Health Insurance Program Now Covers More Kids and Teens

Apple Health for Kids offers Native American families a quality, free or low-cost insurance option
More kids and teens in Washington State qualify for health insurance through Apple Health for Kids than ever before. Apple Health for Kids, a free or low-cost health insurance program for kids and teens in Washington State, seeks to provide an affordable health insurance option to families across the state. Today marks the launch of a statewide campaign to enroll uninsured kids and teens in the Apple Health for Kids program.
 
With Apple Health for Kids, kids and teens under the age of 19 receive quality medical, dental, vision and prescription coverage. In addition to having access to a network of doctors, hospitals and clinics, families will have no copays or deductibles. New federal guidelines mean most families that make up to 300% of the federal poverty level qualify. Premiums range from free to $30 per child, depending upon a family’s household income. No family will pay more than two premiums. For example, a family of four that makes $5,700 per month likely qualifies for $30 per child, per month health insurance premiums.
 
About one third of the 83,000 uninsured children in Washington live in Pierce, King, Yakima, and Clark counties. While the Apple Health for Kids campaign will include statewide outreach, specifically reaching target audiences in those four counties will be a priority. Special attention will be given to American Indian/Alaska Native, Asian/Pacific Islander, and Hispanic/Latino populations that currently have lower levels of enrollment. Several partners are assisting with outreach efforts, including Community-Minded Enterprises, Catholic Charities of the Diocese of Yakima, Kauffman and Associates, Inc. and Desautel Hege Communications.
 
“More families than ever are looking for ways to save money, but still provide quality health care to their children, and Apple Health for Kids is the perfect solution,” said Jo Ann Kauffman, MPH, President and CEO of Kauffman and Associates, Inc. “Families, including those who use Indian Health Services, can easily enroll to have access to things like x-rays, immunizations, well-child checks and maternity care.”
 
The campaign is using an innovative, research-based model to promote easy enrollment and offer one-to-one support for people going through the enrollment process. A new website,myapplehealth.org, has been developed which simplifies the application and links enrollees with representatives who can help them fill out the forms and answer questions they may have. Phone interpreting is available in 240 languages.
 
Now through June, Apple Health for Kids will be promoted at special enrollment events as well as existing community events like Hoopfest. Employers and childcare providers will also receive information and materials to educate employees and parents about the program. It is important that all families in Washington State know about this quality, free or low-cost health insurance option, so advertising is part of the outreach plan as well.
 
Families with kids and teens should visit myapplehealth.org or call 1-855-900-3066 to learn more and see if they qualify.
 
About Apple Health for Kids
Apple Health for Kids (AHFK) was created in 2007 as part of the Cover All Kids law signed by Governor Gregoire in order to expand existing health care programs for children by making it affordable to all families. Since its creation, the program has made innovative changes to application and renewal processes to offer families a single, streamlined enrollment process and comprehensive benefits to all eligible applicants. AHFK has also undergone changes to expand eligibility to more of Washington State’s 83,000 uninsured children, now covering families making up to 300% of the federal poverty limit, regardless of immigration status.

Wait, That’s GMO, Too?

An Initiative Heading to the Fall Ballot Would Require Labeling Genetically Modified Foods

By Anna Minard, Seattle Stranger

I’m wandering the aisles of Central Co-op, a natural foods market on Capitol Hill, checking its shelves for genetically engineered foods. Once you know what to look for, it turns out those ingredients are everywhere—even here, among the fake meats and packages covered in leafy art, smiling animals, and hand-lettering. They’re in the whole-grain bread, in the veggie burgers, in the peanut-free soy nut butter. You can’t always tell from friendly labels—”100% natural,” “multi-grain,” “fair trade.” But you may be able to tell soon.

Washington State will be voting in November on Initiative 522, which would require food made with genetically engineered ingredients (also known as genetically modified organisms, or GMOs) to be labeled as such at the retail level.

When I set out to research the initiative, I thought I’d end up with a clear and obvious answer about how I felt about it—and what the science says. I was wrong.

I was raised on organic produce, bulk-bin grains, and peanut butter you had to crank by hand; these food-labeling people are my people. But I still wanted to see hard science that backs up the squick factor of vegetables birthed in a petri dish. I wanted studies I could point to, something I could wave around and say, “Here! Here is incontrovertible proof that GMOs are evil! Their curse will last for generations and our grandkids will have four noses, and here, have some organic hummus.” But the smoking gun just isn’t there. Not that the anti-labeling side is all that convincing, either.

Genetically engineered food crops have been around since the 1990s, and they took off rapidly across the United States. Now certain American crops are almost universally GMO: more than 90 percent of soy and sugar beets, and 88 percent of corn, according to the US Department of Agriculture. Modifications are done at the genetic level (mainly by corporations that don’t exactly inspire trust, like Monsanto and Dow Chemical), often to make a crop resistant to a particular pest or herbicide. The FDA regularly approves new GMO plants—and soon, an animal: GMO salmon are on their way.

