Coca-Cola Tries To Keep Up With Growing Health Consciousness

(Photo/Marion Doss via Flickr)
(Photo/Marion Doss via Flickr)

By Trisha Marczak, Mint Press News

Coca-Cola sales are plummeting in the wake of a growing movement away from sugary soft drinks in the U.S. and increasing concerns over the link between sugar, obesity and diabetes.

Profits for the global soda giant dropped by 4 percent this quarter, compared to last year at this time. The overall drop was influenced by a total soda sale decline of 4 percent in North America, where consumers are caught in the midst of a battle between retail advertising and government warnings over the negative health impacts of soda.

In June, the American Medical Association labeled obesity a disease, pointing a finger directly at the increase of U.S. sugar consumption and calling on the United States Department of Agriculture to cut sugary drinks out of government-sponsored food assistance programs.

The call to cut back Americans’ intake of sugar comes after New York City Mayor Michael Bloomberg’s soda ban, a proposal that would have banned sale of sugary drinks — mainly sodas — that come in containers larger than 16 ounces. While the proposal is still being worked out in the courts, the Bloomberg’s proposal brought the debate about soda’s health impact to the front lines.

Coca-Cola isn’t pointing to the social debate over sugary drinks as the main component of its decline in sales. Instead, it’s talking about the weather.

“Our second quarter volume results came in below expectations, reflecting an ongoing challenging global macroeconomic environment and unusually poor weather conditions in the quarter,” Coca-Cola CEO Muhtar Kent said in a press release following the second-quarter earnings release.

While Coca-Cola claims its downturn in North American soda sales is largely due to weather, arguing that people drink fewer sugary beverages when it’s just not nice out, it comes in the midst of a U.S. health-inspired trend that’s moving consumers away from the sugar-filled drinks that make up the company’s portfolio.

“Soft drinks are the devil product at the moment,” London Metropolitan University nutrition policy professor Jack Winkler told the Wall Street Journal.

 

Coca-Cola denial and the growing scientific debate

In an attempt to stay relevant in the midst of a society growing more aware of the impacts sugary drinks have on health, Coca-Cola is in the midst of attempting to create a soda that uses low-calorie sweetener while still providing a full-body taste.

This follows a campaign launched at the beginning of the year that attempted to brush off the obesity scare, urging Americans instead to get out, exercise and quench their thirst with a Coke product.

“We’re watching, we’re learning,” Steve Cahillane, who heads Coca-Cola’s North American division told CBS News.

The company is also engaging in the nationwide conversation, portraying itself as a leader in the fight against obesity. A commercial released recently aims to market Coca-Cola as a company intent on reducing calorie consumption and battling the obesity epidemic.

According to the American Medical Association, 36 percent of American adults are obese or overweight. If trends continue, experts predict that could rise to 50 percent of Americans by 2040.

On top of obesity, the nation is also seeing a rise in Type 2 diabetes. A recent Harvard study indicated that people who drank two cans of sugary drinks a day had a 26 percent greater risk of developing diabetes. It also found that men and women who increased sugar consumption with a 12-ounce serving per day gained an average of 4 pounds every year.

“For over 125 years, we’ve been bringing people together. Today we’d like to come together on something that concerns all of us: obesity,” the Coca-Cola commercial states. “The long-term health of our families and the country is at stake. And as the nation’s leading beverage company, we can play an important role.”

The commercial goes on to give a glowing report of just how hard Coca-Cola is working to provide “healthier options” for American consumers, claiming that a growing percentage of products are ones that have been severely limited in caloric content.

“Across our portfolio of more than 650 beverages, we now offer 180 low- and no-calorie choices and most of our full-calorie choices now have low or no calorie versions,” the ad states. “Over the last 15 years, this has helped reduce calories per serving across our industry’s products in the U.S. by about 22 percent.”

 

Will Coca-Cola win the ‘health’ battle?

By the end of 2013, Coca-Cola plans to help limit portion sizes by offering smaller bottles and cans of various sodas available in 90 percent of the country, according to the advertisement. This adds to what it claims are efforts to help consumers make the right choices.

The commercial states that elementary and high schools throughout the nation have been equipped with Coca-Cola vending machines that have increased the choice of low- and no-calorie drinks, including diet sodas.

According to a Wall Street Journal report in March, one-third of North American Coca-Cola sales came from low- and no-calorie beverages.

