How Not to Get Sick ¨ç

The road to wellness begins in childhood and twists and turns over time.
TIME June 14, 2009.
76. How Not to Get Sick

The road to wellness begins in childhood and twists and turns over time.

76-1-365

Childhood 0-12
Get all of the recommended vaccinations. 'All of them,' says Dr. Joseph Hagan, a clinical professor of pediatrics at the University of Vermont College of Medicine. For children 12 or younger, these include hepatitis A and B, DTaP (diphtheria, tetanus and pertussis), varicella and polio. For girls ages 11 and older, the Centers for Disease Control and Prevention (CDC) recommends the human papillomavirus vaccine. (The CDC website has a comprehensive schedule of vaccinations.) Pediatricians advise tracking children's body mass index, or BMI, the main indicator of healthy body weightscreening for anemia and autism before age 2and checking for high cholesterol before age 10. New guidelines from the American Academy of Pediatrics suggest considering cholesterol-lowering drugs for kids at high risk of heart disease as young as age 8.

Adolescence 13-18
'Adolescents should have yearly checkups,' says Dr. Michael Weitzman, a professor of pediatrics and psychiatry at NYU's Langone Medical Center. They should also up-date their inoculations including a tetanus booster, the annual flu vaccine and, especially for college-bound kids, the meningitis vaccine. Additionally, the American College of Obstetricians and Gynecologists recommends that teenage girls have their first gynecologic visit when they are 13 to 15, and if they haven't done so yet, get the human papillomavirus vaccine.

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Young Adulthood 19-35
'Patients really should be empowered,' says Dr. David Katz, director of the Prevention Research Center at Yale University School of Medicine. 'You shouldn't assume that your doctor knows everything he or she should know.' So preserving your good health means educating yourself. The U.S. Preventive Services Task Force maintains comprehensive guides to the latest recommendations for disease prevention, which include blood-pressure screenings for all adults over 18, cervical-cancer screenings for all sexually active women, and counseling to help you quit smoking and keep a healthy weight and consume alcohol moderately, among other good habits.

Middle Adulthood 36-59
Your list of recommended medical tests is about to get longer: the U.S. Preventive Services Task Force says men should get their cholesterol checked regularly after age 35 women, after 45 and talk to the doctor about lipid-lowering medication if necessary. At age 40, women should begin getting mammograms every one to two years. (Women with a family history or other breast-cancer risk factors may start earlier.) The American Cancer Society advises doctors to discuss prostate-cancer screening although its utility is still being debated by medical experts with patients at age 50, or younger if they are at high risk for the disease.

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