Infant Immunizations Save Lives

It’s National Infant Immunization Week, and NOAH wants everyone to know how to access the vaccines your infant needs. Infants and young children are at risk serious, life-threatening diseases that are preventable with vaccines. The best thing parents and guardians can do for infants is keep them on track with both vaccines and well-child visits.

During 2020 and the COVID-19 pandemic, many families fell behind on their children’s vaccinations because people stayed home. This sharp decline in infant immunizations is a concern for young children and for entire communities.

Before vaccines, many children suffered from diseases like whooping cough, measles, and polio, some children had life-long challenges because of the diseases, and many died from them. When children get vaccinated, it protects them and protects others in their families and communities like people with medical conditions or infants too young to get vaccinated yet.

Now is the time to get back to your pediatrician and make sure your child is protected against 14 serious and preventable diseases.

What are the 14 diseases infant immunizations prevent?

  • Polio – infects a person’s brain and spinal cord and can cause paralysis and death.
  • Tetanus – causes painful muscle stiffness and lockjaw, and it can be fatal. Tetanus is part of the DTaP vaccine.
  • Flu (influenza) – infects the nose, throat, and lungs and can be dangerous for children of any age, particularly infants under 6 months who cannot yet get the flu shot. Children over 6-months, and parents and caregivers should get the flu vaccine.
  • Hepatitis B – a dangerous liver disease infants can get from their mother during birth, and leaves many with a lifelong illness.
  • Hepatitis A – a contagious liver disease that, unlike hepatitis B, can be spread orally.
  • Rubella – in a pregnant woman, it can cause miscarriage, infant death just after birth, and serious birth defects. Part of the MMR vaccine.
  • Hib – affects kids under 5 and can cause brain damage, hearing loss, or death.
  • Measles – Measles is very contagious! It can cause pneumonia (serious lung infection), brain damage, and deafness. Part of the MMR vaccine
  • Whooping Cough – Whooping cough is highly contagious and can be deadly to infants. Mothers should be vaccinated during pregnancy to pass some protection to their babies, and others who will be around the newborn should have a recent whooping cough vaccine. Part of DTaP vaccine.
  • Pneumococcal – causes ear, sinus, and lung infections, and can cause meningitis.
  • Rotavirus – causes diarrhea, vomiting, fever, stomach pain, and can quickly lead to sever dehydration and hospitalization.
  • Mumps – symptoms include puffy cheeks and a swollen jaw, fever, head and muscle pain, and can spread quickly. Part of the MMR vaccine.
  • Chickenpox – known for the itchy rash of up to 500 blisters, chickenpox can be life-threatening, especially in babies.
  • Diphtheria – makes it hard for people to breathe or swallow, diphtheria can lead to heart failure, paralysis, and even death. Part of the DTaP vaccine.

Read more about these 14 diseases and the vaccines at the Centers for Disease Control and Prevention.

Infant immunizations allow more children to live long, healthy lives. If you are unsure about what vaccines your infant, older child, or even yourself as a parent or caregiver currently need, talk to a NOAH pediatrician or family medicine provider today. You can also ask your NOAH provider any questions you have about vaccines, diseases, and vaccine schedules.

Request an appointment online or by calling 480-882-4545.

NEWS: NOAH to Reopen Cholla location in North Scottsdale

Health center offers primary care and mental health services to broader community

Neighborhood Outreach Access to Health (NOAH), a leading community health center in the Valley delivering comprehensive health services to the often overlooked, will officially reopen it’s Cholla Health Center today, April 19, after closing due to the pandemic in 2020.

Cholla map

One of nine NOAH Health Centers in Maricopa county, the Cholla Health Center is 6,000 square-feet with six exam rooms and three medical providers. It is located at 11130 E. Cholla St., Building I in Scottsdale just north of E. Shea Blvd. at Frank Lloyd Wright Blvd.

“NOAH prioritized the safety and health of our patients and staff during the most crucial months of the COVID-19 pandemic,” said Wendy Armendariz, CEO of NOAH. “Our resources were centralized, and we transitioned many healthcare appointments to telehealth whenever possible to mitigate spread while continuing to meet the needs of patients. We are excited to reopen our doors at our Cholla Health Center and serve our existing patients and welcome new patients in-person.”

Services at this location include primary care, behavioral health, psychology, and community resources. The Cholla Health Center will also provide the Moderna COVID-19 vaccine to patients as well as other members of the community. NOAH accepts most insurance plans including Medicare, private insurance, AHCCCS, Kids Care, and offers a sliding scale fee for uninsured patients.

Hours of operation are from 7:30 a.m. – 6 p.m. Monday – Friday for existing and new NOAH patients. Patients can make in-person or telehealth appointments by calling 480-882-4545 or online at NOAHhelps.org.

Sexually Transmitted Diseases Awareness Month

By Larissa D. Wiley, PA-C

April is Sexually Transmitted Disease Awareness Month also known as Sexually Transmitted Infections (STI) and we all need more awareness about this issue. Awareness of STDs, prevention efforts, and appropriate treatment for STDs are critical for an individual’s health. According to the CDC, there are 20 million new STD diagnoses every year in America, however, most Americans aren’t aware that they are on the rise.

