Category: Family Health

  • Histoplasmosis and Work | Histoplasmosis

    Histoplasmosis and Work | Histoplasmosis

    Overview

    Histoplasmosis is an infection caused by a fungus called Histoplasma. Anyone who works with or near material contaminated with Histoplasma can develop histoplasmosis.

    The fungus lives in the environment, particularly in soil that contains large amounts of bird or bat droppings. People can get histoplasmosis after breathing in the microscopic fungal spores (also known as conidia) from the air.

    Most people exposed to Histoplasma never have symptoms. For people who do get sick, the severity of histoplasmosis varies widely. The severity depends on:

    • The amount and length of the exposure.
    • If the person is at higher risk for developing the severe forms.

    Symptoms of histoplasmosis usually appear between 3 and 17 days after a person breathes in the fungal spores. Common symptoms include fever, cough, and fatigue.

    What to do

    What to do if you are exposed at your workplace

    If you think you’ve been exposed to Histoplasma at work, you should contact:

    • Your crew leader or supervisor.
    • Your occupational health or risk management department.

    If your workplace does not have these services, you should contact your local city, county, or state health department. We do not know if antifungal medication (prophylaxis) can prevent histoplasmosis after a workplace exposure. However, it can be considered for high-risk exposures.

    For more information about laboratory exposures to Histoplasma, please see Safety guidelines for laboratory workers who handle Histoplasma.

    What to do if you are sick

    If you think you have histoplasmosis after working in an area where Histoplasma is common:

    • Report your symptoms to your crew leader or supervisor.
    • Visit a healthcare provider, if needed.
    • Tell them you work in an area where Histoplasma is common.
    • Ask to be tested for histoplasmosis.

    People at increased risk

    Activities associated with histoplasmosis

    Environmental disruption of Histoplasma habitats is often a key factor associated with histoplasmosis outbreaks.1 It is also associated with isolated cases,2 although to a lesser extent. These activities include:

    • Disturbance of large accumulations of bird or bat droppings.
    • Soil disruption (digging or excavation).
    • Plant matter disruption (handling trees or landscaping).
    • Demolition, construction, or renovation.
    • Working in caves.

    Jobs associated with histoplasmosis

    In areas where Histoplasma is common, workers in some industries may be at higher risk for histoplasmosis:

    • Construction, demolition, and extraction occupations.
    • Agriculture and forestry industries.

    People who are also at risk include:

    • Workers in occupations or industries exposed to bird or bat droppings.
    • Those involved with activities that disrupt the environment.

    Most of what we know about jobs that may be related to a higher chance of getting sick comes from outbreak investigations. Approximately one-third of histoplasmosis outbreaks in the United States are work-related.1 However, outbreak-related histoplasmosis cases represent only a small fraction of overall known cases (about 5%).2 Examples of people affected by work-related histoplasmosis outbreaks include:1

    • Bridge workers.
    • Construction or demolition workers.
    • Farmers.
    • Landscapers or tree removal workers.
    • Microbiology laboratory workers.

    Histoplasmosis outbreaks have also affected people who were exposed in the workplace but not directly involved in activities that initiated the outbreak. For example, outbreaks affecting office building workers after construction or renovation.1

    Source link

  • Neuromyelitis optica spectrum disorder: MedlinePlus Medical Encyclopedia

    Neuromyelitis optica spectrum disorder: MedlinePlus Medical Encyclopedia

    Alobeidi F, Thurnher MM, Jäger HR. Non-tumoural spinal cord lesions. In: Adam A, Dixon AK, Gillard JH, Schaefer CM, eds. Grainger & Allison’s Diagnostic Radiology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 50.

    Fabian MT, Krieger SC, Lublin FD. Multiple sclerosis and other inflammatory demyelinating diseases of the central nervous system. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff’s Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 80.

    Gospe SM, Chen JJ, Bhatti MT. Neuromyelitis optica spectrum disorder and myelin oligodendrocyte glycoprotein associated disorder-optic neuritis: a comprehensive review of diagnosis and treatment. Eye (Lond). 2021;35(3):753-768. PMID: 33323985 pubmed.ncbi.nlm.nih.gov/33323985/.

