On Wellness in WV

State lags behind in breastfeeding

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Check out the CDC’s 2013 Breastfeeding Report Card here.

From today’s Charleston Daily Mail:

CHARLESTON, W.Va. — Although more mothers seem to be breastfeeding, West Virginia still lags behind the national average, new data from the federal Centers for Disease Control and Prevention show.

Over the past decade, breastfeeding rates nationwide have been trending upward. The number of mothers who started their newborns out on breast milk stood at 71 percent in 2000. In 2010, the number had climbed to 77 percent.

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On Monday, a release was sent out noting that U.S. Rep. Nick Rahall, along with Senators Jay Rockefeller and Joe Manchin announced funding awarded to Prestera Center to help with substance abuse and mental health.

WASHINGTON, D.C. – U.S. Rep. Nick Rahall, along with Senators Jay Rockefeller and Joe Manchin (all D-W.Va.), Monday announced Federal funding has been awarded by the Substance Abuse and Mental Health Services Administration (SAMHSA) to Prestera Center to expand and increase patient access to mental health treatment and substance abuse recovery support services.

“The hard work of addressing the problems of prescription drugs in our region is underway, and funding like this can go a long way in addressing the treatment needs and demand in our communities,” said Rahall, who is a co-chairman of the Congressional Prescription Drug Abuse Caucus. “I will keep right on working side-by-side with our communities to fight for federal resources that will save lives and ensure needed access to care in our State.”

“Giving our community organizations that specialize in substance abuse support for their work is vital to combating our statewide prescription drug abuse problem. This is a much deserved and needed boost for Prestera Center in Huntington, and for the dedicated staff that’s working so hard to help people in their community who are battling addiction,” said Rockefeller. “This is a heartbreaking epidemic for our state, and I won’t stop looking for ways to help those suffering until we end this problem.

“Drug addiction hurts more than just the person abusing drugs; it hurts loved ones, hinders job creation and destroys communities,” said Manchin. “To combat our drug abuse epidemic around West Virginia and across America, we must continue funding critical programs like these that will improve mental health services to those who are seriously struggling with addiction. The bottom line is that the toll drug addiction is taking on jobs, families and communities must stop.

Prestera Center for Mental Health Services, headquartered in Huntington, will receive a $280,000 Mental Health and Substance Abuse Service Grant to expand its Technology Assisted Care (TAC) telemedicine capabilities to reach clients throughout its eight-county catchment area, providing improved access to services and coordinated recovery support to improve health outcomes for 2,000 clients over the course of the three year program. Prestera expects a minimum of 900 individuals will utilize its expanded telemedicine capabilities to manage their medications, access their care provider or receive specialty services which are otherwise unavailable to them.  Through the Center’s existing certified electronic behavioral healthcare system clients can obtain treatment and specialty care without barriers such as transportation, lack of qualified provider, or stigma which may be inhibiting their access to care.

The program “Doctors On Call” has celebrated 700 episodes. The program features physicians and health professionals. As per a WVU Health Release:
MORGANTOWN, W.Va. – As WVU Hospitals’ Ruby Memorial celebrates its 25th anniversary this month, another impressive milestone has been reached. This week marks the 700th episode of “Doctors On Call” (DoC), a statewide program on West Virginia Public Television that features WVU Healthcare physicians and other health professionals.

When “Doctors On Call” debuted on Jan. 14, 1993, it was instantly popular with viewers throughout the state. But no one would have predicted that the live, medical call-in show would still be on the air more than 20 years later, as few things last that long on television. Today, the phone lines still ring off the hook, and doctors donning makeup sit under the set’s bright lights to answer as many viewers’ questions they can fit into a half-hour show.

“Doctors On Call,” a joint production of West Virginia Public Broadcasting, WVU Healthcare and WVU Health Sciences, began as a way to reach people in the far corners of the state with up-to-date medical information.

