Bon Appétit: Merlot-Peppercorn Steak Sauce

Ingredients:

Recipe makes 4 servings

1 tablespoon butter
4 mushrooms, sliced
1 clove garlic, minced
2 tablespoons whole black peppercorns
1/4 cup Merlot wine
1 tablespoon balsamic vinegar
3 tablespoons Worcestershire sauce
1/2 teaspoon minced fresh rosemary

Directions:

Melt butter in a saucepan over medium heat.

Stir in the mushrooms, garlic, and peppercorns, and saute until the mushrooms are tender.

Pour in the wine, balsamic, and Worcestershire sauce, increase the heat to medium-high, and reduce by 1/3.

Stir in the rosemary and cook for 1 to 2 minutes until fragrant.

Ask the Doctor: The Truth Behind DHEA

DEAR DR. DONOHUE: Numerous over-the-counter supplements such as DHEA and herbs claim to stimulate testosterone production.
As I am one of many 70-plus-year-olds who lift weights to increase strength and muscle mass before we become too old, do you recommend such supplements?
If so, which ones? - Anon.

ANSWER: Dehydroepiandrosterone, from this point on called DHEA, is a hormone made by the adrenal glands.
It has weak male hormone properties.
Some of it is converted into testosterone, the major male hormone.
An aside is necessary here.
Many athletes and bodybuilders resort to taking male hormones to increase their strength and muscle size.
These drugs are called steroids, an unfortunate choice of a word. “Steroids” include all kinds of hormones - cortisone, prednisone, estrogen and male hormones.
For clarity, male hormones should be called either that or anabolic hormones, hormones that build body tissues, especially muscles. DHEA is a weak anabolic hormone.
Let me cite for you a study from the New England Journal of Medicine, a respected medical publication.
The authors of this article gave 40 well-trained athletes DHEA for more than one year.
After one full year, they found an increase in these athletes’ muscle size or strength.
A study of DHEA in older men demonstrated a slight improvement in the ratio of muscle to body fat.
Users had a bit more muscle tissue at the end of the study than they had at the beginning, but not a whole lot.
The safety of long-term DHEA use is lacking.
Male hormones promote prostate-gland enlargement, and they can foster the growth of any prostate cancer cells that might be in the gland.
I would steer clear of all male hormone products for muscle growth.
None of this applies to men who are deficient in male hormones.
They can take hormone-replacement therapy safely under the direction of their doctors.
As for herbal stimulation of male hormone production, I can’t find credible evidence that it works.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475.

West Virginia in Spotlight for Food Movement

With eight in 10 farmers making less than $10,000 a year, West Virginia will never rival big Midwestern factory farms in producing food. But creative collaborations with food entrepreneurs are seeding a new kind of economy that federal officials say could become a model for 12 other Appalachian states.

Officials with the Appalachian Regional Commission, the U.S. Department of Agriculture and the U.S. Department of Education are meeting with nearly two dozen groups across West Virginia this week as part of an Appalachian Foodways Tour. It began in North Carolina, hit Mississippi, Alabama and Georgia, and continues next month in Ohio and New York.

In Romney this week, officials visited a high school where students not only sell and show their pigs but produce sausage for Hampshire County’s school cafeterias. In Charleston, they’ll learn about a program that trains women in business planning, record keeping, and farm and food safety. And in Philippi, they’ve seen how an out-of-business IGA is becoming a new kind of supermarket, one where jams, flowers, baked goods and produce are gathered from dozens of sources and sold at a single cash register.

“Instead of 30 people marketing their wares, you have one person marketing the wares for everyone,“ said Savanna Lyons, program director for the West Virginia Food & Farm Coalition. The concept is called aggregating, and it’s catching on.

One place where it is evident is in Huntington, where the local food market The Wild Ramp at Heritage Station in downtown Huntington will mark its one-year anniversary this summer.

“It’s going better than we ever could have imagined,“ said Gail Patton, president of the board of Tri-State Local Foods, parent organization of The Wild Ramp.

The aim of the market is to connect local producers with consumers, she said, and as it stands now, there is far more demand than local farming operations to meet it.

Patton is hoping that will change, and she’s encouraged that it will.

Right now, the market has 79 producers who sell locally grown or locally made products at the market. Since it opened in July 2012, the market has returned $160,000 to local farmers and is hoping to reach $30,000 in sales just this month. It’s sold $224,447 in local food and food products since July 12, 2012, Patton said.

She knows of farmers who are scaling back their other jobs to part time so they can grow more. She knows of farmers who are thinking about expanding their operations and farmers thinking about retiring because they’re selling so well at The Wild Ramp.

“The response has been phenomenal,“ she said.

She’d love to serve the school system, hospitals and other institutions, but farmers need to grow more first, she said.

“To even dream of that, there’s a long way to go to increase the amount of food we produce here,“ she said. That’s why experts come in on a regular basis to teach local farmers about techniques to extend their growing season and other tips.

“We’re doing everything we can to help them understand that this stuff is in demand year round and there’s a way to grow it here. ... We are looking for a larger space because we want to do more aggregation, which is bringing stuff together and maybe get it out to schools and institutions, to help our farmers sell to even bigger markets.

“We’ve just scratched the surface and are just getting started, but it has huge potential for economic development. It’s not Toyota, you know, but it’s a lot of little businesses coming together that can make a difference.“

A handful of local restaurants—including Savannah’s, Huntington Prime, 21 at the Frederick, La Famiglia, Backyard Pizza, Let’s Eat, and River & Rail Bakery—shop at The Wild Ramp regularly, Patton said. When one farmer brought in 75 pounds of asparagus the other day, she was concerned that the market wouldn’t be able to sell it quickly enough. With the help of the restaurants, it was gone in two days.

Lyons, of the West Virginia Food & Farm Coalition, this week is trying to help federal officials understand the opportunities and obstacles to using food as economic development tool.

“Being small and isolated can be both an advantage and a disadvantage,“ Lyons said. “When it’s harder to get your products out there, you have to organize more. You have to get creative. You have to really talk to each other. It’s really a different kind of agriculture than out west, where the farms are so huge and they’re wholesaling.“

Earl Gohl, federal co-chair of the Appalachian Regional Commission, is trying to discern what role his agency can play in supporting such ventures. Already, ARC has funded foodways activities in every Appalachian state, investing $7.6 million since 2001.

What’s happening in West Virginia, he said, is impressive in both scope and enthusiasm.

Though it has just 1.8 million people, the state has emerged as a leader in the local-foods movement. Since 2005, the number of farmers’ markets has more than tripled, from 30 to 93. Thanks to the state Department of Health and Human Resources, 18 of those now accept the debit cards that replaced food stamps.

Public health officials are on board because a region beset by high rates of obesity, diabetes and cancer could benefit from having easier access to healthy food. Allowing the use of the Supplemental Nutritional Assistance Program, or SNAP cards, also aims to ensure farmers’ markets don’t just serve white-collar workers with higher incomes.

ARC officials say West Virginia has also gone further than most in drafting a statewide strategic plan, the “Road Map for a Food Economy.“ An official who helped schedule Gohl’s visit calls it cutting-edge thinking.

