How to Encourage Your Kids to Brush Every Day

Gloucestercitynews.net (January 31, 2020)–Getting a good bedtime routine going can make it easier to get your kids to sleep. Therefore, it’s important to teach them to do things like put on their own pajamas and read a book. The problem is, when it comes to tooth brushing, many kids are reluctant to do it and may spend ages messing around and generally not doing what you ask. If your kids are refusing to brush, here are some ways to encourage them to get into good habits.

Find Out What They Dislike About Brushing

image unsplash.com

While sometimes a refusal to brush is simply laziness — or wanting to do something more fun — there can be a number of reasons why kids hate brushing their teeth. Some kids dislike the feel of brushing their teeth, but this can be helped if you brush for them until they’re older. Other kids hate the taste of toothpaste, so you could remedy this by making your own paste and utilizing different techniques to see if that makes your child happier.

Let Them Choose a Toothbrush

You wouldn’t want someone to pick out a toothbrush for you, so let your child have some input. It’s important to get a toothbrush with a head that’s small enough for their mouth, otherwise, they’ll struggle to get in the corners. An electric toothbrush can also make things more fun for them. According to Method Dental,

electric toothbrushes have a number of advantages

and can be good for kids.

Use a Reward Chart

If you’ve had success using the reward chart method with your child, then add toothbrushing to their daily goals so they can earn stars or smiley faces. Once they’ve collected enough, you can reward them with a non-sugary treat. And as they get older, the chart should be used to record their brushing every night before bed.

Use an App

The modern form of a reward chart, apps can be a good way to encourage children to pick up good habits, as well as ensuring they learn the right technique. There are many

toothbrushing apps for kids

that can be downloaded for free on the app store or Google Play. These apps will generally show a cute cartoon that ensures your child brushes correctly and for the recommended amount of time.

Take Them to the Dentist

If nagging doesn’t work, try taking the kids to a child-friendly dentist who can talk to them about brushing their teeth. Kids often don’t care if their teeth look a little yellow or if their breath smells, but the fear of having cavities or missing teeth might be enough to get them to brush more often.

From the first moment your child’s baby teeth come through, it’s important to teach them oral hygiene skills that’ll turn into good habits for life. While brushing your teeth isn’t the most exciting thing your kids can do, if you make a game out of it and reward them for remembering to brush, they are more likely to do it.

NJ Dept. of Health Opens Novel Coronavirus Call Center

TRENTON, NJ (January 30, 2020)–The New Jersey Department of Health today announced the opening of a hotline (1-800-222-1222) for the public to ask questions about the 2019 Novel Coronavirus.

“Although the risk to the public remains low, we understand that residents have questions about this new virus,” Health Commissioner Judith Persichilli said. “This hotline provides factual information to alleviate fear and dispel rumors.”

The hotline is being operated by the New Jersey Poison Information and Education System (NJPIES), also known as the New Jersey Poison Center, which has run other call centers for the Health Department. NJPIES is a division of the Department of Emergency Medicine at Rutgers New Jersey Medical School. The hotline can accommodate callers in multiple languages.

“

As a 24-hour hotline staffed continuously with trained healthcare professionals, the New Jersey Poison Center is standing by to answer questions about this emerging infection. The call is always free, and we can communicate in any language to the public as well as healthcare professionals,” said Dr. Diane Calello, Executive and Medical Director of NJPIES.

The hotline is part of a comprehensive approach by the state and medical and public health partners to respond to novel coronavirus (nCoV) by ensuring the public health and health care system preparedness.

The Department has an CoV

webpage

that includes CDC updates, travel advisories and guidance sent to health care providers, local health departments, infection preventionists and other health partners.

On Friday, Commissioner Persichilli sent a letter to hospital CEOs detailing

specific guidance

to healthcare professionals on how to evaluate reports of patients with possible nCoV illness, such as taking a careful travel and exposure history to determine if they meet specific CDC testing criteria. At this time, only the CDC laboratories in Atlanta have the capabilities to test for nCoV, though it is expected that state public health laboratories will be able to test soon.

The Department has also been in contact with Newark Liberty International Airport’s Division of Global Migration and Quarantine and the New York City Department of Health and Mental Hygiene in advance of airport screening.

“The Department reminds individuals with recent travel to Wuhan, China or close contact with someone who has and are experiencing symptoms, to call their health care provider in advance before arriving to the office so they can make accommodations in advance,” Commissioner Persichilli said.

Patients with confirmed nCoV infection have reportedly had mild to severe respiratory illness with symptoms of fever, cough and shortness of breath. CDC believes at this time that symptoms of nCoV may appear in as few as two days or as long as two weeks after exposure.

New Jersey continues to work closely with the CDC and local health partners to monitor the situation and will provide updates accordingly.

For more information, visit our homepage at

nj.gov/health

DHS Secretary Commends Partnership to Improve Health Outcomes in North Philadelphia

Philadelphia, PA

– Department of Human Services (DHS) Secretary Teresa Miller today joined Project HOME, Independence Blue Cross, and AmeriHealth Caritas to announce the launch of Keystone Connection to Wellness, which will work to address health disparities and social determinants of health experienced by residents of North

Philadelphia.

“Our partners in the HEZ are doing incredible, necessary work to help work against the health disparities residents of North Philadelphia face every day, but we need to be able to scale and grow these efforts so more people can see a positive change and better health outcomes,” said Sec. Miller. “Project HOME’s partnership with Independence Blue Cross and AmeriHealth Caritas will make growing this work possible, and I am incredibly grateful that our Medicaid managed care organizations are investing in organizations like Project HOME to maximize our ability to make a positive change in the lives of people we serve.”

