Blueprint to Advance Culturally & Linguistically Appropriate Service in Health Released

Source: Native News Network

WASHINGTON – On Wednesday Health and Human Services released enhanced National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care, a blueprint to help organizations improve health care quality in serving our nation’s diverse communities.

HHS Secretary Kathleen Sebelius

HHS Secretary Kathleen Sebelius

The enhanced National Culturally and Linguistically Appropriate Services standards are grounded in a broad definition of culture, one in which health is recognized as being influenced by factors ranging from race and ethnicity to language, spirituality, disability status, sexual orientation, gender identity, and geography.

“We are making great strides in providing quality care and affordable coverage for every American, regardless of race or ethnicity or other cultural factors because of the Affordable Care Act,”

said HHS Secretary Kathleen Sebelius.

“The Enhanced National Culturally and Linguistically Appropriate Services Standards will help us build on this ongoing effort to ensure that effective and equitable care is accessible to all.”

A key initiative in the department’s effort to reduce health disparities, the update marks a major milestone in the implementation of the HHS Action Plan to Reduce Racial and Ethnic Health Disparities.

Long existing inequities in health and health care have come at a steep cost not only for minority communities, but also for our nation. As cited in a recent report from the HHS Agency for Healthcare Research and Quality, the burden of insufficient and inequitable care related to racial and ethnic health disparities has been estimated to top $1 trillion.

“Disparities have prevented improved outcomes in our health and health care system for far too long,”

said Assistant Secretary for Health Howard K. Koh, MD, MPH.

“The enhanced Culturally and Linguistically Appropriate Services Standards provide a platform for all persons to reach their full health potential.”

Specifically, the enhanced Culturally and Linguistically Appropriate Services Standards provide a framework to health and health care organizations for the delivery of culturally respectful and linguistically responsive care and services. By adopting the framework, health and human services professionals will be better able to meet the needs of all individuals at all points of contact.

“Many Americans struggle to achieve good health because the health care and services that are available to them do not adequately address their needs,”

said J. Nadine Gracia, MD, MSCE, Deputy Assistant Secretary for Minority Health and Director of the HHS Office of Minority Health.

“As our nation becomes increasingly diverse, improving cultural and linguistic competency across public health and our health care system can be one of our most powerful levers for advancing health equity.”

The enhanced standards, developed by the HHS Office of Minority Health, are a comprehensive update of the 2000 National Culturally and Linguistically Appropriate Services Standards and include the expertise of federal and non-federal partners nationwide, to ensure an even stronger platform for health equity.

Dispose of unwanted medicines on National Drug Take-back Day, April 27

Correct disposal helps prevent unintentional poisonings

Source: Snohomish County Health District

SNOHOMISH COUNTY, Wash. –Unintentional poisonings are at a record high in Snohomish County. The most recent information shows that in 2011 the number of such poisonings affected 150 county residents– more than triple the 46 reported in 2000. You can help reduce the chance of unintentional poisonings by disposing of your unwanted medicines on National Drug Take-back Day, April 27 at multiple locations in Snohomish County.

“Unintentional poisonings frequently involve prescription drugs,” said Dr. Gary Goldbaum, Health Officer and Director of the Snohomish Health District. He said they not only harm people, but improperly discarded drugs can also harm the environment when they enter septic systems and household trash.

To help protect the public’s safety and health, area law enforcement agencies and Bartell Drug will participate in National Drug Take-back Day, Saturday, April 27 at sites throughout the county.  Find locations and hours on the Health District’s website, www.snohd.org, or call 425.388.3199. The sites accept unused, expired and unwanted prescription drugs, including narcotic painkillers and other medications.

All police departments in the county have drop-boxes available year-round, Monday through Friday, including the NCIS office at Naval Station Everett, the Washington State Patrol office in Marysville, and tribal police stations on the Tulalip and Stillaguamish reservations. Additionally, two Group Health locations and many Bartell Drugstores accept unwanted vitamins, pet medications, over-the-counter medications, inhalers and unopened EpiPens year-round.

Only law enforcement locations can accept controlled substances, such as Ativan and OxyContin. Leave all items in their original containers.

