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‘Cool’ Factor Often Spurs Teens to Try E-Cigarettes

MONDAY, July 18, 2016 (HealthDay News) — E-cigarette makers say the products can help adults stop smoking, but new research suggests many teens use the devices because they seem cool, new and fun.

“While e-cigarettes are frequently used as devices for smoking cessation in adults, we found most students in our survey [including 47.8 percent of those who recently smoked cigarettes] were motivated by the ‘cool/fun/something new’ features of e-cigarettes,” the study authors wrote.

Dr. Michael Khoury, a pediatric cardiology resident at Stollery Children’s Hospital in Edmonton, Canada, led the research during a previous residency at The Hospital for Sick Children and the University of Toronto.

The study involved nearly 2,400 students in Ontario, aged 14 and 15. The teens were asked about their e-cigarette use, including why they tried them and how often they used them.

Seven out of 10 respondents, almost 1,600 students, knew about e-cigarettes. Nearly 25 percent said they learned about them from a store display or advertisement. Just over 10 percent (238 of the teens) had used them.

E-cigarette use was more common among boys who said they already smoked cigarettes or used other tobacco products, or have friends and family members who do, the study found.

The researchers also found the teens aren’t using them to stop smoking.

“Use of e-cigarettes was [also] associated with lower self-identified health level, greater stress level and a lower estimated household income, which suggests that e-cigarette use may have some key associations that may help to identify adolescents at risk,” Khoury and colleagues wrote.

The authors said their findings may not be representative of all teens. But they called for strict regulations on e-cigarette use among young people, for advertising restrictions and a ban on e-cigarette flavorings.

In May, the U.S. Food and Drug Administration announced a new rule prohibiting retailers from selling e-cigarettes, hookah tobacco or cigars to people under age 18.

The study was published July 18 in CMAJ (Canadian Medical Association Journal).

More information

The U.S. National Institute on Drug Abuse has more about e-cigarettes.





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3 Health Issues That Can Threaten Young Female Athletes

By Kathleen Doheny
HealthDay Reporter

MONDAY, July 18, 2016 (HealthDay News) — Doctors need to be on the lookout for a trio of harmful health conditions in young female athletes, a new report says.

Known as the “female athlete triad,” the conditions include eating problems, menstrual problems and weakened bones, according to the American Academy of Pediatrics. Experts now know that all three conditions need not be present together to cause long-term health issues, and that they are triggered by strenuous sports training and not eating enough to meet the body’s demands.

“Each one of the components really exists on a spectrum,” explained report co-author Dr. Amanda Weiss Kelly, division chief of pediatric sports medicine at Rainbow Babies & Children’s Hospital in Cleveland.

The report discusses what is known about the triad and how doctors can screen for it during routine office visits.

Doctors can ask a number of questions involving eating habits and views, menstrual period patterns and orthopedic issues such as stress fractures, the report said.

Depending on the answers, a doctor can decide what to do next. For instance, if a girl has had stress fractures without any increase in training and has irregular menstrual periods, testing bone health may be in order, the report said.

“I think it’s important for parents to understand that kids do not need to have an eating disorder to be affected by the triad,” Weiss Kelly said. Getting too few calories with intense training can impact bone health and lead to stress fractures and period problems even without an eating disorder.

Menstrual problems are more difficult for parents to pick up on, but a lack of periods or very irregular ones need checking, she said. And while the emphasis is on girls, boys can also be affected with bone issues and eating problems, she added.

The best thing parents can do, Weiss Kelly said, is to be sure their children are getting enough calories in proportion to their energy output.

That total may surprise many parents, she noted.

Teens, on average, need about 1,800 to 2,500 calories daily “just to be teens,” Weiss Kelly said. Depending on the intensity of the sport and training, calories need to be added.

“For every mile run, you need another 100 calories,” she said. Figure a girl who plays soccer runs about a mile every 15 minutes, she advised.

If parents can’t figure it out, they can always consult a registered dietitian, who can map out a good eating plan and suggest a good total daily calorie count.

The new report is timely, said Dr. Annie Casta, a primary care sports physician at Nicklaus Children’s Hospital in Miami. “We’ve become more aware” of the problem, she said.

