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Tuesday,
February 17, 2009
- Maryland /
Regional
-
Group calls for program to prevent underweight births
(Baltimore Sun)
-
Flu
outbreak in Maryland is on upswing
(Baltimore Sun)
-
In Good Health - FMH looking for Good Samaritans
(Frederick News-Post)
-
Inova moves to build hospital in Loudoun Co.
(Baltimore Examiner)
- National /
International
-
Specifics divide fragile coalition on health care
(Washington Times)
-
Want to
Live a Bit Longer? Speak Up.
(Washington Post)
-
Appeals court upholds NYC's calories-on-menus rule
(Hagerstown Herald-Mail)
- Opinion
-
Recent report was injustice to Holly Center
(Salisbury Daily
Times Commentary)
-
Armed and Dangerous
(Washington Post
Editorial)
They don't see
dead people(Washington Times Editorial)
-
More Than Peanuts
(Washington Post
Editorial)
War on drugs is
ongoing (Carroll County Editorial)
-
- Maryland / Regional
-
-
Group calls for program to prevent underweight births
- Report says underweight babies cost more than preventive
care
-
- By Stephanie Desmon
- Baltimore Sun
- Tuesday, February 17, 2009
-
- Nine percent of babies born in Maryland each year are
below normal birth weight - and those babies account for
more than half of what the state spends on all births,
according to an analysis released yesterday by a nonprofit
advocacy group.
-
- Babies born weighing less than 5.5 pounds frequently
require longer hospital stays, more intensive care and can
suffer from lifelong physical and mental disabilities,
costing the health care system in the long run. The lowest
birth weight babies - those under 3.3 pounds - spend an
average of 40 days in the hospital after birth, compared
with just under three for normal weight births, according to
the report by Advocates for Children and Youth.
-
- Many of these low birth weight infants are covered by
Medicaid, and their hospital costs average $84,000, compared
with $2,300 for normal weight infants, the report said.
-
- Armed with this data, the group plans to push in
Annapolis today for policies aimed at prevention, arguing
that paying to care for low birth weight babies costs far
less than paying to treat health issues later.
-
- Because women with one bad outcome are more likely to
have a second, advocates believe that extending health care
benefits to women who have had low birth weight babies can
avert future low birth weight babies.
-
- They call it interconception care. Low-income women are
covered by Medicaid during pregnancy, but all but the
poorest lose coverage after the child is born.
-
- "The biggest concern right now is these women who have a
difficult pregnancy - they are the biggest risk to have
another high-risk pregnancy 18 months later," said Matthew
H. Joseph, executive director of ACY. "A couple [of]
thousand dollars to provide ongoing health services to that
woman ... when you do the math, you realize the state saves
money."
-
- A fiscal analysis done by Joseph's group found that
spending $4.4 million a year would save on health care
costs. The group will ask a House of Delegates committee
today to put language in the state budget to fund
interconception care.
-
- About 7,000 Maryland babies are born too small each
year, or 9 percent of all births.
-
- More than 40 percent of births each year in Maryland are
financed by the state through Medicaid, according to ACY.
-
- Copyright 2009 Baltimore Sun.
-
-
Flu
outbreak in Maryland is on upswing
- Worst of epidemic is expected in three to four weeks
-
- By Frank D. Roylance
- Baltimore Sun
- Tuesday, February 17, 2009
-
- "Tired, beleaguered and battered" is how Dr. David del
Rosario described himself yesterday as he hustled to care
for the rising tide of patients streaming into his Patient
First clinic in Glen Burnie with symptoms of the flu.
-
- "We started seeing the trickle in mid-January," he said,
"and literally by the first week of February, that's when
the tsunami hit."
-
- Since then, del Rosario's life has been a blur of
10-hour days in a succession of Patient First sites in
suburban Maryland and a parade of patient misery.
-
- "One guy said, 'Doc, if I had hair, my hair would
hurt.'"
-
- Public health and hospital officials say that seasonal
influenza, with all its aches, fevers and assorted other
agonies, is indeed on the increase in Maryland this month,
with a peak due in the next three or four weeks.
-
- "You worry most about the very old and the very young,"
said Leigh Chapman, manager of infection control at St.
Joseph Medical Center in Towson. Confirmed cases there have
jumped from five during all of January to 18 already this
month.
-
- Two patients, ages 83 and 69, have been hospitalized at
St. Joseph with severe symptoms. The rest have been treated
in the emergency room or other intake centers and released.
Many more, probably, are suffering at home.
-
- "We do assume that influenza is underreported. Most
people don't come in and get tested," Chapman said.