“We are committed to bring people together to help fight obesity,” Stuart Kronauge, Coke’s North America Sparkling Beverages Division general manager told Time magazine. “This is about the health and happiness of everyone who buys our products and wants great-tasting beverages, choices and information. The Coca-Cola Company has an important role in this fight.”

In line with Coca-Cola’s push for no-calorie drinks in U.S. schools, a study published in the American Journal of Clinical Nutrition indicates that from 2007 to 2008, 12.5 percent of children were consuming artificially sweetened beverages during a 24-hour time period — double the amount children were drinking 10 years ago.

And while that gives the company a favorable statistic in terms of sugar content, with a 90 percent reduction in beverage calories sold in U.S. middle and high schools since 2004, it doesn’t eliminate health concerns.

 

Concerns over the no-calorie push

A mock Coca-Cola anti-obesity advertisement addresses this issue, citing health concerns related to the use of no-calorie sweeteners.

“Even though we’ve reduced the calories per serving, these beverages can still cause kidney problems, obesity, metabolic syndromes, cell damage and rotting teeth, which leaves 470 beverages which have extremely high unhealthy levels of calories,” the mock ad states.

The ad that took a stab against Coca-Cola is based on studies conducted on aspartame, the ingredient that is most often found as a substitute for sugar in low- and no-calorie beverages.

It wasn’t too long ago when no-calorie sweeteners were considered dangerous chemicals.

In 1958, Congress required the FDA to ban any additive that was known to cause cancer in animals or humans. In the 1960s, cyclamate was removed from U.S.-sold products when it was linked to cancer. Specifically, chicken embryos that were exposed to aspartame began to develop deformities. A later study showed rats fed the product grew bladder tumors, according to a Time magazine report.

By the 1980s, aspartame moved on to the market, becoming the preferred additive for diet colas. This was after a 1980 Food and Drug Administration Board of Inquiry study that initially deemed the additive to be potentially dangerous and a carcinogen.

“The Board has not been presented with proof of a reasonable certainty that aspartame is safe for use as a food additive under its intended condition of use,” the report states.

However, a year later a new set of studies favorable to aspartame emerged, and it was approved for U.S. market consumption.

In 1985, Monsanto purchased G.D. Searle, the company that owned the aspartame patent. Since then, it has become the go-to for the soda companies, including Coca-Cola in their quest to produce low- and no-calorie beverages not just throughout the U.S., but throughout the global market.

“The key here is to ensure that in every market where we operate to have no- or low-calorie beverages of our main brands available,” Kent said in a conference call, according to the Wall Street Journal. “We do not have that consistently across the world today.”

Tulalip clinic dispensing gardening advice for better diets

Tulalip clinic gets patients growing veggies, herbs

Mark Mulligan / The HeraldSandy Swanson, a licensed practical nurse at the Tulalip Health Clinic, waters plants in the new garden outside of the clinic on June 16. Swanson works in the elder care program, and when she gets a chance will duck outside to work in the garden. "It makes me smile to come out here and care for these plants," said Swanson.
Mark Mulligan / The Herald
Sandy Swanson, a licensed practical nurse at the Tulalip Health Clinic, waters plants in the new garden outside of the clinic on June 16. Swanson works in the elder care program, and when she gets a chance will duck outside to work in the garden. “It makes me smile to come out here and care for these plants,” said Swanson.

By Bill Sheets, The Herald

TULALIP — When a doctor at the Tulalip tribal health clinic advises a patient to eat healthier food, it doesn’t have to be only words that are heard or written down on paper.

The doctor can take the patient right outside the building and show them that they can grow that food for themselves.

A small, rudimentary vegetable garden at the Tulalip Karen I. Fryberg Health Clinic was greatly expanded this year with several new raised wooden beds. Leeks, kale, squash, cucumbers, peas, tomatoes and more are thriving in their southwestern exposure to the summer sun over Tulalip Bay.

Culinary and medicinal herbs and plants are being grown as well — parsley, tarragon, basil, lavender and rose hips, to name a few.

“It’s about engaging with our patients,” said Bryan Cooper, clinical lead at the health center. “Instead of telling them what to do, it’s ‘Let’s work together.'”

The incidence of diabetes on the reservation is high, and the garden is especially geared toward helping diabetics manage their condition through their diet.

