Hafsa Akram MD

Hafsa Akram MD Hafsa Akram MD is a Board Certified Family physician and Educator, passionate about empowering people with Knowledge necessary for health and wellbeing.

Disclaimer; All information here is for general health knowledge and should not be taken as an individual advise. You should discuss with your primary care for further care tailored to your individual needs.

10/04/2023
08/17/2023
09/28/2022

CDC Warns Physicians About Possible Increase In Enterovirus D68 Infections Among Children

CNN (9/27, Hassan) reports physicians “should prepare for a possible increase in young patients with enterovirus D68, the US Centers for Disease Control and Prevention reported Tuesday, and that may be linked to more cases of the rare, paralyzing condition acute flaccid myelitis.” Beyond “testing for AFM, health care [professionals] are urged to test for poliovirus in people suspected of having AFM because of the similarity in symptoms.”

Bloomberg Law (9/27, Muller) reports, “The most common signs and symptoms seen in hospitalized children” with enterovirus D68 infection “have been shortness of breath or rapid, shallow breathing, wheezing, coughing and nasal congestion.”

Measles is a highly contagious rash illness caused by the measles virus. Symptoms include fever, runny nose, cough and a...
09/06/2022

Measles is a highly contagious rash illness caused by the measles virus. Symptoms include fever, runny nose, cough and a rash all over the body.

The best way to prevent measles is through the wide-spread use of the measles vaccine. The best way to see if you or your child is vaccinated, or to get vaccinated, is to visit your healthcare provider. Most community health centers, clinics, and pharmacies can also provide the vaccine. For those who are uninsured or under-insured, the Pima County Health Department can provide vaccination for children and adults. Click here to learn more about Health Department vaccination services.

The vaccine to prevent measles, MMR, is generally administered when a child is between 12 and 15 months of age. A second dose of MMR is required in Arizona before a child starts school and can be administered as soon as four weeks after the first dose, if necessary. More than 99% of individuals who receive two doses of MMR vaccine develop evidence of immunity to measles.

PLEASE GET VACCINATED

Maricopa County has confirmed three related cases of measles, a highly contagious and potentially fatal viral infection.

05/16/2022
05/08/2021
Myth about Supplements!!!! Since March is National Nutrition Month, it’s a good time to remind ourselves that a healthy,...
03/06/2021

Myth about Supplements!!!!

Since March is National Nutrition Month, it’s a good time to remind ourselves that a healthy, variety-filled diet is the best way to get the nutrients we need.

For decades, vitamin and mineral supplements have carried a health halo. Many Americans believe they help lower their chances of getting a cold or flu while helping them function in a chaotic world. So it’s no wonder the supplement industry is booming.

Zinc promises to limit colds; vitamin D builds bone and boosts immunity; and the B vitamins promise to help combat the effects of stress. Even America’s favorite prehistoric family (also known as “The Flintstones”) has gotten in on the action, formulating the perfect pill to protect our children’s health. But what’s the truth, and what’s just marketing hype?

Knowing the difference between science and fiction when it comes to supplements can be challenging. There’s little oversight, a lot of misinformation and swarms of controversy. And that’s a tough pill to swallow when you’re trying to stay on top of your family’s health. So before you gulp down any more capsules, consider these 8 myths about supplements:

1. Myth: Taking a multi-vitamin can make up for a poor diet and prevent disease.

Reality: The fact is scientists are still undecided about whether multivitamins are effective. Some studies suggest multis protect against premature death. Others show they offer no benefit. Either way, food first is always the best prescription for needed nutrients. Nature packages vitamins and minerals in perfect combinations and benefits our bodies with yet-to-be-discovered nutrients, too. Dietary supplements are intended to supplement the diet, not replace it.

2. Myth: All supplements are safe because they are natural.

Reality: Anything that has the potential to be healing also has the potential to be harmful. Even though nutrients come from nature, when manufacturers process them into pill-form, they become unnatural. What’s more, natural doesn’t necessarily mean safe or effective. After all, arsenic is natural but an effective carcinogenic (cancer-causer), making it unsafe to consume.

