Bmore Healthy Newsletter: May 11, 2018

Baltimore City Health Department Bmore Healthy Weekly Newsletter

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Note From The Commissioner: 

Dear Community Partner,

Last week, Mayor Catherine E. Pugh and I convened all 11 hospitals in Baltimore to announce our partnership to combat the opioid epidemic. Addiction is a disease. Treatment for it cannot be siloed and stigmatized.

Baltimore City hospitals have done exceptional work already. Nearly all of our City’s ERs offer medication-assisted treatment on demand and peer recovery specialists, something true of no other major city in America. Through my standing order for naloxone, more than 36,000 residents have been trained to use the antidote medication, and these residents have saved more than 1,900 lives. Law enforcement and health officials teamed up to start a program that allows residents arrested for low-level drug offenses the opportunity to choose treatment and case management instead of prosecution. In March, we announced the opening of our Stabilization Center, a first-of-its-kind 24/7 urgent care facility dedicated to issues of addiction and mental health.

Still, we have much more to accomplish. Each year, we lose more and more of our residents to opioid addiction. Last summer, Mayor Pugh and I presented an out-of-the-box solution to the opioid epidemic: fully connecting addiction treatment with our hospitals. That call rested on a simple premise: Addiction is a disease, and we should respond to it accordingly. No hospital would deny patients care if they had diabetes or cancer; we must treat addiction in the same way.

Last week, we launched a project that will help realize this vision. The Health Department is working with our hospital systems to create “levels of care” that enshrine best practices for responding to the epidemic and publicly recognize hospitals that implement those practices. The project is based on a similar initiative in Rhode Island, one of the only places in the country where the number of overdoses went down last year, rather than up.

Please see the op-ed that Mayor Pugh and I wrote in The Baltimore Sun recently on this subject. You can also watch parts of the Levels of Care press conference or read more about the initiative in the Washington Post, U.S. News and World Report, The Baltimore Sun, Baltimore Magazine, Baltimore Fishbowl, Fierce Healthcare, WJZ, WEAA, WBAL, and WBAL Radio.

Now, we want to hear what you think. Our proposal is being developed with the active partnership of all of our hospitals. We want to hear from our community partners. Together, we can build upon the work that’s already been done and make Baltimore City a national model for treating addiction alongside every other disease. That means treating addiction in the places where medical treatment is best delivered: in our traditional health care institutions — hospitals included.

Finally, an important recognition: This week is National Nurses Week. I am honored to work with hundreds of dedicated nurses at the Health Department who treat children with chronic conditions in our school health suites, who care for patients in our clinics, and who improve health and well-being of our residents. Today and every day, we honor our nurses.

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


Tribute to Baltimore County Executive Kevin Kamenetz 

 

Baltimore City Health Commissioner Dr. Leana Wen issued the following statement after the sudden death of Baltimore County Executive Kevin Kamenetz on yesterday:

“I join the millions of Marylanders in mourning the sudden death of Kevin Kamenetz. The County Executive was a courageous supporter of many important health care proposals to improve access and serve the most vulnerable. My heart goes out to his family and so many loved ones.”


WJZ-TV: Dr. Wen Participates in Second “Standing Together” Town Hall 

WJZ Town Hall


On Wednesday, Dr. Wen participated in WJZ’s second “Standing Together” Town Hall, which featured a conversation around Baltimore’s opioid addiction and overdose crisis. Dr. Wen was joined by a variety of stakeholders working in law enforcement, public health, and in community organizations, including Attorney General Brian Frosh, Former Baltimore City Mayor Kurt Schmoke, Harford County Sheriff Jeffrey Gahler, Baltimore County Health Officer Dr. Gregory Branch, and outreach workers and peer recovery specialists from B’More Power and other community organizations. Dr. Wen discussed the importance of saving lives with naloxone, expanding access to treatment, and combating the stigma surrounding addiction.

“During the time it takes to tape this Town Hall, five people across the country will have died of overdose. We know what works, but where is the money and the willpower to get there?” said Dr. Wen.

Watch the town hall here, and click here to learn more about the Health Department’s Don’t Die campaign.


