#Howell Dental Care | Explore Tumblr Posts and Blogs

itsdaggerandsheath · 4 years

Text

An Introduction to Sex (Part 2)

To be quite honest with you, I don’t know when Fanfiction first really became popular or mainstream, nor do I know if it’s still those things. What I do know though was that it was a huge influence on my knowledge of sexuality as I was growing up. A good chunk of my education on sex as an… ”activity”, rather than solely a means of reproduction, came from Fanfiction.

It’s occurring to me that perhaps some people reading this may not know what Fanfiction is, so I suppose I should attempt to explain it before I really get on with the story.

Have you ever watched a TV show and really wished that your two favorite characters would just fall in love already?! With Fanfiction, you can write your own perfect story on how you picture that special moment happening, then publish it online for other people to read. Have you ever had a massive celebrity crush that you just wish would notice you? You can write a Fanfiction all about said celebrity falling for a character based on you! Anything goes with Fanfiction, really. Do you think the singer of your favorite band is into BDSM? Write a fic about them tying you up and ass-fucking you (or a character that you come up with) until the ropes make your wrists bleed. What about a disturbingly specific and detailed fic about your favorite band members squirting milk up the bottom’s asshole to clean out for anal sex (with more emphasis on the milk than the sex itself)? Yup, that exists. What about a fic involving your favorite YouTubers in which a live hamster is shoved up the sub’s asshole and the dom fills an entire hat with semen? Yes, it’s out there. (Bonus points to anyone who knows which fics I’m referring to).

While some Fanfictions are wonderfully crafted love stories full of heart and passion, others…aren’t. And hey, smut is fine, I’ve read *cough* and written *cough* plenty of it myself. But surely, you would think, that the more explicit Fanfictions wouldn’t be accessible to those under the age in which it would be appropriate to read them, right?

Wrong.

I was eleven years old.

I’d first come to discover Fanfiction through my favorite Disney television show at the time, Austin and Ally. Yes, that show that Ross Lynch was on. It was my favorite show in my tweens, and I wanted the two main characters – Austin and Ally, obviously – to end up becoming a couple so badly. My original goal was to see if maybe the writers of the show had hinted at the possibility of the two characters becoming a couple in an interview or something. So, I pulled out my phone – because my parents thought it was smart to let an eleven year old have a cellphone with full Internet access – and simply typed in, “When will Austin and Ally get together?”

I did not find an interview with the show’s writers – instead, I found chatrooms, wiki forums, and YouTube videos from young people like myself who all had the same opinions on the subject as myself. I then clicked on a link that I thought was just going to be a post on some website from someone talking about how they wanted these characters to end up together like I did, but it was actually a link to a story on Fanfiction.net that I read and finished in the same day. From then on, I was hooked.

Now, right away, I noticed that these stories had a rating system. I’m not sure if the rating system for Fanfiction.net has changed at all since it’s been years since I’ve been on there, but at the time, it was something like rated G, PG, T, and M (there might have been a T+ in between T and M, but I don’t remember). As I was eleven at the time, I stuck to the G and PG stories. Who would write rated M stories about a Disney show anyway? Oh, how naïve I was.

One day, I read the summary for a new story that sounded exciting, so I opened it up without looking at the rating or the word count. All I saw was how many people at commented, so I figured it was a popular story that a lot of people liked! Turns out, it was a 300-word one-shot (meaning, it was a single chapter) consisting of Ally naked on her knees saying “please” over and over again while Austin rubs one out and eventually comes all over her face.

I would like to issue a formal apology to Ross Lynch and Laura Marano.

Seeing as I was eleven, I was traumatized, and was extra careful from then on (for a while, at least) to always check if the story was rated M.

I was just so confused. I’d grown up being told that touching yourself was wrong, so why was there a one-shot about it on Fanfiction. And why did he do it on her face?! Such a concept had been unheard of to me at the time (because I was eleven). I was disgusted. I felt sick. I felt dirty. I felt wrong.

I felt curious.