ARC officials say West Virginia is recognizing and seizing opportunities where they make sense—and the demand has been there to support them.

While ARC, the USDA and others can support those initiatives, Gohl said, “the reality is the energy around local foods started in West Virginia, lives in West Virginia and is going to grow in West Virginia.“

Lyons, who’s been working on local food programs for three years, said the road map encourages investment. At least one bank has made multiple donations to various ventures because it can look at the plan and see tangible benefits.

“There’s the economic development half of this, which is often communities looking for a way to create energy, to create excitement, to reflect the character of the place,“ Lyons said. “On the other side are health advocates and people advocating for food access. And both are equally powerful.“

The key to helping West Virginia and other states grow what they’ve started is redefining expectations.

Investors typically like to see large facilities and large sales, she said, but “that’s not how we do things here.“

“Here in West Virginia, it’s micro. So we have to be willing to invest on a micro scale and in micro-scale infrastructure,“ Lyons said. “We have to right-size our businesses and grow them gradually and carefully, and help people grow into them.“

~~  Vicki Smith, Jean Tarbett Hardiman ~~

USDA Seeks Applications to Finance Construction and Rehabilitation of Rural Rental Housing

Agriculture Secretary Tom Vilsack announced today that applications are being accepted from lenders for loan guarantees to finance rural rental housing. The United States Department of Agriculture (USDA) remains focused on carrying out its mission, despite a time of significant budget uncertainty. Today’s announcement is one part of the Department’s efforts to strengthen the rural economy.

“USDA’s housing programs are an important part of the Obama Administration’s policies for strengthening the rural economy,“ Vilsack said. “They make a real difference in the lives of thousands of rural Americans nationwide. As the President said in his radio address recently: ‘Our economy and our housing market are poised for progress, but we could do so much more if we work together.‘  Revitalizing rural rental housing helps create construction jobs, while maintaining safe and stable rural communities.“

USDA is seeking proposals from lenders for loans under the Guaranteed Rural Rental Housing Program. The Department plans to make up to $150 million available for this program.  Approved applications from prior years’ notices will be the first to receive funding.

Loan guarantees are available to construct, acquire and rehabilitate affordable rural rental housing. The Agency will review responses submitted by eligible lenders, on the lender’s letterhead, and signed by both the prospective borrower and lender. Although a complete application is not required in response to this notice, eligible lenders may submit a complete application concurrently with a response.

For more information, see page 30854 of the May 23, 2013 Federal Register, or visit www.gpo.gov/fdsys/pkg/FR-2013-05-23/pdf/2013-12325.pdf. The deadline for submitting applications is December 31, 2013.  Selected responses that develop into complete applications and meet all Federal eligibility requirements prior to September 30, 2013 will receive conditional commitments until all FY 2013 funds are expended.

President Obama’s plan for rural America has brought about historic investment and resulted in stronger rural communities. Under the President’s leadership, these investments in housing, community facilities, businesses and infrastructure have empowered rural America to continue leading the way, strengthening America’s economy, small towns and rural communities. USDA’s investments in rural communities support the rural way of life that stands as the backbone of our American values. President Obama and Agriculture Secretary Vilsack are committed to a smarter use of Federal resources to foster sustainable economic prosperity and ensure the government is a strong partner for businesses, entrepreneurs and working families in rural communities.

USDA, through its Rural Development mission area, has a portfolio of programs designed to improve the economic stability of rural communities, businesses, residents, farmers and ranchers and improve the quality of life in rural America.

USDA has made a concerted effort to deliver results for the American people, even as USDA implements sequestration, the across-the-board budget reductions mandated under terms of the Budget Control Act. USDA has already undertaken historic efforts since 2009 to save more than $828 million in taxpayer funds through targeted, common-sense budget reductions. These reductions have put USDA in a better position to carry out its mission, while implementing sequester budget reductions in a fair manner that causes as little disruption as possible.

OddlyEnough™: Marijuana Waste Helps Turn Pot-Eating Pigs into Tasty Pork Roast

With Washington state about to embark on a first-of-its-kind legal market for recreational marijuana, the budding ranks of new cannabis growers face a quandary over what to do with the excess stems, roots and leaves from their plants.

Susannah Gross, who owns a five-acre farm north of Seattle, is part of a group experimenting with a solution that seems to make the most of marijuana’s appetite-enhancing properties - turning weed waste into pig food.

Four pigs whose feed was supplemented with potent plant leavings during the last four months of their lives ended up 20 to 30 pounds heavier than the half-dozen other pigs from the same litter when they were all sent to slaughter in March.

“They were eating more, as you can imagine,“ Gross said.

Giving farm animals the munchies is the latest outcome of a ballot measure passed by Washington voters in November making their state one of the first to legalize the recreational use of pot. The other was Colorado. Both were among about 20 states with medical marijuana laws already on their books.

The federal government still classifies cannabis as an illegal narcotic, and the Obama administration has not yet said what actions, if any, it will take in answer to the newly passed recreational weed statutes.

Matt McAlman, the medical marijuana grower who provided the pot leavings for Gross’ pigs, says he hopes the idea expands with the likely impending expansion of Washington state’s marijuana industry.

“We can have pot chickens, pot pigs, grass-fed beef,“ he said.

Draft regulations issued last week to govern the burgeoning recreational-use industry seem to leave open that possibility. The rules dictate that marijuana plant waste must be “rendered unusable prior to leaving a licensed producer or processor’s facility,“ adding that mixing it with food waste would be acceptable.

Gross’ pigs were butchered by William von Schneidau, who has a shop at the famous Pike Place Market in downtown Seattle. In March, von Schneidau held a “Pot Pig Gig” at the market, serving up the marijuana-fed pork as part of a five-course meal.

He quickly sold out the remaining weed-fed meat at his shop but plans another pot-pig feast later this summer, he said.

“Some say the meat seems to taste more savory,“ he said.

The results beg the question of whether pot-fed pork contains any measurable traces of THC, the mind-altering chemical ingredient in cannabis.

The European Food Safety Authority reported in 2011 that “no studies concerning tolerance or effects of graded levels of THC in food-producing animals have been found in literature.“

The agency also noted that “no data are available concerning the likely transfer of THC ... to animal tissues and eggs following repeated administration.“

~~ Reuters ~~

Bon Appétit: Simple Grilled Vegetables

Ingredients:

Recipe makes 6 servings

2 zucchinis, cut into 1/2-inch slices
2 green bell peppers, cut into chunks
1/2 pound whole button mushrooms
1/2 pound cherry tomatoes
1 red onion, cut into 1/2-inch-thick slices
1/2 cup extra-virgin olive oil
kosher salt to taste
freshly ground black pepper to taste

Directions:

Preheat an outdoor grill for medium-high heat, and lightly oil the grate.

Combine zucchinis, green bell peppers, mushrooms, tomatoes, and onion in a large bowl.

Pour olive oil over vegetables and toss to evenly coat.

Season with salt and pepper.

