Power to End Stroke campaign raises awareness of increased stroke risk among African Americans

Monday, May 5, 2008 – May is American Stroke Month and National Minority Health Month, and Americans have a unique opportunity to focus on the risks associated with stroke throughout the month. The American Stroke Association emphasizes that African Americans are almost twice as likely to have a stroke compared to Caucasians – a health disparity that led to the creation of its Power to End Stroke campaign.

About the Power to End Stroke Campaign:
In addition to their increased likelihood of suffering a stroke, African Americans are more likely to be affected by stroke at an earlier age, often facing disability during the prime of life. Power to End Stroke is an educational and awareness campaign designed to embrace and celebrate the culture, energy, creativity and lifestyles of African Americans. It unites African Americans to help make an impact on the high incidence of stroke within the community.

To accomplish this, the campaign encourages the public to reduce their individual risks for stroke, to recognize the signs of stroke, to respond quickly if faced with stroke-like symptoms, and to take the pledge to get personally involved in spreading the word.

About Stroke:
Stroke is the third leading cause of death in the United States, and more than 700,000 people suffer a stroke each year – one person every 45 seconds. But stroke is not inevitable, and stroke doesn’t have to be debilitating or deadly. If you know your risks, control your risk factors (including high blood pressure and diabetes), and work with your doctor to eliminate or manage your risks, you may prevent stroke. By knowing the warning signs and seeking prompt medical attention, rehabilitation and survival are possible – even probable.

To help prevent a stroke, the American Stroke Association recommends maintaining a healthy weight through diet and physical activity, as well as controlling high blood pressure, refraining from smoking, avoiding exposure to second-hand smoke, and treating disorders that increase the risk of stroke, such as irregular heart beat and heart failure.

About Stroke Warning Signs:
It is important for the public to recognize the signs and symptoms of strokes. Although the following is a summary, not all of these signs occur in every attack. If an individual notices one or more of these signs, the American Stroke Association encourages them to seek medical attention by calling 911 immediately.

· Sudden weakness or numbness of the face, arm or leg on one side of the body.

· Sudden dimness or loss of vision, particularly in one eye.

· Loss of speech, or trouble talking or understanding speech.

· Sudden, severe headaches with no apparent cause.

· Unexplained dizziness, unsteadiness or sudden falls, especially along with any of the previous symptoms.

For More Information:
To learn more about American Stroke Month, National Minority Health Month, or the American Stroke Association and its lifesaving mission, please call 1-888-4STROKE or log on to www.strokeassociation.org.

About the American Stroke Association:
The goal of the American Stroke Association, a division of the American Heart Association, is to reduce disability and death from stroke through research, education and advocacy. In its 2006–07 fiscal year, the association invested more than $152 million to fight stroke. To learn more, call 1-888-4STROKE or visit www.strokeassociation.org.

National Nurses Week (May 6-12) recognizes the service nurses . National Nurses Week coincides with Florence Nightingale's birthday, May 12. Many consider Nightingale the founder of modern nursing. The history of Nurses Week began in 1953 when Dorothy Sutherland of the U.S. Department of Health, Education and Welfare sent the proposal to President Eisenhower. In 1974, President Nixon proclaimed a "National Nurse Week." There are 2.4 million registered nurses in the U.S. of which 92% are women.

May is recognized as Better Sleep Month. Sleep is an essential part of a healthy lifestyle. It affects how you feel physically, your relationships, your productivity - even your quality of life. Sleep needs to be a health priority. Read more at http://health.springfieldmo.gov.

Shopping for fresh fruits and vegetables at a local farmers market or growing your own in a backyard garden is a great way to add flavor to your meals and improve your health, according to a nutrition expert with the Missouri Department of Health and Senior Services.

Fresh fruits and vegetables are full of nutrients – vitamins, minerals, fiber and antioxidants – that can help prevent a number of diseases, and the fresher they are, the better they taste.

“When fruits and vegetables are in season, they not only have more flavor, they cost less,” said Pat Kramer, a registered dietitian at the Department of Health and Senior Services. “Because a diet rich in fruits and vegetables can help prevent serious illnesses such as heart disease, diabetes and some types of cancer, planning your meals around produce from a farmers market or your own garden can help you reduce health care costs, too.”

The most economical way to consume more fruits and vegetables is to eat seasonally by shopping for produce that’s in season and grown locally, if possible. For example, look for asparagus, leaf lettuce, spinach and peas in the spring; strawberries, blueberries, peaches, peppers, tomatoes and broccoli in the summer; and apples, pears, squash and sweet potatoes in the fall.

“Stopping at a local farmers market or growing your own fruits and vegetables takes a little extra time, but the fresh flavors and the benefits to your family’s health are definitely worth it,” Kramer said.

Finding a farmers market in Missouri has become easier in recent years. Last year, Missouri was home to more than 130 markets, compared to just 53 markets 10 years ago, according to the state Department of Agriculture. A directory of farmers markets throughout the state can be found at: http://agebb.missouri.edu/fmktdir/view.htm.

For the do-it-yourselfers, a small backyard garden can produce many pounds of fruits and vegetables every year. Even planting a couple of tomato plants in a pot on a deck or patio can provide fresh tomatoes for salads and sandwiches all summer long. Cherry tomatoes are especially easy to grow and make a healthy snack.

Freezing and canning homegrown fruits and vegetables when they are in season can provide garden-fresh flavor throughout the year.

Gardening is also a good way to increase physical activity, another important factor in maintaining good health.

Getting family members to eat more fruits and vegetables can sometimes be a challenge, Kramer said, but getting them involved is a good way to help them make healthier food choices every day.

“Take your kids with you to the farmers market or have them help in the garden,” Kramer added. “Research shows that kids who help shop for fruits and vegetables or help grow them are more likely to eat them.”

More information about the benefits of fruits and vegetables can be found at: http://www.fruitsandveggiesmatter.gov/index.html. More information about farmers markets in Missouri can be found at: http://agebb.missouri.edu/fmktdir/index.htm.

May 5, 2008 - Recent rains and warm weather create a prime breeding environment for mosquitoes. With more mosquitoes comes an increased risk for West Nile virus. But by taking some simple precautions, you can protect yourself from being bitten and being infected with West Nile virus.

West Nile virus is carried by birds, and is transmitted when a mosquito bites an infected bird and then bites a person, animal or another bird. Most people who are infected will not even get sick. A few may have mild symptoms like a fever, headache or body aches. A very small number (less than 1%) of people may become very ill and may even die. Most of those serious illnesses occur in people over 50 years old.

Even though your chance of becoming sick is very low, it is still important to protect yourself and our community from mosquitoes.
A mosquito can breed in as little as one teaspoonful of water. Look around your yard for places where a tiny amount of water can soon become a haven for breeding mosquitoes.

Be sure to drain water out of –
•piles of leaves
•empty flower pots
•small pieces of trash
•an unused bird bath
•an old tire
•the lid to your child’s sandbox
•the lid to your trash can
•a pet’s water dish

Pick up trash in your yard. Clean up leaves and brush piles. Keep your grass mowed short. Trim trees to allow more sunlight into your yard. Check with your local health department or public works department to find out if anyone in your area is sponsoring a clean-up day to collect old tires, cans and yard debris.

Eliminate mosquito breeding habitats by getting rid of standing water in your yard.
•Dispose of old tires, cans, wading pools or any other items that collect water.
•Make sure your roof gutters are draining properly.
•Change the water in birdbaths and pet dishes daily.
•Dispose of piles of brush or leaves.
•Use Mosquito Dunks®, according to the product label, in standing water like ponds.

You can also take steps to protect yourself against mosquito bites.
•Stay indoors at dawn and dusk, when mosquitoes are most active.
•Wear long sleeved shirts, socks and long pants when you must be outdoors.
•Use an approved insect repellent, and follow the instructions on the product label.
•Talk to your physician or health care provider before applying insect repellants to young children.
•Make sure your window screens fit tightly and are free from holes.

Remember, the best way to keep from getting West Nile virus is to get rid of mosquito breeding grounds and avoid getting bitten. For more information, call the Springfield-Greene County Health Department at (417) 864-1658.

Due to rising costs, the Springfield-Greene County Health Department will soon begin charging Greene County residents a fee for well water testing.

"We've absorbed the costs involved in the travel, collection and testing of private well water samples for years," says director of health Kevin Gipson. "But the increase in gas prices, combined with an increasing demand for service and limited staff time means we have to make a change in order to continue providing this service."

Greene County residents will be charged fees for water testing as follows:
Standard bacteria $10.00
Sample collection at well $15.00
Iron Sulfate Nitrate/Nitrogen $ 5.00
Chlorine $ 5.00
Hardness $ 5.00

The Greene County Commission approved the order April 18, 2008. The fee schedule will go into effect 60 days from today, on July 1, 2008.