But I was so afraid that I’d read something else strange or that I’d never known people to do sexually, I was afraid of what I’d learn, that despite my curiosity, I didn’t intentionally click on a rated M fic again until I was twelve. By this time, I’d had my first period and a few more, so I’d officially began puberty and became even more curious about sexuality. So, I began to search specifically for rated M Fanfictions because I wanted to know more about what sex was like and I was too scared to watch porn (we’ll get to that in Part 3).

What I experienced while I read these sex scenes was something new, exciting. Why did I feel a throbbing sensation in my vulva? Why was I getting a tingling sensation like I had to pee? Why was my underwear getting wet? As I continued to read more and more of this erotic Fanfiction, I read about the female characters feeling similar sensations when they were feeling “aroused” or “horny”, which were new words for me. Why did I have to learn this through Fanfiction rather than in school?

I then showed my new discovery to all my friends (of course). I remember when my entire cheerleading team had a sleepover, I’d told two of my closest friends on the team that I’d found Fanfiction with sex in it. Later that night, as the three of us lay in our sleeping bags with me in the middle, we huddled together to read the erotica on my phone. I remember them asking me things like, “How do girls come?”, “What does *insert word here* mean?” and “How does *insert sexual act here* work?”. I remember I loved telling them what I knew, like I had some fantastic, secret knowledge, and that it was my duty to share it with everyone I knew my age. So, I did. Soon all my friends were reading smutty Fanfictions.

While still in my Disney phase, I ventured into the world of gay and lesbian fics as well. I didn’t know how sexual encounters worked between those of the same sex worked, so I read them more so out of curiosity rather than in search for arousal. However, I found that they aroused me anyway. I remember the first time I read a lesbian Fanfiction wishing I was in the characters’ shoes (I hadn’t realized I was bisexual yet, but that was a decent indicator), and then I read a fic with a threesome between two men and a woman and wondered why I hadn’t read it sooner.

Why hadn’t I learned how same-sex couples have sex at all in school? Why didn’t I learn that males having sex with other males should still use condoms? Or that females having sex with other females should use dental dams? Why did I have to learn about these through Fanfiction of all things?

By age fourteen, I had graduated from Austin and Ally and Fanfiction.net, and I eventually moved into my emo phase where I ventured into the world of band fics on Wattpad (I would also like to issue a formal apology to Chris Motionless and all of Motionless in White). It was here that I learned about BDSM – and Tumblr, but we’ll talk about that in Part 3. I was reading Wattpad stories about my favorite band, Motionless in White, and I’m pretty sure in every sex scene I ever read involving a girl and one of the band members (I mostly stuck to the ones about Chris because I adore him to this day) had mentions of spanking or some other form of impact play, and bondage was also seen very often, and occasionally a ball gag here and there. A common fantasy, it would seem, among young girls from all over the world who were probably far too young to be writing out such fantasies about men in their thirties. Oh yeah, sexual Fanfiction is plenty toxic too. I was fourteen reading brutal sex scenes about men who were way older than me, and a lot of the rougher/BDSM-esque fics were written in a way that made it seem like the sub was actually being raped as opposed to consenting to what was going on.

Luckily, I saw this pretty quickly and knew that it was wrong, and I made sure to stop reading a Fanfiction if it seemed to be portraying rape in a romantic light. It’s likely that the person who wrote the Fanfiction didn’t intentionally mean to make the “sex” scene look like rape (although, having a girl scream “No, I don’t want to!” but then all of the sudden enjoying it once the guy forces himself inside of her should very obviously be seen was wrong), and they were just uneducated.

And then, by age 16, I began reading exclusively gay Fanfiction about my favorite YouTubers, Dan Howell and Phil Lester – who I will not be issuing a formal apology to because they have stated that they whole-heartedly support Fanfiction, and have even gone as far as to read Fanfiction about themselves in videos, write Fanfiction about themselves for their book, and perform a parody of a Fanfiction about them live on stage in front of thousands of people. So. Anyway. I learned a lot about butt sex. Do you think they teach you about lube in school? Nah. But I learned about it from gay YouTuber Fanfiction.

