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DHMH Daily News Clippings
Saturday, August 22, 2009
 
 
Maryland / Regional
Rainy months take big bite out of mosquito-control efforts There are seven weeks to go in prime bug season (Baltimore Sun)
 
National / International
Biden says health reform closer than ever despite 'all the shouting' and political 'turmoil' (Baltimore Sun)
 
Opinion
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Maryland / Regional
Rainy months take big bite out of mosquito-control efforts There are seven weeks to go in prime bug season
 
By Sarah Fisher
Baltimore Sun
Saturday, August 22, 2009
 
Maryland's mosquito population has reached what some are calling a two-decade high, while funding to fight the disease-carrying pest is dwindling, according to state officials who say they fear they will run out of money before mosquito season ends.
 
"We've had a very active year," said Mike Cantwell, program manager of the Maryland Department of Agriculture's mosquito control division. "We are getting close to our budgeted amount for many counties and we still have seven weeks to go."
 
After an abnormally rainy spring fostered large mosquito populations, the division used up much of its budget to combat the swarms, he said. Now, with hurricane season looming and the promise of more rainy conditions that are ideal for mosquito breeding, aerial and ground insecticide spraying efforts are in jeopardy.
 
The state has sprayed insecticides by plane over 268,000 acres so far this year, Cantwell said. In a typical mosquito season, which lasts through October, it sprays 300,000 acres, putting the division well ahead of its normal spraying schedule.
 
Despite a relatively dry July, some are calling this the worst mosquito season in 20 years, said David Schofield, assistant program manager of the mosquito control division.
 
His office oversees mosquito control on the Eastern Shore and uses a "human bait" technique to count the winged pests. Two people stand outside and count the number of mosquitoes that land on their arms and legs in two minutes. Aerial spraying is in order if the count reaches 12 mosquitoes per minute.
 
"Southern Dorchester County has been experiencing landing rate counts exceeding 100 per minute," Schofield said. "Those are horrendous numbers. Normally in the summer you don't break double digits for one minute."
 
Tony DeWitt, an agricultural inspector monitoring Baltimore and Harford counties, said numbers have remained high in residential areas there as well. Even areas typically not infested have been invaded, he said.
 
The mosquito control program, which is voluntary, requires local jurisdictions to contribute funds to participate. Baltimore City does not participate in the state's program because it does not provide the required funds, Cantwell said.
 
The Baltimore City Health Department responds to complaints about mosquitoes by emptying containers with standing water or treating standing water with chemicals to kill mosquito larvae, said Juan Gutierrez, assistant commissioner for environmental health. So far this year there have been 99 mosquito-related investigations, compared to 199 in 2008, he said.
 
Jeannine Dorothy, a state entomologist whose College Park office oversees the mosquito control program in nine western and central Maryland counties, including Baltimore, said budget cuts have had an impact on this year's efforts. The program is operating without four of the seasonal employees who administer the insecticides, she said.
 
"We just have to work to the level of the budget," Dorothy said. "When we come to the end of the money, we stop."
 
The state's total budget for the mosquito control division is $2.9 million, with $1.7 million from the state's general funds and $1.2 million generated through fees from the counties.
 
With more rain likely through the weekend, more mosquitoes are also likely, adding to an already rising population.
 
The most active part of the hurricane season begins in mid-August and lasts through late October, according to the National Weather Service.
 
Because mosquitoes can transmit diseases such as the West Nile virus, they are more than just a nuisance.
 
According to Schofield, five mosquito pools in Maryland have tested positive for West Nile, four in Worcester County and one in Prince George's County. No cases of human transmittal of the virus have been reported in Maryland this summer.
 
But with the mosquito season's two busiest months coming up, Schofield said, "We're nervous on our end."
 
The buzz on Maryland mosquito control
 
•268,000 acres sprayed by air so far this year
 
•$2.9 million total spent in mosquito control, $1.7 million from the state's general fund and $1.2 million from local fees
 
•7 weeks remaining in mosquito season
 
Copyright © 2009, The Baltimore Sun.