The health department will continue to provide water sample bottles at no cost. Bottles may be picked up at the Harold K. Bengsch Springfield-Greene County Public Health Center, located at 227 E. Chestnut Expressway, or county residents may call (417) 864-1673 to request a bottle be mailed to them. Samples are accepted at the health department Monday through Thursday from 8:00 am to 5:00 pm. Samples may be mailed to the health department at the above address, but must arrive at the lab within 30 hours of being collected to ensure validity.

Easy, effective prevention is the key message the Missouri Department of Health and Senior Services (DHSS) is sending to Missourians during Tick-borne Disease Awareness Month. Gov. Matt Blunt recently signed a proclamation naming May 2008 as “Missouri Tick-borne Disease Awareness Month” to emphasize and underscore the risk of tick-borne disease and the importance of prevention.

“The old saying ‘an ounce of prevention being worth more than a pound of cure’ certainly holds true when talking about tick-borne disease,” says Dr. Howard Pue, State Public Health Veterinarian. He says preventing tick-borne illness is much easier than curing it. "Individuals should follow some basic measures that help prevent tick bites and the illness they can cause. Tick-borne Disease Awareness Month is a great opportunity for Missourians to be reminded that warm weather brings out ticks, and by following basic recommendations that they can prevent tick bites."

Missouri ticks can carry a variety of microorganisms that can cause serious or even deadly disease. While not all ticks carry these microorganisms, and not all tick bites lead to illness, learning and following simple but effective prevention measures is the best way to avoid tick bites that could lead to illness:

· Reduce tick habitat around the home and avoid heavy brush and tall grass
· Keep ticks off your skin
· Perform tick checks
· Promptly remove attached ticks
· Prevent family pets from bringing ticks indoors

Pue says a common misconception about ticks is that they are only found in the countryside in deep woods, pastures or thick brush. However, ticks are probably closer than most people think and can be found in the yard of an average home, as well as in bushes and tall grass around the property. This makes it important for anyone spending time outdoors to learn how to prevent tick bites, especially families with children who play outside.

“People also need to realize that ticks can be found nearly anywhere there is grass, bushes, brush and leaf litter, including suburban backyards and city parks. So it’s important to keep up your guard even if going out to do yard work or taking the kids to a soccer game,” adds Pue. He says while tick-borne diseases can become serious if left untreated, there is no reason for people to dramatically change their lifestyles or panic if they find a tick attached to themselves or their child. “By following some very easy but effective prevention measures, people can protect themselves against tick-borne disease and enjoy Missouri’s outdoors through the warm weather months.”

Warmer temperatures that follow recent rains mean time to begin eliminating mosquito habitat. Mosquitoes can breed in as little as one teaspoonful of water. It is critical that all of us do our part to keep Springfield and Greene County as free of mosquito habitat as possible.

May is Lyme Disease Awareness Month. The health department's epidemiology staff investigate a number of illnesses each year to determine whether they are tick-borne illnesses. Individuals can protect themselves from Lyme-like illness and other tick-borne diseases by avoiding tick bites and by removing ticks as soon as possible if they are bitten.

The spring edition of Public Health E-Magazine was posted online today, with a focus on "Healthy Environment-Healthy Living." It includes information on green cleaning, reducing ground-level ozone and partnership projects that seek to protect public health through protecting the environment. Also included is a survey for readers to rate their level of emergency preparedness. http://www.springfieldmo.gov/health/newsletters/Spring2008Apr.pdf

Only one (1) flu case was reported last week. Reporting will continue until we see a full week without any cases reported. The flu season can last through the end of May.

Medical Minute segment this week - what can I do to reduce ground-level ozone. View on our website at http://health.springfieldmo.gov.

The Missouri Department of Health and Senior Services’ Bureau of Women’s, Infants and Children (WIC) and Nutrition Services today announced changes to the WIC Approved Food List.

“The WIC program is making some changes in which nutritious food items are offered,” said Lyn C. Konstant, Ph.D, RD and Chief of WIC and Nutrition Services. “As Missouri families make adjustments when food prices rise, we are making similar adjustments in WIC to make sure our food budget stretches as far as possible,” Konstant added.

Konstant noted that food prices have increased by 10 percent during the past six months, while participation in WIC has also increased 4 percent for the same time period. Konstant noted that WIC, which is federally funded, operates on a fixed annual budget.

In order to maintain current levels of service to participants and reduce the overall cost of the WIC food packages, the WIC program will include:

· Store-brand cereals
· Store-brand frozen juice
· 46-ounce cans of store-brand 100% juice

These products will be included in place of more-expensive name-brand products or products that have more expensive forms or packaging, such as juice in plastic bottles.

These changes are effective May 1, 2008. The program will provide a new printed food list for participants to use.

Konstant noted that in addition to cereal and juice, WIC provides a variety of nutritious foods to pregnant women, infants and young children, including milk, cheese, eggs, peanut butter, carrots, dried beans and peas and infant formula. “Despite tightening budgets brought on by the rising cost of food and increasing participation in WIC, this move will ensure that WIC participants continue to receive nutritious foods and the program stays within its budget,” said Konstant.

People needing additional information or assistance should contact their local WIC provider. A map of WIC providers can be found at www.dhss.mo.gov/wic/WICAgencies_Map.html. For more information on WIC visit www.dhss.mo.gov/wic/index.html.

Everybody Loves Raymond Star Doris Roberts Helps Spread Message

JEFFERSON CITY –Missouri officials today unveiled the second phase in a project designed to help prevent a fast-growing crime—financial exploitation of the elderly and disabled. MOSAFE (Missourians Stopping Adult Financial Exploitation) offers a training kit to seniors and the public, including a DVD, to help them spot the warning signs of financial exploitation and take steps to prevent it. Financial exploitation occurs when someone illegally uses another person’s money or property for profit or gain.

Gov. Matt Blunt introduces the new DVD by alerting seniors to the seriousness of financial exploitation.

“Protecting vulnerable Missourians from this fast-growing crime is one of the most important responsibilities of my office,” Gov. Blunt said. “We must stop those who prey on seniors and the disabled and prevent the theft of seniors’ life savings.”

Five-time Emmy Award-winning actress Doris Roberts, best known as the nosy, insufferable Marie Barone in Everybody Loves Raymond, narrates the new DVD. The DVD is the second one offered by MOSAFE. The first video debuted in 2005 and provided training to financial institutions to help them recognize and report suspicious behavior by their customers and help prevent or intervene in cases of financial abuse.

Lt. Governor Peter Kinder, in his role as Missouri’s Official Senior Advocate, explains the vulnerable nature of this personally intrusive crime. “Most financial exploitation cases are not reported because of the emotional bond between the victim and perpetrator. The typical victim is an elderly female who lives alone and is too confused or ashamed to report the crime. The typical perpetrator is one of her adult children.”

The new DVD features real-life cases of financial exploitation portrayed by actors from Jefferson City’s Little Theater and DHSS employees. From within Missouri’s coffee shops, homes and financial institutions, you will meet Uncle George and his nephew Michael, who insists that Uncle George sign over his Social Security checks to cover Michael’s failing business. In another scenario, Ted, and his girlfriend, Anne, steal a blank check from a woman in Anne’s care. After writing the check for a generous amount, the couple cruises to the local bank hoping for some easy cash.

Jane Drummond, director of DHSS, said the department is concerned about situations it has investigated where the elderly and disabled have been financially exploited. “The consequences of financial exploitation are devastating for anyone, but the elderly, unlike the young, do not have 15 or 20 more income-earning years to recover,” said Drummond. “Once an elderly person’s home or bank account has been lost or looted, these assets are generally irreplaceable.”

A brochure and slide show accompany the DVD, to supplement the training for seniors and the public. The department and a host of private and public partners, including financial institutions, law enforcement and Missouri’s Area Agencies on Aging, hope that increased public awareness will assist in stopping financial exploitation from destroying thousands of lives.

Sponsors of MOSAFE are AARP, Missouri’s financial institution associations, and the Missouri Alliance of Area Agencies on Aging. The MOSAFE DVDs are uniquely designed so they can be customized for use by other states. They, and their accompanying training materials, may be accessed at http://www.dhss.mo.gov/MOSAFE/.

Additional senior advocacy information can be accessed through the Lt. Governor’s Web site at http://www.ltgov.mo.gov/.

The Springfield-Greene County Health Department celebrates National Infant Immunization Week April 19 - 26th in an effort to highlight the importance of protecting infants from vaccine-preventable diseases and recognize the achievements of vaccination programs in promoting healthy communities.

"Vaccines are among the most successful and cost-effective methods available for preventing disease and death," says immunization coordinator Leslie Davis, RN. "Vaccines not only protect individuals from developing potentially serious diseases, they also help protect entire communities by preventing and reducing the spread of infectious agents."

Each day, nearly 12,000 babies are born in the United States. These infants are especially vulnerable to infectious diseases, which is why it is critical to immunize them against 14 vaccine-preventable diseases before they turn 2 years old.

"As guardians of the future," adds Davis, "we all have a stake in children's health. No child should ever have to suffer or die from a vaccine-preventable disease. One of the most important things we can do to protect our children's health is to be sure they are vaccinated on time - every time."

