Health on the Hill

As students gear up for the new semester, ensuring their health and safety is a top priority. This year, with rising cases of COVID-19, flu, and pertussis (whooping cough), it’s more important than ever to make sure they are fully vaccinated before returning to campus. Additionally, being prepared with wellness essentials can make a big difference if illness strikes.

Here’s why updated vaccines and a well-stocked care kit are essential to keeping your student healthy and supported while away from home

The Importance of Updated Vaccines

COVID-19: Guarding Against Serious Illness

COVID-19 remains a significant concern, especially in close-contact environments like college campuses. Updated COVID vaccines provide protection against severe illness, reducing the risk of hospitalization and long-term complications. Staying current with COVID vaccinations also helps curb the spread of the virus, protecting vulnerable individuals on campus and in the community.

Flu: A Seasonal Threat

The flu virus changes every year, making the annual flu shot a critical line of defense. College students often experience high-stress levels and disrupted sleep schedules, which can weaken their immune systems. A flu shot helps reduce the risk of missed classes, downtime, and potential complications from the flu.

Pertussis: The Sneaky Culprit

Pertussis, or whooping cough, may seem like a disease of the past, but cases have been on the rise locally and nationally. The Tdap vaccine (tetanus, diphtheria, pertussis) is particularly important for young adults, as immunity from childhood vaccines can wane over time. Pertussis is highly contagious and can lead to severe coughing fits that disrupt sleep, study, and daily life. Vaccinating against it protects not only the student but also the wider campus community.

Packing for Wellness: A College Health Toolkit

Even with vaccinations, students may still encounter minor illnesses while on campus. Preparing them with a wellness toolkit can help them manage symptoms and recover more comfortably.

Here are some essential items to pack:

• Cool-mist humidifier: Helps ease congestion and soothe dry air during cold and flu season.
• Tissues: A must-have for sneezes, sniffles, and everything in between.
• Over-the-counter medications: Include fever reducers, decongestants, and cold/flu remedies for quick relief.
• Electrolyte drinks or powders: Great for staying hydrated during illness and aiding recovery.
• Saline nasal spray: Helps relieve nasal congestion naturally.
• Comfort items: Consider packing cozy blankets, tea, honey, soup and your favorite illness comforts from home.

Why It Matters

College campuses are like micro-communities where students live, learn, and socialize in close quarters. These environments are perfect for viruses to spread quickly, making vaccines and preparation critical tools for prevention and management.

What Families Can Do

• Check vaccination records. Make sure your student is current on COVID, flu, and Tdap vaccines.
• Pack a wellness toolkit. Stock your student with essential items to manage potential illnesses.
• Encourage good health habits. Remind students to wash hands frequently, cover coughs and sneezes, and avoid sharing drinks or utensils.

By ensuring your student is vaccinated and equipped with a wellness kit before returning to campus, you’re taking proactive steps to protect their health and well-being. Together, we can create a healthier, safer campus community!

For more information on vaccine recommendations and wellness prep, visit your student’s primary healthcare provider or your local health department.

Questions. Contact Holy Cross Public Health Nurse Kristin Gauthier at kgauthier@holycross.edu

Antibiotics are powerful medications that can treat bacterial infections and save lives, but they aren’t always necessary. Misusing or overusing antibiotics can lead to unnecessary side effects and even long-term consequences like antibiotic resistance. Here’s what you need to know to make informed decisions about your health.

When Antibiotics Aren’t Needed

Antibiotics are effective against bacterial infections but do nothing to treat viral infections. Some common illnesses that usually don’t require antibiotics include:

• Colds and the flu
• Most sore throats (unless caused by strep)
• Viral bronchitis
• Some sinus or ear infections

Your immune system is often strong enough to fight off viral infections on its own, especially with rest and proper self-care.

When Antibiotics Are Necessary

Certain bacterial infections do require antibiotics to prevent complications or to help you recover faster. These include:

• Strep throat
• Urinary tract infections (UTIs)
• Bacterial sinus infections
• Skin infections

If you’re unsure whether your illness is bacterial or viral, always consult a healthcare professional. They may recommend tests to confirm the cause of your symptoms.