    Source link

  • TB Prevention in Health Care Settings

    TB Prevention in Health Care Settings

    Source: Centers for Disease Control and Prevention
    Related MedlinePlus Pages: Occupational Health for Health Care Providers

    Source link

  • Zika Cases in the United States | Zika Virus

    Zika Cases in the United States | Zika Virus

    Background

    • Prior to 2014, very few travel-associated cases of Zika were identified in the United States.
    • In 2015 and 2016, large outbreaks of Zika virus occurred in the Americas, resulting in an increase in travel-associated cases in US states, widespread transmission in Puerto Rico and the US Virgin Islands, and limited local transmission in Florida and Texas.
    • In 2017, the number of reported Zika cases in the United States started to decline.
    • Since 2018, there have been no reports of Zika virus transmission by mosquitoes in the continental United States.
    • Since 2019, there have been no confirmed Zika cases reported from US territories.
    • CDC is notified of cases by state and local health departments using standard case definitions.

    Zika cases by year

    2026 U.S. Zika cases* reported to ArboNET

    Data are preliminary and subject to change. Data are current as of July 21, 2026.

    Year US States
    Locally acquired
    US States
    Travel-associated†
    US Territories
    Locally acquired††
    US Territories
    Travel-associated
    2026 0 6 0 0

    *Confirmed and probable disease cases
    †Cases acquired through other routes (e.g., laboratory transmission) are classified as travel-associated for reporting.
    ††Since 2019, all locally acquired cases of Zika in the US territories were diagnosed by antibody testing. Since antibodies against Zika virus can persist for years after infection, serology cannot distinguish between a recent or past infection. Additionally, Zika and dengue virus antibodies cross-react, making it difficult to diagnose which virus is the cause of the current illness. Since 2019, there have been no confirmed Zika virus disease cases reported from US territories.

    Historic U.S. Zika cases* reported to ArboNET, 2015–2025

    2025 data are preliminary and subject to change. Data are current as of June 2, 2026.

    Year US States
    Locally acquired
    US States
    Travel-associated†
    US Territories
    Locally acquired††
    US Territories
    Travel-associated
    2015 0 62 9 1
    2016 224‡ 4,944 36,367 145
    2017 7‡ 445 665 1
    2018 0 74 147 1
    2019 0 28 73 1
    2020 0 4 57 0
    2021 0 2 32 0
    2022 0 5 17 0
    2023 0 7 30 0
    2024 0 22 10 0
    2025 0 7 1 0

    *Confirmed and probable disease cases
    †Cases acquired through other routes (e.g., laboratory transmission) are classified as travel-associated for reporting.
    ††Since 2019, all locally acquired cases of Zika in the US territories were diagnosed by antibody testing. Since antibodies against Zika virus can persist for years after infection, serology cannot distinguish between a recent or past infection. Additionally, Zika and dengue virus antibodies cross-react, making it difficult to diagnose which virus is the cause of the current illness. Since 2019, there have been no confirmed Zika virus disease cases reported from US territories.
    ‡Locally acquired cases reported from Florida and Texas in 2016 and 2017

    Source link

  • Preparing for Wildfires | Wildfires

    Preparing for Wildfires | Wildfires

    Be prepared for wildfires

    Aerial view of a tree-filled community on a clear, sunny day.

    Take steps to be ready for a wildfire and prepare your home and landscaping to reduce your risk from a wildfire.

    Know your community’s evacuation plans.

    • Find several ways to leave your area.
    • Drive the evacuation routes and find shelter locations.
    • Have a plan for pets and livestock.

    Gather emergency supplies, including respirators.

    Can children wear respirators?

    Children ages 2 years and older can wear respirators and masks. However, NIOSH Approved respirators do not come in suitable sizes for very young children. Choose a comfortable respirator or mask that your child can wear properly. If a respirator or mask fits poorly or is uncomfortable, a child might take it off or wear it incorrectly (for example, pulling it down from their nose). This reduces the intended benefits.

    • Choose a size that fits over the child’s nose and under the chin but does not impair vision.
    • Follow the user instructions for the respirator or mask. These instructions may show how to make sure it fits properly.

    NIOSH Approved respirators and international respirators may be available in smaller sizes that fit children. However, manufacturers typically design them to be used by adults in workplaces. They may not have been tested for broad use in children.

    Infographic: Be Ready! Wildfires

    Download Infographic PDF: English | Español

    Plan to keep wildfire smoke outside.

