Bmore Healthy Newsletter: April 20, 2018

Baltimore City Health Department Bmore Healthy Weekly Newsletter

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Note From The Commissioner: 

Dear Community Partner,

It’s been a busy week at the Baltimore City Health Department! We announced the opening of a new school-based health center; joined the Mayor to sign two public health bills into law; participated in Light City and the March for Science; worked with Congressman Cummings and Senator Warren to support new legislation to establish a “Ryan White” for the opioid epidemic; hosted Law Day to support seniors and Precious Purple Sunday to support maternal and child health; issued a citywide warning for synthetic marijuana; and sued the Trump Administration. Please read on for these and other updates—and hear more on WYPR’s HealthWatch episode.

In this letter, I want to focus on the official launch of the citywide Falls Reduction Public Campaign and Strategy. Falls among older adults are a growing public health concern. Over three million older Americans visit the ER each year for falls; in Baltimore City, that’s nearly 5,000 seniors who fall. Each fall leads to an average hospitalization cost of $39,000. If we extrapolate, that means the cost of falls to Baltimore City – for medical costs alone – is $60 million.

But it’s not just about cost – it’s about health. Twenty-five percent of seniors who fall and break their hips will die within a year. Many of those who survive may no longer be able to care for themselves. They may have previously been caregivers to spouses, grandchildren, and parents – now, they need others to care for them. Falls can lead to physical health issues, mental health concerns, and social isolation.

That’s why, under Mayor Pugh’s leadership, and with the partnership of many across the City, we are taking an innovative, science-based, three-pillar approach to reducing falls.

First, we map out where falls are occurring. Last year, the Health Department initiated the Baltimore Falls Reduction Initiative Engaging Neighborhoods and Data – B’FRIEND. Through B’FRIEND, we obtain data from hospitals about where our older adults are falling. That means we receive near real-time information on falls at all ERs in Baltimore. We can then identify “hotspots,” investigate reasons for falls, and immediately use the information to advise community partners on where to locate interventions.

Second, we target interventions at these hotspots. There are multiple reasons for falls including medication interactions, vision problems, and structural barriers such as clutter or unstable railings. There are hazards in everyday things like area rugs and unsafe footwear. Simple solutions, such as glasses, or moving down a light fixture, or using an assisted device to stand up and walk can make the difference and prevent people from suffering from brain bleeds or broken bones.

Third, we will be launching a public education campaign. We are working with our partners to identify messaging and test them with older adults in Baltimore. The campaign will include posters in over 100 senior buildings, door hangers placed in senior residences, and flyers given out where older adults are.

Our goal is to reduce the rate of falls in Baltimore City by 20 percent over the next 10 years. That’s a reduction in nearly 1,000 falls annually. Our estimate for a reduction in medical costs is up to $14 million per year, not to mention the lives saved and the human impact on seniors and their families.

Together, under Mayor Pugh’s leadership, we can accomplish our goal and continue to make Baltimore City the best place to age.

Leana Wen, M.D., M.Sc.


Dr. Wen joined Mayor Pugh for the Signing of Two Key Pieces of Public Health Law

Bill signing


On Thursday, (pictured from left) Dr. Wen, Councilman John Bullock, Councilwoman Sharon Green Middleton, Councilman Brandon Scott, and Council President Bernard C. “Jack” Young, joined Mayor Catherine E. Pugh as the she signed two key pieces of health legislation into law. The first, 17-0152 – Healthy Beverage for Children’s Meals, requires restaurants to make milk, 100% juice, or water the default beverage option for all kid’s menu items. The second, 17-0117 – Food Service Facilities – Polystyrene Foam Products, bans the use of polystyrene foam in packaging, utensils, and other products at restaurants, carryouts, and other food service facilities throughout the City.

To read more about 17-0152, click here.

To read more about 17-0117, click here


Dr. Wen Joins Health Department’s Bureau of School Health at Opening of New School-Based Health Center at Mervo    

Mervo


Joining the Health Department’s Bureau of School Health (pictured here from left to right are Medical Director for Youth Wellness and Community Health Dr. Ihouma Emenuga, Deputy Commissioner for Youth Wellness and Community Health Olivia Farrow, Clinical Health Nurse Supervisor Vonita Vaughan, Community Health Nurse Supervisor Michal Thornton, Assistant Commissioner Francine Childs, and Clinical Director Joy Twesigye)Dr. Wen announced the opening of a new school-based health center (SBHC) at Mergenthaler Vocational-Technical High School (Mervo) on Tuesday. Dr. Wen joined Mayor Pugh and City Council President Young for a tour of the new health suite and a ribbon-cutting ceremony. Mervo is the site of the Health Department’s 16th SBHC. It will provide vaccinations, perform screenings for depression and substance use, help students manage chronic diseases like diabetes and asthma, and offer a full range of reproductive health services.

“By having health services in our schools, parents don’t have to miss work to pick up their kids and take them to doctors’ offices or to pick up medications, and kids don’t have to miss school,” said Dr. Wen.

Click here for more information about the event.


Dr. Wen Joins the 2018 March for Science 

March for Science


Last Saturday, Dr. Wen spoke at the 2018 March for Science, which took place on the National Mall in Washington, D.C. She was joined by other scientists, advocates, and public servants – including Mari Copeny (“Little Miss Flint”), Dr. Vincent Cerf (VP and Chief Internet Evangelist at Google), and Evelyn Valdez-Ward (UC Irvine Graduate Student and Dreamer) – who spoke about the importance of science- and evidence-based policymaking.

“I march today because health must be a fundamental human right,” said Dr. Wen.

To read more about the event, click here. Please click here to watch Dr. Wen’s speech.


Dr. Wen Joins Mayor, City Solicitor, and Partners to Discuss Lawsuit Against Trump Administration 

TPP


This week, Dr. Wen joined Mayor Pugh, City Solicitor Andre Davis, and Healthy Teen Network to discuss the lawsuit Baltimore City has joined, challenging a decision by the U.S. Department of Health and Human Services (HHS) to cut funding from evidence-based teen pregnancy prevention education. The decision amounts to an overall $3.5 million funding cut for Health Department programs.

“This cut will slash educational attainment and economic opportunities for our young people, increase costs for our City and for our country, and adversely affect health outcomes for our most vulnerable mothers and children,” said Dr. Wen. “We have made significant progress in reducing teen birth rates, and the last thing that should happen is to roll back the gains that have been made.”

For more information, click here.


Dr. Wen Issues Statement Warning of Synthetic Cannabinoids Use 


This week, Dr. Wen, issued a statement about life-threatening bleeding after using synthetic cannabinoids. 

“Around the country, within the last month, there have been reports of individuals who suffered from excessive, life-threatening bleeding after using synthetic cannabinoids. We want to warn all of our residents of the warning signs of someone who may have taken synthetic cannabinoids, and urge anyone who witnesses these symptoms to call 911 or take the individual to the ER immediately,” she said.

Read the full statement here.


The Hill: Dr. Wen and Special Advisor for Opioid Policy Pen Op-ed on Opioid Epidemic 

The Hill

 

This week, Dr. Wen and Evan Behrle, the Health Department’s Special Advisor for Opioid Policy, co-authored an op-ed in The Hill, discussing what Baltimore really needs to solve the opioid epidemic and celebrating new opioid legislation introduced by Sen. Warren and Rep. Cummings.

“The bill — the Comprehensive Addiction Resources Emergency Act (CARE Act) — would direct $100 billion to the opioid epidemic over ten years, including funding for local jurisdictions that the epidemic has hit hardest. There are no silver bullets here. But this is, finally, a proposal that stands a chance of making difference.”

Read the full article here. Read more about the CARE Act here.


WYPR 88.1FM – Dr. Wen Participates in Midday’s “Healthwatch” Segment

WYPR


On Tuesday, Dr. Wen participated in a live edition of Midday’s “Healthwatch” with Tom Hall. She discussed the City’s lawsuit against the Trump Administration regarding funding for the Health Department’s teen pregnancy prevention efforts, the City’s falls prevention strategy for seniors, Congressman Elijah Cummings and Senator Elizabeth Warren’s proposed legislation for sustained funding to fight the opioid crisis, and the U.S. Surgeon General’s advisory about naloxone availability and its effect on Baltimore residents.

“In Baltimore City, we have never taken a backseat to public health,” said Dr. Wen.

To listen to the full interview, click here


Dr. Wen Joins Partners to Announce Citywide Falls Prevention Strategy for Older Adults 

Falls


On Monday, Dr. Leana Wen announced a new citywide falls prevention strategy aimed at reducing falls-related emergency department visits and hospitalizations for older adults in Baltimore City. The strategy will provide leaders, partners, and the general public information on where falls are occurring in Baltimore and where to locate interventions and resources to prevent future falls for all of the City’s older adults. The announcement was made at St. Mary’s Roland View Towers in Keswick, an area of the City that has among the highest number of falls in seniors.

"Our citywide strategy uses innovative, evidence-based methods to go to where people are, by using science to map out where falls are occurring, providing holistic services such as help with medications and housing interventions, and educating residents on how to prevent falls,” said Dr. Wen. “The Baltimore City Health Department is glad to convene partners across all sectors and lead this collective impact strategy to improve health. I thank Mayor Pugh for her steadfast leadership and for being such a tremendous advocate for our seniors.”

Read coverage of the strategy here.


Dr. Wen Speaks at HealthLab@LightCity 

Light City

 

On Thursday, Dr. Wen addressed the audience at HealthLab@LightCity, part of the larger Light City Festival. Dr. Wen discussed the Health Department’s programs and aims to achieve health equity in the City.

“At the Health Department, we believe in evidence- and science-based initiatives to reduce inequity and produce better health outcomes for our City,” said Dr. Wen. 


Aging and CARE Services Hosts Planning Retreat for City’s Commission on Aging 

Retreat


Last Friday, the Health Department’s Division of Aging and CARE Services hosted a planning retreat at the Zeta Center for Healthy Aging for Baltimore City’s Commission on Aging, a group of public and private individuals appointed and sworn in by Mayor Pugh. During the planning meeting, members discussed their core mission to advocate on behalf of older adults and shared promising best practices. 

Click here to learn more about the Commission on Aging.


Division of Aging and CARE Services Celebrates 27th Annual Law Day for Seniors 

Law Day


On Saturday, the Health Department’s Division of Aging and CARE Services celebrated its 27th Annual Law Day for Seniors. Deputy Commissioner Heang Tan provided opening remarks on behalf of Dr. Wen and was joined by partners from the Baltimore City Bar Association and the Baltimore Bar Foundation. Organized by the Senior Legal Services Program, the event was held at the New Psalmist Baptist Church’s Conference Center, and brought together more than 20 agency partners and 300 older adults to learn and share resources about advance care planning, tax liens, and various other legal issues pertinent to their lives. 

Click here to learn more about the Division of Aging and CARE Services.


Health Department Celebrates Precious Purple Sunday 2018 

Purple Sunday


On Sunday, Mayor Pugh, Dr. Wen, Health Department staff, churches and residents across Baltimore City participated in the Health Department’s second annual Precious Purple Sunday, an initiative focused on keeping babies safe and celebrating the lives of the City’s youngest residents.

Click here to learn about the Health Department’s B’More for Healthy Babies initiative.


Special Advisor for Opioid Policy Speaks in Philadelphia, Washington, D.C., Virginia, and Baltimore About the Health Department’s Strategy to Battle the Opioid Epidemic 

Evan


Over the last two weeks, Evan Behrle, Special Advisor for Opioid Policy, has spoken about the Health Department’s three-pronged strategy for responding to the opioid epidemic at the Tom Tom Festival in Charlottesville, Virginia; the NCRC Just Economy Conference in Washington, D.C.; the Pew Charitable Trusts’ State of the City event in Philadelphia; and at the City’s branch of the Federal Reserve Branch of Richmond. Mr. Behrle detailed Baltimore’s work to save lives with naloxone; to expand the agency’s capacity for addiction treatment while improving linkages into that treatment; and to change the way the public talks and thinks about addiction through public health campaigns. He also highlighted Dr. Wen’s call for Congress to create a national initiative for treating opioid addiction modeled on the Ryan White HIV/AIDS program, as proposed in a bill recently introduced by Rep. Cummings and Sen. Warren.

To learn more about the Health Department’s Opioid Overdose Prevention and Treatment work, click here.


Health Department Offers Naloxone Trainings at Enoch Pratt Free Libraries 

Naloxone


Learn how to save a life from an opioid overdose. Health Department staff will conduct naloxone trainings at various Enoch Pratt Free Libraries. Registration is not required.

Wednesday, May 2 at 4:00 p.m

Clifton Branch, 2001 N. Wolfe Street, 21213 

Monday, May 21 at 2:00 p.m.

Light Street Branch, 1251 Light Street, 21230 

Monday, June 18 at 6:00 p.m.

Patterson Park Branch, 158 N. Linwood Avenue, 21224 

Wednesday, June 20 at 2:00 p.m.

Orleans Street, 1303 Orleans Street, 21231

Tuesday, July 17 at 1:00 p.m.

Reisterstown Branch, 6310 Reisterstown Road, 21215

Thursday, July 19 at 1:00 p.m.

Forest Park Branch, 3023 Garrison Blvd., 21216

Thursday, August 2 at 2:00 p.m.

Northwood Branch, 4420 Loch Raven Blvd., 21218

Friday, August 3 at 10 a.m.

Hamilton Branch, 5910 Harford Rd., 21214

To learn more, visit www.dontdie.org.  


Health Department Recruiting for Baltimore Corps Fellows 

baltimore corps

Applications for the Baltimore Corps Fellowship are now available. The Health Department is looking for new Fellows to join us starting in September 2018. Baltimore Corps places participants in city government agencies, foundations, and non-profit and community organizations throughout Baltimore for a yearlong Fellowship. Baltimore Corps also supports each Fellow through professional development trainings, individual mentorship, and periodic retreats and seminars. If you know a recent graduate or young professional interested in joining us at the Health Department, please send them the application link below.

If you have any questions about the Baltimore Corps Fellowship, please contact Chief Policy and Engagement Officer Gabe Auteri at gabriel.auteri@baltimorecity.gov.

Click here for a link to the application.


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