Skip to main content

Family Health

Minority Health Issues

minority health issuesWestchester County Department of Health provides a multitude of services targeted to address minority health issues. Many health issues affect our residents from minority communities in a disproportionate way. 

The statistics regarding minority health are sobering:  

  • While there are a number of health issues that adversely impact people of color, HIV is one that is striking African Americans in Westchester County far out of proportion to their representation in the population. Although African-Americans make up only 14.2 percent of Westchester County’s total population, African-Americans account for 51 percent of Westchester residents living with AIDS.
  • In the United States, if you're a male of African descent with cancer, you're two-thirds more likely to die than a white male with the same cancer.
  • Men or African descent are 50 percent more likely to develop, and twice as likely to die from prostate cancer than men of any other racial or ethnic group. American men of African descent are more likely to get prostate cancer than any other group of men in the world.
  • Women of African descent in the United States are 12 percent less likely to develop breast cancer than white women but their likelihood of surviving is 16 percent lower.
  • Forty percent of Americans of African descent rate their health as fair or poor compared to only 26 percent of whites.
  • A third of African-American seniors live in poverty, the highest rate of all races, and compared to 10 percent of white seniors.
  • African-Americans are twice as likely as whites to have diabetes.child
  • African-Americans are 50 percent more likely not to have had a flu shot compared to whites.
  • An African-American baby is nearly 2.5 times more likely to die before the first birthday than a white baby, and two times more likely to die of SIDS (sudden infant death syndrome) than other babies.

The Health Department is committed to addressing these issues and improving the health of all Westchester residents.

For articles on African-American health issues, visit the CDC Health Equity website.

Servicios de Salud

El Departamento de Salud del Condado ofrece un variedad de servicios de salud para la comunidad hispana de Westchester.

Los Centro de Salud Comunitarios proveen cuidado prenatal, primario y otros servicios médicos para individuos que no tienen seguro de salud. Estos centros también asisten a individuos a inscribirse en planes de salud elegibles.  Por favor llame para confirmar una cita. 

Folletos con temas de salud y hojas informativas ayudan a los residentes del Condado a informarse de cómo mantenerse saludables y prevenir enfermedades.

Por favor visite los sitios web anotadas aquí para encontrar información útil sobre una variedad de temas.

Agencias del Condado de Westchester

Otros Recursos

Hepatitis

Hepatitis InformationHepatitis is a disease that affects the liver. There are several different forms, each causes a slightly different disease and each spreads in a different way.

Hepatitis A
Hepatitis A is caused by the Hepatitis A virus. It is a contagious disease that attacks the liver. It is the most common type of viral hepatitis and one of the most frequently reported vaccine preventable diseases in the United States.

Hepatitis A virus is usually spread from person to person by putting something in the mouth that has been contaminated with the stool of a person with Hepatitis A. This type of transmission is called the "fecal-oral" route. For this reason, the virus is more easily spread in areas where there are poor sanitary conditions or where good personal hygiene is not observed. Frequent handwashing with soap and warm water after using the bathroom, changing a diaper, or before preparing food can help prevent the spread of Hepatitis A.

Most infections in the United States result from contact with a household member or sex partner who has Hepatitis A. Hepatitis A virus may also be spread by consuming food or drink that has been handled by an infected person. Casual contact, as in the usual office, factory, or school setting, does not spread the virus.

Symptoms of Hepatitis A commonly appear within 28 days of exposure, with a range of 15-50 days. Symptoms of Hepatitis A may range from mild to severe and can include an abrupt onset of fever, fatigue, poor appetite, nausea, stomach pain, dark-colored urine and jaundice (a yellowing of the skin and whites of the eyes). The disease is rarely fatal and most people recover in a few weeks without any complications.

The best way to prevent Hepatitis A is through vaccination with the Hepatitis A vaccine. The Hepatitis A vaccine is made from a killed virus and is administered in the upper arm. Vaccination is recommended for all children, for travelers to certain countries, and for people at high risk for infection with the virus. Two doses of the vaccine are required for full protection. The vaccine usually causes very little reaction, except for some soreness in the upper arm.