Dr. Wen Speaks at The Atlantic: Justice in America Event in Washington, D.C. 

The Atlantic


Dr. Wen was welcomed by AtlanticLIVE President Margaret Low to speak at The Atlantic’s Justice in America event last Thursday in Washington, D.C. Dr. Wen shared the Health Department’s evidenced-based Safe Streets program and other anti-violence initiatives with the attendees. Other speakers at the conference included: Barry Scheck (Founder, The Innocence Project); Emily Yoffe (Contributing Editor, The Atlantic); and Piper Kerman (Author, Orange is the New Black).

"I applaud The Atlantic for organizing ‘Justice in America’ and for putting together a panel that highlights gun violence as a public health issue," said Dr. Wen. "The science is clear: violence is a contagious disease, spreading from person to person. I was honored to discuss the Health Department's evidence-based approaches to interrupting violence, including our Safe Streets program. In 2017, Safe Streets' outreach professionals de-escalated and mediated over 1,000 conflicts, four out of five of which were deemed likely or very likely to result in gun violence. Three out of four of our Safe Streets sites have gone at least one year without a fatal shooting. Early interventions work, and I am proud to lead a city government agency that works to prevent gun violence from happening in the first place."

To watch a recording of the panel discussion, click here.


Dr. Wen Joins Advocates to Request Federal Government Take Action to Lower the Price of Naloxone 

Public Citizen

 

Last week, Dr. Wen joined advocates at a press event to announce a formal request from the Health Department and advocacy group Public Citizen for the federal government to use its authority to lower the price of naloxone. Dr. Wen was joined by (pictured left to right) Health Department Community Health Educator Nathan Fields, Public Citizen President Robert Weissmann, Catholic Charities of Baltimore Director of Community Services Division Amy Collier, and Communities United Activist Perry Hopkins, who each emphasized the importance of access to naloxone.

“In Baltimore, everyday residents have saved the lives of close to 2,000 people with naloxone,” Dr. Wen said. “Unfortunately, we are having to ration naloxone and make hard decisions about who will receive the medication and who will have to go without because we simply don’t have the resources to purchase this lifesaving antidote. We already have the policies in place to save lives. We are in the middle of a national epidemic. We are calling on the federal government to take action and ensure that we are not priced out of the ability to save lives.”

View coverage of the request in BioWorld, Bloomberg, CQ Now, Futurism, Inside Health Policy, The New York Times, STAT, The Daily Record, and WJZ.


Dr. Wen Provides Introductory Remarks at Nicholas Kristof’s “Building a Fairer Society” Lecture 

Wen and Kristof


Last week, Dr. Wen provided introductory remarks about her longtime friend and mentor, New York Times opinion columnist Nicholas Kristof, to the crowd gathered at the George Peabody Library in Baltimore. She joined Senator Barbara Mikulski and Dr. Tracy Bale, Director of the Center for Epigenetic Research in Child Health and Brain Development (CERCH) at the University of Maryland School of Medicine, in welcoming Mr. Kristof. In her remarks, Dr. Wen shared her experiences collaborating with Mr. Kristof on a variety of projects, while discussing the work that the Health Department is doing to support the well-being of children and families in Baltimore.

"I was honored to welcome a friend and mentor, Nicholas Kristof, to Baltimore. Thank you to the University of Maryland School of Medicine for organizing an important event around improving health outcomes for our children,” said Dr. Wen. “I applaud their commitment to promoting a greater understanding of how environmental factors impact the health of children. It is fitting that Mr. Kristof, who has devoted his career to improving the well-being of women and children in the United States and around the world, was invited to share his experiences.”

Click here to read more about event.


Dr. Wen Addresses Crowd at March for Babies 

March of Dimes

 

On Sunday, Dr. Wen spoke at the March for Babies, which took place at Canton Crossing Waterfront. Dr. Wen and her eight-month-old son Eli were joined by the Health Department’s B’More for Healthy Babies team. The event prominently featured families connected to the mission of March of Dimes, including families who lost their infants and mothers who gave birth to pre-term babies. The event also featured members of the March of Dimes Board, and representatives from hospitals and corporate sponsors, including BGE and United Healthcare.

