Month: March 2023

World TB Day

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March 24th is World TB Day, marking the day in 1882 when Dr. Robert Koch announced the discovery of Mycobacterium tuberculosis, the bacteria that cause tuberculosis (TB). Dr. Koch’s discovery was the most important step taken toward the prevention and control of this deadly disease. Learn how new tests, shorter treatment regimens, and a focus on latent TB infection will help end TB in the U.S.

We do occasionally respond to active TB cases in Malheur County. More often we respond to reports of latent tuberculosis infection (LTBI). Our Communicable Disease staff work with patients and health care providers to follow treatment protocol for both active and latent TB infections. In the United States, up to 13 million people may have latent TB infection. Without treatment, on average 1 in 10 people with latent TB infection will get sick with TB disease in the future. The risk is higher for people with HIV, diabetes, or other conditions that affect the immune system.

World TB Day is an opportunity to recognize our achievements in TB prevention and control and renew our commitment to eliminating this devastating disease in the United States. Clinicians, health care agencies, and community organizations, especially those serving populations at risk, have a critical role in TB elimination. Learn more from the CDC.

Five healthy habits net more healthy years

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Are healthy habits worth cultivating? One recent study and a previous similar study suggest healthy habits may help people tack on years of life and sidestep serious illnesses, such as diabetes and cancer. 

Researchers from the Harvard T.H. Chan School of Public Health found that five low-risk lifestyle habits are critical for a longer life expectancy. The more of these habits people had, the longer they lived.

Five habits to change your life:

  • a healthy diet, which was calculated and rated based on reports of regularly eating healthy foods like vegetables, fruits, nuts, whole grains, healthy fats, and omega-3 fatty acids, and avoiding less healthy or unhealthy foods like red and processed meats, sugar-sweetened beverages, trans fat, and excess sodium
  • a healthy physical activity level, measured as at least 30 minutes a day of moderate to vigorous activity, like brisk walking
  • a healthy body weight, defined as a normal body mass index (BMI), which is between 18.5 and 24.9
  • never smoking, because there is no healthy amount of smoking
  • low-risk alcohol intake, measured as between 5 and 15 grams per day for women, and 5 to 30 grams per day for men. Generally, one drink contains about 14 grams of pure alcohol. That’s 12 ounces of regular beer, 5 ounces of wine, or 1.5 ounces of distilled spirits.

Even if they had only one of these habits, participants lived two years longer than if they had none. And if by age 50 they regularly practiced all five, women lived an extra 14 years and men lived an extra 12. That’s over a decade of extra life!

Steps for a longer, healthier life

If you’re approaching middle age, you can take steps to enjoy a longer and healthier life, one with a lower chance of becoming disabled or ending up in a nursing home:

  1. Eat mostly plants, most of the time. That means fruits, vegetables, beans and lentils, nuts and seeds, and whole grains. Avoid eating fast or fried foods, sweets and sugary beverages, and red and processed meats (like cold cuts) as much as possible.
  2. Move your body every day as much as you can. Walking for 30 minutes a day (15 in the morning, 15 in the evening, maybe?) would give you the benefits these researchers found. But even as little as 10 minutes of movement per week has been shown to have health benefits.
  3. Do the best you can to get to a healthy weight. And remember, even a little bit of weight loss, just a few pounds, is associated with real, positive health outcomes, like a lower risk of diabetes in people at risk.
  4. Quit smoking — or vaping! Though this particular study looked at never having smoked, we know that there are significant health benefits to quitting at any time. It’s never too late to quit and enjoy a healthier life.
  5. If you drink any alcohol, keep the recommended limits in mind: one drink per day max for women, two drinks per day max for men.

Article adapted from Harvard Health Publishing, Monique Tello, MD, MPH

New SMART Recovery Support Group Time

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In an effort to make our SMART Recovery meetings more convenient for more people, we have moved our Thursday groups to 5:30-6:30 p.m. at the Malheur County Health Department, 1108 SW 4th Street, Ontario, Oregon.

SMART Recovery uses tools based on scientifically tested methods for addiction recovery, such as Cognitive Behavioral Therapy, Rational Emotive Behavior and Motivational Interviewing. SMART Recovery support meetings are free and open to anyone seeking science-based, self-empowered addiction recovery. People who are suffering from addiction, as well as their family and friends, or people who want to help others in their community are welcome. At meetings, participants help one another resolve problems with any addiction. Participants find and develop the power within themselves to change and lead fulfilling and balanced lives.

Share the flyer, follow our Events Calendar, and call us at 541-889-7279 with any questions.