GMOs aren’t just in the processed food you grab in a stoned midnight run to Safeway. And while a 100 percent organic product can’t contain GMOs, lots of foods we think of as “natural” can and do.

For example, Gardenburger’s package is stamped with a cartoon cow and chicken embracing, and the message “There are no unimportant ingredients. If it’s in here, then it’s got a role to play.” That includes corn- and soy-based ingredients (and remember that nearly all US corn and soy is GMO), and when we e-mailed their parent company, the automated response we got back said that some of their products “do contain biotech ingredients.” In a form letter, the company explained: “It has become increasingly difficult to maintain non-biotech sourcing of the soy proteins.”

Franz Family Bakeries offers a “100% Natural, 100% Whole Grain” loaf of bread, touting its “premium Northwest grown & milled ingredients” and lack of high-fructose corn syrup. We asked Franz about GMOs in their bread, and they “do use cornmeal, soybean oil and canola oil in our products, and most of the corn, soybeans, and sources of canola oil are GMO, so most certainly these ingredients would be genetically modified.”

Even the crazily named I.M. Healthy Chunky SoyNut Butter, which announces on the label that it contains non-GMO soybeans, doesn’t guarantee that other ingredients in the same jar, such as corn-derived maltodextrin, aren’t genetically engineered. And the boxed gluten-free cake mix from Cherrybrook Kitchen contains some ingredients that “are not GMO-free,” the company says.

This isn’t to pick on these companies at all, or the groovy grocers that carry them; it’s just to point out how ubiquitous GMO ingredients are. And if I-522 passes this fall, we’ll be reminded wherever we shop how common they’ve become. Or, on the other hand, the measure could prompt more food producers to eradicate GMOs from their ingredients to avoid the GMO label altogether.

A vast majority of the American public supports labeling foods with GMO ingredients. A 2010 NPR/Thomson Reuters poll found that 93 percent of Americans were on board. Worldwide, more than 60 countries already label foods with GMO ingredients, including members of the European Union, China, Japan, and India.

Still, the opposition to labeling is fierce. In November, Proposition 37, which would’ve mandated labeling of GMO foods, lost on the California ballot after the opposition dumped more than $45 million into a campaign arguing that labeling GMOs would be deceptive, pointless, and expensive. The donor list looked like exactly what you’d expect: Monsanto, Dow AgroSciences, BASF Plant Science, Kraft Foods Global, Nestlé USA, ConAgra Foods.

Here in Washington, there’s already opposition to I-522. The Seattle Times came out strongly against it, saying that “there is no reliable evidence crops containing genetically modified organisms… pose any risks.” The Washington Association of Wheat Growers is opposed as well, saying that mandatory labeling of GMO foods “that are indistinguishable from foods produced through traditional methods would mislead consumers by falsely implying differences where none exist.”

When it comes to the science, people on each side promise they can debunk anything the other side claims to prove. Biotech researcher Dr. Martina Newell-McGloughlin gave compelling testimony at an I-522 hearing in Olympia, saying, “There is practically no domesticated plant or animal today that has not been genetically engineered over the last 10,000 years,” since we’ve been selectively breeding, grafting, and even irradiating foods forever. Today’s precise genetic engineering has been found by all major science and health organizations to be “as safe or safer than” conventional methods, she said. Further, she argued, GMO foods are actually “more thoroughly tested than any in the history of food,” subjected to years of research before they make it to market.

But George Kimbrell of the Center for Food Safety, who helped draft I-522, says, “We’re essentially taking the science from the industry for safety,” because the FDA doesn’t do its own pre-market testing, instead signing off on testing done by Monsanto and other companies developing the biotech foods. Dr. Michael Hansen testified in favor of I-522 in Olympia; he works for Consumers Union, the public policy arm of Consumer Reports, and he points to his organization’s long-standing position in favor of mandatory pre-market testing as opposed to the current system of “voluntary safety consultations,” as Consumers Union describes it. In place of that, Hansen says, they support labeling so consumers can at least make informed choices.

Another commonly heard argument is that labeling would burden manufacturers and grocery stores. But initiative spokeswoman Trudy Bialic, who works for PCC Natural Markets, which is running the I-522 campaign, says that’s bogus. GMO labeling would be “no different from any of the other things we keep track of already,” she says. “It did not cost us to add country of origin labeling, it did not make food unaffordable when we added nutrition panels, [and] it did not create a lot of extra costs when we started labeling trans fats.”

I-522 is also written differently than Prop 37. It specifies who’s required to do the labeling—the manufacturers—whereas Prop 37 didn’t. And Prop 37 was roundly criticized as being catnip for tort lawyers, who could claim damages from companies that didn’t properly label. In Washington, I-522 doesn’t allow awards for damages, just a reimbursement of attorney’s fees. Kimbrell says it was “deliberately drafted narrowly” to disincentivize costly lawsuits.