How to Feel Better Without Antibiotics

If your doctor confirms that your illness is viral or doesn’t require antibiotics, there are plenty of ways to support your recovery naturally:

1. Rest: Prioritize sleep and give your body the time it needs to heal.
2. Stay Hydrated: Drink water, herbal teas, or broths to keep your body hydrated and your immune system functioning well.
3. Ease Symptoms: Use over-the-counter medications, saline sprays, or warm saltwater gargles to relieve discomfort.

Why Taking Antibiotics Unnecessarily Is a Problem

Using antibiotics when they aren’t needed can have several downsides, including:

1. Side Effects: Common issues include nausea, diarrhea, and allergic reactions like rashes or swelling. In severe cases, antibiotics can cause Clostridium difficile (C. diff) infections, which lead to intense diarrhea and inflammation of the colon.
2. Antibiotic Resistance: Over time, bacteria can become resistant to antibiotics, making them harder to treat. This can limit your treatment options in the future for serious infections.
3. Disrupting Your Body’s Balance: Antibiotics can kill off beneficial bacteria in your gut, leading to issues like yeast infections or digestive problems.

What to Ask Your Doctor

To ensure you’re only taking antibiotics when absolutely necessary, ask your doctor:

• “Is this infection bacterial or viral?”
• “Are antibiotics the best treatment option?”
• “What are the risks of taking antibiotics for this condition?”

It’s important to be an advocate for your health and make decisions based on evidence, not just convenience.

Takeaway

Antibiotics are life-saving medications when used appropriately, but they aren’t always the answer. By understanding when antibiotics are truly necessary and how to care for yourself during a viral illness, you can avoid unnecessary risks while supporting your recovery. Always consult a healthcare provider for guidance, and don’t hesitate to ask questions to ensure you’re making the best decision for your health.

Stay informed, stay healthy, and take control of your care.

 

As fall settles in, so does the respiratory virus season, with illnesses like the common cold, flu, and even COVID-19 making their rounds. Staying healthy is key to maintaining your academic and social life. Here are some tips to protect yourself and others this season.

1. Boost Your Immune System

• • Eat Nutrient-Rich Foods: A balanced diet, especially one rich in vitamins C and D, zinc, and antioxidants, can give your immune system a boost.
    • Here are some examples:
      

      Vitamin C

      1. Citrus Fruits: Oranges, lemons, limes, grapefruits
      2. Berries: Strawberries, raspberries, blueberries
      3. Bell Peppers (especially red ones)
      4. Kiwi
      5. Broccoli
      6. Brussels Sprouts
      7. Papaya

      Vitamin D

      1. Fatty Fish: Salmon, mackerel, sardines
      2. Egg Yolks
      3. Fortified Foods: Dairy products, orange juice, plant-based milks
      4. Mushrooms (exposed to sunlight; e.g., maitake, portobello)
      5. Cod Liver Oil

      Zinc

      1. Shellfish: Oysters, crab, and lobster
      2. Meat: Beef, pork, and lamb
      3. Pumpkin Seeds
      4. Chickpeas and Lentils
      5. Nuts: Cashews, almonds, and peanuts

      Antioxidants

      1. Berries: Blueberries, strawberries, blackberries, raspberries
      2. Dark Leafy Greens: Spinach, kale, collard greens
      3. Nuts and Seeds: Walnuts, pecans, chia seeds, flaxseeds
      4. Green Tea
      5. Dark Chocolate (70% cacao or higher)
      6. Tomatoes (rich in lycopene)
      7. Carrots (high in beta-carotene)

      Integrating a variety of these foods can help maintain a nutrient-rich, antioxidant-loaded diet.

• Stay Active: Regular exercise helps keep your immune system in check, so consider a quick daily workout.
• Sleep Well: Aim for 7-8 hours of quality sleep per night to help your body recover and stay resilient against infections.

2. Practice Good Hygiene

• Wash Your Hands Frequently: Regular handwashing with soap for at least 20 seconds reduces the spread of viruses.
• Cover Coughs and Sneezes: Use tissues or your elbow to cover your mouth and nose, helping to protect those around you.
• Avoid Touching Your Face: Many viruses are transmitted when we touch surfaces then our face, so keep this in mind.

3. Stay Up-to-Date with Vaccinations

• Get the Flu Shot: This is a simple way to reduce your risk of serious flu symptoms.
• COVID-19 Boosters: If eligible, consider getting a COVID-19 booster to help protect against severe illness.
• Our campus flu and COVID vaccine clinics have ended for the year but they local pharmacies have the vaccines available and the closest is Walmart Pharmacy.