A special vaccination clinic will be held for infants and children on Thursday, April 24, from 1:00 to 4:00 pm at the health department's Westside Public Health Center, located at 660 South Scenic. For more information call 417-874-1220.

Last year health department staff vaccinated 7,647 children against vaccine-preventable diseases.

For more information on infant and childhood immunizations, visit the health department Web site at http://health.springfieldmo.gov or the Centers for Disease Control and Prevention at www.cdc.gov/vaccines/.

National Infant Immunization Week (April 21-28) stresses the benefits of immunizations and focuses on the importance of immunizing infants against vaccine-preventable diseases before age two. In support of the event, the health department will hold a special vaccination clinic for infants and children on Thursday, April 26, from 1:00 to 4:00 pm at the health department's Westside Public Health Center, located at 660 South Scenic. Vaccinations will also be given at regularly scheduled walk-in clinics Tuesday from 7:30 - 10:00 am, Wednesday from 1:00 - 3:30 pm and Thursday 1:30 - 3:30 pm. Parents may also make an appointment by calling 874-1220. (A press release with additional information is forthcoming.)

The health department recognizes its laboratory staff in celebration of National Laboratory Professional Week. The department's medical and environmental laboratories were recently merged to provide better efficiency and customer service. In 2006 the laboratory ran 16,735 public water supply tests, more than 11,000 Grade A raw milk tests, and nearly 2,000 Chlamydia and Neisseria gonorrhoeae tests. Learn more at http://www.springfieldmo.gov/health/lab.html.

Only four (4) flu cases were reported last week. Reporting will continue until we see a full week without any cases reported. The flu season can last through the end of May.

Medical Minute segment this week - why should I care about ground-level ozone and what can I do to reduce it. View on our website at http://health.springfieldmo.gov.

JEFFERSON CITY, MO., APRIL 17, 2008 – Three individuals were honored Wednesday as Missouri’s first-ever Mental Health Champions at a celebration in Jefferson City attended by more than 350 mental health consumers, advocates, providers, and other supporters.

The three represent the thousands of Missourians who have overcome personal challenges of mental illnesses, developmental disabilities, and substance abuse issues and whose efforts have made life better for others and their communities. They were selected from nominations from around the state.

Nan Chamberlain of Mexico overcame her battle with bipolar disorder, earned a master’s degree in social work from the University of Missouri, and works at a local community mental health center helping others overcome the challenges of mental illness.

Dan LaLone of Springfield, physically disabled since birth, was the driving force for the creation of “Sassafrass,” a fully accessible apartment complex for people needing mobile accommodations. Sassafrass is located in Springfield.

Theresa Taylor of Cape Girardeau overcame her experiences with drug addiction and homelessness to establish “Vision House,” a faith-based transitional living center for homeless women with alcohol and other drug addictions. Vision House is located in Cape Girardeau.

Video tributes of the three Mental Health Champions were shown at the banquet held at the Capital Plaza Hotel in Jefferson City.

“These are individuals who inspire others,” said Keith Schafer, director of the Department of Mental Health. “For years I have seen firsthand many inspiring stories of people doing exceptional things, despite having a mental illness, a developmental disability or a substance abuse problem. This recognition is long overdue. If we are to break down the stigma that affects the people we serve, I believe we have to bring their many contributions to the forefront.”

Two individuals also were honored at the banquet with the “Lasting Legacy” award for their lifetime contributions to mental health.

Dr. George Ulett of St. Louis served as director of the Missouri Division of Mental Diseases (later known as the Missouri Department of Mental Health) from 1961 to 1971, building the program into a national leader in mental health services. The late Dr. Henry Guhleman of Jefferson City was the first director of the Division of Comprehensive Psychiatric Services in the department. Dr. Guhleman worked for more than 30 years to enhance Missouri’s mental health services.

“Dr. Ulett and Dr.Guhleman were true mental health pioneers,” Schafer said. “Their legacy is a mental health system that today makes it possible for individuals to become Mental Health Champions.”

The banquet was sponsored by the Missouri Mental Health Foundation and the Department of Mental Health.

The Springfield-Greene County Health Department's Women, Infants and Children (WIC) program is beginning to see an impact from the strain on the U.S. economy. Program staff say an increase in food cost, and an increased client load are a direct result of financially difficult times.

"We've had to change our food package because of higher prices on milk, eggs, cereal and juice," says senior nutritionist Julie Randolph, BS, IBCLC. "We're also seeing an increase in the number of people who are seeking out our services."

In February 2007 the monthly caseload was 5,570 clients. In February 2008 (the most recent month in which numbers are available) the caseload has grown to 6,647 participants.

A recent adjustment to the eligibility guidelines will also allow more people access to WIC assistance. Last year a family of four could not make more than $37,000 to remain eligible for WIC. This year the same family can make $39,220 and still receive WIC services.

"The goal of our program is to improve the health of pregnant women, new mothers, infants and children up through five years old," adds Randolph. "We do that by providing nutrition and breastfeeding education, screening, risk assessment and counseling. We also help supplement participant's diet with nutritious foods by providing vouchers to buy items like milk, cheese, eggs, cereal, peanut butter and juice."

Statewide changes to the WIC food package go into effect May 1, 2008. For a complete food package list, visit http://springfieldmo.gov/health/pdf/wicFood.pdf.

The Women, Infants and Children program is an equal opportunity/affirmative action employer. Services are provided on a nondiscriminatory basis. For income eligibility guidelines, visit the WIC program Web page at http://springfieldmo.gov/health/wic.html. The WIC clinic is located at 290 East Central and is open Monday through Thursday 7:30 am to 7:00 pm and Friday 7:30 am to 5:00 pm. Call (417) 864-1079 for more information.

From the Office of the Director of Health

The Springfield-Greene County Health Department cautions area residents that two significant smoke plumes from large prescribed burns are expected to move into the Springfield area this evening and will likely create unhealthy air conditions. As a precaution, the air quality index has been raised to "red" or "unhealthy" for the next few hours.

"This means that anyone in the area may begin to experience negative health effects such as coughing, difficulty breathing, throat irritation and chest discomfort," says air quality control coordinator Brian Adams. "Members of sensitive groups may experience more serious health effects such as worsened asthma."

While the air quality index remains in the red zone, active children and adults, and people with lung disease such as asthma, should avoid prolonged or heavy exertion outdoors. Everyone else, especially children, should reduce prolonged or heavy exertion outdoors.

"We estimate that the smoke plumes will arrive in the Springfield area between 5:00 and 6:00 pm," adds Adams. "It is difficult to predict how long they will impact our area."

The smoke plumes are a result of two large burns in the National Forests of approximately 2,200 acres in north Arkansas and 6,000 acres in south Missouri.

To view a satellite image of the smoke plumes, go online to http://adds.aviationweather.gov/satellite/displaySat.php?region=ICT&isingle=multiple&itype=vis.

Gov. Blunt, Health Department Promote Statewide Effort to Reduce Child Abuse and Neglect April is Child Abuse Prevention Month

Jefferson City-Gov. Matt Blunt and the Missouri Department of Health and Senior Services and other state agencies and organizations across the state are promoting the safety and well-being of children in Missouri during April, which Gov. Blunt has proclaimed Child Abuse Prevention Month.

“We are focused on improving the safety and security of Missouri’s children,” Gov. Blunt said. “It is important that we continue to focus our efforts on improving safety while working to raise awareness of how all Missourians can help prevent abuse.”

“Tragically, thousands of children are abused or neglected every year in Missouri,” said Jane Drummond, director of the state health department. “The best way to protect children is to prevent abuse from ever happening in the first place.”

“Strong Families, Safe Kids” is this year’s theme for Child Abuse Prevention Month. The health department’s Injury and Violence Prevention Program has collaborated with Missouri KidsFirst and the Children’s Trust Fund to develop a web-based child abuse prevention packet that individuals and communities can modify and use to support local child abuse prevention efforts.

The packets offer a variety of information including parenting tips and ideas on how to bring communities together to prevent the abuse and neglect of Missouri’s children. The web-based community toolkit can be found at www.missourikidsfirst.org http://www.missourikidsfirst.org (click on the Child Abuse Prevention Month button).

“This year’s theme, Strong Families-Safe Kids, recognizes that the most important thing we can do to prevent child abuse is to support families,” Drummond said. “Strong families are better able to handle with the day-to-day challenges of raising children and create a healthy, nurturing home environment.”

Child Abuse Prevention Month and its Blue Ribbon Campaign began in 1989 as a Virginia grandmother's tribute to her grandson who died as a result of abuse. She tied a blue ribbon to the antenna of her car as a way to remember him and to alert her community to the tragedy of child abuse. Since that time, the blue ribbon has become a nationwide symbol for the fight against child abuse and neglect.

One particular form of child abuse is especially dangerous, even fatal, to infants and toddlers.

Abusive head trauma, more commonly known as Shaken Baby Syndrome, is the second most common cause of death due to trauma in children and the cause of more than 95 percent of serious head injuries in children less than one year of age.