    • Choose a room you can close off from outside air.
    • Set up a portable air cleaner or a filter to keep the air in this room cleaner even when it’s smoky outdoors or in the rest of your home.

    Schools and commercial buildings‎

    Keep track of fires near you.

    • Listen to the Emergency Alert System (EAS) and National Oceanic and Atmospheric Administration (NOAA) Weather Radio for emergency alerts.
    • Monitor fires in your area using mapping tools. AirNow’s Fire and Smoke Map has a map of fires throughout North America. NOAA’s Fire weather outlook page maps fire watches and warnings.

    Source link

  • How do oil spills impact people? Coastal Pollution Tutorial

    How do oil spills impact people? Coastal Pollution Tutorial


    A No Fishing sign in Prince George's County, Maryland.

    Oil spills can cause closures of recreational and commercial areas (Credit: NOAA).



    In addition to the lives that can be lost during an oil spill event (like the explosion that led to the Deepwater Horizon spill), spills can impact the livelihoods of communities that rely on commercial or subsistence fishing, tourism, or recreation.

    Recreational activities affected by the spill in the Gulf states impacted by Deepwater Horizon included boating, fishing, and beach-going experiences like swimming, surfing, and wildlife viewing. Some beaches and recreational fisheries were closed due to oiling and cleanup activities. A group of federal and state agencies, known as Trustees, were responsible for assessing the impact of the spill. The Trustees estimated that the spill impacted recreational activities from April 2010 through November 2011. During that time, the Deepwater Horizon spill caused the public to lose more than 16 million user days of boating, fishing, and beach-going experiences. Total recreational use damages due to the spill through November 2011 were estimated at $693.2 million.

    Deepwater Horizon also devastated the commercial fishing industry. The U.S. Bureau of Ocean Energy Management estimated that the spill caused a loss of between $7.5 million and $141.1 million in revenue for harvesters across the Gulf in the eight months following the oil spill. Many people rely on Gulf fisheries for their income, from the harvesters who catch the seafood to the restaurants who serve it. Across the seafood industry, Deepwater Horizon cost up to $952.9 million in total sales, up to $309.8 million in income, and as many as 9,315 jobs from May through December 2010.

    These economic impacts can also lead to health and emotional impacts. After the destruction of the Deepwater Horizon spill, the people in Gulf coast communities experienced increases in stress and depression. Residents worried about the economy, their way of life, and the stability of their communities. All of these factors play a role in affecting their health.


    Oil spills can cause stress or depression in people who live or work in affected areas (Credit: Florida Sea Grant/Anna Hinkeldey).

    Oil spills can cause stress or depression in people who live or work in affected areas (Credit: Florida Sea Grant/Anna Hinkeldey). View and print this infographic and see the description below.



    Indigenous communities—including Native American tribes, Alaska Natives, and Pacific Islanders—as well as other cultural groups have ties to natural resources that go beyond recreational or commercial activities.

    The Exxon Valdez oil spill fouled the critically important ecosystem of Prince William Sound, Alaska, with 11 million gallons of crude oil. Native peoples account for nearly a fifth of Alaska’s overall population. Alaska Native people and cultures stretch throughout the state, intertwined with the unique land and the waters that surround it, including Prince William Sound. This area is home to several of Alaska’s tribal groups, including Aleuts, Athapaskans, Eskimos, Eyaks, and Tlingits. It offers many natural and cultural resources these groups look to for both subsistence and to uphold their way of life.

    The Exxon Valdez oil spill significantly harmed these natural and cultural resources. A U.S. Department of the Interior study found that subsistence fishing and harvesting took a long time to recover in Prince William Sound. Wild foods harvested in the villages of Tatitlek and Chenega Bay declined from more than 600 pounds per person before the spill, to 225 pounds in 1989, and 150 pounds in 1990. Years later, harvests had still not recovered to pre-spill levels.

    Infographic Description

    This graphic shows a simple map of Louisiana, Mississippi, Alabama, and Florida, with text describing the mental health impacts of the Deepwater Horizon oil spill on communities in each of these states.