“When we March for Babies, we make a statement about the world in which we want to live – a world in which we promote the health and well-being of our mothers and babies,” said Dr. Wen. “It is an honor to be speaking at the March for Babies, and to be joined by the Maternal and Child Health team from the Baltimore City Health Department. Together, we are working to combat health disparities among our most vulnerable women and children, while remembering the lives of infants we’ve lost in the past year.”

Click here to watch Dr. Wen’s interview with WBFF-TV at the March for Babies. To learn more about the Health Department’s B’More for Healthy Babies initiative, click here.


Baltimore to Expand Safe Streets 


The Safe Streets program is expanding from four to 10 sites. Mayor Pugh’s office is currently looking for groups to launch three of the new sites.

“Thank you Mayor Catherine Pugh for your leadership in recognizing that this public health approach to violence prevention is effective and life-saving,” said Dr. Wen. “As ever, I am inspired by our incredible outreach workers who mediate conflicts, change norms, and connect to opportunity every day.”

Read more in the Baltimore Sun.


Health Department Celebrates National Nurses Week 

School Nurses


The Health Department celebrated National Nurses Week this week, with a special day of recognition for our school-based health center nurses for School Nurse Day on May 9. The Health Department employs roughly 100 public health and school health nurses. The Health Department honored our staff nurses with proclamations from Mayor Pugh, and special mementos and messages from Health Department leadership.

Pictured top photo (left to right): Clinical Director of School-Based Health Centers Joy Twesigye, School Health Nurse Tijuanna Keith, and Assistant Commissioner for the Bureau of School Health Francine Childs.

Pictured bottom photo (left to right): School Nurses Mary Sewell, RN; Jane Pichardo, RN;  Judy Burlock, RN; Wendy Joynes, RN; Jocelyn Robinson, RN; Vonita Vaughn, RN (Nursing Supervisor);  Joy Twesigye, RN, WHNP-BC (Clinical Director)

To learn more about the Health Department’s School-Based Health Center (SBHC) program, click here.


Division of Aging and CARE Services Hosts 9th Annual Senior Prom 

Senior Prom

 

In honor of Older Americans Month, the Health Department celebrated its 9th Annual Seniors and Grandparents Prom at the Zeta Center for Healthy and Active Aging. The City’s older adults were joined by students from Baltimore Polytechnic High School and Western Senior High School, the Young Ladies Club, and a few of their grandkids.

Click here to learn more about the Health Department’s Division of Aging and CARE Services.


Senior Medical Advisor Speaks at UMMC OBGYN Grand Rounds 


Senior Medical Advisor Dr. Shelly Choo participated in the University of Maryland Medical Center’s Obstetrics and Gynecology Grand Rounds to discuss the opioid epidemic. She reviewed how the number of fentanyl-related overdose deaths has increased over the past several years, and detailed the Health Department’s “three-pillar” strategy to address the opioid epidemic. She highlighted the Levels of Care initiative which identifies evidence-based best practices for responding to the opioid epidemic, and publicly recognizes those hospitals that successfully implement them. She also stressed the importance of referring prenatal patients to HealthCare Access Maryland (HCAM) for care coordination that links families to treatment and provides supportive care with home visiting and other resources.

To learn more about the Levels of Care initiative, click here.


Health Department Part of $480,000 Grant to Develop New Partnership to Help the City’s Older Adult Population


The Health Department and United Way have received a $480,000 grant from The Harry and Jeanette Weinberg Foundation. The grant will fund an innovative partnership between the 2-1-1 Maryland United Way Helpline and the Health Department’s Maryland Access Point (MAP) to create a service hub that will enhance independence and quality of life among older adults in Baltimore, better allowing them to remain self-sufficient.

“Our partnership with 2-1-1 will help the Health Department connect the City’s older adults with evidence-based and person-centered services. This is an important step in supporting individuals who choose to age in place and live independently,” said Dr. Wen. “Baltimore City’s seniors have always been the backbone of our communities. We are grateful for the partnership of the United Way and the support of the Weinberg Foundation to continue our work to ensure health and wellness of our older adults.”

Click here to read about the grant in the Baltimore Business Journal.