Doctors and staff members from the lab and pharmacy have been accompanying patients to the garden to discuss the possibilities, said Roni Leahy, diabetes coordinator at the clinic.

Planting soil, tubs, gardening materials and advice have been dispensed on special-event days at the clinic, such as a recent “Diabetes Day.”

The garden is an extension of a program established two years ago with the opening of the Hibulb Cultural Center and Natural History Preserve a few miles away, Cooper said.

In one program there, young people have been taught traditional ways of harvesting and processing native medicinal plants. In another, titled “Gardening Together as Families,” a popular community vegetable garden was established.

At the clinic, the idea was to build on the success of the Hibulb programs and create a direct link between the medical facility and healthy diets, staff members said.

The late Hank Gobin, the tribes’ cultural director who helped establish the Hibulb programs, was motivated to improve tribal members’ diets in part because he himself was a diabetic. He passed away in April at age 71.

“It’s always about people and their health and well-being,” Leahy said. “That’s how we keep his memory alive.”

The clinic garden has been maintained by staff members and volunteers. At the end of the season, the food will be used at tribal events, Leahy said.

Sandra Swanson, 73, a career nurse, works full time in the clinic’s elder care program.

“Then I come out here and play,” she said, as she dug in one of the planters.

The plan is to expand the garden next year to a nearby slope facing the bay, with terraces and a trail, Cooper said.

More volunteers are needed, staff members said.

“We want to start these (gardens) and get them to a place where the community takes over,” Cooper said.

Bill Sheets: 425-339-3439; sheets@heraldnet.com.

Health fair

A health fair and blood drive is scheduled for 9 a.m. to 3 p.m. Friday at the Tulalip Karen I. Fryberg Health Clinic, 7520 Totem Beach Road.

For more information call 360-716-4511.

Parents get a B+ for kids’ back-to-school shots in Snohomish County

Is your child up to date? Vaccines required for school are available to children at no cost

Source: Snohomish Health District

SNOHOMISH COUNTY, Wash. –– More 5 and 6 year olds in Snohomish County had all the vaccines they needed to enter school last year, according to recent data released by the state Department of Health. For the 2012-2013 school year, 86.3 percent of local kindergarteners were up to date on their shots, better than past years and higher than the state average of 85.6 percent

Vaccines are required for school children because they prevent disease in a community setting. The rate of vaccination has continued to climb since an all-time low in 2008-2009

School districts report vaccination rates to the state. The highest immunization rates for all grades (K-12) in Snohomish County last school year were in Lakewood (94.8%) and Everett (94.7%) school districts.

A small percentage of families seek exemption from the vaccination requirement, an average of 5.3 percent in Snohomish County schools compared to 4.5 percent statewide for children entering kindergarten.

In 2011 the process for parents or guardians to exempt their child from school or child care immunization requirements was changed. Parents need to see a medical provider to get a signature on the Certificate of Exemption form for their child’s school. More information about the form and the law is available online at www.doh.wa.gov/cfh/Immunize.

Although exemptions are allowed for medical, religious, or personal reasons, the best disease protection is to make sure children have all their recommended immunizations. Children may be sent home from school, preschool, or child care during outbreaks of diseases if they have not been immunized.

Summer is a good time to make sure your children are up to date on required shots. The cost of childhood vaccines is subsidized by federal and state government so that every parent can choose to have their child protected without regard to cost.

Required childhood vaccines are available for the school year 2013-2014.

  • · Two doses of chickenpox (varicella) vaccine or doctor-verified history of disease is required for age kindergarten through grade 5. Students in grade 6 are required to have one dose of varicella or parental history of disease.
  • · The whooping cough (pertussis) vaccine, Tdap, is required for students in grades 6-12 who are 11 years and older.

Recommended vaccines also are available.

  • · Varicella vaccine for children in grades 7-12 who have never had chickenpox.
  • · Meningococcal vaccine for adolescents age 11-12. A second (booster) dose at age 16-18 if first dose was given at ages 11-15.
  • · A three-shot series of human papillomavirus (HPV) for both adolescent boys and girls age 11 and older.
  • · Children 12 months and older should receive hepatitis A vaccine, a two-shot series.
  • · Flu vaccine for all people age 6 months and older.

Snohomish Health District promotes routine vaccination of children and adults.

