Just try some of the following suggestions and find out how simple it is to do five-a-day!

MORNING

LUNCH

SNACK

DINNER

Reprinted with permission Murray-Calloway County Hospital. Vitality Magazine , Summer 1997, pp. 11-12.

Hepatitis B

Hepatitis B is a serious bloodborne infection caused by the hepatitis B virus. Hepatitis B is one of several types of hepatitis, including hepatitis A and hepatitis C, that cause inflammation or injury of the liver.

"Worldwide, hepatitis B is a significant public health problem. In Southeast Asia , China , and Africa , more than half the population becomes infected with the virus at some time during their lives, and about 8 percent are chronic carriers. In these areas, transmission from mother to child and among young children is common. In North America and Western Europe , where the disease is less common, it is usually transmitted from one adult to another. The World Health Organization estimates that 400 million people are now infected, and that the number of new infections, will keep increasing until vaccination of infants is a universally established practice." (Hepatitis A to G, Berkman and Bakalar, 2000.)

There are two forms of hepatitis B, acute and chronic. Symptoms of acute hepatitis B are unpleasant, but if you recover you are likely to be immune from then on. Unfortunately, sometimes the acute disease progresses to the chronic form.

Symptoms of acute hepatitis B come on gradually, initially resembling the flu, including loss of appetite, nausea and vomiting, fever, muscle and joint pain, and weakness. There may also be symptoms that are more directly related to the liver: right upper quadrant abdominal pain, dark urine, and jaundice (yellowing of the skin and white of eyes).

Most people recover completely from acute hepatitis B infection, but some develop more severe symptoms that can lead to death. In the United States , about 350 - 450 people die per year. Some people will become carriers of hepatitis B for the rest of their lives with the ability to infect others. Others go on to have chronic liver disease. A carrier or someone with chronic liver disease may progress to cirrhosis or liver cancer.

How Does Someone Contract Hepatitis B?

Hepatitis B is transmitted exactly the same way as HIV is transmitted and is much more contagious than HIV.

Hepatitis Vaccine - Who Should Get It and Is It Safe

An effective vaccine to prevent this serious infection has been available since 1981. A series of three shots given over 6 months will protect most people from getting hepatitis B, and from the related liver diseases that can develop in persons infected with this virus.

The U.S. Public Health Service, The American Academy of Pediatrics and the World Health Organization all recommend that all children, and any adult who potentially may have exposure to hepatitis B infection, be vaccinated. The American College Health Association recommends that all college students be vaccinated for hepatitis B. For more information on when this immunization should be administered, see the current recommended childhood and adolescent immunization schedule and the adult schedule from the Centers for Disease Control.

The hepatitis B vaccine is administered in three separate doses by an injection in the shoulder for adults or the thigh for infants. The second dose is given one month after the first, and the third dose six months after that. This dose schedule is used for adults and children alike, but the doses vary by age. Should you miss a dose at its regularly scheduled time, you can take the dose later without starting the series over. It is thought that even one dose of the vaccine confers some immunity.

The cost of hepatitis B vaccine may vary widely (in some areas up to $225 for the three doses of vaccine). Some state health departments offer the vaccine; we recommend that you check with your local health department if you choose to have the vaccine. In Kentucky, hepatitis B vaccine is offered through the public health departments for a nominal fee up to age 18. After age 18, the adult hepatitis vaccine is required and the person requesting immunization must go through a private health care provider.

Side Effects of the Vaccine

The vaccine is considered safe and has very few side effects of any kind. Pain at the injection site and a mild temperature elevation are most common results of the vaccine if any occur.

People with moderate to severe illness should not be vaccinated until their conditions improve, but if you have only a cold or a minor upper respiratory infection you can still be vaccinated safely. Since the vaccine contains no virus, it can be given even to people with compromised immune systems, such as those suffering from HIV infection.

Sometimes the vaccine does not produce the expected antibodies in the blood (does not provide immunity). This is rare, but when it happens, the person should be vaccinated again. An additional dose provides immunity for 15 to 20 % of non-responders, and an additional three doses produce the desired result in 30 to 50%. Certain factors are associated with failure (although the vast majority, even in these groups responds to the vaccine) to respond to the hepatitis B virus (HBV) vaccine:

The Seven Dimensions of Wellness

Social

The seven dimensions of wellness are a holistic approach with all dimensions inter-related.
BALANCE IS THE KEY!

