
November 6th, 2009, 6:00 am by Courtney Perkes
There still isn’t enough swine flu vaccine to go around, but more public clinics offering mist and shots are opening in the coming days for students and high-risk adults.
Here’s a list of dates and locations.
State public health officials said Thursday that California has received about 3.5 million doses — about half the amount of vaccine expected by now. Ultimately, California expects to receive about 20 million doses.
“Production of H1N1 vaccine has fallen below our expectations,” said Dr. Gil Chavez, epidemiologist with the California Department of Public Health. “We certainly share the public’s frustration.”
Chavez said the state is working to even out supplies to each county to ensure fairness based on population.
“New vaccine is being allocated to those who received less vaccine in the past,” Chavez said. “Within two weeks we should have parity in each county.”
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Posted in: Swine flu | 5 Comments »
November 5th, 2009, 11:00 am by Erika Chavez, Staff Writer
After struggling through 18 months of infertility and a subsequent miscarriage, I was thrilled in June to find out I was pregnant again.
Some of the joy was slowly replaced by fear: Would I miscarry again? Was my baby healthy? And, as the months progressed: What about swine flu??
The news was uniformly bad and increasingly frightening: The Centers for Disease Control reported that pregnant women infected with H1N1 had a much higher risk of severe illness and death than the general population. “Get vaccinated” became the mantra from the news, from my OB/GYN, and from the mommy message boards I frequented. Pregnant women were placed at the top of the list when it came to the shot.
But as summer turned to fall, my search for the vaccine proved fruitless. Manufacturing delays and shortages made the shot impossible to come by, and I took to calling my doctor’s office every other day or so, only to be told: “No, we don’t have any H1N1 shots yet.”
Then I heard that the county’s Health Care Agency was offering free, preservative-free shots for pregnant women, by appointment only. I was skeptical when I picked up the phone Monday morning, but after a couple of minutes on hold I scored an appointment for Thursday.
Later Monday, I received a call: Would I like to come in sooner? I rescheduled my appointment for Wednesday and braced myself for a long wait and plenty of paperwork.
I pulled up to the Health Care Agency’s office on 17th Street in Santa Ana at 9:28 a.m. I walked in, found the appropriate window and checked in. Two minutes later, I was called by a nurse.
Two minutes after that, I was on my way out the door, with a fresh cotton ball and medical tape marking the spot on my left arm where the nurse had deftly poked me with a needle.
I was pleasantly surprised at how quick and painless the whole process was, and grateful for the shot. As I had the seasonal flu shot a month ago, I now feel protected as flu season kicks into high gear.
To schedule an appointment, call the HCA’s referral line at 800-564-8448. The clinic hours are 8 a.m.-5 p.m. Monday-Friday.
Now I’m going to try to get my 4-year-old daughter vaccinated.
Here are the HCA clinics scheduled this weekend in Orange County.
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Posted in: County programs • Swine flu • county • H1N1 • pregnancy • swine flu vaccine | 1 Comment »
November 5th, 2009, 6:00 am by Courtney Perkes

The Orange County Health Care Agency has expanded eligibility for three upcoming swine flu clinics to include children ages 2 to 18 and health care and emergency service workers who have physical contact with patients. Both nasal spray and shots will be available Saturday in Rancho Santa Margarita, Fullerton and Cypress.
The clinics come as Orange County on Wednesday reported another H1N1-related fatality, bringing the total to 24, including four children and two pregnant women. The two mist clinics held last week were only for kids 2 to 9 and parents of infants younger than 6 months.
Health care and emergency workers must bring proof of employment. Caregivers of babies younger than 6 months will also be eligible Saturday. Pregnant women should call the Health Care Agency Health Referral Line at 800-564-8448 to schedule an appointment for a preservative-free (thimerosal-free) H1N1 vaccination.
The free Nov. 7 clinics will be from 10 a.m. to 2 p.m. at the following locations:
Cox Communications
Patio Area
29947 Avenida de las Banderas
Rancho Santa Margarita
Fullerton College
Building 840
321 E. Chapman Ave.
Fullerton
Cypress City Hall
City Hall Breezeway
5275 Orange Ave.
Cypress
In other H1N1 news, vaccines are running low at Kaiser Permanente, Orange County’s largest HMO, which is expected to provide about 10 percent of the local supply.
Spokesman Scott Smith said Kaiser has been vaccinating pregnant women, children 6 months to 18 years, and caregivers of infants. Once the supply increases, other at-risk groups will be given the vaccine.
“We’re like everybody else — we’re running out,” Smith said. “We are running very low on injectables and mist. We’re letting our members know.”
Kaiser insures more than 400,000 residents. Smith said Kaiser doesn’t know when the next shipment will arrive.
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Posted in: Swine flu • Kaiser Permanente • swine flu vaccine | 24 Comments »
November 4th, 2009, 5:00 am by Landon Hall
I don’t mean to be the ant at the picnic that will be the Farrell’s grand opening in Mission Viejo today, but I thought I’d ask the question: What’s the nutritional data in the Zoo, the restaurant’s monstrously large eight-pound sundae?