According to the Missouri Child Fatality Review Program, 12 children in Missouri died as a result of Shaken Baby Syndrome in 2006. The condition is usually caused by the violent shaking or shaking and impacting of the head of an infant or young child, usually under the age of 4. Symptoms of the condition range from minor, such as irritability, lethargy, tremors and vomiting, to major, including seizures, coma, stupor and death.

Missouri state law requires every hospital and any health care facility licensed in the state that provides obstetrical services to offer to every new mother an opportunity to view a video about the dangers of shaking a baby and Shaken Baby Syndrome before the mother is discharged from the facility. The father of the baby and others invited by the mother can watch the video with her.

The Children's Trust Fund has developed a variety of materials about Shaken Baby Syndrome, as well as other child abuse prevention topics including the dangers of leaving children unattended in vehicles. Brochures, pamphlets, posters and other parenting materials are available at http://ctf.typepad.com/missouri_childrens_trust_/literature.html

The Animal Control program has implemented an expanded rescue program to help save more dogs from the shelter. Now approved 501(c)(3) agencies can rescue dogs that are turned over by their owners or are left unclaimed for more than five days. View the new rescue policy at http://health.springfieldmo.gov and click on the animal rescue button to view the changes.

The pollen count reporting system has been updated to reflect the more detailed information provided by our new instrument. Please visit http://health.springfieldmo.gov and click on the pollen count button to view the changes.

In an effort to protect air quality and raise awareness among the public, the health department's air quality control program supports a partnership effort between Rick's Automotive and the Community Partnership of the Ozarks' Environmental Collaborative Ozarks Clean Air Alliance to offer free automotive emission and fuel system check-ups, checking gas caps and other items that can negatively impact air quality. Participants will receive a car-care goodie bag. The event takes place Saturday, April 19th from l0 a.m. to 2 p.m. at 2121 S. Campbell.

Only 11 flu cases were reported last week, making a total of 1,144 so far this season.

From the Office of the Director of Health

Ordinance Reducing Dog Bites, Vicious Dog Complaints and Impoundments

The Springfield-Greene County Health Department reports that dog bites and vicious dog complaints are declining since the implementation of the Pit Bull Ordinance in the City of Springfield two years ago. In 2005 the health department fielded 18 vicious dog complaints, but only eight in 2007. Bites were down from 102 in 2005 to 87 in 2007.

"The data speaks for itself," says director of health Kevin Gipson. "The ordinance is a valuable tool for our animal control staff. It is successfully making our city safer from dog bites and vicious dog attacks."

The ordinance, which requires pit bull owners to register their dogs annually, has also resulted in fewer pit bull dogs being impounded at the Springfield Animal Shelter. In 2005 there were 502 pit bull and pit bull mixes impounded, compared to only 252 in 2007.

"Because we are impounding fewer pit bulls, we've also seen overcrowding in our shelter subside," says assistant director Clay Goddard. "It is the natural tendency of pit bulls to fight, so our animal control staff are forced to segregate them in individual pens. When we have several pit bulls in the shelter simultaneously, this severely limits space for other dogs."

The Pit Bull Ordinance was passed by Springfield City Council on April 17, 2006 and placed certain requirements and restrictions on the owners of pit bull and pit bull mixes residing within city limits. Dogs are required to be spayed or neutered, vaccinated for rabies, microchipped and registered annually with Animal Control. Owners are also required to restrain dogs in fenced areas, inside a home or on a leash with a muzzle while off the owner's property.

The first year the ordinance was enforced, 284 pit bulls were registered. From January through December of 2007, that number dropped to 91.

"The direct result of this ordinance has been fewer pit bulls on our city streets," adds Gipson. "We are a safer and healthier community because of the ordinance and the dedicated Animal Control staff who enforce it every day."

Ozone is an odorless, colorless gas made up of three atoms of oxygen. Ground-level ozone forms near the ground during the day when pollutants emitted by cars, power plants, chemical plants and other sources react chemically in the presence of sunlight and heat.

Breathing in ground-level ozone can trigger a number of health problems, including chest pain, coughing and throat irritation. It can worsen symptoms of asthma, bronchitis and emphysema. It can inflame the lining in the lungs, reduce lung function and permanently scar lung tissue.

Scientists have found that about one in three people in the U.S. are at higher risk of experiencing ozone-related health effects. But when ground-level concentrations reach high levels, even people who are otherwise healthy may experience difficulty breathing – especially people who spend more time outdoors, such as children, outdoor workers and people who are exercising.

One way to reduce your exposure to ground-level ozone is to limit periods of heavy exertion outdoors. Exertion causes you to breathe harder and faster, meaning that more ground-level ozone is being taken into your lungs and reaching tissue that is susceptible to injury. So put off mowing the yard. Move your basketball game indoors. Ride a stationary bike instead of cycling outdoors.

You may also want to consider just staying indoors while ground-level ozone concentrations are high. Because they are impacted by sunlight and heat, ozone levels are highest during mid to late afternoon. However, depending on weather conditions, high ozone levels can occur as early as late morning.

Some people who live in areas where ozone levels are frequently high may find that symptoms go away after time, but this does not mean that their bodies are not being damaged. Ozone continues to cause lung damage even when symptoms are not present.

To truly reduce our risk of health damage from ground-level ozone, each of us needs to take small steps to reduce the pollutants that help create it.

For more information, contact the Springfield-Greene County Health Department by calling (417) 864-1658, or visit the Environmental Protection Agency online at http://www.epa.gov/air/actions/index.html.

Sometimes we all can use a little hope and healing.

On Thursday, April 10, a free introductory training conference on the Power of Procovery in Healing was held in Springfield. The Procovery program and Procovery Circles strive to build hope, healing and transform lives in any health, service, business and community setting. The program set aside community slots for this free training and gave priority to those who often help, care for, or support individuals with depression and other psychiatric diagnoses, addictions, trauma. In attendance were counselors, therapists, clinicians, pastors, human resources professionals, educators. There were also a number of community slots for interested individuals and family members.

The event was co-sponsored by the Missouri Department of Mental Health, NAMI Southwest MO, and Procovery Institute, and is led by Kathleen Crowley, Executive Director of Procovery Institute and author of The Day Room: A Memoir of Madness and Mending, and The Power of Procovery in Healing.

Session Highlights:

* The key real-life barriers identified by individuals, family and professionals, across settings, cultures, and diagnoses, that appear to be adversarial but in fact form a common foundation for healing.
* The 8 Procovery principles common to individuals who overcome illness, and to those who support and care for them.
* The 12 common, practical and concrete Procovery strategies used to heal, often intuitively These are learnable skills that can be easily developed.
* How Procovery Circles may be used to facilitate learning and teaching these principles and skills, and to transform lives.

Attendees were encouraged to advance to the next level of training and to apply for licensing to start Procovery Circles in the Springfield area.

The Southwest Missouri Nurses invite nurses living in Missouri to attend the 19th Annual Nurses Recognition Event to be held May 6, 2008. The event will include learning opportunities, a banquet and awards celebrations.

"This event, in coordination with National Nurses Week, is an opportunity to recognize nurses for the work they do every day to serve our communities," says chairperson Billie Nelson. "We want to encourage and thank nurses, especially those who have attained a level of nursing above and beyond the scope of their daily practice."

The event will also feature an interactive workshop on "The Art of Storytelling : The Art of Nursing," presented by registered nurse and author Carolyn Smeltzer. This continuing nursing education activity has been submitted for approval to the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

If paid in advance, registration is $50.00 for the entire day's events or $30.00 for the educational workshop and $30.00 for the banquet, individually. A completed registration form and check or money order must be submitted by May 2, 2008. Last minute guests may attend if space allows, by paying $35.00 at the door. Registration forms may be downloaded from the Missouri State University Nursing Department Web site at www.missouristate.edu/nursing/53048.htm or by calling 417-767-2984.

The event will be held May 6, 2008 from 12:30 pm to 10:00 pm at the Highland Springs Country Club, located on Highway 60 east of Springfield.

On May 6th, as part of National Nurses Week, the Southwest Missouri Nurses will host the 19th Annual Nurses Recognition Banquet. A highlight of the banquet will be the presentation of the Florence Nightingale Memorial Awards, for nurses who have demonstrated excellence in leadership and in caring for patients, students and/or their community.

The association requests members of the public nominate nurses who have shown extraordinary care, compassion and professionalism. Nominees must be licensed registered nurses (RN) in the state of Missouri and must be currently working as a nurse and living in Missouri. Nominations must be postmarked by April 15, 2008. A nomination form can be downloaded at the Missouri State University Nursing Web site at www.missouristate.edu/nursing/53048.htm.

Nominees will be judged by a panel of healthcare industry employees and community members. Scores will be based on contribution to nursing, demonstration of leadership and commitment to community. Bonus points may be awarded based on clinical excellence and other activities. Awards will be presented at the banquet on May 6th.