    • In Louisiana, the oil spill disrupted the work, school, and social life of some coastal residents, which resulted in symptoms of anxiety, depression, and posttraumatic stress.
    • In Mississippi, some coastal residents experienced worsened financial situations, social relationships, and health issues including more mentally unhealthy days compared to residents in the rest of the state.
    • In Alabama, some coastal residents felt stress, anxiety, and depression and had more mentally unhealthy days compared to residents in the rest of the state. Residents were also worried about air quality, safe seafood and their income or economic future.
    • In Florida, some coastal residents felt anxious and depressed especially if they experienced income loss from the spill. These feelings were observed even in areas where oil did not reach the shore.

    Beneath the map, there are three icons:

    • An off-shore oil rig labeled “Oil and gas.”
    • A plane and suitcase labeled “Tourism.”
    • And a fishing vessel labeled “Fishing.”

    These icons are accompanied by text reading, “Regionally, some coastal county residents reported decreased income, lost jobs, and a disruption in their work or family life, which resulted in mental health distress in themselves and their children. People that relied on the jobs connected to the Gulf were more likely to suffer from negative mental health symptoms after the oil spill. Of these industries, negative impacts were most common in fishing communities.”

    Key Takeaway: The Deepwater Horizon oil spill affected communities in many different ways, but all reported increased mental health concerns.

    Source link

  • Read “Oil in the Sea IV: Quick Guide for Practitioners and Researchers” at NAP.edu

    Read “Oil in the Sea IV: Quick Guide for Practitioners and Researchers” at NAP.edu

    especially following oil spills that contaminate highly productive coastal waters.

    Waves may disperse oil slicks into the water column, presenting contact and ingestion hazards for fish and suspension-feeding organisms. However, most oils are buoyant and rarely penetrate more than a few tens of meters into the water column and tend to return to the sea surface in calmer seas. Volatile components of oil present inhalation hazards for seabirds, turtles, and marine mammals that may lead to death. Oil driven toward shorelines presents contact or smothering hazards for organisms that inhabit or traverse the intertidal zone, which may lead to ingestion of oil or asphyxiation.

    In contrast, oil spills rarely lead to mass mortalities of fish or other organisms that inhabit subsurface waters. This is primarily because most components of oil do not readily dissolve into water, and those components that do dissolve usually are rapidly diluted to concentrations below acute toxicity thresholds. This rapid dilution results from dissolution of oil components from oil slicks that are typically less than 1 millimeter thick, into mixed water column layers that are typically tens of meters or more in thickness, indicating dilution factors on the order of 10,000 or more that are attained relatively rapidly. However, even diluted oil components can lead to a variety of adverse sublethal effects on marine organisms.

    In unusual cases, such as the 2010 DWH blowout in the northern Gulf of Mexico, oil may combine with sediment or other organic material and sink to the seafloor, where it accumulates and presents a contact and ingestion hazard to benthic organisms.

    The harmful effects of oil may go beyond the effects on an individual organism or species. Exposure to oil can launch a cascade of effects through different trophic levels within an ecosystem. For example, oiling can affect habitat quality, thereby reducing the availability of prey (see Figure 14). Food webs can also be disrupted if predators are

    Source link

  • Finding a New Normal: Life After a Natural Disaster | Natural Disasters

    Finding a New Normal: Life After a Natural Disaster | Natural Disasters

    Social Media Messages

    Pair these messages with the graphics below, and share them on Instagram, Snapchat, Twitter, and Facebook.

    Abby

    English: If you’ve been through a natural disaster, opening up to family and friends can help you feel better. Watch Abby’s story and learn more ways to cope at https://www.cdc.gov/disasters/teens.html. #LifeAfterDisaster

    Spanish: Si has pasado por un desastre natural, desahogarte con tus familiares y amigos puede ayudarte a sentirte mejor. Mira la historia de Abby y aprende más formas de sobrellevar la situación: https://www.cdc.gov/disasters/teens.html. #LaVidaTrasUnDesastre

    Alexis

    English: If you’ve been through a natural disaster, it’s totally normal to feel overwhelmed. Getting active and doing things you love can help you feel better. Watch Alexis’s story and learn more ways to cope at https://www.cdc.gov/disasters/teens.html. #LifeAfterDisaster