-
- Melissa Cyr sat in del Rosario's examining room
yesterday afternoon, waiting for her flu test. She looked
weak, flushed and very unhappy. The 16-year-old from
Columbia was brought to the clinic by her father, city
paramedic Craig Cyr, after she fell ill over the weekend.
-
- On Sunday, she said, "I woke up, sat up and got really
woozy, and the room was spinning. My dad came into my room,
and I was really shivering."
-
- She slept from 9 a.m. to 2 p.m., then complained of
weakness and trouble breathing. "Every time I try to take a
deep breath, I cough," she said. Her appetite had fled.
-
- Del Rosario took samples to test her for influenza and
strep throat and planned an X-ray to look for pneumonia.
-
- He estimated that 30 percent of the people he has seen
recently with respiratory complaints have turned out to have
influenza. And while their symptoms have not been any worse
than in past years, patients are coming in with more
complications.
-
- "Flu and strep; flu and pneumonia - that's what we're
seeing a lot of," he said. One of those patients was a
3-year-old girl in Waldorf who was struggling with all three
- flu, strep and pneumonia.
-
- Doctors need tests to sort it all out because, while
antibiotics won't work on the flu virus, they might be
needed to battle strep and pneumonia, which are caused by
bacteria.
-
- Rene Najera, an epidemiologist with the state health
department, said the number of laboratory-confirmed flu
cases - a sentinel for trends in the community - has been
rising statewide for several weeks.
-
- "Three weeks ago, we had 42 confirmed cases statewide,"
he said. "The following week it was 62, then 78, and now 81"
during the week that ended Feb. 7.
-
- "It's the beginning of the seasonal increase in
influenza activity. ... We can expect three or four more
weeks of increased activity and then a decline."
-
- Johns Hopkins Hospital has reported a similar surge in
laboratory-confirmed flu cases. "On Jan. 18, we started
seeing a huge increase," said Hopkins epidemiologist Dr.
Trish Perl. "We're really in that rapid upswing of the
epidemic curve."
-
- Last year's flu season in Maryland surged about the same
time but saw more apparent flu cases than are evident this
year.
-
- Federal health authorities reported "widespread" flu
activity in 16 states, including Delaware, Pennsylvania and
Virginia, as February began. "Regional" outbreaks were under
way in another 16 states, including Maryland.
-
- If any flu season brings good news, this year's might be
that, in contrast to last year, the 2008-09 flu vaccines
seem to have anticipated fairly well the viral strains that
are circulating this year.
-
- About 80 percent of the flu viruses found nationally
have been Type A viruses, all of them related to the two
Type A antigens included in this year's flu vaccines,
according to the Centers for Disease Control and Prevention.
-
- The rest are Type B viruses, and about a third of those
have been related to the Type B antigen in the current
vaccines.
-
- Hospital officials say there is no indication that this
year's flu is any more severe than in recent seasons. "We
haven't been reporting any dramatic complications to the
Health Department," Perl said.
-
- Unfortunately, many of the Type A flu viruses have
developed a resistance to some of the antiviral medicines
that doctors prescribe to reduce the severity of the illness
once it has begun. The antivirals can often be effective
when the pills are taken within two days of the onset of
symptoms.
-
- This year's flu season has been blamed for the deaths of
four children in the United States, the CDC said.
-
- For those who have been spared the flu but have not had
a flu shot, it is not too late. "We still have plenty of
vaccine," Najera said. "It's never too late to get it. You
can build immunity in two weeks."
-
- Personal hygiene is just as important, Chapman said. "If
you are sick, be sure you're not going to work, so you're
not spreading it."
-
- Also, to avoid catching or spreading the flu, wash your
hands frequently. Cough or sneeze into your elbow (rather
than your hand) or a tissue, then throw the tissue away and
wash your hands again.
-
- To enroll in Maryland's influenza online tracking
survey, go to tinyurl.com/flu-enroll
-
- Copyright 2009 Baltimore Sun.
-
-
In Good Health - FMH looking for Good Samaritans
-
- By Ashley Andyshak
- Frederick News-Post
- Tuesday, February 17, 2009
-
- Frederick Memorial Healthcare System is accepting
nominations for its annual Good Samaritan award.
-
- The award is given to someone in the community who has
helped FMH fulfill its goals or advance patient care, has
long-term involvement in community service or charitable
activities, or has performed "a distinguished act in the
interest of humanity," according to award criteria.
-
- In just the past three years, recipients have included
Richard Markey and Marion Carmack Jr., both involved in a
long list of professional and community organizations;
Madeline Best, a 26-year member of the FMH Auxiliary; George
Stauffer, a member and financial supporter of many community
organizations; and Sue Scott Nisenfeld, for her work with
grieving parents and siblings after the loss of a child.