Office of Public Health Preparedness and Response Conducts Emergency Exercise 

Emergency exercise


Last Tuesday, the Health Department’s Office of Public Health Preparedness and Response (OPHPR) conducted an emergency preparedness exercise in partnership with the Baltimore City Department of Recreation and Parks and the Mayor’s Office of Emergency Management. The functional exercise tested the Health Department’s plan to set up emergency medication centers in response to a bioterrorist attack, and to coordinate such set-ups via the Health Department Operations Center.

During the exercise, Recreation and Parks and Health Department staff set-up two sites that, in the event of a real emergency, would dispense prophylaxis medication to the community. Health Department employees staffed the operations center to coordinate site set-up and respond to exercise injects. They performed tasks that would likely arise during an actual emergency situation, including moving emergency supplies from Health Department storage to both sites, and responding to exercise requests. By practicing these plans, staff become comfortable in their emergency response roles, while making improvements in their response strategy.

A big thank you to all Health Department staff who participated in the exercise:

  • Shelly Choo             
  • Margret Schnitzer               
  • Tanya Bobo-Lenoci
  • Jose Jimenez                                  
  • Daphne Hicks                                 
  • Bridget Wright
  • Stacy Dixon
  • Amy Rappole
  • Shannon Snyder
  • Sako Narita
  • Shalawnda Adams
  • DeShawn Nicholson
  • Byron Murphy


Health Department Celebrates Older Americans Month with Lyric Opera Company 

Mother's Day Tea


Last week, the Health Department’s Division of Aging and CARE Services sponsored a Mother's Day Tea at the Action In Maturity senior center, in partnership with the Lyric Opera Company. Performers entertained the group through the Opera Cares Program.

Click here to learn more about the Health Department’s Division of Aging and CARE Services.


May is Tick-borne Disease Awareness Month 

Ticks


Lyme disease is the most common tick-borne disease in the United States. Lyme disease is caused by the bacterium Borrelia burgdorferi, and is transmitted by the bite of infected blacklegged ticks, sometimes called deer ticks. In most cases, ticks must be attached for at least 24 hours before the Lyme disease bacterium can be transmitted. People are infected most often by immature ticks, called nymphs, during the spring and summer months. Ticks can be carried by deer and mice, in particular, the white-footed mouse.

To protect yourself and your loved ones, use insect repellant containing 20-30 percent DEET when outdoors, and talk to your veterinarian about tick control products for your pets.

For additional information about Lyme disease and other tick-borne diseases, click here.


Assistant Commissioner of Aging represents Dr. Wen at the Maryland Association of Adult Day Services Conference


On Thursday, Assistant Commissioner of Aging and CARE Services Elouise Mayne represented Dr. Wen at the Maryland Association of Adult Day Services Conference (MAADS) at the Turf Valley Inn. Ms. Mayne's presentation centered on supporting home and community-based medical day care, and keeping older adults in their homes and thriving in their communities for as long as possible.

Medical Adult Day Care Services provides the care recipient with medical and nursing care; assistance with daily living, meals, and transportation; and individualized care planning, among other services, at a cost of 2-3 times less than that of a nursing home. Medical Adult Day Care Services also provides respite for the patient’s caregiver


Older American’s Month Activities 

Older Americans Month


May is Older American’s Month, and this year’s theme is “Engage at Every Age,” emphasizing that you are never too old (or young) to take part in activities that can enrich your physical, mental, and emotional well-being. Older American’s Month also celebrates the many ways in which older adults make a difference in our communities.

The Division of Aging and CARE Services is hosting a number of events to recognize Older American’s Month:

  • May 16, 2018: Senior Nutrition and Wellness Expo, 9:00 am to 2:30 pm at Waxter Center
  • May 23, 2018: Family Caregivers Conference, 9:00 am to 2:00 pm at Morgan State
  • May 30, 2018: National Senior Fitness Day, 10:00 am to 12:00pm at Patterson Park (in partnership with the Dept. of Rec and Parks)

To attend or participate as a vendor, please call contact Jose.Jimenez@baltimorecity.gov or call the Community Services Office at (410) 396-1337.  Click here to download the event flyer.


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.

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.  


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