Virtual Campus Center Health and Psychological Services

What every woman must do…
If you are between 20-40 years old:
Monthly Every 3 years At age 35	Breast Self Exam Clinical Breast Exam Mammogram
If you are between 40-50 years old:
Monthly Every year Every 1 or 2 years	Breast Self Exam Clinical Breast Exam Mammogram
If you are over 50 years old:
Monthly Every year Every year	Breast Self Exam Clinical Breast Exam Mammogram

(American Cancer Society, Inc. 1993)

Where Breast Cancer Occurs -- Concern™

	Facts Every Person Should Know
	1 in 7 will have breast cancer at some point in their lives
	ONE MILLION American women are living with undetected breast cancer right now
	80% of women diagnosed won’t have a genetic predisposition to the disease
	97% is the probability of survival BUT only for women who get early detection and treatment (3-Day AVON Breast Cancer Advertisement)

Who is at risk to develop breast cancer?

Every woman is at risk! It is the most common cancer of women and as women get older the risk increases. Three-quarters of all breast cancers occur in women over 50. Although it is rare, Men can also develop breast cancer!
(American Cancer Society, 1995)

What are the signs and symptoms of breast cancer?

The most common sign is a lump or thickening that does not go away or seem to change. Most lumps in the breast are not cancerous—four out of five are from other causes. A doctor should check all lumps. Other signs to be aware of if they persist are swelling, puckering, or dimpling. Skin irritation, pain, or tenderness of the nipple.
(American Cancer Society, 1995)

Are some women at special risk for breast cancer?

Risk is somewhat higher in women whose close female relatives-their mothers or sisters-have had the disease. Also women who never have had children or had their first child after age 30 seem to be at some-what higher risk.
(American Cancer Society, 1995)

Where can you get more information on Breast Cancer?

Community Breast Health Project
Susan G. Komen Breast Cancer Foundation
American Cancer Society
Imaginis- The Breast Health Specialists
Gilda’s Club Worldwide
National Alliance of Breast Cancer Organizations
National Breast Cancer Coalition
SHARE
Y-ME National Breast Cancer Organization
Young Survival Coalition

Breast Self-Exam

All women over 20 years old should practice regular monthly Breast Self-examination. Women should examine their breasts when they are least tender, usually seven days after the start of the menstrual period.

Women should use their finger pads putting pressure on their breast as they move up and down in small circular motion across the breast. Women should be feeling for lumps, thickness and other changes. You must check all over each breast and under the armpit.

Women should also look in the mirror from a variety of angles searching for any changes in size or shape of the breasts, If you find a lump, see a doctor!

Most lumps are not cancerous but all lumps should be checked!
(American Cancer Society, 2000)

Clinical Breast Exam

This exam can be done by a doctor or nurse and is similar to the Breast Self-Exam.

Mammogram

A mammogram is a special breast x-ray that can reveal cancerous tumors up to two years before you or your health care provider can feel them.
(Great Events Publishing, 2000)

Mammograms are used to find cancer in women without symptoms or to help study changes in the breast. They are preformed by trained x-ray technologists and interpreted by radiologists who specialize in x-ray diagnosis.

You or your doctor may be able to feel a lump as small as pea whereas a mammogram can detect a cancer as small as a pinhead!
(American Cancer Society, Inc. 1987,1988)

International students: the following immunizations (or written proof of having received the vaccine) are required for enrollment, and may incur a fee:

Foothill College Health Services is open from 8:30 AM - 1:00, @:00 - 4:30 4:30 PM. Immunizations are given at any time except for PPD., which is administered ONLY on Monday and Tuesday mornings from 9:00 AM to 1:00 P.M. and read on Wed. and Thurs. mornings from 9:00 - 1:00.

Q. Are there any health risks from any vaccine?
Vaccines are among the safest medicines available. Two common side effects are a sore arm or a low-grade fever. A vaccine, like any medicine, is capable of causing a severe allergic reaction. Please let us know in advance if you have ever had an allergic reaction to a medication.

However, the potential risks associated with the diseases these vaccines prevent are much greater than the potential risks associated with the vaccines themselves.

Women who are pregnant or who are likely to become pregnant within 3 months should not receive the measles, mumps, rubella vaccine.