“It really took off immediately because people were so hungry for information about their health,” Amy Johns, producer of DoC and director of public affairs for WVU Healthcare, said. “Now, even though there are so many more options readily available for such information, the program is still relevant. I think one of the reasons is the interactive nature of the show. Another is the positive reputation of the healthcare experts at WVU.”

“The program has provided a great forum to enhance awareness of health issues throughout West Virginia,” Bruce McClymonds, president and CEO of WVU Hospitals, said. “It has enabled West Virginians to learn and ask questions about critical issues impacting their health.”

“Doctors On Call” wasn’t the educational institutions’ first foray into television. Since 1990, WVU doctors have been sharing their wisdom on the WVU Health Report, first on WCHS-TV in Charleston, then a few years later on evening news broadcasts throughout the state. The health reports now appear on West Virginia Media stations in Clarksburg (WBOY-TV), Charleston-Huntington (WOWK-TV), Beckley (WVNS-TV), and Wheeling (WTRF).

Both television efforts initially featured former WVU Vice President for Health Sciences and Dean of the WVU School of Medicine Robert D’Alessandri, M.D., who became popularly known as “Dr. Bob.” Dr. D’Alessandri considered the television programs “natural extensions” of the mission of the health sciences at WVU. Current WVU Chancellor for Health Sciences Christopher C. Colenda, M.D., M.P.H., agrees.

“As a way to bring medical and health information to the citizens of West Virginia, ‘Doctors On Call’ and the health reports have been a tremendous success.  From Dr. Bob to Dr. Rolly (Sullivan), all of the WVU hosts and their experts have been focused on one vision – to transform lives and eliminate health disparities,” Dr. Colenda said.

Many WVU Healthcare doctors, even those initially reluctant about appearing live on television, have become comfortable in front of the camera and consider the television shows to be a valuable way to communicate with patients.

“It is a real honor to be invited into the living rooms of so many West Virginians each week as we try to do our part to help improve their health and wellness,” Arthur Ross, M.D., M.B.A., dean of the WVU School of Medicine, said. “We value these partnerships and look forward to many more episodes to come.”

Rolly Sullivan, M.D., an addiction specialist for WVU Healthcare, hosts the WVU Health Reports and “Doctors On Call.” Other hosts for Doctors On Call are pediatric cardiologist John Phillips, M.D.; pediatric infectious disease specialist Kathy Moffett, M.D.; orthopaedic surgeon Joe Prudhomme, M.D.; and gynecologist Mahreen Hashmi, M.D.

The topic for this week’s 700th “Doctors On Call” is lung problems. The show airs at 8 p.m. on Thursday nights. Upcoming topics are vascular problems, breast cancer and joint problems. Recent WVU Health Reports focus on spinal deformities in children, travel vaccines and heart health. All shows and reports are posted to WVU Healthcare’s YouTube channel: www.YouTube.com/WVUHealthcare.

Viewers of DoC can learn about upcoming topics and provide feedback and requests on the program’s Facebook page: www.facebook.com/DoctorsOnCallWVU.

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Dr. Kevin Yingling, left, today announced creation of a new endowed scholarship fund that honors Paula Campbell Butterfield, right, a pharmacist and longtime owner of Trivillian’s Pharmacy in Charleston.

A Charleston pharmacist is lending support for a new scholarship. As per Marshall University:

HUNTINGTON, W.Va. – Dr. Kevin W. Yingling, dean of the Marshall University School of Pharmacy, announced today creation of a new endowed scholarship fund, the Paula Campbell Butterfield Scholarship for the School of Pharmacy.

The scholarship is named in honor of Paula Campbell Butterfield, a pharmacist and longtime owner of Trivillian’s Pharmacy, an iconic independently owned pharmacy in Charleston.   Butterfield, who completed her pharmacy degree at the Medical College of Virginia in Richmond, has owned and operated Trivillian’s for more than 30 years.