-
- Nominations must be in writing and returned to the FMH
development office by March 31. All nominations are
confidential, and a winner will be chosen by secret ballot
by members of the FMH special gifts committee. The award
will be presented May 8 at the Lynfield Event Complex.
-
- For information, visit fmh.org, or call 240-566-3478.
-
-
- ******
-
- Dentists needed
- Mission of Mercy, which operates free health clinic
sites around Frederick County, is looking for dentists to
volunteer their time and services to treat patients at
clinic locations or in their own offices. For information,
call Dr. Michael Sullivan at 717-642-9062, or e-mail
msullivan@amissionofmercy.org.
-
- Copyright 2009 Frederick News-Post.
-
-
Inova moves to build hospital in Loudoun Co.
-
- By David Sherfinski
- Baltimore Examiner
- Tuesday, February 17, 2009
-
- The hospital war in Loudoun County is heating up, with
two competing health care groups announcing new facilities
in the last four days.
-
- Inova Health System said Monday that it had filed a
formal letter of intent with Virginia to build an 80-bed
hospital on Route 50 in Loudoun County, just three days
after the Hospital Corp. of America announced plans to
expand its facility in nearby Reston.
-
- Two weeks ago, the county Board of Supervisors rejected
HCA’s proposal that would have paved the way for a new
hospital in Broadlands, about five miles from Inova’s
Lansdowne campus.
-
- Inova plans to build a health complex on the property it
owns at the intersection of Route 659 and Route 50, near
Washington Dulles International Airport, as a precursor to
the hospital it plans there. A health complex would provide
the cornerstone for a full-service hospital and would not
require a certificate of public need from the state to
provide emergency care, new physician offices and other
outpatient medical services.
-
- “The decision by Hospital Corporation of America to grow
its Reston campus now clears the way for a hospital on Route
50,” said Randy Kelley, chief executive of Inova Loudoun
Hospital. Kelley said Inova’s goal is to have the Route 50
Healthplex operating within 18 to 24 months.
-
- The letter of intent means the hospital will apply for a
certificate of public need for a full-service hospital by
June 1. Inova spokesman Tony Raker cited the company’s
zoning approval and the area’s growing population as a
“winning argument” for the region’s need for a hospital.
-
- “Locating a hospital on Route 50 will allow Inova to
accelerate the growth of medical services on Loudoun
Hospital’s Lansdowne and Cornwall campuses,” said Knox
Singleton, president and chief executive officer of Inova
Health System.
-
- But Mark Foust, a spokesman for HCA, had a different
opinion.
-
- “After orchestrating [county planning] for the express
purpose of blocking Broadlands Regional Medical Center and
spending millions of dollars to deny Loudoun residents a
hospital in Ashburn, it’s more than a little ironic that
Inova speaks about Route 50 in terms of its community
commitment — and telling that it expects the facility to
accelerate the growth of its Lansdowne campus,” Foust said.
-
- Raker disagreed, arguing that the planning process took
place over a year, and that county planning documents say
that the Route 50 area needs a hospital.
-
- “[The plan] does not say who should put it there,” he
said.
-
- “Now [HCA is] criticizing Inova for its lack of
community commitment?” Raker continued. “Please.”
-
- Copyright 2009 Baltimore Examiner.
-
- National / International
-
-
Specifics divide fragile coalition on health care
-
- Associated Press
- Washington Times
- Tuesday, February 17, 2009
-
- Labor unions and business groups have teamed up in a
multimillion-dollar national lobbying campaign to pressure
President Obama and Congress for big changes in the nation's
health care system. But as they get down to the specifics,
their strange-bedfellows alliance is quietly at odds.
-
- After spending two years and more than $20 million to
promote the idea, collaborators in the Divided We Fail
coalition - a project of the seniors lobby AARP, the service
workers' union and groups representing small business and
the Fortune 500 - are indeed divided over key elements of
how to fix health care.
-
- Its members agree that something should be done to
revamp health care in the United States, and there's
consensus on a vague set of principles, which include making
coverage more accessible, affordable and efficient. But they
differ over important details, including what roles the
government and private businesses should play.
-
- For instance, labor unions and liberal groups are
pressing for a universal health coverage system, in which
the government provides insurance that competes with private
plans. The Service Employees International Union (SEIU)
wants to give everyone health benefits similar to those
enjoyed by federal employees. It backs Mr. Obama's "pay or
play" idea of forcing employers to either offer health
insurance to their workers or pay a fee so they can get it
elsewhere.
-
- But the Business Roundtable and National Federation of
Independent Business wants a system based mostly on private
health insurance and are against new requirements for
employers. The Business Roundtable's members include
health-insurance giants CIGNA, Aetna and Humana, all of
which would have to compete with the government if labor got
its way.
