Puyallup Tribe starts doctor residency program on reservation

The health clinic of the Puyallup Tribe in Washington. Photo from Puyallup Tribe Health Authority
The health clinic of the Puyallup Tribe in Washington. Photo from Puyallup Tribe Health Authority

 

Source: Indianz.com

 

The Puyallup Tribe of Washington is taking advantage of a program in the Affordable Care Act that brings doctors and funding to the reservation.

Using $1.5 million in federal funds, the Puyallup Tribe Health Authority is training 10 doctors this year as part of the Teaching Health Center Graduate Medical Education. The five-year, $230 million program was authorized by the 2009 law.

“We don’t want to just train technicians — we want to train healers,” Alan Shelton, the clinical director for the tribe’s authority, told McClatchy News. “And the way we train healers is we connect them to the Native American community and they learn about ideas of wellness and spirituality. And when they connect with patients, they connect with them on a deep level.”

The Puyallup Tribe was the first in Indian Country to utlize program. The Choctaw Nation of Oklahoma is the second and more tribes could join if Congress authorizes an extension.

“[W]e’re actually training doctors in rural settings or tribal settings so that they will then be employed there, where we have the highest need,” Sen. Patty Murray (D-Washington), who has introduced the Community-Based Medical Education Act to keep the program running through 2019, told McClatchy.

S.2728 was introduced on July 31.

Get the Story:
With funds for physician training set to expire, rural doctor shortage persists (McClatchy News 8/5)

Event for moms celebrates breastfeeding

 

Premera Blue Cross recognized for supporting working women

 Source: Snohomish Health District
 
SNOHOMISH COUNTY, Wash. – Pregnant women, moms, and their families are invited to the Snohomish Health District clinic in Lynnwood on Aug. 15 to celebrate National Breastfeeding Month.
 
The event runs from 10 a.m. to 2 p.m. at the Women, Infants & Children (WIC) / First Steps Clinic at 6101 200th St. SW, Lynnwood. Refreshments, medical and dental resources, family services, and information about WIC services and breastfeeding support will be on hand.
 
Breast milk is the preferred source of nutrition for infants and is recommended for the first year of life. Breastfeeding can protect both babies and mothers from many chronic health conditions and builds a foundation for life-long wellness.
 
One way WIC supports clients who are working moms is by providing breast pumps to loan, as well as offering classes and peer advice for breastfeeding women. Most parents who receive WIC services have jobs, but are low income and benefit from monthly food checks worth $50-$100.
 
The WIC nutrition program serves almost half of all children born in Washington state, and about 7,000 moms and children under age 5 are Snohomish Health District WIC clients. To learn if you are eligible for WIC or for other family services, contact the Family Health Hotline at 1.800.322.2588.
 
Also on Aug. 15, Premera Blue Cross will be honored with a Healthy Communities Award from Snohomish Health District. The award is presented to honor organizations that have adopted promotion programs or policies that support healthy choices for the people they serve or employ.
 
Premera is being recognized for providing exemplary pumping rooms for their employees who are breastfeeding. Each of the five buildings on Premera’s Mountlake Terrace Campus has at least one clean and private room for breastfeeding employees, along with an easy scheduling system and separate refrigeration dedicated for breast milk storage. Their facilities demonstrate Premera’s commitment to family-friendly employment and best practices for infant nutrition. 
 
Premera employs approximately 2,300 people at their Snohomish County Mountlake Terrace campus and provides medical coverage for over 1.7 million people in Washington and Alaska.
 
A current Premera employee states, “I had nothing but a pleasant experience with my employer, Premera Blue Cross. It is easy to schedule a time to be able to go and pump so that I could continue breastfeeding after returning to work”.
 
Incorporated in 1959, the Snohomish Health District works for a safer and healthier community through disease prevention, health promotion, and protection from environmental threats.

Tulalip Health Watch’s “Diabetes” examines the disease and preventions

By Mike Sarich, Tulalip News

THW-diabetes-web

 

According to the U.S. Department of Health and Human Services and Indian Health Service, Native Americans are at a 2.2 times higher risk for diabetes than their non-Indian counterparts. Between 1994 and 2004 there was a 68 percent increase in diabetes diagnosis in American Indian and Alaska Native youth, aged 15-19 years old.