According to the report, up to a third of high school female athletes may have at least one component of the triad. Casta urges parents to be aware of factors that may point to problems, such as a stress fracture or skipping periods.

At that point, parents should seek medical help. Once the bone health and menstrual cycle problems set in, it can lead to long-term problems, Casta added.

The report was published online July 18 in the journal Pediatrics.

More information

To learn more about the female athlete triad, see American Academy of Pediatrics.





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Limit Kids’ Exposure to Media Violence, Pediatricians Say

By Amy Norton
HealthDay Reporter

MONDAY, July 18, 2016 (HealthDay News) — Media violence has become a routine part of the daily lives of American children, and parents, lawmakers and the media should take steps to change that, a leading pediatricians’ group recommends.

The new policy statement, from the American Academy of Pediatrics (AAP), calls on pediatricians to routinely ask about children’s “media diet,” and for parents to limit the violent content their kids see — whether on TV, online or in video games.

Video gaming is a particular concern, partly because of the advent of 3D technology that creates a “more immersive experience with violence,” said statement author Dr. Dimitri Christakis.

Christakis directs the Center for Child Health, Behavior and Development at Seattle Children’s Research Institute.

The policy statement points to a “proven scientific connection” between virtual violence and real-life aggression, the doctors say. Many studies have found such links, Christakis said.

Some media violence experts contend that such a link is far from proven.

However, Christakis noted that “aggression” can include “being rude,” arguing or — for those old enough — driving aggressively.

“With children, actual physical violence is, thankfully, rare,” Christakis said.

But, he added, “aggressive thoughts and feelings do precede violence.”

The policy statement advises parents to: play their kids’ video games with them, so they know exactly what the content is; shield children younger than 6 from all violent media, including “cartoon violence,” and ban “first-person shooter” games altogether.

Christakis acknowledged that most kids will not be turned into violent offenders because of video games or movies. But he pointed to “societal level” effects of widespread media violence.

“Let’s say 2 percent of the population behaves more aggressively after being exposed to violent media,” Christakis said. “Out of the 20 million people who see the latest violent blockbuster, that’s 400,000 additional acts of aggressive behavior.”

Much of the policy statement is aimed not at parents, but at the media.

It calls on the entertainment industry to stop glamorizing violence and using gratuitous aggression. It also says violence should not be used in a “comic or sexual context.”

The policy statement also says reporters should stop presenting the link between media violence and real-life violence as “controversial.” News stories falsely imply there is debate by interviewing industry representatives or “contrarian academics,” the statement said.

“I guess I’m a contrarian academic,” said Christopher Ferguson, a media violence researcher at Stetson University in DeLand, Fla.

Ferguson disputed the idea that there is a “proven” link between kids’ exposure to media violence and aggressive behavior. He pointed to a number of studies that have found no evidence of that — his own and others’ work.

“There’s nothing wrong with the AAP saying, ‘We would like kids to not see violence,’ ” Ferguson said. “But I don’t know where they get the idea that there is scientific ‘consensus’ on this.”

Dr. Eugene Beresin is executive director of the Clay Center for Young Healthy Minds at Massachusetts General Hospital in Boston.

He agreed with Ferguson about the research on media violence and kids’ aggression.

But he also said most of the AAP recommendations are based on “sound judgment.”

“Yes, parents should know what their kids are watching and playing,” Beresin said. “They should also know who their kids are.”

So, he explained, if your child tends to be aggressive, he or she probably shouldn’t play a violent video game. By the same token, Beresin added, that game may not be appropriate for an overly anxious child.

But the focus should not just be on entertainment, according to Beresin. “I think the most disturbing images are on the news,” he said.

Plus, Beresin said, there is evidence that media images of terrorist attacks and other traumatic events can trigger post-traumatic stress symptoms in some children.

In the wake of media coverage of recent real-world incidents, such as the killing of 84 people who were celebrating Bastille Day in France last Thursday and the killing of police officers in Dallas and Baton Rouge, La., this month, Beresin had some advice for parents.

Young children, he said, are not mature enough to process those images, and should simply not see them.

With somewhat older kids — around age 10 — it’s possible they’re seeing these things on their phones or iPads, or have heard about them from friends, Beresin said.