At a press conference Monday morning, the Springfield-Greene County Health Department and its partners encouraged the public to take just one step to reduce the impact of climate change on public health.

"There is a direct connection between climate change and our health," said director Kevin Gipson. "As members of our community understand the connection, they will be armed with the information they need to make choices and lead lifestyles that are healthy for themselves, our community and the environment."

The World Health Organization reports that changes in the Earth's climate caused by humans, now leads to at least 5 million cases of illness and more than 150,000 deaths each year. Negative health impacts can include an increased risk of heat stroke, hypothermia, asthma, cardiovascular and pulmonary illness.

The health department is a frontline responder in the effort to prevent climate change's negative impacts on public health. Programs such as air quality control, stream testing and weeds and trash removal are working to protect public health daily by protecting our environment.

"Partners in Health" awards were also given to City Utilities and the Discovery Center for their outstanding efforts and programs that promote education and a healthy environment.

"Those of us in the public health community understand the important role we play in educating the public, taking action ourselves and supporting agencies that are already working in this arena," added Gipson. "But, we also need the public to participate. We encourage each person in our community to take just one step today to protect our environment."

Gipson suggested,
Be prepared - learn about climate change and its impact on your health
Travel differently - walk, carpool, bicycle, use public transportation
Eat differently - buy from a community farmer's market, eat less meat and more fruits and vegetables
Green your work - use recycled paper, purchase an energy-saver computer, telecommute
Green your home - insulate to conserve energy, reuse or recycle materials, conserve water

"Each of us has an opportunity to make smart decisions about the lifestyle we lead, Gipson added. "A lot of the time what's good for our health is also good for the environment."

More information is available online at http://health.springfieldmo.gov.

What is Ground-level Ozone?
by Doug Neidigh
4/7/08

Ground-level ozone is a pollutant that causes negative health effects in humans and damages plants and ecosystems. The other common ozone is found in the upper atmosphere and protects us from harmful ultraviolet rays from the sun.

An easy way to remember the difference is “good up high, bad nearby.”

Ground-level ozone is formed during the day when volatile organic compounds (VOC’s) and nitrogen oxides (NOx) react in the air with sunlight and heat. Ozone levels are typically highest in the late afternoon. Since ozone requires sunlight and heat to form, it is only a concern from April through October.

In order to reduce ozone pollution, we must reduce NOx’s, VOC’s, or both. Sources of VOC’s and NOx emissions include the following:

· automobiles
· off-road vehicles
· gas-powered lawn care equipment
· power plants
· industrial sources (I.E. manufacturing facilities)
· residential use of solvents, cleaners, paints, etc.
· gasoline stations (fuel evaporation)
· small businesses (solvent-based coating and printing operations, solvent use, boilers, etc.)

Ground-level ozone can cause the following health effects:
· aggravate asthma, or other respiratory illnesses
· irritate respiratory systems causing coughing and throat irritation
· inflame and damage cells that line the lungs
· reduce lung capacity making it difficult to take deep breathes
· increase susceptibility of respiratory illnesses
· increase hospitalizations by aggravating respiratory illnesses
· repeated exposure may permanently scar lung tissue

Often, ozone levels are highest during mid to late afternoon. However, depending on weather conditions, we have seen high ozone levels as early as late morning.

There are steps individuals can take to reduce ground-level ozone and improve air quality in our community. For more information, contact the Springfield-Greene County Health Department, or visit the Environmental Protection Agency at http://www.epa.gov/air/actions/index.html.

	Dr. Norman Shealy Presents Medical Renaissance-The Secret Code at the Gillioz Theatre March 30, 2008 - 7 p.m. SHEALYFACTSHEET_2_32008.htm MedRenHealthcareAlert32008.htm

The Gillioz Theatre is proud to welcome Dr. Norman Shealy, MD, PhD for the premier of his documentary Medical Renaissance-The Secret Code. Dr. Shealy is a graduate of Duke University Medical School who has appeared on The Today Show, Good Morning America, and Oprah. He is also the host of the most popular call-in radio show in the Ozarks. Dr. Shealy's Wellness Hour airs every Thursday at 2 p.m. on KWTO-AM 560.

Medical Renaissance-The Secret Code follows three patients of conventional medicine. Struggling from ailments as varied as migraine headaches and long-term depression, these frustrated patients turned to Dr. Shealy and his colleagues for treatment during a rigorous two-week stay at a holistic health center. All three face a positive prognosis and outlook at the end of their time at the center.

To experience Dr. Shealy's emotionally charged documentary, join us at the historic Gillioz Theatre on Saturday, April 5, 2008 at 7:30 p.m. Guests will be treated to an unforgettable evening of hope with one of one of the greatest minds in the medical field. Tickets are available for $8 at the Juanita K. Hammons Hall for the Performing Arts box office on the Missouri State University campus. You may also purchase tickets by calling (417) 836-7678 or online at www.missouristatetix.com. More info at www.medicalrenaissance.net

View the Trailer : http://www.youtube.com/watch?v=EsnMiE65t3U

New statement from the American Heart Association puts life-saving skills in your hands

Tuesday, April 1, 2008 – Chest compressions alone, or Hands-Only Cardiopulmonary Resuscitation (CPR), can save lives and can be used to help an adult who suddenly collapses, according to a new American Heart Association scientific statement.

The statement, from the association’s Emergency Cardiovascular Care (ECC) committee, is published in Circulation: Journal of the American Heart Association.

Hands-Only CPR is a potentially lifesaving option to be used by people not trained in conventional CPR or those who are unsure of their ability to give the combination of chest compressions and mouth-to-mouth breathing it requires.

“Bystanders who witness the sudden collapse of an adult should immediately call 9-1-1 and start what we call Hands-Only CPR. This involves providing high-quality chest compressions by pushing hard and fast in the middle of the victim’s chest, without stopping until emergency medical services (EMS) responders arrive,” said Michael Sayre, M.D., chair of the statement writing committee and associate professor in the Ohio State University Department of Emergency Medicine in Columbus.

About 310,000 adults in the United States die each year from sudden cardiac arrest occurring outside the hospital setting or in the emergency department. Without immediate, effective CPR from a bystander, a person’s chance of surviving sudden cardiac arrest decreases 7 to 10 percent per minute. Unfortunately, on average, less than one-third of out-of-hospital cardiac arrest victims receive bystander CPR, which can double or triple a person’s chance of surviving cardiac arrest.

By using Hands-Only CPR, bystanders can still act to improve the odds of survival, whether they are trained in conventional CPR or not, Sayre said.

“Many times people nearby don’t help because they’re afraid that they will hurt the victim and aren’t confident in what they’re doing,” he said. “We want people to know that they can help many victims, just by calling 9-1-1 and doing chest compressions. Don’t be afraid to try it. We are sure many lives will be saved if the public does Hands-Only CPR for adult victims of sudden cardiac arrest.”

The new recommendation for Hands-Only CPR for adults who suddenly collapse is an update to the 2005 American Heart Association Guidelines for CPR and ECC, which previously recommended that lay rescuers use compression-only CPR only if they were unable or unwilling to provide breaths. The update puts Hands-Only CPR on par with conventional CPR when used for an adult who has suddenly collapsed. This change was supported by evidence published from three separate large studies in 2007, each describing the outcomes of hundreds of instances of bystanders performing CPR on cardiac arrest victims. None of those studies demonstrated a negative impact on survival when ventilations were omitted from the bystanders’ actions. Hands-Only CPR is easier to remember and results in delivery of a greater number of chest compressions, with fewer interruptions, until more advanced care arrives on the scene.

Conventional CPR is still an important skill to learn, and medical personnel should still perform conventional CPR in the course of their professional duties. The new recommendations apply only to bystanders who come to the aid of adult cardiac arrest victims outside the hospital setting.

Hands-Only CPR should not be used for infants or children, for adults whose cardiac arrest is from respiratory causes (like drug overdose or near-drowning), or for an unwitnessed cardiac arrest. In those cases, the victim would benefit most from the combination of chest compressions and breaths in conventional CPR.

The public is still encouraged to obtain conventional CPR training, where they will learn the skills needed to perform Hands-Only CPR, as well as the additional skills needed to care for a wide range of cardiovascular and respiratory-related medical emergencies, especially for infants and children.

The new statement is intended to increase how often bystander CPR is performed. It emphasizes the importance of “high-quality” chest compressions – deep compressions that allow for full chest recoil, at a rate of about 100 per minute – with minimal interruptions.

More information on CPR training can be found at www.americanheart.org/handsonlycpr.

Co-authors are: Robert A. Berg, M.D.; Diana M. Cave, R.N., M.S.N.; Richard Page, M.D.; Jerald Potts, Ph.D.; and Roger D. White, M.D.

# # #

About the American Heart Association:
Founded in 1924, the American Heart Association today is the nation’s oldest and largest voluntary health organization dedicated to building healthier lives, free of heart disease and stroke. These diseases, America’s No. 1 and No. 3 killers, and all other cardiovascular diseases claim nearly 870,000 lives a year. In fiscal year 2006–07 the association invested more than $554 million in research, professional and public education, advocacy and community service programs to help all Americans live longer, healthier lives. To learn more, call 1-800-AHA-USA1 or visit americanheart.org.