Tulalip Health Watch’s “Diabetes” examines what diabetes is, how it is diagnosed, and what your part is in preventing this disease, which has taken Indian country with epidemic proportions. Medical professionals from Tulalip Karen I. Fryberg Health Clinic provide information on testing, treatment, and prevention. Also, a tribal elder defines how diabetes has affected his life, and how he is proactive in the treatment of the disease.

Starting Monday, August 11th on Tulalip TV Channel 99, and streaming on TulalipTV.com

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SNAP Benefits Now Used to Purchase Local Food Directly from Farmers in More than 5,000 Locations

More than $21 Million in SNAP Benefits Used Last Year to Purchase Healthy Food and Boost Local Economies

 
WASHINGTON, August 5, 2014 – New U.S. Department of Agriculture (USDA) data shows that participants in the Supplemental Nutrition Assistance Program (SNAP) can now purchase fresh fruits and vegetables directly from farmers through more than 5,000 farmers markets, roadside markets and pick-your-own operations across America.  The number of locations where SNAP benefits can be used to purchase food directly from farmers has increased five times since 2008, when there were just 753 such locations.  Also according to USDA data, SNAP participants are taking advantage of these opportunities, redeeming more than $21 million dollars at farmers’ markets and directly from farmers last year. Providing more places for SNAP participants to purchase food directly from local farmers boosts local economies, supports family farmers and helps create more access to healthy foods for SNAP participants, which can help reduce health problems and governmental health costs in the future.  
 
“On average, about 20 cents of every SNAP dollar spent on food ends up in the pockets of American farmers. Allowing families in need to buy food directly from local farmers provides a boost to local economies,” USDA Under Secretary Kevin Concannon said.  “America’s farmers offer a bounty of fresh fruits and vegetables that are the foundation of a healthy diet, and USDA has made it a priority to improve direct access between farmers and SNAP participants over the past several years. Healthy eating reduces health risks later in life, which helps reduce our nation’s health costs over the long run.  This new data shows that these efforts are working to provide farmers with a larger customer base and to provide families who use SNAP with more options to buy healthy food.”  
 
USDA’s Food and Nutrition Service (FNS) has been working to expand the availability of wireless point-of-sale equipment to allow more farmers markets to participate in SNAP.  Launched in January 2014, Marketlink.org is a one-stop information center where farmers markets and farmers can find out how to participate in SNAP and, if eligible, how to obtain SNAP EBT equipment. Installing wireless technology at farmers markets expands the customer base for markets and increases the share of the SNAP dollar that goes directly back to local farmers, strengthening local economies.
 
SNAP is one of 15 nutrition assistance programs administered at the federal level by FNS. It’s the nation’s first line of defense against hunger and helps put food on the table for millions of low income families and individuals every month.  Nearly half of SNAP participants are children, and 42 percent of recipients live in households with earnings.
 

August is National Immunization Awareness Month

By Brandi N. Montreuil, Tulalip News

TULALIP -August marks a national health campaign to raise awareness on the importance of immunizations. All throughout this month health professionals along with the Centers for Disease Control and Prevention and the National Center for Immunization and Respiratory Diseases are reaching out to communities to educate and promote vaccines.

According to CDC the use of vaccinations could mean the difference between life and death. Some diseases have become rare or have been eradicated through vaccination use, such as smallpox. However the choice to vaccinate is still optional due to no vaccination law enacted by the federal government, other than the requirement in all 50 states that children receive certain vaccinations before entering public schools. Children are required by most states to receive diphtheria, pertussis, polio, measles, mumps, rubella and tetanus vaccines before entering public school, however, medical exemptions can be given if the child has had an adverse reaction to a prior vaccine or is allergic to a vaccine component

During the August awareness campaign the CDC is seeking to decrease the number of people opting out of vaccination by reaching out to communities through education outreach.

“Vaccines have reduced many diseases to very low levels in the United States. For example, we no longer see polio, a virus that causes paralysis, in our country. Not only do vaccines help the patient, they also protect people who come in contact with the patient. Infants and the elderly have decreased immune systems. Being vaccinated helps protect these populations,” said Dr. Jason McKerry with the Tulalip Karen I. Fryberg Health Clinic on the Tulalip Indian Reservation.

