Last Chance to Enter Kollel Nachlas Yaakov’s Raffle! Drawing April 10th!
Visit http://pay.banquest.com/knyraffle to enter!
Public Email About the Measles Outbreak Sent by Senders Pediatrics
Dear Families,
Measles, a highly contagious respiratory disease characterized by a high fever and rash, has made a resurgence in the United States in 2019. Unlike previous outbreaks which have been very localized, this year’s outbreaks have been in 7 distinct areas in the country from New York to California and most recently in the Detroit, Michigan area, making the likelihood of spread that much greater. Thought to have been eradicated as recently as 2000, in just the first 3 months of this year, over 400 cases have been identified nationwide compared to just 86 cases in the entire 2016. Measles is one of the most contagious of viral infections with 90% of unprotected individuals likely to contract it. With increased travel likely over the next few weeks because of the Easter and Passover holidays, the potential for patients of our practice and others in this area to come in contact with someone with measles is that much greater. There are many recommendations floating around the internet, some from lay individuals with unfortunate exposure to the disease. After discussion with personal contacts at the Centers for Disease Control and Prevention (CDC) and local infectious disease experts, we have prepared a measles exposure and vaccination guideline for our patients and their families. We will revise it as more information becomes available.
What is the history of measles? Measles is a viral infection that was first described in the 9th century. In the decade before the first measles vaccine was developed in 1963, almost every child contracted measles by age 15 with an average of 3-4 million cases each year. In the 1950s, per year, there were an average of 500 deaths, 1000 cases of encephalitis (brain swelling) and 48,000 hospitalizations. Widespread vaccination with the measles vaccine and, in 1971, with the combined measles, mumps and rubella vaccine (MMRI), led to an 80% reduction in cases by 1981. A second vaccination dose was added to the schedule in 1989 and by 2000, measles was declared eradicated in the United States although it continued to spread in the international community.
Why is this year different? Because of global travel and an unfortunate and untrue campaign in the anti-vaccine community to identify the MMR with autism, there have been sporadic outbreaks in the United States over the past decade. Because measles is so contagious, it can very rapidly spread in close knit communities and areas of close personal contact. In the past, there have been outbreaks in the Amish, Micronesian and Fillipino communities as well as in travelers to the Disney theme park in California and attendees at the FIFO World Cup finals in Brazil. This year, the largest outbreaks have been in Orthodox Jewish communities in New York, New Jersey and Michigan. Health authority officials have been quick to respond, declaring a health emergency in one NY county with a large unvaccinated population. Religious authorities in outbreak areas have responded with an unprecedented and largely successful push to vaccinate all children. While there has been no measles outbreak in the greater Cleveland area, Cleveland area religious schools have also taken a strong pro vaccination stance.
Who is at risk:
- Children and adolescents who have received 2 dose of MMR: These children are at little risk. The CDC considers all children who have received 2 doses of MMR to be protected even when exposed to an active case of measles. MMR is typically given at 12 months and at 4 or 5 years prior to kindergarten. If you child has received 2 doses of MMR, there should be no worry about travelling anywhere in the continental US or abroad. In our practice, almost all children over the age of 6 have received 2 doses of MMR.
- Children who have received only 1 dose of MMR: Because there is likely to be widespread travel in and out of Cleveland over the Easter and Passover season, we are recommending a second dose of MMR to this category of children. The second dose can be administered as early as 30 days after the first. Please call the office to schedule a medical assistant appointment.
- Children under 1 year: MMR is not as effective under one year. The CDC and local health authorities are not recommending giving an early MMR to most Cleveland children. However, if you know you are going to an area with an active outbreak (such as Rockland, County NY or Detroit, Michigan), our CDC contact is recommending giving an early MMR vaccine between 6-12 months. Please be aware that such children will need to get 3 MMR vaccines for permanent protection.
- Adults born between 1957-1989: Adults born during this period are likely to have received only one MMR. While there is little evidence of waning immunity over time, one dose of MMR is only protective 93% of the time. Unless you have documentation of a second MMR, adults born during these years should receive a second MMR. As with Tdap and influenza, we are happy to provide an MMR to adult parents of our patients. Please call the office to schedule a medical assistant appointment.
- Adults who want to check their immunization status prior to vaccination: The CDC is not recommending this step. If you have only received one dose of MMR, you should get a second dose. For those who would prefer to know their immunization status, we are happy to help. Please schedule a brief measles titer visit and we will draw your blood and report your results.
What clinical signs should I be looking for? Measles looks like many other viral infections with a high fever and a rash and red eyes. Remember the old adage. If you hear hoof beats outside your window, it could be a zebra but it is likely to be a horse. If your child has been vaccinated with two doses of MMR, it is not necessary for him/her to be seen with a fever and a rash. Conjunctivitis or red, draining eyes, is almost never caused by measles. If you are unsure about what to do, we are happy to speak to you (216.291.9210) and to see you in the office.