Project HOME is currently a partner in the Wolf Administration’s North Philadelphia’s Health Enterprise Zone (HEZ) initiative, which supports community health workers to address health disparities in North Philadelphia.

Keystone Connection to Wellness will allow Project HOME to grow its work to address social determinants of health through financial and operations support from Independence Blue Cross and AmeriHealth Caritas. A community advisory board will bring together local stakeholders to inform services and programs offered to address poverty, health outcomes, and life circumstances that influence these like food access, housing, access to behavioral health care, and employment, among others. Project HOME expects to serve approximately 1,250 people in Keystone Connection to Wellness’ first year.

In February 2019, the Wolf Administration awarded five grantees $3 million to support projects that would use community health workers to promote better health outcomes in the HEZ. This funding created innovative projects that will use community health workers to address health disparities in children, older adults, and those who are frequent users of medical services by increasing health promotion and education in the HEZ. In December 2019, the Wolf Administration

announced

Opens In A New Window

a one-year extension of this work to continue progress made in the projects’ first year. This funding will help Project HOME grow and build upon its work of addressing social determinants of health and promoting health equity and improved health outcomes in the North Philadelphia.

The HEZ is made up of the 19120-26, 19130, 19132-34, 19138, 19140-41, and 19144 ZIP codes in North Philadelphia, which run from the beginning of Broad Street through City Hall. It includes nearly 320,000 Medicaid recipients – nearly 13 percent of Pennsylvania’s total Medicaid population. Beneficiaries in zip codes around this corridor experience multiple health conditions and significant socio-economic barriers that result in high medical costs and utilization and chronic poor health. Thirty-one percent of residents living within the HEZ live below the federal poverty line, twice the national average, and the life expectancy of children in the HEZ is 20 years shorter compared to children in wealthier ZIP codes.

The projects include:

Education Plus Health

: improving child and adolescent health outcomes through the School-Based Health Center Community Health Worker project, which integrates community health workers into each school-based health center team to screen students and identify concerns related to asthma, diabetes, mental health, substance use, food insecurity and healthy weight, and multi-generational health needs. Education Plus Health community health workers have helped address and improve student health outcomes.

Bebashi- Transition to Hope

: mitigating the symptoms of multigenerational poverty by addressing food insecurity through physically expanding Second Helping, an emergency food pantry, establishing food pantries in schools, and working to increase access to quality health care and assistance programs through one-to-one resource navigation with direct linkages and referrals for HEZ residents. Bebashi has served 3,600 people through their food pantry.

Project HOME

: addressing diabetes and managing growing health care spending through the Healthy Communities Program, which trains peer community health workers to recruit participants from the HEZ with diabetes or pre-diabetes. The initiative uses an evidence-based healthy lifestyle program focusing on nutrition, physical activity, healthy food access, and motivational supports and will connect participants to integrated health and wellness resources.

Health Federation of Philadelphia

: strengthening programs at organizations throughout the HEZ by training community health workers and peer support workers to build sustainable capacity and promote organizational development. They are focusing on addressing diabetes and prediabetes through the implementation of a diabetes prevention program, while also addressing behavioral and mental health and substance use disorders. In addition, they are implementing a cloud-based platform for comprehensive social service referrals.

New

Kensington Community Development Corporation

: addressing social determinants of health by hiring community health workers who are residents of the HEZ and utilizing trauma-informed training to assist as they screen clients and connect them to resources for health care, food resources, credit and budget counseling, and other social service resources.

Since the creation of the HEZ in 2016, DHS and grantees have sought to improve social indicators of health for residents of North Philadelphia and are making progress on this work. DHS has previously funded trauma-informed practices among teachers, staff, parents, and community members and has increased funding for lead remediation projects in schools within the HEZ. In October DHS

announced

Opens In A New Window

$4.3 million in funding for additional services, including support for SNAP 50/50 programs aimed at moving people out of poverty, home visiting services, and services related to eviction prevention and affordable housing.

Conceived Through ‘Fertility Fraud’

When Heather Woock was conceived, her mom sought the help of a fertility specialist. (Leah Klafczynski for NPR)

Jake Harper, Side Effects Public Media:

January 28, 2020

When Heather Woock was in her late 20s, she started researching her family history. As part of the project, she spit into a tube and sent it to Ancestry, a consumer DNA testing service. Then, in 2017, she started getting messages about the results from people who said they could be half-siblings.

“I immediately called my mom and said, ‘Mom, is it possible that I have random siblings out there somewhere?\’” said Woock, of Indianapolis. She recalled her mom responded, “No, why? That’s ridiculous.”

But the messages continued, and some of them mentioned an Indianapolis fertility practice that she knew her mom had consulted when she had trouble conceiving.

Woock researched and finally learned the truth. Dr. Donald Cline, the fertility doctor her mother saw in 1985, is her biological father.

“I went through an identity crisis,” she said. “I couldn’t look in the mirror and think about, ‘Where did my eyes come from? Where did my hair color come from?’ I didn’t even want to think about any of that.”

Woock hadn’t known that her mom had used artificial insemination to conceive her, and neither of them knew the doctor had used his own sperm.

“We now know Cline used his own sample and squirted it into my mom,” Woock said.

In the 1970s and ’80s, Cline deceived dozens of patients and used his sperm to impregnate them. He has more than 60 biological children — and counting.