The Saturday drug-return hours support the US Drug Enforcement Agency’s “National Drug Take-back Day,” through participation by the Snohomish County Partnership for Secure Medicine Disposal. Partnership members include the Snohomish Health District, Snohomish County, the Snohomish County Sheriff’s office, the Snohomish Regional Drug and Gang Task Force, the Washington State Patrol, and all local law enforcement agencies.

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.

 

Drop-Off Locations and Hours

The Snohomish County Partnership for Secure Medicine Disposal provides residents with secure medicine drop-off locations year-round. The hours listed below are for the Saturday, April 27 National Drug Take-back Day.

 

City: Arlington

Time: 10  am – noon

Location: Arlington Police Department

110 East Third Street

Arlington, WA 98223

 

City: Edmonds

Time: 10  am – 2  pm

Location: Edmonds Police Department

250 Fifth Avenue North

Edmonds, WA 98020

 

City: Everett

Time: 8  am – Noon

Location: Everett Police Department – North Precinct

3002 Wetmore Avenue

Everett, WA 98201

 

City: Lake Stevens

Time: 10  am – 2  pm

Location: Bartell Drugs (hosted by Lake Stevens Police Department)

621 SR 9 NE

Lake Stevens, WA 98258

 

City: Lynnwood

Time: 8 am – noon

Location: Lynnwood Police Department

19321 44th Avenue West

Lynnwood, WA 98036

 

City: Lynnwood

Time: 10  am – 2  pm

Location: Home & About Home Care (hosted by Snohomish Regional Drug & Gang TF)

15121 Hwy 99

Lynnwood, WA 98087

 

City: Marysville

Time: 9  am – 1  pm

Location: Marysville Police Department

1635 Grove Street

Marysville, WA 98270

 

City: Mill Creek

Time: 9  am – 1  pm

Location: Snohomish County Sheriff – South Precinct

15928 Mill Creek Blvd

Mill Creek, WA 98012

 

City: Mountlake Terrace

Time: 10 am – 2  pm

Location: Mountlake Terrace Police Department

5906 232nd Street SW

Mountlake Terrace, WA 98043

 

City: Snohomish

Time: 8  am – noon

Location: Snohomish Police Department

230 Maple Avenue

Snohomish, WA 98290

 

 

Doctors warn teens: Don’t take the cinnamon challenge

By Lindsey Tanner, Associated Press

CHICAGO — Don’t take the cinnamon challenge. That’s the advice from doctors in a new report about a dangerous prank depicted in popular YouTube videos but which has led to hospitalizations and a surge in calls to U.S. poison centers.

The fad involves daring someone to swallow a spoonful of ground cinnamon in 60 seconds without water. But the spice is caustic, and trying to gulp it down can cause choking, throat irritation, breathing trouble and even collapsed lungs, the report said.

Published online Monday in Pediatrics, the report said at least 30 teens nationwide needed medical attention after taking the challenge last year.

The number of poison control center calls about teens doing the prank “has increased dramatically,” from 51 in 2011 to 222 last year, according to the American Association of Poison Control Centers.

“People with asthma or other respiratory conditions are at greater risk of having this result in shortness of breath and trouble breathing,” according to an alert posted on the association’s website.

Thousands of YouTube videos depict kids attempting the challenge, resulting in an “orange burst of dragon breath” spewing out of their mouths and sometimes hysterical laughter from friends watching the stunt, said report co-author Dr. Steven E. Lipshultz, a pediatrics professor at the University of Miami Miller School of Medicine.

Cinnamon is made from tree bark and contains cellulose fibers that don’t easily break down. Animal research suggests that when cinnamon gets into the lungs, it can cause scarring, Lipshultz said.

Dr. Stephen Pont, a spokesman for the American Academy of Pediatrics and an Austin, Texas pediatrician, said the report is “a call to arms to parents and doctors to be aware of things like the cinnamon challenge” and to pay attention to what their kids are viewing online.

An Ypsilanti, Mich., teen who was hospitalized for a collapsed lung after trying the cinnamon challenge heartily supports the new advice and started her own website — http://nocinnamonchallenge.com — telling teens to “just say no” to the fad.

Dejah Reed, 16, said she took the challenge four times — the final time was in February last year with a friend who didn’t want to try it alone.

