election Day.

 

 

 

MOSQUITO SPRAYING SCHEDULED FOR PARTS OF ROCKAWAYS

 

To Take Place between 7:30 P.M. Wednesday, August 18 and 6:00 A.M. Thursday, August 19,

Weather Permitting

 

NEW YORK CITY – August 17, 2004 – To reduce mosquito activity and to control West Nile virus, the New York City Department of Health and Mental Hygiene (DOHMH) will spray pesticide from trucks in the Rockaways, Queens between 7:30 P.M. on Wednesday, August 18 to 6:00 A.M. on Thursday, August 19, weather permitting. If weather doesn’t permit, spraying will commence on the next possible night. The areas to be sprayed are as follows:  

Borough

Neighborhood

Boundaries

Zip Code

Queens

Arverne/Somerville

Grass Hassock Channel and Beach 65th Street and De Costa Avenue to the north; Beach 77th Street to the west; Beach Channel Drive and Arverne Blvd. to the south; Beach 54th Street to the east.

11692

 

Edgemere

Almeda Avenue, Conch Basin and Norton Basin (Grass Hassock Channel) to the north; Beach 54th Street to west; Norton Drive to the east; Arverne Boulevard to the south.

11691

 

Bayswater

Norton Drive and Norton Basin to the west; Mott Basin to the north; Dickens Street to the east; Ocean Crest Boulevard to the south.

11691

 

Edgemere Park

Within the Park

 

 

For this application, DOHMH will apply Anvil 10 + 10 (Sumithrin), a synthetic pyrethroid used in mosquito control efforts. A final Environmental Impact Statement (EIS), completed by DOHMH in the summer of 2001, found that there is no significant risk of adverse impact to human health associated with the proper use of pyrethroids.  Go to http://www.nyc.gov/html/doh/html/wnv/feis.html to read the EIS. 

The use of pesticides in New York City is conducted in accordance with federal Environmental Protection Agency (EPA) and the New York State Department of Environmental Conservation (DEC) guidelines. 

Because of its proximity to the Gateway National Recreation Area, spraying in the Rockaways must be done with greater care.  Health Commissioner Thomas R. Frieden, MD, MPH said, “The decision to spray was based on mosquito surveillance and community complaints from the affected area.  We’ve worked very closely with residents, community organizations, and elected officials to come up with this plan.  I was pleased to be granted permission from DEC to address the mosquito nuisance problem in this community. 

Recent high tides have led to the irrigation of breeding places in area marshes.  Mosquito breeding sites in marsh areas are inaccessible for ground larviciding operations and contribute to higher adult mosquito populations in the area. Recently, high populations of Ochlerotatus solicitans, a day biting nuisance mosquito species, have been observed in the neighborhoods of Arverne, Somerville, Edgemere and Bayswater, as well as in Edgemere Park and the Dubos Point Wildlife Sanctuary. 

City Council Member James Sanders, Jr., said, “I have worked long and hard with the Health Department to address this persistent and intense mosquito problem, which affects the Rockaways and adjacent communities.  This pesticide application should help obtain relief for our residents in neighborhoods beset with mosquitoes. I applaud the Department for moving quickly to address the problem and look forward to working with them in the future."

 Jonathan Gaska, District Manager of Queens Community Board 14, said, "Mosquitoes have plagued our community for far too long, and August is the worst month of all.  We are extremely grateful that the Department of Health is spraying.  Our residents will finally be able to spend time outdoors, without the fear of being bitten.” 

Sarah Colson, Secretary of the Arverne Civic Association, said "These neighborhoods have suffered for a long time, so we appreciate the City making this effort to rid our neighborhood of mosquitoes.  I'm proud of the way community groups such as ours worked with each other and with the City to make the situation more tolerable for everyone."

 

DOHMH Recommendations to Reduce Exposure to Mosquitoes

bulletTake personal precautions against mosquito bites:
bulletUse an insect repellent containing DEET (follow manufacturer’s instructions)
bulletWear protective clothing (e.g., long pants, long-sleeved shirts) if possible, particularly at dusk and dawn
bulletAvoid shaded, bushy areas where mosquitoes like to rest

 

bulletEliminate any standing water that collects on your property:
bulletDispose of containers that can collect standing water
bulletMake sure roof gutters drain properly
bulletClean and chlorinate swimming pools
bulletDrain water that collects in pool covers
bulletChange water in birdbaths every three to four days
bulletTurn over plastic wading pools, wheelbarrows and other items that can collect rainwater and standing water when not in use
bulletRemove discarded tires on your property
bulletRemind or help neighbors to eliminate breeding sites on their properties

 

bulletRepair or replace all screens that have tears and holes.

 

Recommendations to Avoid Direct Exposure to Pesticides

bulletPersons with asthma or other respiratory conditions are encouraged to stay inside during spraying since there is a possibility that spraying could worsen these conditions.
bulletWash skin and clothing exposed to pesticides with soap and water.
bulletAs always, rinse fresh fruits and vegetables with water before eating.
bulletIt is recommended that food sold or prepared outdoors in the spraying area be covered with a non-porous material, such as plastic sheeting, during the spraying event.
bulletAir conditioners may remain on. But if you wish to reduce the possibility of exposure to pesticides, set the air conditioner vent to the closed position, or choose the “exhaust” function.
If outdoor equipment and toys are exposed to pesticides, they may be washed with soap and water to reduce the possibility of exposure.

 

NYC HEALTH DEPARTMENT ANNOUNCES

ARRIVAL OF WEST NILE VIRUS SEASON 

NEW YORK CITY July 2, 2004 – The season’s first sign of West Nile virus (WNV) in New York City was announced today by the Department of Health and Mental Hygiene (DOHMH).  A mosquito pool collected from the Shore Acres neighborhood on Staten Island was confirmed positive for WNV, and as a result DOHMH has increased mosquito surveillance and larviciding in surrounding areas.  With the official arrival of West Nile virus season, DOHMH Commissioner Thomas R. Frieden, MD, MPH reminded New Yorkers – particularly those over the age of 50 – to be vigilant about reducing mosquito-breeding sites around the home, and taking personal precautions to reduce mosquito bites. 

Commissioner Frieden said, “Although we typically do not see people being infected with the virus until later in the summer, it is never too early for people to begin to take simple measures to reduce mosquito breeding and to prevent mosquito bites.  New Yorkers should get rid of standing water and make sure window screens are installed tightly and are free of tears or holes.  

 “As the summer goes on, people over the age of 50 – and especially those over the age of 65 – should be particularly careful to guard against mosquito bites, as they are more likely to develop severe complications if infected with West Nile virus,” Commissioner Frieden added.  “A recent survey of older New Yorkers found that half of those interviewed didn’t know they were at highest risk.”  Dr. Frieden recommended such measures as wearing protective clothing and using an insect repellent containing DEET.  

WNV Surveillance, Prevention and Control  

To prevent the spread of West Nile virus, DOHMH monitors birds and adult mosquitoes for the presence of WNV and works closely with the medical community to monitor human illness. DOHMH conducts larval mosquito control (larviciding) throughout the summer months.  

If WNV activity poses an imminent risk to human health, DOHMH is prepared to spray pesticides to targeted areas to reduce the number of adult mosquitoes.  DOHMH also inspects properties with areas of standing water that can serve as breeding grounds for mosquitoes.  

Personal Precautions to Prevent WNV

DOHMH advises New Yorkers, especially those over 50, to take personal precautions against mosquitoes: 

bulletIf outside during the hours between dusk and dawn, when mosquitoes are most active, wear protective clothing such as long pants, long-sleeved shirts, and socks.
bulletConsider the use of an insect repellent containing DEET and use such products according to manufacturer's directions.
bulletMake sure doors and windows have properly-installed, tight-fitting screens. Repair or replace screens that have tears or holes.

Recommendations to Reduce Exposure To Mosquitoes Around Your Home

bulletEliminate any standing water that collects on your property.
bulletDispose of containers that can collect standing water (e.g., empty garbage containers and lids, buckets, cans, flower pots, items where water collects).
bulletMake sure roof gutters drain properly.
bulletClean and chlorinate swimming pools, outdoor saunas and hot tubs. Keep empty and cover if not in use.
bulletDrain water that collects in pool covers.
bulletChange water in birdbaths every 3 to 4 days.
bulletTurn over plastic wading pools and wheelbarrows when not in use.
bulletRemove discarded tires on your property.

           Remind or help neighbors to eliminate breeding sites on their properties

To report dead birds online, visit: http://www.nyc.gov/html/doh/html/wnv/wnvbird.html; to report standing water online, visit: http://www.nyc.gov/html/doh/html/wnv/wnvwater.html. New Yorkers can also call 311 or visit nyc.gov/health/wnv for more information about West Nile virus.

 

ONE IN FOUR PEOPLE LIVING WITH HIV/AIDS DON’T KNOW IT

Health Commissioner Urges New Yorkers to Get Tested  

NEW YORK CITY - June 25, 2004 – To mark National HIV Testing Day (June 27), New York City Health and Mental Hygiene Commissioner Thomas R. Frieden, MD, MPH urged New Yorkers to get tested for HIV/AIDS, and to disclose their HIV status to their partners. It is estimated that more than 20,000 New Yorkers are living with HIV/AIDS but unaware that they are infected, leaving them without the option of treatment and potentially putting thousands more at risk of contracting the disease.  

Commissioner Frieden said, “ New York City remains at the epicenter of the country’s epidemic. If you have HIV, it's important to know. By knowing your HIV status, you can protect yourself and your partners. Call your doctor, or call 311 to find out how to get a free, confidential HIV test. Avoiding risky sexual behavior, using condoms, and discussing your HIV status with your partners are important to protect yourself and others and to stop the spread of HIV/AIDS.  Knowing your HIV status can save your life.”     

Earlier today, in commemoration of National HIV Testing Day, DOHMH’s Assistant Commissioner for HIV Services Marjorie Hill, PhD along with the National Black Commission on AIDS, the Latino Coalition on AIDS, Gay Men’s Health Crisis, Urban Resource Institute and Housing Works joined Orasure, a manufacturer of a rapid HIV test at the NASDAQ opening in Times Square earlier this morning to discuss the importance of knowing your HIV status and disclosing that information to sexual partners. Additionally, DOHMH’s Assistant Commissioner for STD Prevention Susan Blank, MD, MPH joined the U.S. Surgeon General Richard Carmona, MD, MPH, FACS and Donna Futterman, MD, Director of Montefiore Hospital’s Adolescent AIDS Program in the Bronx to promote HIV testing day.  

According to the latest Health Department HIV surveillance report from the first 3 months of 2003 (available online at http://www.nyc.gov/html/doh/pdf/dires/dires-2004-report-qtr1.pdf), 85,000 adults have been reported living with HIV/AIDS in New York City ; at least 20,000 more are estimated to be living with the disease and don’t know it. Of new diagnoses, more than half were among blacks and approximately 30% were among Hispanics.  

New pediatric HIV/AIDS infections have steadily declined both nationally and locally in recent years. There have been approximately 3,800 diagnoses of children with HIV/AIDS in New York City since the beginning of the epidemic; nearly 1,400 of these children have died. The majority (98%) of these children were perinatally infected, that is, during pregnancy, labor and delivery, or through breastfeeding.

Women who are pregnant or who are planning pregnancy should know their HIV status. Without medication, a mother can pass HIV to her baby. Treatment can improve both the mother’s health and greatly reduce the chance that the baby will get infected.  

Know Your HIV Status – A “Take Care New York ” Priority  

Knowing your HIV status is one of top ten priorities of Take Care New York – the City’s new comprehensive health policy.  While HIV/AIDS deaths have declined greatly in the past ten years, the disease remains the fifth leading cause of death among all New Yorkers and the leading cause of death for New Yorkers ages 25-44. By 2008, the City aims to reduce the annual AIDS death rate by half.  

DOHMH’s 10 STD clinics, located in each of the five boroughs, provide free services, including STD diagnosis and treatment, confidential or anonymous HIV testing, and hepatitis immunizations on a walk‑in basis regardless of immigration status. For physicians, treatment guidelines and other STD information are available at http://www.nyc.gov/html/doh/html/std/std.html.  Further information is available by calling 311, visiting nyc.gov/health or from your medical provider.

 

NYC HEALTH DEPARTMENT DECLARES PUBLIC BEACHES

ARE OPEN FOR SWIMMING

 

NEW YORK CITY - May 28, 2004 – The New York City Department of Health and Mental Hygiene (DOHMH) today announced that all of the City’s beaches are open for swimming this Memorial Day weekend.  Public beaches open for swimming include:           

            Bronx: Orchard Beach (Under Advisory)

Brooklyn: Brighton Beach, Coney Island, Manhattan Beach

Queens: Rockaway Beach

Staten Island: Midland Beach, South Beach, Wolfe's Pond Park            

Orchard Beach in the Bronx is under an advisory this weekend. When a beach is under advisory, as a precaution, the Health Department recommends against swimming. Ingesting water with bacteria can lead to stomach illness. Infants and toddlers, people over 65, and people with underlying medical conditions are more likely to have severe illness that could occur if contaminated beach water is swallowed.    

Beaches likely to be affected by heavy rainfall may also be placed under a Wet Weather Advisory.  The beaches will be closed if weather or environmental conditions warrant, and if there is a significant threat to public health.  Testing results from all of the City’s beaches will be regularly posted on the DOHMH website at http://www.nyc.gov/health/beach 

Each year, DOHMH performs regular testing of the City’s 19 public and private beaches to determine whether waters are safe for swimming. As a result of new Federal guidelines from the US Environmental Protection Agency (EPA), the DOHMH is implementing new procedures to monitor the water quality of New York City beaches this summer.  Because of the more stringent criteria that will be used to monitor water quality, it is likely that throughout the summer, advisory cautions may be posted when conditions warrant.  

Commissioner Thomas R. Frieden, MD, MPH said, “Swimming and physical activity on the beach are great forms of exercise. However, beachgoers are cautioned to swim only when lifeguards are on-duty and should follow instructions on posted warning signs.  Furthermore, beachgoers should not dive in unfamiliar waters, or where 'No Diving' signs are posted.  New York City beaches are typically safe for swimming.  This summer, the DOHMH has launched a new website to provide New Yorkers with regular information about beach water quality.  Swimming in contaminated water can pose a health risk therefore, we will issue advisories about beach conditions when appropriate.”  

DOHMH reminds residents that swimming in the waters surrounding New York City is permitted only at approved beaches, and is prohibited at all other waterfronts, including the East River, Harlem River, Hudson River, Upper New York Bay, the Kill Van Kull, Arthur Kill, and Jamaica Bay, including Howard and Canarsie Beaches and Broad Channel.

 

DOHMH Beach Advisory System

 

OPEN

Swimming and bathing permitted

WET WEATHER

ADVISORY

Advisory – Wet weather conditions;

swimming and bathing not recommended

ADVISORY

Advisory – swimming and bathing not recommended

CLOSED

Closed – swimming and bathing temporarily not permitted

 

 

Advisory Descriptions

WET WEATHER

ADVISORY

Advisory – Wet weather conditions;

swimming and bathing not recommended

 

A Wet Weather Advisory is issued following a period of heavy rainfall, which could lead to sewer overflows and storm runoff (e.g., from City streets and other properties).  That in turn may lead to elevated levels of bacteria in some beach waters, which may pose a public health risk.  DOHMH does not recommend swimming and bathing in any area impacted by a Wet Weather Advisory

Only certain beaches may be affected by a Wet Weather Advisory.  For a complete list visit http://www.nyc.gov/html/doh/html/beach/beach_adv.html#wetweather 

 

 

ADVISORY

Advisory – swimming and bathing not recommended

 

An Advisory is issued to warn the public against swimming and bathing when bacteria levels or other conditions may contribute to possible illness. DOHMH does not recommend swimming and bathing in areas identified as being impacted by an Advisory.   

CLOSED

Closed – swimming and bathing temporarily not permitted

 

City beaches may be classified as Closed when one or a combination of any of the following conditions exist: 

·  Confirmed samples show that enterococci (bacteria) levels in beach waters exceed recommended water standards.

·  Test results indicate a significant incidence of related illnesses or repeated complaints/reports of illness/injury received from beach patrons.

·  There are potentially hazardous amounts of floating debris, medical or infectious waste, toxic contaminants, petroleum products or other contamination on the beach, or there is evidence of sewage and wastewater discharge in sufficient quantities that will adversely affect the quality of the beach water.

·  Any other environmental factors exist which DOHMH determines to be a public health or safety hazard.

 

Enterococci Bacteria

Under these new procedures, the DOHMH will be testing beach water for the presence of enterocci bacteria. These microscopic organisms are commonly found in the feces of humans and other warm-blooded animals. The presence of enterococci in water is an indication of fecal pollution and the possible presence of enteric (intestinal) pathogens.

 

Water Quality and Associated Health Risks

Studies conducted by EPA demonstrate that for marine waters, enterococci are best suited for predicting the presence of pathogens that cause illness. This marks the first year that the Health Department will use EPA standards when conducting tests of bathing beach waters.  Results of these tests, as well as the status of the City’s public and private beaches, will be made available at the online Beach Quality and Safety page at http://healthweb.health.nycnet/dev/dohmh_internet_dev/html/beach/beach.html.   

Contact:         (212) 788-5290; (212) 764-7667 (after hours)

            Sandra Mullin (smullin@health.nyc.gov)

Sid Dinsay (sdinsay@health.nyc.gov)

 

HEALTH DEPARTMENT ANNOUNCES “GOLDEN APPLE” AWARD FOR RESTAURANTS WITH SUPERIOR FOOD SAFETY

 NEW YORK CITY – May 6, 2004 – To further improve food safety in New York City, the Department of Health and Mental Hygiene (DOHMH) today announced the Golden Apple award.  DOHMH will issue a one-year certificate and Golden Apple decal to qualifying restaurants. The decal can be prominently displayed to publicize the restaurant’s achievement. 

 

Health inspection records indicate that an estimated 2,600 of the City’s more than 23,000 restaurants currently qualify to apply for the award.  To receive a Golden Apple, restaurants must, among other requirements, have excellent recent inspection results, participate in a new DOHMH Quality Improvement Food Protection course (or demonstrate that acceptable quality assurance measures have been in place for the last 12 months) and pass a special Golden Apple consultation and inspection process.

 

Health Commissioner Thomas R. Frieden, MD, MPH made the announcement at Carifesta Restaurant, an eatery in the Bronx that is eligible to apply for the Golden Apple Award.  Dr. Frieden was joined by Chuck Hunt, Executive Vice President, Greater New York City Chapter of the New York State Restaurant Association; and Sattaur Mohamed, the owner of Carifesta.

 

Restaurants qualify for a Golden Apple award by demonstrating a serious commitment to food safety, including having an exemplary inspection record, completing food protection and quality improvement courses, and by having a quality improvement system in place,” said Commissioner Frieden. “The Golden Apple will recognize establishments that uphold the highest food safety standards and will serve as an incentive to others to make New York City’s restaurants not only the best in the world but also the safest.  We hope that, eventually, many of the City’s restaurants will display the Golden Apple decal in their windows.”

 

"Food safety is the number one priority of New York City’s restaurants,” said Chuck Hunt of the New York State Restaurant Association.  “We are pleased with the Golden Apple program, which will recognize those establishments with exemplary inspection records, and we urge all City food service operations strive for this award."

 

The Golden Apple shows that good food can also be safe food,” said Sattaur Mohamed, owner of Carifesta Restaurant.  “We are pleased that our family-owned restaurant was chosen as the site to announce this great new initiative.  We are proud of the high standards we hold for cleanliness in our restaurant. People who come here can rest assured that the food is not only excellent, but that we work very hard to make the food safe too.”

 

How to qualify for a Golden Apple Award

The Golden Apple initiative is totally voluntary and non-participation will not impact on a restaurant’s legal ability to operate. To qualify for a Golden Apple award, restaurants must meet the following four criteria:

 

1        Hold a valid DOHMH permit and have no outstanding fines;

 

2.         Employ a supervisor or manager who has completed the basic DOHMH Food Protection course or an approved equivalent;

 

3.         (a) Employ a supervisor or manager who takes the DOHMH Quality Improvement Food Protection Course, OR, (b) Demonstrate quality improvement/quality assurance measures that have been in place for the last 12 months;

 

4.         Have passed two consecutive annual inspections with no critical violations and fewer than four general violations (no more than 8 points deducted).

 

Letters have been sent to the owners and operators of the approximately 2,600 restaurants that are currently eligible to apply for a Golden Apple award. Letters introducing the program and offering information about enrollment in Quality Improvement Food Protection Course and about the Golden Apple qualification process have been sent to other owners and operators who may not yet qualify for the award.

 

Restaurant Scoring System

DOHMH implemented a scoring system in its restaurant inspection program in 2003 to focus inspection efforts on the violations most commonly associated with food-borne illness and to ensure stricter adherence to food safety standards.  “The scoring system is based on the best current scientific knowledge about what causes food poisoning and how to prevent the spread of food-borne illness,” said Elliott Marcus, Assistant Commissioner for DOHMH’s Bureau of Food Safety and Community Sanitation. “The scoring system, combined with the Golden Apple award, will make New York City restaurants safer than ever.”

 

Information on the Health Department’s inspection program is available online at http://www.nyc.gov/html/doh/pdf/inspect/foodserviceinfo.pdf.  To find inspection reports for DOHMH-permitted food service establishments, New Yorkers can call 311 or visit http://www.nyc.gov/html/doh/html/rii/index.html. To find out how to receive a Golden Apple award, restaurant owners and operators can call 311 or visit http://www.nyc.gov/html/doh/pdf/inspect/goldenapple_brochure.pdf.



Crystal Meth

New York City Health and Mental Hygiene Commissioner Thomas R. Frieden, MD, MPH, today cautioned New Yorkers about the growing problem of methamphetamine (crystal meth) in New York City and strongly warned against its use.  There is medication available to ease withdrawal andtreat associated depression, anxiety, hallucinations and paranoia, but there is no specific medication proven to successfully treat the addiction, and relapse is common.

New Yorkers who themselves have, or know someone who may have a drug abuse problem, can call
1-800-LIFENET (1-800-543-3638) or call 311 and ask for Lifenet, the
City's 24-hour substance abuse and mental health crisis counseling,
information and referral hotline.

Please feel free to give us a call if you have any questions.

Thank you.

Jessica Morris, Director             (jmorris@health.nyc.gov)
212-788-4735
Michele Lan, Assistant Director   (mlan@health.nyc.gov)  212-676-8551
Marc Barbiere, Health Educator (mbarbier@health.nyc.gov) 212-788-4599

n y c . g o v / h e a l t h Healthy Heart – Blood Pressure

Why High Blood Pressure Is Dangerous

• High blood pressure means the force of blood is too strong.

• This makes the heart work harder, which causes the muscle to become thick and stiff.

• It also damages blood vessels, which makes it easier for cholesterol and other substances to build up.

• Untreated high blood pressure increases the risk of:

• Heart disease.

• Stroke.

• Problems with blood vessels and circulation.

• Kidney and eye problems.

• Premature death.

Know Your Numbers

• Blood pressure is measured with two numbers. It is written with one number over the other, such as “115/75.” (See Blood Pressure Levels on the chart.)

• The systolic (top) number is the pressure as the heart pumps blood.

• The diastolic (bottom) number is the pressure when the heart relaxes between beats.

• Adults should have their blood pressure checked regularly.

• Screening is especially important for people with risk factors for heart disease, such as overweight or obesity, physical inactivity, diabetes, high cholesterol, smoking, or a family history of heart disease.

• African-Americans are more likely than other groups to have high

blood pressure.

Lifestyle Changes That Can Help

• Exercise. Get at least 30 minutes of moderate to- vigorous physical activity (such as a brisk walk) on at least 4 days every week.

• Maintain a healthy weight. If you are overweight, losing as little as 10 pounds can lower your blood pressure.

• Limit the amount of salt you eat.

• If you smoke, quit now.

• Nicotine raises blood pressure and heart rate.

• If you have high blood pressure and smoke, you more than double

your risk of a heart attack.

• For free help quitting, call 311 and ask for the Smokers’ Quitline.

• High blood pressure (hypertension) is a leading cause of heart disease and stroke.

• 1 in 4 adult New Yorkers have been told they have high blood pressure. Hundreds of thousands more have it but don’t know it.

• Blood pressure tends to rise with age. However, anyone can have high blood pressure.

• Causes of high blood pressure are not well understood, and there are usually no symptoms. That’s why high blood pressure is sometimes called “the silent killer.” But a simple, quick, and painless measurement can detect it.

• People can often prevent or lower high blood pressure by getting more physical activity, eating a healthier diet, and other lifestyle changes.

• Prescription medications to lower blood pressure are safe and effective.

Safe and Effective Medications Are Available

If lifestyle changes don’t reduce blood pressure enough, your doctor may prescribe medication.

• Most people with high blood pressure take one or more medications. There are five main types:

• Diuretics (water pills) – most people with high blood pressure begin treatment with diuretics.

• ACE Inhibitors and Angiotensin Receptor Blockers – these are particularly useful for people with diabetes or those at risk for kidney disease.

• Beta Blockers – most people who have had a heart attack should take beta blockers (as well as an aspirin a day).

• Calcium Channel Blockers – if other drugs do not effectively control blood pressure, these may be added to treatment.

• Different blood pressure medications work best for different people. Newer and more expensive drugs are not necessarily better. Your doctor will find the combination that best controls your blood pressure.

• Everyone should know which medications they take and why.

• Bring a list of your medications (or the medications themselves) whenever you see a doctor.

• Tell your doctor about other medications you take, both prescription and non-prescription. Some of these can interact with blood pressure medications.

More Information

• New York City Department of Health and Mental Hygiene: nyc.gov/health or call 311

• American Heart Association: www.americanheart.org or 1-800-AHA-USA-1 (1-800-242-8721)

• U.S. Centers for Disease Control and Prevention: www.cdc.gov/cvh

• National Institutes of Health: www.nhlbi.nih.gov/hbp