American College Health Association Position Statement on
Tobacco for College and University Campuses

The American College Health Association (ACHA) acknowledges and supports the findings of the Surgeon General that tobacco use in any form, active and/or passive, is a significant health hazard. ACHA further recognizes that environmental tobacco smoke has been classified as a Class-A carcinogen. In light of these health risks, the American College Health Association has adopted a NO TOBACCO USE policy and encourages colleges and universities to be diligent in their efforts to achieve a campus-wide tobacco-free environment.

ACHA joins with other professional health associations in promoting tobacco-free environments. According to the ACHA-National College Health Assessement conducted in spring 2004, 79% of college students describe themselves as non-smokers (never smoked or have not smoked in the last 30 days); 97% describe themselves as non-users of smokeless tobacco (never used or have not used in the last 30 days). ACHA supports the health goals of the U.S. Public Health Service (USPHS) to reduce the proportion of adults who smoke to below 12% by the year 2010 and to positively influence America's college students to help them remain or become tobacco-free.

Efforts to promote tobacco-free environments have led to substantial reductions in the number of people who smoke, the amount of tobacco products consumed, and the number of people exposed to environmental tobacco hazard. ACHA acknowledges that achieving a tobacco-free environment requires strong leadership and support from all members of the campus community. Because the improvements to health can be so significant, ACHA recommends the following steps be taken to address policy, prevention and cessation as it pertains to tobacco issues:

Cigarettes - Enemies of a Healthy Heart

Although most people know that cigarette smoking can cause lung cancer, they often don't realize that cigarettes are a major risk factor for heart disease. Most Health care providers agree that the first step in fighting heart problems is to quit smoking.

The nicotine in cigarette smoke acts as a stimulant, making the heart beat faster and raising the blood pressure. At the same time, nicotine causes the arteries to shrink up, which interferes with the flow of blood in the body and makes the heart work even harder.

Smoking also releases carbon monoxide into the body which lowers the amount of oxygen in the blood. As a result, the heart has to work harder to supply the oxygen the body needs. Under these conditions, normal activities can make a person breathless and strenuous activity may become impossible.

Smoking also makes the blood thick and sticky, so it's easier for clots to form in the arteries, leading the heart attacks or other life-threatening situations.

Smoking can also severely damage blood vessels by causing fatty deposits to build up in the walls of the arteries. Clogged arteries make it difficult for the heart to get the oxygen it needs, putting a severe strain on the heart. In severely narrowed arteries, a clot can totally cut off the circulation, a condition that can be fatal.

The clear message is that smoking seriously increases a person's risk for heart attacks, strokes, circulatory diseases in the extremities, chronic lung diseases and other forms of heart disease. But this risk factor can be completely controlled. When you stop smoking, you immediately improve your health and your chances for a longer life.

If you've tried to quit and can't, ask your Health care provider for advice on safe and effective methods or for a referral to a local program that may suit your medical and personal needs.

Human Immunodeficiency Virus

The virus that causes AIDS is called human immunodeficiency virus (HIV). Having HIV infection is not the same as having AIDS. HIV causes a specturm of conditions and symptoms.

People who have HIV infection may not have symptoms for many years, especially if they receive good medical care and effective therapies.

Transmission of HIV

HIV is a fragile virus and does not survive long enough outside the body to be caught from the air, or in water, or off objects and surfaces. It is transmitted by semen, and pre-ejaculatory fluid, blood and blood products, vaginal fluids, and breast milk. HIV is not transmitted by saliva, sweat, tears or urine. HIV is NOT transmitted by casual contact.

HIV can be transmitted:

sexual contact
- Anal & Vaginal Intercourse
- Oral Sex (oral-genital contact) - risk is lower
direct exposure to infected blood
- Needle sharing
- Blood and blood product transfusions (NOT DONATIONS)
- Occupational transmission - inadvertent needle sticks
from an HIV-infected woman to her fetus during pregnancy or childbirth
from an HIV-infected woman to her infant during breastfeeding.

Symptoms of HIV Infection

Most people in the early stages of HIV infection don't have any obvious symptoms. When symptoms do develop, they are usually similar at first to those of common minor illnesses, such as the "flu," except that they last longer and are more severe. Persistant tiredness, unexplained fevers, recurring night sweats, prolonged enlargement of the lymph nodes (glands), and weight loss are all common.