“I was laughing very hard and I coughed it out and I inhaled it into my lungs,” she said. “I couldn’t breathe.”

Her father, Fred Reed, said he arrived home soon after to find Dejah “a pale bluish color. It was very terrifying. I threw her over my shoulder” and drove to a nearby emergency room.

Dejah was hospitalized for four days and went home with an inhaler and said she still has to use it when she gets short of breath from running or talking too fast. Her dad said she’d never had asthma or breathing problems before.

Dejah said she’d read about the challenge on Facebook and other social networking sites and “thought it would be cool” to try.

Now she knows “it’s not cool and it’s dangerous.”

A Traditional Story of Picking Strawberries, Redheads and Love

By Dale Carson, Indian Country Today Media Network

Lenonah and her family lived by a wide creek; they had all the water and natural foods they needed to survive and be happy. Lenonah was known for her beautiful, long, almost black hair and for her very good foraging skills. She could pick baskets and baskets full of berries faster than her sisters and her mother.

There were many berry-pickin’ places near their lodge, and the girls knew them all, except for a couple only Lenonah knew about. Lenonah was quite fond of wild strawberries and ate most of what she picked. One day, her sisters noticed that her beautiful long hair was getting lighter and lighter—nearly red! They were worried, but Lenonah didn’t think anything of it. She thought it could only be the strawberries making this so.

In those times, humans and animals could speak to one another. She talked with her friends muskrat and frog about what was happening to her hair. Frog was not alarmed, but muskrat was concerned and told her she should stop eating so many berries. He thought her hair color would make it too easy for those who wished her harm to find her, or worse, her secret picking places. From that day on, she never ate another wild strawberry, but she always wanted to. One day she was foraging near one of her old secret wild strawberry places and saw a handsome young red-haired man in the middle of the patch. He waved to her. They saw each other again, many times and fell in love. He told her his hair had once been long and nearly black but he loved wild strawberries so much he couldn’t stop eating them. She told him of her talk with frog and muskrat and why she stopped eating her beloved wild berries. He said if she would marry him he would protect her and she could eat all the berries she wanted; he would love her whether her hair was black or red. They married and had many children and grandchildren. So every time you see people with strawberry red hair, think of Lenonah, her husband and their happy life near a strawberry patch.

 

Strawberry Leaf Tea

Pick leaves from the strawberry plant late in the summer. Put them on paper towels on a screen and dry in the sun or a 125-degree oven overnight. When thoroughly dry, crumble the leaves and put in a clean airtight container.

My own grandmother swore they would cure anything, especially a cold. They contain a lot of vitamin C, so she may have been right. The tea likes to be sweetened with honey. The Wampanoag word for strawberry leaves is wuttahimnasippa-quash.

 

Strawberry Bread Pudding

This is a VERY rich dessert and wonderful for special occasions as a memorable treat. First is the pudding recipe; the sauce recipe follows.

4 eggs

1 cup sugar

½ cup honey

½ teaspoon cinnamon

¼ teaspoon nutmeg

½ teaspoon salt

2 cups heavy cream

1 cup whole milk

6 cups day old bread, cubed

2 cups strawberries, hulled

Sauce:

1 cup heavy cream

3 egg yolks

¼ cup real maple syrup

Pinch salt

Bring sauce ingredients to a boil in a small saucepan over medium heat. Stir constantly. Remove from heat, put pan in a larger pan of ice water to cool.

Preheat oven to 325 degrees. Use a large bowl to mix eggs, sugar, honey, spices, salt and cream. Fold in the bread and let it set for 15 minutes. Pour this into a greased 9X13-inch cake pan and gently fold in the strawberries. Cover with foil. Bake 45-50 minutes. Let cool. Serve the sauce on the side or pour over individual servings.

Dale Carson, Abenaki, is the author of three books: New Native American Cooking, Native New England Cooking and A Dreamcatcher Book. She has written about and demonstrated Native cooking techniques for more than 30 years. Dale has four grown children and lives with her husband in Madison, Connecticut.