Contact
Santa Clara County Immunization Program
976 Lenzen Ave.
San Jose, CA 95218
(408) 792-5200

Primary Vaccines Available at Health Services

The following vaccines should be reviewed as far as possible in advance of transfer to another university, entry into an allied health program, or travel to ensure the proper scheduling of recommended vaccines.

Measles/Mumps/Rubella (MMR) Free	One dose of MMR is recommended for people born in 1957 or later, if they have not been previously vaccinated. A second dose of MMR may be required in some work or school settings. Needed to transfer to most college/universities. Back to Immunizations

Tetanus/diphtheria booster (Td) or Tetanus/pertussis/diphtheria (Tdap) often referred to as a "tetanus shot" Free	If you haven't had at least three basic tetanus-diptheria shots in your lifetime, you need to complete the series listed below: First dose - now Second dose - 4 weeks after the first dose Third dose - 6 to 12 months after the 2nd dose All adults need a tetanus-diptheria booster dose every 5-10 years.

Hepatitis A $20	Hepatitis A is a serious liver disease caused by a virus. Hepatitis A immunization is recommended for all people who travel to certain countries or people with chronic disease (such as liver disease, heart disease, and diabetes). Some of the ways you can contract the Hepatitis A virus are from contaminated food or water, or illegal drug use. Adolescents or adults should get 2 doses of the vaccine according to the following schedule: First dose - now Second dose - 6 to 12 months later

Hepatitis B $0-$30 (each vaccine)	Hepatitis B is a serious liver disease caused by a virus. Hepatitis B virus is spread through the contact with the blood and body fluids of an infected person. Hepatitis B immunization is advised for all children, especially adolescents, and adults who are at risk for acquiring the disease most people are at risk). Adolescents or adults should get three doses of Hepatitis B vaccine according to the following schedule: First dose - anytime Second dose - 1 to 2 months after first dose Third dose - 4 to 6 months after first dose Note: All three doses are needed for full and lasting immunity Back to Immunizations
Human Papilloma Virus (HPV) Vaccine Free to those under 19 years Free – $20 per dose to those 19 to 26 years of age	First dose: Now Second dose: Month 2 Third dose: Month 6 HPV vaccine helps protect against the Human Papilloma Virus (HPV) types 6, 11, 16 & 18. http://www.cdc.gov/std/hpv/STDFact-HPV-vaccine.htm

Influenza Free	Seasonal

PPD (TB Test) Free	This is a test for possible exposure to Tuberculosis, not a vaccine

Varicella immunization $70 per dose (series of 2)	Varicella or chicken pox is one of the most common childhood diseases. Adolescents and adults who have not had the disease by their 13th birthday will need a 2 dose series of the varicella vaccine 4 to 8 weeks apart. If you have had the chicken pox, you do not need the vaccine. A varicella titer can determine if you have had the chicken pox and if you are immune. There is a fee for this blood test. Many of the Allied Health fields require the vaccine or proof of immunity prior to entrance into their programs. Back to Immunizations

Important Resources You Should Know About Santa Clara County Department of Public Health— Immunization Program Main Clinic: Park Alameda 976 Lenzen Avenue S(408) 792-5200 Other clinic locations include: East Valley Clinic (San Jose), South County Clinic (San Martin), Fair Oaks Clinic (Sunnyvale). Santa Clara County Department of Public Health Travel Clinic: 976 Lenzen Avenue, Suite 1300 San Jose, CA 95126 (408) 792-5200 OR visit the Santa Clara County Department of Public Health web site: www.scctravelclinic.org Other Internet Web Sites of Interest:
Adult immunization schedule	www.cdc.gov.nip/recs/adult-schedule.pdf
Childhood immunization schedule	http://www.cdc.gov/nip/
Immunization Action Coalition (approx. 22 languages)	www.immunize.org/vis/index.htm
Traveler's Health web page Top of page	www.cdc.gov/travel/index.htm Back to Immunizations

Meningococcal Meningitis and Septicemia

Frequently Asked Question

What exactly is meningitis?
Meningitis is an infection of the meninges (a thin membrane that surrounds the brain and spinal cord).
How many types are there?
There are two main types of meningitis, viral and bacterial. The viral type, spread by a virus, is more common and less severe. The current cases involve bacterial meningitis, caused by meningococcus, which is an infection of the blood stream.
How is it spread?
The germ is carried in the saliva and/or droplets from the nose of an infected person. This includes kissing, sharing food, drinks, cigarettes, or other things that might contain saliva. The bacteria cannot live long outside the human body, so the infections should not be considered as contagious as, for example, the flu. Casual contact or simply breathing the air near a person with meningitis will not spread the disease.
Can anyone get meningoccocal or septicemia?
Yes, but certain age groups appear to be more susceptible. These age groups include kids under 5,those in their teens to early 20's, and those over 55.

