30 25 off* % a a wig wig purchase purchase through through November September 30, 30, 2017 2016 Recommended By: University of Michigan, Providence & Karmanos Cancer Centers Huge selection of styles and colors to choose from in the store. t1SJWBUF'JUUJOH3PPNT t4BNF%BZ8BTIJOH"OE4FUUJOH t&BTZ5P8FBS t#MFOET8JUI:PVS0XO)BJS t.BEF'SPN)VNBO)BJS t)BJS&YUFOTJPOT t4QFDJBMUZ8JH4VQQMJFT t8JH"TTFTPSJFT 734.522.9420 www.wendyswigs.com Mid-Five Center Five Mile Rd. at Middlebelt, Livonia, MI *MUST PRESENT AD TO RECEIVE DISCOUNT Ask Dr. Vieder Why is there suddenly an outbreak of Hepatitis A in Southeast Michigan? It remains unclear as to the exact reason why there is a sudden spike in the number of Hepatitis A cases in Michigan. Unfortunately, local epidemiologists are unable to pinpoint the exact point of origin for this particular outbreak. There are some commonalities associated with those who have been affl icted with the infection. As of last week, there were 398 cases reported in the Tri-County area and sadly, 15 of those individuals have died. What is Hepatitis A and how could you contract it? Hepatitis A as a very contagious viral disease that affects the liver and can lead to liver failure. The virus is generally found within the feces of infected individuals. It is frequently transmitted through contaminated food and water, but can also be sexually transmitted or contracted through injection of illegal drugs. Symptoms commonly begin two weeks to as long as two months after initial exposure and include the usual host of vague symptoms such as nausea and vomiting, abdominal pain, fatigue, loss of appetite and weight loss. The symptoms most classic to advanced cases of Hepatitis (A or B) include yellowing of the skin or eyes (otherwise known as jaundice) or very dark colored urine. Who is most at risk of getting Hepatitis A? Healthcare workers, food handlers, those who use or inject illegal drugs or participate in casual sexual practices and people who have recently been incarcerated are at the highest risk. The Gay community is also disproportionately represented in a higher risk category. Anyone who has not been vaccinated for Hepatitis A is potentially at risk as well. What should I do to protect myself and my family? Getting vaccinated and practicing good personal hygiene and proper sanitation are the best ways to protect yourself and your family. Hepatitis A is a vaccine preventable disease. Pediatricians now routinely vaccinate children for Hepatitis A along with all the other typical childhood vaccines. However, this practice only began within the last 15 years, many adults have not been vaccinated and there is now a focus on increasing vaccinations with the adult population. The Lakes Urgent Care staff strongly urges that all adults and children be vaccinated against hepatitis A. Contact your primary care physician, pediatrician or local health department to obtain the vaccine, which is a series of 2 injections given 6 months apart. Protection after the 2 vaccines is nearly 100%. Lakes Urgent Care can also provide the vaccination. For more health information, visit the Ask Dr. Vieder page at LakesUrgentCare.com Dr. Sanford Vieder, DO, FACOEP, Medical Director at Lakes Urgent Care, West Bloomfi eld / Livonia jn November 2 • 2017 41