Prevention

You can reduce your risk of acquiring HIV by:

Making Careful Choices About Sexual Activity
- Abstaining from anal, vaginal, or oral sexual intercourse provides 100% protection against the sexual transmission of HIV and other sexually transmitted infections.
- If you do have sexual activity, remember, specific sexual practices are just as important as the number of partners you have - having unprotected sex with just one or two partners may be more likely to result in HIV transmission that safer sex with several partners.
Plan to protect yourself. Decisions about sexual activity should be active ones - don't let one thing lead to another.
Communicate assertively witha your sexual partner and negotiate for safer sexual practices.
Remove alcohol and drugs from sexual activity.
Use latex condoms for sexual activity.
- Although condoms do not provide 100% protections against transmitting or acquiring HIV, they are highly effective if they are used correctly each time you have intercourse!

For more information on HIV and AIDS, you may come into Health Services or talk with staff at a local Health Department.

-Information from brochure, "HIV Infection and AIDS: What Everyone Should Know" American College Health Association

HIV Testing

What many people call the "AIDS test" is not a test for AIDS at all, but for antibodies to the virus that causes AIDS, the human immunodeficiency virus (HIV) . The immune system reacts to HIV infection by producing antibodies that fight HIV. The test detects these antibodies. Therefore, the test is accurately called the "HIV antibody test."

Deciding whether to be tested can be complicated. It is a very personal decision that should be made only after you understand what the results mean. We have brochures at Health Services that explain the HIV antibody test. Please feel free to pick one up.

If you are considering being tested, it is important to talk with a qualified and experienced counselor or health care provider. Calloway County Health Department will provide HIV testing for a nominal cost. To schedule an appointment - call 270-753-3381.

Meningococcal Fact Sheet

What is meningitis?

Meningitis is an inflammation of the lining surrounding the brain and spinal cord. This condition can be caused by several different organisms such as bacteria and viruses.

Viral meningitis is more common and usually occurs in the late Summer and early Fall. Viral meningitis can be caused by several different viruses. Viral meningitis may follow another viral illness such as infectious mono, influenza, or mumps. It is spread by discharges from the nose and throat. Because close intimate contact is required for infection, it is not nearly as contagious as the common cold or influenza.

Symptoms primarily include a sudden onset of fever, headache and a stiff neck. Sometimes, abdominal discomfort, chest pain, or a rash will be present. The central nervous system may be involved with possible alteration of consciousness or paralysis; however, these more serious conditions are infrequent. Most cases of viral meningitis run a short, uneventful course. Since this is a virus (like the common cold), antibiotics are not effective. Likewise, persons who have had contact with viral meningitis patients do not require any treatment.

Research suggests that the host's health status and ability to resist disease, rather than viral factors, play an important determining role. A lifestyle that helps keep the immune system as strong as possible with a balanced diet, adequate rest and sleep, appropriate exercise and the avoidance of excessive stress is very important. Factors, such as avoiding upper respiratory tract illnesses and inhalation of cigarette smoke, help to protect from invasive disease. Taking care to cover your mouth when coughing or sneezing and frequent hand washing may be preventive as well.

Bacterial meningitis is a rare disease, but can be very serious and requires treatment with antibiotics. It can occur sporadically throughout the year. One form of bacterial meningitis is meningococcal meningitis . This form can cause very grave illness. It requires early diagnosis and treatment. Untreated meningococcal infection can be fatal. There is also the blood-borne illness, meningococcemia, which refers to the bacteria causing problems only in the blood, not in the lining surrounding the brain and spinal cord. This can be just as serious as meningococcal meningitis.

How are individuals infected with meningococcal meningitis (Bacterial Meningitis)?

Meningococcal disease is caused by the bacterium Neisseria meningitidis.

Meningococcal bacteria cannot usually live for more than a few minutes outside the body. They are usually not transmitted in water supplies, swimming pools, or by routine contact in classrooms, dining rooms, bars, restrooms, etc., where an infected individual has been. Roommates, friends, spouses, and children who are not directly exposed to an ill meningitis victim are not at risk. Persons who have had intimate or direct exposure to a meningococcal meningitis patient within seven days are at risk for contracting meningococcal meningitis and should receive prophylactic medication. Intimate or direct exposure includes being touched or kissed, sharing eating utensils, or by droplet contamination from nose, throat, or any secretions or excretions from the body of the infected individual.