It will take a more precise armchair scientist than me, but, using my scribbled-on-the-yellow-legal-pad calculations, I came up with 5,815 calories and 215 grams of fat.
Of course, no one in their right mind would eat one by himself; you really need a softball team to take it on. Although Mike Fleming, the CEO of Parlour Enterprises, the parent company of Farrell’s, says that people around these parts say they recall back in the 1960s or ’70s, when the original Farrell’s chain was in its heyday, when a burly high school football player would wolf down a Zoo after a game.
So if you split it between you and eight slowpitch-playing friends, that’s only … um, 646 calories and 24 grams of fat per person. The recommended daily intake (check out this conversion tool at HealthCentral.com) varies, but for me it’s about 2,400 calories and 75 grams of fat. So I’m in the clear!
Fleming, who is opening the Mission Viejo Farrell’s after years of legal tussles over the name (and a successful launch in Santa Clarita in 2001), was a good enough sport to read me the ingredient list in the Zoo and how much is in each offering.
Because only restaurant chains that have at least 20 locations are required to disclose nutritional data, Farrell’s hasn’t tabulated it. But I took Fleming’s list and ran the numbers, using several sources: Baskin-Robbins and a couple of calorie-counting sites, here and here.
Unsurprisingly, the vast majority of the calories and fat come from the 48 ounces of ice cream in the big bowl (big scoops of strawberry, chocolate and vanilla; and small scoops of butter pecan and mint chocolate chip). Total for just the ice cream: 2,705 calories and 92 grams of fat.
The Zoo was tabbed No. 3 on the Food Network’s list of “top five most decadent desserts.” What about the Hot Fudge Volcano? That’s 30 6-ounce scoops of ice cream drenched in a lava flow of fudge. Like the Zoo, it costs $49.99. How much fudge is in that, exactly? “A lot,” Fleming said.
Fleming knows that many people who will flock to Farrell’s during these first few weeks will be guilt-ridden over consuming so much sugary decadence. That’s why he also offers sugar-free ice cream and frozen yogurt. Elsewhere on the menu, there’s the Harvest Salad.
“For somebody who’s watching their weight, that’s a good salad for them,” Fleming said.
Mostly, though, customers know that ice cream and big sandwiches (like the Giant Gastro, $34.99) are for special occasions.
“People who are health-conscious still want to indulge themselves for treats,” Fleming said. “The key is moderation.”
Posted in: Food • calories • nutrition • sugar | 12 Comments »
November 3rd, 2009, 3:06 pm by Landon Hall
Orange County members of the political action group MoveOn.org will hold a rally at the Irvine Spectrum on Wednesday to make what it calls a “final push” for Congress to include a government-run program in healthcare reform legislation.
The event, scheduled for 11:30 a.m. outside the Cheesecake Factory (here’s a map of the Spectrum layout), will be the fifth such rally put on by the local MoveOn.org chapter. They brought out dozens of proponents to rallies Sept. 2 in Irvine; Sept. 22 in Santa Ana; and a pair of events Oct. 14, in Costa Mesa and Brea. The first rally also brought a couple dozen counter-protesters, but they largely stayed away from the later events.
MoveOn’s focus Wednesday will be on keeping Sen. Dianne Feinstein on board with the public option, even though the California Democrat already supports it. In fact, the Oct. 14 rallies “were held to support Sen. Dianne Feinstein, who recently sent a letter to Senate Majority Leader Harry Reid urging him to include a public option in the bill he brings to the floor of the Senate,” according to The O.C. Register’s story.
MoveOn’s Bruce Tierney wrote in an e-mail that Feinstein “has not wavered, but if she hears a strong push from the anti-public option side, she still has the flexibility to change her mind. She didn’t announce support of the public option until recently.” (Read what the senator calls “My Current Thoughts on Health Reform,” here.)
Still, protesters at the rally will be encouraged to call Feinstein’s office directly, and a MoveOn staffer will be there to provide a handy script if callers need prompting. Constituents can also stuff messages into pill boxes to be delivered to Feinstein.
Whether the rally ends up being a “final push” remains to be seen. Battle lines over House and Senate healthcare bills are just being drawn. The latest issue revolves around information from the Congressional Budget Office, which has said that premiums under a public plan actually would be higher than those charged by private insurers.
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Posted in: health insurance • Feinstein • healthcare • MoveOn.org • public option | Post a Comment »
November 3rd, 2009, 5:00 am by Landon Hall
Activists have convinced many manufacturers of plastic baby bottles and sippy cups to stop using the chemical bisphenol-A. Could the tin can be the next target?
Consumer Reports magazine had 19 name-brand foods, including vegetables, soup, juice, tuna and chili, tested at outside labs, and its researchers found the chemical present in virtually all of them. The highest concentrations of BPA were found in cans of green beans, vegetable soup and chicken soup.
The article is in the December issue of Consumer Reports; here’s an excerpt on the mag’s blog.
Canned organic foods were tested as well, and those “did not always have lower BPA levels than nonorganic brands of similar foods analyzed,” the article said. The chemical also was found in some canned foods that were labeled BPA-free.
