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In another milestone commitment to community health, ChristianaCare today announced a $1.6 million investment in 25 local nonprofits, unveiling the recipients of its Community Investment Fund during a special celebration at The Ministry of Caring in Wilmington. Since 2019, ChristianaCare’s Community Investment Fund has provided more than $5.6 million to 64 organizations, addressing social, behavioral and environmental health factors. ”ChristianaCare is empowering and supporting our nonprofit partners so they can help meet the many needs of the people they serve, and work with us to improve patient health and create healthy communities and a healthy Delaware,” said Bettina Tweardy Riveros, chief health equity officer at ChristianaCare. This year’s recipients received funding to support health improvement initiatives in neighboring communities and address critical issues and community needs. “Each of these recipients is making a significant and positive impact by addressing critical health challenges throughout our communities, including food insecurity, housing insecurity and environmental health. At ChristianaCare, we are honored to be joining forces with these 25 organizations to provide them with more resources so that they do more for those in need. It is another way we care for our community,” she said. The funded initiatives will be implemented throughout the upcoming year and were selected based on the quality of applicants’ proposals and implementation plans, and on the alignment of their proposals with the critical issues prioritized by the community in ChristianaCare’s Community Health Needs Assessment and Community Health Implementation Plan. Recipient Spotlight: Healthy Food for Healthy Kids "The impact of ChristianaCare’s 2024 Community Investment Awards funds on Healthy Foods for Healthy Kids will be felt not only in 2025 but for years to come. This funding will expand our program to an additional school, serving over 600 more students, and support data and research for future growth." Healthy Food for Healthy Kids, Lydia Sarson, Executive Director. Recipient Spotlight: Project New Start “Approximately 85% of the justice-involved individuals served by Project New Start are housing and food insecure. With ChristianaCare’s 2024 Community Investment Fund Award to Project New Start, which began 11/01/24, we have already been able to assist 23 individuals with clothing and household goods; 20 individuals with transportation assistance; 17 individuals with food support; and 7 individuals with housing as of 12/31/24. The impact of these funds cannot be overstated as this investment by ChristianaCare provides Project New Start the means to provide the critical basic needs an individual requires to live with dignity without the trauma of worrying about where they will sleep, how they will eat and how they can sustain employment. We are so grateful to ChristianaCare for their ongoing support.” Priscilla Turgon, Founder and Executive Director of Project New Start, Inc. Recipient Spotlight: YMCA of Delaware - Central YMCA Supportive Housing Program “The Central YMCA Supportive Housing Program, in partnership with Christiana Care, serves low-income men at risk of homelessness who often face trauma, addiction, disabilities or lack of family support. Through stable housing, nutritious meals, welcome packages, rental assistance and supportive activities, the program fosters community wellbeing, improves health outcomes, prevents homelessness and empowers residents to achieve self-sufficiency.” Jimia Redden, Executive Director of Housing. This year’s Community Investment Fund recipients are: • AIDS Delaware: AIDS Delaware’s mission is to eliminate the spread and stigma of HIV/AIDS, improve the lives of those living with HIV/AIDS and promote community health through comprehensive and culturally sensitive services, education programs and advocacy. • Black Mothers in Power: Black Mothers in Power seeks to eradicate racial health disparities for Black birthing people and Black babies throughout Delaware. • Boys & Girls Club of DE: Boys & Girls Clubs of Delaware inspires and enables young people, especially those most in need, to reach their full potential as productive, responsible, caring citizens. • Children and Families First DE: Children & Families First is one of Delaware's oldest and most trusted non-profit leaders in providing the supports and services children and their families need to thrive. • Claymont Community Center - Brandywine Resource Council: Claymont Community Center is a base for a variety of community organizations supporting educational, social, recreational, cultural, personal development, financial and wellness needs. • Delaware Center for Horticulture: The Delaware Center for Horticulture cultivates greener communities by inspiring appreciation and improvement of the environment through horticulture, education and conservation. • Delaware Futures, Inc: Delaware Futures empowers at-promise high school and middle school youth across the state of Delaware by providing year-round, trauma-informed curricula tailored to students at each grade level. • Delaware Nature Society: Delaware Nature Society connects people and nature to create a healthy environment for all through education, conservation and advocacy. • Do Care Doula: Do Care Doula provides grant-funded Doula training and development, subsidized Doula support and a variety of community outreach programs. • Healthy Food for Healthy Kids: Healthy Food for Healthy Kids supports educators in Delaware, bringing life-lasting benefits of gardening and good nutrition to kids. • Jefferson Street Center: The mission of JSC is to advance community-driven priorities in Northwest Wilmington that promote the conditions necessary for all residents to thrive. • Latin American Community Center: LACC seeks to empower members to become contributing members of society through advocacy and offers programs and services to anyone ages of one to 101. • Milford Housing Development Corporation: Milford Housing Development Corporation is a value-driven, nonprofit, affordable housing developer, providing services throughout Delaware. Its mission is to provide decent, safe, affordable housing solutions to people of modest means. • Ministry of Caring: Since Brother Ronald began the ministry in 1977 with the first shelter for homeless women on the Delmarva Peninsula, the Ministry has worked ceaselessly to ease the needs and struggles of our neighbors. • ONCOR Coalition: ONCOR’s vision is to build and promote spaces that connect people to the city and each other. It promotes positive relationships through community-based educational programs and recreational opportunities. • Our Daily Bread Dining Room of MOT: ODB is the only soup kitchen in the Middletown, Odessa and Townsend region. ODB is a volunteer run organization with over 300 volunteers. Volunteers help purchase and pick up food and ingredients, prepare and serve meals and clean and maintain the facility. • Project New Start: Project New Start provides a comprehensive cognitive behavioral change/workforce development initiative for individuals transitioning out of state and federal institutions. • Ray of Hope Mission Center: Ray of Hope’s mission is to recognize and address the needs of those who are struggling within our community and assist them in their efforts to provide for themselves and their families, both physically and spiritually. • St. Patrick's Center: Serving people in Wilmington’s East Side neighborhood since 1971, St. Patrick’s Center is a nonprofit organization that operates a Senior Center, and provides meals, groceries, clothing, paratransit and social service support to the public. • The Resurrection Center: The purpose of the Resurrection Center is to spread the gospel of Jesus Christ and create a spirit-filled environment that hungers for the Gospel and to serve as liberating agents in the midst of the world. • Voices of Hope: Voices of Hope’s mission is to empower lives and foster recovery. The nonprofit is dedicated to supporting individuals and families facing substance use disorder. Through compassion, education and community engagement, Voices of Hope strives to break the chains of addiction, promoting a healthier, brighter future for all. • West End Neighborhood House: At West End Neighborhood House, staff, clients, volunteers and donors work together to resolve complex social challenges throughout Delaware. Through outcomes-driven programming, the West End Neighborhood House provide support that meets community needs in finances, housing, education, employment and family services. • Westside Family Healthcare: Westside Family Healthcare is a community-minded, non-partisan health center located in Delaware. Westside opened its doors in 1988 and has maintained status as a Federally Qualified Health Center since 1994. • Wilmington HOPE Commission Inc.: The Hope Commission is a reentry program that helps formerly incarcerated men return to their community. It offers support services that address factors known to lead to repeat offenses. • YMCA of Delaware: The Central YMCA Supportive Housing Program offers housing for men aged 18 and older. Residents benefit from dorm-style accommodations, discounted access to the fitness center and connections to a range of health and human service providers in partnership with the YMCA.