Approximately 5% to 10% of the general population carry the meningococcal bacteria in the nose and throat in a harmless state. This carrier state may last for days or months and seems to give those individuals who harbor meningococcus in their upper respiratory tract some protection from actually developing the disease state.

During epidemics of meningococcal meningitis, the carrier rate may increase, yet less than 1% may develop the disease. This low occurrence of illness after exposure suggests that an individual's health status (the strength or weakness of the immune system), rather than bacterial factors, plays an important determining role.

How many meningococcal meningitis cases occur each year?

Every year in the United States, 1,400 to 2,800 people get meningococcal disease. Ten to 14 percent of people with meningococcal disease die, and 11 - 19 percent of survivors have permanent disabilities. It is estimated that 100 to 125 cases of meningococcal disease occur annually on college campuses and 5 to 15 students die as a result. Early recognition and treatment are the crucial variables to mortality.

Who is at risk

Recent evidence found students residing on campus in dormitories appear to be at higher risk for meningococcal disease than college students overall. Further research recently released by the CDC shows freshmen living in dormitories have a six times higher risk of meningococcal disease than college students overall.

Although anyone can come into contact with the bacteria that causes meningococcal disease, data also indicates certain social behaviors, such as active smoking, exposure to passive smoke, bar patronage, and excessive alcohol consumption, may put students at increased risk for the disease. Patients with respiratory infections, compromised immunity, those in close contact to a known case, and travelers to endemic areas of the world are also at increased risk. Cases and outbreaks usually occur in the late winter and early spring when school is in session.

What makes meningococcal meningitis so dangerous?

Meningococcal meningitis can be particularly dangerous for two fundamental reasons:

It is relatively rare. Therefore, we may not consider the possibility of contracting meningitis and may ignore early symptoms and signs. The disease often begins with symptoms that can be mistaken for common illnesses, such as the flu.
It can be deceptive. A person may experience minor cold symptoms for a few days and then progress to severe meningococcal disease in a relatively short period of time. In the rare instances when the meningococcus organism invades the bloodstream (meningococcemia), it can be carried to other organs including the eyes, heart, lungs, and the central nervous system (brain and spinal cord.)

What are the usual symptoms and signs of meningococcal meningitis?

The early symptoms usually associated with meningococcal disease include fever, severe headache, stiff neck, rash, nausea, vomiting, and lethargy, and may resemble the flu. Because the disease progresses rapidly, often in as little as 12 hours, students are urged to seek medical care immediately if they experience two or more of these symptoms concurrently.

What is the treatment for meningococcal meningitis exposure?

The use of prophylactic antibiotics such as Rifampin and Ciprofloxacin are effective in most cases. The majority of patients with a reasonably early diagnosis and treatment experience complete recovery. In rare instances, a meningococcal infection is overwhelming and defies prompt medical treatment.

What are some ways in which individuals can reduce their risk of contracting meningitis?

A lifestyle which helps keep the immune system as strong as possible with a balanced diet, adequate rest and sleep, appropriate exercise and the avoidance of excessive stress is very important. Factors, such as avoiding upper respiratory tract illnesses and inhalation of cigarette smoke, help to protect from invasive disease. Taking care to cover your mouth when coughing or sneezing and frequent hand washing may be preventive as well. Again, research suggests that the host's health status and ability to resist disease, rather than bacterial factors, play an important determining role.

For more information on recommendations see the Revised Recommendations of the Advisory Committee on Immunization Practices to Vaccinate All Persons Aged 11--18 Years with Meningococcal Conjugate Vaccine .

Meningitis Vaccine - Information and Recommendations

What is the American College Health Association's (ACHA) and the Center for Disease Control and Prevention (CDC) position on meningococcal disease?

ACHA Vaccine-Preventable Diseases Task Force has agreed to adopt the new Advisory Committee on Immunization Practice (ACIP) recommendation, which recommends that undergraduate college students, particularly freshmen who live in or plan to live in dormitories or resident halls, consider getting the meningitis vaccine to reduce their risk for meningococcal disease.