In Part 3 (which will be the last part of this series) I’ll discuss how websites like Tumblr and YouTube shaped my views on sexuality before I actually started having sex, and both the positive and negative impacts they had on me. In the meantime, have you ever read an extremely sexual Fanfiction that lowkey traumatized you? Did you get the most of your sex education from a probably-not-reliable-source like I did? Tell me your stories in the comments, or feel free to message me on Instagram @daggerandsheath

I love you all and thank you so much for reading!

- Dagger and Sheath

10 notes · View notes

idealemergencydentist-blog · 4 years

Text

Details on How to Find a Good Dentist

For a healthy dental, it is of importance to find a reliable dentist. A dentist can help you to maintain your teeth and also gums. They are best when it comes to teeth inspection, diagnosing issues such as cavities, gum diseases, oral cancer and many more problems that concern the teeth and the gums. Visiting a dentist can help you to avoid using a high amount of money on dental issues. Some of the primary services that you can get in a dental clinic are teeth cleaning, tooth filling, root canals, teeth extraction, implant replacement and many more. It is good to know the kind of problem you have when it comes to dental before you visit an Emergency Dentist in Howell Michigan. Though you can see a dentist so that you can be inspected of any disease. Earlier diagnosis can help you a lot because you won’t have to struggle when it comes to treatment. With a dentist, you can also be advised on how to take care of teeth and then the gums.

You can be instructed on how to brush your teeth and how frequent you have to change the brush. Flossing is another thing that you can be advised to do by a qualified dentist. If you want to enjoy all these kinds of services, you must have the best dentist with you. Choosing the best dentist requires one to have all the determination in your search because it is not an easy thing. It is good to speak to your family members to help you in your search for a reputable dentist. Don’t just rely on your family members, but you can seek the help of your close friends. This is because dental problems are common among people. It is easy for you to get several people who have dealt with the best dentist. The kind of dental issues you have will determine the kind of dentist you want. As you conduct your own research, you will find that there are so many dental clinics in the market that you need to check it.

It is of benefit to consider one that is within your reach to reduce the traveling expenses. After finding an excellent dental clinic, you can pay a visit so that you can be sure of the qualifications. Visiting the dental clinic will help you to know if the dentist is using modern tools and equipment. This can be an assurance that the clinic has been in the market for a good number of years. You must also be sure of the qualifications of the principal dentist and the staffs. You can check the credentials in details. They must have undergone training showing a pass in all the exams. The dentist must have enough experience in dealing with patients with dental problems. It would help if you also considered the affordability of the dental clinic. It must be offering the best dental services at an affordable cost. Have a healthy dental with a reliable dentist.

1 note · View note

familydentalcareguide-blog · 5 years

Text

Tips for Finding a Family Dentist

Experience should be amongst the first considerations to make when you're looking for a family dentist. Therefore, this'll get to be a great way of ensuring that in time, you're capable of finding a family dentist who'll ensure that you're contented. With the best experience, the dentist will be capable of knowing about all the measures to undertake. It'll also be a better way of ensuring that you attain the best dental care.

The quality of services should be another deliberation to make. Here, you'll be capable of ensuring that you do find a family dentist who can ensure that you're contented. Also, it'll get to be a better way of ensuring that the family dentist will be capable of ensuring that they do maintain the proper hygiene in their clinics. All which'll ensure that you'll be attaining these services from a clean environment.

On the other hand, you ought to choose a family dentist in your location. Why? With a family dentist, you'll always go there for your checkups as well as those of your kids. Therefore, choosing someone within your vicinity will make it easier to make some appointments. Also, the commute will be short, thus ensuring that you'll beget the best services. And with this, you'll also promote the local economy. Finding Howell Family Dental Care will ensure that eventually, you'll learn about some who'll have the capability of treating your entire family.

You should always consider the technology which the family dentist is using. Doing so ensures that you'll find a dentist who has the latest equipment. By having this equipment, you'll have some peace of mind since it'll mean that the dentist has the proper training for the equipment. Each time a dentist goes back to school to attain some training, they're able to learn some new techniques which'll get to make them better. Having the best technology will also mean that the dentist does know how to conduct advanced dental care.