4. Mask Up in High-Risk Situations

• Use a Mask When Necessary: Especially in crowded or poorly ventilated areas, wearing a mask can be a simple way to prevent the spread of respiratory viruses.

5. Practice Respiratory Etiquette

• Keep a Personal Tissue Pack: If you’re feeling a little under the weather, use tissues to sneeze or cough into, and dispose of them right away.
• Avoid Close Contact with Sick Individuals: If someone around you has a respiratory illness, consider keeping some distance.

6. What to Do If You Feel Sick

• Isolate and Rest: Limit your interactions, rest, and focus on fluids. Isolation is important to prevent spreading illness to friends and classmates.
• Visit Health Services if Needed: Holy Cross Health Services is here for you. If your symptoms worsen or you’re concerned about a respiratory infection, reach out for medical support.

7. Stay Informed 

• Watch for Campus Health Alerts: Health Services provides updates on outbreaks or recommendations via Instagram @hc_healthservices and on Ignite! 

 

As summer transitions into fall, it’s important for all of us at the College of the Holy Cross to stay informed and vigilant about the risks posed by Eastern Equine Encephalitis (EEE) and West Nile Virus (WNV). While Massachusetts is beautiful this time of year, it’s also the peak season for mosquitoes, which can carry and transmit these serious viruses.

What is EEE?

Eastern Equine Encephalitis (EEE) is a viral infection transmitted by mosquitoes.  Massachusetts has experienced periodic outbreaks of EEE, and it’s crucial to take preventive measures, especially in regions where the virus has been detected.

Worcester is currently LOW risk.

What is West Nile Virus?

West Nile Virus (WNV) is another mosquito-borne illness found in Massachusetts. While the majority of people infected with WNV do not show any symptoms, some can develop mild flu-like symptoms. In rare cases, WNV can cause serious neurological complications, such as meningitis or encephalitis. Older adults and those with weakened immune systems are most at risk for severe illness.

Worcester is currently Moderate risk for WNV and there have been no infected mosquitos found in the area of campus.

What is being done:

The City of Worcester is spraying neighborhoods where they do find WNV infected mosquitos.

Mosquito Bite Prevention Tips

To minimize your risk of mosquito bites and potential exposure to EEE, follow these simple yet effective prevention strategies:

1. Avoid Peak Mosquito Hours: Mosquitoes that carry EEE are most active from dusk to dawn. Try to limit outdoor activities during these times, especially in areas with dense vegetation or standing water.
2. Wear Protective Clothing: When outdoors, wear long sleeves, long pants, and socks to reduce the amount of exposed skin. Light-colored clothing is less attractive to mosquitoes.
3. Use Insect Repellent: Apply an EPA-registered insect repellent containing DEET, picaridin, or oil of lemon eucalyptus on exposed skin and clothing. Always follow the instructions on the label.
4. Protect Your Living Space: Keep windows and doors closed or make sure screens are in place especially from dusk to dawn.
5. Stay Informed: Follow Health Services on Instagram @hc_healthservices for timely updates and on IGNITE!

Symptoms of EEE

While most people bitten by an infected mosquito will NOT develop EEE or the symptoms of EEE, those who do may experience:

• Sudden onset of a very high fever (103-106F)
• Headache
• Chills
• Vomiting
• Disorientation
• Seizures

Symptoms of WNV:

• Fever
• Headache
• Body aches
• Fatigue
• Skin rash

If you experience any of these symptoms, especially after a mosquito bite, seek medical attention.

What is the College Doing?

The College of the Holy Cross is committed to the health and safety of its students. We are actively monitoring mosquito activity in and around the Worcester area and the recommendations of the MA Department of Public Health.

The City of Worcester has planned mosquito spraying on 4 dates in September. You can find spraying plans and updated information here: https://www.cmmcp.org/

What to Do if You’re Concerned

If you have any concerns about EEE or mosquito bites, don’t hesitate to call or email the Public Health Nurse Kristin Gauthier-kgauthier@holycross.edu or Health Services. We’re here to provide guidance, answer your questions, and support your well-being.