Learn more about Hepatitis A:


Hepatitis B

Hepatitis B is a serious liver disease caused by a virus. The Hepatitis B virus (HBV) can lead to severe illness, liver damage, liver cancer and even death. Hepatitis B infects about 300,000 people each year, and kills about 5,000 people each year.

About one-quarter of Hepatitis B carriers develop chronic hepatitis. Each year, 5,000 people in the U.S. die of liver failure related to hepatitis B. Another 1,500 die from liver cancer related to Hepatitis B.

Hepatitis B vaccine can provide protection against this dangerous disease. The vaccine can be given to infants, children and adults in three shots over six months. Hepatitis B vaccine is very safe and side effects are rare. All three shots are needed for full protection. Even pregnant women can be given the vaccine if their risk of getting the infection during their pregnancy is high, for example, if a spouse has a recent infection.

Hepatitis B immunizations are required for all children attending school in New York State. Children born after January 1, 1995 require Hepatitis B immunization before entry into day care or pre-school. Children born after January 1, 1993 are required to have Hepatitis B immunization before kindergarten entry.

Learn more about Hepatitis B:

Hepatitis C
This disease, (formerly called non-A, non-B hepatitis) is a liver disease caused by a recently identified blood-borne virus. Like Hepatitis B, Hepatitis C is spread by exposure to blood from an infected person, such as through blood transfusion or sharing of needles.  The risk of sexual transmission has not been thoroughly studied but appears to be small. There is no evidence that the Hepatitis C virus can be transmitted by casual contact, through foods or by coughing or sneezing.

There are no special medicines or antibiotics that can be used to treat people with the acute form of Hepatitis C but the FDA has approved a drug call recombinant alpha interferon for treating people with chronic Hepatitis C. At the present time, a Hepatitis C vaccine is not available.

Learn more about Hepatitis C:

 

Campylobacteriosis

What is campylobacteriosis?

 

It is an infection of the intestines caused by a bacteria called Campylobacter jejuni. The bacteria is commonly found in the feces of infected people and animals. It is probably the most common cause of bacterial diarrhea in New York State.  Most cases are seen in the summer months and are seen as single cases.  Outbreaks are uncommon.

 

What are the symptoms?

  • Mild to severe diarrhea (may be bloody)
  • Stomach cramps
  • Fever (can be high)
  • Vomiting
  • Convulsions (in severe cases)

Infected persons may have mild or no symptoms at all. Symptoms start 1 to 10 days after exposure, but usually within 3 - 5 days.

 

 

How is it spread?

  • People can get the infection by eating contaminated food, or drinking contaminated water or unpasteurized milk. The bacteria are often found in poorly cooked meat or poultry.
  • People can also get the illness from infected pets (especially puppies and kittens with diarrhea), or from handling wild animals.
  • The bacteria can also be spread from an infected person to others when bacteria leave the body in the stool and enter in another person when hands, food, or objects, contaminated with stool, are put in the mouth.
  • Infected persons or animals are contagious as long as the bacteria are in the stool - may be several days or several weeks.

 

 

Do infected people need to be isolated or excluded from school or work?

Only people with active diarrhea who are unable to control their bowel habits (infants and young children) should be isolated.  Most infected people may return to work or school when diarrhea subsides provided they carefully wash their hands after using the bathroom.  Food handlers, children in day care and health care workers must obtain approval of the local or state health department before resuming routine activities (????)

 

 

Diagnosis and treatment

  • The disease can be diagnosed from a stool sample.
  • Most people recover without treatment. If the infection is severe or prolonged, erythromycin may be prescribed.

 

Prevention

  • Wash hands well with soap and warm water after using the bathroom or changing diapers. Make sure children also wash their hands well after going to the bathroom.
  • Wash hands well before and after preparing food, especially after handling raw meat or poultry.
  • Do not drink unpasteurized milk or eat cheese made from unpasteurized milk.
  • Thoroughly cook all meats, especially poultry.
  • Make sure that other foods, such as fruits or vegetables, do not come into contact with cutting boards or knives that have been used with raw meat or poultry. Wash them carefully with soap and warm water to avoid cross-contamination.
  • Wash hands after handling animals or pets and their waste
 

Bisphenol-A (BPA)

Convenient plastic products can be harmful to your family's health.
Convenient plastic products can be harmful to your family's health.