In the end, a lot of this comes down to how hard the food-industry opposition is willing to fight I-522. And weirdly, it turns out that buying some of the hippie products at the co-op may still be supporting the GMO industry. In California, big food companies poured money into the anti-labeling campaign, leaving labeling supporters furious. Angry green websites called for boycotts of GMO-free Silk soy milk (owned by Dean Foods), Kashi cereals (owned by Kellogg’s), Odwalla juice (owned by Coca-Cola), and tons more, since all those larger parent companies wrote checks to fight labeling. Here, as of yet, no counter-campaign to I-522 has filed with the state. recommended

Additional reporting by Ben Steiner.

With just 5 ingredients, pear crisp is a snap

This pear crisp is easy enough to make on a weeknight and doesn't require fully ripe pears. Photo: Matthew Mead / Associated Press
This pear crisp is easy enough to make on a weeknight and doesn’t require fully ripe pears. Photo: Matthew Mead / Associated Press

By Sara Moulton, Associated Press

Sometimes, even on a weeknight, you really crave a little dessert. But making dessert takes time, and you already are spending time cooking up the main event, namely dinner.

That’s where this recipe comes to the rescue. It’s a quick, easy and delicious pear crisp that calls for just five ingredients: pears, granola, lemon juice, apricot jam and a pinch of salt.

Pears are just now at the tail end of their season. Yes, I know we can find pears all year these days. But believe me, those specimens are going to be nowhere near as electrifying as a fully ripened, in-season local pear.

The problem is the relative rareness of such pears. Ralph Waldo Emerson was onto something when he wrote, “There are only 10 minutes in the life of a pear when it is perfect to eat.”

In other words, most of the time, no matter where it comes from, our pears aren’t at the peak of perfection. And for those times, when pears are unripe and you don’t have time to let them ripen, this recipe comes in mighty handy. Baking an unripe pear not only makes it tender, it also crystallizes and magnifies the fruit’s flavor.

Happily, any kind of pear — and there are many varieties — will work in this recipe, as will a mix of varieties.

Pears also have a lot to offer in terms of health. They’re a good source of vitamin C and a great source of fiber.

As for granola, there are a zillion brands in the cereal aisle of the supermarket. The problem is that many of them are laden with fat and sugar even as they masquerade under a healthy halo.

That’s why the recommended portion on the back of most granola boxes is just 1/4 cup. Pour yourself a normal, adult-sized portion and you might as well be tucking into a breakfast of waffles and sausage.

So when you shop for granola, look for a brand that’s lower in fat, sugar and calories than the competition and which also contains lots of nuts, seeds and dried fruit. And if you want to bump up the nutritional value of this recipe even more, you also could add 1/4 cup of ground flaxseed.

With all of that said, I wouldn’t worry too much about the amount of granola in this recipe. Per serving, it’s about what the granola box recommends, and mostly serves to put the crisp on this pear crisp.

Heck, you’d be much better off serving this dessert for breakfast than dogging a big bowl of nothing but granola.

Speedy pear crisp
1/2 cup plus 1 tablespoon apricot preserves or sweetened fruit spread
4 pears (about 2 pounds), peeled, cored and thinly sliced
2 tablespoons lemon juice
Table salt
2 cups purchased granola

Heat the oven to 350 degrees. Lightly coat a shallow 6-cup baking dish with cooking spray.

In a small saucepan over medium-low, heat the preserves until melted and easily stirred.

Set the sliced pears in a large bowl, then drizzle the preserves over them. Add the lemon juice and salt, then toss well. Spread the pears evenly in the prepared baking dish.

Sprinkle the granola evenly over the pears, then cover the dish loosely with foil and bake 30 minutes. Remove the foil and bake another 15 minutes, or until the pears are tender. Serve hot or cold.

Makes 8 servings. Per serving: 210 calories; 25 calories from fat (12 percent of total calories); 2.5 g fat (0.5 g saturated; 0 g trans fats); 0 mg cholesterol; 50 g carbohydrate; 5 g fiber; 27 g sugar; 3 g protein; 55 mg sodium.

U.S. Exposure to Horse Meat: Answers to Common Questions

By Stephanie Strom, The New York Times

The alarm in Europe over the discovery of horse meat in beef products escalated again Monday, when the Swedish furniture giant Ikea withdrew an estimated 1,670 pounds of meatballs from sale in 14 European countries.

Ikea acted after authorities in the Czech Republic detected horse meat in its meatballs. The company said it had made the decision even though its tests two weeks ago did not detect horse DNA.