For Woock, as the story of her parentage sunk in, it was distressing for another reason: She wanted to start her own family and was having trouble conceiving. And now she needed to turn to the fertility industry that had so badly betrayed her mom.

“We were doing all of the calendaring … everything that is out there to help you get pregnant, we were doing that,” Woock recalled.

But after six months, when she still wasn’t pregnant at 32, she went to a fertility clinic for some tests, which can include

fertility tests for males

to try to underline all possible issues.

“I had to fill out all this paperwork, and there’s a slot that says kind of like, ‘Is there anything else you’d like to share?’ ” Woock said.

Yes, there most certainly was.

The Odds Of ‘Fertility Fraud’ These Days

New allegations of doctors using their own sperm keep coming to light — because of genetic-testing services like Ancestry revealing networks of half siblings — in states like

Idaho

, Ohio, Colorado and Arkansas.

But those doctors performed artificial inseminations decades ago. Could what happened to Woock’s mom happen in a modern fertility clinic?

Dr. Bob Colver, a fertility specialist in Carmel, Indiana, said it’s a question many of his patients have asked. But it’s unlikely, he said. These days, there are more people involved in the process, and in vitro fertilization happens in a lab, not an exam room.

“Unless you’re in a small clinic where there’s absolutely no checks and balances, I can’t even imagine that today,” Colver said.

It’s now illegal in

Indiana, Texas and California

for a doctor to use his sperm to impregnate his patients. But there’s no national law criminalizing what’s called “fertility fraud.”

A photo of Larry Hobson holding his daughter, Heather Woock, as an infant. Woock’s mother consulted with a fertility doctor when she was having trouble getting pregnant.(Leah Klafczynski for NPR)

Fertility medicine has advanced a lot since the 1980s, but women trying to get pregnant today with the help of medicine face a baffling array of treatment options that can be hard to navigate and can be hugely expensive. And some critics say the growing, multibillion-dollar fertility industry needs more regulation.

For example, sperm banks may not get accurate medical histories from their donors, who could pass along genetic diseases. And there’s no limit on how many times a donor’s sperm can be used, which some donor children worry could increase the chance of inbreeding. Sperm donation guidelines from organizations like the American Society for Reproductive Medicine are voluntary. There was a contestant on

“The Bachelorette”

last year who said his sperm had helped father more than 100 kids.

Unrealistic Expectations

When Woock decided to get her first fertility treatment, she set preconditions with the clinic. She insisted on having a female doctor and insisted that a doctor be in the room for all appointments and oversee everything that happened.

Her experience with her clinic was very different from her mother’s with Cline, but nonetheless there were surprises along the way.

The clinic told her that her problems conceiving could be because of husband Rob’s low sperm count and motility (meaning his sperm weren’t great swimmers). They advised a form of in vitro fertilization that involved injecting one sperm directly into one of her eggs in a petri dish.

When doctors told Woock she needed IVF, she felt pretty optimistic.

“I’m thinking going into this that our chances of success are 70, 75%,” Woock said.

A 1985 photo of Kimberly Hobson (left) pregnant with her daughter, Heather. Kimberly is photographed alongside her husband, Larry Hobson, as well as relatives who were also expecting.(Leah Klafczynski for NPR)

Fertility treatment can be really expensive, and patients may start treatment with unrealistic expectations. That’s because success rates are complicated, and some clinics use only the best numbers in their

advertising

For example, clinics can advertise high fertilization rates. But a 70% fertilization rate doesn’t mean 70% of eggs turn into babies — plenty can go wrong after the lab combines egg and sperm.

Success depends on your age, your clinic and the type of procedure you need. But most of the time, assisted reproduction procedures such as IVF don’t work. The Centers for Disease Control and Prevention, which

tracks assisted reproduction rates

in the U.S., reports only about 24% of attempts result in a baby.

‘Add-On’ Technology — And Prices

When Woock started her first IVF cycle, she gave herself shots, a couple a day, to stimulate her ovaries to get multiple eggs ready at once. Multiple eggs means more chances for fertilization.

But the drugs have side effects. They gave her headaches and made her moody and less patient.

“I was actually allergic to one of the medications, which just means that you keep taking it and deal with the itching and rash,” Woock said.

But she hung on until it was time for a doctor to surgically retrieve her eggs, at which point patients can face even more choices. Because the couple’s fertility problem appeared to be with Rob’s sperm, the clinic offered to use a special device to help pick the best sperm for IVF.

“We were kind of like, ‘Yeah, why wouldn’t you?\’” Woock said. “If it’s gonna give us a better chance, do it.”

A device like that is called an add-on. Add-ons are often new technology, described as cutting-edge, which can appeal to patients. Examples of add-ons include

genetic testing for chromosomal abnormalities in embryos

— which some specialists argue improves the odds of a live birth — and

assisted hatching

and

endometrial scratching

, both methods claiming to facilitate implantation.

An exam table at Midwest Fertility Specialists, a fertility clinic in Carmel, Indiana.(Lauren Bavis/WFYI)

Jack Wilkinson, a biostatistician at the University of Manchester in England,

researches add-ons

, which he has found can increase costs — and, he said, they may not work.

“We quite often see there’s no benefit at all,” Wilkinson said. “Or, possibly even worse, that there’s a disadvantage of using that treatment.”

Wilkinson said the device Woock’s clinic offered could work, but the evidence supporting it is thin.

Failed Fertilizations

The clinic called Woock the morning after her egg retrieval. None of Woock’s eggs fertilized. The procedure revealed that her husband’s sperm quality wasn’t the only fertility issue the couple faced.