If you are a parent of a young child or are expecting a baby, then you need to know about the dangers of “everywhere chemicals.”

Bisphenol-A (commonly known as BPA) and phthalates, which are called “everywhere chemicals” because they are so common, are used in making countless plastic products that we see and use everyday. This includes children’s items such as baby bottles, sippy cups, pacifiers and teethers.  

BPA is used in hard, clear plastic, like baby bottles. Phthalates help make plastic, like pacifiers, flexible. It is believed that both BPA and phthalates can leach from plastic into food, liquid, and directly into the mouths of children while sucking on pacifiers or teethers.

Growing scientific evidence suggests BPA and phthalates may be associated with a variety of health issues, including hormonal and developmental problems. Infants and young children, who are vulnerable during early developmental years, are likely to be at potentially most risk from exposure to “everywhere chemicals” such as BPA and phthalates. 

What is Bisphenol-A (BPA)?
BPA is used to make polycarbonate plastic, a shatter-resistant and clear material used in products ranging from plastic bottles and eyeglasses to sports safety equipment.  BPA is also found in baby bottles, sippy cups, teethers, water bottles, food storage containers, and the lining of many food and beverage cans.  

What are Phthalates?
Pronounced “THAL-ates,” phthalates make plastic soft and flexible, and are often found in car interiors, shower curtains, deodorant, cosmetics, and medical devices. Phthalates can also be found in children’s products such as toys, rattles, teethers, rubber ducks, bath books, baby shampoo, soap and lotion.  

Why be worried about BPA and Phthalates?
BPA can leach from plastic containers into foods and beverages, especially when they are heated, or used for long periods of time. Also, when kids put toys, teethers, and other products that contain phthalates in their mouths, the chemical may leach from the product to the child. 

Animal studies have shown that exposure to BPA can have developmental effects. There are no studies that show that BPA is associated with adverse effects in human development. However, because developmental effects in animals occur at BPA exposures close to those experienced by some people, the possibility that BPA may alter human development cannot be dismissed. In laboratory animals, exposure to high levels of BPA has been associated with adverse effects on reproduction. Some human studies suggest a possible effect of BPA on reproductive hormones, especially in men exposed to high levels in the workplace, but human data are not sufficient to determine if BPA adversely affects reproduction.

Animal studies have associated phthalate exposure with adverse effects on the liver, kidney, and male and female reproductive system, especially when exposures occur to the developing organism. For example, animals exposed to phthalates in the mother’s womb have shown decreased sperm activity and concentration, early puberty in females, and testicular cancer. Possible reproductive, developmental and other effects of phthalates in humans are the subject of much ongoing research. Phthalates have been detected in humans, but associations between the levels of phthalates found and effects in humans is currently inconclusive.

Tips to minimize exposure to BPA and Phthalates:

  • Use refillable glass, porcelain and stainless-steel containers for food and beverages, particularly for hot foods and liquids. 
  • When you have something plastic, look at the little triangle on the bottom of the container. Avoiding plastic containers marked with a 1 or a 7 pc and instead choosing those marked with a 2, 4, or 5 will reduce the likelihood of exposure to BPA and phthalates.
  • Glass baby bottles are recommended for babies who don't yet feed themselves.
  • For bottle feeding, since latex rubber nipples may contain phthalates, use of silicone nipples may reduce phthalate exposure.
  • Do not use plastic containers in microwaves.  
  • To minimize exposure to phthalates, avoid vinyl toys, perfumed shampoo and lotion. Choose fragrance-free products whenever possible.
  • Companies are now making baby bottles, food containers, teethers, shampoo, lotions, and other children’s items that are "BPA-free" and/or "phthalate-free.” Always read the package label or check with the manufacturer to know what you are bringing into your home.   

For more information on Bisphenol-A and Phthalates visit: