Food Reward Friday

This week's lucky "winner"... beer!!

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USA: Access to paid sick days could reduce influenza

From Supriya Kumar:

New research, published in the American Journal of Public Health, reveals a reduction in flu cases when access to paid sick days is made available in the workplace. As you might imagine, it would be difficult to quantify the impact of a policy that hasn’t yet been implemented, so the researchers simulated their population of interest—1.2 million “agents” in Allegheny County, in this case—to evaluate the transmission patterns of influenza in workplaces under different scenarios (see below for details of their methods, which may be of interest to HIA researchers).

In a baseline simulation, access to paid sick days was inequitably distributed, as it is in reality. Data from the Bureau of Labor Statistics in the United States shows that only 53% of employees in small workplaces (workplaces with fewer than 50 employees) compared with 85% in large workplaces (workplaces with 500 or more employees) have access to paid sick days. A larger percentage of employees with access to paid sick days stayed home than did employees without paid sick days—both for an average of 1.7 days when sick. They then compared results to the estimated number of flu cases that might result under two alternative scenarios: (1) all employees had access to paid sick days (a universal paid sick days policy); and (2) all employees had access to one or two days when they could stay home from work and be paid to recover from the flu (a “flu days” intervention).

They defined flu days as additional days layered on top of existing paid sick days policies. Flu days were conceptualized as an intervention educating employees to stay home for an additional day over and above what they might anyway. Currently, employees stay home for 1.7 days on average with the flu. With a flu day, they would stay home for 2.7 days on average. In comparison, universal access to paid sick days increases the proportion of people staying home, but (according to their assumptions) does not increase the duration for which employees stay home. In short, universal access to paid sick days increases the probability of workers staying home when ill, and flu days increase the time they spend at home when they are infectious. 

This study found that universal access to paid sick days would reduce flu cases in the workplace by 5.86 percent and a “flu days” intervention would reduce cases by 25.33 percent. Together, universal paid sick days and flu days would equitably and effectively reduce influenza infections in workplaces. The universal paid sick days scenario was estimated to be more effective for small workplaces while “flu days” would lead to fewer flu cases in larger workplaces.

It is as important to test an intervention’s impact on health equity as it is to test its effectiveness. Universal access to paid sick days would enhance equity in the workplace by leveling the playing field in terms of access to resources. Additional interventions that promote employees staying away for more than 1.7 days on average could then be layered on to effectively reduce disease further.

The US Centers for Disease Control and Prevention recommends that people with influenza stay home for 24 hours after their fever has resolved. However, not everyone is able to follow these guidelines--many more workers in small workplaces than in large ones lack access to paid sick days and hence find it difficult to stay home when ill. These simulations show that allowing all workers access to paid sick days would reduce illness due to workplace transmission—fewer workers get the flu over the course of the season if employees are able to stay home and keep the virus from being transmitted to their co-workers. These findings make a strong case for paid sick days. Future research will be examining the economic impacts of workplace policies.

More on the simulation methods

Agent-based modeling was used to simulate the population of Allegheny County so that they could assess the impact of a paid sick days policy. This is a quantitative technique that is becoming increasingly popular among health behavior researchers, and may be useful to HIA researchers as well. In this case, authors of the study used the Framework for Reconstructing Epidemic Dynamics (FRED), a platform developed at the Public Health Dynamics Laboratory, University of Pittsburgh, to simulate the 1.2 million population of the county. Other simpler platforms such as NetLogo have been developed to enable researchers and practitioners to get started with simulating a population of interest.
 A “synthetic population” of Allegheny County was developed by RTI International based on data from the American Community Survey, LandScan USA, and the census; populations for counties and states in the United States and are freely available. This synthetic population ensured that the model reflected reality in ways that were important to this study and to infectious disease spread. For example, agents are assigned to schools or workplaces based on location, size of schools/workplaces, and commuting patterns; and each agent had characteristics including age, sex, race, employment status, household income, and household location. Health information such as health status on each day, infectiousness, and susceptibility were associated with each agent in FRED.
 During each simulated day, children went to school and working adults to work. They interacted with other agents who shared the same social activity locations, and returned home at the end of the day to interact with others at home. Each weekday, this routine repeated. Agents had a probability of disease transmission during interactions with others based on parameters from published studies.

The Genetics of Obesity, Part I

Choosing the Right Parents: the Best Way to Stay Lean?

In 1990, Dr. Claude Bouchard and colleagues published a simple but fascinating study demonstrating the importance of genetics in body fatness (1).  They took advantage of one of the most useful tools in human genetics: identical twins.  This is what happens when a single fertilized egg generates two embryos in utero and two genetically identical humans are born from the same womb.   By comparing identical twins to other people who are not genetically identical (e.g., non-identical twins), we can quantify the impact of genes vs. environment on individual characteristics (2).