-
- Mr. Obama campaigned on, among other things, the promise
that he would bring Democrats and Republicans together on
health care and cut special interests out of the debate.
Reform will stall as it has in the past, he said in one TV
ad last year, "unless we end the bickering and the
lobbyists."
-
- Divided We Fail launched in 2007, stressing its
bipartisan nature with a logo, a creature named Champ, which
is an amalgam of the Democratic donkey and the Republican
elephant. Its purple hue is meant to signify a melding of
the two parties' primary colors.
-
- The coalition is led by a handful of Washington's most
influential lobbyists: Bill Novelli of AARP, John J.
Castellani of the Business Roundtable, Dan Danner of the
National Federation of Independent Business and Andy Stern
of SEIU, among the most politically active groups in
organized labor. Together, their organizations spent more
than $45 million lobbying Congress in 2008 - more than half
of that by AARP.
-
- The group aired TV ads calling on the presidential
candidates to embrace affordable, accessible health
coverage, collecting pledges from more than two-thirds of
Congress backing it, and holding events in states across the
country to rally support. It recently launched its "drive
for solutions," including a new TV spot saying Mr. Obama is
"ready to lead," and, "we're ready to help."
-
- Because of their clout and their organizations'
disparate memberships, its leaders argue, the coalition is
uniquely positioned to make a public case for health care
reform, privately lobby Congress on the plan and ultimately
sell it to voters.
-
- "It's an inside-outside game," Mr. Novelli said.
-
- They acknowledge, however, that keeping the coalition
together is getting more difficult as Mr. Obama and Congress
prepare to delve into specifics.
-
- "We're moving down from 30,000 feet ... to 1,000," Mr.
Stern said. "The next 1,000 is bumpy."
-
- A fight is brewing between private insurers and consumer
groups over how to ensure that everyone is covered. Insurers
say they'll agree to accept any patient regardless of
pre-existing health conditions - but only if everyone is
required to buy coverage. Consumer groups say that would
turn the government into a collection agency for private
insurance companies.
-
- "You start off by being congenial and agreeable," said
Joseph Antos, a health analyst at the conservative American
Enterprise Institute, "so you can get into those meetings
where you say, 'This is the way we need to have it work - or
else.' "
-
- Copyright 2009 Washington Times.
-
-
Want to Live a
Bit Longer? Speak Up.
-
- By Manoj Jain
- Washington Post
- Tuesday, February 17, 2009; HE01
-
- "Did you know that women live longer than men?" I asked
my wife.
-
- Of course she did -- and not just because, like me, she
is a physician. Anybody who walks into a nursing home can
see the imbalance. Most people's grandmothers outlive their
grandfathers, and 85 percent of centenarians are women. So
my wife nodded, without paying much attention.
-
- "It isn't really that women are living longer, but men
are dying sooner," I persisted. "Among the top 10 causes of
death, men have a higher mortality rate than women. Men are
four times more likely than women to suffer from cirrhosis
of the liver and alcoholism." My voice rose a bit
dramatically. "Men are dying, and no one is paying
attention."
-
- "I never thought of it that way," she said, with a small
note of sympathy. But then she caught herself: "You do this
to yourselves."
-
- She had a point. Eighty percent of Americans who have a
serious drug addiction are men; more than 80 percent of
drunk drivers are men; during young adulthood, the peak age
for homicide, suicide and accidental death, three men die
for every woman. "It's your behavior," my wife said.
-
- That led me to wonder: Are there other, less obviously
self-destructive kinds of behavior that contribute to my
sex's early mortality? The next morning at hospital rounds,
I decided to observe my cases not just as patients, but as
male patients or female patients.
-
- First on my list was a former salesman in his 50s with a
double chin, divorced and living with his daughter, with
kidney disease that had put him on thrice-weekly dialysis.
As I questioned him about an infection in his line, his eyes
remained fixed on the flickering but muted television, his
responses were brief and he appeared annoyed by the entire
process. I did my exam, washed my hands and asked if he had
any questions. "Nope." And our encounter was complete.
-
- My next patient was a middle-aged woman who had
pneumonia, according to the emergency room note on her
chart. When I began asking questions, she narrated a list of
symptoms and elaborated on how she had had nasal congestion
for several weeks before she became critically ill. I
suspected sinusitis. This was confirmed by a CT scan, and I
prescribed antibiotics appropriately. When I asked if she
had any questions, she had a list: What caused this? Could
she have avoided it? Would it resolve completely? When could
she go home?
-
- Had she been more inhibited in her conversation, I would
not have uncovered the underlying cause of her pneumonia so
quickly. And once she leaves the hospital, her willingness
to demand information means it's likely she will manage her
health better.
-
- Did I fail to get significant information from the
conversation with my male patient? Almost certainly. Did he
lose an opportunity to gain insight into his illness? Yes.
-
- It was a pointed illustration of the sex difference in
health-care behavior.
-
- Women visit the doctor more often than men, and nearly
twice as often for preventive care, according to a 2001
study by the Centers for Disease Control and Prevention.
Among 45- to 64-year-olds, women spend 50 percent more on
health care than men (an average of $2,871 a year vs.
$1,849). In my experience, doctors spend more time per visit
with women than with men, as I certainly had done with my
female patient that morning.
-
- Later in the day, I asked Belinda, an intensive care
nurse with more than 25 years of experience, if she noticed
differences between men and women as patients.
-
- "Most certainly," she said, and gave me an example from
her own life. She and her husband, Bob, had gone to the same
doctor for routine physicals. The office nurse put them in
separate exam rooms with the doors cracked open. The doctor
visited Bob first and began by asking if there were any
problems. "Nope," Bob said.
-
- "That is absolutely not true," Belinda shouted from next
door. "Bob, you tell the doctor about your sinuses. And the
blood pressure and your back." The doctor invited Belinda to
join them.
-
- In my practice, I often do the same. I look to the
spouse to give a more accurate history of illness,
especially when the spouse is female.
-
- "This is because women are natural nurturers and
caregivers." Belinda told me. I was mildly offended. But I
have to admit that around my house, our kids, our friends
and extended family, including my own parents, give more
weight to my wife's medical opinion than to mine. This is
true even on matters of infectious disease -- my specialty.
-
- Women are also known to be greater consumers of health
information. I'm certain more women than men are reading
this page. A physician colleague tells me that his wife
reads my health columns religiously and for years has
encouraged him to do the same; he finally read one last
week.
-
- A survey done by Harris Interactive for the American
Academy of Family Physicians. released in June 2007 (Men's
Health Month -- who knew?) showed that 78 percent of all
married men who visited a doctor had been influenced to come
in by their wives.
-
- I once treated a man with a brain abscess who, after a
long hospitalization, was put on continuing high doses of
intravenous antibiotics. Even with such a serious medical
condition, he failed to manage his own health after his
discharge: An alcoholic before his hospitalization, he
started drinking again and missed two appointments. Finally,
his wife (who was running their family and business
single-handedly) came in to see me alone, bringing a pen, a
notebook and a list of questions about his condition.
-
- Daniel Kruger, a research fellow at the University of
Michigan who has done extensive research on mortality rates,
notes that behavior isn't the only factor in men's shorter
life span; there are contributing genetic and physiologic
differences.
-
- Just as in many other species, he says, human "males are
built for competition and females for longevity."
Physiologically, the male hormone testosterone builds muscle
mass, while the female hormone estrogen boosts the immune
system and increases the level of HDL, the "good"
cholesterol. But Tom Perls, founder of the New England
Centenarian Study at Boston University, estimates that about
30 percent of the male-female disparity in longevity is due
to biological differences, and 70 percent to social and
cultural factors.
-
- Surely, I said to my wife, there has to be a way to get
men to change their life-shortening behaviors. "Yeah, like
that's going to happen," she snorted.
-
- I would have called the Office of Men's Health in the
Department of Health and Human Services -- but no such
office exists. An Office of Women's Health, on the other
hand, has been operating since 1991, when it was established
to correct an imbalance in research and health care.
-
- As I was watching the football playoffs one recent
weekend, my wife stepped into the family room during a
commercial break. The ads were about trucks, the new
BlackBerry, fast food and Cialis. She observed for a while,
then suggested, "Maybe if you want men to be interested in
their health, this is where to start."
-
- In fact, the government's Agency for Healthcare Research
and Quality is already trying. An ad campaign (http://www.ahrq.gov/realmen)
promotes the idea of getting regular checkups and preventive
medical care. Using the slogan "Real men wear gowns," it
shows middle-aged men in (non-revealing) hospital gowns
teaching a child how to ride a bike, attending a teenager's
graduation and walking a daughter down the wedding aisle.
-
- I just wish they had run an ad during the Super Bowl.
-
- Copyright 2009 Washington Post.
-
-
Appeals court upholds NYC's calories-on-menus rule
-
- Associated Press
- By Amy Westfeldt
- Hagerstown Herald-Mail
- Tuesday, February 17, 2009
-
- NEW YORK (AP) -- A federal appeals court on Tuesday
upheld the city's regulation requiring some chain
restaurants to post calories on menus and menu boards,
saying the rule is a reasonable effort to curb obesity.
-
- A 2nd U.S. Circuit Court of Appeals panel rejected
arguments by a state trade group that federal law pre-empted
the rule and that the city had violated the First Amendment
by forcing its view on restaurant patrons that calories are
the most important consideration on a menu.