Grill vegetables on preheated grill until lightly charred, 3 to 5 minutes per side.

Ask the Doctor: Itchy Skin Needs to Be Rehydrated

DEAR DR. DONOHUE: I am an 86-year-old man who is a caregiver for my 90-year-old wife, who has dementia.
I try to cope with the many problems my situation entails.
The latest ones have aggravated an intolerable itching.
I try to resist scratching, but it feels so good that I am overwhelmed and go ahead and scratch.
Often, my skin bleeds. Friends say nerves are to blame.
Can you name a product that will clear my skin? - F.C.

ANSWER: Generalized itching without a rash can come from kidney problems, an overactive or underactive thyroid gland, hidden cancer, diabetes, iron deficiency and many medicines.
Most often, it comes from dry skin.
Winter weather and indoor heating dehydrate the skin. Rehydration is the answer.
A humidifier that keeps the home’s humidity between 40 percent and 60% is worth considering.
Use only mild soaps, like Dove, when you shower or bathe. Keep the water tepid, not hot.
After bathing, blot yourself with a towel.
Leave a little moisture on the skin and then apply a moisturizing agent like Vaseline.
Carmol 20 cream, AmLactin cream and Aquaphor ointment are other good products.
Capsaicin cream (Zostrix is one brand name), used for pain control, also can control itching.
Don’t wear wool next to your skin; wear cotton garments.
I know scratching is all but irresistible. But you do have to control it.
It damages the skin and opens it to infections, and the relief is short-lived.
If you must scratch, put on gloves before you do.
Taking a sedating antihistamine before going to sleep might reduce nighttime itching.
Benadryl is such a product.
Start with the lowest dose, 12.5 mg, to see if you tolerate it and to see if it makes you groggy the next day.
If you have a rash, see the doctor right away.
Stress does worsen itching.
You might want to ask the doctor for a medicine that can keep you calm in the face of so much worry.

June Deadline for Storm Disaster Loans in WV

Small businesses and private nonprofits affected by severe storms last summer can still apply for federal disaster loans.

June 19 is the deadline to apply for economic injury disaster loans offered by the U.S. Small Business Administration.

The loans are available to small businesses and private nonprofit organizations in 36 counties covered by a federal disaster declaration.

The SBA said Monday that loans of up to $2 million are available.

Interest rates are 3% for private nonprofit organizations and 4% for small businesses.

The loans can be used to pay fixed debts, payroll, accounts payable, and other expenses.

Glenville: Sports Physical and Immunization Clinic - June 03-04, 2013

The Gilmer County School Based Health Center will be offering a sports physical and immunization clinic on June 03 and 04, 2013 from 8:00 AM to 4:00 PM, at the Gilmer County High School Based Health Center.

Athletes: It is mandatory if you wish to begin practice in June, you must have a completed sports physical and up-to-date immunizations by June 10th. All athletes can take advantage of these clinic days.

Current 6th and 11th Graders: It is now required that in order to enter 7th and 12th grades, students must have additional immunizations.

• 7th Graders must show proof of a booster dose of Tdap vaccine which protects against tetanus, diphtheria, and pertussis (whooping cough) and a dose of MCV4 (meningitis) vaccine.

• 12th Graders also must show proof of a single dose of Tdap, plus a booster dose of the meningitis vaccine.  If your child will be turning 16 before school starts, they must get the meningitis vaccine booster in order to move to the 12th grade.

If your child is enrolled in School Based Health, sports physicals and immunizations are free. If your child is not enrolled but has insurance, that insurance will be billed; any remaining balance for sports physicals will be written off. However, if your child receives immunizations and is not enrolled in School Based Health, the cost is the responsibility of the parent or guardian along with any insurance you may have. If your child is not enrolled through the School Based Health Center, contact 304.462.8500 to request an enrollment packet.

If you do not plan to attend the clinic with your child, you must complete and sign a sports physical form or immunization consent for them. No physicals or immunizations will be given without a signed parental consent. In addition to a signed consent, your child must have a copy of any insurance card(s) and a copy of their current shot record.

You can pick up a sports physical form and immunization consent at Minnie Hamilton Health System, Gilmer High School as well as from local businesses.

Appointments must be made in advance to participate in the sports physical and immunization clinic days. Contact 304.462.7322 to schedule an appointment.

Bon Appétit: Sirloin Steak with Garlic Butter

Ingredients:

Recipe makes 8 servings

1/2 cup butter
2 teaspoons garlic powder
4 cloves garlic, minced
4 pounds beef top sirloin steaks
salt and pepper to taste

Directions:

Preheat an outdoor grill for high heat.

In a small saucepan, melt butter over medium-low heat with garlic powder and minced garlic.

Set aside.

Sprinkle both sides of each steak with salt and pepper.

Grill steaks 4 to 5 minutes per side, or to desired doneness.

When done, transfer to warmed plates.

Brush tops liberally with garlic butter, and allow to rest for 2 to 3 minutes before serving.

Ask the Doctor: Tylenol’s Safety Is Questioned

DEAR DR. DONOHUE: Recently I was told by a family member that the total amount of Tylenol taken in a person’s lifetime can be hazardous to one’s health.
I have been taking two eight-hour pain-relief Tylenol before bedtime, as I have spinal stenosis, arthritis and degenerative back disease.
This allows me to wake up in the morning without pain.
Is taking two Tylenol for pain every day bad for your health?
The person who told me he saw the information on the Internet.
- S.A.

ANSWER: Tylenol, generic name acetaminophen, has been used by millions of people for many, many years without causing widespread harm.
The medicine comes in a variety of strengths, ranging from 80 mg to 650 mg.
Most adult tablets are either 325 mg or 500 mg.
The upper daily limit for Tylenol has been put at 4,000 mg (4 grams).
That amounts to eight 500-mg tablets a day.
Recently, some authorities recommend that the daily intake be limited to 2,600 mg or 3,250 mg.
On this more-stringent regimen, a person could take five or six 500-mg tablets a day.
It is also suggested that one should not take more than 1,000 mg in a single dose, and some feel that a maximum single dose of 650 mg is less risky.
What’s causing all this fuss about Tylenol? One reason is that it ranks high on the list of medicines causing liver damage due to drug overdose.
Many people don’t realize that Tylenol, under the generic name acetaminophen, is combined in many over-the-counter and prescription preparations.
Excedrin Sinus Headache tablets, Sinutab Sinus Maximum Strength tablets, Alka-Seltzer Cold Medicine effervescent tablets and Sudafed PE Sinus Headache Maximum Strength all contain acetaminophen.
People have to look on the list of ingredients in over-the-counter medicines and in the detailed information that comes with prescription drugs to be aware of their full content.
Heavy alcohol users should not take Tylenol until they discuss the matter with their doctors.
Your two pills a day are safe. Tylenol does not accumulate in the body over a lifetime of use.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475.

To prevent Cases of Neonatal Abstinence Syndrome WV Wants Warnings on Prescription Drugs

State Attorney General Patrick Morrisey says he thinks putting warnings on opioid-based pain killers would be just one part of a much larger effort to address West Virginia’s prescription drug abuse problems.

“It’s one step of many, many steps that we need to take, as a state, in order to ensure that the prescription drug overdose issues come down,”  Morrisey said on MetroNews Talkline.

Earlier this week, he signed on to a letter with officials from 42 other states and territories that calls on the U.S. Food and Drug Administration to put “black box” warnings on all opioid-based pain killers.

It would warn pregnant women that those drugs can cause Neonatal Abstinence Syndrome (NAS), a series of serious health problems a newborn can suffer as a result of exposure to illegal or prescription drugs.

There could be problems with a baby’s nervous system, gastrointestinal tract and respiratory system.

Morrisey says the number of NAS cases are growing in West Virginia.

Bon Appétit: Chilled Pasta Salad

Ingredients:

Recipe makes 6 to 8 servings

1 (16 ounce) package dry rainbow radiatore pasta
4 green onions, chopped
1 green bell pepper, chopped
4 stalks celery, chopped
2/3 cup white sugar
1/2 cup vegetable oil
1/3 cup ketchup
1/4 cup white wine vinegar
1 teaspoon salt
1 teaspoon paprika
1/4 teaspoon ground black pepper

Directions:

In a large pot of salted boiling water, cook pasta until al dente, rinse under cold water and drain.

In a large bowl, mix together the pasta, onions, bell pepper and celery.

In a glass jar, combine the sugar, oil, ketchup, vinegar, salt, paprika and pepper.

Shake well to mix.

Pour dressing over salad, toss to coat evenly.

Ask the Doctor: Arthritis Can Target Young Men

DEAR DR. DONOHUE: I am a 49-year-old man with a diagnosis of seronegative spondyloarthropathy.
I take sulfasalazine, prednisone and ibuprofen.
In the morning, my hands are swollen.
My eyes are inflamed, and my left eye stays red.
What causes this, and is there a cure?
I am considering taking Humira or Enbrel.
What are their side effects? - M.C.

ANSWER: “Spondylo” refers to the spine, the backbones.
“Arthropathy” is another word for arthritis.
“Seronegative” indicates that blood tests do not show that the arthritis is rheumatoid arthritis.
The most common kind of this variety of arthritis has an equally daunting name, ankylosing spondylitis, which means about the same thing.
I believe that’s what you have.
It’s arthritis of the spine, and it affects relatively young men.
Other joints, like the knees and ankles, often are involved.
The sacroiliac joint, the joint that connects the lowermost spine to the pelvic bones, is practically always affected.
The two SI joints are on the right and left sides of the body, slightly below the top of the buttocks.
Finger swelling is a common sign, as is eye inflammation.
Genes play a big role in this illness.
And the genetic influence is seen in one lab test called HLA-B27.
Almost all with this illness have a positive HLA-B27 test.
Naturally, back pain and stiffness are prominent symptoms.
The stiffness can creep all the way up to and include the neck.
The goals of treatment are keeping the spine as limber as possible, controlling the inflammation and minimizing pain.
The medicines you’re taking are standard for this illness.
How about your eyes?
You should be on eyedrops.
If you are not, see an eye doctor.
“Cure” is too strong a word.
Control, however is possible.
The two drugs you mentioned, Humira and Enbrel, neutralize one of the inflammatory chemicals that stir up all the trouble.
One of them should be considered if present medicines are making no headway.
Both work well. Both have major side effects, as do all effective medicines.
Infections, a small chance of tumors, nerve damage, a decrease in blood cells and liver problems are some of those side effects.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475.

Honoring EMS Responders during National EMS Week

This week, our nation honors emergency medical service (EMS) professionals for their dedication to public service. As the HHS assistant secretary for preparedness and response, I know how important their role is in disasters. As a primary care physician, I know how important their work is every day. People rely on EMS in disasters and other public health emergencies, as well as for personal emergency care.

We know that our health care system must be ready at a moment’s notice to respond to threats to the public’s health. Time and time again, disaster after disaster, EMS responders across the country have risen to that challenge, whether the community is impacted by a hurricane, wildfire, flood, bombing, chemical plant explosion, or pandemic flu. In recent disasters, we have witnessed EMS responders providing triage on the scene in Boston after the bombing, helping evacuate nursing homes in New York state after Hurricane Sandy, and caring for injured or ill patients as they were transported to hospitals in Texas after a plant explosion. Dozens of EMS responders give their lives every year in the service to our communities and our nation. Those who remain continue to take pride in being the people we can depend on even in difficult and dangerous situations.

To become better prepared, the nation is moving increasingly toward building coalitions bringing together EMS providers, public health agencies, hospitals, nursing homes, dialysis centers, health care providers, home health agencies, emergency management agencies, and local businesses. EMS is a critical partner in our health care system, so I encourage EMS professionals to take an active role in helping communities forge and strengthen these partnerships. Given the regular interaction EMS responders have with these organizations in the community, EMS is uniquely positioned to bring potential partners together to plan for and minimize the impact that disasters have on health.

Disaster response and recovery requires a whole community working together. It’s one mission, one team. EMS is a crucial part of that team, there when every minute counts.

County-By-County Unemployment Rates Tell the Story – April 2013

West Virginia’s seasonally adjusted unemployment rate declined four-tenths of a percentage point to 6.6% in April 2013.

Unemployment rates declined in 52 counties as well.

Two counties, Pocahontas and Monongalia, reported increasing unemployment rates, while Jefferson County reported no change in the monthly rate.

Three counties reported an unemployment rate above 11%.

These included Pocahontas (11.3%), Clay (12.2%), and Webster (12.7%).

Three counties recorded an unemployment rate of less than 5%.

These included Pendleton (4.9%), Jefferson (4.3%), and Monongalia (4.2%).

Bon Appétit: Smashed Potatoes

Ingredients:

Recipe makes 4 servings

1 1/2 pounds small yellow-fleshed potatoes
1/4 cup olive oil
1 teaspoon butter at room temperature
2 tablespoons balsamic vinegar
3 cloves garlic, minced
1 teaspoon dried rosemary
1/2 teaspoon dried sage
1/2 teaspoon ground thyme
1/2 teaspoon dried savory
1/2 teaspoon sea salt
1/2 teaspoon ground black pepper

Directions:

Place potatoes in a saucepan, fill with water to cover the potatoes, and bring to a boil.

Reduce heat to a simmer, and cook the potatoes until tender but not mushy, about 20 minutes.

Drain and allow potatoes to cool.

While potatoes are cooking, combine olive oil, butter, balsamic vinegar, garlic, rosemary, sage, thyme, savory, sea salt and pepper in a bowl.

Stir with a fork to combine well.

Preheat an oven to 450 degrees F (230 degrees C).

Line a baking sheet with parchment paper.

Place the potatoes in a single layer on the prepared baking sheet, and lightly press down on the potatoes to partially crush them.

Spoon the oil-herb mixture over each potato.

Bake in the preheated oven until the edges of the potatoes are beginning to crisp, about 25 minutes.

Cool for about 5 minutes before serving.