In announcing the scholarship, Yingling praised Butterfield for her years of mentoring young women and men in the field of pharmacy.

“Ms. Butterfield’s generosity is obvious, not only in her willingness to create a scholarship for our students, but in her every-day commitment to mentoring young pharmacists in the field,” Yingling said. “Additionally, she is the epitome of what a community pharmacist should be – a valued member of the health care team dedicated to educating her patients about their medications and how to use them safely.”

The Paula Campbell Butterfield Scholarship for the School of Pharmacy will be awarded to a recipient who is a full-time student at the school and a resident of West Virginia.   First preference will be for a female student who lives in Kanawha County or an adjacent county (Jackson, Roane, Clay, Nicholas, Fayette, Raleigh, Boone, Lincoln or Putnam).  The recipient must  have and maintain a 3.0 GPA.

The award is renewable.

For specific information on the scholarship, contact the Marshall University Office of Financial Aid at 304-696-3162.

HealthDay News put out a release recently about men skipping breakfast. Those who do have a 27 percent higher chance of suffering a heart attack or developing heart disease than those who eat breakfast.

 

The study confirms earlier findings that have linked eating habits to elevated risk factors for heart disease, the Harvard researchers said.

“Men who skip breakfast are more likely to gain weight, to develop diabetes, to have hypertension and to have high cholesterol,” said Eric Rimm, senior author and associate professor of epidemiology and nutrition at Harvard School of Public Health and associate professor of medicine at the Harvard Medical School.

For example, breakfast skippers are 15 percent more likely to gain a substantial amount of weight and 21 percent more likely to develop type 2 diabetes, earlier studies have reported.

The new study, published July 22 in the journal Circulation, found that these men also indulged more heavily in other unhealthy lifestyle choices. They were more likely to smoke, engage in less exercise and drink alcohol.

“We’ve focused so much on the quality of food and what kind of diet everyone should be eating, and we don’t talk as often on the manner of eating,” said Dr. Suzanne Steinbaum, a preventive cardiologist at Lenox Hill Hospital in New York City. “This study is not even discussing the type of food. It’s just talking about behavior and lifestyle choice. Part of heart-healthy living is eating breakfast because that prevents you from doing a lot of other unhealthy things.”

For the new report, researchers analyzed data culled from a 16-year study of nearly 27,000 male health professionals that tracked their eating habits and overall health from 1992 to 2008. During the study period, 1,572 of the men developed heart disease.

The study also found a 55 percent increased risk of heart disease in men who regularly indulge in late-night snacking. However, the researchers did not consider this a public health risk because few men reported eating after they’d gone to bed.

Rimm said there are several possible explanations why skipping breakfast can have such a drastic effect on heart health.

The Harvard study found that men who skip breakfast do not pick up another meal later in the day, which Rimm said indicates that they tend to “feast” on higher-calorie meals when they do eat. Previous studies have found that feasting can result in high cholesterol and elevated blood pressure, compared with nibbling smaller meals.

“It’s the extra strain on the body of eating more calories during the few times in a day they do eat,” he said.

The type of food that a person consumes during breakfast also might be a factor. “Breakfast is typically a time when people tend to eat a healthy meal,” Rimm said. “By skipping a meal that usually features fiber or fruit or yogurt, you’re missing out on an occasion where people can get healthy nutrients.”

Younger men tend to skip breakfast more frequently than older men, the investigators found, which leads to another possible explanation. “It may be in line with the fact that these are men who are rushing out to stressful jobs and not eating along the way,” Rimm said, noting that stress is bad for heart health and is associated with negative lifestyle choices such as drinking or smoking.

The study did not include women, but Steinbaum believes the same pattern likely occurs in women who skip breakfast. “There haven’t been any studies independently on women, but I would suspect we would find the same outcomes,” she said.

Rimm said the study reinforces the age-old emphasis on breakfast as a key to good health.

“There is so much we know about reducing risk of heart disease, and some things like exercise or quitting smoking take quite a bit of effort,” Rimm said. “But it is easy without a big huge financial or time commitment to have breakfast, even if it is a bowl of oatmeal or a bit of cereal before you start the day.”

More information

SOURCES: Eric Rimm, Sc.D., senior author and associate professor, epidemiology and nutrition, Harvard School of Public Health, and associate professor, medicine, Harvard Medical School, Boston; Suzanne Steinbaum, M.D., preventive cardiologist, Lenox Hill Hospital, New York City; July 22, 2013, Circulation

The American Red Cross said there remains an urgent need for donors with types O negative, B negative and A negative blood. The organization is encouraging those blood types to consider giving double red cells, when available, according to the release:

The Red Cross issued an emergency call for blood donations on July 9 after seeing about 50,000 fewer blood donations than expected in June. Donations have increased by about 15 percent since the emergency call for donors was issued, but the middle and end of July mark only the halfway point to the challenging summer months.

“The summer is historically one of the most difficult times of the year for blood donations,” said Hagins. “Many donors are still enjoying summer activities, but patients are unable to take a vacation from needing lifesaving transfusions.”

Blood is needed for many reasons. Accident and burn victims, heart surgery patients and organ transplant patients, as well as those receiving treatment for cancer or sickle cell disease, may depend on lifesaving transfusions. Each day, the Red Cross Greater Alleghenies Blood Services Region needs approximately 700 donors to step forward and give blood. Blood can only come from generous volunteer donors.

Eligible donors with types O negative, B negative and A negative blood are especially encouraged to give double red cells where available. Type O negative blood is the universal blood type and can be transfused to anyone who needs blood. Types A negative and B negative blood can be transfused to Rh positive or negative patients.

How to Donate Blood

Simply call 1-800-RED CROSS (1-800-733-2767) or visit redcrossblood.org to make an appointment or for more information. All blood types are needed to ensure a reliable supply for patients. A blood donor card or driver’s license, or two other forms of identification are required at check-in.  Individuals who are 17 years of age (16 with parental permission in some states, including West Virginia, Kentucky and Ohio), weigh at least 110 pounds and are in generally good health may be eligible to donate blood. High school students and other donors 18 years of age and younger also have to meet certain height and weight requirements.

 

Upcoming Community Blood Drive Opportunities: 

(**2RBC**  Indicates double red cell donation offered at that blood drive)

 

Monday, July 29, 2013

**2RBC**  Delbarton, WV: 2 to 7 p.m., Burch High School, Rt. 2

**2RBC**  Elizabeth, WV: 1 to 6 p.m., Elizabeth Baptist Church-Fellowship Hall, 791 Mulberry Street

**2RBC**  Flemingsburg, KY: 3 to 8 p.m., Mt. Carmel United Methodist Church, 7583 Mt. Carmel Beachburg Road

Louisa, KY: 10 a.m. to 3 p.m., Three Rivers Medical Center, 2483 Ky. Route 644

 

Tuesday, July 30, 2013

**2RBC**  Huntington, WV: 10:30 a.m. to 6:30 p.m., American Red Cross Blood Donation Center, 1111 Veterans Memorial Boulevard

**2RBC**  Jackson, OH: 1 to 7 p.m., Jackson Area YMCA, 594 East Main Street

**2RBC**  Portsmouth, OH: Noon to 6 p.m., All Saints Episcopal Church, 610 4th Street

**2RBC**  Wellston, OH: Noon to 6 p.m., Hope United Methodist Church, 219 East 1st Street

Winfield, WV: 9 a.m. to 2 p.m., Putnam County Courthouse, 3389 Winfield Road

 

Wednesday, July 31, 2013

Ashland, KY: 11 a.m. to 5 p.m., Member’s Choice Credit Union, 1315 Cannonsburg Road

**2RBC**  Charleston, WV: 1 to 7 p.m., St. Timothy’s Lutheran Church, 900 Lawndale Lane

 