3. Myth: You can’t overdose on vitamins.

Reality: If you take vitamins and minerals while eating an amped-up diet of fortified cereals and sports bars (which often contain 100 percent or more of the recommended dietary allowance for certain vitamins and minerals), you could be overdoing it. You might even damage vital organs in the process. Too much vitamin A can affect your liver and, in pregnant moms, can lead to birth defects in their babies; excess vitamin B6 can cause nerve damage; and too much vitamin C can turn the famous antioxidant into a pro-oxidant (which damages body cells), not to mention the diarrhea.

4. Myth: Supplements are tightly regulated.

Reality: Unlike prescription or over-the-counter medications, the U.S. Food and Drug Administration (FDA) does not determine whether dietary supplements are safe and effective before they hit the marketplace. Instead, consumers are at the mercy of the manufacturer. But that doesn’t mean there aren’t any safeguards in place. Once a dietary supplement is on the market, both the FDA and the Federal Trade Commission (FTC) monitor label information to ensure product claims aren’t misleading, but they are pretty understaffed and a lot of damage can be done before the FDA and FTC can get involved. There are a small group of watchdog organizations, including U.S. Pharmacopeia, ConsumerLab.com and the National Science Foundation, offering seals of approval to products that are manufactured properly and contain the ingredients listed on the label. Those groups do not determine if they are effective, however.

5. Myth: Supplements are never necessary.

Reality: Dietary supplements may be beneficial for certain populations and to help manage various conditions. Examples include:

Someone on a calorie-restricted diet who may benefit from a multivitamin and mineral
Someone who is allergic to milk who may benefit from calcium and vitamin D
A vegan who may benefit from taking vitamin B12
Pregnant moms who benefit from taking folic acid
The jury is out on many supplements, but most experts believe products are only helpful if you’re deficient in a given nutrient. Women who lose a lot of iron due to heavy menstrual bleeding, for example, might need an additional iron supplement while those who are going through menopause may need extra calcium and vitamin D.

6. Myth: Supplements don’t interact with medications.

Reality: Certain supplements, including vitamin K (which helps blood clot), zinc (which some people believe boosts immunity) and omega-3s (which thin the blood), may interact with prescription and over-the-counter medications. Whether you’re taking a daily aspirin to protect against heart disease or you’re on an antibiotic for a bacterial infection, the supplements you’re taking could interfere or enhance the effects of your medications. You should always share with your physician and pharmacist a list of any supplements you are currently taking to help avoid these negative interactions.

7. Myth: You should take vitamins and other supplements on an empty stomach.

Reality: Many vitamins are water soluble—meaning they dissolve in water and will be absorbed by the body at almost any time of the day, regardless of what’s in your tummy. But there are 4 fat-soluble vitamins—A, D, E and K—that can only be absorbed with fat. So if you are taking a multivitamin that contains a fat-soluble vitamin, it’s best to take it with a little food that contains some fat. Also, many find that taking a supplement on an empty stomach makes them nauseous.

8. Myth: Supplements always play well together.

Reality: Some supplements help each other out, just like teammates. Vitamin C helps the body absorb iron, for example. Others actually work against each other. For example, calcium blocks the absorption of iron, and zinc blocks copper absorption. So taking high doses of one nutrient can actually cause a deficiency in another.

To play it safe, let your doctor know about every supplement you’re taking, even if you think it’s harmless. Many vitamins and minerals, as well as herbal supplements, have side effects ranging from a rash to stomach upset. They can also interact with medications and other vitamins.

WHO recognizes the importance of Adolescent healthWhy invest in adolescent health?A critical, overarching reason to inve...
03/05/2021

WHO recognizes the importance of Adolescent health

Why invest in adolescent health?

A critical, overarching reason to invest in the health of adolescents is that adolescents, like all people, have fundamental rights to life, development, the highest achievable standards of health and access to health services. These are supported by global human rights instruments, to which almost all countries are signatories.

Investment brings a triple dividend

More specifically, it is becoming increasingly clear that promoting and protecting adolescent health will lead to great public health, economic and demographic benefits. Investments in adolescent health bring a triple dividend of health benefits:

For adolescents now

✨⭐️promotion of positive behaviours (e.g. good sleep habits and constructive forms of risk-taking, such as sport or drama)

🌟 prevention, early detection and treatment of problems (e.g. substance use disorders, mental disorders, injuries and sexually transmitted infections) can immediately benefit adolescents.