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Stay safe, stay informed, and take these precautions seriously. Together, we can enjoy the beauty of the fall season while keeping our campus community protected from EEE.

 

Welcome to the College of the Holy Cross! Whether you’re a new student or returning for another year, Health Services is here to support your health and well-being throughout your college journey. Our team is dedicated to providing comprehensive, compassionate care to help you thrive both academically and personally.

What We Offer

Health Services offers primary medical care to students as well as treatment for acute health conditions with a focus on recovery and keeping you healthy. We can treat, but are not limited to, the following conditions:

• colds, cough, sinus infections, flu
• sore throat, fever
• nausea, vomiting, diarrhea
• back pain, joint pain, minor sports injuries
• headache, dizziness
• asthma, allergies
• minor cuts, bruises, burns
• insect bites, rashes, skin infection, cold sores
• ear discomfort, ear wax removal
• abdominal pain, upset stomach, heartburn
• urinary tract infection

We also offer the following services:

• Health Promotion
• Lifestyle medicine
• Smoking cessation
• HIV testing and Pre-exposure prophylaxis (PrEP)
• Concussion management
• Frequently asked questions about concussions
• Laboratory services
• Nutrition services
• Suture removal
• Gynecology services
• Sexual health
• STI screening- Express STI Clinic available-quick and confidential testing for sexually transmitted diseases
• Pregnancy testing + resources
• Specialty referrals
• Tb testing

How to Access Health Services

Accessing care at Health Services is simple and convenient:

Location: We’re located in the Loyola Hall Lower Level, easily accessible from anywhere on campus.

Hours of Operation:
– Monday to Friday: 9 AM-12 PM and 1 PM -5 PM
Closed on weekends and holidays

Appointments:
-Appointments can be scheduled by calling us at 508-793-2276 or through the online portal

We do not accept walk-in appointments.

After-Hours Care:
– If you need medical assistance outside of our regular hours, contact Public Safety at 509-793-2222 or call the After Hours Physician at 508-334-8830 or visit a local urgent care or emergency room.

Confidentiality:
Your privacy is our priority. All visits to Health Services are confidential, and your health records are protected by law. Information is only shared with your consent or in case of a medical emergency.

Stay Connected:
Keep up with the latest health tips, updates, and events by following us on social media @hc_healthservices and checking out the Health on the Hill blog regularly. Your health is a top priority at Holy Cross, and we’re here to support you every step of the way.

Welcome back, and here’s to a healthy, successful year ahead!
– The Health Services Team

 

Dear Graduating Seniors,

As you prepare to embark on the next chapter of your journey beyond the College of the Holy Cross, it’s important to consider how you’ll continue to prioritize your health and well-being in the years ahead. Transitioning from the safety net of campus healthcare to navigating the broader healthcare landscape can seem daunting, but being prepared and knowing the steps can make it easier. The Health Services department is here to provide you with guidance and resources to ensure a smooth transition to accessing healthcare after graduation.

Securing Health Insurance

One of the most crucial steps in maintaining access to healthcare after graduation is securing health insurance coverage. Whether you’re transitioning to a new job, pursuing further education, or exploring other opportunities, it’s important to understand your options for obtaining coverage. Many graduates may be eligible to stay on their parents’ insurance plans until the age of 26, while others may need to explore individual plans through the Health Insurance Marketplace or employer-sponsored coverage. Check in with your family and your current health insurance plan to see what your options will be. The sooner you start looking into this the better to insure you will not be without health insurance.

Finding a Primary Care Provider

Establishing a relationship with a primary care provider (PCP) is essential for maintaining your health and well-being in the long term. Your PCP will serve as your main point of contact for routine check-ups, preventive screenings, and managing any chronic conditions. If you are currently still under your pediatrician at home, it may be time to switch to an adult medicine provider as your PCP.  Your current PCP may be able to suggest one for you or you can look on your health insurance’s website for providers in your area that are accepting new patients.  As you transition to life after graduation, we encourage you to research and identify potential PCPs in your area who align with your healthcare needs and preferences. There are many options for providers out there so take time to research what is they best fit for you. Across the country there have been recent challenges in finding PCPs that are accepting new patients as well as long waitlists for initial appointments with a new provider. If you will need a new provider after graduation, now is the time to find one and book your next appointment as there could be a several month wait. 