“They immediately saw that there was something wrong with my eggs,” Woock said. “My eggs are just total crap.”

She underwent a second round of IVF with the same result — no fertilization.

“Getting that news the second time … felt even more set in stone that this was going to be a very long, challenging road,” Woock said.

Challenging and expensive. Most states, including Indiana, don’t require insurers to cover fertility treatment. Without insurance, a round of IVF can cost more than $10,000 — even more than $20,000 — with no guarantee the patient will get pregnant.

Woock was lucky that her employer-provided insurance covered a lot. But it still wasn’t cheap. She had to pay for some medications, “plus, you have to pay lab and facility fees that insurance doesn’t pay,” Woock said.

Donor sperm and eggs aren’t generally covered, either. Those can be tens of thousands of dollars.

Woock faced a hard choice: After two failed attempts, did she want a kid enough to go through IVF again? She and her husband decided they did. So Woock did a third round of IVF. And then a fourth. When that didn’t work, she gave up on using her own eggs.

“What I expected as I was growing up and picturing my children is not what I will see,” Woock said.

Woock and her husband decided to try donor eggs. If all goes according to plan, she could still carry a child. She wants to keep trying.

“I realize that pregnancy is incredibly challenging on your body and your mental state,” she said. “If I can make it through a year of IVF, I can make it through morning sickness.”

This story is part of a partnership that includes

Side Effects Public Media

NPR

and Kaiser Health News. The story was adapted from Episode 6 of the podcast

Sick

. You can hear more about the fallout from Dr. Donald Cline’s deception on Sick’s first season, at

sickpodcast.org

ACL tears cause harmful changes in our brain structure

Newswise — ANN ARBOR—It\’s known that some joint function is often permanently lost after anterior cruciate ligament reconstruction, and re-injury is common even with intensive physical therapy, but it\’s unclear why.

New research from the University of Michigan School of Kinesiology shows structural changes in the brains of patients who underwent ACL reconstruction. These changes hinder recovery and may contribute to performance deficits and re-injury, says study co-author Lindsey Lepley, U-M assistant professor of athletic training.

Lindsey Lepley and colleague Adam Lepley, clinical assistant professor of athletic training, took MRI brain scans of 10 ACL-reconstructed patients. The scans showed that part of the corticospinal tract—the pathway that scuttles messages from brain to muscles—had atrophied in the patients.

The corticospinal tract runs from front to back through both hemispheres of the brain. The side of the tract that controls the ACL-reconstructed knee was about 15% smaller than on the uninjured side, the researchers say.

Think of the altered corticospinal tract as a traffic tunnel that narrows, letting fewer cars pass through, they say. In the ACL reconstructed patients, less information gets from the brain to the muscle because less information can travel along the smaller tract.

\”In essence, the brain not only alters the way it communicates with the rest of the body, joints, muscles, etc., but the structural makeup of the basic building blocks of the brain are also changed after ACL injury,\” Adam Lepley said. \”We think that this is a protective mechanism, in which our body is trying to limit unwanted movement around a joint injury … and can be applied to not just ACL injuries, but other musculoskeletal injuries as well.\”

Another recent study shows that downstream neural activity in the quadriceps is impaired during sport-like movements after ACL surgery, which suggests that poor brain structure and communication can lead to reduced functioning, the researchers say.

The bottom line for patients and clinicians is that a knee injury is not just about knees––other areas, like the brain structure, are negatively impacted, too.

\”It means that during treatment, a systemic approach should be taken not just to improve range of motion or swelling at the injured joint, but also consider other impairments like poor movement patterns and muscle activation in order to get better outcomes,\” Lindsey Lepley said. \”There is evidence of using visual retraining, different motor learning modalities like external focus of attention and biofeedback, which can help \’rewire\’ the brain to help the body adapt to a new normal.\”

Study:

Corticospinal tract structure and excitability in patients with anterior cruciate ligament reconstruction: A DTI and TMS study

Related research:

Protracted alterations in muscle activation strategies and knee mechanics in patients after Anterior Cruciate Ligament Reconstruction

Lindsey Lepley

Adam Lepley

Transgender State Workers Sue Florida Demanding Support for Sex-Change Surgeries

Tom Fitton JudicialWatch.org

Around the country, and now in Florida, “transgender” activists are demanding all of us to pay for their sex-change surgeries.

Corruption Chronicles

has the

details

CNBNews graphics

In what appears to be a growing national trend, another public enterprise is being sued for failing to pay for transgenders’ costly sex-change surgery. The plaintiffs in this latest case are two veteran state workers—both men—in Florida who allege sex discrimination because the state’s insurance policy doesn’t cover surgical procedures to help make them women. One of them, Jami Claire, is a senior biological scientist at the University of Florida (UF), the state’s premier university, which is also named as a defendant in the lawsuit. The other, Kathryn Lane, is an attorney in the Tallahassee public defender’s office. Both men take hormones and undergo electrolysis to make them more feminine.

Now they want taxpayers in the Sunshine State to fund expensive surgeries to alter their genitals and face. Claire, who is 62 years old, and Lane, 39, claim to have gender dysphoria that requires gender-affirming care explicitly excluded by the state’s health insurance program, which covers more than 350,000 employees and dependents. “Gender dysphoria is a serious, but treatable, medical condition,” according to the federal

complaint

filed this week is U.S. District Court for the Northern District of Florida. “Left untreated it can lead to debilitating distress, depression, anxiety, impairment of function, substance abuse, self-surgery to alter one’s genitals, or secondary sex characteristics, self-injurious behavior and even suicide.” That makes “gender-affirming care” medically necessary, the lawsuit says, adding that singling out transgender employees for unequal treatment constitutes “unlawful sex discrimination in violation of Title VII of the Equal Protection Clause.”

