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General health problems such as ear infections, pink eye and influenza affect nearly every person eventually. Rod Moser, PA, PhD, shares information and advice here on the most common general health disorders, their symptoms, treatments, and prevention.

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WebMD Health News

Thursday, August 16, 2007

Off to College - How Best to Protect Your Teen
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In the next two months, thousands of teenagers will be heading off to college for the first time. For many, this will be their first experience in a crowded dormitory. I vividly remember hauling my stuff up to my room and meeting my roommate for the first time. I remember my first trip down the college cafeteria line, and of course, those crowded classrooms.

Long before you pack that big suitcase with plenty of underwear, parents need to be sure their teens are well protected. No, I am not talking about packing a box of condoms, although that is not a bad idea. I am talking about boosting some critical immunizations, namely the meningococcal vaccine, the new combination tetanus/diphtheria/pertussis vaccine, and influenza. For the girls, parents should seriously consider the new HPV vaccine - the first vaccine that protects young women from developing the sexually-transmitted virus that causes most cervical cancers.

Cloistered living quarters, like freshmen dorms, are prime breeding grounds for infectious diseases. One of the most feared of all diseases is meningitis, particularly meningococcal meningitis, a rare but potentially fatal bacterial infection of the brain and spinal cord, or meningococcemia, a potentially fatal blood infection. This disease is spread through the sharing of saliva, usually thorough close personal contact, such as kissing, sharing drinks, or smoking. Most parents do not want to even think about their college teens swapping spit.

According to the Centers for Disease Control and Prevention (CDC), meningococcal rates begin to rise in adolescence and peak between the ages of 15 and 24, with death rates FIVE TIMES higher in this age group compared to younger kids. In fact, 1 in 5 people who contract this terrible disease will rapidly die. Of those who survive, many will suffer permanent brain damage, scarring, hearing loss, or loss of one or more limbs. This is a terrible disease. Sadly, up to 83% of the reported cases would be preventable...by a simple and safe vaccine. No matter how much your teens piss and moan about getting "shots", this is one they should not leave home without.

Tetanus is rare in the U.S., but if you do get it, it is just about 100% fatal. Since a vaccine is 100% protective for up to ten years, only a fool would take the chance. Many college campuses experienced outbreaks of whooping cough (pertussis) last year, so the new recommendation is to re-immunize against this once-common childhood malady again. Since many college students study abroad, they should also be covered for diphtheria (rare in the U.S. now thanks to immunizations). One vaccine called Adacel is the one to get to cover all three diseases.

The fall and winter months are the influenza months. As soon as the 2007 vaccine becomes available, please see that your teen is immunized. Most college campuses will have flu shot clinics, but if not, make sure to arrange for them to be vaccinated when they come home for the holidays. In the crowded quarters of dorms, influenza will spread like a bad rumor.

Lastly, I would like to throw in the pitch for Gardasil, the HPV vaccine. This three-shot series of vaccines will help protect young women from contracting the Human Papilloma Virus (HPV) - the main cause of cervical cancer later in life. HPV is contracted through unprotected intercourse (See, I knew those condoms would come in handy). This is the first of many anti-cancer vaccines to hit the market. Everything that I have read about this vaccine has been good. So, unless your daughter is a Bible-thumping, chastity-belt wearing, militant virgin from Texas, this vaccine will afford some great protection. Maybe not as good as sexual abstinence, but good protection nonetheless.

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Posted by: Rod Moser_PA_PhD at 11:01 AM

3 Comments:

Blogger Sashiro said...

I start college in a week, myself. Nursing! I can't wait! :D
I just had my shots on Wednesday - including the HPV. I went to the health department to get it, and I was amazed! They were FREE for anyone under 19. I walked out with all my need immunizations and two sore arms without having to spend a penny. Can't beat that! They even threw in a Hep. A since it's free.
(Otherwise the price tag on everything would have ran me about $250 for them all - the HPV being the most expensive, at $130.)
I'm not sexually active, and I don't plan on it any time soon - but so what? There is a cut-off age (26?), but this shot protects you for life. Why take the chance?

Better safe than sorry is truly a good motto when it comes to vaccinations.

8/16/2007 10:59 PM  
Anonymous Anonymous said...

Today is my kid's first day at college and it's hard to tell who was more nervous...us or him, but I think we would win that one. It's strange how fast kids are expected to make the transition between being a kid to being a young adult with all of the responsibility and organizational issues that accompany that. He wouldn't even think about the health aspects of college, so I'm glad there's one area he'll still let Mom help out with.

Thanks, Dr. Moser!

8/23/2007 12:03 PM  
Blogger Rod Moser_PA_PhD said...

I gave my email address to a young, college bound 18 year old last week. He was so frightened about "being on his own". He was worried about getting sick and missing his first day of classes. I gave him my email in case he had any questions.

Lo and behold, he sent me a digital picture of his swollen tonsils along with his history of fever, difficulty swallowing, and fatigue. I called him back and he was sitting in the Student Health waiting room. A hour later, he informed me that he had mononucleosis (mono), not a pleasant illness to have on your first day of college.

That digital picture was great! I am glad he didn't have any urinary problems, though.

8/30/2007 8:48 PM  

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