 
National / International
Biden says health reform closer than ever despite 'all the shouting' and political 'turmoil'
 
By Carla K. Johnson
Baltimore Sun
Friday, August 21, 2009
 
CHICAGO (AP) - Vice President Joe Biden said Thursday the nation has never been closer to substantial health care overhaul despite "all the shouting and all the political turmoil" of recent weeks.
 
Biden said restraining costs and insuring more people should unite fiscal conservatives and advocates for the poor behind the Obama administration's efforts to fix what Biden called a broken system.
 
If he wanted to hear about troubles in health care, he and Health Secretary Kathleen Sebelius came to the right place. They got an earful from doctors and nurses attending a round-table discussion at a struggling nonprofit hospital serving the urban poor on Chicago's West Side.
 
A nurse said she worries about violent emergency room patients who throw bedpans and spit at her. A doctor from another hospital said she can't refer patients to dietitians to prevent diabetes because insurance won't pay for it. And a health researcher said black Chicagoans die needlessly because they are disadvantaged and uninsured.
 
Biden announced nearly $1.2 billion in grants to help the nation's hospitals and doctors put electronic health records to use. The grants will be funded by the $787 billion economic stimulus plan.
 
Storing patient data electronically can improve efficiency and prevent medical errors, Biden said, adding he's tired of being handed paper forms to fill out every time he goes to the doctor.
 
"I get handed one more clipboard I feel like clanging somebody on the head," Biden said, prompting laughter from about 60 health care professionals in the audience. "How many times do I have to fill out, yeah, I had asthma, yeah, I had two craniotomies?"
 
Biden sidestepped the question of whether a public insurance option should be part of a final health care bill. He made only passing reference to foes who've challenged supporters of overhaul with charges of a government takeover.
 
"With all the shouting and all the political turmoil on this issue, I don't think we've ever been closer to being able to do something substantial" to improve health care, Biden said.
 
President Barack Obama has made expanding insurance coverage and restraining health care costs his top domestic priority. But he's lost ground on the issue in opinion polls and Democrats in Congress are preparing to go it alone on legislation although bipartisan talks continue in the Senate.
 
Thursday's event took place not at a flourishing medical center but at Mount Sinai Hospital, where only 7 percent of the hospital's patients have private insurance. The rest are covered by government programs or are uninsured. In August, the hospital had only 1.42 days of cash on hand, hospitals leaders said. Its bad debt, the bills left unpaid by patients, was $62.3 million last year.
 
Mount Sinai nurse Chere Hamilton, among the Chicago health care workers invited to speak during Biden's round-table, said the hospital's emergency room is "a very, very violent place."
 
"We're spit at. We're swung at. We're kicked," Hamilton said. "We have urinals thrown at us. We have bedpans thrown at us."
 
Biden responded: "You're doing God's work."
 
Biden and Sebelius both talked about their aging parents, Biden about his 92-year-old mother's broken hip and how her care was coordinated; Sebelius, who speculated her 88-year-old father couldn't remember all his medications, said an electronic record would help his doctors get it straight.
 
Of the stimulus money set aside for health information, $598 million would establish centers to help hospitals and clinics with technical aspects of choosing systems. Another $564 million would be set aside to help hospitals share patients' information.
 
After the Chicago meeting, Mount Sinai Chief Information Officer Peter Ingram said the grants are good news for his hospital.
 
"We are part way along the journey" in transferring to computer records, Ingram said. "We need all the help we can get in implementation."
 
Sebelius plans to visit Ohio State University Medical Center on Friday to discuss electronic medical records there.
__
On the Net:
Office of Health Reform: http://www.healthreform.gov/
 
(This version CORRECTS RECASTS; UPDATES with Biden quotes other comments, background. corrects amount to $598 million, sted $589 million for technical assistance centers. ADDS background, byline.)
 
Copyright 2009 Associated Press. All rights reserved.

 
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