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12 THE MESSAGE. BRINGING INTO FOCUS FILIPINO PRESENCE IN AUSTRALIA www.kalatas.com.au | Volume 6 | Number 4 | JANUARY 2016 FOOD & HEALTH Authorities urge HYPOTHYROIDISM Healthwise caution on Salmonella (Underactive Thyroid or Low Thyroid) H ypothyroidism is a condition in which the thyroid gland does not make enough thyroid hormone. The thyroid gland is an important organ of the endocrine system. It is located at the front of the neck, just above where the collarbones meet. Hormones released by the gland travel through the bloodstream and affect nearly every part of the body, from the heart and brain, to the muscles and skin. The hormones control the way every cell in the body uses energy, a process called metabolism. With the warmer weather already here, NSW Health and the NSW Food Authority are urging people to be aware of Salmonella poisoning and take care when preparing and storing food. Salmonellosis notifications have started to increase as a result of warmer temperatures, with 112 notifications in NSW within three weeks last month. Dr Vicky Sheppeard, Director, Communicable Diseases Branch, NSW Health, said products containing undercooked eggs are the most common source of outbreaks of salmonellosis in NSW. “Salmonellosis can be quite severe. The symptoms include fever, headache, diarrhoea, abdominal pain, nausea and vomiting. Symptoms usually start about six to 72 hours after eating the contaminated food and typically last for four to seven days, but can continue for much longer,” said Dr Sheppeard. “It is important that people do not prepare food for others while they are unwell and, as a precaution, for 48 hours after symptoms have passed. “Occasionally, hospitalisation is required for management of dehydration, particularly in young babies, elderly people and those with weakened immune systems.” NSW Food Authority CEO Dr Lisa Szabo said to avoid Salmonella poisoning, the same advice applies to both consumers and food retailers when preparing dressings, mayonnaises, desserts and sauces. “It is far safer and preferable to use alternatives such as commercially produced products instead of handmade mayonnaise and sauces, or to use commercially pasteurised eggs in lieu of raw eggs in ready-to-eat products such as desserts and drinks,” Dr Szabo said. “While preparing and handling food, keep benches and utensils clean and dry and do not allow cross contamination of raw and cooked products. “Retailers should also remember that food laws in NSW prohibit the sale of eggs with dirty or cracked shells because this increases the risk of contamination and food-borne illness, and should reject any eggs that are not intact,” said Dr Szabo. Salmonellosis is a form of gastroenteritis caused by Salmonella bacteria, which are commonly found in animals. For further information, visit http://www. health.nsw.gov.au/Infectious/factsheets/Pages/ Sa lmonellosis.aspx For further information on the safe handling of eggs visit the NSW Food Authority website: http://www.foodauthority.nsw.gov.au/rp/safeuse-of-raw-egg-products EARLY SYMPTOMS OF HYPOTHYROIDISM: l Constipation l Sensitivity to cold temperature l Fatigue or feeling slowed down l Heavy and irregular menstrual period l Joint or muscle pain l Paleness or dry skin l Thin, brittle hair or fingernails l Weakness l Weight gain l Depression LATE SYMPTOMS, IF UNTREATED: l Decreased taste and smell FE WATMORE Registered Nurse l Hoarseness l Puffy face, hands and feet l Slow speech l Thickening of the skin l Thinning of eyebrows CAUSES: l Thyroiditis – (Hashimoto’s) – an inflammation of the thyroid gland, wherein the body produces antibodies that attack and destroy the thyroid gland. l Radiation therapy to the neck area/thyroid surgery l Radioactive iodine treatment l Use of certain medications e.g. lithium and amiodarone l Sheehan syndrome - a condition that occurs in women who bleed severely during pregnancy or childbirth and destructs the pituitary gland l Pituitary tumour/pituitary surgery DIAGNOSIS: l Blood tests – to check hormone levels that will include: l Thyroid –stimulating hormone (TSH) l T4 (thyroxine) l Complete blood count l To check cholesterol levels, liver enzymes, Prolactin and Sodium TREATMENT: l It’s aimed at replacing the deficient thyroid hormone l Medication PROGNOSIS: In most cases, thyroid hormone levels become normal with proper treatment. A thyroid hormone medicine is likely to be taken for the rest of the person’s life. People with untreated hypothyroidism are at increased of: l Infection l Infertility, miscarriage, giving birth to a baby with defects l Heart disease due to high levels of cholesterol l Heart failure References: MedicinePlus/Hypothyroidism WebMD Hypothyroid Symptoms, Causes and Treatments Wikipedia, the true encyclopedia