“I would ask them, ‘Have you heard about what happened in Dallas?’ for instance. Then ask them what they’re thinking, get their questions.”

“Then,” Beresin said, “reassure them. Tell them that they and their family are safe.”

Parents of teenagers, he said, should watch the news with them and then talk about it. “Ask them how they think we can make the world a better place,” he suggested.

Christakis agreed. “The news can make the world seem like a very scary place,” he said. “With young children, it’s better that they not see it all. With older kids, talk about what’s happening.”

More information

The Clay Center for Young Healthy Minds has advice on helping kids deal with real-life violence.





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Pumpkin and feta chicken salad

 

No more boring lunches! This pumpkin and feta chicken salad will bring the life back into work-day lunches.

What you'll need (serves 2)

  • 1 cup pumpkin, diced
  • ¼ cup cold-pressed extra-virgin coconut oil
  • 1 bunch brocollini200 g chicken thigh
  • Sea salt, to taste
  • Pepper, to taste
  • 1 large handful spinach
  • 1 tbsp kim chi or sauerkraut(fermented vegetables)
  • 30 g goat's feta1 small handful walnuts, chopped
  • 2 tbsp extra-virgin olive oil
  • 2 tbsp apple cider vinegar
  • Preheat oven to 180°C

Method

Peel and dice pumpkin, coat in coconut oil and bake in oven until soft.

Boil a small saucepan of water and steam broccoli. Set aside to cool.

In a pan with 1 tbsp of coconut oil, add chicken, season with salt and pepper and cook over a high heat, flipping halfway.

Place the spinach mix as the base in a large bowl or plate. Add fermented vegetables, roasted pumpkin, and diced broccoli. Crumble goat's feta on top, sprinkle walnuts and dress with extra-virgin olive oil and apple cider vinegar.

Top with diced chicken before serving.

First published in nourish magazine. Recipe and image by The Natural Nutritionist, Steph Lowe.

Browse more healthy eating recipes and kick-start your journey to health and wellness.

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Some Tree Trimming Best Left to the Pros

SUNDAY, July 17, 2016 (HealthDay News) — Trimming or removing trees should be done with caution, particularly near power lines, the U.S. Occupational Safety and Health Administration (OSHA) says.

In many cases, such work is probably best left to the professionals. For instance, any tree work within 10 feet of a power line must only be performed by experienced and trained line-clearance tree trimmers. At least two people must perform the work and must be within normal voice communication range, the agency explained in a news release.

Always assume all power lines are energized. Contact the utility companies to find out if they need to de-energize and ground or shield power lines before tree work begins, OSHA said.

Power lines aren’t the only hazard facing tree workers, OSHA noted. The agency provided these additional safety tips:

  • Tree work should not be done in dangerous weather conditions.
  • Anyone using chain saws and other equipment should be trained. The equipment should also be properly maintained.
  • Protective equipment such as gloves, safety glasses, hard hats and hearing protection should be worn.
  • Trees’ forward lean, back lean, and/or side lean issues should be identified to determine the direction they will fall.
  • A retreat path to a safe location should be identified along with the proper amount of hinge wood to safely guide the tree’s fall.
  • Tree limbs should be examined for strength and stability before workers climb on them.
  • Tree trimmers working in high branches must use appropriate fall protection.
  • Workers shouldn’t climb trees with tools in their hands.
  • Precautions must be taken when trimming broken trees under pressure. The direction of the pressure must be determined. Then small cuts can be made to release it.
  • Extreme caution must also be taken when trimming trees that have not fallen completely to the ground or are lodged against another tree.
  • Workers should remain alert and never turn their backs on a falling tree.

More information

The International Society of Arboriculture provides more information on tree work safety.





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Don’t Let Painful Blisters Spoil Your Summer Fun

SATURDAY, July 16, 2016 (HealthDay News) — You might think of blisters as painful nuisances on your feet, but one expert warns that blisters can appear anywhere that skin rubs against clothing or another part of the body.

The good news: You can keep blisters at bay by preventing chafing.

“Prevention is really the key when it comes to blisters,” said Dr. Anthony Rossi, an assistant professor of dermatology at Memorial Sloan Kettering Cancer Center in New York City.