Cardiovascular Disease Prevention Strategies and Resources

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Our public health nurses find ways to prioritize cardiovascular disease prevention in their practice of health promotion at the Malheur County Health Department. Learn with us to prevent heart attacks and strokes through the Million Hearts Collaboration.

As a voice for public health nurses, the Association of Public Health Nurses (APHN) has been part of the Million Hearts Collaboration since 2015. This collaboration consists of national organizations that are committed to the Million Hearts goal of preventing ONE MILLION heart attacks and strokes in the U.S. in the next 5 years. In Malheur County, we want to do our part with the community and other healthcare providers to advance key messages that could save lives. A great tool of the Million Hearts Collaboration is the ABCS of Heart Health.

ABCS of Heart Health

Every year, Americans suffer more than 1.5 million heart attacks and strokes.

The good news is that you can help reduce your risk and improve your heart health by following the ABCS!

  • A: Take aspirin as directed by your health care professional.
  • B: Control your blood pressure.
  • C: Manage your cholesterol.
  • S: Don’t smoke.

What are the ABCS of heart health?

A: Take aspirin as directed by your health care professional.

Ask your health care professional if aspirin can reduce your risk of having a heart attack or stroke. Be sure to tell your health care professional if you have a family history of heart disease or stroke, and mention your own medical history.

B: Control your blood pressure.

Blood pressure measures the force of blood pushing against the walls of the arteries. If your blood pressure stays high for a long time, you may suffer from high blood pressure (also called hypertension).

High blood pressure increases your risk for heart attack or stroke more than any other risk factor. Find out what your blood pressure numbers are, and ask your health care professional what those numbers mean for your health. If you have high blood pressure, work with your health care professional to lower it.

C: Manage your cholesterol.

Cholesterol is a waxy substance produced by the liver and found in certain foods. Your body needs cholesterol, but when you have too much, it can build up in your arteries and cause heart disease.

There are different types of cholesterol: One type is “good” and can protect you from heart disease, but another type is “bad” and can increase your risk. Talk to your health care professional about cholesterol and how to lower your bad cholesterol if it’s too high.

S: Don’t smoke.

Smoking raises your blood pressure, which increases your risk for heart attack and stroke. If you smoke, quit. Talk with your health care professional about ways to help you stick with your decision. It’s never too late to quit smoking. Visit smokefree.gov or call 1-800-QUIT-NOW today.

Learn more at the CDC website Prevent Heart Disease.

Thanks to our public health nurses for sharing! Reach out to us at 541-889-7279 for more information on the ways our programs can educate, screen, and refer you and your family to the care you need.

Spotlight on Malheur County WIC Program

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Welcome to the Malheur County WIC Program

About Us:

The Women, Infants, Children (WIC) Program is a public health nutrition program that serves low-income pregnant, breastfeeding and postpartum women, and children up to the age of five.

The vison of the Oregon WIC program is to ensure optimal nutrition and lifelong health for every Oregon family. We provide families with access to healthy foods, nutrition education, breastfeeding guidance, free health screenings and referrals to other health services.

To apply for services, just call us at (541) 889-7279!

We support families by offering:

  • Pregnancy and breastfeeding guidance
  • Nutritious foods
  • Nutrition-focused counseling
  • Free health screenings
  • Connections to resources

To be eligible, you must:

  • Live in Oregon.
  • Be a pregnant, postpartum or breastfeeding woman, an infant or a child under 5 years old.
  • Have a household income less than 185% of the federal poverty limit. (Individuals who can prove Fully eligible for Medicaid/Oregon Health Plan, TANF, SNAP/Food Stamps or FDPIR are automatically income eligible for WIC.)
  • Have a nutritional need or risk.

Income Eligibility Criteria (Effective May 2022):

Farm Direct Nutrition Program:

Once a year we provide access to the Oregon Farm Direct Nutrition Program which is a state administered, federal nutrition program serving families enrolled in WIC and income-eligible seniors. Farm Direct participants receive additional benefits to spend on fresh, locally-grown fruits and vegetables from authorized farmers within our community.

Minimizing Barriers and Providing Equitable Care

  • We strive to maintain a welcoming and trauma-informed work environment that reflects and supports the racial and ethnic diversity of our participants, partners and community.
  • Provide nutritious foods to help minimize food insecurity for our most vulnerable and at-risk populations
  • Minimizes barriers to services by offering remote options when available
  • Use of Electronic Bank Transfer (eBT) cards for easier shopping and reduced stigma of services
  • Provide hand off referrals to other available services within the community
  • Services and materials are available in languages of our population served and ability to provide interpreted services and translated materials for non-English speaking families

Program Goals:

  • Increase number of families served in Malheur County.
  • Increase the number of infants exclusively breastfed for 6 months.
  • Maintain children on the program from infancy through age 5 to optimize health outcomes.
  • Provide families with education and resources to spend all their FDNP vouchers before the end of the annual WIC Farmers Market season.

