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Pregnant women can reduce their blood clot risk on flights – National Post

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(Reuters Health) – Pregnant air travelers face a higher risk of blood clots, but they can reduce their risks by walking airplane aisles, drinking water and doing calf exercises, according to a new review.

For women with additional risk, doctors may recommend compression stockings and injectable blood thinners while traveling, the authors write in the Journal of Travel Medicine.

“Both pregnancy and air travel are risk factors for venous thromboembolism, or a blood clot in the legs or lungs,” said senior author Dr. Leslie Skeith of the University of Calgary, a member of the CanVECTOR Canadian thrombosis research network.

Blood clots affect about one to two per 1,000 nonpregnant people each year and are the third leading cause of vascular death after heart attacks and strokes, the authors note. With more than two billion passengers flying each year, about 150,000 cases of travel-related blood clots are diagnosed annually.

Long-distance flights tend to increase the risk by three-fold, yet travel-related studies either don’t include pregnant women or only include a small number and don’t directly investigate how pregnancy increases the risk.

“There is very little evidence to guide what pregnant and postpartum women should do to prevent blood clots while traveling,” Skeith told Reuters Health by email.

Skeith and her colleagues review the many factors that play into an individual’s risk for a blood clot, including height, weight, recent surgery, pregnancy, use of oral contraceptives, hormone replacement therapy and a family history of clots or diseases that promote clotting.

With pregnancy in particular, they write, the risk is higher because of physiological changes, such as slower blood flow and blood vessel dilation. Pelvic blood vessels may also be compressed as the uterus grows. Starting in early pregnancy, the body starts to become hypercoagulable, or more likely to form blood clots. These risks remain higher until about 12 weeks after giving birth.

Although the average pregnant or postpartum air traveler faces an increased risk of clots, the absolute risk estimate is low at less than 1%, the study found.

Pregnant women with other risk factors, such as inherited blood problems, obesity and recent surgery, may face a higher blood clot risk, however. Although the risk depends on individual factors, women with a history of blood clots tend to have a 4% higher risk while pregnant, and those with hormonal-associated blood clots tend to have a 6% higher risk while pregnant.

For most women with a history of blood clots, the risk during air travel still remains low at just over 1%. At the same time, pregnant women who face these higher risks should consider using more extensive blood clot prevention measures while traveling, such as the injectable blood thinner low-molecular-weight heparin (LMWH).

“It is known that LMWH prophylaxis lowers the risk of recurrent thrombosis in women with previous venous thromboembolism,” said Dr. Ida Martinelli of the University of Milan, who wasn’t involved in the study.

However, some studies show that certain blood conditions and blood thinners can lead to complications during delivery, so it’s best to consult a doctor for individual recommendations.

Skeith and colleagues are now studying whether aspirin can prevent blood clots in postpartum women with risk factors for clots. The pilot randomized trial, called PARTUM, is expected to start in 2020.

“We desperately need more research to better prevent blood clots in pregnant and postpartum women,” Skeith said. “We recommend talking to your doctor about different options.”

SOURCE: https://bit.ly/34YV2cm Journal of Travel Medicine, online December 11, 2019.

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Jordan to vaccinate children aged 12 years and older against COVID-19 – WNWN-FM

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Jordan to vaccinate children aged 12 years and older against COVID-19 | WIN 98.5 Your Country | WNWN-FM | Battle Creek, MI

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COVID spread continues to slow in Waterloo Region – TheRecord.com

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WATERLOO REGION — The incidence rate of COVID-19 in the region continued a slow decline over the weekend, and has now reached the lowest level since last October.

According to the latest numbers released Sunday by Waterloo Region Public Health, the seven-day moving average rate of cases per 100,000 population fell to 2.5 cases per 100,000.

Although the incidence of COVID in the region is still three times higher than the provincial rate of 0.8 cases per 100,000, it’s a considerable improvement over early July, when new infections in the region were being reported at six times the provincial rate.

Sunday’s incidence rate is the lowest the region has seen since Halloween.

Part of that decline is attributable to vaccination, as more people get shots in arms.

As of Saturday, 81.36 per cent of the region’s residents over age 12 have received at least one dose, while 64.63 per cent have been fully vaccinated.

But it’s clear that it’s becoming more challenging to reach the remaining residents who haven’t yet been vaccinated.

The pace of daily vaccinations has dropped by almost half since peaking July 11. This mirrors a provincial decline as those eager to get immunized have done so.

The vast majority of shots given in July have been second doses to complete full vaccinations. Only 510 first doses were administered Saturday out of 4,969 given to regional residents, some of them from a new mobile vaccination bus that visited the St. Jacobs market.

The number of positive cases in the region increased by nine, for a total of 18,280 since the pandemic began. It’s the first time since Oct. 26 that the daily increase in cases has been in single digits.

Other indicators also showed positive trends.

The number of active cases dropped overnight by 10 to 124.

The number of outbreaks decreased by one, for a total of eight outbreaks.

The number being treated for COVID in hospital remained steady at 13, while the number of those who have died from the virus was also unchanged at 282. Thirteen people were being treated in intensive care, unchanged from Saturday.

The number of variants of concern remained steady at 4,579.

A total of 537,724 test have been carried out in the region.

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Jordan to vaccinate children aged 12 years and older against COVID-19 – Egypt Independent

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BEIRUT, July 24 (Reuters) – Jordan will start vaccinating children aged 12 years and older against COVID-19 from Sunday, the state news agency said on Saturday.

Children can be given the Pfizer-BioNtech vaccine with the approval of a guardian with no prior appointment necessary, the agency quoted the health ministry as saying.

The decision comes as Jordan lifted most restrictions at the start of July, reopening gyms, pools and night clubs at hotels after cases dropped from a peak in March when several thousands of new cases were recorded daily.

Total active cases reached 7,489 on Friday with 331 new cases and four deaths.

Since the start of the pandemic, Jordan has recorded a total of 763,437 cases and 9,933 deaths.

Several other countries in the region are vaccinating children, including Israel, the United Arab Emirates and Saudi Arabia.
Reporting By Maha El Dahan Editing by Clelia Oziel

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