-
- The three-judge panel ruled that the federal Nutrition
Labeling and Education Act was not intended to apply to
restaurant food, writing that the city "merely stepped into
a sphere that Congress intentionally left open to state and
local governments."
-
- The calorie rule, the court wrote, "mandates a simple
factual disclosure of caloric information and is reasonably
related to New York City's goals of combating obesity."
-
- New York City is believed to have been the first U.S.
city to enact a regulation requiring calories on menus.
Since then, California and Philadelphia have passed similar
bills.
-
- The city's rule applies to restaurants that are part of
chains with at least 15 outlets across the country. Health
Commissioner Thomas R. Frieden said Tuesday that most chain
restaurants have been in compliance since the city began
enforcing the rule in July.
-
- "Consumers are learning more about the food before they
order, and the market for healthier alternatives is
growing," he said. "We applaud the court for its decision,
and we thank the restaurant industry for living by the
rules. New Yorkers will be healthier for it."
-
- The restaurant association didn't immediately comment,
saying its attorneys were reviewing the decision.
-
- According to the health department, more than half of
New Yorkers are overweight or obese. Officials believe the
regulation will prevent 150,000 New Yorkers from becoming
obese and will stop another 30,000 from developing diabetes
and other health concerns over the next five years.
-
- © 2009 The Associated Press. All rights reserved..
-
- Opinion
-
-
Recent report was injustice to Holly Center
-
- By Mark E. Engberg
- Salisbury Daily Times Commentary
- Tuesday, February 17, 2009
-
- RE: "Malnourishment finding corrected at Holly Center,"
Feb. 5
-
- A recent story in The Daily Times did a great injustice
to Holly Center -- a state residential center for
individuals with severe physical and intellectual
disabilities.
-
- The Maryland Disabilities Law Center, which was quoted
in the story, is an extremist protection and advocacy agency
that captures state and federal dollars to push an agenda of
facility closure; this agenda is not supported by many
taxpayers.
-
- They paint a picture of the Holly Center as an ugly
institution that must be closed.
-
- This organization's disdain for congregate care
facilities serving those with profound mental retardation is
harmful to our most vulnerable citizens. MDLC would never
represent a Holly Center resident or their family in their
fight to remain there.
-
- I have been a volunteer and advocate for Holly Center
for many years. My sister was a 20-year resident of the
facility. The staff and medical professionals are the best
you can find anywhere.
-
- I know the resident who was cited as malnourished -- one
of the most medically fragile residents you could ever
imagine. At any other facility -- group or nursing home --
that person would likely be dead.
-
- I know the medical staff never neglected this person;
extremely close care has been provided for many years.
-
- This client is no different from other residents, all of
whom are provided exceptional care, expert medical attention
specific to their needs, the best quality of life they can
have and genuine love.
-
- MDLC used these tactics to facilitate closure of
Rosewood Center in Owings Mills, Md.; Rosewood will close in
June.
-
- MDLC are masters of the media and The Daily Times played
right into their hands.
-
- The Daily Times ran a one-sided article without seeking
input from families or staff.
-
- Will we allow MDLC to build a case for closing Holly
Center?
-
- I hope and pray the governor, his secretary of health
and our state legislators recognize what is going on and
stand up to these extremist groups.
-
- Holly Center must remain an option for those who benefit
from this level of care; ideally, its mission mission to
help others in critical need of service would be expanded.
-
- Mark E. Engberg of Salisbury is a longtime advocate
for Holly Center.
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- Copyright 2009 Salisbury Daily Times.
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Armed and Dangerous
Domestic abuse suspects shouldn't be able to keep
their guns.
-
- Washington Post Editorial
- Tuesday, February 17, 2009; A12
-
- GAIL PUMPHREY came to dread meeting her ex-husband to
transfer custody of their children. Sometimes he would curse
at her. Once, she said, he spit in her face. On Thanksgiving
Day two years ago, he fatally shot Ms. Pumphrey and their
three children -- ages 7, 10 and 12 -- before killing
himself. He used a .22-caliber rifle, the same gun Ms.
Pumphrey had asked a court to confiscate just three weeks
before.
-
- The Maryland General Assembly is considering two bills
that would make it harder for those accused of domestic
violence to keep their guns. The legislation comes too late
to save Ms. Pumphrey and her children but would help prevent
such tragedies in the future.
-
- One bill would give judges the option of confiscating
the firearms of domestic abuse suspects against whom
temporary protective orders have been issued. The other
would require judges to order the seizure of guns from
suspects once final protective orders are in place. A number
of states, including North Carolina and California, already
have such measures. Even Virginia, not known for limiting
gun ownership, prohibits domestic violence suspects from
buying or carrying guns when protective orders have been
issued against them.