Messages from Chef Dave Frank and from Larry and Malkie Frank
For the past 8 years, Chef Dave’s Catering has been more than my world – it’s been my identity. I’ve come in to the kitchen every single day and have felt deeply happy to be there. The joy and passion I’ve been putting in to what I do day in and day out – the processes, methods, systems, standards and successes have been the focus of my energy.
For personal reasons, I will be stepping away from Chef Dave’s Catering and the food industry. Effective immediately, Larry will be taking over all business operations and will ensure fulfillment of all Pesach orders to the level of quality that you have come to expect.
I am truly grateful and appreciative to my brother Larry, Young Israel, Green Road Synagogue and to this amazing community for giving me what has been an absolute privilege.
Sincerely,
Chef Dave Frank
We are in the process of developing a plan for the business going forward and will update you as that plan unfolds.
Please know that your Pesach orders will be fulfilled as expected, with the same quality and freshness you have come to expect.
We thank you for your patience, understanding and continued support during this transition.
Larry & Malkie Frank
Fill the Bag at CB’s Shuk! Two Options: You Choose!
Mika’s Pre-Passover and Passover Hours
Maltz Museum Children’s Magic Show Event, Sunday, April 7th!
Morah Shayna’s Kindercamp is Back For Our Tenth Amazing Year!
Camp Sunshine is Back!
Come and Browse Our Beautiful Selection at Biancheria Linen Shoppe
Pesach Cleaning Specials for Chimney Sweep, House Cleaning, Air Ducts, Carpet Cleaning, Upholstery and more!
Serving the Jewish community for a very long time with many references!
My name is David Zilberman and I am happy to serve the Cleveland Orthodox Jewish community. Please call me at 216-312-6371 (office) or 216-512-2211 (cellphone) with any questions or to arrange service.
I also have some amazing cleaning ladies (they are American and speak English). They are very professional, experienced, reliable, efficient and friendly with Many references in our community. We do provide our own cleaning supplies so that you don’t have to spend any money on that. And we do also guarantee your service, so if you are not 100% satisfied we will refund the money right back to you (which we have never had to do that, so I am very confident in my ladies)
Serving Cleveland and surrounding areas. Shomer Shabbat.
Visit my website, see my reviews on jobs referral sites, or on Google.
And my cleaning ladies reviews on jobs referral site Homeadvisor.
Pre-Passover Makeup Specials at Mika’s!
Head Shoulders Toes and Bows Yom Tov Hours
Yeshiva Derech Hatorah Positions Available
Substitute positions available for the remainder of the 2018 – 2019 school year, afternoon session.
For School Year 2019 – 2020
Elementary Teaching and Substitute positions available, afternoon session. Teacher’s License or BA required. Also seeking:
- School Psychologist
- Social Worker
- Office positions
- Girls High School Gym Teacher
Email jobs@ydtcleveland.org.
Matan B’sayser is Accepting Donations of Chometz Items
10% Off Your Makeup Order AND Free Lip Lock or Shadow Magnet With Your $50 Purchase!* Free Shipping!
Fill the Bag at CB’s Shuk! Two Options: You Choose!
4 Homes For Sale in Cleveland Heights!
Finally! Long Lasting Kosher for Passover Lipstick and Cosmetics Delivered to Your Door by the Cosmetic Corner! 10% Off Until April 5th!
Refinance Today With Raphael Schnall Mortgage Banker
Please Pick Up Your Matzah Order Baked By Harav Blum Shlita April 10 & 11 (New Orders Still Accepted)
Please pick up your Pupa / Tzailem or Satmar Shemurah Matzah order at Khal Yereim Beis Medrash (1771 S. Taylor Rd. at the corner of Shannon Rd.)
- For families M-Z: Wednesday, April 10th.
- For families A – L: Thursday, April 11th.
Official hours:
- Men & Women – 6:30pm – 7:40pm & 8:45pm – 10:45 pm (Lines are longest at openings. Occasionally there are no lines later in the evening.)
- Women only – Thursday, April 11th from 5:00pm – 6:00 pm
University Heights House for Rent/Sale
Ziggy’s Pesach Car Cleaning Service!
Tip Top Cleaners Yom Tov Schedule
Tax Returns Prepared by MZ Accounting & Consulting LLC
- There’s still time to get your tax return filed by the April 15th deadline
- Maximize your refund
- Personalized service
- Just call or text 216-333-4927 mordechai@
mzimbergcpa.com
Head Shoulders Toes and Bows Hours This Week, 3/31-4/6
10% Off Your Makeup Order AND Free Lip Lock or Shadow Magnet With Your $50 Purchase!* Free Shipping!
Join Our Growing Team!
Immediate position available in a fast-paced office. Seeking capable and efficient individual with ability to multi-task. Computer and phone skills a must. No experience needed; will train. Great work environment! Competitive salary commensurate with experience. Please contact 516-259-0009 x247.
Matan B’sayser is Accepting Donations of Chometz Items
House for Sale in Cleveland Heights
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