    Spanish: Si has pasado por un desastre natural, es totalmente normal que te sientas abrumado. Mantenerte activo y hacer las cosas que te gustan puede ayudarte a sentirte mejor. Mira la historia de Alexis y aprende más formas de sobrellevar la situación: https://www.cdc.gov/disasters/teens.html. #LaVidaTrasUnDesastre

    Jaylon

    English: If you’ve been through a natural disaster, remember that you’re not alone. Watch Jaylon’s story and learn ways to feel better at https://www.cdc.gov/disasters/teens.html. #LifeAfterDisaster

    Spanish: Si te ha tocado vivir un desastre natural, recuerda que no estás solo. Mira la historia de Jaylon y aprende formas de sentirte mejor: https://www.cdc.gov/disasters/teens.html. #LaVidaTrasUnDesastre

    Mariana

    English: If you’ve been through a natural disaster, spend time with the people you love — and do what you can to help others. Watch Mariana’s story and learn ways to help at https://www.cdc.gov/disasters/teens.html. #LifeAfterDisaster

    Spanish: Si has pasado por un desastre natural, pasa tiempo con las personas que te aman y haz lo que puedas para ayudar a los demás. Mira la historia de Mariana y aprende formas de ayudar: https://www.cdc.gov/disasters/teens.html. #LaVidaTrasUnDesastre

    Posters

    Help your peers in school or other teens in your community by sharing the posters below. Ask your teachers, school administrators, religious leaders, or others in your community to post these on bulletin boards, in classrooms, or other places where teens might see them.

    Abby poster

    Abby

    Download Poster in English
    or Spanish

    Alexis poster

    Alexis

    Download Poster in English
    or Spanish

    Jaylon poster

    Jaylon

    Download Poster in English
    or Spanish

    Mariana poster

    Mariana

    Download Poster in English
    or Spanish

    Source link

  • Practical tips and simple exercises to prevent neck pain

    Practical tips and simple exercises to prevent neck pain

    A man sitting at a desk in an office grimaces in pain as he holds a hand to one side of his neck.

    Neck pain is a common problem that affects people of all ages, often disrupting daily life. Thankfully, many cases of neck pain can be avoided with some simple lifestyle changes and targeted exercises.

    Common causes of neck pain

    Everyday stressors on the neck are often enough to trigger discomfort. Common culprits include:

    • Poor posture. Sitting or standing with your head and shoulders forward puts extra strain on your neck muscles.
    • Extended screen time. Looking down at phones, tablets, or computer screens for long periods can cause “tech neck.”
    • Inadequate sleep support. Using a pillow that’s too high or too flat may lead to neck stiffness.
    • Stress and tension. Emotional stress can cause you to unconsciously tighten your neck and shoulder muscles.
    • Repetitive movements. Jobs or activities that involve repetitive motions can strain the neck over time.

    Adjustments to alleviate these stressors can often prevent neck pain that could result from them.

    Ergonomic adjustments to keep neck pain at bay

    Ergonomics is the science of designing tools, spaces, and tasks in a way that reduces strain on the body. Making simple ergonomic changes to your workspace and daily activities can significantly reduce neck strain. Consider these tips:

    • Adjust your screen height. Position your computer monitor at eye level so you don’t have to look up or down. Portable laptop stands or laptop desks can elevate your laptop to a more ergonomic height and angle, whether you’re sitting on a couch, lounging in bed, or working at a desk or table.
    • Use a headset. Avoid cradling your phone between your ear and shoulder by using a headset, earbuds, headphones, or a speakerphone.
    • Support your lower back. Sit in a chair with good lumbar support, or use a small pillow to maintain the natural curve of your spine.
    • Keep your feet flat. Ensure your feet are flat on the floor while sitting, with your knees at a 90-degree angle.
    • Take regular breaks. Every 30 minutes, stand up, stretch, or move around to avoid stiffness.

    For personalized recommendations, consult a physical or occupational therapist who can evaluate your posture and body mechanics and teach you how to perform work tasks, household chores, and recreational activities in a way that minimizes neck strain.

    Mind your posture to prevent neck pain

    How you carry yourself can either prevent or contribute to neck pain. To avoid strain, aim to keep your head in a neutral position, balanced directly over your spine. This reduces stress on your neck muscles, which support the weight of your head (around 10 to 12 pounds). Tilting your head forward, even slightly, can dramatically increase the load on your neck, leading to a painful condition often referred to as “text neck.”