For adolescents’ future lives – support for establishing healthy behaviours in adolescence (e.g. diet, physical activity and, if sexually active, condom use) and reduction of harmful exposures, conditions and behaviours (e.g. air pollution, obesity and alcohol and to***co use) will help set a pattern of healthy lifestyles and reduce morbidity, disability and premature mortality later in adulthood.

For the next generation – promotion of emotional well-being and healthy practices in adolescence (e.g. managing and resolving conflicts, appropriate vaccinations and good nutrition) and prevention of risk factors and burdens (e.g. lead or mercury exposure, interpersonal violence, female ge***al mutilation, substance use, early pregnancy and pregnancies in close succession) can help protect the health of future offspring.

Investment reinforces gains made from early childhood

Investing in adolescent health maintains and reinforces successful health interventions that children benefited from in early childhood, and rectifies earlier health deficits. Conversely, gains made through substantial investment in maternal and child health programmes over recent decades are at risk of being lost if there is insufficient investment in adolescent health programming today.

Investment brings wider societal gains

In addition, improved adolescent health brings economic and larger societal benefits. This occurs through greater productivity, reduced health costs and enhanced social capital. In low- and middle-income countries (LMICs), investment in adolescent health is likely to result in declines in mortality and fertility rates, which can contribute to accelerated economic growth. With fewer births each year, a country’s young dependent population grows smaller in relation to the working-age population (aged 15–64 years), creating a window of opportunity for rapid economic growth. In high-income countries (HICs) as well, investment in the health and well-being of low-income adolescents, including those who have high birth rates and are more exposed to risk factors for ill-health, can help to break the transmission of poverty and disadvantage across generations.

Investment in adolescent health is also essential to achieve the 17 SDGs and their 169 targets, each of which relates to adolescent development, health or well-being directly or indirectly. Some SDGs, such as those addressing health and food security, broadly encompass the health and well-being of adolescents within their targets for broader populations.

Finally, investing in adolescent health is vitally important because it is a unique phase of human development and also because of the particular disease and injury burdens that are borne by adolescent populations. The remainder of this section will focus on those two topics before discussing the need for tailored approaches to adolescent health interventions and priority setting within national adolescent health programming.

A call for accelerated action for the health of adolescents

Today there is an unprecedented opportunity for adolescent health. Globally, there is an increasing sense of urgency that something different must be done to respond more effectively to the needs of adolescents. The rapid physical, cognitive and psychosocial growth and development that takes place between the ages of 10 and 19 years influences an individual for the rest of his or her life. In addition, adolescents experience a substantial proportion of the global population’s disease and injury burden.

Many of these conditions are preventable or treatable, but to date they have been neglected and need more sustained focus and investment. Recognizing the critical importance of adolescent development – and investing sufficiently to fully promote and protect adolescent health and well-being – is key to sustainable development.

A doctor is at the prime location to impact the adolescent and help them navigate through life. In our clinic, we ensure that at every visit, teens are given a confidential time for them to talk about everything.

H- ome and environment
E- ducation and employment
A- activities
D- rugs
S- exuality
S- uicide/depression

Quitting smoking: 10 ways to resist to***co cravings 🚭🚭🚭To***co cravings can wear you down when you're trying to quit. I...
02/27/2021

Quitting smoking: 10 ways to resist to***co cravings 🚭🚭🚭

To***co cravings can wear you down when you're trying to quit. It’s a difficult journey but it isn’t impossible.

Use these tips to reduce and resist cravings.

For most to***co users, to***co cravings or urges to smoke can be powerful. But you're not at the mercy of these cravings.

When an urge to use to***co strikes, remember that although it may be intense, it will probably pass within 5 to 10 minutes whether or not you smoke a cigarette or take a dip of chewing to***co. Each time you resist a tokbacco craving, you're one step closer to stopping to***co use for good.

Here are 10 ways to help you resist the urge to smoke or use to***co when a to***co craving strikes.

⚡️1. Try ni****ne replacement therapy

Ask your doctor about ni****ne replacement therapy. The options include:

Prescription ni****ne in a nasal spray or inhaler
Over-the-counter ni****ne patches, gum and lozenges

Prescription non-ni****ne stop-smoking medications such as bupropion (Zyban) and varenicline (Chantix)

Short-acting ni****ne replacement therapies — such as ni****ne gum, lozenges, nasal sprays or inhalers — can help you overcome intense cravings. These short-acting therapies are generally safe to use in combination with long-acting ni****ne patches or one of the non-ni****ne medications.

✨2. Avoid triggers

Urges for to***co are likely to be strongest in the situations where you smoked or chewed to***co most often, such as at parties or bars, or while feeling stressed or sipping coffee. Identify your trigger situations and have a plan in place to avoid them entirely or get through them without using to***co.

Don't set yourself up for a smoking relapse. If you usually smoked while you talked on the phone, for instance, keep a pen and paper nearby to occupy yourself with doodling rather than smoking.

🌟3. Delay

If you feel like you're going to give in to your to***co craving, tell yourself that you must first wait 10 more minutes — and then do something to distract yourself for that period of time. Try going to a public, smoke-free zone. These simple tricks may be enough to derail your to***co craving.

💫4. Chew on it

Give your mouth something to do to fight a to***co craving. Chew on sugarless gum or hard candy, or munch on raw carrots, celery, nuts or sunflower seeds — something crunchy and satisfying.

🌝5. Don't have 'just one'

You might be tempted to have just one cigarette to satisfy a to***co craving. But don't fool yourself into believing that you can stop there. More often than not, having just one leads to another— and you may end up using to***co again.

6. Get physical🤾🏼⛹🏼‍♂️🏌🏽🏄🏊🏽🧗🏼‍♀️🚵🏽

Physical activity can help distract you from to***co cravings and reduce their intensity. Even short burst of physical activity — such as running up and down the stairs a few times — can make a to***co craving go away. Get out for a walk or jog.

If you're stuck at home or the office, try squats, deep knee bends, pushups, running in place, or walking up and down a set of stairs. If physical activity doesn't interest you, try prayer, needlework, woodwork or journaling. Or do chores for distraction, such as vacuuming or filing paperwork.

7. Practice relaxation techniques🧘🏼‍♂️🧘‍♀️

Smoking may have been your way to deal with stress. Resisting a to***co craving can itself be stressful. Take the edge off stress by practicing relaxation techniques, such as deep-breathing exercises, muscle relaxation, yoga, visualization, massage or listening to calming music.

8. Call for reinforcements🏋🏼🥊📱

Touch base with a family member, friend or support group member for help in your effort to resist a to***co craving. Chat on the phone, go for a walk together, share a few laughs, or get together to commiserate about your cravings. A free telephone quit line — 800-QUIT-NOW (800-784-8669) — provides support and counseling

9. Go online for support📲📲

Join an online stop-smoking program. Or read a quitter's blog and post encouraging thoughts for someone else who might be struggling with to***co cravings. Learn from how others have handled their to***co cravings.

10. Remind yourself of the benefits🛎🪄

Write down or say out loud the reasons you want to stop smoking and resist to***co cravings. These might include:

Feeling better
Getting healthier
Sparing your loved ones from secondhand smoke
Saving money

Remember, trying something to beat the urge is always better than doing nothing. And each time you resist a to***co craving, you're one step closer to being totally to***co-free.

https://www.cdc.gov/to***co/campaign/tips/

🚭🚭🚭

02/25/2021

Due to Covid, we might have avoided seeing our providers or specialists in favor of social distancing. I urge you all to return to your physicians to optimize your care.

Most clinics are offering telehealth as well as in office visits. We can work with you in finding the appropriate way to reach out to you.

Please visit the official website here with names of providers and the phone numbers for their clinic sites.



TMCOne - Your one stop for wellness, primary, pediatric and specialty care in Tucson. With 18 office

02/25/2021

Hello Everyone and Welcome to our page,

Physician Background: “ Board Certified Family medicine physician, practicing full spectrum family medicine.
Family medicine entails care starting from new born to elderly. It usually includes prenatal and obstetric care too but Dr Akram does not provide that.

Purpose of the page: We will periodically share information regarding full spectrum family medicine issues and community resources, to hopefully be able to assist people in caring for themselves better and have better understanding of their conditions.

“All information here is a general public health information and should not be taken as individual advise. You are welcome to come in for a checkup in the clinic or follow your primary care physician for further care.”

If you have any questions and concerns or would like Dr Akram to talk about anything specific please send a message.

If you would like to see Dr Akram as your physician, please call TMC one for further information.

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TMCOne: Skyline/2840 E. Skyline Drive
Tucson, AZ

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