WP Perspectives – October 3, 2022

Perspectives cover quote: You're doing it for your family and your friends." - Dr. Jha Whitehouse COVID Coordinator

Focus on Facts

  • Health officials in the United Kingdom and the European region as a whole are seeing early signs of rising COVID activity, patterns that US experts closely watch as a harbinger of how the next months might unfold. Disease modeling experts have warned of a rise in infections in Northern Hemisphere countries as cooler weather brings more people indoors, as schools resume, and as vaccine protection wanes. CIDRAP 9/23
  • COVIDcabulary. Pharmacovigilance: tracking of adverse events from vaccines—so called by those in drug development.
  • About 40,000 Americans died of COVID this summer. . . more people each day than vehicle crashes, gun violence, the flu or many other health threats. The situation is especially tragic because most of these COVID deaths could have been prevented — if only more Americans had received vaccine shots, including booster shots for older people and others with vulnerable health . . . Only about half of adults have received a booster shot, according to the Kaiser Family Foundation’s most recent poll. More than 20 percent have not received any vaccine shot. . . COVID remains so deadly largely because millions of Americans have decided they would rather accept its risks than receive a vaccine shot. Washington Post 9/28/22 
  • Eligibility for the monkeypox vaccine has been expanded to include anyone who has been diagnosed with a sexually transmitted infection in the past 3 months. As of Monday, Sept 30, there were 484 confirmed cases of monkeypox in Virginia, 21 of which required hospitalization. Monkeypox is a contagious rash, spread by close contact with an infected person. According to the VDH, “close contact includes touching skin lesions, bodily fluids, or clothing or linens that have been in contact with an infected person. Spread can also occur during prolonged, face-to-face contact.” The VDH said those having sex with multiple or anonymous partners are currently at the highest risk of catching or spreading the disease.

News You Can Use

Public Health Impacts of HurricanesFlotsam in flooded waters

First comes devastation, then the public health impacts. That paradigm will no doubt hold for Hurricane Ian.

Health impacts include:

  • Patients who must be evacuated from hospitals in flooded and damaged regions, an especially risky venture for COVID-19 patients requiring mechanical ventilation or oxygen.
  • Heightened risk for COVID-19 transmission: Many evacuees are in shelters, but relatively few have gotten the bivalent vaccine.
  • Increased standing water can be a boon for mosquitoes, which could increase transmission of diseases like West Nile Virus.
  • Allergies and asthma can become worse because of mold from water damage.
  • Leaks from gas tanks and agricultural runoffs can concentrate chemicals and pesticides in stormwater.
  • Long-term impacts: A yearslong survey in Texas found that hard-hit Hurricane Harvey survivors were 5X more likely to experience severe anxiety because of the pandemic than people who weren’t as severely affected by the storm.

Caring for People with Post-COVID Conditions

Having a post-COVID condition or supporting someone with a post-COVID condition can be challenging. It can be difficult to care for yourself or loved ones, especially when there are few or no immediate answers or solutions. People experiencing post-COVID conditions may find different strategies to be helpful. If you are experiencing a post-COVID condition, you should engage in whatever coping strategies are best for your mental and physical health. Experts are still determining which types of medications or treatments can help to relieve the effects of post-COVID conditions. However, there are established ways people can manage the stress associated with a post-COVID condition. CDC’s How Right Now campaign provides helpful tools for navigating conversations about the type of support someone with post-COVID conditions might need.

Equity Tip

A Goal to Prevent Age-ism

"The one thing that will happen to every person born in this world is that they will age. By 2030, those of us aged 65+ will increase from 49 million to 71 million.  The road older adults travel (should not) be wrought with bias, stigma, and seeing
us as “less than” once we reach a certain age. After a lifetime of working hard, playing by the rules, raising the next generation, and contributing to our economy and community, we owe it to ourselves to ensure that every older
adult has the opportunity to age well regardless of gender, color, sexuality, income, or zip code."

"Guided by our goal to improve 40 million lives by 2030, we will focus on the diverse older adult populations that have experienced the most disadvantages. Read more about what we know, what we value, and what we will do to effect
change." Our Equity Promise. https://www.ncoa.org/page/our-equity-promise

~Pamela Chitwood, Population Health Community Coordinator, Pamela.chitwood@vdh.virginia.gov 540-484-0292 ext. 223

older Asian couple

Housing IS Health

What if doctors could prescribe housing?

Consider Patrick Sweat, who had ulcerative colitis since childhood and had part of his colon removed in 2010. Unhoused, he lacked access to medical supplies for his colostomy bag, so he went to emergency departments.

  • In 5 months, he went to the ED 44 times and was hospitalized 11 times, ringing up $11,000 per month in medical bills. Then his community health plan moved him into an apartment. His medical bills fell to $300 per month.

Housing is a blind spot for the expensive US health system. “Housing really is the foundation for health and well-being,” said Craig Pollack, a physician and Johns Hopkins Bloomberg School of Public Health professor.

  • $111 billion in health care and special education costs for housing insecure families over a 10-year period could be avoided with stable housing, according to a Children’s HealthWatch study.
  • In 2016, safe and stable housing could have helped 10.2 million children and their families avoid preventable health conditions, according to the study.

Advocates argue that “housing is health.” Read more: How housing vouchers, evictions, youth homelessness, asthma, and other topics connect housing and health in a special 2019 feature in Hopkins Bloomberg Public Health magazine.

Public Health Workers are People Too

Sometimes we forget that our co-workers have lives and interests outside of "the office." Imagine our delight to learn about these recent accomplishments of two of our own. Read on!

LeRay is Right On Target

What do you call a VDH milk plant inspector from Guernsey? Why “moo-man,” of course.

We are talking about WPHD’s own Simon LeRay. And what you may not know about him is that he is an expert sharp shooter who has won state championships in Virginia, North Carolina, South Carolina, West Virginia and Maryland in Compact Carry Pistol division competitions. He’s placed #3 at World Championship of the International Defensive Pistol Association as well.

Asked how a mild mannered environmental health inspector acquired sharp shooting skills to win at this level, LeRay said shooting was a P.E. activity one could choose at his Guernsey high school! Among the many trophies he has acquired, one is over 100 years old and recognizes the skills of his family through time. Obviously the passion for sharp shooting is woven throughout his ancestry. A dose of that ancestry also lives on via the mismatched socks LeRay wears to bring good luck in memory of his father who did the same.

“It’s fun,” LeRay lightheartedly said. “People think shooting is a macho activity, but problem solving and scenarios that score points really make the sport entertaining.”

LeRay recounted stories of people he has met along the way and competitions he will always remember. He said people from all walks of life enjoy the sport. His once competed on a team that included a minister, a UPS driver and a pharmacist, for example.

LeRay’s collection of pistols includes many he has won at tournaments. But he does not keep them all instead donating them to charity fundraisers his gun club supports, like Toys for Tots and Children’s Miracle Network. He has taught others how to handle and safely use pistols for defensive purposes, including a few of his WPHD colleagues at an off-site location. He served as match director at his local club for six years, and volunteers as a chief safety officer for a variety of competitions, and enjoys watching others work through scenarios.

His competitive nature is perhaps best expressed as he recalls his team barely defeating a team of Homeland Security Border Patrol shooters last year at a West Virginia match.

For now, he’ll keep practicing with his pistol of choice, a Glock 19, in hopes of snagging the national championship one day. And his WPHD co-workers will continue to cheer him on.

Sharp-shooter LeRay with his trophies.

Huffman Gets on Swimmingly When Competing

Lurena Huffman with trophy

WPHD’s Lurena Huffman loves to cheer on the student swimmers she coaches at the YMCA. A lifelong swimmer, Huffman doesn’t demand of her team members anything she would herself not do.

Proof of this came recently when Huffman won second place in the One Mile Swim at the 2022 East Coast Open Water Festival at Smith Mountain Lake.

A former competitive champion, she jokes her surprise at doing so well. “Finishing was really exhilarating,” she said -- coming in second place having not trained as much as she could have liked was icing on the cake, sore legs and all.

A former police officer and a forensic examiner, Huffman hales from Alabama and currently resides in Moneta. She has coached nationally-ranked swimmers, but she also coaches swimmers of all ages and skill levels. Huffman serves as a lifeguard when needed. She has officiated swim meets of various sizes and skill levels, maintaining national and YMCA certifications.

“Water is my happy place,” she said, smiling.

Huffman works in the environmental health section of the WPHD and is stationed at the Franklin County Health Department. In addition, she serves Franklin County as an auxiliary member of the forensics unit.

Simon LeRay

 

 

 

COVID-19 Data

Franklin County
Henry County
Martinsville
Patrick County

Cases

1,406
1,843
380
577
Over the past 13 weeks by date of illness

Deaths

4
14
5
2
Over the past 13 weeks by date of death. 9/30/2022

Do You Know?

COVID Trivia (the term "trivia" is used loosely, because nothing about COVID is trivial.)

  • The complexities of the virus have led researchers to publish more than 200,000 studies, which is four times more than the number of research papers written on the flu in the past century.
  • The U.S. government has spent almost $4 trillion in its response to the pandemic.

Breast Cancer Awareness Month

Photo of diverse group of women's hands in a circle holding a pink ribbon for breast cancer awareness

WPHD offers women's health services through
Every Woman's Life. Learn more.