Only 39 flu cases were reported last week, showing a marked decrease. The vast majority have been Type A influenza, which is typical.

Our first pollen count report of the season is expected Tuesday, weather permitting, after the new Burkard Volumetric Spore Trap was installed on the health department roof Friday. The equipment will allow more comprehensive, detailed, accurate pollen and mold collection and typing.

In April the health department joins the Missouri Office of Minority Health in celebrating Minority Health Awareness Month for the fifth consecutive year. The goals are to raise awareness of health disparities and issues that largely impact minority populations, and to encourage government, community and faith-based activities that promote wellness in diverse communities.

Medical Minute segment this week - stress has a significant impact on our physical and mental health. In fact, medical research estimates that stress can cause as much as 90% of illness and disease. Learn how to protect your health by recognizing signs of stress and reducing stressors in your life. View on our website at http://health.springfieldmo.gov.

Seminar Empowers Individuals to Develop Stronger Relationships

The Springfield-Greene County Health Department and its Women, Infants and Children (WIC) program invite Greene County residents to attend a one-day seminar to learn how to choose better relationships.

"Within My Reach®" is an Operation Us program that offers practical skills and information which empowers individuals to make healthier choices and find the type of relationship they are seeking.

The seminar teaches participants how their decisions affect themselves and those around them. It shares tips for effective communication and problem solving. It offers information on setting healthy goals for life and relationships.

The seminar will be held Saturday, March 29th from 9:00 am to 5:00 pm at the Doling Family Center, located at 301 E. Talmage in Springfield. The seminar is free, but registration is required by calling 417-823-3469. Meals and childcare will be provided.

Funding for this project was provided by a grant from the United States Department of Health and Human Services, Administration for Children and Families.

Healthcare ranks as one of the top issues in this year’s presidential campaign and is certain to remain an issue long past November. See the links below for a healthcare news alert, fact sheet and bio concerning Dr. Norm Shealy’s newly created documentary: Medical Renaissance: The Secret Code. This 90-minute documentary will premiere at the Gillioz on April 5. The documentary introduces the public to alternative health care breakthroughs and demonstrates how local patients have relieved depression and reduced chronic pain. In this documentary, Shealy joins with his nationally-known colleagues to discuss the many ways complimentary, alternative and holistic medicine has helped people gain relief to chronic pain and suffering, when conventional medicine has failed.

Mar 24-28, 2008

Seventy-five (75) flu cases were reported, down from 125 each the last three weeks. The largest number of cases continue to be found in adults 19 - 64, followed by children 1-18. Total cases for this season push past the 1,000 mark.

World TB Day seeks to educate the public about tuberculosis - one of the world's deadliest diseases. It sickens nearly nine million people each year, and kills two million. Although cases in the United States have declined, this disease remains a worldwide concern. The health department offers testing and treatment at no cost to clients.

Medical Minute segment this week - nearly half of all Americans will develop a sexually transmitted disease in their lifetime. Learn how to protect your sexual health. View on our website at http://health.springfieldmo.gov. These one-minute video or audio segments are available for media to use as a newscast drop in. Accompanying radio PSA scripts are also available. Contact Jaci McReynolds for details.

The new Burkard Volumetric Spore Trap is expected to arrive in Springfield early this week. Technicians expect to begin pollen count reporting within 48 hours of installation. The equipment will allow more comprehensive, detailed, accurate pollen and mold collection and typing.

The health department supports Convoy of Hope's community-wide disaster preparedness initiative that aims to build community resiliency. Health department staff also encourage individuals to prepare for disasters, including pandemic influenza and other public health emergencies.

The health department and WIC sponsor a one-day relationship building seminar on March 29th that offers practical information that empowers individuals to make healthier choices and find the type of relationship they are seeking. It shares tips for effective communication and problem solving and offers information on setting healthy goals for life and relationships.

On World Tuberculosis Day, March 24th, the Springfield-Greene County Health Department joins the world in recognizing the continued seriousness of tuberculosis - one of the world's deadliest diseases.

"Each year more nearly nine million people around the world become sick with tuberculosis, and about two million people die of TB," says administrator of community health and epidemiology Kendra Williams. "While the majority of those cases occur outside the United States, we do see a number of tuberculosis cases locally, especially in people who move into Greene County from other countries with different TB treatment standards."

Tuberculosis is a contagious disease spread from person-to-person on airborne droplets that are expelled from the lungs of an infected person when he coughs, sneezes or talks. The bacteria usually take root in the air sacs of the lungs. In a healthy person, the bacteria are quickly surrounded by a wall of cells, which limits their spread. This enclosed infection is called latent TB and can last throughout a person's life without ever causing medical symptoms or being spread to other people.

However, if a person infected with latent TB develops a weakened immune system - through HIV infection, malnutrition, aging or other causes - the TB can become active again and spread throughout the lungs or other tissues. This person now has active TB and can infect other people.

"TB is the leading killer of people who are HIV infected," adds Williams. "This is an added concern."

In order to protect public health, the health department offers Greene County residents treatment for active or latent TB at no cost. The health department also offers TB skin tests to the public at minimal cost.

For more information, call (417) 864-1697 or visit http://www.springfieldmo.gov/health/tb.html. For skin tests contact the Westside Public Health Center at (417) 874-1220.

Preventive Health – Stress

Late for work, stop and go traffic, missed appointments, overdue projects, screaming children – life is full of stressors that can greatly impact our mental health as well as our physical health. In fact, medical research estimates that stress can cause as much as 90% of illness and disease.

Stress is the body’s physical and psychological response to pressure, demands or anything perceived as overwhelming. This could include life changes, death of a loved one, sickness, financial difficulty, conflict or any number of other issues.

When your body encounters a stressor, it instinctively reacts with extra energy and other actions to protect itself. You may see an increased heart rate, a burst of energy, a rise in blood pressure, faster breathing and dilated pupils. Stress forces your body to make physical and chemical changes in order to maintain the physiological balance needed for survival.

After the initial response is over, your body adapts somewhat, but is still aroused. If high levels of stress continue, the energy to adapt runs out and your body begins to suffer. Exhaustion, mental and physical harm can occur, including depression, high blood pressure and heart disease. If left unattended, stress can also lead to ulcers, allergies, asthma and migraine headaches. And health experts agree, stress can also make existing medical problems worse.

You can avoid these problems by recognizing the signs of stress early. These may include headache, muscle tension, upset stomach, sweaty palms, violent outbursts, excessive drinking or drug use, inability to concentrate, overeating, intense depression or sleeping pattern variations. Once you are able to recognize the signs of stress in your life, you can apply stress management techniques to reduce stressors and relieve stress.

Experts recommend a four-step process for reducing stress.
1. Assess what is stressful. Look at your daily activities, relationships and lifestyle. Some of the top stressors for people across the nation include world conditions, finances, not enough time, relationships and life changes.
2. Eliminate or minimize stressors. Think about the stressors you can eliminate by making simple life changes. If you are too busy, drop activities. Get adequate sleep and exercise and reduce caffeine in your diet.
3. Develop positive relationships. Loneliness can be a major stressor, and friends can help reduce your stress levels by listening, offering support and encouraging you.
4. Spread out stressors. When too many stressors impact you at the same time, it can become overwhelming. Some stressors cannot be scheduled, but others you will have some control over. If you have just lost your job, you may want to postpone a visit from your in-laws. If a loved one dies, you may want to wait to sell your house and move.

By identifying the stressors in your life and reducing them, and by recognizing the signs that you are stressed and applying proven stress-reducing methods, you will protect your physical and mental health.

Laugh, breathe, sing, walk, say “No,” plan ahead, allow extra time, count your blessings . . . for a list of “52 Proven Stress Reducers” visit www.twu.edu/o-sl/counseling/SelfHelp001.html or contact the Springfield-Greene County Health Department at 417-864-1658.

As the floodwaters recede, the Springfield-Greene County Health Department urges Greene County residents to use caution.

"People should avoid contact with floodwater whenever possible, as it may contain contaminants and unseen hazards," says spokesperson Jaci McReynolds. "If a person must be in contact with the water, they should wear rubber boots and rubber gloves, and use soap and water to frequently wash hands and skin exposed to the floodwater."

McReynolds also encourages residents to be sure they are protected against tetanus. Tetanus booster shots should be given every 10 years, and are available at the health department's Westside Public Health Center, located at 660 S Scenic. Call 874-1220 for details.

Some food items that have been out of temperature or in contact with floodwater need to be discarded.
* Discard foods needing refrigeration if the electricity has been off for more than six hours.
* Don't refreeze foods that have thawed. Discard them if they've been thawed for more than four hours.
* If they have been in contact with floodwater, discard fresh meat and poultry, prepared and processed foods, home canned foods, packages that are not airtight
and foods in paper containers.
* Discard canned goods that are punctured, bulging or leaking.
* Because seepage can carry harmful bacteria, discard crown-capped bottles and screw-top glass containers that have been in contact with floodwater.