As of October 20, 1999, the ACIP of the United States Centers for Disease Control and Prevention (CDC) recommends that individuals who provide medical care to college freshmen, particularly those who live in or plan to live in dormitories or residence halls, should provide information about meningococcal disease and the benefits of vaccination with these students and their parents. ACIP further recommends that immunization should be provided or made easily available to those who wish to reduce their risk for meningococcal disease. Other undergraduate students wishing to reduce their risk for meningococcal disease can also choose to be vaccinated.

Additionally, the ACIP recommends that colleges and universities provide information about meningococcal disease and the vaccine to freshmen, particularly those who plan to live in dormitories and resident halls, and encourages public health agencies to serve as a resource for information about meningococcal disease and vaccination, including how to obtain the vaccine.

Why should college students consider preventive vaccination with the meningococcal vaccine?

Data from the CDC demonstrate increasing incidence of outbreaks on college campuses. Data further suggests that sub-populations of college students are at increased risk for meningococcal disease. pre-exposure vaccination enhances immunity to four strains of meningococcus that cause 65 to 70 percent of invasive disease and therefore reduces a student's risk for disease.

Who should consider being vaccinated pre-exposure?

Entering college students, particularly those living in dormitories or residence halls, who elect to decrease their risk for meningococcal disease.
Undergraduate students 25 years of age or under who request vaccination in order to decrease their risk for disease and are not pregnant.
Students with medical conditions that compromise immunity (e.g., HIV, absent spleen, antibody deficiency).
Students traveling to areas of the world with endemic meningococcal disease.

How effective is the vaccine?

A single dose of the meningococcal vaccine is recommended to confer immunity for a period of 3 – 8 years (depending of the type of vaccine received). Menomune (MPSV4) vaccine has been shown to be 85 – 90% effective in producing antibodies against the most common strains of the disease. Menactra (MCV4) vaccine, released in 2005, is considered highly effective. However, it does not protect against disease caused by “type B” bacteria that causes one-third of meningococcal cases. Check with your local Public Health Department or private healthcare provider for further information.

How safe is the vaccine?

According to the literature from the vaccine manufacturer, the vaccine is safe and adverse reactions are mild and infrequent, consisting primarily of redness and pain at the site of injection lasting up to two days. About 2% of recipients may develop a fever after vaccination.

Who should not take the vaccine?

Anyone who is:

pregnant
known hypersensitivity (severe allergic reaction) to any component of the vaccine.
having symptoms of illness and fever of 101 degrees or higher

Patients with immune deficiency as a result of either disease or medical treatment may not obtain the expected immune response.

Information sources

There is a wealth of information and links to other sites containing information on meningitis - vaccine - and recommendations. For more detailed information on meningitis and the vaccine please see:

http://www.cdc.gov/ncidod/dbmd/diseaseinfo/meningococcal_g.htm

http://www.immunize.org/mening/

http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf

http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm (immunization schedule age 0 – 18)

Osteoporosis

Osteoporosis affects at least 25 million Americans. Each year, at least 1.2 million fractures related to osteoporosis occur in the United States. One third of women over 65 will have a fracture of the spine. By age 90, one third of women will have had a hip fracture - almost twice the rate for men. Hip bone fractures can be crippling and painful. Up to 25% of those who have a hip fracture will have to enter a long-term care facility. The most serious impact of these fractures, though, is the marked increase in death rates in these patients. Up to one in five patients dies within 6 months of hip fracture from problems caused by lack of activity, such as blood clots, stroke, heart attack, and pneumonia.

Who is at risk?

Although both men and women can develop osteoporosis, women are at greatest risk. This is because a woman's bones are smaller and lighter than a man's to begin with. White or Asian women are at greater risk than Black women. Women who have a sister, mother, grandmother or maternal aunt with osteoporosis also have a greater risk.

Why am I - a college student * - at risk?

* Heredity, Race and Gender
Menopause - Natural or surgical causes a loss in estrogen
* Lifestyle choices As with many other health and wellness issues, what we do in our early life affects our lives later on.

Lifestyle and Prevention

The best way to deal with osteoporosis is to prevent it. Focus on building and keeping as much bone mass as possible.

Lifestyle factors

Diet
Tobacco
Exercise

Diet - Having enough calcium protects bones by slowing the rate of bone loss. It is also vital for the function of the nerves and some other body parts. If the amount of calcium in the bloodstream falls too low, it will be taken from the bones to supply the rest of the body. Thus bone loss can increase if you have a low-calcium diet.