Likewise, it'll be ideal checking about some of the services available at your local family dentist. If you'd like some oral examinations, you'll find that choosing a dentist who can only accomplish this won't be ideal. You'll need to find someone who has different services to ensure that you always need a single dentist for your dental care. Therefore, keenly look through the different services which the family dentists have to offer. Thus being able to ensure that you do have some peace of mind and great dental care. Click to get Howell Family Dental Care.

In conclusion, you ought to learn about the different costs of services. Doing so will ensure that you can compare all the dentists to find some who'll be charging reasonably. Through this, you'll learn about the family dentists who'll be capable of ensuring that you always beget the best services. Therefore, take your time to ensure that you'll be capable of learning about some of the best dentists and how they get to charge for their services. And with this, you'll ensure that you'll find one who'll accept your insurance.

1 note · View note

emilyflanagan990-blog · 5 years

Text

bestdentalservices

Factors To Consider When Searching For A Family Dentist

It is important to be concerned about the dental care of your family members. Teeth can be very sensitive to many things and may need regular attention. Visits to a dentist should be done frequently in a year for you family members to be checked. Choosing a dentist for your family is key and can be a challenging task. As a parent you need to have information that will enable you choose the right family dentist. This is important to ensure that you will get value for your money in the process. Additionally, you want treatment from a dentist who is professional and understands his work well. Outline in the paragraphs below are things to look for when searching for a family dentist. Read on Best Dentist Howell Michigan

One element to put in consideration is the needs of the family. There are challenges with teeth that various members of the family can face such as fractures, cavities et cetera. Before selecting the family dentist, one should know the type of oral care each member needs. This will ensure that the appointments are well arranged and at no one point will the family pay for less.

A family dentist should have the necessary qualification. Accreditation from a qualified dental school should be available as a proof of qualification. It is of importance if the dentist has been practicing the profession for a number of years. The great number of experience makes it possible for people to believe that the dentist will help them in maintaining dental care.

The reputation of a dentist is another key thing to consider. People will always wat to go to that doctor who is known to handle oral care to people with prowess. This is because you are assured that you will get the services that you need with keenness and excellence. People always warn others of attending a clinic that’s known to do shoddy work in regards to family dental care. See more on Best Dentist Howell Michigan

When choosing a family dentist, it is good to know the cost of oral care with them. With the knowledge of your financial position, it is easy to select an affordable family dentist. One can obtain quotations from various clinics to have an average cost to expect. A family has many needs that require intervention financially, hence the need to be cautious when working with a family dentist.

When choosing a family dentist, it is good to consider if his or her clinic is well equipped. Availability of the necessary equipment needed for dental treatment makes the treatment better and the service fulfilling. You do not want to attend the clinic with your loved ones and leave without full attention because of lack of equipment needed for the treatment. This may cause frustration.

The other thing to consider is the location of the clinic. It is advisable that the clinic should not be far from your home. Due to fear and anxiety when you take long to arrive at the clinic, you may become tensed during the treatment. Find out more on https://www.youtube.com/watch?v=WOu9G8FemhY

1 note · View note

bestelectrictoothbrushforbr-blog · 5 years

Text

best electric toothbrush for braces

Care and support

Since brush heads must be supplanted generally like clockwork, the all out expense of owning an oscillating brush includes. A few retailers sell substitution brush heads in mass, best electric toothbrush for braces and a few producers routinely issue coupons, which can both assistance minimize expenses. (See our blog entry on the expense of substitution brush heads, including a few generics we attempted at the end of the day didn't care for.)

About each oscillating brush we've tried requires washing or potentially cleaning down between each utilization. Else, you may wind up with evaporated toothbrush-spit buildup gunking any cleft—especially where the brush head meets the handle. Notwithstanding a brisk wash and wipe between utilizations, you may think that its beneficial to occasionally expel the brush head to clean this intersection. As far as we can tell, a cotton swab is appropriate for getting gunk out of any little divots in the brush handle.

Shouldn't something be said about "keen" toothbrushes?