-
- Inexcusably, such legislation has died in the House
Judiciary Committee in past years. The committee, chaired by
Del. Joseph F. Vallario Jr. (D-Prince George's), has a
reputation for protecting the rights of the accused --
sometimes at the expense of reasonable policy. Mr. Vallario,
a criminal defense lawyer, told The Post's Lisa Rein that
his main concern was that law enforcement officers accused
of domestic abuse would not be able to carry their guns for
work. It seems to us that Mr. Vallario should be more
concerned about the safety of an abused spouse than the
ability of an officer suspected of domestic violence to
carry a gun.
-
- Other critics contend that the bills unfairly target
firearms. After all, they say, a spouse or partner can be
harmed with a baseball bat or a knife. The statistics tell a
different story: Female victims of domestic violence are
more likely to be killed in shootings than through all other
methods of violence combined. In Maryland, guns accounted
for more than half of domestic-violence-related deaths from
June 2007 to July 2008.
-
- Lt. Gov. Anthony G. Brown (D) spoke passionately last
week before the Senate Judicial Proceedings Committee about
the need for tougher domestic violence laws. Mr. Brown no
doubt drew upon a recent family tragedy: His cousin
Catherine Brown was shot to death by an estranged boyfriend
last year. Advocates for victims of domestic violence
believe the legislation has a chance this year because of
the O'Malley administration's support. We hope they're
right. Mr. Vallario and his colleagues have the chance to
save the next Gail Pumphrey.
-
- Copyright 2009 Washington Post.
-
-
They don't see dead
people
-
- Washington Times Editorial
- Tuesday, February 17, 2009
-
- For years the D.C. Department of Health's HIV/AIDS
Administration (HIVAA) has been the joke agency in a city
filled with comedy and error. Speaking of the latter, the
agency, in cooperation with the Centers for Disease Control,
recently discovered it underreported AIDS-related deaths by
54 percent - 1,337 cases - between 2000 and 2005. The total
AIDS deaths in the period was 2,460, not 1,123. How could
the city lose 1,337 deaths from AIDS? Hey, in Washington
anything is possible.
-
- The city has underreported AIDS deaths each year for the
past decade, sometimes intentionally, to keep the public
from knowing how serious the epidemic really is. HIVAA, and
for that matter the parent Health Department, had been
plagued with deficiencies in leadership, constant director
changes, and staffing problems throughout the administration
of former Mayor Tony Williams. Former health director James
Buford was under constant scrutiny by the D.C. Council, and
the agency was sued during his tenure in 2003 by an HIVAA
whistle-blower; at the time the office was understaffed and
unable to tabulate and produce necessary epidemiology
reports. For revealing the terrible truth about the woeful
agency in testimony before the City Council, the employee,
Michael Snoddy, was retaliated against with poor performance
reports and downgraded job responsibilities, forcing the
council to threaten the management staff with felony
violations for their conduct.
-
- Mr. Buford was fired by Mr. Williams in 2004 for, of all
things, not quickly addressing issues of lead in the city's
drinking water. A year later, Lydia Watts was fired as
director of HIVAA by the new director, Dr. Gregg Pane, for
poor management and staffing problems. Dr. Pane, in turn,
was fired by Mr. Fenty in 2007 soon after he took office,
because the mayor wanted a "more aggressive public health
strategy." The D.C. health soap opera could rival "Days of
Ours Lives" or "As the World Turns" (and be longer-running),
extending for years even before Mr. Buford's time, but you
get the sorry picture.
-
- Enter Dr. Shannon Hader, who became HIVAA director in
2007. "Shannon is the first person there who understands the
need for electronic data and the first truly competent
person who, with an aggressive approach, has worked to make
the data real," said Sharon Baskerville, head of the D.C.
Primary Care Association. The absence of real data on
HIV/AIDS deaths has led to untold millions of dollars wasted
or devoted to supposedly targeted prevention and treatment
programs with no bull's-eye. When former Ward 7 council
member Vincent Gray became chairman of the D.C. Council, he
was astonished to learn that out of the millions of dollars
HIVAA spent on AIDS prevention and treatment, not a single
penny went to residents of his ward. That is just one of the
effects of poor reporting - one whose consequences will
bedevil Ward 7 residents for years to come. Another
consequence is even more troubling. The entire District has
been receiving millions less in federal funding and grants
than it needed to attack this problem; while the AIDS rates
continue to soar, and people who need treatment go
un-served.
-
- The HIV/AIDS Administration is issuing a new updated
report this month with the new numbers. It's a start, but
this agency has a long way to go before it can gain the
confidence of city residents.
-
- Copyright 2009 Washington Times.
-
-
More Than Peanuts
Tougher regulation is needed to keep food suppliers
from putting '$$$$$' ahead of lives.
-
- Washington Post Editorial
- Tuesday, February 17, 2009; A12
-
- STEWART PARNELL, president of the Peanut Corporation of
America, came to Washington on Wednesday to face the music.
His company is at the center of a salmonella outbreak
transmitted through peanut products that have been linked to
nine deaths and 637 illnesses in 44 states and Canada. The
resulting product recall has been one of the biggest in U.S.
history. But after Mr. Parnell, under subpoena to appear
before a congressional committee, took the oath, he invoked
his Fifth Amendment right not to incriminate himself. By
Friday, his company had filed for bankruptcy. Given the
story that is emerging, it's no wonder.
-
- The Food and Drug Administration discovered that PCA's
Blakely, Ga., plant knowingly shipped salmonella-tainted
product 12 times in 2007 and 2008. There were suspicions
that the parent company, based in Lynchburg, Va., was lab
shopping for negative salmonella test results. The Justice
Department began a criminal investigation. Then came the
hearings of the House Energy and Commerce investigations
subcommittee, which released damning e-mails. In one
message, Mr. Parnell complained to the plant manager that
the delay in getting a favorable test result "is costing us
huge $$$$$." In another note, that plant manager reported
that a previous finding of salmonella came back negative
from another lab. To which Mr. Parnell replied, "Okay, let's
turn them loose then."
-
- Now that the hearing's theatrics are over, it's time for
Congress to pass legislation that would reduce the chance of
another food scandal.
-
- The Peanut Corporation of America was not required to
report its numerous positive salmonella results to state or
federal authorities. Companies need to be required to test
for the hazards that are most likely to occur in their
products, and standards for what constitutes a hazard must
be devised. A bill from Rep. Rosa DeLauro (D-Conn.) would do
this. One from Rep. John D. Dingell (D-Mich.) would mandate
the use of a certified lab and require that the results be
sent directly to the FDA. Add to that bills sponsored by
Rep. Diana DeGette (D-Colo.) for mandatory recalls of
contaminated food and for a program to trace food and
produce from farm to fork, and you have the makings of a
comprehensive approach to safeguarding the nation's food
supply. No system can be foolproof or error-free. But these
measures would, at least, establish a system where none
exists.
-
- Copyright 2009 Washington Post.
-
-
War on drugs is ongoing
-
- Carroll County Times Editorial
- Tuesday, February 17, 2009
-
- The rise in prescription drug abuse in Carroll mirrors
similar increases nationwide, but just as concerning is the
number of school students who continue to experiment with
drugs and alcohol.
-
- The Health Department says that the percentage of
clients seeking help for prescription drug abuse has
increased from less than 1 percent to 5 percent in recent
years. Junction Inc. says Oxycontin, Percodan and Percocet
abuse is increasing.
-
- But the most commonly abused drug seen in the county is
marijuana. As growers have become more adept at producing
more potent plants, the cost of the drug has increased and
it has become easier for dealers to make big profits from
selling it.
-
- In the 2007 Maryland Adolescent Survey, the percentage
of students reporting that they had used marijuana in the
past 30 days increased through the grades, from 0.6 percent
of sixth graders to 23.5 percent of seniors.
-
- That trend, of students introduced to drugs at a younger
age and more students admitting use in their later school
years, is an indication that more resources need to be
devoted toward educational efforts aimed at keeping students
away from drugs.
-
- Student alcohol use also is a problem, with 2.3 percent
of sixth graders saying they had used alcohol in the
previous 30 days and the percent rising to 44.2 for seniors
completing the survey.
-
- That’s almost half of the seniors in our school system
saying that they had used alcohol.
-
- A decade ago Carroll experienced a problem with
youngsters getting heroin. After some students died from
overdoses, the community mobilized to attack the situation.
Those efforts paid off. Today drug abuse treatment
facilities say that heroin use is lower, and in the Maryland
Adolescent Survey only 1.6 percent of the seniors said they
had used heroin.
-
- We need to take similar action in our battling of
marijuana and alcohol abuse, especially among our
youngsters. Too many lives are still ruined, too many
families still torn apart by drug and alcohol abuse, and if
our past experiences are any indication, the battle is one
that must stay at the top of our agenda if we are to provide
a safe, healthy environment for our children.
-
- Carroll has made many positive steps in battling drug
and alcohol abuse. As a community, we have come together to
face the problem head on, and have developed solutions that
have helped reduce the problem.
-
- Moving forward, we must continue that focus, continue to
adjust as new trends in drug abuse emerge, and continue to
develop our message of warning to youngsters that no good
can come from abusing drugs and alcohol.
-
- Copyright 2009 Carroll County Times.
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