Horse meat mixed with beef was first found last month in Ireland, then Britain, and has now expanded steadily across the Continent. The situation in Europe has created unease among American consumers over whether horse meat might also find its way into the food supply in the United States. Here are answers to commonly asked questions on the subject.

Has horse meat been found in any meatballs sold in Ikea stores in the United States?

Ikea says there is no horse meat in the meatballs it sells in the United States. The company issued a statement on Monday saying meatballs sold in its 38 stores in the United States were bought from an American supplier and contained beef and pork from animals raised in the United States and Canada.

“We do not tolerate any other ingredients than the ones stipulated in our recipes or specifications, secured through set standards, certifications and product analysis by accredited laboratories,” Ikea said in its statement.

Mona Liss, a spokeswoman for Ikea, said by e-mail that all of the businesses that supply meat to its meatball maker  issue letters guaranteeing that they will not misbrand or adulterate their products. “Additionally, as an abundance of caution, we are in the process of DNA-testing our meatballs,” Ms. Liss wrote. “Results should be concluded in 30 days.”

Does the United States import any beef from countries where horse meat has been found?

No. According to the Department of Agriculture, the United States imports no beef from any of the European countries involved in the scandal. Brian K. Mabry, a spokesman for the department’s Food Safety and Inspection Service, said: “Following a decision by Congress in November 2011 to lift the ban on horse slaughter, two establishments, one located in New Mexico and one in Missouri, have applied for a grant of inspection exclusively for equine slaughter. The Food Safety and Inspection Service (F.S.I.S.) is currently reviewing those applications.”

Has horse meat been found in ground meat products sold in the United States?

No. Meat products sold in the United States must pass Department of Agriculture inspections, whether produced domestically or imported. No government financing has been available for inspection of horse meat for human consumption in the United States since 2005, when the Humane Society of the United States got a rider forbidding financing for inspection of horse meat inserted in the annual appropriations bill for the Agriculture Department. Without inspection, such plants may not operate legally.

The rider was attached to every subsequent agriculture appropriations bill until 2011, when it was left out of an omnibus spending bill signed by President Obama on Nov. 18. The U.S.D.A.  has not committed any money for the inspection of horse meat.

“We’re real close to getting some processing plants up and running, but there are no inspectors because the U.S.D.A. is working on protocols,” said Dave Duquette, a horse trader in Oregon and president of United Horsemen, a small group that works to retrain and rehabilitate unwanted horses and advocates the slaughter of horses for meat. “We believe very strongly that the U.S.D.A. is going to bring inspectors online directly.”

Are horses slaughtered for meat for human consumption in the United States?

Not currently, although live horses from the United States are exported to slaughterhouses in Canada and Mexico. The lack of inspection effectively ended the slaughter of horse meat for human consumption in the United States; 2007 was the last year horses were slaughtered in the United States. At the time financing of inspections was banned, a Belgian company operated three horse meat processing plants — in Fort Worth and Kaufman, Tex., and DeKalb, Ill. — but exported the meat it produced in them.

Since 2011, efforts have been made to re-establish the processing of horse meat for human consumption in the United States. A small plant in Roswell, N.M., which used to process beef cattle into meat has been retooled to slaughter 20 to 25 horses a day. But legal challenges have prevented it from opening, Mr. Duquette said. Gov. Susana Martinez of New Mexico opposes opening the plant and has asked the U.S.D.A. to block it.

Last month, the two houses of the Oklahoma Legislature passed separate bills to override a law against the slaughter of horses for meat but kept the law’s ban on consumption of such meat by state residents. California, Illinois, New Jersey, Tennessee and Texas prohibit horse slaughter for human consumption.

Is there a market for horse meat in the United States?

Mr. Duquette said horse meat was popular among several growing demographic groups in the United States, including Tongans, Mongolians and various Hispanic populations. He said he knew of at least 10 restaurants that wanted to buy horse meat. “People are very polarized on this issue,” he said. Wayne Pacelle, chief executive of the Humane Society of the United States, disagreed, saying demand in the United States was limited. Italy is the largest consumer of horse meat, he said, followed by France and Belgium.

Is horse meat safe to eat?

That is a matter of much debate between proponents and opponents of horse meat consumption. Mr. Duquette said that horse meat, some derived from American animals processed abroad, was eaten widely around the world without health problems. “It’s high in protein, low in fat and has a whole lot of omega 3s,” he said.

The Humane Society says that because horse meat is not consumed in the United States, the animals’ flesh is likely to contain residues of many drugs that are unsafe for humans to eat. The organization’s list of drugs given to horses runs to 29 pages.

“We’ve been warning the Europeans about this for years,” Mr. Pacelle said. “You have all these food safety standards in Europe — they do not import chicken carcasses from the U.S. because they are bathed in chlorine, and won’t take pork because of the use of ractopamine in our industry — but you’ve thrown out the book when it comes to importing horse meat from North America.”

The society has filed petitions with the Department of Agriculture and Food and Drug Administration, arguing that they should test horse meat before allowing it to be marketed in the United States for humans to eat.

This article has been revised to reflect the following correction:

Correction: February 25, 2013

An earlier version of this article misstated how many pounds of meatballs Ikea was withdrawing from sale in 14 European countries. It is 1,670 pounds, not 1.67 billion pounds.

This article has been revised to reflect the following correction:

Correction: February 25, 2013

An earlier version of this article misstated the last year that horses were slaughtered in the United States. It is 2007, not 2006.

 

Women’s HIV Awareness Day free testing March 12

EVERETT — In honor of National Women and Girls HIV Awareness Day, all women ages 14 years and older who have had any risk for HIV transmission qualify for free, rapid HIV testing on March 12. The test involves a simple pinprick to the finger, resulting in a tiny drop of blood, and only takes 30 minutes, including results.

No appointment is necessary. Just stop by between 9 a.m. and 7 p.m. on Tuesday, March 12, at Snohomish Health District Suite 106, located at 3020 Rucker Ave. in Everett. For more information, call 425-339-5298 or visit www.womenshealth.gov.

‘I’m a monster’: Some veterans carry ‘moral injuries’ of guilt

Former Marine Capt. Timothy Kudo walks among civilians carrying a burden of guilt most Americans don't want to share. A veteran of the wars in Iraq and Afghanistan, Kudo thinks of himself as a killer. "I can't forgive myself ... and the people who can forgive me are dead," he says. Photo: JOHN MINCHILLO / AP
Former Marine Capt. Timothy Kudo walks among civilians carrying a burden of guilt most Americans don’t want to share. A veteran of the wars in Iraq and Afghanistan, Kudo thinks of himself as a killer. “I can’t forgive myself … and the people who can forgive me are dead,” he says. Photo: JOHN MINCHILLO / AP

A veteran of the wars in Iraq and Afghanistan, former Marine Capt. Timothy Kudo thinks of himself as a killer – and he carries the guilt every day.

By Pauline Jelinek, Associated Press

WASHINGTON — A veteran of the wars in Iraq and Afghanistan, former Marine Capt. Timothy Kudo thinks of himself as a killer – and he carries the guilt every day.

“I can’t forgive myself,” he says. “And the people who can forgive me are dead.”

With American troops at war for more than a decade, there’s been an unprecedented number of studies into war zone psychology and an evolving understanding of post-traumatic stress disorder. Clinicians suspect some troops are suffering from what they call “moral injuries” – wounds from having done something, or failed to stop something, that violates their moral code.

Though there may be some overlap in symptoms, moral injuries aren’t what most people think of as PTSD, the nightmares and flashbacks of terrifying, life-threatening combat events. A moral injury tortures the conscience; symptoms include deep shame, guilt and rage. It’s not a medical problem, and it’s unclear how to treat it, says retired Col. Elspeth Ritchie, former psychiatry consultant to the Army surgeon general.

“The concept … is more an existentialist one,” she says.

The Marines, who prefer to call moral injuries “inner conflict,” started a few years ago teaching unit leaders to identify the problem. And the Defense Department has approved funding for a study among Marines at California’s Camp Pendleton to test a therapy that doctors hope will ease guilt.

But a solution could be a long time off.

“PTSD is a complex issue,” says Navy Cmdr. Leslie Hull-Ryde, a Pentagon spokeswoman.

Killing in war is the issue for some troops who believe they have a moral injury, but Ritchie says it also can come from a range of experiences, such as guarding prisoners or watching Iraqis kill Iraqis as they did during the sectarian violence in 2006-07.

“You may not have actually done something wrong by the law of war, but by your own humanity you feel that it’s wrong,” says Ritchie, now chief clinical officer at the District of Columbia’s Department of Mental Health.

Kudo’s remorse stems in part from the 2010 accidental killing of two Afghan teenagers on a motorcycle. His unit was fighting insurgents when the pair approached from a distance and appeared to be shooting as well.

Kudo says what Marines mistook for guns were actually “sticks and bindles, like you’d seen in old cartoons with hobos.” What Marines thought were muzzle flashes were likely glints of light bouncing off the motorcycle’s chrome.

“There’s no day – whether it’s in the shower or whether it’s walking down the street … that I don’t think about things that happened over there,” says Kudo, now a graduate student at New York University.

“Human beings aren’t just turn-on, turn-off switches,” Veterans of Foreign Wars spokesman Joe Davis says, noting that moral injury is just a different name for a familiar military problem. “You’re raised `Thou shalt not kill,’ but you do it for self-preservation or for your buddies.”

Kudo never personally shot anyone. But he feels responsible for the deaths of the teens on the motorcycle. Like other officers who’ve spoken about moral injuries, he also feels responsible for deaths that resulted from orders he gave in other missions.

The hardest part, Kudo says, is that “nobody talks about it.”

As executive officer of a Marine company, Kudo also felt inadequate when he had to comfort a subordinate grieving over the death of another Marine.

Dr. Brett Litz, a clinical psychologist with the Department of Veterans Affairs in Boston, sees moral injury, the loss of comrades and the terror associated with PTSD as a “three-legged stool” of troop suffering. Though there’s little data on moral injury, he says a study asked soldiers seeking counseling for PTSD in Texas what their main problem was; it broke down to “roughly a third, a third and a third” among those with fear, those with loss issues and those with moral injury.

The raw number of people who have moral injuries also isn’t known. It’s not an official diagnosis for purposes of getting veteran benefits, though it’s believed by some doctors that many vets with moral injuries are getting care on a diagnosis of PTSD – care that wouldn’t specifically fit their problem.

Like PTSD, which could affect an estimated 20 percent of troops who served in Iraq and Afghanistan, moral injury is not experienced by all troops.

“It’s in the eye of the beholder,” says retired Navy Capt. William Nash, a psychiatrist who headed Marine Corps combat stress programs and has partnered with Litz on research. The vast majority of ground combat fighters may be able to pull the trigger without feeling they did something wrong, he says.

As the military has focused on fear-based PTSD, it hasn’t paid enough attention to loss and moral injury, Litz and others believe. And that has hampered the development of strategies to help troops with those other problems and train them to avoid the problems in the first place, he says.

Lumping people into the PTSD category “renders soldiers automatically into mental patients instead of wounded souls,” writes Iraq vet Tyler Boudreau, a former Marine captain and assistant operations officer to an infantry battalion.

Boudreau resigned his commission after having questions of conscience. He wrote in the Massachusetts Review, a literary magazine, that being diagnosed with PTSD doesn’t account for nontraumatic events that are morally troubling: “It’s far too easy for people at home, particularly those not directly affected by war … to shed a disingenuous tear for the veterans, donate a few bucks and whisk them off to the closest shrink … out of sight and out of mind” and leaving “no incentive in the community or in the household to engage them.”

So what should be done?

“I don’t think we know,” Ritchie says.

Troops who express ethical or spiritual problems have long been told to see the chaplain. Chaplains see troops struggling with moral injury “at the micro level, down in the trenches,” says Lt. Col. Jeffrey L. Voyles, licensed counselor and supervisor at the Army chaplain training program in Fort Benning, Ga. A soldier wrestling with the right or wrong of a particular war zone event might ask: “Do I need to confess this?” Or, Voyles says, a soldier will say he’s “gone past the point of being redeemed, (the point where) God could forgive him” – and he uses language like this:

“I’m a monster.”

“I let somebody down.”

“I didn’t do as much as I could do.”

Some chaplains and civilian church organizations have been organizing community events where troops tell their stories, hoping that will help them re-integrate into society.

Some soldiers report being helped by Army programs like yoga or art therapy. The Army also has a program to promote resilience and another called Comprehensive Soldier Fitness to promote mental as well as physical wellness; some clinicians say the latter program may help reduce risk of moral injury but doesn’t help troops recognize when they or a buddy have the problem.

Nash says the Marines are using “psychological first aid techniques” to help service members deal with moral injury, loss and other traumatic events. But it’s a young program, not uniformly implemented and just now undergoing outside evaluation for its effectiveness, he says.

At Camp Pendleton, the therapy trial will be tailored to each Marine’s war experiences; troops with fear-based problems might use a standard PTSD approach; those with moral injury may have an imaginary conversation with the lost person.

Forgiveness, more than anything, is key to helping troops who feel they have transgressed, Nash says.

But the issue is so much more complicated that wholesale solutions across the military, if there are any, will likely be some time coming.

Many in the armed forces view PTSD as weakness. Similarly, they feel the term “moral injury” is insulting, implying an ethical failing in a force whose motto stresses honor, duty and country.

At the same time, lawyers don’t like the idea of someone asking troops to incriminate themselves in war crimes – real or imagined.

That leaves a question for troops, doctors, chaplains, lawyers and the military brass: How do you help someone if they don’t feel they can say what’s bothering them?

Free Health & Beauty Fair March 9

Empowering women of color to make their health a priority
 

SNOHOMISH COUNTY, Wash.— In honor of National Women and Girls HIV Awareness Day the Snohomish Health District is partnering with local and federal agencies to host a free Health & Beauty Fair for Women of Color on Saturday, March 9 at Edmonds Community College, and a free HIV testing day for women on March 12.

Racial and ethnic minority women experience higher rates of obesity, cancer, diabetes and HIV. “We want to remind women that with just a few simple steps, they can make great strides in preserving their health,” said Brenda Newell, Snohomish Health District HIV/STD/VHO program manager.

The Women of Color Health & Beauty is from 10 a.m. to 3 p.m. Saturday, March 9 in the Woodway Building off 204th Street, near the golf course. It features inspirational speakers, health screenings, beauty services, community health resources, and a light lunch – all free.

Free Health Screenings

– Cholesterol, diabetes and BMI Screening

– Rapid HIV testing

– Breast and cervical health resources

– Flu and whooping cough vaccinations

 

Free Beauty Services

– Eyebrow waxing and skin care demonstrations

– Manicures

– Natural hair styling tips

– Nutrition and exercise resources, plus a Zumba class

This event is sponsored by AIDS Project Snohomish County, Edmonds Community College, Medical Reserve Corps, Molina Health Care, Office of Women’s Health – Region X, Snohomish Health District Verdant Health and the YWCA. For more information on the event, visit www.snohd.org/events.

 

Women’s HIV Awareness Day Free Testing March 12

In honor of National Women and Girls HIV Awareness Day, all women ages 14+ who have had any risk for HIV transmission qualify for free, rapid HIV testing on March 12.  The test involves a simple pin-prick to the finger, resulting in a tiny drop of blood, and only takes 30 minutes – including results.

No appointment is necessary, just stop by between 9 a.m. and 7 p.m. Tuesday, March 12 at Snohomish Health District Suite 106, 3020 Rucker Avenue, Everett. For more information, call 425.339.5298 or visit www.womenshealth.gov.

 

 

 

 

Census Bureau reports American Indian and Alaska Native poverty rates

CB13-29
Contact:  Melanie Deal
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301-763-3030

WEDNESDAY, FEB. 20, 2013 – The poverty rate for American Indians and Alaska Natives in Rapid City, S.D. (50.9 percent) was around three times the rate in Anchorage, Alaska (16.6 percent) and about 30 percent or greater in five other cities most populated by this group (Gallup, N.M.; Minneapolis; Rapid City, S.D.; Shiprock, N.M.; Tucson, Ariz.; and Zuni Pueblo, N.M.), according to American Community Survey data collected from 2007 to 2011 by the U.S. Census Bureau. See figure.cb13-29_chart

Nine states had poverty rates of about 30 percent or more for American Indians and Alaska Natives (Arizona, Maine, Minnesota, Montana, Nebraska, New Mexico, North Dakota, South Dakota and Utah).

“With the American Community Survey, we can look at the poverty rates for even the smallest race and Hispanic-origin groups,” said Suzanne Macartney, an analyst in the Census Bureau’s Poverty Statistics Branch.

These figures come from Poverty Rates for Selected Detailed Race and Hispanic Groups by State and Place: 2007-2011, an American Community Survey brief that presents poverty rates by race and Hispanic origin for the United States, each state and the District of Columbia. For the nation and each state, poverty rates are summarized for the major race groups. For the nation, each state and selected places, poverty rates are summarized for American Indians and Alaska Natives, detailed Asian groups with populations of 750,000 or more, Native Hawaiian and Other Pacific Islander groups with populations of 25,000 or more and Hispanic-origin groups with populations of 1 million or more.

Two race groups had poverty rates more than 10 percentage points higher than the national rate of 14.3 percent: American Indian and Alaska Native (27.0 percent) and black or African- American (25.8 percent). Rates were above the overall national average for Native Hawaiians and Other Pacific Islanders (17.6 percent), while poverty rates for people identified as white (11.6 percent) or Asian (11.7 percent) were lower than the overall poverty rate. Poverty rates for whites and Asians were not statistically different from each other. The Hispanic population had a poverty rate of 23.2 percent, about nine percentage points higher than the overall U.S. rate.

Other highlights:

  • According to the 2007-2011 American Community Survey, 42.7 million people in the United States, or 14.3 percent, had income below the poverty level.
  • For the Asian population, poverty rates were higher for Vietnamese (14.7 percent) and Koreans (15.0 percent) and lower for Filipinos (5.8 percent). Poverty rates for Vietnamese and Koreans were not statistically different from each other.
  • For Asians, nine states had poverty rates below 10 percent (Connecticut, Delaware, Hawaii, Maryland, Nevada, New Hampshire, New Jersey, Virginia and South Carolina).
  • Among Hispanics, national poverty rates ranged from a low of 16.2 percent for Cubans to a high of 26.3 percent for Dominicans.

The American Community Survey provides a wide range of important statistics about people and housing for every community across the nation. The results are used by everyone from town and city planners to retailers and homebuilders. The survey is the only source of local estimates for most of the 40 topics it covers, such as education, occupation, language, ancestry and housing costs for even the smallest communities. Ever since Thomas Jefferson directed the first census in 1790, the census has collected detailed characteristics about our nation’s people. Questions about jobs and the economy were added 20 years later under James Madison, who said such information would allow Congress to “adapt the public measures to the particular circumstances of the community,” and over the decades allow America “an opportunity of marking the progress of the society.”