Contact Us:

Additional Resources:

Oregon will lift mask requirement for health care settings April 3

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Workers, patients and visitors in health care settings will no longer be required to wear masks starting April 3, 2023, Oregon Health Authority (OHA) announced today.

OHA is rescinding provisions in Oregon Administrative Rule (OAR) 333-019-1011 that require workers in health care settings – such as hospitals, mobile clinics, ambulances, outpatient facilities, dental offices, urgent care centers, counseling offices, school-based health centers, complementary and alternative medicine locations – to wear masks. This includes the Malheur County Health Department clinic. The requirement has been in effect since August 2021.

In addition, Executive Order 22-24 will expire on March 6, 2023. The emergency gave hospitals needed flexibility to respond to a surge in respiratory infections, including COVID-19, RSV and influenza.

The decision to end statewide health care mask requirements aligns with decisions in other states, including Washington.

Dean Sidelinger, M.D., M.S.Ed., health officer and state epidemiologist at OHA, said the lifting of Oregon’s health care mask requirement stems from data in recent weeks showing overall decreases in circulation of the three respiratory pathogens that triggered a surge in visits to hospital emergency departments and intensive care units last fall. As of today, COVID-19 test positivity is at 10% and is expected to continue dropping; influenza test positivity is at 1.2%; and RSV test positivity is at 1.6% (antigen tests) and 3.5% (molecular tests).

The month-long lead-up to the ending of Oregon’s health care mask requirement gives the health care system, local public health authorities and other health partners time to prepare for the change, including adjusting policies, training and procedures that ensure continued patient safety and access. It also gives members of the public, particularly populations at increased risk of severe disease—communities of color, tribal communities, rural communities, lower-income communities, those with underlying medical conditions, seniors, and parents of vulnerable infants – a chance to plan health care visits and protective measures.

People at higher risk for severe disease, or who live with someone at higher risk, should still consider wearing masks in health care or any settings, to better protect themselves and those most vulnerable around them. Some health care settings may continue to require masks even after the requirement is lifted.

Masks remain an effective way to reduce transmission of respiratory viruses. People are recommended to wear masks when they are sick, and individuals – particularly those with health conditions that put them at high risk for severe illness from a respiratory virus exposure–should continue to wear masks wherever they feel comfortable.

In order to protect themselves and their families and communities, people are strongly encouraged to stay up to date with vaccinations and boosters.

OHA Press Release here.

March 4th is International HPV Awareness Day

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Almost all of us will have HPV at some point and while for most of us it isn’t harmful, HPV is linked to several kinds of cancer. There is a vaccine that can prevent HPV infection and prevent most HPV related cancers. The Malheur County Health Department has the HPV vaccine and has many appointment times available throughout the week for immunizations. HPV vaccine is recommended for routine vaccination at age 11 or 12 years. (Vaccination can be started at age 9.)  CDC’s Advisory Committee on Immunization Practices (ACIP) also recommends vaccination for everyone through age 26 years if not adequately vaccinated when younger.

The International HPV Awareness Campaign is a key initiative of the International Papillomavirus Society (IPVS) which aims to increase public awareness of the virus as part of their mission to improve understanding of HPV and the importance of prevention, screening, diagnosis and treatment of papillomavirus-related diseases.

Educating ourselves and others about HPV and cancer is the first step to reducing our risk. Find out more about the public information resources available to help spread the word. Below are answers to frequently asked questions about HPV.

What is HPV?

HPV means “human papillomavirus”. It’s a very common virus. 8 out of 10 men and women will get it at some point. Lots of people have never heard of it, but HPVs are a very big family of viruses.

There are around 200 types of HPV. Some types of HPV are transmitted by sexual contact and infect the skin cells of the genital region and the mouth and throat. Most cause no harm. But some HPVs cause warts and some can cause cancers. Both men and women get cancer from HPV, and rates are accelerating fastest in men. These cancers include cervical cancer and cancer of the penis, anus, vagina, vulva, and throat.

How can I avoid getting HPV?