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HIA Step by Step - A new online course by the NCCHPP

From the Canadian National Collaborating Centre for Healthy Public Policy:

Health Impact Assessment (HIA) is used to inform decision makers about the potential effects of a project, program or policy on the health of a population. HIA of public policies applies to any project, program or policy for which the decision maker is a governmental authority, either at the local, regional, provincial or federal level.

The NCCHPP will offer a new online continuing education course on HIA of public policies starting this fall.

This 12-hour online course will take place over a period of 3 weeks and will be offered both in French and in English.

This course will allow you to become familiar with the HIA process as applied to public policies, recognize its foundations, and reflect on the favorable conditions for successful HIA implementation.

Dates of the online course:

• in French from October 15 to November 1st 2013 
• in English from October 21 to November 8, 2013

Registration deadline: October 7, 2013. Places are limited.

For more information, and to register: click here. (http://www.ncchpp.ca/274/Online_Course.ccnpps?id_article=922) 

For any question concerning this new online course, please contact us at the following address: ncchpp_training@inspq.qc.ca or by phone at 514-864-1600 ext. 3637.

Food Reward Friday

This week's lucky "winner"... low-carb gluten-free bacon chocolate mocha ice cream cake!!

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FEAR

My 49th Birthday!

What a gripping word that can literally take the wind out of our sails, right? We have all experienced some sort of fear in our lives and it does not discriminate with gender or age.  In my journey of life and health I have definitely felt and experienced fear on all levels, physical, emotional, relational, financial, and spiritual.  Of course, when going through such feelings, it can be difficult to see any light at the end of the tunnel, and sometimes, just staying put in the comfort of a warm bed until the storm blows over makes perfect sense at the time.  Facing a fear is one of the hardest things to do in life, and it does take courage, inner strength, and the physical will to force the body to go, when the mind says to freeze. 

Emotional challenges and fears seem to be the most draining, at least in my

experience, and take time to process through, and figure out the best way to persevere.  It does not matter how long anything takes to get resolved, the important thing is to keep going, and never give up. I have found that prayer and a bond with a great therapist to get over emotional hurdles worked for me years ago.  I was able to heal from hurt and learn how to create boundaries that I now implement to take care of me.  It is amazing how years of moving through different emotional challenges and fear has created such a positive growth process, but that is all in how I was taught to respond to life’s circumstances.  Healthy creates healthy and that is what I am striving for each day.  Going through emotional difficulties and this is also linked to relational definitely opened my eyes to what I do want and do not want in my life, and how to now walk through each fear or challenge with a new pair of eyes that can see clearly the way to a healthy resolution.  No more rose colored glasses for this girl. 

Many things that cause fear are out of my and your control, but the feeling can creep in and try to steal away our happiness, create doubt, anxiety and other self destructive mind games that our inner selves again need to recognize, and respond in a healthy way.  When I was injured years ago and flat on my back, I felt so fearful of my life never being the same, being stripped of who I was as a therapist and trainer, extreme athlete, and person…I felt like a failure and I grieved the loss of who I was…this was gripping FEAR.  I was very humbled through this year long healing process and truly lost some faith in what I was going to do.  It was this journey however, that finally opened my eyes to who I really was, and what I could really do with my life, my knowledge, and my body.  It was painful and fearful, but each day opened the window a little more to my purpose and my hope slowly was restored.  Again, things did not happen overnight, just like with getting healthy in every aspect, patience and perseverance are required. 

What I am trying to share about FEAR is that it is a part of life, is not going

anywhere, and to say that it will not be experienced is well…an untruth.  The truth is that fear can be used to grow me and you in a healthy positive way, or take us to the ground.  Let’s say lack of finances has caused fear and believe me I have felt that sting as well, and sometimes this is not created by our own doing, and sometimes it is.  The point is…what is going to be done to get into a healthy place?  Having a plan to fix the problem is important, can provide a comfort and eventually remove the fear surrounding the circumstance.  I am talking about all areas of life where fear can rear its’ ugly head. 

I have found that keeping a journal helps with being a healthy person, and if I am feeling a certain way, or fearful about something, I journal about it, pray about it, and let it go.  There may be work for me to do, but I always feel more sure and able to work through the process when I have written about it.  I look back on my periods of fear in the different areas of my life and can now say that I am thankful for the learning journey, and the blessings along the way.  Letting go of unhealthy and embracing the healthy has opened many doors in my life, closed those doors that needed to be nailed shut, brought fabulous loving people to share my life, and a wonderful husband that I love and cherish dearly.  I no longer look upon fear as such a negative thing, but get through those feelings the best that I know how, and ask myself …why am I feeling this way, what is causing me to feel this way, and create a plan to remove the source further asking myself…what am I learning to better ME through this circumstance.  YES, there will be FEAR, but what matters is how I will be handling it.  Stay Healthy!