Snohomish Health District’s Immunization Clinic will serve you if your family does not have a health care provider. A visit to a Health District clinic includes a check of your child’s record in the Washington Immunization Information System, the state’s immunization registry.

Parents should beat the rush by making appointments now with their child’s health care provider. At the Health District, parents can make an appointment during normal clinic hours at either the Lynnwood or Everett office.

A parent or legal guardian must accompany a child to the clinic, and must bring a complete record of the child’s immunizations. You need to fill out a Snohomish Health District authorization form to have another person bring your child to the clinic. Ask the clinic staff to mail or fax a form to you.

Health District clinics request payment on the day of service in cash, check, debit, or credit card. Medical coupons are accepted, but private insurance is not. The cost can include an office visit fee, plus an administration fee per vaccine. Reduced fees are available by filling out a request based on household size and income.

Teens also occasionally require travel vaccines for out-of-country mission work or community service. The Health District offers those immunizations and health advice for traveling in foreign countries.

Please call if you have questions, concerns or to schedule an appointment: SHD Immunization Clinic 425.339.5220.

Read more about the state’s vaccine requirements for school-age children and child care. Find more information about Washington’s school immunization data.

Established in 1959, the Snohomish Health District works for a safer and healthier community through disease

prevention, health promotion, and protection from environmental threats. Find more information about the Health District at www.snohd.org.

 

Back-to-school shots hours:

SHD Everett Immunization Clinic, 3020 Rucker Ave, Suite 108, Everett, WA 98201

425.339.5220

By appointment: 8 a.m.-noon and 1-4 p.m. Monday-Wednesday-Friday

SHD Lynnwood Immunization Clinic, 6101 200th Ave SW, Lynnwood, WA 98036

425.775.3522

By appointment: 8 a.m.-noon and 1-4 p.m. Tuesday and Thursday

NOTE: Both clinics will be closed on weekends and on Labor Day, Sept. 2.

 

Tuberculosis History Project in Snohomish County

Announcement of a Tuberculosis (TB)  History Project in Snohomish County

The TB Voices Project for Snohomish County is looking for persons to share their tuberculosis (TB) stories with the community.  Whether you or a loved one had TB,  your story is important.  Share your story on our website or contact us for a recorded interview.

The purpose of the TB Voices Project is to allow individuals from all generations throughout the county to tell their TB story,  and in turn, these stories can help persons around the globe currently impacted by TB.

For more information go to www.Tbphotovoice.org or contact Project Director, Teresa Rugg at 360.862.9034, twrugg@frontier.com.

 

The TB Voices Project for Snohomish and King County is a project of TB Photovoice, in partnership with the Firland Foundation.  Since 2006, TB Photovoice (based in Snohomish) has worked around the world to amplify the voices of individuals directly impacted by TB so that they, as well as their communities, can improve their overall health.

tvVoicesMWsnap_v1_Grid7

 

Victory at Last: Apache Activist Helps Pass HIV/AIDS Confidentiality Resolution

By Eisa Ulen, Indian Country Today Media Network

A resolution in support of the Public Health and Safety Code of the San Carlos Apache Tribe (SCAT) has passed that will directly impact the lives of Natives living with HIV/AIDS. According to SCAT HIV/AIDS Coalition Chair and Public Health Emergency Preparedness Coordinator Anita L. Brock, this resolution should help curtail the spread of communicable infectious diseases such as HIV/AIDS. It offers tribal members “the system needed to continuously address the threat such diseases pose to the San Carlos Apache community,” Brock says. “The implementation of such a Code supports enforcement of public health responsibilities and the authority needed to identify the risk factors associated with the spread of infectious disease.”

According to HIV/AIDS activist Isadore Boni, a SCAT member and key supporter of the resolution, passage of this resolution does much more: “HIV/AIDS confidentiality is now in our health codes.”

Boni explains that this resolution “allows the protection and confidentiality of public health information and patient privacy, especially for those who have been infected by HIV/AIDS.” Another key component of this resolution, according to Boni, is that it renders HIV testing optional for SCAT members. “There was talk of doing mandatory testing,” he says, “but I advocated against it.”