    Beyond the head and neck, the posture of your entire body plays a crucial role in preventing neck discomfort. Here are some additional posture tips to incorporate into your routine.

    • Keep your body in proper alignment. When standing or sitting, keep your ears directly over your shoulders to avoid forward head posture. When standing or walking, proper alignment means that, from a side view, an imaginary straight line can pass through your ear, shoulder, hip, knee, and ankle.
    • Don’t forget your shoulders. Keep your shoulders level and aligned – not pulled back or slouched forward. Relax your shoulders by rolling them back and down to prevent tension from building up.
    • Engage your core. A strong core supports your upper body and helps maintain good posture. When standing or walking, actively engage your core. One way to do this is by imagining that you are preparing to counter a push from the front, side, or back.

    Practicing good posture may feel awkward at first, but over time it may become second nature.

    Neck-friendly modifications for exercise and hobbies

    Growing research shows that targeted exercises – and regular physical activity overall – can aid in disrupting persistent neck pain and promote faster recovery from neck injuries. But certain exercises and hobbies can inadvertently strain your neck if done incorrectly. To protect your neck:

    • Use ergonomic tools when gardening. Opt for tools with long handles to minimize bending and straining your neck. It can also help to regularly stand up, stretch, and change positions to prevent prolonged neck strain.
    • Maintain good posture and wear supportive gear while running or walking. Keep your head balanced over your spine, avoid leaning forward, and relax your shoulders to reduce neck strain. Wear supportive shoes to minimize impact and reduce the risk of neck discomfort.
    • Modify your bicycling position. Opt for a bicycle with upright handlebars to maintain a more comfortable neck position. Keep your shoulder blades down and back. Alternatively, consider a recumbent bike, which allows you to sit in a reclined position with back support and legs extended forward, reducing strain on your neck and back.

    Stretching exercises to prevent neck pain

    Performing neck stretches can alleviate muscle tightness and maintain or enhance your neck’s range of motion. Here are some easy stretches to try.

    • Neck tilts. Sit or stand upright. Slowly tilt your head toward your right shoulder, holding for 10 to 15 seconds. Return to center and repeat on the left side. Repeat five times on each side.
    • Chin tucks and extensions. While sitting or standing, gently tuck your chin toward your chest and hold for 10 seconds. Then gently extend your neck to look upward for 10 seconds. Repeat five times.
    • Side-to-side rotations. Turn your head to look over your right shoulder, hold for 10 seconds, then switch to the left. Repeat five times on each side.
    • Shoulder rolls. Roll your shoulders forward five times, then backward five times, in a circular motion to release tension.

    You should experience a gentle stretch – but not feel pain – when you engage in these stretches.

    When to see a doctor

    If you experience persistent or severe pain, numbness, tingling, or weakness in your neck, shoulders, or arms, it’s time to consult a doctor. These symptoms could indicate a more serious condition, such as a pinched nerve, herniated disc, or underlying illness. If neck pain is accompanied by fever, unexplained weight loss, or difficulty moving, seek immediate medical attention.

    Source link

  • Health Care Providers: Cardiologists | Nemours KidsHealth

    Health Care Providers: Cardiologists | Nemours KidsHealth



    What Is Cardiology?

    Cardiology (kar-dee-OL-uh-jee) is the medical specialty that diagnosis and treats diseases and problems of the cardiovascular system (the heart and blood vessels). 

    What Is a Cardiologist?

    A cardiologist (kar-dee-OL-uh-jist) is a doctor who diagnoses and treats medical problems that affect the heart and blood vessels.

    Why Would Someone Need One?

    Cardiologists provide care for people with problems such as:

    They do medical tests and procedures such as:

    What Is Their Training?

    Cardiologist training usually includes:

    • 4 years of pre-medical education at a college or university
    • 4 years of medical school — a medical degree (MD) or doctor of osteopathic medicine (DO) degree
    • 3 years of training in a pediatric residency program
    • 3 years of training in a pediatric cardiology fellowship. A “fellow” is a doctor who undergoes more specialty training after completing medical school and a residency.

    They also might have:

    • expertise in a subspecialty area (for example, focusing on heart transplants)

    Good to Know

    Doctors who might refer a baby or child to see a cardiologist include:

    Date reviewed: September 2022



    Source link