It's been a long time since the first application associated, or "savvy," oscillating brushes wound up accessible, however regardless they don't offer enough capacities for their additional expense for us to suggest them for a great many people. (They're at any rate twofold the cost of a standard rotating brush.) "Brilliant" brush abilities fluctuate broadly, however for the most part these gadgets mechanize the way toward following your brushing propensities, commonly by associating with your telephone or tablet through Bluetooth. The most costly "shrewd" models, similar to the Oral-B Genius and Philips Sonicare FlexCare Platinum Connected can follow where the brush is in your mouth.

"I believe that something that individuals search for with Bluetooth association—or anything that interfaces with their telephone—is affirmation that what they're doing is sufficient, or great, or superior to anything what they were doing previously," Dr. Maria Lopez-Howell, a dental specialist and ADA representative let us know. "Furthermore, I imagine that, if this gives the patient data that they're brushing sufficient opportunity, [and] if this is urging a patient to brush—this is something that the American Dental Association is needing."

1 note · View note

letsdawsondentalfan · 4 years

Text

DIY Dental Treatments: What Your Dentist Thinks

Do-it-without anyone else's help (DIY) patterns that guarantee a couple of basic advances will prompt an emotional effect may function admirably for some home improvement dreams, however shouldn't something be said about DIY with regards to your dental wellbeing?

"Some DIY dental wellbeing crazes, similar to oil pulling for instance, are simply not successful," said ADA dental specialist Dr. Matthew Messina. Others, be that as it may, could cause harm. DIY brightening with charcoal – a well known pattern via web-based networking media – can cause more mischief than anything, Messina cautioned. There is no proof that shows dental items with charcoal are sheltered or successful for your teeth, as per the September 2017 issue of the Journal of the American Dental Association.

Before you assume control over your dental wellbeing dependent on the guarantees and simplicity of any DIY medicines, it's basic to converse with the master – your ADA dental specialist.

The advantages of an office visit

Individuals may look for DIY administrations for dental medicines like teeth fixing since they believe they can't fit office visits into their timetable or feel that it will cost not exactly in-person treatment, said Dr. Maria Lopez-Howell, another ADA dental specialist. Items, for example, at-home aligners are likewise called direct-to-purchaser, or DTC, items. Be that as it may, working with a dental specialist can really offer more alternatives for your one of a kind case.

"Extra decisions or administrations might be offered once your dental specialist can survey what's going on in your mouth," Dr. Lopez-Howell said. "Elective treatment plans and alternatives that address budgetary concerns are all the more effectively created."

Visiting a dental specialist can likewise get issues heretofore and guarantee treatment doesn't mess more up than it fixes, said ADA dental specialist Dr. Ruchi Sahota.

"At the point when my patients come in to see me, I will likely assess their general dental wellbeing picture," Dr. Sahota said. "A dental specialist's office is a sheltered spot where a specialist is guaranteeing you're getting protected consideration as well as care that will really treat the base of your concern. We need to ensure that on the off chance that you use aligners to fix teeth, that the teeth you're fixing are solid and sound."

Getting the correct treatment for your grin

Before you start any DIY dental treatment, it's critical to talk with your dental specialist about the potential dangers and advantages.

"Individuals who consider DIY are normally searching for answers however don't have a dental specialist they can talk with," Messina said. "Before considering any dental DIY administration, individuals should search out answers from a neighborhood dental specialist who can look at their mouth and offer proposals."

Get ready for your office visit by looking into the DIY treatment you're thinking about and asking yourself these inquiries.

"Converse with your dental specialist. We're generally here for you and open to talking about new patterns that you may have found in the news or via web-based networking media," Dr. Sahota said. "Tell us what you are thinking so we can thoroughly consider it with you!"

If you have any problem then you can visit our Dawson Dental Cambridge.

0 notes

riverparkdentalhowell · 2 months

Text

Unlock the secrets of smile transformation in our blog post! Dive into the world of cosmetic dentistry and discover the art of smile makeovers. Ready to elevate your smile? Read now and contact us for a consultation!