Ask the Doctor: Heart Device Is Versatile

DEAR DR. DONOHUE: I’d like you to provide information on defibrillators, the devices implanted for heart failure.
Does this device have to be replaced, and how often?
How bad is the heart when it’s used? - D.B.

ANSWER: Defibrillators are used for more than one heart condition.
Their chief purpose is to deliver an electric shock to a heart that has developed a dangerous heartbeat, one responsible for sudden death.
The defibrillator detects the abnormal heart rhythm and then gives the heart a shock to restore a normal beat.
The defibrillator device is much like a pacemaker.
It is placed under the skin of the chest, and its wires are threaded through blood vessels to reach the heart.
The battery for an internal defibrillator has to be replaced about every five years and is done quite easily.
A second reason for a defibrillator is to get the two lower heart chambers, the ventricles, to pump in sequence, like they should.
This is why a defibrillator is used in some cases of heart failure.
When the ventricles are out of step, they don’t pump enough blood.
Restoring the normal pumping sequence can improve heart failure.
The heart’s output is quite low when this kind of defibrillator is used as a remedy, but it’s an effective remedy.
Most cases of heart failure respond to medicines.
A third use of defibrillators is to jolt a nonfunctioning heart back to work.
Automated external defibrillators are found in many public places, like airports.
These defibrillators can be used by people with very little training.
The device comes with voice information on how to place the paddles that deliver a shock.
The machine interprets the heart rhythm and decides if a shock would restore a normal beat.
If it would, it automatically provides it.

Bon Appétit: Slow Cooker Salisbury Steak

Ingredients:

Recipe makes 8 servings

2 pounds lean ground beef
1 (1 ounce) envelope dry onion soup mix
1/2 cup Italian seasoned bread crumbs
1/4 cup milk
1/4 cup all-purpose flour
2 tablespoons vegetable oil
2 (10.75 ounce) cans condensed cream of chicken soup
1 (1 ounce) packet dry au jus mix
3/4 cup water

Directions:

In a large bowl, mix together the ground beef, onion soup mix, bread crumbs, and milk using your hands.

Shape into 8 patties.

Heat the oil in a large skillet over medium-high heat.

Dredge the patties in flour just to coat, and quickly brown on both sides in the hot skillet.

Place browned patties into the slow cooker stacking alternately like a pyramid.

In a medium bowl, mix together the cream of chicken soup, au jus mix, and water.

Pour over the meat.

Cook on the Low setting for 4 or 5 hours, until ground beef is well done.

Ask the Doctor: Endometriosis a Real Problem for Women

DEAR DR. DONOHUE: Will you please devote some space to endometriosis?
My doctor believes it’s the reason for my horribly painful menstrual periods.
The pain can be so bad that I have to stay home from work. I’m afraid of losing my job. How is it definitely proven, and how is it treated? - J.T.

ANSWER: The endometrium is the lining of the uterus.
Under the influence of monthly hormones, it grows in preparation for nurturing a fertilized egg.
If fertilization doesn’t take place, the endometrium is shed during the menstrual period.
With endometriosis, bits of the uterine lining have found their way to other places in the body, mostly locations in the pelvis.
Endometrium can stick to pelvic ligaments and other tissues.
It can cover one or both ovaries.
On occasion, it migrates to distant sites, like the urinary bladder and the coverings of the heart and lungs.
One explanation for how this happens is that the endometrium shed during menstruation finds its way into the fallopian tubes, and from there into the pelvis and other sites.
The fallopian tubes are the tubes through which an egg passes from the ovary into the uterus.
Transplanted endometrium behaves in the same manner as endometrium within the uterus.
It grows due to the stimulation of the monthly hormone surge.
However, it cannot be shed like the uterine lining.
Pain is one of the main symptoms of endometriosis, and the pain usually occurs a day or two before menstruation begins.
Painful intercourse is another symptom.
Infertility is more prevalent in women with endometriosis.
Ultrasound is quite helpful in making a diagnosis.
The ultimate test comes from the doctor’s actually seeing endometrial tissue with a scope inserted into the pelvic cavity through a small incision.
Treatments are many.
For mild cases, anti-inflammatory drugs like Advil can ease pain.
Birth control is effective.

Recalls - 05.17.13

BEAN BAG CHAIRS

Powell Company is recalling Anywhere Lounger Bean Bag Chairs sold nationwide from June 2012 to February 2013.

Bean bag chairs without a permanent zipper closure allow young children to unzip, ingest or inhale the small beads inside of the bean bag chair, posing a suffocation and strangulation hazard.

Recalled colors include purple item 199-B004), chocolate item 199-B005), bayou blue item 199-B006), pink item 199-B007), lime green item 199-B008), denim item 199-B009), black and white item 199-B012), striped black and white item 199-B014), natural item 199-B016.and camo item 199-B017).

The item number is printed on the product packaging and Powell Company is printed on the label on the bean bag chairs.

Consumers should contact Powell Company at 800.622.4456 from 8 AM to 5 PM PT or online at www.powellcompany.com to receive a free Safety Enhancement Repair Kit.

POPCORN MAKERS

Avon is recalling Microwave Popcorn Makers sold nationwide from October 2012 to February 2013.

When cooked too long, the popcorn can overheat in this popcorn maker and ignite, posing a fire or burn hazard.

This recall involves Avon’s Microwave Popcorn Maker sold in the U.S. with item number 474-105 in Avon’s brochures and website.

“DO NOT REMOVE WITH BARE HANDS. HOLD UNIT WITH GLOVES” is molded into the plastic of the lid and “USE IN MICROWAVE OVEN ONLY” is molded into the underside of the bowl.

Consumers should contact Avon to receive a copy of the updated instructions on how to safely use the microwave popcorn maker.

Consumers can also contact Avon Products; 800.367.2866 from 8 AM to 8:30 PM ET Monday through Friday, or online at www.avon.com.

CHILDREN’S SWEATSHIRTS

Zulily Inc is recalling Deezo boys and girls zip-up hoodies sold nationwide from August 2012 to March 2013.

The sweatshirts and jackets have drawstrings through the hood which pose a strangulation hazard.

This recall involves a Deezo brand boys’, girls’, and toddlers’ zip-up hoodies made of 65% polyester and 35% cotton.

The following model numbers are included in the recall: 12501, 2502, 12503, 12504, 12505, 12506, 12507, 12508, 12509, 12801, 12802, 12803, 12804, 12806, 12807, 12808, 12809, 12810.

Consumers can remove the drawstrings to eliminate the hazard or return the garments to Zulily for a full refund.

Consumers can also contact Zulily, Inc. at 877.779.5615 between 6 AM and 8 PM PT Monday through Friday, and between 6 AM and 6 PM or Saturdays or online at www.zulily.com.

PORTABLE HEATERS

Optimus is recalling Portable Infrared Radiant Quartz Electric Space Heaters sold nationwide from October 2011 to December 2012.

The heater design can fail to prevent ignition of nearby combustible materials that come in contact with the unit, posing a fire hazard.

This recall involves two models of Optimus Infrared Quartz Radiant heaters with model numbers H.5210, produced in 2011 and H.5211, produced in 2012.