 Source: U.S. Census Bureau

Lifting Our Sisters Up at Tulalip Hibulb Cultural Center

By Monica Brown, Tulalip News Writer

 TULALIP, Wash.- “I never want to look at my granddaughter and say, sorry, there’s a one in three chance that you’ll be raped, sweetie,” exclaimed Theresa Pouley during the Lifting Our Sisters Up event held at the Hibulb Cultural Center on Feb 13th.  Theresa Pouley is Chief Judge at Tulalip Tribal Court and a Colville tribal member; she was selected as one of the four witnesses asked to speak at the event.

 It’s a shocking statistic when you realize it and if you turn to count the number of women in your own family; one in three of these women may have reported some type of sexual violence. Keep in mind though, 54 percent of sexual assaults are not reported to police. Until a remedial solution is found, Native woman will remain unprotected through current laws.

 For Native women that are victims forging their way to become survivors, it is an uphill battle with the current laws in place today. The current ruling comes from a 1978 United States Supreme Court case, Oliphant v. Suquamish. The Supreme Court sided with Oliphant, stating that Indian Tribal courts do not have inherent criminal jurisdiction to try and convict non-Indians. The ruling ultimately left a loophole for offenders in which violence involving a non-Indian and an Indian on tribal land will result in the case being moved to federal court and since many cases don’t make it that far, and are unable to be prosecuted in tribal court offenders are able to walk free.

 At the Lifting Our Sisters Up event Native woman gathered to share the painful truth of the peril that Native American woman are facing. Tulalip Vice Chairwoman, Deborah Parker opened the event by speaking encouraging words, “Today we are hoping to lift each other up, as sisters, as mothers, as aunties. Hopefully the words that are said here today will help you with your healing”. 

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 The day of healing was filled with songs, prayers, and many tears. Women from Tulalip and surrounding tribes came forward to recount some of the most painful moments in their lives in order to break the silence and say, violence against Native women is more prevalent than you know, because it happened to them.

 Tulalip Tribal member Carolyn Moses related memories of her youth growing up with domestic violence in her home life. She explained how her mother learned to be strong, and became a single mother who worked two jobs so that she could break the cycle of domestic violence and her children and her grandchildren would not have to endure it in their futures.

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 The Lifting our sisters Up event enabled women to speak out and tell the stories that are rarely shared in order to heal their spirit so that they may grow to be stronger women. The act of sharing personal hardships relieves some of the weight and to let go of the pain that can hold them down.

 “Share your story, if someone can take what happened to you and use that. If someone is reaching out to you, help them, no matter if you get along with them or not,”  urged witness and Tulalip tribal member Courtney Sheldon after recounting the injustices made against herself and her loved ones.  

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In order to overcome this hardship the laws in place need to change, whether it comes through VAWA or other means. Some may say they don’t understand the need for this type of rule adjustment and will even call it unconstitutional for non-Indians to be prosecuted in tribal courts. But, violations against Native women and some cases Native men need to be halted and the violators need to be held accountable for the life they ruin. What chance does a culture have to thrive when it is being torn down?

 “We [Native Women] are an endangered species and what will happen to our tribal nations?” argued witness Cheryl Coan; who is from the Dine’ Nation and works at Tulalip’s Legacy of Healing.

 To help spread the truth Canal Plus was invited to document these stories. Canal Plus, a French premium pay television channel that airs throughout Europe is similar to HBO in the U.S. Featured among many television selections, short documentary segments which focus on stories that are seldom told. Intrigued by the situation, Canal Plus traveled to Tulalip in order to document the stories of Native American women and the accounts of sexual assault and acts of violence which plague Indian Country.

Health officials issue salmonella warning

Salmonella warning

Source: HeraldNet

A number of salmonella illnesses traced to Foster Farms chicken in Washington and Oregon last year prompted health officials in both states to issue a warning Thursday.

“While these outbreaks are unfortunate, they’re also preventable if people take the proper steps when storing, handling and preparing raw poultry products,” said Washington state Health Department spokesman Tim Church in a news release.

There were at least 56 cases in Washington — including four in Snohomish County — all linked to a specific strain of salmonella Heidelberg bacteria found on Foster Farms chicken. There were no deaths.

Salmonella’s symptoms — fever, stomach cramps and diarrhea — can last four to seven days. The illness can be deadly in the young or old or other vulnerable people, Church said.

Foster Farms said safety and quality are its priorities, and there is no recall related to the salmonella announcement.

Consumers are urged to separate raw poultry from other foods in the shopping cart with plastic bags. Don’t let drippings from chicken or packaging contaminate cutting boards or other surfaces in the kitchen. And, cook chicken to 165 degrees to kill the bacteria.