Other items that should be discarded if they have come in contact with floodwater include:
* Large soft items that have been in contact with water for two or more days, such as couches, chairs, mattresses and carpet. Even though you cannot see it,
mold is growing on these items. People who are sensitive to mold may experience nasal stuffiness, eye irritation, wheezing or skin irritation. People with
severe allergies to mold or with chronic lung illness may experience more severe reactions, including fever, shortness of breath or mold infection in their lungs.
* Plastic items like kitchen utensils, plates, dishes, tupperware and baby bottle nipples.
* Kitchen utensils that are wooded or have cracks, such as wooden spoons and cutting boards.
* Leather or paper products.
* Garden produce.
* Medicines and cosmetics.

Some items may be successfully cleaned.
* Bedding and other soft items should be washed in hot water with bleach.
* Children's toys, utensils, dishware and small items with hard sufaces should be washed with soap and water and then disinfected by immersing for one minute
in a solution of four tablespoons of bleach to two gallons of water.
* Pots and pans can be sterilized by boiling them for at least ten minutes.
* Items that a baby may put in his mouth should be boiled.
* Items that are too large to immerse, or surfaces like walls, decking and doors should be washed with soap and water and then wiped down with a solution of
one cup of bleach to one gallon of water.

Be sure to protect yourself while cleaning up.
* Wear rubber gloves and rubber boots.
* Use eye protection and a mask while cleaning with bleach solutions.
* Be sure your home is well ventilated.
* Never mix bleach with ammonia or other cleaning solutions, as it may create toxic fumes.

Also, to avoid electrical shock and damage to items, be sure any electrical appliances that have been in contact with floodwater are thoroughly cleaned, reconditioned and dry before operating them.

For more information visit http://health.springfieldmo.gov.

We received reports of 125 laboratory confirmed flu cases last week, making this the third week in a row of a plateau near the same count. We are at a total of 990 for the season so far.

National Poison Prevention Week emphasizes the need to use caution when storing, administering and disposing of medications, as well as storing hazardous materials. More than 2 million poisonings are reported each year to Poison Control Centers. More than 90% of these poisonings occur in the home. The majority of non-fatal poisonings occur in children younger than six years old, but poisonings are also one of the leading causes of death among adults.

Sometimes we all can use a little hope and healing.

On Thursday, April 10, there will be a free introductory training conference on the Power of Procovery in Healing in Springfield from 10-4:30. Because the Procovery program and Procovery Circles can build hope, healing and transform lives in any health, service, business and community setting, we have set aside community slots for this free training and will give priority to those who often help, care for, or support individuals with depression and other psychiatric diagnoses, addictions, trauma. Examples are counselors, therapists, clinicians, pastors, human resources professionals, educators. There are also a number of community slots for interested individuals and family members.

This event is co-sponsored by the Missouri Department of Mental Health, NAMI Southwest MO, and Procovery Institute, and is led by Kathleen Crowley, Executive Director of Procovery Institute and author of The Day Room: A Memoir of Madness and Mending, and The Power of Procovery in Healing. Continental breakfast and lunch is provided.

What you will learn:

* The key real-life barriers identified by individuals, family and professionals, across settings, cultures, and diagnoses, that appear to be adversarial but in fact form a common foundation for healing.
* The 8 Procovery principles common to individuals who overcome illness, and to those who support and care for them.
* The 12 common, practical and concrete Procovery strategies used to heal, often intuitively These are learnable skills that can be easily developed.
* How Procovery Circles may be used to facilitate learning and teaching these principles and skills, and to transform lives.

If you want to help others, and help yourself, you may find this innovative program both practical and inspiring! We hope many of you will be interested in the next level of training and applying for licensing to start Procovery Circles in your community.

Date and Time: Thursday April 10 10-4:30
Location: St. John's Cancer Center

YOU MUST APPLY TO PRE-REGISTER AND YOU MUST BE CONFIRMED IN ORDER TO ATTEND, COMMUNITY SLOTS ARE LIMITED! For more information, call or email Bronwyn at 573-717-1804 or bronwyn@procovery.com, or get a registration application on the web at TRAINING.PROCOVERY.COM .

ABOUT PROCOVERY INSTITUTE
The mission of Procovery Institute (www.procovery.com) is to build hope, healing and LIFE through the Procovery(r) program. Procovery is a program and a registered trademark of Procovery Institute. Learn more at www.procovery.com .

The Springfield-Greene County Health Department learned late Wednesday that the Environmental Protection Agency (EPA) has lowered the ground-level ozone standard to 75 ppb (or parts per billion). This means the Springfield region including the Metropolitan Statistical Area (MSA), which includes five counties, exceeds the new standards.

"We are not surprised by the lower standard," says air quality control program coordinator Doug Neidigh. "We knew the change was coming. We just didn't know to what extent."

Neidigh and representatives from more than 30 other agencies in a 10-county coverage area recently formed the Ozarks Clean Air Alliance (OCAA) to address the upcoming standard change and discuss proactive steps that could be taken in advance of the announcement.

"Air quality impacts all of us," adds Neidigh. "We need to work hard to make changes in the many communities in our region. OCAA is currently working with businesses, local governments and community organizations to implement voluntary strategies to reduce emissions, but we need the public's help, as well, to ensure people who live in these communities will have clean air to breathe for years to come."

OCAA encourages organizations to adopt practices that will reduce emissions. They also encourage residents within the Springfield MSA to make small changes that will have a dramatic impact on reducing ground-level ozone and improving air quality. Some examples include:
* Mow lawns in the evening, rather than during midday
* Carpool, use public transit, walk or bicycle
* Trip chain (combine errands into one trip to reduce drive time)
* Use an electric lawnmower
* Avoid letting cars idle for extended periods
* Properly maintain vehicles to help improve gas mileage and reduce emissions

Public education campaigns on additional ways to reduce ground-level ozone will be launched in the coming months. More information can be found on the health department's Web site at http://health.springfieldmogov.org or the EPA Web site at http://www.epa.gov/groundlevelozone/actions.html.

March is National Kidney Month

Jefferson City-Some Missourians may not give much thought to their kidneys – until they stop working – but a new task force in Missouri created with legislation signed by Governor Matt Blunt is hoping to change that. One of the Missouri Chronic Kidney Disease Task Force primary goals is to educate the public about the importance of healthy kidneys and the danger of chronic kidney disease, a potentially fatal condition that often goes undiagnosed until it reaches an advanced stage.

According to the National Kidney Foundation, one in nine Americans has chronic kidney disease, but many may not know it.

“We all have a personal responsibility to improve our own health by adopting healthy lifestyle habits,” Gov. Matt Blunt said. “One of the reasons I have focused my health care initiatives on health and wellness is to emphasize the quality of life benefits that come from making healthy decisions. National Kidney Day is an important reminder of the decisions Missourians can make today to keep our kidneys healthy.”

“Healthy kidneys are vital to the overall health of Missourians, but they often are not appreciated until problems develop,” said Victoria Warren, coordinator of the task force and manager of the Diabetes Prevention and Control Program at the Missouri Department of Health and Senior Services. “We need to take care of our kidneys so they function effectively throughout our lifetime.”

The importance of healthy kidneys is highlighted on March 13, World Kidney Day, and throughout March, National Kidney Month.

The kidneys perform a number of vital functions in the body. They filter the blood, removing two liters of toxins, waste and water every day. They also help regulate the body’s hydration level, blood minerals and blood acid level; remove certain drugs from the blood; and release hormones into the blood that help control blood pressure, make red blood cells and keep bones healthy.

The Missouri Chronic Kidney Disease Task Force, created last year through legislation passed by the General Assembly and signed into law by Gov. Matt Blunt, began meeting in January. The group’s goals include:

· Educating the public about chronic kidney disease;

· Informing health care professionals about kidney disease screening and treatment; and

· Developing recommendations for screening programs to better identify the disease in its early stages when treatment is more successful.

If left untreated, chronic kidney disease can lead to diseases that can require dialysis or a kidney transplant for survival. In 2007, more than 2,000 Missourians were diagnosed with end stage renal disease, and over 6,400 were living on dialysis in the state. More than 1,100 people in Missouri died from kidney disease last year.

Chronic kidney disease is a serious problem in Missouri for several reasons, Warren said. Three major risk factors for the disease – diabetes, heart disease and high blood pressure – are prevalent in the state. Additional risk factors for chronic kidney disease include being 60 years of age or older and being African American, Hispanic, Asian or Pacific Islander. These ethnic groups have a higher risk primarily because they are more likely to have diabetes. In addition, African Americans also experience greater rates of high blood pressure.

“Preventing and treating the medical conditions that can cause chronic kidney disease through diet, exercise and medication, if necessary, is the best way to help keep your kidneys healthy,” Warren said.