Thursday, August, 1, 2013

Barboursville, WV: Noon to 6 p.m., Best Buy, 6 Mall Road

**2RBC**  Barboursville, WV: 1 to 7 p.m., Barboursville Church of Christ, 1120 McClung Avenue

Parkersburg, WV: 9 a.m. to 3 p.m., Highmark West Virginia, 614 Market Street

**2RBC**  Point Pleasant, WV: 11:30 a.m. to 5:30 p.m., Trinity United Methodist Church, 615 Viand Street

 

Friday, August 2, 2013

Ashland, KY: 10 a.m. to 4 p.m., Central Fire Station, 1021 Carter Avenue

Charleston, WV: 11 a.m. to 4 p.m., CAMC General, Morris Street

**2RBC**  Parkersburg, WV: 9 a.m. to 3 p.m., American Red Cross Blood Donation Center, 3210 Dudley Avenue

**2RBC**  Parkersburg, WV: Noon to 6 p.m., Grace Gospel Church, 6239 Pike Street

**2RBC**  South Williamson, KY: 2 to 7 p.m., South Side Mall, 275 Mall Road

 

Monday, August 5, 2013

**2RBC**  Ravenswood, WV: Noon to 6 p.m., North United Methodist Church, Washington and Brown Streets

Ripley, WV: 1 to 6 p.m., Ripley Church of Christ, 112 Jackson Avenue

**2RBC**  South Point, OH: 1 to 7 p.m., South Point Church of Christ, 3rd & Virginia Streets

**2RBC**  Winfield, WV: 2 to 7 p.m., Winfield Churh of the Nazarene, 2986 Winfield Road

 

Tuesday, August 6, 2013

**2RBC**  Charleston, WV: 10 a.m. to 3 p.m., Department of Environmental Protection, 601 57th Street SE

**2RBC**  Huntington, WV: 10:30 a.m. to 6:30 p.m., American Red Cross Blood Donation Center, 1111 Veterans Memorial Boulevard

 

Wednesday, August 7, 2013

Saint Albans, WV: Noon to 6 p.m., Cintas 525, 654 Winfield Road

**2RBC**  South Charleston, WV: 1 to 6 p.m., South Charleston Library, 312 4th Avenue

 

Thursday, August, 8, 2013

**2RBC**  Ironton, OH: 2 to 7 p.m., Knights of Columbus, 2101 S. Third Street

**2RBC**  Waverly, OH: 11 a.m. to 6 p.m., Adena Pike Medical Center, 100 Dawn Lane

 

Friday, August 9, 2013

**2RBC**  Catlettsburg, KY: 1 to 6 p.m., Burnaugh Baptist Church, 29675 Mayo Trail

**2RBC**  Huntington, WV: 1 to 6 p.m., HIMG Regional Medical Ctr, 5170 US Rt. 60 East

**2RBC**  Parkersburg, WV: 9 a.m. to 3 p.m., American Red Cross Blood Donation Center, 3210 Dudley Avenue

The Centers for Disease Control and Prevention released info from a press conference held today about the HPV vaccine being underused. In girls ages 13 to 17, there was no increase in use between 2011 and 2012. And there was actually a decrease in the three-dose coverage from 2011 to 2012.

 

HPV vaccine: Safe, effective, and grossly underutilized

In a press conference held today, top officials from CDC and the American Academy of Pediatrics announced that HPV vaccination rates in girls aged 13-17 years failed to increase between 2011 and 2012, according to data from the Centers for Disease Control and Prevention (CDC).  Three-dose coverage actually declined slightly from 2011 to 2012.

The article in CDC’s Morbidity and Mortality Weekly Report (MMWR) drew on data from the 2012 National Immunization Survey-Teen (NIS-Teen).

Among girls unvaccinated for HPV, 84 percent had a healthcare visit where they received another vaccine (such as one aimed at meningitis or pertussis), but not HPV vaccine. If HPV vaccine had been administered, vaccination coverage for ≥1 dose could be nearly 93 percent rather than 54 percent.

“Progress increasing HPV vaccination has stalled, risking the health of the next generation.,” said CDC Director Tom Frieden M.D., M.P.H. “Doctors need to step up their efforts by talking to parents about the importance of HPV vaccine just as they do other vaccines and ensure its given at every opportunity.”

According to CDC, for each year the 3-dose HPV vaccine series coverage remains near the current level of 33 percent instead of achieving the Healthy People 2020 goal of 80 percent coverage, an additional 4,400 women will be diagnosed with cervical cancer and 1,400 cervical cancer-attributable deaths will occur in the future.

The 2012 NIS-Teen data show that not receiving a healthcare provider’s recommendation for HPV vaccine was one of the five main reasons parents reported for not vaccinating daughters.  Healthcare providers are urged to give a strong recommendation for HPV vaccination for boys and girls aged 11 or 12 years.

The other responses parents provided indicate gaps in understanding about the vaccine, including why vaccination is recommended at ages 11 or 12.

“Parents need reassurance that HPV vaccine is recommended at 11 or 12 because it should be given well in advance of any sexual activity,” said Dr. Frieden.   “We don’t wait for exposure to occur before we vaccinate with any other routinely recommended vaccine.”

Parents also reported safety concerns as a reason for not vaccinating. In the seven years of post-licensure vaccine safety monitoring and evaluation conducted independently by federal agencies and vaccine manufacturers, no serious safety concerns have been identified.  According to today’s MMWR article, reports of adverse events after HPV vaccination to the Vaccine Adverse Event Reporting System (VAERS) have steadily decreased from 2008 to 2012 and the numbers of serious adverse events reported has also declined since 2009.

Approximately, 79 million Americans are currently infected with HPV. About 14 million people become newly infected each year. HPV is so common that nearly all sexually-active men and women will get at least one type of HPV at some point in their lives.

Parents and caregivers are encouraged to ask about vaccination every time they take children for a healthcare visit.  If a preteen boy or girl (aged 11 or 12 years) has not started the HPV vaccine series, make an appointment to get him or her vaccinated.  Teens who haven’t started or finished the 3-dose series should do so—it’s not too late for them to receive HPV vaccine.

For many, it’s easier than ever to get the HPV vaccine. Because of the Affordable Care Act, most private health insurance plans must cover the HPV vaccine at no out-of-pocket cost, meaning no co-pay or deductible. Visit https://www.healthcare.gov/what-are-my-preventive-care-benefits/#part=3 for more information.

CDC officials urge healthcare providers to increase the consistency and strength of how they recommend HPV vaccine, especially when patients are 11 or 12 years old. Reviewing vaccination status at every healthcare encounter and taking advantage of every visit, including acute care visits, can increase HPV vaccine coverage in the United States.

HPV vaccine is an anti-cancer vaccine. Preteen and teens are relying on the adults in their lives to help protect them.

This article came out a week or so ago, but it has some interesting information on life expectancy. There have been other reports with similar conclusions: McDowell County has some low life expectancies.

From the piece:

“In some counties, such as McDowell County, WV and Sunflower County, MS, life expectancies are lower than Bangladesh for males and Algeria for females.”

Females were second from the bottom (only above Perry, Kentucky) in McDowell, WV. Life expectancy is at 72.9. Compare that to the top – Marin, California at 85.02.

Males don’t fare any better. McDowell, WV is at the very bottom for life expectancy for males – 63.9.

The article offers readers this:

“The complete failure by some communities to increase life expectancy from levels seen now in very poor countries likely has many distal and proximate causes. But most importantly, this slow progress should be viewed as a call for action to improve health and reduce inequalities in the US.”

Why is this? Poor working conditions? Diet? Health issues? Combination of all three?