Female Health After Graduation

As you prepare to graduate college and embark on new adventures, it’s crucial to prioritize your health, including your reproductive well-being. Finding a trusted gynecologist (GYN) for continuity of care is important, from contraception to regular screenings and addressing any concerns or issues that may arise.  This is especially pertinent to address now if you are on a contraceptives for medical reasons that will require a refill after graduation. Health Services cannot prescribe any medication refills after your graduation date.  Establishing a relationship with a GYN now ensures seamless and consistent care as you transition into post-grad life. It’s an investment in your long-term health and well-being, providing you with the support and guidance you need as you embark on this next chapter of your life.

Advocating for Your Health

As you navigate the healthcare system as an independent adult, it’s important to become your own advocate and take an active role in managing your health. Don’t hesitate to ask questions, seek second opinions, and voice your concerns during medical appointments. Be proactive about scheduling preventive screenings and vaccinations, and keep track of your medical history and any medications you may be taking. Keep a “Health File” in your Google Drive to keep track of medical and insurance documentation including copies of physicals and immunizations as you may need these documents accessible as you apply for ongoing education and career positions.  Contact Health Services now if you would like a copy of your health record.

Being a Smart Healthcare Consumer

Navigating the complexities of the healthcare system can be overwhelming, but with the right knowledge and resources, you can become a savvy healthcare consumer. Take the time to educate yourself about your health insurance coverage, including understanding your benefits, copayments, and deductibles. Compare costs and quality ratings when choosing healthcare providers and services, and don’t hesitate to explore telemedicine options for convenient and accessible care.

One last reminder that Health Services cannot prescribe medications or provide refills on previously prescribed medications after your graduation date so it is imperative that you have a provider outside of Health Services to continue your care.

As you prepare to graduate from the College of the Holy Cross and transition to life beyond campus, remember that prioritizing your health and well-being is an essential part of your journey. By taking proactive steps to secure health insurance, find a primary care provider, advocate for your health, and become a smart healthcare consumer, you can ensure that you have access to the care and support you need to thrive in the years ahead. Remember, our Health Services department is here to support you as you navigate this exciting new chapter in your life so do not hesitate to reach out to us if you have questions.

Kristin Gauthier RN, our Public Health Nurse can help answer any questions you may have on this topic and can be reached at kgauthier@holycross.edu

Wishing you continued health and success,

Holy Cross Health Services

CDC Updates Isolation Guidelines

The CDC announced updated virus guidance for Covid-19 (and flu and RSV and any common respiratory illness).

What does the updated guidance say?

The best thing you can do hasn’t changed: Prevent illness in the first place through vaccination, ventilation, and masking.

But, if you’re sick with any common respiratory illness (i.e., not measles), CDC says to approach it in two phases:

• Phase 1: Stay home when sick until your fever resolves for 24 hours and your symptoms improve.
• This is when you’re most contagious (see figure below.)
• Not all infections result in a fever, so paying attention to other symptoms (cough, muscle aches, etc.) is important. The severity of symptoms is loosely connected to contagiousness.
• What does symptoms improving mean? CDC doesn’t define it, but some local health departments do: It’s when “a person no longer feels ill; they can do their daily routine just as they did before they were ill, and any remaining symptoms, such as a cough or runny nose, are very mild, or infrequent.”
• Phase 2: Use caution for five days after take additional precautions (e.g., wear a mask, use at-home Covid-19 tests before seeing grandma at the nursing home).
• This is important because people remain contagious beyond the “stay-at-home” period.

This is what it could look like in different scenarios:

Top figure from Nature. Bottom figures from CDC. Annotations by YLE (Your Local Epidemiologist)

Questions?

Reach out to Health Services 508-793-2276 or Kristin Gauthier, Public Health Nurse: kgauthier@holycross.edu

As students at the College of the Holy Cross, maintaining good health is essential for a successful academic journey. In our commitment to providing comprehensive health services, we have the Express STI Clinic—a convenient and confidential resource designed to support students in taking control of their sexual health.

Why an Express STI Clinic?

Understanding the importance of accessible and timely healthcare, the College of the Holy Cross has established the Express STI Clinic to address the specific needs of students. This clinic is dedicated to providing efficient and confidential testing for sexually transmitted infections (STIs), ensuring that students can prioritize their well-being without unnecessary hurdles.