Claire, the UF scientist, is a Navy veteran who has been living as a female for more than two decades and has a “well-established social and professional identity as a woman,” the complaint says. In 1997 he was diagnosed with gender dysphoria and began taking hormones and undergoing electrolysis for hair removal. His wife and children disowned him and the “financial toll of the divorce” made gender-affirming treatments unaffordable so he stopped them until a few years ago. In 2016 Claire resumed gender affirmation treatments to “live authentically as a woman,” a medical necessity, the lawsuit says, because Claire experienced constant stress, anxiety, pain and anguish as a man. In 2018 Claire paid for a breast augmentation to feminize his body. Now he wants the state to pay for the surgical removal of his testicles, but his public insurance plan denied the procedure.

Lane, the attorney, also has a “well-established social and professional identity as a woman,” according to the complaint. He began experiencing gender dysphoria since the age of five but suppressed his “female identity” for many years, causing “severe depression and anxiety.” In 2012, Lane finally embraced his female identity and began hormone and facial/body hair removal treatments. Lane also began growing out the hair on his head to “be identified more easily as a female.” In 2015 he paid for breast augmentation surgery. The lawyer wants the state insurance plan to pay for an expensive cosmetic procedure known as “facial feminization surgery” essential to treating gender dysphoria. “Facial features play an important part in being recognized as a particular gender,” the lawsuit says. “The public’s ability to recognize an individual as transgender based on their facial features places that individual at risk of violence, harassment, and discrimination.”

Governments are increasingly being forced to pay for the pricey cosmetic treatments of transgender people who claim to be stuck in the wrong body. Thousands of dollars are annually spent to give transgender jail inmates nationwide hormone treatments, laser hair removal and makeup. In Massachusetts, a convicted murderer actually

sued

the Department of Corrections to pay for sex-change surgery. Last year a federal judge forced Wisconsin taxpayers to provide sex reassignment surgery and hormonal procedures for low-income transgender residents who get free medical care from the government. In his

ruling

, the federal judge wrote that Medicaid, the publicly funded insurance that covers 65.7 million poor people, cannot deny the medical treatment needs of those suffering from “gender dysphoria.” Officials estimate it will cost up to $1.2 million annually to provide transgender Medicaid recipients in the Badger State with treatments such as “gender confirmation” surgery, including elective mastectomies, hysterectomies, genital reconstruction and breast augmentation.

source JUDICIAL WATCH

The Rite Aid Foundation Welcomes 2020 KidCents Charities Award

Awards more than $2.4 million in grant funding to 481 nonprofits

CAMP HILL, Pa.–(

BUSINESS WIRE

)–The Rite Aid Foundation welcomed 481 nonprofits to its 2020 KidCents class – it’s largest ever – and awarded more than $2.4 million to support the charities that advance the health and wellbeing of children in communities that Rite Aid serves.

The number of KidCents charities has more than doubled since the program’s inception in 2014, when 204 nonprofits comprised the inaugural class. Over seven years, The Rite Aid Foundation has contributed a total of more than $34 million to KidCents charities across the country, thanks to members of Rite Aid’s loyalty program,

wellness+ rewards

, rounding up their in-store or online purchases to donate to KidCents.

“More than 3 million Rite Aid customers actively choose to make meaningful contributions to help children in their communities through KidCents. The program’s growth is a testament to their generosity and commitment to building safer, stronger and more supportive communities for youth across the country,” said Jessica Kazmaier, president of The Rite Aid Foundation and Rite Aid chief human resources officer. “The 2020 KidCents class has the opportunity to prove that change adds up exponentially, and we look forward to helping them achieve their goal of giving kids better lives and brighter futures.”

Each KidCents nonprofit will receive a $5,000 grant to start 2020. The funding will help organizations like The Children’s Developmental Center in Richland, Washington, provide programs – like autism evaluations, occupational therapy and speech language therapy – that help children reach their potential.

“The Children’s Developmental Center has been providing early intervention services to young children with developmental delays and their families since 1977. We support, educate and empower families to assist children in reaching their fullest potential,” said Cathryn Tames, executive director of The Children’s Developmental Center and a past recipient of The Rite Aid Foundation’s KIDCHAMP Award. “The support of The Rite Aid Foundation allows us to do what we do best – make a positive difference in the lives of our communities’ youngest children and their families.”

Examples of longstanding impacted nonprofits include:

Speech and Language Development Center, Buena Park, California:

The nonprofit school and therapy center serves children and young adults with special needs in language learning and/or behavior. More than 200 staff members provide programs and services for about 300 students.

Inspiring Minds, Warren, Ohio:

Founded in 2006, Inspiring Minds focuses on five key areas: education, college and career readiness, exposure to new experiences, health and wellness, and personal development. The nonprofit offers free after-school and summer enrichment programs to under-represented youth.

Mighty Writers, Philadelphia:

Mighty Writers teaches kids to write through four-day-a-week writing academies at six neighborhood locations in Philadelphia and the surrounding area. All programs are free for the children the nonprofit serves.

In addition to having 92 original charities among this year’s ranks, The Rite Aid Foundation also welcomed 69 new KidCents charities to the program in 2020. New participants include:

Girls on the Run, Dayton, Ohio:

A council of Girls on the Run International, Girls on the Run of Dayton inspires girls to be joyful, healthy and confident using a fun, experience-based curriculum that integrates running. The organization serves four counties and has inspired more than 5,000 participants over nine years.

ABC House, Albany, Oregon:

Established in 1997, this Child Abuse Intervention Center works with children, youth and families to overcome the crisis of abuse and neglect. Services include: child abuse assessment, treatment, support services, post-trauma counseling, and educational programming.

Fresh Youth Initiatives, New York:

Launched in 1993, Fresh Youth Initiatives (FYI) works with low-income immigrant and first-generation youth, with goals to help children succeed in school, navigate life transitions, pursue college and a career, and give back to their community. Through summer camps, afterschool programs and more, FYI works with 1,500 children and teens.

“Girls on the Run of Dayton is incredibly honored to join The Rite Aid Foundation’s 2020 KidCents charities. This $5,000 grant alone will allow us to offer over 60 additional scholarships this year,” said Kayleigh Clark, executive director of Girls on the Run of Dayton. “As we celebrate our 10-year anniversary, we remain dedicated to serving every girl across the Miami Valley. We believe every girl is inherently full of power and potential. As a KidCents charity, we look forward to building confidence and inspiration in our community and are grateful to The Rite Aid Foundation for its continued support.”

For a full list of KidCents charities and to learn more about how Rite Aid’s

wellness+ rewards

members can support charities in their own communities, please visit

www.kidcents.com

About The Rite Aid Foundation

Since its inception in 2001, The Rite Aid Foundation has awarded more than $68 million to nonprofit organizations. Additionally, Rite Aid, through the efforts of its customers, supplier partners and associates, has also raised more than $92 million for Children\’s Miracle Network Hospitals across the country since 1994.

About the KidCents Program

Through the KidCents program, which is The Rite Aid Foundation\’s charitable giving program dedicated to improving the health and wellbeing of children living in the communities Rite Aid services, members of Rite Aid\’s loyalty program,

wellness+ rewards

can round up their in-store or online purchases to the nearest dollar and donate their change to KidCents. Members can also choose to direct their change to a specific KidCents charity by visiting

www.kidcents.com

. For more information, visit

www.kidcents.com

About Rite Aid Corporation

Rite Aid Corporation is on the front lines of delivering health care services and retail products to over 1.6 million Americans daily. Our pharmacists are uniquely positioned to engage with customers and improve their health outcomes. We provide an array of whole being health products and services for the entire family through over 2,400 retail pharmacy locations across 18 states. Through EnvisionRxOptions, we also deliver pharmacy benefit management to approximately 1,900 clients and 3.4 million members. For more information, visit

www.riteaid.com

CDC 2019 Novel Coronavirus (2019-nCoV), Wuhan, China (Updated)

Updated January 24, 2020

Situation Summary

CDC is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus (termed “2019-nCoV”) that was first detected in Wuhan City, Hubei Province, China and which continues to expand. Chinese health officials have reported hundreds of infections with 2019-nCoV in China, including outside of

Hubei Province. Infections with 2019-nCoV also are being reported in a growing number of countries internationally, including the United States, where the

first

and

second

2019-nCoV infections were reported on January 21 and January 24, 2020, respectively, both in travelers returning from Wuhan.

Chinese health authorities were the first to post the full genome of the 2019-nCoV in

GenBank

external icon

, the NIH genetic sequence database, and in the Global Initiative on Sharing All Influenza Data (

GISAID

external icon

) portal, an action which has facilitated detection of this virus. On January 24, 2020, CDC posted in GenBank the full genome of the 2019-nCoV virus detected in the first U.S. patient from Washington state. The virus genetic sequence from the patient in Washington is nearly identical to the sequences posted from China. The available sequences suggest a likely single, recent emergence from a virus related to bat coronaviruses and SARS-CoV. The available sequence information does not provide any information about severity of associated illness or transmissibility of the virus.

Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people such as has been seen with

MERS

and

SARS

When person-to-person spread has occurred with MERS and SARS, it is thought to have happened via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza and other respiratory pathogens spread. Spread of MERS and SARS between people has generally occurred between close contacts. Past MERS and SARS outbreaks have been complex, requiring comprehensive public health responses.

Early on, many of the patients in the outbreak in Wuhan, China reportedly had some link to a large seafood and animal market, suggesting animal-to-person spread. However, a growing number of patients reportedly have not had exposure to animal markets, suggesting person-to-person spread is occurring. At this time, it’s unclear how easily or sustainably this virus is spreading between people.

Both MERS and SARS have been known to cause severe illness in people. The situation with regard to 2019-nCoV is still unclear. While severe illness, including illness resulting in a number of deaths has been reported in China, other patients have had milder illness and been discharged.

There are ongoing investigations to learn more. This is a rapidly evolving situation and information will be updated as it becomes available.

On This Page

Situation Summary

Risk Assessment

What to Expect

CDC Response

Other Available Resources

Risk Assessment

Outbreaks of novel virus infections among people are always of public health concern. The risk from these outbreaks depends on characteristics of the virus, including whether and how well it spreads between people, the severity of resulting illness, and the medical or other measures available to control the impact of the virus (for example, vaccine or treatment medications).

Investigations are ongoing to learn more, but person-to-person spread of 2019-nCoV is occurring. It’s important to note that person-to-person spread can happen on a continuum. Some viruses are highly contagious (like measles), while other viruses are less so. It’s not clear yet how easily 2019-nCoV spreads from person-to-person. It’s important to know this in order to better assess the risk posed by this virus. While CDC considers this is a very serious public health threat, based on current information, the immediate health risk from 2019-nCoV to the general American public is considered low at this time. Nevertheless, CDC is taking proactive preparedness precautions.

What to Expect

More cases are likely to be identified in the coming days, including more cases in the United States. Given what has occurred previously with MERS and SARS, it’s likely that person-to-person spread will continue to occur.

CDC Response

CDC is closely monitoring this situation and is working with WHO.

CDC established a 2019-nCoV Incident Management Structure on January 7, 2020. On January 21, 2020, CDC activated its Emergency Response System to better provide ongoing support to the 2019-nCoV response.

On January 23, 2020, CDC again raised its travel alert for the coronavirus outbreak. The travel notice for Wuhan City was raised from Level 2: Practice Enhanced Precautions to

Level 3: Avoid Nonessential Travel

. CDC also issued a

Level 1: Practice Usual Precautions

for the rest of China.

CDC also is conducting entry screening of passengers

on direct and connecting flights from Wuhan, China to five major airports: Atlanta (ATL), Chicago (ORD), Los Angeles, (LAX) New York city (JFK), and San Francisco (SFO).

CDC issued an

updated interim Health Alert Notice (HAN) Advisory

to inform state and local health departments and health care providers about this outbreak on January 17, 2020.

CDC teams have been deployed to support the ongoing investigation in Washington and Illinois to support the ongoing investigations of the two cases in the United States.

CDC has developed a real time Reverse Transcription-Polymerase Chain Reaction (rRT-PCR) test that can diagnose 2019-nCoV in respiratory and serum samples from clinical specimens. On January 24, 2020, CDC

publicly posted the assay protocol

for this test. Currently, testing for this virus must take place at CDC, but in the coming days and weeks, CDC will share these tests with domestic and international partners through the agency’s

International Reagent Resource

external icon

CDC uploaded the entire genome of the virus from the first reported case in the United States to GenBank.

CDC also is growing the virus in cell culture, which is necessary for further studies, including for additional genetic characterization.

Other Available Resources

The following resources are available with information on 2019-nCoV

CDC Travelers’ Health: Novel Coronavirus in China

CDC Health Alert Network Advisory Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV) in Wuhan, China

CDC Health Alert Network Advisory information for state and local health departments and health care providers

CDC Information on Coronaviruses

World Health Organization, Coronavirus

external icon

Content source:

National Center for Immunization and Respiratory Diseases (NCIRD)

Division of Viral Diseases

Few Cancer Patients Enroll in Potentially Life-Extending Clinical Trials

Newswise — Patient enrollment in clinical trials as the first course of treatment after

cancer diagnosis is low, despite the fact that enrollment may increase life expectancy, according to researchers at Penn State. They also found that white males with private health insurance and metastatic cancers treated at academic medical centers are more likely than other groups to enroll in clinical trials.

Dr. Nicholas G. Zaorsky, an assistant professor of radiation oncology at Penn State College of Medicine, led a team of Penn State Cancer Institute researchers who analyzed data from more than 12 million patients with 46 different types of cancer between 2004 and 2015 in the National Cancer Database. They found that only 11,576 (0.1%) of those patients were enrolled in clinical trials as their first course of therapy following diagnosis.

According to Dr. Niraj J. Gusani, professor of surgery at the College of Medicine and senior author of the study published in the Journal of the National Comprehensive Cancer Network, the low enrollment is troubling because clinical trials may be beneficial for patients.

“Major advances in cancer treatment have been supported by clinical trials,” Gusani said. “By volunteering to participate in a trial, patients may help further the field of research and gain access to new treatments.”

Zaorsky, Gusani and their team found that patients with cancer treated in clinical trials, when matched and compared to similar patients not treated on trials, lived longer. They report that patients with cancer in clinical trials at the first course of therapy had a median survival of seven and half months more than those not enrolled in a trial.

According to Zaorsky, previous evaluations of whether clinical trials improved survival compared patients who were enrolled in trials against those not enrolled in trials — but didn’t account for factors like age, race, gender and cancer type.

The researchers performed a stratified analysis in which they matched each patient who participated in a clinical trial with another patient who was not enrolled in a trial that had ten similar characteristics — including cancer type, age, race, insurance type, disease stage, and whether or not surgery or chemotherapy were part of the treatment plan.

“If you’re going to evaluate whether clinical trial enrollment is beneficial for patients, you have to try and match each patient to someone who has a similar cancer and sociodemographic profile,” Zaorsky said. “Otherwise, it is like comparing apples to oranges.”

While the survival trend was evident across cancer types, the researchers said that this may not necessarily be true for the general population. In their analysis, they determined that the patients who enrolled in clinical trials at first course of therapy tended to be white males with private insurance, metastatic disease, who had no other chronic medical conditions and were treated at academic medical centers.

“If clinical trials are going to be used to determine standards of care for the general population, then the study participants need to be representative of the general population — and this study shows that often this isn’t the case,” Gusani said.

According to Zaorsky, increasing patient enrollment in clinical trials cannot happen without first improving the infrastructure of clinical trial design and management. Patients may not live close to locations where clinical trials are offered. Even if they are in close proximity to a center offering clinical trials, the trials may not be for their type or stage of cancer.

Gusani suggests that the biggest barrier to clinical trial enrollment is the stigma around them. Patients may feel they are ‘guinea pigs’ in experiments and that they are receiving substandard care. In reality, trials emphasize patient safety at every stage and are carefully regulated and monitored by institutional review boards.

“The increased level of quality control in clinical trials may be beneficial for patients,” Zaorsky said. “Patients who go onto a clinical trial must be treated

per protocol

, meaning that there are many quality measures that must be met, and that there are many other health care providers looking over the patient’s care.”

Pennsylvania: Suicide Prevention Task Force Calls for Removing Stigma and Barriers to Care

HARRISBURG, PA (January 2020)–Governor Tom Wolf today announced the initial report of Pennsylvania’s

Suicide Prevention Task Force

based on the statewide listening sessions held throughout fall 2019. The work of the Suicide Prevention Task Force is a complement to the goals and strategies surrounding the governor’s Reach Out PA: Your Mental Health Matters initiative

announced

earlier this month and his Executive Order to protect

vulnerable populations

signed last year.

“My administration is committed to developing a comprehensive suicide prevention plan that will save precious lives, support people in crisis, and help loved ones of attempt survivors and those we’ve lost,” Gov. Wolf said. “We’ve taken a giant first step toward that goal by opening this dialogue with Pennsylvanians across the commonwealth, and I want to thank the members of the Suicide Prevention Task Force for their hard work and all who shared their stories, insights, and experiences at a listening session last year.”

Informed by the testimonies and suggestions of people affected by suicide, mental health professionals, and other stakeholders from across the commonwealth, the report will be used to develop a comprehensive, long-term strategy of significantly reducing the number of suicides in Pennsylvania.

In August, the task force announced a series of 10 public listening sessions to be hosted throughout Pennsylvania. Over the next several months, Pennsylvanians gathered to talk about how suicide has affected their lives and to help inform the task force’s draft prevention plan and work to reduce stigma around discussing topics such as mental health and suicide. More than 800 people – community members, state and local officials, representatives from county suicide prevention organizations, and stakeholders from other sectors of government – attended the sessions.

As a direct result of these listening sessions, the Pennsylvania Suicide Prevention Task Force has identified the following key themes to inform the commonwealth’s four-year suicide prevention strategy:

Stigma associated with mental health, suicide and suicide attempts can affect the likelihood of individuals seeking help or continuing treatment, and how policymakers make decisions that affect mental health systems.

Resources needed to elevate mental health as a public health issue, incentivize the integration of physical and behavioral health, and improve suicide prevention resources at the local level.

Barriers to treatment such as cost and insurance gaps.

Access to more detailed suicide and suicide-attempt data to help policymakers make effective, meaningful decisions.

Issues within the mental-health workforce, such as pay and barriers to entry, to improve quality of care.

With proper resources, Pennsylvania’s schools and educators are uniquely positioned to save lives with suicide prevention strategies and resources.

The Legislature could take direct action to prevent suicides through the passage of a Red Flag law (to provide a means to remove firearms from someone at risk for suicide) or safe storage requirements for firearms.

“On behalf of the entire task force, we are grateful to everyone who took time to share their stories, experiences, recommendations, or even just showed up to listen and learn themselves. The themes and recommendations outlined in this report give us a clear path forward for actionable ways to support and enhance suicide prevention efforts across the commonwealth,” said Department of Human Services Secretary Teresa Miller. “I truly believe elevating this issue and utilizing this meaningful, collective approach to prevention efforts will save lives across Pennsylvania.”

According to a 2018 report by the Centers for Disease Control and Prevention (CDC), suicide is the 10th leading cause of death in the United States. In 2017, more than 47,000 individuals died by suicide nationwide. In Pennsylvania alone, 2,023 individuals died by suicide that year.

Gov. Wolf announced the first-of-its-kind statewide task force in

May 2019

with the goal of developing a four-year plan to reduce suicide in Pennsylvania. The Task Force is made up of leadership and staff from multiple state agencies, members of the General Assembly, and Prevent Suicide PA. State agencies include the departments of Human Services (DHS), Health (DOH), Corrections (DOC), Aging (PDA), Education (PDE), Military and Veterans Affairs (DMVA), Transportation (PennDOT), Agriculture (PDA), Drug and Alcohol Programs (DDAP), the Pennsylvania Commission on Crime and Delinquency (PCCD), and the Pennsylvania State Police (PSP). Task Force members brought forth a wide array of knowledge of constituencies they represent or serve professionally, from their own lived experiences as loss survivors or attempt survivors of suicide, or as individuals who experience or support someone facing mental-health challenges.

The task force anticipates releasing a comprehensive four-year statewide suicide prevention plan in the first quarter of 2020 that will be available for a public comment period. Following updates based on public comment, the task force will publish the final 2020-2024 Pennsylvania statewide suicide prevention plan, which will include:

The landscape and gap analysis of detailed suicide statistics nationwide and in Pennsylvania.

Guiding principles for suicide prevention in Pennsylvania.

Goals and objectives to reduce suicide and suicide attempts in Pennsylvania, including reducing stigma associated with suicide, suicide attempts, and mental health challenges.

Recommendations for local and state policymakers, including public and elected officials, as well as cross-sector partners.

A structure for the implementation and evaluation of Pennsylvania’s statewide suicide prevention plan.

The task force is represented on the Governor’s Special Council to Reduce Gun Violence and the Reducing Suicide by Firearm workgroup and will continue to provide input on the recommendations included in the Council’s report.

“This is just the beginning, and we will deliberately continue on this path of reducing stigma around mental-health issues and encouraging Pennsylvanians in crisis to seek help when they need it,” Gov. Wolf said. “Everyone’s life has value, and things can and will get better.”

To read the task force’s initial report,

click here