#dentist in howell #howell dentist #howell dentistry #dentist howell #Cosmetic Dentistry #cosmetic dentistry in howell #cosmetic dentist in howell #howell cosmetic dentist #smile makeovers #smile transformation #howell smiles #howell dental care

0 notes

howelldentist · 4 years

Text

Howell NJ Dentist | Dental Care Tips While Traveling http://dlvr.it/RWg7sz

0 notes

worklabournewsresearch · 4 years

Text

Health Care Workers Running Out of Protective Equipment

“On Friday, Dr. Michael Warner, an ICU physician at Toronto’s Michael Garron Hospital, started calling the city’s veterinary clinics, looking for animal ventilators that could be repurposed for people with COVID-19. By Saturday, he realized that ventilators were no longer the chief priority: hospitals around the country are burning through personal protective equipment (PPE) for health care workers with such speed that it is only a matter of weeks before they run out. The looming shortages include N95 masks, gowns, gloves, face shields and even scrubs.”

“‘If we run out of personal protective equipment, we cannot treat people with COVID-19, full stop,’ says Warner. ‘That means we can’t even enter their rooms, let alone give them medication, give them meals, put breathing tubes in or provide them with any type of care.’ Warner and other physicians, nurses, pharmacists, midwives and physician assistants across Canada are sounding the alarm that they need more PPE. They’re calling for all Canadians to help find safe, workable protection for health care workers. They want nail salons, dental offices, veterinary clinics and any Canadians who own these items to get them cleaned, sorted and moved to the front lines in Canada’s emergency departments and intensive care units.”

“It comes down to this: if physicians, nurses, physician assistants, respiratory therapists, pharmacists, paramedics and other health care workers don’t have adequate protection, they are risking their lives by coming into contact with people infected with COVID-19. ... Every time a health care worker is infected with the virus, Canada loses a member of the front-line team. If supplies to protect health care workers run out, so will our workforce.”

“One of the most critical items on the list is N95 masks. How long the current supply lasts depends on how wisely they are used. ... Hospital staff in Calgary and Toronto who asked to remain anonymous say supplies of N95 masks are being depleted by staff who use them in situations where they are not required—so much so that the masks have been placed in locked cupboards in some units. The N95 mask is designed to prevent users from inhaling small airborne particles, and they fit tightly to the user’s face. That’s in contrast to surgical masks, which fit more loosely and are designed to protect from microorganism transmission. Both protect against large droplets and sprays. The Public Health Agency of Canada recommends health care workers follow droplet precautions for patients with known or suspected COVID-19, which means gloves, a gown and face protection, like a surgical mask, and eye protection at all times, and upgrading to an N95 mask when performing an aerosol-generating procedure like intubation. But some front-line workers feel they should have N95 for things like performing nasal swabs during COVID-19 testing or being in the operating room for surgery on a patient with trauma and unknown COVID-19 status.”

Maclean’s, March 22, 2020: “The race to get personal protective equipment to health care workers,” by Christina Frangou

CBC News, March 23, 2020: “Donate your masks, gloves, goggles and gowns at a Toronto hospital, doctor urges,” by Laura Howells

CBC News, March 21, 2020: “Edmonton nurses refuse to perform COVID-19 swabs without N95 masks,” by Andrea Huncar

Maclean’s, March 23, 2020: “Dispatches from the coronavirus front lines: 'I am afraid of what lies ahead for humanity',” by Jane Philpott

Welland Tribune, March 22, 2020: “Niagara Falls hotels offering rooms to health-care workers to self-isolate,” by Alison Langley

#health care workers #hospital workers #doctors #nurses #ontario #masks #covid-19 #medical supplies #protective equipment #coronavirus #sars-cov-2 #medical equipment #public health #n95 masks