Symptoms of chronic kidney disease include:

Fatigue
Poor appetite
Difficulty sleeping
Dry, itchy skin
Muscle cramping at night
Swollen feet and ankles
Puffiness around the eyes, particularly in the morning
Unexpected weight loss or gain

“If you have any of the risk factors or symptoms of chronic kidney disease, you should talk to your doctor about tests that can help determine how well your kidneys are functioning,” Warren added. “Early detection is vital so that treatment can help keep the disease under control.”

The Chronic Kidney Disease Task Force will be developing a statewide plan to improve kidney health in Missouri. The committee is comprised of 11 Missourians who were appointed by Jane Drummond, director of the state health department. Ten additional volunteers are working with the committee on its goals.

More information about chronic kidney disease can be found at: www.kidney.org. To learn more about the importance of the kidneys, take the National Kidney Foundation’s Kidney Quiz at: www.kidney.org/news/wkd/kidneyquiz.cfm.

The air quality control division is waiting to hear from the Environmental Protection Agency (EPA) by Wednesday, March 12th a revision in the standard for ground-level ozone. Air quality staff are involved in a 10-county collaborative called Ozarks Clean Air Alliance (OCAA) that is already exploring ways to reduce ground-level ozone in the Springfield Metropolitan Services Area (MSA) which includes Greene, Polk, Webster, Dallas and Christian counties.

Classes for child care providers will be held on Tuesday, March 11th, at 7:00 and 8:10 pm. This week's topics are "Think First - Brain and Spinal Cord Injury" and "Working together to Promote Breastfeeding Success". Classes are free and open to the public. Please register by calling 864-1496. Classes are held at the Westside Public Health Center, located at 660 South Scenic in Springfield.

Food Handlers Safety Class will be held Tuesday, March 11th from 2:00 - 4:00 pm at the main health department building, located at 227 E Chestnut Expressway. Please call 864-1667 to register.

The health department will be participating in the statewide tornado drill on Tuesday, March 11th at 1:30 pm.

Kindergarten registration packets have been sent out to public elementary schools in Greene County including information on how to obtain required immunizations and copies of birth certificates.

March is one of the busiest months for the Vital Records Office as parents come in to get birth certificates for kindergarten registration. Parents are welcome to visit the office at 227 E Chestnut Expressway (east end of the building) or apply for a birth certificate via telephone, fax or mail. (see attached document for details)

In addition, the health department's Westside Public Health Center offers immunizations required for kindergarten and all other required childhood immunizations at no cost to children up through age 18. Call (417) 874-1220 to make an appointment or learn about walk-in clinic dates and times.

Medical Minute segment this week - health screenings are an important part of lowering your risk of heart disease and other conditions. View on our website at http://health.springfieldmo.gov. These one-minute video or audio segments are available for media to use as a newscast drop in. Accompanying radio PSA scripts are also available. Contact Jaci McReynolds for details.

The Women, Infants and Children (WIC) program celebrates International Board Certified Lactation Consultant Day on March 5th. The health department has two IBCLC certified staff members who work with WIC clients to help improve breastfeeding outcomes. Recently staff helped their clients' increase their breastfeeding rate to 65% (above the state level of 53%).

The food establishment smoking exemptions list has been updated and is posted on the health department's website at http://health.springfieldmo.gov.

March 3 - 9 is National Sleep Awareness Week. The health department is currently working on a Maternal Child Health (MCH) grant through the Missouri Department of Health and Senior Services (DHSS) to educate parents and child care providers on safe sleeping environments and habits for infants, as well as encourage them to implement behaviors that will reduce the number of SIDS deaths in Greene County.

by Kendra Williams

Perhaps the most precious resource we have is our health. There are several preventive measures that can be taken to improve and protect your health.

The most important step to prevent the spread of germs and infection is hand washing. Hand washing can be done with soap and water or with the application of an alcohol-based hand cleaner. Use warm water and soap and scrub your hands for about 20 seconds. Dry your hands with a clean, disposable towel. Use an alcohol-based hand cleaner when soap and water are not available.
To prevent catching germs from other people:

•Wash your hands before eating, using the restroom, or touching your eyes, nose, or mouth.
•Wash your hands after touching anyone who is ill.
•Do not share towels, lipstick, toys, food, eating utensils, drinking glasses, or anything else that might be contaminated with germs.
To keep your germs to yourself and protect other people:
•Cover your mouth and nose with a tissue every time you sneeze, blow your nose, or cough. Put used tissues into the nearest trashcan after use.
•If you do not have a tissue, use your sleeve or the crook of your elbow to cover your mouth and nose. Do not use your bare hands.
•Always wash your hands after sneezing, blowing your nose, coughing, or touching used tissues.
•Stay home if you have a cough or fever.

Many chronic diseases are preventable as well. Physical inactivity and unhealthy eating contribute to obesity, cancer, cardiovascular disease and diabetes. Together, these two behaviors – physical inactivity and unhealthy eating – are responsible for at least 300,000 deaths each year. Eating a well-balanced and nutritious diet is important. In addition, there are many positive benefits of physical activity including increased energy and general health.

Sleep, a frequently forgotten but important part of a healthy lifestyle, rates along with air, food and water as a basic life necessity. Sleep problems affect an estimated 70 million Americans. Research shows that lack of sleep can seriously impact the quality of life. Sleeping gives our bodies a much-needed time to relax and re-energize. It is recommended that adults get at least eight hours of sleep per night and that children get at least nine hours of sleep per night.

Start today to protect your most import asset – your health.

Updated Guidelines Include Mercury, Lead, PCBs and Chlordane

Today the Missouri Department of Health and Senior Services (DHSS) issued the 2008 Fish Consumption Advisory, an annual report focusing on the benefits of eating fish, and which fish species should be eaten in limited quantities, or not eaten at all, due to environmental contaminants. The advisory is based on annual fish studies conducted at various Missouri lakes, rivers, and streams. The full advisory may be found at: http://www.dhss.mo.gov/fishadvisory/.

Annually, the DHSS evaluates the level of contaminants in fish to make sure they are safe to eat. All fish contain some small amount of chemical contaminants. In most instances and for most people, the health benefits of eating fish outweigh the potential health risks from contaminants. However, there are occasions when limited or even no consumption of fish is appropriate.

Released each year prior to Missouri’s fishing season, the advisory provides consumption guidelines for locally caught fish, updates to the health effects of key contaminants, and advice on fish preparation to reduce contaminants prior to consumption. The 2008 consumption guidelines are based on the most recent fish sampling information available. Because not all waters in Missouri are monitored, this fish consumption advice is considered a baseline of protection. The advice balances risks from contamination with the benefits of eating fish. In general, eat smaller, legal-size, younger fish because they tend to have lower levels of contamination than larger fish of the same species.

Fish is a good source of high-quality protein and essential nutrients that contribute to a healthy diet. Fish is low in cholesterol, and some types of fish have omega-3 fatty acids that are essential for the development of the nervous system, may be beneficial in reducing heart disease, and may have other beneficial health effects.

Much of this year’s fish advisory is unchanged from the 2007 version. There is a state-wide limited-consumption advisory for sensitive populations on all fish due to the presence of mercury. There are also a few advisories on fish from specific water bodies throughout the state due to the presence of PCBs and/or chlordanes. Fish from several streams in the Old Lead Belt region of southeast Missouri also continue to carry consumption advisories due to the presence of lead. Because of recent data, this year DHSS also added consumption advisories for Largemouth Bass greater than 12 inches and Buffalo greater than 16 inches taken from Simpson Park Lake in St. Louis County, MO, due to the presence of lead and chlordanes, respectively.

The advisory is provided for two groups of individuals: sensitive populations and all consumers. Sensitive populations include women who are pregnant, women of childbearing age, nursing mothers, and children under 13 years of age. Because growth and development occurs rapidly in fetuses and young children, some chemicals may affect them differently than adults. Thus, special consideration has been given to them during the development of the advisory.

Following is a brief summary of the DHSS 2008 Fish Consumption Advisory. Individuals are advised to eat no more than the recommended meal advice. (NOTE: One meal is 11 ounces for adults and 3 ounces for children under 13 years).

Advisory Group: Sensitive Populations

Key Contaminant: Mercury

Because of the potential risk mercury poses to the developing nervous system of fetuses and young children, DHSS is continuing to advise high-risk, sensitive populations, including women who are pregnant, who may become pregnant, nursing mothers, and children under 13 years of age, to limit fish consumption. DHSS recommends that all consumers be aware of the benefits of eating fish and the potential for adverse effects from mercury in fish to the central nervous and cardiovascular systems (see: http://www.epa.gov/mercury/effects.htm ). Our statewide mercury advisory for all water bodies in Missouri is as follows

Sensitive populations are advised to eat no more than:

Ø One meal per month of Largemouth Bass, Spotted Bass, and Smallmouth Bass greater than 12 inches in length,
Ø One meal per week of all other sport fish, because all fish have various levels of mercury. In absence of local advisories, consumers are advised to restrict fish consumption of locally caught fish to one meal per week. For more information, go to: