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SPOTS AND JABS

SPOTS AND JABS. Where the session fits in. Who knows?! Maybe....... Clinical statement 3.01: Healthy people : promoting health and preventing disease Clinical statement 3.04: Care of children and young people. Aims. Recognise some infectious infections

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SPOTS AND JABS

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  1. SPOTS AND JABS

  2. Where the session fits in... • Who knows?! Maybe....... • Clinical statement 3.01: Healthy people : promoting health and preventing disease • Clinical statement 3.04: Care of children and young people Becky Westwood and Dr Anna Woodhams

  3. Aims • Recognise some infectious infections • Understand and promote the principles of immunisation and awareness of the immunisation programme Becky Westwood and Dr Anna Woodhams

  4. 8yr old Poppy • Generalised itchy rash • Appeared two days ago as discrete spots on her face • Spots developed into small vesicles and spread over her trunk • No relevant PMH • Temp 37.9 Becky Westwood and Dr Anna Woodhams

  5. What is the diagnosis? • What are the clinical features? • What are the possible complications? Becky Westwood and Dr Anna Woodhams

  6. Despite her rash Poppy feels well and is keen to go to school. When can she return to school? Becky Westwood and Dr Anna Woodhams

  7. Varicella in adults • What if it is a 35 year old man with the same presentation? • Should we immunise for varicella? Becky Westwood and Dr Anna Woodhams

  8. By chance next patient.. • Mr Benn • Similar rash to Poppy’s • Localised to back and chest area • Noticed a pain a week ago in back and chest Becky Westwood and Dr Anna Woodhams

  9. What is the diagnosis? • What are the clinical features? • What are the risk factors? • What are the possible complications? Becky Westwood and Dr Anna Woodhams

  10. Should we immunise for shingles? Becky Westwood and Dr Anna Woodhams

  11. PREGNANCY A woman attends the surgery because her son has chicken pox. She happens to mention that she is 12 weeks pregnant Becky Westwood and Dr Anna Woodhams

  12. Measles • What is the differential diagnosis? • How can it be confirmed? • What complications may develop? • What are the contra indications to the vaccine? Becky Westwood and Dr Anna Woodhams

  13. Whooping cough cases highest for 20 yearsWhooping cough cases are higher than at any point in the last twenty years and 13 babies have died from the disease, official figures have revealed. Becky Westwood and Dr Anna Woodhams

  14. 8,000 cases of whooping cough confirmed in the first ten months of this year (HPA) • 10X higher than for the same period in the last peak year in 2008. • Continuing to grow and it is feared the true number of cases is even higher. • In October this year there were 1,614 cases reported in England and Wales and three more deaths in babies too young to be fully immunised. • Total of 13 deaths in babies aged under three months (HPA) Becky Westwood and Dr Anna Woodhams

  15. HPA 2012: Whooping cough Becky Westwood and Dr Anna Woodhams

  16. WHAT SHOULD WE DO? Becky Westwood and Dr Anna Woodhams

  17. Professor David Salisbury, Director of immunisations, DOH clip http://immunisation.dh.gov.uk/ Becky Westwood and Dr Anna Woodhams

  18. HPA Guidelines for the Public Health Management of Pertussis; Oct 2012 Becky Westwood and Dr Anna Woodhams

  19. IMMUNISATIONS • Why immunise?/ Negative campaigns • What are the disease we immunise against? • Vaccine reactions Becky Westwood and Dr Anna Woodhams

  20. Becky Westwood and Dr Anna Woodhams

  21. Becky Westwood and Dr Anna Woodhams

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