The model number and the year of production appear on a label on the back of the heater.

Consumers should contact Optimus at 888.672.5832 from 10 AM to 12:30 PM and 1:30 PM to 3 PM PT Monday through Friday, or online at www.optimusent.com to request a free replacement heater.

Bon Appétit: Almond Bear Claws

Ingredients:

Recipe makes 24 pastries

1/3 cup almond paste
2 3/4 cups ground almonds
1/2 cup white sugar
1 pinch salt
2 tablespoons butter
2 egg whites
1/2 teaspoon almond extract
2 teaspoons amaretto liqueur
3 pounds puff pastry
1 egg
1 tablespoon water
3 tablespoons sliced almonds, for garnish
3 tablespoons confectioners’ sugar for dusting

Directions:

In a large bowl, beat almond paste with an electric mixer to break it apart.

Add the almonds, sugar, and salt; continue to mix until the almond paste is no longer lumpy.

Stir in the butter, egg whites, almond extract and amaretto liqueur on high speed until its as fluffy as you can get it.

Set aside.

Using half of the dough at a time, roll it out on a lightly floured surface into a rectangle that is about 8 inches wide and 1/4 inch thick.

Trim the edges of the dough.

Cut the dough in half lengthwise to make two 4 inch wide strips.

Preheat the oven to 400 degrees F (200 degrees C).

Line baking sheets with parchment paper.

Fill a pastry bag halfway with the almond filling and pipe a stripe of filling down the center of each strip.

Whisk together the egg and water.

Brush onto one edge of each strip.

Fold each strip over the filling and press gently to seal it.

Brush each piece with egg wash and sprinkle sliced almonds over the top.

Cut into 3 to 4 inch pieces, then cut 1/2 inch slits into the sealed edge to make the ‘'claws’‘.

Place the bear claws at least two inches apart on baking sheets.

Refrigerate and repeat with the second half of the dough.

Bake in the preheated oven until almonds are toasted and pastry is golden brown, 25 to 30 minutes.

Cool and dust with confectioners’ sugar right before serving.

Ask the Doctor: Syndrome Is Terribly Agonizing

DEAR DR. DONOHUE: I am 82. I have had something wrong with my tongue for months.
I went to my family doctor, and he thought it was a yeast infection.
He sent me to a specialist, who called it black tongue.
He sent me to a store that sells colloidal silver and tea tree.
They helped.
I thought I was cured, but about three weeks later my tongue started burning terribly.
The medicine no longer works.
My daughter looked on the Internet and said I have burning tongue syndrome.
I started taking vitamin B-2.
I don’t know where to turn.
- R.R.

ANSWER: Papillae cover the tongue.
They’re tiny projections that look like miniature icicles when viewed with a magnifying glass.
Some contain taste buds.
In black tongue, those papillae are elongated and turn a dark color.
Left alone, the color usually disappears.
Gently brushing the tongue with a toothbrush gets rid of it faster.
Burning tongue is dreadfully painful, and the burning sensation sometimes can be felt on the gums, roof of the mouth and inner cheeks.
Post-menopausal women are the primary targets.
As soon as you can, consult your dentist.
You need a thorough exam of your mouth.
Deficiencies of the B vitamins - thiamine, riboflavin, folate and B-6 - might be responsible, but such deficiencies are rarely seen in well-fed populations.
Iron deficiency is another possibility.
A dry mouth leads to burning tongue, and it can be remedied with artificial salivas, sugar-free chewing gum and sometimes medicines.
In most people, a cause is never found.
Some home remedies include rinsing your mouth with cold apple juice.
Or you can make a mouth rinse consisting of equal parts Kaopectate and Benadryl elixir, both readily found in all drugstores without a prescription.
Swish it around in your mouth at least three times a day, and then spit it out.
Some people find that adding four or five drops of Tabasco sauce in a spoonful of water is an effective mouth rinse.
Definitely spit this out after rinsing.
If it causes great pain, don’t pursue the treatment.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475.

HHS Announces Actions to Improve Safety and Quality of Child Care

Helping to answer President Obama’s call to ensure quality early education for every American child, the U.S. Department of Health and Human Services (HHS) proposed today a new regulation for public comment that will better ensure children’s health and safety in child care and promote school readiness. Under the proposed rule, states, territories and tribes would be required to strengthen their standards to better promote the health, safety and school readiness of children in federally funded child care.

Millions of working parents depend on child care and assume certain safety requirements are already in place for their children, but standards vary widely across the states.  Many states do not enforce even basic standards such as fingerprinting, background checks and first aid training for providers. This puts our children at risk.

“Many children already benefit from the excellent care of high-quality child care providers who are meeting or exceeding the proposed requirements,” said HHS Secretary Kathleen Sebelius.  “However, too many children remain in settings that do not meet minimum standards of health and safety. These basic rules ensure that providers take necessary basic steps to shield children from an avoidable tragedy.”

The proposed rule would only apply directly to child care providers who accept Child Care and Development Fund (CCDF) funds. More than 500,000 providers serve about 1.6 million low-income children through CCDF. Many more children would benefit, however, because the providers also serve non-CCDF children.

Under the proposed rule, states would require that all CCDF-funded child care providers:

•  Receive health and safety trainings in specific areas
•  Comply with applicable state and local fire, health and building codes
•  Receive comprehensive background checks (including fingerprinting)
•  Receive on-site monitoring

The rule would also require states to share information with parents through user-friendly websites about provider health, safety and licensing information. While some states already post health and safety reports online, the new rule would bring all states up to this standard.

“Parents know the needs of their own children,” said Shannon Rudisill, director of the Office of Child Care. “However, parents don’t always have enough information to help them make the right choice when choosing a child care provider. This proposal would give parents the necessary tools to choose quality care that fully meets their needs.”

While the proposed rule establishes new minimum standards, it also recognizes the need for innovation and flexibility and allows states and communities to tailor their specific approaches to best meet the needs of the children and families they serve.  The rule would not change or impede a state’s ability to license child care providers as they see fit.

The administration continues to work with Congress to reauthorize the Child Care and Development Block Grant, which was last reauthorized in 1996.  This rule does not take the place of reauthorization, but rather proposes long overdue reforms to better ensure that low-income working families have access to safe, high-quality child care that is essential for healthy early childhood development.

HHS is requesting the public’s input on this proposed regulation. The comment process, which lasts for 75 days, allows for feedback on the proposed rule.

The proposed rule will be on public display today at www.federalregister.gov/public-inspection.  Once it is published in the Federal Register, the public can view it and submit comment at: www.regulations.gov.

For more information about HHS’ child care programs, please visit www.acf.hhs.gov/programs/occ.

Ask the Doctor: Leg Pain Is a Sign of Disease

DEAR DR. DONOHUE: About four to six months ago, you wrote about pain in the calves.
I suffer from this problem. Would you repeat the information for me? - V.G.

