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VIVA NOLA February 2019

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HEALTH CHECK<br />

It is Mardi Gras Season!<br />

Have Fun but Be Careful!<br />

by ARTUROGASTAnADUY, M.D.<br />

Mardi Gras, Fat Tuesday in French, is<br />

the last day of Carnival. The season is<br />

celebrated with King Cakes, gold,<br />

purple and green decorations,<br />

costumes, masks, bead necklaces,<br />

parades, and parties with lots of<br />

delicious foods and drinks. New<br />

Orleans has a long tradition of Mardi<br />

Gras celebration and it is one of the<br />

most famous in the world. The first<br />

parade was in 1837, the first float<br />

appeared in 1857 and beads in 1900.<br />

Mardi Gras season is a lot of fun, but<br />

there are some common health<br />

problems associated with it.<br />

Traum a: Bruises, cuts, sprains,<br />

concussions, dislocations, and even<br />

fractures caused by trips, falls, motor<br />

vehicle accidents, projectiles, etc. The<br />

most common ones are smashed<br />

fingers, sprained ankles, wrist<br />

fractures, and head or face<br />

contusions caused by projectile bead<br />

bags. Elbow subluxation and eye<br />

scratches also occur. Tendinitis and<br />

feet friction blisters are frequent in<br />

dancers and marching band<br />

members. Watch your footing, be<br />

24 aware of the curbs, fences,<br />

Happy &<br />

Safe<br />

M ardi Gras!<br />

potholes, projectiles, moving vehicles,<br />

etc. Be sure that children?s ladders are<br />

well designed and placed in a safe<br />

spot at least 6 feet inside the curb.<br />

Wear comfortable previously used<br />

shoes with double socks (thinner<br />

inside). Pay attention to your children<br />

and minimize cell phone use.<br />

Exposure: Cold injuries, sunburns<br />

and dehydration may occur,<br />

especially in children. Plenty of water,<br />

sunscreen and layered clothing to<br />

adjust to weather changes are<br />

recommended.<br />

Foreign bodies: Every pediatrician in<br />

New Orleans has had to remove<br />

beads from ears and noses of<br />

children. The procedure could be easy<br />

or traumatic, sometimes requiring an<br />

ear nose and throat consultant.<br />

Infants and small children have a high<br />

risk of choking with a bead or small<br />

toy like a king cake doll. Prevent little<br />

children playing with small objects.<br />

Gast roint est inal Problem s: Parties,<br />

outside cooking, previously prepared<br />

meals, multiple food handlers and<br />

lack of bathrooms and hand-washing<br />

facilities, provide opportunities for the<br />

food to become contaminated. Food<br />

poisoning and stomach infections<br />

may occur. Sometimes outbreaks<br />

develop from a common food source.<br />

Keep food refrigerated, use<br />

disposable utensils, minimize the<br />

number of food handlers, use hand<br />

sanitizer and wash hands with water<br />

and soap whenever possible.<br />

Drugs, alcohol, sex: These are<br />

potential problems for adolescents.<br />

Parties with lack of supervision<br />

provide the opportunity to<br />

experiment and for risk-taking<br />

behaviors. Remember that small<br />

children can get intoxicated by<br />

partially filled cups they find lying<br />

around. Watch and counsel your<br />

children, be sure you know where<br />

they are and with whom as well as<br />

who is supervising them.

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