HPV is a common virus and avoiding it can be difficult. About 8 out of 10 sexually active people get at least one genital HPV infection at some point in their lives! But there are a few things you can do to reduce the risk:

  1. The best way to prevent HPV is to be vaccinated at the recommended age. Get vaccinated to prevent HPV infection if you are eligible for the vaccine, or if your health care provider thinks you might benefit from it. Vaccination can prevent 90% of cervical and anal cancers and most other cancers caused by HPV. The vaccine is most effective if given before you have any sexual contact. Talk to your healthcare provider or call our office at 541-889-7279 to schedule an appointment.
  2. Use condoms whenever you can. Consistent condom use can reduce (but not eliminate) the risk of getting HPV. This is because HPV is passed on by skin-to-skin contact. Condoms only partially protect the skin of the genital region. The more consistent the use of condoms, the higher the amount of protection. Condom use 100% of the time reduces the risk of spreading HPV by about 70%. Less consistent use means less protection.
  3. The fewer sexual partners you or your partner have, the lower your risk of getting HPV.

I’ve had the HPV vaccine – do I still need to be screened?

The vaccine reduces your risk of HPV-related cancers by about 90%. But even if you have had the HPV vaccine, you still need to have cervical screening. This is because the vaccine will not protect you against HPV types that you may have acquired before being vaccinated. In addition, you might still get infected after vaccination with the rarer HPV types that can cause cancer but which are not covered by the vaccine.

I’m a boy – do I need to know about HPV?

Yes—you are at risk for HPV and the cancers that it causes. HPV can cause genital warts as well as cancers of the anus, penis and mouth/throat in men. You can also spread HPV to your sexual partners. All of the currently available vaccines prevent infection with HPV types that cause most HPV-related cancers, and some vaccines also protect against the types that cause genital warts. The most important step you can take to prevent HPV is to get vaccinated before you have sex.

We CAN eliminate HPV and create one less worry for our world. Learn more here.

Public Health Modernization

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Public health across the nation, Oregon, and in Malheur County has been changing. Local public health is experiencing a significant period of transformation. Individuals and families flourish when communities are safe and healthy and when everyone has the opportunity to thrive. The Malheur County Health Department is a key partner in making this happen locally. We work behind the scenes to protect and support our diverse communities so that people can prosper and live fulfilling lives. We are able to do this through Public Health Modernization, a framework that ensures all people and communities in Oregon have the same level of protection and support from our public health system.

Years of reduced state funding made it challenging for local public health authorities (LPHAs) to provide these services. Lack of funding means LPHAs have less staff to do this important work in their communities. Public Health Modernization is also a policy that ensures LPHAs across Oregon have the resources to protect and serve their communities.

We are changing the way we do business to ensure that our team has the skills and resources necessary to work across sectors, to question why health inequality exists, to make data-driven decisions, and to think strategically about how to engage the community to create conditions for health, safety, and equity.

Oregon is a leader in its innovative approach to health system transformation, which aims to provide better health and better care at a lower cost. Public health should support Oregon’s health system in shifting its focus to prevention of disease.

We need a health system that integrates public health, health care and community-level health improvement efforts to achieve a high standard of overall health for all Oregonians, regardless of income, race, ethnicity or geographic location. To achieve this, we must stimulate innovation and integration among public health, health systems and communities to increase coordination and reduce duplication.

2010 Oregon’s Action Plan for Health

Public health modernization ensures Oregon’s public health system will be well-prepared and able to meet this charge. A modernized public health system will provide core public health functions and maintain the flexibility needed to focus on new health challenges, which include emerging infectious diseases, climate change, threats from man-made and natural disasters, and an increase in chronic diseases.

The current Malheur County Health Department Priorities and Key Activities for Public Health Modernization:

Priorities

  • Plan for and prevents communicable and environmental threats.
  • Eliminate health inequities by 2030.

Key Activities

  • Create and implement four plans:
    a. Climate Adaptation Plan
    b. All Hazards Plan
    c. Health Equity Plan
    d. Strategic Plan
  • Establish new positions focused on Community Engagement, Health Equity, and Environmental Public Health.
  • Expand existing positions for Communicable Disease and Communications.
  • Implement Health Equity Lens across all programs.
  • Build meaningful community partnerships through Malheur County Health Equity Conference and ongoing collaboration.

For more information, visit the Modernization websites from the Oregon Health Authority and the Coalition of Local Health Officials.

Please contact Kyle Sorensen, Modernization & Outreach Supervisor, at kyle.sorensen@malheurco.org, Sarah Poe, Director, at sarah.poe@malheurco.org, or call our office at 541-889-7279. We hope to make more connections with community based organizations, health care and social service providers, and individuals to volunteer and advocate for change.