“To stop them before they appear, pay attention to your skin and take precautions if you know you’re going to do a lot of walking, running or other physical activity,” he said in a news release from the American Academy of Dermatology.

Rossi offers these tips:

  • Wear socks. Try nylon and moisture-wicking socks, and throw on an extra pair of socks if one doesn’t do the trick. Avoid shoes that are too tight or too loose.
  • When you’re active, wear moisture-wicking, loose-fitting clothes. Beware of cotton clothes, which can cause friction as they soak up sweat and moisture.
  • Soft bandages, such as adhesive moleskin, can protect vulnerable areas like the feet and thighs. Apply them securely to avoid more problems.
  • To prevent friction, apply powder or petroleum jelly.
  • If you feel pain or your skin gets red, stop physical activity.

“If you do get a blister, be patient and try to leave it alone,” Rossi said. “Most blisters heal on their own in one to two weeks. Don’t resume the activity that caused your blister until it’s healed.”

In the meantime:

  • Cover the blister loosely with a bandage, raising it a bit in the middle. Also consider padding to protect blisters in places like the bottom of your foot. Cut padding into a donut shape and place it around the blister.
  • Do not pop or drain the blister unless it is large and painful. If you must drain it, use a small needle sterilized with rubbing alcohol to pierce the edge of the blister, not the top.
  • Keep the blister area clean and covered. Wash it with soap and water after it’s drained and cover it with petroleum jelly.

“As your blister heals, watch for signs of an infection,” Rossi advised. “If you notice any redness, pus, or increased pain or swelling, make an appointment to see your doctor or a board-certified dermatologist.”

More information

For more about blister care, try the Mayo Clinic.





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9 Out of 10 Strokes Could Be Prevented, Study Finds

FRIDAY, July 15, 2016 (HealthDay News) — Stroke is a leading cause of death and disability but the vast majority of strokes are preventable, according to a new study.

Researchers discovered that 10 controllable risk factors account for 90 percent of all strokes worldwide. Of these modifiable risk factors, high blood pressure (hypertension) is the most important.

“The study confirms that hypertension is the most important modifiable risk factor in all regions, and the key target in reducing the burden of stroke globally,” said study co-leader Dr. Martin O’Donnell. He is an associate clinical professor in the Population Health Research Institute at McMaster University in Hamilton, Canada, and the HRB-Clinical Research Facility in Galway, Ireland.

Preventing strokes is a major public health priority and strategies for reducing people’s risk should be based on key preventable causes of stroke, the researchers said.

The study, published July 15 in The Lancet, involved nearly 27,000 people from every continent.

“This study is of an adequate size and scope to explore stroke risk factors in all major regions of the world, within key populations and within stroke subtypes,” O’Donnell said in a journal news release.

The researchers looked at the proportion of strokes caused by specific risk factors to determine the extent to which eliminating each risk would reduce the impact of stroke. Eliminating high blood pressure was estimated to reduce risk by nearly 48 percent, the findings showed.

The investigators also calculated potential reductions for eliminating other risk factors:

  • Physical inactivity: 36 percent,
  • Poor diet: 23 percent,
  • Obesity: 19 percent,
  • Smoking: 12 percent,
  • Heart causes: 9 percent,
  • Diabetes: 4 percent,
  • Alcohol use: 6 percent,
  • Stress: 6 percent,
  • Lipids (blood fats): 27 percent.

The combined reduction for all 10 risk factors was 90.7 percent across all regions, age groups and among both men and women. The study authors noted, however, that the importance of various risk factors vary in different regions. For example, high blood pressure causes about 39 percent of strokes in North America, Australia and western Europe, but nearly 60 percent in Southeast Asia.

According to study co-leader Dr. Salim Yusuf, “Our findings will inform the development of global population-level interventions to reduce stroke, and how such programs may be tailored to individual regions, as we did observe some regional differences in the importance of some risk factors by region.” Yusuf is a professor of medicine and executive director of the Population Health Research Institute at McMaster University.

More information

The American Stroke Association has more about stroke prevention.





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Obamacare Paying Off With Improved Health Care: Report

FRIDAY, July 15, 2016 (HealthDay News) — A new report finds health care improved in much of the United States between 2011 and 2014, mostly because more people were insured and doctors and other providers did a better job.