Prevention of osteoporosis begins in the teen years when the skeleton is forming its peak mass. From their teens to their mid-20s, women need about 1,200 mg. of calcium each day. Before menopause, women need about 800 mg. a day. pregnant women and women who are breast-feeding should get 1,200 mg. per day - the amount in about 1 quart of milk. After menopause, most doctors recommend 1,500 mg. to prevent osteoporosis. According to the National Osteoporosis Foundation, most adults only get half of the recommended amounts of calcium.

Vitamin D helps the stomach absorb calcium. Milk that is fortified with vitamin D is one of the best sources. Being in the sun for just 15 minutes a day helps your skin produce vitamin D. You can also use vitamin D supplements - but keep in mind that too much vitamin D or calcium can cause problems. The recommended daily amount of vitamin D is 5 - 10 micrograms.

The main sources of calcium are dairy products. Other good sources are some leafy green vegetables, nuts and seafood. If you are watching your weight, include skim milk and low-fat yogurt in your diet. If you cannot digest dairy products, you can take calcium supplements. A well-balance vegetarian diet also can be very healthy for bones. When meat is the main staple in a woman's diet, she may be getting too much protein. This causes the body to rid itself of calcium in the urine - leading to bone loss.

With soft drinks now the beverage of choice for many Americans, researchers have become increasingly concerned about the link between intake of carbonated beverages and increased risk of bone fracture. A new study exploring this link has shown that calcium depletion - and ultimately bone loss - experienced by people who regularly consume carbonated beverages is more likely due to an inadequate daily intake of calcium rather than the ingredients in the beverages. The researchers placed the responsibility of bone loss in people who regularly consume carbonated beverages on the "empty calories" of soft drinks that replace nutrients derived from other foods and beverages.

Tobacco - According to the 2001 Report from the Surgeon General on Women and Smoking, postmenopausal women who smoke have lower bone density than women who never smoked. Women who smoke have an increased risk for hip fracture than women who never smoked.

Exercise Lack of physical activity (common among many adults today) is believed to contribute to lower bone density because the skeleton is not being taxed enough to stimulate new bone growth. To prevent osteoporosis, it is recommended that we lead an active lifestyle which includes frequent weight bearing exercise such as walking, stair climbing or an aerobic exercise program combined with resistance training. Bones react to load by gradually growing stronger & denser.

Weight-bearing activities . These include activities you do on your feet with your bones supporting your weight. Walking, jogging and stair climbing are examples. They work directly on bones in your legs, hips and lower spine to slow mineral loss. If you have osteoporosis, walking — preferably at least a mile a day — is generally the best weight-bearing exercise because it minimizes jarring to your bones.
Weightlifting . Weightlifting, also called strength training and resistance training, can strengthen muscles and bones in your arms and upper spine. It can also work directly on bone to slow mineral loss.

Melanoma - A Greater Threat to Black Patients

Although fewer blacks than whites develop melanoma, the disease may pose greater harm to black patients - who have significantly lower five-year survival rates (35% to 44%, compared with 74% for white patients). Often misdiagnosed or detected late in this patient population, melanomas may be macular, papular, or nodular and are variegated in color; borders may be irregular and lesions may be ulcerated.

In black patients, say Duke University investigators, tumors are most often found on the palms, fingers, soles, toes, and subungual areas(beneath the nails of the fingers and toes; California researchers report that it is also common on the lower extremities. (In white men, melanoma is most likely to develop on the trunk; in white women, on the legs.)

Acral lentiginous melanoma, a very aggressive form, is the most common type of melanoma in black patients. Often, by the time a melanoma is detected in a black patient, the condition is advanced.

Black patients are advised to:

Examine their entire skin thoroughly every three months and report any new growths or changes in old growths to a skin specialist.
Have a professional skin examination once a year.
Urge their health care provider to watch carefully for melanoma and to treat it promptly.

Source: Taylor SC, Rahman Z. Melanoma in the African American Population. Melanoma Letters, 2001:19(2):3-4.

Created and maintained by Health Services

Last updated Monday, October 1, 2007 ,

Direct comments and questions to Judy Lyle

Questions via Regular Mail should be addressed:
Pat Hosford, Business Manager
Murray State University
Health Services
136 Wells Hall
Murray, KY 42071-3318
Phone: 270-809-3809
Fax: 270-809-3540

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