Read more at http://indiancountrytodaymedianetwork.com/2013/04/20/traditional-story-picking-strawberries-redheads-and-love-148866

Eight Great Healthy Reasons to Put On a Smile

By Melissa Cavendar, Occupational Health and Safety,  Tulalip Tribes
1. Smiling Makes Us Attractive
We are drawn to people who smile. We want to know a smiling person and figure out what is so good. Frowns, scowls and grimaces all push people away — but a smile draws them in, it makes them curious of why we are smiling and happy.
 
2. Smiling Changes Our Mood
Next time you are feeling down, try putting on a smile. There’s a good chance you mood will change for the better. Smiling can trick the body into helping you change your mood.
 
3. Smiling Is Contagious
When someone is smiling they lighten up the room, change the moods of others, and make things happier. A smiling person brings happiness with them. Smile lots and you will draw people to you.
 
4. Smiling Relieves Stress
Stress can really show up in our faces. Smiling helps to prevent us from looking tired, worn down, and overwhelmed. When you are stressed, take time to put on a smile.
 
5. Smiling Boosts Your Immune System
Smiling helps the immune system to work better. When you smile, immune function improves possibly because you are more relaxed.
 
6. Smiling Lowers Your Blood Pressure
When you smile, there is a measurable reduction in your blood pressure. Give it a try if you have a blood pressure monitor at home. Sit for a few minutes, take a reading. Then smile for a minute and take another reading while still smiling. Do you notice a difference?
 
7. Smiling Releases Endorphins, Natural Pain Killers and Serotonin
Studies have shown that smiling releases endorphins, natural pain killers, and serotonin. Together these three make us feel good.
 
8. Smiling Lifts the Face and Makes You Look Younger
The muscles we use to smile lift the face, making a person appear younger. Don’t go for a face lift, just try smiling your way through the day — you’ll look younger and feel better.Just smiling can require your body to use up to 53 muscles, but some smiles only use 5 muscle movements.

Snohomish County 2013 Walk MS

Saturday, April 13, 2013

Location: View with Google Maps
Address: Tulalip Amphitheatre, 10400 Quil Ceda Blvd, Tulalip, WA
Site Opens: 9:00 a.m.
Route Length: 2.4 miles

What if we could connect every person living with MS? Every person who cares about someone with MS. Every family affected by it. Everyone who has seen what this disease can do to people. What if we could come together, even one day a year, to show the power of our connections? At Walk MS, our connections become more powerful than the connections MS destroys.

When you participate in Walk MS, the funds you raise give hope to the more than 12,000 people living with MS in our community, and more than 72,000 others whose lives are directly impacted (family members, friends, co-workers, and caregivers). The dollars raised support life-changing programs and cutting-edge research.

Register now, connect with others and start fundraising today.

CONTACT US

If you would like more information about Walk MS, or the Greater Northwest Chapter and the services we provide, please use the contact information below.

General Questions: walkMSnorthwest@nmss.org
Donations:
waswebdonations@nmss.org
Website
: waswebsite@nmss.org

Check your child’s shot record to ensure full protection

Early vaccination works best — National Infant Immunization Week, April 21-28

Source: Snohomish County Health District

SNOHOMISH COUNTY, Wash. – Parents want to protect their children, but they might not know about some of today’s vaccines or the serious diseases they prevent, such as polio, diphtheria, hepatitis, and whooping cough. These diseases can be especially serious for infants and young children – witness the Lake Stevens infant who died in the whooping cough epidemic that swept Snohomish County last year. More than 35,000 cases of whooping cough were reported across the United States last year, including 15 infant deaths. The majority of these deaths were among infants younger than 3 months of age.

Medical providers are standing by in Snohomish County to help you ensure your child is fully immunized against 16 vaccine-preventable childhood diseases during National Infant Immunization Week, April 21-28.Vaccination is so important that Washington state subsidizes shots for children under age 19. Families are asked to pay an office visit and administration fee. These charges may be waived if the family cannot pay.

Vaccinate kids on time. Overseen locally by the Snohomish Health District, the state’s Vaccines for Children program enrolls and assists 84 health care professionals to safely stock and administer vaccines according to the recommended childhood immunization schedule. The Health District also immunizes children at its clinics in Lynnwood and Everett.