This year, Washington State was among 17 other states that experienced a high percentage of measles cases, a first in 20 years. As of July 30, 585 confirmed cases of measles have been reported throughout the nation, 27 of them in Washington. Similarly, cases involving pertussis, or whooping cough, have been on the rise. As of July 26, Washington State Department of Health reported 219 cases of whooping cough, 6 of those reported in Snohomish County, while Grant, King and Pierce Counties each reported 30 or more.

Through the use of vaccinations the risk of infection is reduced. Vaccinations, explains the CDC website, work “with the body’s natural defenses to help it safely develop immunity to disease.” This means vaccinations aid the development of immunity through imitating infection so when the body does encounter the disease, the body will recognize it and fight the infection with antibodies it has created.

“Serious infections like pneumonia, bacteremia, a bacteria infection that gets in the blood and spreads to the whole body, and meningitis, an infection of the fluid that surrounds the brain and spinal cord, can occur with lack of vaccinations. Most of these diseases can be treated with medicine, if caught early enough, but serious negative outcomes can occur if the infection spreads rapidly. These include brain damage, hearing loss, chronic lung disease and even death. It is best to be safe and vaccinate early, before you have a chance to contract a life-threatening disease,” said Dr. McKerry about the risks associated with not vaccinating.

Vaccinations can be administered at private doctor offices, public community health clinics and community locations, such as schools and pharmacies for a reduced price, however most insurance plans do provide coverage cost for vaccinations.

“I always encourage a patient to obtain vaccines from a primary care provider who knows them best and can offer the most current advice on vaccines,” Dr. McKerry said, who went onto to explain that children should be vaccinated before the age of two. “Your child should be vaccinated against hepatitis A and B, rotavirus, a virus that causes severe vomiting and diarrhea. Diptheria, tetanus and whooping cough, haemophilus influenza B, a virus that causes pneumonia and ear infections, among other infections, pneumococcus, a bacteria that causes pneumonia and ear infections, among other infections, and polio, measles, mumps and rubella (MMR), varicella (chicken pox) and a yearly flu vaccine.”

For more information about immunizations or immunization schedules, please visit the website www.cdc.gov/vaccines/schedules/. Or please contact the Tulalip Karen I. Fryberg Health Clinic at 360-716-4511.

 

Brandi N. Montreuil: 360-913-5402; bmontreuil@tulalipnews.com

 

Bats in the home need to be handled with care

 

Contact Snohomish Health District to prevent rabies

 Source: Snohomish County Health District

 

 
SNOHOMISH COUNTY, Wash. Beware of bat bites and scratches. Most bats are harmless, but about 1 in 100 bats caries rabies.
 
Bats like to “hang out” in vacation cabins, attics, barns and outbuildings, and wherever there are plenty of insects they can eat. A bat bit a toddler in Pasco last year after falling out of a patio umbrella. The toddler got treatment to prevent rabies even before the bat was tested for the disease. Rabies is almost always deadly.
 
Last year, 32 people in Snohomish County got a series of shots to prevent the virus after possibly being exposed to rabies. Thanks to such preventive efforts by public health, no cases of rabies exposure in Washington state have advanced to human rabies disease since 1997.
 
Anyone who might have been bitten, scratched or simply sleeping in a place where a bat is later found should contact Snohomish Health District Communicable Disease staff at 425.339.5278.
 
Bats found in a home or setting where they may have contacted humans should be safelycaught:
·        Close the doors and windows to the room
·        Find a small container like a box or a large can
·        Wait until the bat lands on the floor or a wall
·        Wearing leather gloves, put the box over the bat
·        Close the box by sliding an extra piece of cardboard under the opening
·        Leave some small air holes in the sealed box
·        Call us for advice
 
We will help you determine if any people or pets in your home may have been exposed to rabies, and can arrange to test the bat if needed. If a bat is not available for testing and people have been exposed to it, rabies shots are usually necessary. 
 
In the Northwest, bats are the only animal likely to carry rabies, though there have been cases of pets getting rabies from bats, and of dogs infected with rabies being brought in from other countries.
 
 
Established in 1959, the Snohomish Health District works for a safer and healthier Snohomish County through disease prevention, health promotion, and protection from environmental threats. Find more information about the Health Board and the Health District at http://www.snohd.org.
 