ANSWER: The topic was peripheral artery disease, also called peripheral vascular disease.
“Periphery,“ when used here, refers to the arms and legs (mostly the legs).
The buildup of plaque - cholesterol, fats and other materials - within leg arteries obstructs the flow of blood to leg muscles.
The result is pain on exercise, since exercise requires an increased blood supply.
Obstructed arteries can’t provide it. It’s as though a tight tourniquet is tied around the legs.
Pain arises in areas downstream of the obstruction.
If an artery high up in the legs is blocked, then the pain is felt in the buttocks, hips or thigh.
If the obstruction is lower in the thigh, pain is felt in the calves, and that’s where many patients have their pain.
When doctors examine the legs of people with peripheral artery disease, they can’t feel a pulse, as they can in normal people’s legs.
One good test is blood pressure measurement at the ankle.
Ordinarily, it should be the same as blood pressure in the arm.
If ankle blood pressure is much lower than arm blood pressure, that’s evidence of leg artery obstruction.
The same kind of diet that people with blocked heart arteries follow should be the kind of diet for those with peripheral artery disease - one low in fat, high in grains, fruits and vegetables, and low in red meat.
An exercise program is essential.
People start out modestly by walking for five or 10 minutes.
Walk to the point of pain, stop and then start again when the pain leaves.
Progressively increase the time and pace of the walk.
Aspirin, Pletal and Plavix are medicines frequently prescribed for this condition.
Blood pressure and cholesterol have to be controlled.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475.

Child Abuse Cases Rising in WV after Brief Decline

West Virginia child-welfare officials say the number of active abuse and neglect cases has been climbing the past two years, but they are handling fewer than they were five years ago.

The Department of Health and Human Resources took action on 1,569 cases in March.

That is down from an average of 2,300 cases per month in 2007.

The decline may be the result of a more comprehensive three-step system the state began using in 2010 to review complaints.

Kathie King of the Bureau for Children and Families says there may be fewer duplicate referrals now.

The state is also investing more in prevention.

And King says some cases that used to be handled in-house are now contracted out if children aren’t in any immediate danger.

Bon Appétit: Coconut Shrimp

Ingredients:

Recipe makes 6 servings

1 egg
1/2 cup all-purpose flour
2/3 cup beer
1 1/2 teaspoons baking powder
1/4 cup all-purpose flour
2 cups flaked coconut
24 shrimp
3 cups oil for frying

Directions:

In medium bowl, combine egg, 1/2 cup flour, beer and baking powder.

Place 1/4 cup flour and coconut in two separate bowls.

Hold shrimp by tail, and dredge in flour, shaking off excess flour.

Dip in egg/beer batter; allow excess to drip off.

Roll shrimp in coconut, and place on a baking sheet lined with wax paper.

Refrigerate for 30 minutes.

Meanwhile, heat oil to 350 degrees F (175 degrees C) in a deep-fryer.

Fry shrimp in batches: cook, turning once, for 2 to 3 minutes, or until golden brown.

Using tongs, remove shrimp to paper towels to drain.

Serve warm with your favorite dipping sauce.

Ask the Doctor: Brain Scars Short-Circuit Nerve Signals

DEAR DR. DONOHUE: I’m a 27-year-old woman who developed numbness in my right hand, and then I had problems trying to walk.
My family doctor sent me to a neurologist, who suspects multiple sclerosis. He has scheduled me for more tests.
What do those tests involve? What exactly is multiple sclerosis? I am frightened by all this. - M.K.

ANSWER: The “sclerosis” of “multiple sclerosis” refers to scars that have formed in the brain and spinal cord.
“Multiple” indicates that there are many of them, and many brain locations can develop them.
Not only do scars form, but the insulating material for nerves - myelin - crumbles. These scars and unprotected nerve cells cannot conduct messages as they should.
Their transmission is short-circuited. The resulting variety of signs and symptoms depend on which parts of the brain are affected.
Transient loss of vision is a common symptom. Double vision is another possible symptom.
Bending the neck often sends a sensation of electric shocks down the back or arms. Fatigue is almost a universal part of the picture.
Numbness, tingling, coldness and outright pain are frequent complaints.
Muscle weakness makes walking difficult. Heat - even from a short, hot shower - worsens symptoms.
MS usually strikes between the ages of 20 and 40. The illness is more common in Northern climates.
According to some, the decreased vitamin D production that comes with long, sunless winters has a hand in spawning it.
The actual basis, however, is most likely an immune attack on the nervous system.
One of the most useful tests in detecting MS is an MRI scan of the brain. Its pictures show the scars clearly.
Testing fluid for gamma globulin and for a special kind of protein called oligoclonal bands is more supporting evidence for MS.
Many treatments are readily available for multiple sclerosis patients.
Cortisone drugs are used for acute attacks.
Newer agents, like interferon beta and glatiramer, can slow its progression.
Natalizumab is available for those who don’t respond to standard therapy.

WVU Faculty Want Alternative to PEIA Coverage

West Virginia University’s Faculty Senate says the school should be allowed to look at other health insurance options for its employees.

The state-run Public Employees Insurance Agency currently provides coverage for WVU employees.

The Dominion Post reports that the Faculty Senate endorsed a letter on Monday that asks state lawmakers to allow the university to explore a private benefits provider and choose the best option.

A PEIA spokeswoman, Diane Holley-Brown, says the agency’s Finance Board lowered employer and employee premiums for three of its health care plans, effective July 01, 2013.

She says the goal is to make the plans affordable and beneficial to all of the PEIA’s members.

Bon Appétit:  Easy Slow Cooker Meatballs

Ingredients:

Recipe makes 16 meatballs

1 1/2 pounds ground beef
1 1/4 cups Italian seasoned bread crumbs
1/4 cup chopped fresh parsley
2 cloves garlic, minced
1 medium yellow onion, chopped
1 egg, beaten
1 (28 ounce) jar spaghetti sauce
1 (16 ounce) can crushed tomatoes
1 (14.25 ounce) can tomato puree

Directions:

In a bowl, mix the ground beef, bread crumbs, parsley, garlic, onion, and egg.

Shape the mixture into 16 meatballs.

In a slow cooker, mix the spaghetti sauce, crushed tomatoes, and tomato puree.

Place the meatballs into the sauce mixture.

Cook on Low for 6 to 8 hours.

Ask the Doctor: Hormones Regulate the Body

DEAR DR. DONOHUE: I have never written to you before, but I have never seen much from you about Forteo. I took it for a year for osteoporosis.

After a year, I had a repeat DEXA test. There was no improvement, and my hipbones were worse off.

I spent more than $7,000 for the medicine. I feel like I have been taken, since it did me no good. I would like your opinion on Forteo and why it didn’t help me. They won’t reimburse me for any of the money I spent. - Anon.

ANSWER: Forteo (teriparatide) is a lab-made replica of parathyroid hormone. We have four parathyroid glands, small glands glued to the back of the thyroid gland. If you wrap your hand around your lower neck, you’re wrapping it around your thyroid and parathyroid glands.

Parathyroid hormone regulates the body levels of calcium and phosphate. It boosts blood calcium by preventing calcium loss in the urine. It increases the digestive tract’s absorption of calcium. It also stimulates new bone formation. For these reasons, Forteo is an approved osteoporosis treatment.