A problem on the rise

Adolescents make up over half of newly diagnosed STDs but represent only 25% of those who are sexually active.  Human Papillomavirus (HPV) is the most common STD at 14 million new cases per year, followed by chlamydia at 2.8 million cases.  All demographic groups are seeing increases in diseases.

In 2018, Maricopa county ranked among the highest for chlamydia and gonorrhea cases. According to Arizona Department of Health Services, gonorrhea has increased 94% in the last five years!

Based on the increase and our 4.4 million residents in Maricopa county, in 2018 there were 27,045 chlamydia cases, 9,085 gonorrhea cases and 801 primary and secondary syphilis cases. That means Maricopa county – just one county – was responsible for 1.5% of all chlamydia and gonorrhea cases and 2.2% of all primary and secondary syphilis cases in the entire country!

What a positive diagnosis means

Many STIs have no symptoms, but they can still be passed to other people, and some STDs have lifelong consequences.  Early diagnosis and treatment are critical! Many STDs can be cured or easily managed by your medical provider.

If these diseases are not addressed:

  • Human Papillomavirus (HPV) can result in reproductive cancers.
  • Human Immunodeficiency Virus (HIV) is incurable and leads to a constellation of health complications including AIDS.
  • Syphilis can cause blindness, paralysis, heart damage and various neurological complications, as well as serious complications when spread from mother to baby.
  • Untreated gonorrhea and chlamydia infections can result in infertility.

Prevention is key

Thankfully, sexually transmitted diseases are largely preventable. The Gardasil9 vaccine prevents nine different high-risk forms of HPV. The HPV vaccine also reduced genital warts and cervical cancer rates by over 71% from 2006 to 2016. There is also a Hepatitis B vaccine which is available for all age groups and is over 98% effective.

Medications like the Pre-Exposure (PrEP) and Post-Exposure Prophylaxis (PEP) reduce HIV infections; PrEP is started prior to HIV exposure and PEP is for HIV-negative patients who were exposed to someone with HIV. More information about this is available from the CDC here.

Sexually transmitted disease awareness is important to your health, and safety measures can reduce the risk of sexually transmitted diseases. Use a latex or polyurethane condom, limit your number of sexual partners, avoid sexual behaviors that could compromise condom effectiveness, and test for STDs before becoming sexually active with a new partner.

If you do contract a sexually transmitted disease, seek treatment early rather than waiting; this could reduce permanent damage and spread.  Please talk to your primary care provider about any questions you may have.  At NOAH, we are here to help and answer question about all aspects of your health, including your sexual and reproductive health. Talk to a NOAH provider today!

Myth or Fact – Understanding the COVID Vaccine

Everything about COVID-19 came at us quickly in 2020. From how the virus spreads to vaccine options, we have learned so much about. But it’s also no surprise that there are questions and misunderstandings. That’s why NOAH experts are responding to some of the most common COVID vaccine myths.

Myth #1 – It’s too soon to know if the vaccine is safe and effective.

Fact – Approved vaccines – Pfizer, Moderna, and Johnson and Johnson – did not skip any necessary step. The two initial vaccines approved in the U.S., Pfizer and Moderna, were about 95% effective in trials. The Johnson and Johnson vaccine is 66.3% effective in preventing all COVID-19. All available vaccines are highly effective at preventing infection, as well as preventing hospitalization and death from the virus.

The vaccines are safe. Other than expected side effects like headaches, chills, and arm pain, severe allergic reactions are extremely rare. All patients are monitored for 15 minutes after receiving their vaccine to monitor for any signs of these rare reactions so they can receive immediate treatment if needed.

Myth #2 – If I had COVID, I don’t need the vaccine.

Fact – People can – and have – gotten COVID-19 more than once. Plus, this virus can have serious and lasting health risks. We also don’t yet know how long natural immunity (from having COVID-19) will last. Early evidence shows that natural immunity may not last long enough to stop the spread. The evidence scientists are seeing from the vaccine tell us that the vaccine may offer better protection than natural immunity.

Myth #3 – I don’t need to wear a mask after getting the COVID vaccine.

Fact – Fully vaccinated people can still carry and spread the virus to unvaccinated people. By wearing masks and continuing to give physical distance from people that don’t live in your home, you are protecting them from infection, and from you getting the virus and carrying it to other unvaccinated people.

At this time (4/5/2021), none of the vaccines are approved for children under 16. Those trials are underway but are not fully approved yet. Wearing your mask will continue to protect children and other unvaccinated individuals.

Myth #4 – The vaccine causes infertility in women.

Fact – None of the available COVID-19 vaccines cause infertility. This myth happened because a false social media report (*read more on this at the end) was shared saying that the spike protein on the coronavirus was the same as another spike protein that is involved in placenta growth and attachment during pregnancy.

The spike protein in the coronavirus is what allows it to enter the cell and replicate. The vaccine targets this spike protein.

The false report said the COVID vaccine would target the protein in a woman’s body that helps with healthy placenta growth and harm her fertility. The COVID vaccine ONLY targets the specific spike protein of the coronavirus because it is completely different. The vaccine won’t interact with a woman’s fertility or fertility treatments. More information from Johns Hopkins Medicine on this topic is available here.

Myth #5 – The COVID vaccine gives you COVID.

Fact – The COVID vaccines by Pfizer and Moderna use mRNA technology and do not use any form of any virus. The Johnson and Johnson vaccine uses what is called a viral vector to carry the information to our body. This vector is a harmless version of a different virus. None of the vaccines can give someone the virus because none of the vaccines contain any part of the virus. What all of the vaccines will do, though, is tell our healthy cells how to respond to COVID-19.

Any side effects from getting the vaccine, like arm pain where you received the shot, a fever, body aches, chills, or a headache are actually a good thing! We know they aren’t fun, but they are temporary and show that your body is responding to the vaccine and building protection. Many people don’t experience any side effects.

Myth #6 – The mRNA technology is new and changes your DNA.

Fact — The Pfizer and Moderna vaccines use mRNA technology to give instructions to our bodies on how to fight the virus that causes COVID-19. The mRNA does enter the cell, but does NOT enter the part of the cell that contains our DNA, so it cannot change our DNA.

This mRNA technology is not new to science or medicine; it has been used and studied for almost 20 years. The COVID-19 vaccine is the first time, though, mRNA is being used in a vaccine. Scientists were able to create the vaccines happened faster than if scientists were using a new technology because of past experience and studies.

NOAH’s own Dr. Bell shares a helpful and easy-to-understand information about COVID-19 and the vaccine in this brief YouTube video.

So much has happened around COVID-19 in just one year. Ensuring our patients and community understand how to stay safe and healthy is important. Your NOAH provider can answer any questions you have about COVID, the vaccine, or any other health and wellness concerns. Check out the NOAH COVID-19 page on our website for additional information.

*Social media allows us to stay connected and to share helpful, fun, and important information with people in our lives. However, the prevalence of misinformation shared across social media platforms can cause real and harmful outcomes. At NOAH, we only share our NOAH provider’s (doctors, physician assistants, nutritionists, counselors, nurse practitioners, psychiatrists, dentists, etc.) expert insight and knowledge, or trusted third-party sources of information. We will never share questionable information, rumors, or unverified medical insights in our blogs or on our social media platforms.  

Child Abuse Prevention – It Takes A Village

By Glenda Henman, Behavioral Health Counselor

April is National Child Abuse Prevention Month. Most people avoid thinking or talking about child abuse and neglect because it is upsetting and difficult. However, in 2014, there were more than 700,000 children who were sufferers of child abuse and neglect. Knowing how big the problem is means we can take action to reduce this number and support these children as they recover.

We know now that child maltreatment (a phrase that includes abuse and neglect) can have lifelong and even generational impacts on physical and mental health known as Adverse Childhood Experiences (ACEs). It might be Child Abuse Prevention Month, but at NOAH, we work to prevent and heal child abuse every day.

Impact on Children

People usually think of visual, physical abuse or injuries, but child abuse takes many forms. Emotional neglect, medical and educational neglect, and sexual abuse are other forms of child maltreatment. Too often, these children are also facing other negative experiences like parental substance abuse, domestic violence, and poverty.

What to look for:

  • Talking about the abuse
  • Sexual knowledge beyond their age
  • Withdrawing, running away, or avoiding a specific person
  • Nightmares, bed wetting
  • Changes in mood or appetite
  • Being fearful of a parent or caregiver
  • Sudden changes in behavior

Preventing Abuse and Neglect

Many of us here at NOAH, like doctors, nurses, dentists, psychologists, and others are Mandatory Reporters and must report abuse or suspected abuse of children or vulnerable adults. Reporting abuse is an essential step, but we can all be a supporter to prevent child abuse.

The best way to prevent child abuse is by promoting protective relationships and environments. Protective factors are tools and support that help a family stay strong so they can face challenges together like:

  • Social connections
  • Parenting knowledge
  • Reliable and safe support in times of need

If you or someone you know needs additional support, NOAH is a great place to start! Our Community Resource team can connect families to resources, and our Behavioral Health team is here to support parents develop resiliency to face challenges.

Actions for everyone

Whether we have children in our lives or not, we can all take steps to help protect children and support families in our lives and our communities.

  • Read books or articles, attend trainings or classes on parenting, or get involved with trusted resources like community leaders, schools, libraries, clergy, or these organizations:
  • Ask for help when you need it.
  • Offer to help people in your life who are parents or raising young children.
  • Be a friend to a child you know; remember their name, show them you care.
  • Teach children how to be safe from sexual abuse with age-appropriate, open conversations with your children about bodies, sex, and boundaries. If you need help in having these conversations, or how to prepare, our counselors can help.
  • Find out about local resources and refer families. Learn more on 211arizona.org.  

The phrase ‘it takes a village’ is thrown around a lot when talking about raising children. But all too often, people who need that ‘village’ the most, don’t know where to find it. The best way to make sure children are safe and cared for is with a safe, healthy, supported family.

If you have questions, NOAH’s Community Resource team and Counseling team are a great place to start. Request an appointment today!