How to forage for wild berries

By Tama Matsuoka Wong, Grist

Cross-posted from Food52

 

berries.jpg
Tama Matsuoka Wong

Foraged vegetables are always more fun to cook. So Food52’s resident forager, Tama Matsuoka Wong, is introducing us to the seasonal wild plants we should be looking for, and the recipes that will make our kitchens feel a little more wild.

If you’ve ever found a blueberry or a black raspberry on the side of a trail and popped it in your mouth, you’ve been foraging. Although it’s more convenient to “forage” farmers markets or grocery aisles for cultivated berries, I love the intense flavor of wild berries, as well as the fun of picking them in their natural habitat. Here is a rundown of some of the summer season’s most common wild berries:

Aggregate berries: Raspberries, blackberries, and wineberries

Aggregate berries are distinguished by their tightly packed clusters of fruits, known as carpels. The most common example is the raspberry, which is really a bunch of tiny red fruits clustered together. This sort of formation is a good thing, because each little fruit droplet on its own would hardly be enough for a mouthful!

These berries belong to the rose family, and grow on long arching “canes” that often form dense, brambly thickets. Much like roses, their bristles and thorns can make picking a somewhat prickly adventure — so be prepared!

 

berries1
Tama Matsuoka Wong
 

  • Wild red raspberries, or Rubus strigosus (above), can be found throughout North America, excluding the Deep South. Unfortunately, I sometimes find that wild raspberries can be quite seedy and dry, depending on the place and the weather. Black raspberries — the eastern Rubus Occidentalis and the western Rubus leucodermis — are native to North America and are found from mid- to late summer.
  • When you pick a raspberry from its plant, it leaves behind a small white cone — that’s the “receptacle,” which attaches the fruit to the cane. The blackberry cone receptacle, on the other hand, remains attached to the fruit, which explains why blackberries are flat where they connect with the plant, while raspberries have that hollow bit where the cone once was.
 

berries2
Tama Matsuoka Wong
 

  • The Asian wineberry, or Rubus phoenicolasius (above), grows on the shady edges of woods throughout most of North America, and is easy to identify because it has very fuzzy, thorn-less canes. Some wineberries are more tart than others, but they all have an incredibly fresh taste and a ruby-colored, jewel-like shine. The fruit emerges from fuzzy cases — which almost look like Christmas lights — which slowly open to reveal bright red berries. Like raspberries, they leave behind a small, white, cone-shaped receptacle when picked. Since wineberries are invasive, I never hesitate to hack away at their canes like a lumbering bear.
 

berries3
Tama Matsuoka Wong
 

  • Mulberries (above), often found on old farms and in backyards, are also aggregate berries, but they grow from trees. The entire fruit is joined to the stem directly, so there is no white receptacle left behind when they’re picked. The indigenous mulberry tree, Morus Rubra, has been hybridized with the Morus Alba tree from Asia, and now bears both white and red fruit.

“Crown” berries: Blueberries, huckleberries, and juneberries

Wild blueberries and huckleberries are in the Heath family, and grow as bushes or shrubs in soils with low acidity levels. While these are all bluish in color, the key identifier is that the edible blueberries all have a crown at one end.

  • Wild blueberries (below) look very similar to the store-bought variety, except they’re much smaller and less plump. What they lack in girth they make up for with incredible flavor: After I’ve been eating a lot of wild ones, I find cultivated blueberries taste bland and watered down.
 

berries4
Tama Matsuoka Wong
 

  • Huckleberries are quite small, though their seeds are larger than those of blueberries and tend to stick to your teeth. My friend, West Coast-based forager Connie Green, swears by coastal huckleberries, which take on a deep flavor in September. While huckleberries have had a couple of difficult years due to droughts, she reports that this year looks more promising.
  • Juneberries, also called serviceberries, are bluish-purple berries that have a crown at one end but grow from trees rather than bushes. The Amelanchier canadensis variety grows wild on the East Coast, while the Amelanchier alnifolia, known as saskatoons, are prevalent in the Pacific Northwest. These berries are plump and juicy, with a sweet-tart taste; like aggregate berries, they are also a part of the rose family. They make great jam, especially when mixed with rose petals.

It is important to note that there are several varieties of poisonous berries: Pokeweed, privet, honeysuckle vine berries, nightshade, and Japanese honeysuckle are all blue or purple in color; red-colored poisonous berries include bush honeysuckle and yew. Neither are aggregate fruits, nor do their berries have crowns. Always be sure to identify your plants, and do not just pop any old berry into your mouth as an experiment.

After a day spent foraging (and gobbling) berries in the woods, the last thing I want to do is spend a lot of time cooking, which is exactly why I tend to rely on store-bought pie crust for this incredibly simple pie. The pie is all berry, so their wild flavors shine through. It gets its zing from a bit of lemon and cassis, a trick I learned from my friend Betsy. It is also very flexible in terms of berry-to-berry ratios, so if I’ve eaten up most of the blueberries, I can just add more wineberries, and so on.

pie
Mia Wong
 

Mixed Wild Berry Pie with Cassis
See the full recipe (and save it and print it) here.
Makes one double-crust 9-inch pie 

1 double pie crust (your favorite recipe, or store-bought)
5 cups mixed wild berries (I used 2 cups wineberries, 2 cups wild blueberries, and 1 cup mulberries)
1/2 cup sugar
1/4 cup cassis
Juice of half a lemon
Zest of 1 lemon
1/3 cup flour
Fruit jam (we used wineberry-blueberry jam from last year)
1 egg yolk (optional)
Raw sugar (optional)

Tama Matsuoka Wong is a professional forager and the author of Foraged Flavor.

Record attendance at annual health fair

Wait lines for health screens and denials at the blood bus

 

Amanda Shelton explores the differences between traditional tobacco use and cigarettes.Photo: Andrew Gobin
Amanda Shelton explores the differences between traditional tobacco use and cigarettes.
Photo: Andrew Gobin/Tulalip News

By Andrew Gobin, Tulalip News

The Tulalip Karen I. Fryberg Health Clinic hosted their annual health fair July 28, with participants lining up at health screening stations, a fair first in 31 years,.

“I think this is the biggest health fair that we’ve ever had, there have been lines all day,” said Jennie Fryberg, front desk supervisor at the clinic. “More than 280 participants signed in, 200 of which were here before lunch.”

Every year, the clinic holds a blood drive simultaneously with the health fair. This year, more than 20 people had scheduled donor times with the Puget Sound Blood Center’s Blood Bus. Walk-ins are always welcomed at the Blood Bus, but there were so many walk-in donors this year, in addition to those with scheduled times, that for the first time at Tulalip, donors were being turned away due to lack of space. Of the 33 people who tried to give blood, 29 were able to.

Puget Sound Blood Centers Blood BusPhoto: Andrew Gobin/Tulalip News
Puget Sound Blood Centers Blood Bus
Photo: Andrew Gobin/Tulalip News

With a record 35 booths, 8 screening stations, and a fun run, there seemed to be more interest in this year’s health fair than in previous years.

“People were here at 8:30 a.m. waiting for booths to open,” said Sonia Sohappy, a bowen therapist for the clinic’s complimentary medicine program.

The day started out busy, and really stayed comfortably crowded throughout the day. People stopped at screening stations, checking blood sugar, vision, blood pressure, tuberculosis, hepatitis, and more.

The annual health fair is one of many open house events at the Tulalip Karen I. Fryberg Clinic throughout the year. Watch for event announcements in the See-Yaht-Sub, on the Tulalip News Facebook page, or contact the clinic by phone at (360) 716-4511 for more information.

Calendula harvested from the Tulalip Health Clinic's Diabetes garden.Photo: Andrew Gobin/Tulalip News
Calendula harvested from the Tulalip Health Clinic’s Diabetes garden.
Photo: Andrew Gobin/Tulalip News
Rainbow Radishes harvested from the Tulalip Health Clinic's Diabetes garden.Photo: Andrew Gobin/Tulalip News
Rainbow Radishes harvested from the Tulalip Health Clinic’s Diabetes garden.
Photo: Andrew Gobin/Tulalip News

Andrew Gobin is a staff reporter with the Tulalip News See-Yaht-Sub, a publication of the Tulalip Tribes Communications Department.
Email: agobin@tulalipnews.com
Phone: (360) 716.4188