Why didn’t it work for you? I have to resort to platitudes. Not every medicine works for every patient. Humans don’t respond in identical ways. Were you taking calcium and vitamin D when you were on Forteo? It needs both to work well. I can understand your disappointment and your anger. I can’t come up with any better explanation, and I admit mine is not all that good.

Other osteoporosis medicines exist, and they are not so expensive. They are the bisphosphonates. Perhaps your doctor will have you take one of them.

Funding from Health Reform Law to Help Uninsured West Virginians Get Affordable Health Coverage

Senator Jay Rockefeller today announced $2,483,778 in federal funding from the health reform law to give community health centers the ability to help uninsured West Virginians enroll in affordable health plans. This announcement comes as advocates and health care professionals gather in Flatwoods, West Virginia for the Enroll West Virginia Conference to discuss expanding Medicaid and enrolling West Virginians in the new health insurance marketplace.

“Community health centers play a critical role in keeping West Virginians healthy, which is why I pushed to increase funding in the health reform law to boost their services,” said Rockefeller. “West Virginia’s community health centers serve thousands each year, and can help even more by making sure consumers have the guidance and education they need to choose a health plan that works for them. This funding will provide more resources for our local health workers so they can meet with more families in need of affordable care.”

Rockefeller has worked in the Senate to make health care more affordable and accessible. He played a strong role in making sure the health reform law secures robust investments in community health centers so they can continue to provide primary and preventive care and help the uninsured get coverage. The health care law provides $150 million for enrollment assistance nationwide. The 27 eligible community health centers in West Virginia provide care for over 380,000 West Virginians.

This funding was made available through the health reform law, and is disbursed by the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA). It will give health centers the opportunity to hire new staff, train existing staff, perform community outreach, and hold educational events to help consumers better understand coverage options and eligibility, and to enroll uninsured West Virginians in new affordable health insurance plans. The in-person assistance and education is part of the Obama Administration’s efforts to make applying for health insurance easier and more understandable. The funding is given to the state to distribute to community health centers that apply for state-administered grants.

Below are the 27 eligible community health centers in the state:

•  Belington Community Medical Services Association—Belington, WV

•  Bluestone Health Association—Princeton, WV

•  Cabin Creek Health Center—Dawes, WV

•  Camden-On-Gauley Medical Center—Camden-on-Gauley, WV

•  Change—Weirton, WV

•  Clay Battelle Health Services Association—Blacksville, WV

•  Community Care of West Virginia—Rock Cave, WV

•  Community Health Systems—Beckley, WV

•  E. A. Hawse Health Center—Baker, WV

•  Lincoln County Primary Care Center—Hamlin, WV

•  Minnie Hamilton Health Care Center—Grantsville, WV

•  Monongahela Valley Association—Fairmont, WV

•  Monroe County Health Center—Union, WV

•  New River Health Association—Scarbro, WV

•  Northern Greenbrier Health Clinic—Williamsburg, WV

•  Pendleton Community Care—Franklin, WV

•  Preston-Taylor Community Health Centers—Grafton, WV

•  Rainelle Medical Center—Rainelle, WV

•  Ritchie County Primary Care Association—Harrisville, WV

•  Roane County Family Health Care—Spencer, WV

•  Shenandoah Valley Medical Systems—Martinsburg, WV

•  St. George Medical Clinic—St. George, WV

•  Tug River Health Association—Gary, WV

•  Valley Health Care—Mill Creek, WV

•  Valley Health Systems—Huntington, WV

•  Wirt County Health Services Association—Elizabeth, WV

•  Womencare—Scott Depot, WV

West Virginia’s Unemployment Rate Drops to 6.6% in April 2013

West Virginia’s seasonally adjusted unemployment rate declined four-tenths of a percentage point to 6.6%in April 2013.

This is the lowest seasonally adjusted unemployment rate for the state in four years.

The number of unemployed state residents fell 2,600 to 53,500.

Total unemployment was down 3,800 over the year.

The national unemployment rate declined one-tenth of a percentage point to 7.5%.

Total non-farm payroll employment declined 100, where a gain of 1,400 in the goods-producing sector was narrowly offset by a loss of 1,500 in the service-providing sector.

Within the goods-producing sector, mining and logging added 600 jobs, construction gained 1,000, and manufacturing employment slipped 200.

Within the service-providing sector, employment gains included 200 in trade, transportation, and utilities, 100 in professional and business services, and 200 in other services.

Employment declines included 800 in educational and health services, 600 in leisure and hospitality, and 600 in government.

Unemployment was unchanged in both information and financial activities.

Since April 2012, total non-farm payroll employment has added 2,200 jobs, with gains of 2,000 in the service-providing sector and 200 in the goods-producing sector.

Employment gains included 1,500 in mining and logging, 700 in trade, transportation, and utilities, 100 in professional and business services, 1,600 in educational and health services, and 900 in leisure and hospitality.

Employment declines included 100 in construction, 1,200 in manufacturing, 100 in information, 100 in financial activities, 500 in other services, and 600 in government.

West Virginia’s not seasonally adjusted unemployment rate fell six-tenths of a percentage point to 6.6% in April

Glenville: Sports Physical and Immunization Clinic - 06.03.13 - 06.04.13

The Gilmer County School Based Health Center will be offering a sports physical and immunization clinic on June 03 and 04, 2013 from 8:00 AM to 4:00 PM, at the Gilmer County High School Based Health Center.

Athletes: It is mandatory if you wish to begin practice in June, you must have a completed sports physical and up-to-date immunizations by June 10th. All athletes can take advantage of these clinic days.

Current 6th and 11th Graders: It is now required that in order to enter 7th and 12th grades, students must have additional immunizations.

• 7th Graders must show proof of a booster dose of Tdap vaccine which protects against tetanus, diphtheria, and pertussis (whooping cough) and a dose of MCV4 (meningitis) vaccine.

• 12th Graders also must show proof of a single dose of Tdap, plus a booster dose of the meningitis vaccine.  If your child will be turning 16 before school starts, they must get the meningitis vaccine booster in order to move to the 12th grade.

If your child is enrolled in School Based Health, sports physicals and immunizations are free. If your child is not enrolled but has insurance, that insurance will be billed; any remaining balance for sports physicals will be written off. However, if your child receives immunizations and is not enrolled in School Based Health, the cost is the responsibility of the parent or guardian along with any insurance you may have. If your child is not enrolled through the School Based Health Center, contact 304.462.8500 to request an enrollment packet.

If you do not plan to attend the clinic with your child, you must complete and sign a sports physical form or immunization consent for them. No physicals or immunizations will be given without a signed parental consent. In addition to a signed consent, your child must have a copy of any insurance card(s) and a copy of their current shot record.

You can pick up a sports physical form and immunization consent at Minnie Hamilton Health System, Gilmer High School as well as from local businesses.

Appointments must be made in advance to participate in the sports physical and immunization clinic days. Contact 304.462.7322 to schedule an appointment.

Celebrate Your Nurse