According to Brock, who worked with the primary team in development of the code now in place, this new resolution benefits not just enrolled SCAT members, but Natives throughout Indian country. “The code adds to the infrastructure needed to make decisions that will benefit all tribal members,” she explains. “They will be the benefactors of a system which values their privacy and continuity of care. In addition, Indian country is quite vast with over 500 tribes, and each tribe may make this determination. From a purely public health perspective, the benefits are self-evident.”

The Centers for Disease Control (CDC) reports that American Indians and Alaska Natives ranked fifth in rates of HIV infection in 2011, “with lower rates than blacks/African Americans, Hispanics/Latinos, Native Hawaiians/Other Pacific Islanders, and people reporting multiple races, but higher rates than Asians and whites.” However, American Indians and Alaska Natives have poorer survival rates than all other ethnicities and races.

Boni believes the official CDC numbers documenting the rates of HIV infection among Natives may be significantly lower than the actual rates of HIV/AIDS throughout Indian country.

“I personally know more people on my reservation that have HIV than what our Indian Health Service has in San Carlos,” Boni claims. “People like me get tested in the city, so our numbers do not get counted, and agencies and even tribes do not share information. So how many people actually have HIV/AIDS?  No one really knows.”

Boni was diagnosed with HIV and Hepatitis C in 2002. He relocated to Phoenix, Arizona for treatment. “There was, and still are, no services for tribal members who are HIV positive on the reservation.” He says he was homeless in Phoenix for two years and lived on the streets, in halfway houses, and in shelters. He was beaten, and his medications were stolen. He worked as a laborer making minimum wage by day, to try to put together funds to pay for shelter and food at night. On World AIDS Day in 2004, Boni shared his story for the first time, and he has been a public advocate supporting the lives of HIV positive Natives ever since.

“Confidentiality has always been a problem on my reservation,” Boni says. “Many people have shared with me that their health information was disclosed without their consent.”

Boni, who has a bachelor’s degree in social work from Arizona State University, goes on to say that privacy rules and regulations had not been in practice in San Carlos. “It got to a boiling point for me. I assertively pushed the San Carlos Health Department to do something about this.”

Partly due to his efforts, the resolution passed in time for National HIV Testing Day, in June of this year. “HIV disclosure is painful, not only for the individual but their families,” Boni explains. This new code protects them.

“I know the decision-makers in our health department are still clueless as to the impact HIV/AIDS has on our reservation,” Boni continues. “To them it’s not a priority, but I remind them over and over that this health crisis is serious. No San Carlos Apache tribal member should have to die of AIDS complications in order to prove that this is a problem. Period.”

 

 

Read more at https://indiancountrytodaymedianetwork.com/2013/07/17/victory-last-apache-activist-helps-pass-hivaids-confidentiality-resolution-150460

5 Genetically Modified Foods You Should Never Eat

Source: Indian Country Today Media Network

Since genetically engineered foods were introduced in 1996, the United States has experienced as upsurge in low birth-weight babies, infertility and an increase in cancer.

Agricultural tech giants like Monsanto have restricted independent research on their crops, which is legal, because under U.S. law, genetically engineered crops are patentable. The studies that have been conducted link genetically modified foods to a vast array of diseases—and long-term effects have yet to be measured.

Below, Indian Country Today Media Network rounds up the five most deadly genetically modified crops or substances on the market that you should avoid at all cost.

1. Corn

This is not our ancestors’ corn. Genetically modified corn contains toxic materials and is at least 20 percent less nutritious for our bodies, according to a report titled “2012 Nutritional Analysis” by globalresearch.ca.

Corn is the worst offender on the GMO list, because at least 65 percent of the U.S. corn production is genetically modified, and it is found in so many products and forms—on the cob, in nearly every processed food with corn syrup, in the corn feed consumed by the chickens and cows you may eat, and the list goes on.

Genetically engineered corn contains the highly toxic gene Bt (Bacillus thuringiensis), which Monsanto introduced in the 1990s to make plants immune to Roundup, which is Monsanto’s weed and insect killer that tears into the stomachs of certain pests.

According to Sherbrooke University Hospital in Canada, Bt has been found in the blood of humans, including in 93 percent of pregnant women they tested, in 80 percent of the umbilical blood in their babies, and in 67 percent of non-pregnant women tested.

2. Soy

More than 90 percent of soybeans grown in the United States are genetically modified, and animal studies have shown devastating effects from genetically engineered soy, including allergies, sterility, birth defects, and offspring death rates up to five times higher than normal, according to Dr. Joseph Mercola in the Huffington Post.