IN YOUR FACE MOTIVATIONS

I dedicate this Blog to my fabulous husband Don who is celebrating his birthday next week!  Happy Birthday Babe and I Love YOU Forever and a Day~

Married to my Best Friend

Thanks for stopping by my Blog, hope you enjoy the content, and if you have not become a follower yet, I would love to see your face on my friend's list.  If you are inspired, LIKE my entry, leave a comment and I look forward to responding! 

Stay Healthy~ Darla 

Receive My Stay Healthy Nutrition Guide as a Free Gift and Thank you when you donate to Stay Healthy Fitness...

Food Reward Friday

This week's lucky "winner"... cronuts!!

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Fresh & Quick Summer Dinner

Summer is in full swing here.  Hot days, flip flops, pool time, and quick dinners cooked outside on the grill.  This meal is one of my favorite summertime suppers and is so easy to pull together.  Fresh corn is begging to come home with me from the grocery store and I can't get enough of it.  Tomato and avocado salad is a year-round favorite, and so colorful with this dish. And finally, a marinated skinless, boneless chicken breast is grilled to juicy perfection. 

Marinade (Finger Lickin' Chicken Marinade from Food.com)

-for 4-6 chicken breasts

• 1 cup oil
• 1/2 cup vinegar
• 2 tablespoons Miracle Whip Light
• 3 tablespoons Worcestershire
• 2 tablespoons lemon juice
• salt and pepper to taste
• 2 tablespoons thyme
• 1 tablespoon garlic salt

Mix all the ingredients together and marinate for at least 30 minutes and up to overnight in the refrigerator.  Grill the chicken for about 8 minutes on each side, depending on the size of the chicken.  

This marinade makes for delicious chicken friends, really moist and flavorful. 

Tomato & Avocado Salad

• Tomato (4)
• Avocado (3)
• Red onion (1/3 cup) 
• Light ranch salad dressing (couple tablespoons)
• Tony Chachere salt-free seasoning (to taste)

Dice the tomato, avocado, and red onion and toss together with the dressing and seasoning.

Corn-on-the-Cob

• Shuck the corn and boil for about 8 minutes.  

Happy summer friends!

HIA and peer review satisfaction survey

Request below.

Please help move the practice of HIA and peer review forward with your feedback on this survey (5 minutes).

Survey link (google form): http://goo.gl/DN7Tg

We, a group of HIA practitioners, are interested in your experiences of the peer review process in Health Impact Assessment (HIA), as a reviewer and/or as a reviewee. Although HIA practice is not standardized, many HIA practitioners feel some form of peer review to be important in ensuring quality in the HIA process. Your responses to the survey will:

• help us understand the broad and multiple practices of peer review

• inform a paper featuring case studies of how practitioners have incorporated peer review within the HIA framework.

For this survey, peer review is defined broadly to include all purposeful activities that contribute to enhancing the quality of an HIA using peer review and feedback. This could range from an informal gathering of “experts” to review the HIA to a formalized double-blind review facilitated by an academic journal. 
Reviewers might be environmental exposure specialists, community leaders, public officials, or others.Please feel free to share with other colleagues who have been a part of the peer review process in HIA.Deadline for responses - August 1st, 2013
For more information, contact Tim Choi at tim.choi@sfdph.org

Free Webinar: Incorporating Environmental Public Health Tracking into Health Impact Assessments

This looks to be an interesting webinar.

Thursday, 27 June, 2013
13:00 Eastern Daylight Time (18:00 British Summer Time)
Duration 75 minutes

Click here to register

Want to learn how you can leverage data from the Environmental Public Health Tracking Network for health impact assessments (HIA)? Then join us for a co-presentation by the Minnesota Department of Health’s Environmental Public Health Tracking and Climate & Health Programs describing their successful use of asthma and chronic obstructive pulmonary disease (COPD) data in Health Impact Assessments. Speakers will discuss opportunities for intersection between HIA and tracking data and will also provide participants with a national perspective on the uses of health impact assessments and the Tracking Network.  

 

This is the second in a three-part series of Environmental Public Health Tracking Program webinars co-sponsored by the American Public Health Association, the Association of State and Territorial Health Officials and the National Association of County and City Health Officials.