0 notes

warwick-pediatric-dental-blog · 5 years

Photo

Pediatric Dentistry Howell NJ

Warwick Pediatric Dental is among one of the most relied on dental treatment center in Warwick, NY. The center is headed by Dr. Jonathan Pak, a recipient of USC Superior Pediatric Dental Expert Honor. They are the very best pediatric oral expert, who is really pleasant to kid people as well as provide special attention and care for them. They are experts in conveniently taking care of anxious children at their facility. They practice different technologies like nitrous oxide, dental conscious sedation, as well as tell-show-do methods to take care of anxious youngster clients. Their dental solution is generally for aiding kids and also to make a favorable effect in their lives. For more thorough info on services see https://warwickpediatricdental.com

#pediatric dentistry Howell NJ #pediatric dental monroe ny #pediatric specialties middletown ny #pediatric dentist woodbury ny #pediatric dentist middletown ny #pediatric dentist near middletown ny

0 notes

stephenmccull · 4 years

Text

Oficiales de salud temen que el país no esté listo para una vacuna contra COVID-19

Millones de estadounidenses esperan una vacuna contra COVID-19 para frenar la pandemia y volver a la normalidad.

Pero el camino para entregar vacunas a 330 millones de personas sigue sin estar claro para los funcionarios de salud locales que, se espera, sean los que realicen el trabajo.

“No hemos recibido mucha información sobre cómo se implementará”, dijo el doctor Umair Shah, director ejecutivo del Departamento de Salud Pública del condado de Harris, en Texas, que incluye a Houston.

Los Centros para el Control y Prevención de Enfermedades (CDC) han dicho a los departamentos de salud locales a lo largo del país que diseñen planes de vacunación antes del primero de octubre, para una posible distribución de una vacuna contra COVID-19 tan pronto como el primero de noviembre.

Pero los departamentos de salud, que han carecido de fondos suficientes durante décadas, dicen que no tienen personal, dinero ni herramientas para educar a las personas sobre las vacunas; y luego para distribuir, administrar y rastrear cientos de millones de dosis. Tampoco saben cuándo, o si obtendrán ayuda federal para lograrlo.

Docenas de médicos, enfermeras y funcionarios de salud entrevistados por KHN y The Associated Press expresaron preocupación por la disposición del país para realizar vacunaciones masivas, y frustración por meses de información inconsistente por parte del gobierno federal.

Las brechas incluyen cómo se hará el seguimiento de los vacunados, y cómo mantendrán a los trabajadores que administran las vacunas seguros, con suficiente equipo de protección y jeringas.

Con solo la mitad de los estadounidenses diciendo que se vacunarán, según una encuesta del Centro de Investigación de Asuntos Públicos de AP-NORC, también será crucial educar a las personas sobre los beneficios de la vacunación, dijo Molly Howell, quien administra el programa de inmunizaciones del Departamento de Salud de Dakota del Norte.

Estados Unidos ha comprometido más de $10 mil millones para desarrollar nuevas vacunas contra el coronavirus, pero no ha asignado dinero específico para distribuirlas y administrarlas.

Y aunque los gobiernos locales recibieron miles de millones en fondos de emergencia del Congreso, ese dinero no está destinado a distribuir una vacuna.

Una investigación en curso de KHN y AP ha detallado cómo los departamentos de salud pública estatales y locales han sufrido décadas de desmantelamiento, lo que los ha dejado sin fondos suficientes para realizar servicios básicos, y enfrentar al coronavirus

Los estados pueden usar parte del dinero federal que ya han recibido para prepararse para las vacunas. Pero AP y KHN descubrieron que muchos departamentos de salud están tan abrumados con los costos actuales de la pandemia, como las pruebas y el rastreo de contactos, que no pueden reservar dinero para el proceso con las vacunas.

Los departamentos de salud deberán contratar personas para administrarlas y sistemas para rastrearlas, y pagar por suministros como máscaras médicas protectoras, batas y guantes, espacios para almacenarlas, y refrigeradores.

Por ejemplo, el presupuesto del condado de Pima, en Arizona, ya está unos $30 millones por debajo de lo que los funcionarios de salud necesitan para combatir la pandemia, y mucho menos planificar la vacunación, expresó el doctor Francisco García, administrador adjunto y director médico del condado.