Americans typically consume unfermented soy, mostly in the form of soymilk, tofu, TVP, and soy infant formula, which have at least 10 adverse effects on the body, like reducing one’s ability to assimilate essential nutrients and increasing the potential for thyroid cancer.

3. Sugar Beets

Sugar beets comprise more than 50 percent of U.S. sugar production, while sugar cane counts for the remainder, Natural News reports. Last year, the USDA deemed genetically modified sugar beets safe, de-regulating the crop. Now the hazards of an already toxic substance are exacerbated, presenting the likelihood of increased cancer rates, changes in major organs and the gastrointestinal tract, allergic reactions, infertility and accelerated aging.

But all sugar is best avoided, according to a specialist in pediatric hormone disorders and the leading expert in childhood obesity at the University of California School of Medicine in San Francisco, Robert Lustig. “Sugar is not just an empty calorie, its effect on us is much more insidious. It has nothing to do with the calories. It’s a poison by itself,” Lustig says.

4. Aspartame

This fake sugar substitute is made from genetically modified bacteria and is used in basically every diet soda and product on the market.

Aspartame “has been linked to a number of diseases, can impair the immune system, and is even known to cause cancer,” Natural News reported. In one study, of the 48 rats given aspartame, up to 67 percent of all female rats developed tumors roughly the size of golf balls or larger.

5. Canola

Canola—marketed as being void of “bad fats”—is a genetically engineered oil developed in Canada from the Rapeseed plant, which is part of the rape or mustard plant family.

Rapeseed oil is poisonous to insects and used as a repellent.

So while olive oil is made from olives and coconut oil is made from coconuts, canola oil is made from the rapeseed. Canola is short for “Canadian oil low acid.”

Agri-Alternatives, a magazine for the farming industry, notes “By nature, these rapeseed oils, which have long been used to produce oils for industrial purposes, are… toxic to humans and other animals.”

But, canola oil companies insist that through genetic engineering, it is no longer rapeseed, but “canola” instead.

According to Dr. Josh Axe, “It’s an industrial oil, not a food, and has been used in candles, soaps, lipsticks, lubricants, inks and biofuels. Rapeseed oil is what is used to make mustard gas. In its natural state, it causes respiratory distress, constipation, emphysema, anemia, irritability and blindness.”

 

Read more at https://indiancountrytodaymedianetwork.com/2013/07/15/5-genetically-modified-foods-you-should-never-eat-150434

Diabetes garden plant give away

Didi Garlow, Master Gardener helps fill planters to take home.Photo by Monica Brown
Didi Garlow, Master Gardener  at the Diabetes Garden helps fill planters to take home.
Photo by Monica Brown

By Monica Brown, Tulalip News Writer
TULALIP, WA – The Diabetes Garden at the Karen I Fryberg Health clinic gave away, to their attendees, planter boxes with plants. The Diabetes Garden is a place where patients and community members can come to learn more about plant and garden care for a healthier future.

Community members and patients were invited to come out and fill a planter box to bring home so they can start a small garden. The planter boxes were filled with an assortment of vegetable, herb and flower plants and each person was given a fresh bag of soil to bring home.

This garden event will run until 1:00 pm Tuesday, July 16. But will continue during future, to be announced, garden and health clinic events.

Roni Leahy on right, sorts out plants to take homePhoto by Monica Brown
Master Gardener, Roni Leahy on right, sorts out plants to take home
Photo by Monica Brown
Planter boxes, plants and soil were given to each person.Photo by Monica Brown
Planter boxes, plants and soil were given to each person.
Photo by Monica Brown

 

The Evolution Of U.S. Tribal Healthcare Centers

July 15, 2013 by Kristin D. Zeit

Healthcare Design Magazine

Childers-THC-22

 

In the early 1990s, James Childers attended the groundbreaking of the Redbird Smith Health Clinic in Sallisaw, Okla., five miles north of the little town where he lived. Redbird Smith was the first clinic built from the ground up by the Cherokee Nation and—Childers was surprised to see—it was a huge improvement over the typical Indian clinics he was used to.

As an architect, Childers had been doing healthcare projects primarily with the Sisters of Mercy system since 1980. He’d never pursued any government- or publically funded healthcare projects—but the Redbird Smith project got him thinking.