Vaccinate completely. A recent sample of local medical records showed about 25 percent patients aged 3 months-10 years were not up to date with the recommended whooping cough shots. Forty-nine percent of children 19-35 months of age in Snohomish County do not have complete vaccination records on file in the state’s central immunization registry.(Source: Washington State Department of Health, Child Profile Immunization Registry, 2010).

All vaccinators are encouraged to enter immunization information into the state’s Washington Immunization Information System, formerly known as Child Profile. Ask your pediatrician and family practice doctor if they participate, and check your family’s immunization status.

Vaccinate during pregnancy. In response to recent whooping cough outbreaks in several states, including Washington, the national Advisory Committee on Immunization Practices advises all pregnant women to get adult whooping cough vaccine (Tdap) during each pregnancy, ideally in the third trimester. The antibodies formed will provide disease protection until the child is old enough to begin the vaccine series at two months of age. If Tdap is not given during pregnancy, women should get the vaccine as soon as possible following birth to prevent them from getting pertussis and passing it along to a newborn.

Flu vaccine is also recommended for pregnant women, so a baby is born with protection until it can receive flu vaccine at 6 months of age. To protect infants under six months old, make sure that everyone near them is fully vaccinated.

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 much exercise do we really need?

By Melissa Cavendar, Tulalip Tribes Health & Safety Specialist
You say you don’t have time to exercise? You’re hardly alone. For many people, lack of time is the single biggest obstacle to fitness. But, experts say, you may be overestimating how much exercise you really need to get at one time. Instead of investing an hour at the gym, what if you could get fitter with 10 minutes here, 10 minutes there through your day?
There is no question that short amounts of exercise can help you get fit, help you stay fit, and help you maintain your health. Did you know some of these exercises can fit into a 5-minute time period at work, at your desk, waiting in line in the grocery store, even driving in your car  and it’s not an overwhelming task, plus, the benefits can be enormous.
So how much exercise do you really need? Most of the studies show that 5 minutes of continuous movement repeated during the day is about the bare minimum to have any effect, and fitness experts believe 10 minutes is more realistic.
Simple movements, such as standing up super-straight, with shoulders rolled back, abdominals tight, and chin up. The main trick is to set a timer for 5 minutes and hold that posture. A quick fitness routine could include functional movements such as repeatedly standing up and sitting down in a chair, bending down and picking objects up off the floor, or putting something on a high shelf, taking it down, and putting it back up again, until your five minutes are up. (Think Spring cleaning your closet every day for 5 minutes!)
Stretching is another option for exercise and improved mobility. Just little movements each day can make a difference in how your body burns calories and tones muscles. Keep moving!
Just do as little or a lot, but remember to have or set goals and put them in place, prior to starting your movement or workout plan. So how much exercise do we really need? It is up to you! Take a walk, play with your children, walk your dog, and don’t forget that laughter is a stress reliever.

Local food code goes low-cal as state’s beefs up, May 1

Source: Snohomish County Health District
SNOHOMISH COUNTY, Wash.The local food regulations in Snohomish County have changed to conform to the newly revised state food laws. Three years of state-level meetings culminated in state-approved revisions to the food regulation, WAC 246-215, effective May 1. The Snohomish County Health Board passed a resolution to adopt the changes in the county at its monthly meeting, April 9.
 
The Snohomish Health District, which inspects about 3,250 food establishments in the county, hosted a training update to food service regulators, and posted the revised code and a summary of its changes to its website.
 
The new rules absorbed a good deal of the formerly more stringent local code, which is now trimmed to three areas: enforcement procedures; food service manager training and certification; and recertification training of restaurant managers and operators. 
 
The menu of statewide changes includes hot holding temperatures of 135°F or hotter. Cut leafy greens and cut tomatoes were redefined to be potentially hazardous foods and will be required to be kept at 41°F or below.
 
Other revisions include updated requirements for tracking and documentation of wild mushroom harvesting, more flexible guidelines for preschools, and deletion of all but dogs and miniature horses as service animals.
 
Local health jurisdictions and the food service industry were represented in the three years of deliberations. The Health District also facilitates a 20-member Food Advisory Council of local food establishment owners and operators, who have followed every step of the state revision process.
 
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