Key Features of the Express STI Clinic:

1. Confidentiality and Privacy: The Express STI Clinic prioritizes confidentiality to create a safe and non-judgmental environment. Your privacy is of utmost importance, and our healthcare professionals are committed to maintaining the strictest confidentiality throughout the testing process.
2. Convenience: Recognizing the busy schedules of college students, the Express STI Clinic is designed for quick and efficient visits. With streamlined processes, you can receive the necessary testing and information without disrupting your academic commitments.
3. Comprehensive Testing Services: The clinic offers a range of testing services for common STIs, including chlamydia, gonorrhea and HIV as well as pregnancy tests, ensuring that students can access the care they need. No exam needed for any of the testing options. You choose the tests you want!
4. Education and Counseling: In addition to testing, the Express STI Clinic is committed to providing education services. Our healthcare professionals are available to answer questions, offer guidance on safe practices, and ensure that students are well-informed about their sexual health.

How to Utilize the Express STI Clinic:

Schedule an Appointment:  You can call our Health Services office or use the online scheduling portal to choose a time that fits your schedule.

Confidential Testing: Rest assured that the testing process is confidential, and your results will only be shared with you.

Our healthcare professionals are here to support you throughout the entire process. At the College of the Holy Cross, we believe that prioritizing your health is an integral part of your college experience. The Express STI Clinic is here to empower students to take control of their sexual health with convenience, confidentiality, and comprehensive care. By making these services readily available, we hope to contribute to a healthier and more informed student body.

Remember, your well-being matters, and the Express STI Clinic is here to support you on your journey to overall health and success.

January is Cervical Cancer Awareness Month and it serves as an important reminder of the significance of education, prevention, and early detection in combating this disease. It is crucial for us to understand the impact of cervical cancer and take proactive steps to protect ourselves and support others.

What is Cervical Cancer?

Cervical cancer is a type of cancer that develops in the cells lining the cervix, the lower part of the uterus that connects to the vagina. In many cases, cervical cancer is caused by the human papillomavirus (HPV), a common sexually transmitted infection. While HPV is prevalent, not all strains of the virus lead to cervical cancer. However, certain high-risk strains, if left undetected or untreated, can cause changes in cervical cells that may eventually develop into cancer.

Why is Awareness Important?

Awareness plays a critical role in the fight against cervical cancer. Many cases of cervical cancer can be prevented through vaccination against HPV, regular screenings such as Pap tests and HPV tests, and practicing safe sex. By understanding the risk factors, symptoms, and available preventive measures, individuals can make informed decisions about their health and take proactive steps to reduce their risk of developing cervical cancer.

Empowering Ourselves and Others

As college students, we have the power to advocate for our health and the health of those around us. Here are some ways we can get involved and make a difference during Cervical Cancer Awareness Month and beyond:

1. Educate Yourself: Take the time to learn about cervical cancer, its risk factors, symptoms, and prevention strategies. Knowledge is empowering and can help you make informed decisions about your health.
2. Promote Vaccination: Encourage fellow students to consider getting vaccinated against HPV if they haven’t already. HPV vaccination is safe, effective, and can significantly reduce the risk of cervical cancer and other HPV-related diseases.
3. Support Screening Initiatives: Spread the word about the importance of regular cervical cancer screenings. Remind friends and classmates to schedule their Pap tests and HPV tests as recommended by healthcare providers.
4. Advocate for Accessible Healthcare: Advocate for accessible healthcare services on campus and in the community, including affordable screenings and vaccinations for cervical cancer prevention.
5. Raise Awareness: Use your voice and platform to raise awareness about cervical cancer through social media, campus events, and educational initiatives. Encourage open discussions about sexual health and cancer prevention.

As members of the College of the Holy Cross community, let’s come together to raise awareness, support one another, and empower ourselves with knowledge during Cervical Cancer Awareness Month. By taking proactive steps to understand cervical cancer and promote prevention strategies, we can make a meaningful impact in the fight against this disease.

Remember, your health matters, and by prioritizing preventive care and advocating for accessible healthcare resources, we can work towards a future where cervical cancer is no longer a threat.

Together, let’s stand in solidarity with all those affected by cervical cancer and strive to create a healthier, more informed community.

Your Health Services Team