Algunos fondos federales vencerán pronto. Por ejemplo, los $150 mil millones que los gobiernos estatales y locales recibieron de un fondo en la Ley CARES, cubren solo los gastos que se realicen hasta fin de año, dijo Gretchen Musicant, comisionada de salud en Minneapolis. Un problema, dado que la distribución de la vacuna puede que ni siquiera haya comenzado para ese momento.

Aunque funcionarios de salud pública dicen que necesitan ayuda, el Congreso dejó Washington para su receso de verano sin aprobar un nuevo proyecto de ley de ayuda para COVID, que hubiera incluido fondos adicionales para la distribución de vacunas.

Los estados no pueden simplemente tomar las fuentes de financiamiento existentes y utilizarlas para intentar la campaña de vacunación más grande de la historia, dijo la doctora Kelly Moore, de la Coalición de Acción de Inmunización, una organización nacional de educación y defensa de las vacunas.

Luego está la cuestión básica de la escala. El invierno pasado, el país distribuyó 175 millones de vacunas contra la influenza estacional, según los CDC.

Pero expertos dicen que, para que los Estados Unidos alcancen la inmunidad colectiva contra el coronavirus, es probable que se deba vacunar a aproximadamente el 70% de los estadounidenses, o 200 millones de personas. Las primeras vacunas requerirán dos dosis para ser efectivas: 400 millones de inyecciones.

Los mismos expertos auguran que muchos departamentos de salud pública tendrán dificultades para realizar un seguimiento adecuado de quién se ha vacunado y cuándo, porque la falta de fondos en las últimas décadas los ha dejado con tecnología obsoleta.

Moore, quien fue directora médica del plan de inmunización de Tennessee durante la pandemia de influenza H1N1, dijo que las personas necesitarán recibir su segunda dosis de COVID-19 21 o 28 días después de la primera, por lo que los proveedores de salud deberán recordarles a los pacientes que deben recibir su segunda vacuna.

También deben asegurarse que la segunda dosis sea de la misma marca que la primera.

Los CDC están desarrollando una aplicación llamada Sistema de Monitoreo de la Administración de Vacunas para los departamentos de salud cuyos sistemas de datos están rezagados, dijo Claire Hannan, directora ejecutiva de la Asociación de Administradores de Inmunización. Los departamentos están esperando saber más sobre esta tecnología.

Mientras tanto, se ocupan de los registros de vacunas que a veces datan de finales de la década de 1980.

Los abrumados equipos de salud pública ya están trabajando largas horas para hacer pruebas a los pacientes y rastrear sus contactos, un proceso que requiere mucho tiempo y que deberá continuar incluso después que las vacunas estén disponibles.

Cuando eso suceda, los departamentos necesitarán más personal para una variedad de trabajos, incluida la educación del público, el seguimiento de los pacientes y la notificación de efectos secundarios graves.

En una reunión de agosto sobre la distribución de vacunas, la doctora Ngozi Ezike, directora del departamento de salud de Illinois, dijo que su estado necesitará contratar profesionales de salud adicionales para administrar las vacunas, incluidos estudiantes de enfermería, estudiantes de medicina, dentistas, higienistas dentales e incluso veterinarios.

Todos necesitarán máscaras, batas y guantes de grado médico para seguridad mientras manipulan agujas en medio del contagioso coronavirus.

Dado que las vacunas son mucho más complejas que el equipo de protección personal y otros suministros médicos (una vacuna candidata debe almacenarse a menos de 94 grados Fahrenheit), el doctor Marcus Plescia, director médico de la Asociación de Funcionarios de Salud Estatales y Territoriales, dijo que las personas deben estar preparadas para escasez, retrasos y confusión.

“Probablemente será incluso peor que los problemas con las pruebas y los equipos de protección personal”, dijo Plescia.

La escritora de Associated Press Michelle R. Smith y la corresponsal de KHN en el Medio Oeste Lauren Weber colaboraron con este informe.

Esta historia es una colaboración entre The Associated Press y KHN.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

Oficiales de salud temen que el país no esté listo para una vacuna contra COVID-19 published first on https://smartdrinkingweb.weebly.com/

0 notes

gordonwilliamsweb · 4 years