“The architect for that clinic was out of New Mexico,” Childers says. “And that’s what caught my attention. I thought, there’s no need for them to be going to Albuquerque to do clinics in Oklahoma.”

The building, staffing, and maintenance of healthcare facilities for federally recognized Native American tribes have fallen under the jurisdiction of Indian Health Service (IHS) since that department was established in 1955. Traditionally, these IHS clinics haven’t exactly been design-driven, nor have they been particularly reflective of the cultures they serve. Built to meet strict federal guidelines that could be easily replicated from site to site, most of these clinics “were just boxes,” Childers says. “They’re just very functional government buildings.”

Over the past two decades, however, tribes have begun investing more and more money earned through their businesses in improving healthcare for its members. Fueled by joint ventures between the tribes and IHS, healthcare facilities are getting the attention they deserve, with bigger footprints (to better serve the number of patients and house more varied services); thoughtful innovations based on wellness research; and culturally significant touches to celebrate the rich histories of the tribes and provide a positive community resource.

Since 1992, Childers (a member of the Cherokee Nation himself) has been a prolific contributor to these new facilities. Of the 19 joint venture projects between IHS and tribes across the country, Childers has designed seven of them—all publicly bid and awarded separately by each tribe.

Healthcare Design spoke with Childers about the legacy he’s building, as well as the process behind designing facilities that proudly demonstrate the tribal values and cultural wealth of a historically underserved population.

Healthcare Design: Your first tribal project was the Wilma P. Mankiller Clinic in Stilwell, Okla., in 1992. How did you approach that job?
James Childers:  That was an Indian Health Service facility. And as we went through the IHS program, we figured out that what it produced was the typical Indian clinic you might walk into anywhere: too small, overcrowded, no waiting room, no people amenities. Indian Health Service did a fantastic job of getting the most out of its square footage, but there were really no provisions for waiting areas.

We’re in a very rural area here in Oklahoma; these people might drive 40-50 miles for healthcare. And when they did, they brought Grandpa and Grandma and the kids. Everybody came. As a result, you’d go into these clinics and the corridors would just be lined with people.

The IHS design guidelines dictated that you be within 10 percent of their square footage limitations. So what we ended up doing was reducing the square footage in the mechanical rooms. By selecting the right kind of systems and putting a lot of this equipment on the roof instead of on the floor, I ended up under their program on total square footage.

So what they allowed me to do—after many meetings and discussions—was to take that additional square footage and put it into circulation. We increased the widths of corridors and increased the size of waiting rooms. This was all an effort to get Indian healthcare environments compatible with private care.

Read more here.

 

Meth nearly kills 10-month-old boy

Eric Stevick, The Herald

EVERETT — Exposure to methamphetamine nearly cost a 10-month-old Marysville boy his life.

The toddler overdosed on the drug in December and was taken to a Seattle hospital, according to a Marysville Police Department report.

Doctors had to insert tubes down the child’s airway after he stopped breathing on his own,

Police on Friday arrested a man who lived at the home in the 6400 block of 105th Street NE where the baby became deathly ill. The suspect, 26, was arrested for investigation of endangerment with a controlled substance and was booked into the Snohomish County Jail.

The suspect allegedly told a detective, “This is my fault. I almost killed (the boy.)”

The baby first was taken to Providence Regional Medical Center Everett. A nurse there told a Marysville officer that the boy had been admitted to the emergency room for an amphetamine overdose. She said his health was quickly deteriorating.

Police said the man had custody of the boy and shared a room with him at the time. The nature of his connection to the child was not clear in redacted police documents.

A search warrant of the suspect’s bedroom turned up the baby’s crib as well as a marijuana pipe beneath the man’s pillow. A meth pipe was found wrapped in a black bandana in a sunglass case in the bottom drawer of a night stand.

The suspect allegedly acknowledged using meth in a garage that was about 12 feet from the living area where the baby was crawling Dec. 27.

Police believe a meth pipe was loaded with meth within six feet of the bedroom where the baby was sleeping.

The suspect allegedly knew that the baby “was in the stage of crawling around the house, picking up things on the floor and putting the items in his mouth,” police wrote.

The man reportedly was well aware of the risks of doing drugs around young children.

An acquaintance told police that the man had a rule of not picking up or touching the baby when he was high.