The Commonwealth Fund looked at health care in just over 300 local areas during the period when the Affordable Care Act (ACA), also called Obamacare, was being established across the United States. The ACA was signed into law by President Barack Obama in 2010, but many features of the health care reform law were not fully implemented until 2014.

The new report found that during the study period, overall care improved in almost all of the communities, although the improvement was often small.

There were also trouble spots, the findings showed. Obesity rates rose in 111 local areas, and the rates of premature deaths from treatable conditions were mostly unchanged in all but eight of the 306 areas.

“There is still a lot of variation, and every community has room to improve. But it is striking to see the early effects of the Affordable Care Act at the local level, as people increasingly get coverage, and care and quality improves,” lead author David Radley said in a news release from the fund. Radley is a researcher with the Commonwealth Fund’s Tracking Health System Performance program.

The report, published July 14, also found that the percentage of working-age adults without health insurance dropped in most places. In 189 areas, it dipped by 4 percentage points or more between 2012 and 2014.

Although poor communities often saw improvements, wealthier areas tended to do better. The report estimated that there would be 100,000 fewer premature deaths from preventable causes if the level of care available in the top areas were available everywhere.

Dr. David Blumenthal, president of the Commonwealth Fund, said, “Many communities are showing signs of getting healthier, and that is encouraging.”

According to Blumenthal, the findings show “that with the right policies and actions, we can make our health care system work for all of us. Moving forward, we hope that local areas will integrate the lessons from this scorecard into their efforts to ensure that everyone has health insurance, can afford the care they need, and can get the right care at the right time.”

More information

The U.S. Department of Health and Human Services has more about the Affordable Care Act.





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Anesthesia Safe for Kids, Doctors’ Group Says

FRIDAY, July 15, 2016 (HealthDay News) — Anesthesia eases the pain of millions of children who must have surgery every year, but parents who are worried about the safety of these medications should talk to their anesthesiologist about their fears, experts advise.

“Particularly in infants and toddlers, surgery is only recommended when necessary for the child’s health, so parents should not avoid an important procedure out of fear,” said Dr. Randall Flick. He is chair of the Committee on Pediatric Anesthesia at the American Society of Anesthesiologists (ASA).

“Physician anesthesiologists have completed years of special training to ensure safe, high-quality care, which should set parents’ minds at ease,” said Flick, who is also associate professor of pediatrics and anesthesiology at the Mayo Clinic in Rochester, Minn.

There are many important details about children’s health that anesthesiologists should know before surgery, the ASA added in a news release. The group recommends that parents ask the following seven questions before any type of surgery:

  • How can I ensure my child’s surgery is successful?
    Parents should always provide the anesthesiologist with their child’s detailed medical history. The doctor should know if children have any allergies or asthma. Anesthesiologists should also know if children have ever had a bad reaction to anesthesia.
  • Should my child’s medications be stopped before surgery?
    Before surgery, the anesthesiologist must receive a detailed list of children’s medications. This list should include over-the-counter pain medications and vitamins. It’s important to ask the doctor if these medications should be stopped before surgery and for how long. The answers to these questions will depend on each child’s health and the specific procedure being done.
  • Can my child eat or drink before surgery?
    Children usually need to stop eating solid foods six to eight hours before surgery. In some cases, sipping clear liquids, such as water, may be allowed up to two hours before surgery, and breast milk may be given up to four hours before surgery.
  • How can I help prepare my child for surgery?
    Parents can help children feel better by explaining that their surgery will help fix a problem and help them get better. They should also know that it won’t hurt and they won’t even remember what happened. Children should also understand that their parents will be nearby, but their doctors and nurses are also there to take care of them.
  • Is anesthesia safe for my child?
    Overall, anesthesia is very safe. The risks associated with these medications depend on a number of variables, such as the complexity of children’s health issues, their age and how urgent their surgery is. The long-term effects of anesthesia on infants and toddlers are still under investigation.
  • Will my child be in pain after surgery?
    Children will be prescribed medication to ease pain after surgery. They are safe if they are taken as directed. An anesthesiologist can also help ease children’s nausea following surgery.
  • What type of anesthesia will my child receive?
    There are many different types of anesthesia. Some are given through an IV and others are inhaled through a mask. The type of anesthesia children receive will be determined by their anesthesiologist based on their health and the type of surgery they are having.

More information

The American Academy of Pediatrics has more about children and anesthesia.





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1st Case of Female-to-Male Sexual Transmission of Zika Reported

By Steven Reinberg
HealthDay Reporter

FRIDAY, July 15, 2016 (HealthDay News) — A New York City woman who became infected with the Zika virus on a trip outside the United States passed the infection to her boyfriend during sex, city health officials reported.

It’s the first reported case of female-to-male sexual transmission of Zika — before this case, sexual transmission had only been reported as spreading from men to women.

The woman, in her 20s, said she had traveled to a Zika-endemic area and developed headache, cramps, fever, fatigue, rash and other symptoms during the day she flew home and after returning to New York City.

She had unprotected vaginal sex with her partner on the day of her return, and about a week later her male partner came down with symptoms of what also turned out to be Zika infection.

Both individuals recovered from Zika illness, which is usually transient.

Zika is typically transmitted via the bite of the Aedes aegypti mosquito, and the greatest danger is when infection occurs in pregnancy.

These infections have been tied to thousands of cases in Latin America of a devastating birth defect known as microcephaly, in which babies are born with abnormally small heads and neurological issues.

The New York City woman was not pregnant, city health officials said.

Infectious disease experts noted that while mosquitoes are by far the most common means of Zika transmission, sexual transmission can sometimes occur.

The case documented in New York City isn’t surprising, said Dr. Marc Siegel, a professor of medicine at NYU Langone Medical Center in New York City.

“Anytime you see male-to-female transmission, there’s always the risk of female-to-male transmission — we found that with HIV,” said Siegel, who was not part of the research.

He believes that the New York City case is probably not the first female-to-male transmission — just the first such case reported.

However, “if our concern about Zika is the risk of birth defects, female-to-male transmission isn’t going to increase that risk, unless the male has multiple partners,” Siegel explained.

He also believes that sexual transmission of the virus should not keep people from protecting themselves from mosquitoes — the main source of infection — whenever they travel to Zika-endemic areas.

The report was published July 15 in the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

In the face of the growing reality of sexual transmission of Zika, U.N. health officials issued updated guidelines earlier this year aimed at helping prevent infection. The advisory urges that women planning to become pregnant wait at least eight weeks before trying to conceive if they or their partner live in — or are returning from — areas where the Zika virus is active. The guidelines had previously recommended a four-week waiting period.

And if the male partner has had symptoms of Zika infection, couples should wait six months before trying to have a baby, the World Health Organization officials added.

The virus may also transmit, in rare cases, through oral sex. In a report issued last month, doctors said a 24-year-old Parisian woman came down with Zika symptoms after having sex seven times with a 46-year-old man. The man had developed Zika symptoms just before leaving Brazil and arriving in Paris last February.

Each time, the couple had vaginal sex without ejaculation and oral sex with ejaculation, according to the report.

The report was published June 2 in the New England Journal of Medicine.

The vast majority of Zika infections have occurred in Latin America, with Brazil the hot zone with an estimated 7,000 cases of microcephaly. There have been no reports of Zika-induced microcephaly contracted in the United States. But two babies have been born in the United States with the birth defect after their mothers contracted the virus while traveling during pregnancy in countries where Zika is active.

And U.S. health officials have said they expect to see Zika infections in Gulf Coast states such as Florida, Louisiana and Texas as the summer mosquito season picks up.

To limit any potential spread of Zika virus via mosquitoes, health officials on the federal, state and local level are deploying a three-pronged strategy: improving mosquito control; expanding their ability to test for Zika; and urging the public to protect themselves against mosquitoes.

Women of child-bearing age who live in an active Zika region should protect themselves from mosquito bites by wearing long-sleeved shirts and long pants, using mosquito repellent when outside, and staying indoors as much as possible, according to the CDC.

More information

Visit the U.S. Centers for Disease Control and Prevention for more on the Zika virus.

This Q&A will tell you what you need to know about Zika.

To see the CDC list of sites where Zika virus is active and may pose a threat to pregnant women, click here.





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