Caroline Steele, manager of clinical nutrition and lactation services at Children’s Hospital of Orange County, said consumers should generally avoid packaged foods anyway.
“Those foods are OK in small amounts, but we tend to rely so much on them that what we need to focus on is getting more of a variety in our diet,” she said, adding that milk should be bought in cardboard containers because when the light hits a plastic container, it can break down the vitamins.
BPA is a synthetic chemical similar to estrogen used in many plastics. It’s also found in the epoxy used in the linings of metal cans. Studies on animals have found a link between BPA and a variety of health problems, including infertility, breast and prostate cancer, diabetes, weight gain and early onset puberty in children. Even the trendy SIGG metal water bottles have BPA in the models sold before August 2008.
USAToday’s Liz Szabo has written extensively about this issue, and here’s a good story about how the National Institutes of Health is using $30 million in federal stimulus money to study BPA. The FDA also is expected to weigh in with a report by the end of the month.
The people at the science Web site STATS have a different take, accusing CR of factual errors and calling the mag “shockingly irresponsible” for failing to note that the lining of cans prevents food spoilage, which can lead to bacterial contamination.
Consumer Reports says its food-safety scientists recommend limiting daily exposure to BPA to .0024 micrograms per kilogram of body weight. According to the research, a 165-pound adult eating one serving of canned green beans, which averaged 123.5 parts per billion of BPA, would ingest about .2 micrograms of the chemical per day. That’s roughly 83 times the amount recommended by the scientists.
Foods in plastic packaging generally showed lower levels of BPA, but not always, the researchers found. StarKist Chunk Light canned tuna averaged 3 ppb of BPA, while the same brand in a plastic pouch had levels too small to measure. Likewise, vegetables sold in plastic bags had small amounts of BPA compared with canned. (Complicating the research, a can of Del Monte Fresh Cut Green Beans Blue Lake had wildly varying levels, from 35.9 ppb to 191 ppb.)
CR tested two foods labeled “BPA-free”: Vital Choice tuna and Eden Baked Beans, which had 20 ppb and 1 ppb, respectively.
Anila Jacob, a scientist at the Environmental Working Group, based in Washington, D.C., called on the FDA to step in.
“They’ve been dragging their feet the last two or three years and not taking the science into account, and we’re hoping they decide to regulate this chemical to reduce exposure among vulnerable populations,” she said.
(Photo courtesy of Consumer Reports)
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Posted in: BPA • BPA • FDA • food safety | 3 Comments »
November 2nd, 2009, 2:57 pm by Landon Hall

If you missed the twin bill of swine-flu nasal-spray clinics offered by the county this past weekend, you can still get vaccinated at one of three separate such clinics being held this coming Saturday.
All three clinics are free and open to the public. They’ll be held 10 a.m. to 2 p.m. at:
- Cox Communications, 29947 Avenida De Las Banderas, Rancho Santa Margarita
- Fullerton College, 321 E. Chapman Ave., Fullerton
- Cypress City Hall, 5275 Orange Ave., Cypress
About 3,000 doses of the FluMist-brand nasal spray will be administered, not the injectable version. FluMist is recommended only for kids ages 2-9, and healthy adults up to age 49 who care for children ages 6 months or younger, who can’t get flu vaccines of any kind.
A total of 3,277 received nasal-spray spritzes of vaccine at Santa Ana College and Irvine Valley College last Saturday in the first public swine-flu vaccination clinics held by Orange County officials. People started lining up well before dawn to make sure their children got inoculated, but as it turned out, there was plenty of supply to meet the demand. Officials had 4,000 doses available, so there was more then enough to go around, easing fears that the nationwide shortage of H1N1 vaccine might result in some families being turned away.
“We believe that people may have seen the images of long lines and may have stayed away out of concern,” David Souleles, Public Health Services Deputy Agency Director, said in an e-mail. “It seems that most people came early anticipating a line, and few came during the last two hours. By 1 p.m., people could walk right in without a wait.
“Though we would have liked to have provided more vaccinations, we were very pleased with the number of people who brought their children. The public was very orderly and understanding about the limitations the Health Care Agency had to place on who was eligible to receive vaccine.”
Meantime, the HCA continues to vaccinate pregnant women against H1N1 with injectable doses, but only by appointment. Eighty-three women received shots last Friday, the first day they were available; 126 appointments were scheduled for Monday, and another 147 for Tuesday.
To set up a time, call the HCA’s referral line at 1-800-564-8448.
The county received another shipment of 8,300 single-dose shots Monday, bringing the total to 14,300 such doses that have arrived since last Friday. All are free of the preservative thimerosal.
About 200 shots have been earmarked for the Newport-Mesa Unified School district, which will hold a clinic for students on Saturday in At Mariners Elementary School in Newport Beach from 9 a.m. to noon. Other doses are going to private obstetricians. Some shots already have been distributed to hospitals.
In other swine-flu vaccine news Monday:
(Photo by Mindy Schauer, The Orange County Register)
Posted in: Clinics • Swine flu • flu clinics • H1N1 | 23 Comments »
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