 

Presenters

Chuck Stroebel, MPHProgram ManagerMinnesota Environmental Public Health Tracking ProgramMinnesota Department of Health
Kelly Muellman, MAPlanner Minnesota Climate & Health ProgramMinnesota Department of Health

Welcome:  

James S. Blumenstock, MA

Chief Program Officer

Public Health Practice

Association of State and Territorial Health Officials

 

Moderators and Federal Updates:  

 

Lisa Hines, MPH, CHES

Communications Team Lead

Environmental Health Tracking Branch

Division of Environmental Hazards and Health Effects

National Center for Environmental Health

Centers for Disease Control and Prevention

 

Arthur Wendel, MD, MPH, CDR USPHS

Team Lead

Healthy Community Design Initiative

Division of Emergency and Environmental Health Services

National Center for Environmental Health

Centers for Disease Prevention and Control

My Responsibility

Life comes with responsibility and I am surely not going to sit back and not take that seriously.   My health, relationships, financial obligations, emotional and spiritual life all depend on me to take care of business.  If I were to sit around and not take care of my stuff then all of ME would be a big mess and that does not sound like a great place to be nor do I want to even go for a visit down that road.  Sometimes in life, and I have been there, we can be placed in a situation that is not in our control and the best we can do is to go through the process of fixing the problem which can take years.  I am thankful for the patience that it takes to get through those sticky scenarios, but the point is, I am responsible to persevere and take care of ME.

Imagine sitting back and thinking life is going to take

care of me without my daily choices and actions to make things happen…my health would be a mess, my finances would be in the toilet, I am sure my hubby would not like that person, and any other relationship for that matter would steer clear, and I would be an emotional and spiritual blank slate…YUCK and OH MY…NO WAY.  I am sharing that it is up to me to make the choices to be a healthy person, to put in the work to GET IT DONE, to plan, to cook, to move my body, to sleep, pay the bills, take my job seriously and be thankful,  love and appreciate my husband,  family and my God each and every day.  I am owed nothing and responsible to give everything…in a GOOD HEALTHY WAY.  Life has taught me to not believe in the “golden goose” that is to magically make everything fabulous, but to be my own “bronze goose” and do the best I can with the choices I make each day with the goal of not making magic happen, but making a HEALTHY life happen. 

I have said this before that life does not promise easy, but the effort put into your/my/our life is worth all that we give and put into it.  I do not sit around blaming my past, people, or circumstances and use that as an excuse to not be my BEST me and remain an unhealthy person, but utilize the circumstances of life to become a BETTER me, learning what I can through all journey that is good, tough, happy, sad…you get the point.  Let’s take a credit card for example, instant gratification without the work and it may feel great at the moment, but at what cost when the card runs dry…the inability to pay the bill, ruin my credit, stress me out, and ultimately make me an unhealthy person.  The other side of that coin and my preference is to be patient, save enough to afford the item and then make the purchase, and sometimes, I no longer need or want the item I have saved for.  My health is the same way, I can think that there is some quick fix pill that is going to make me into some fabulous fit thing, but just like the card, it is only instant gratification that comes at an unhealthy cost to my body.  I take the responsibility for my health very serious, and invest the time to take care of my body, prepare healthy foods, and exercise with what works for me.  This is a life LONG journey of patience and persistence to create the BEST healthy me and ultimately, my responsibility.  

I make the choice to WANT a healthy body and that

does take effort to commit to my exercise routine, plan my meals, and cook healthy foods daily.  I am a very busy gal and I have learned that time management skills are important in life, and choosing to say “NO” can be a good thing to not overburden my calendar and not allow for a healthy life.  It is about choices and responsibilities and knowing what I want and what I do not want, and going a step further to recognize the needs versus the wants in life.   The “old Darla” used to be a “YES” to everything gal and trying to please everyone under the sun…GUESS WHAT…unhealthy and why put myself through all that and for what point?  Being responsibly balanced has become important and allows me to live each day feeling accomplished, not overwhelmed, and have the ability to enjoy precious time that is meaningful. 

Being responsible means throwing all laziness aside and not waiting around thinking that someone else is supposed to do this for me.  Life is not about what others can do for me, it is about what I can do for me and should do for me.  The straight up truth about life is that “it is tough” as my Dad would say, and “it takes a tough person to get through it”.  The responsibility to be healthy in all areas is my decision and the choices I make determine how my body is going to look and feel from the inside out.  No magic involved, just responsibility.

IN YOUR FACE MOTIVATION

I dedicate this Blog to my Dad for Father’s Day and also my beautiful Daughter to wish her a Happy Birthday!  Love to you always and I look forward to spending meaningful time with you.

Happy Father's Day Dad

 

 

 

Happy Birthday to my Beautiful Daughter

  

Thanks for stopping by my Blog, hope you enjoy the content, and if you have not become a follower yet, I would love to see your face on my friend's list.  If you are inspired, LIKE my entry, leave a comment and I look forward to responding! 

Stay Healthy~ Darla 

Receive My Stay Healthy Nutrition Guide as a Free Gift and Thank you when you donate to Stay Healthy Fitness...