What are the symptoms of meningitis and septicemia?

High fever
Nausea/vomiting
Stiff neck
Red/purplish rash

Headache
Eyes sensitive to light
Confusion/lethargy/drowsiness

It is vital that anyone showing these symptoms go a hospital emergency room as soon as possible. People with septicemia may only have a fever, malaise and the rash.

How is it treated?
Early detection is the key to preventing serious illness or death. A number of antibiotics are effective in treating meningococcal meningitis, but the treatment must be started early in the course of the disease. That is why it's critical for people showing symptoms to seek medical treatment immediately.
What should be done for people who have been in close contact with a victim?
There are antibiotics that can be given if someone has been exposed to the bacteria. If there is evidence of the disease spreading with a group, such as a family, school friends, etc, preventive antibiotics may be prescribed. Consulting with your personal physician is important to determine whether or not you need treatment.

If you have further question, please contact:

Santa Clara County Public Health Nursing	(408) 792-5020
San Mateo County Public Health	(650) 573-2757
Alameda County Public Health	(510)795-2400

Other good sources of background information on meningococcal meningitis and septicemia:
Centers for Disease Control: www.cdc.gov or (800) 311-3435
Meningitis Foundations of America: www.musa.org or (800) 668-1129

Nutrition Education and Information

Nutrition Counseling
Available Thursdays, 9 a.m. — 1 p.m
Free
Schedule appointment with Health Services
(Topics include wellness, weight management, disease prevention,
eating disorders, fitness)

Read Nutrition Nibbles, a monthly pdf newsletter.
(Get Adobe Acrobat Reader)
Click for past issues of Nutrition Nibbles.

American Diabetic Association
http://www.diabetes.org/home.jsp

American Dietetic Association
http://www.eatright.org/public

American Heart Association
http://www.americanheart.org/

The New Food Guide Pyramid
http://www.mypyramid.gov/

Food and Health Communications
http://www.foodandhealth.com

Nutrition.gov
www.nutrition.gov

Center For Science-Nutrition
http://www.cspinet.org/

USDA Nutrition Information
http://www.nal.usda.gov/fnic/ars.html

Complementary and Alternative Medicine

Nat'l Institiutes of Health, Office of Alternative Medicine
http://nccam.nih.gov

Quackwatch
http://www.quackwatch.com/

FDA Guide to Choosing Medical Treatments
http://www.fda.gov/oashi/aids/fdaguide.html

Research Resources

US Department of Agriculture
http://www.nal.usda.gov/fnic/etext/fnic.html

Healthy Weight

"Go Ask Alice" Columbia University
http://www.goaskalice.columbia.edu/
Cat3.html#nutrition

Nutrition, Education, Counseling and Services
http://www.ncescatalog.com/

Shape Up America
http://www.shapeup.org/library/edu.htm

Interactive Nutrition Information
http://www.caloriecontrol.org/

Books and Video

Journal of Nutrition American

Eating Disorders

Eating Disorders - Something Fishy Website
http://www.something-fishy.org/

Eating Disorders Shared Awareness
http://www.eating-disorder.com/

Eating Disorders - Food Addicts site
http://www.foodaddicts.org

Eating Disorders - Food Addicts Meetings in California
http://www.foodaddicts.org/meetings.html#ca

Recipes and Meal Planning

Meals Matter
www.mealsmatter.com

Meals for You
www.mealsforyou.com

Eating Well Magazine
www.eatingwell.com

Cooking Light Magazine
www.cookinglight.com

Leeks

Papaya

Artichoke

Peppers

Top of page

Smoking Cessation Information

Referral Numbers
Foothill College Health Services
(650) 949-7243

Breathe California
(408) 998-5865

American Cancer Society
West Bay-(415) 394-7100
Silicon Valley-(408) 879-1032