Annual Healthy Georgia Report looks at public health in the Peach State
The fourth edition of the “Healthy Georgia: Our State of Public Health” report has been released by the Institute of Public and Preventive Health in Augusta University’s School of Public Health. Within the 64 pages of the report is a snapshot of how healthy Georgians are compared to citizens across the 12 states that make up the Southeastern Region (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia and West Virginia) and the entire United States. The 2025 edition addresses 31 health topics and has been expanded this year to include multimorbidity; long COVID-19; HIV, chlamydia, gonorrhea and syphilis infection rates; opioid and methamphetamine drug use; suicides; and vaping. Biplab Datta, PhD, assistant professor in the Department of Health Management, Economics, and Policy in SPH, heads up the team of IPPH faculty and staff who create the report each year. Datta credits Jen Jaremski, research associate, and Kit Wooten, public health analyst, with handling much of the work of bringing the report to life. Together, Jaremski and Wooten collected and organized all of the needed assets and organized the 64-page document, preparing it for print and the web. “Every year we strive to present data in a way that policymakers may find helpful in making policy choices,” Datta said. “There are several new topics that were added to this year’s report and some of those are concerning for the state of Georgia, particularly the communicable diseases like HIV, chlamydia, gonorrhea and syphilis. High prevalence rates of these conditions in Georgia, compared to the rest of the U.S. and the Southeastern Region, warrant attention of the public health community.” Georgia has the second-highest rate of HIV infections in the U.S., fourth-highest rates of gonorrhea, sixth-highest for chlamydia and 13th for syphilis. Something that is also new in this year’s report is a comparison of numbers from 2019, or before the COVID-19 pandemic began, compared to after the pandemic for certain conditions. Also coming out of the pandemic, the report looks at how long COVID has affected Georgians, with the state ranking 24th in the nation for rates of long COVID. According to the U.S. Centers for Disease Control and Prevention, long COVID is defined as a chronic condition that occurs after COVID-19 infection and is present for at least three months. On top of looking at comparisons between Georgia and the Southeast and the nation, Datta noted a clearer picture is starting to emerge concerning the difference in urban and rural areas within the state. “For several chronic conditions, like hypertension, diabetes and multimorbidity, we clearly see a striking difference between rural and urban residents of Georgia,” Datta said. Hypertension affects 44.1% of adults in rural Georgia compared to 35% in urban areas, while diabetes affects 17.5% of adults in rural Georgia compared to 12.3% of those in urban areas. Hypertension and diabetes are major risk factors for cardiovascular disease, which affects 12.2% of adults in rural areas compared to 8.3% of adults in urban areas of Georgia. “Hypertension and diabetes are the major risk factors for heart disease, which is the leading cause of death in the U.S. and worldwide, so these are some concerning numbers to see,” Datta said. Multimorbidity, which is when a person has multiple chronic conditions, including obesity, asthma, chronic obstructive pulmonary disease, depression, kidney disease, diabetes, hypertension, high cholesterol, cardiovascular disease, cancer, skin cancer and arthritis, affects 57.4% of adults in rural Georgia compared to 49% of adults in urban areas of the state. These rates are significantly lower than the rest of the Southeast but on par with the rest of the country. When comparing Georgia to the U.S. national average, adults in Georgia have lower rates of cancer and methamphetamine use but higher rates of childhood asthma and adult obesity. At the same time, rates of adult asthma and adult obesity among Georgians were comparable to the averages seen in the Southeast. Interestingly, while adult health insurance coverage was significantly lower than the U.S. national and Southeast Regional averages, the child health insurance coverage in Georgia was comparable to both national and regional averages. The Healthy Georgia Report is the only report of its kind in the state Looking to know more or connect with Biplab Datta, PhD? Then let us help. Dr. Datta is available to speak with media regarding this important topic. Simply click on his icon now to arrange an interview today.

Supply chain disruptions cost organizations an estimated $184 billion annually, according to Swiss Re. A recent survey of 2,000 European shipping customers by logistics giant Maersk revealed that 76% experienced supply chain disruptions that delayed their business operations in the past year, with 22% reporting more than 20 disruptive incidents in the same period. These figures underscore the growing businesses’ growing vulnerabilities, as detailed in the 2025 J.S. Held Global Risk Report, which outlines how companies worldwide must adapt to an increasingly complex and volatile supply chain landscape. As highlighted in the 2025 Global Risk Report, modern supply chain disruptions stem from a range of factors, including climate change, natural disasters, cyberattacks, fraud, and geopolitical instability. Conflicts such as the Russia-Ukraine war and tensions in the Middle East continue to exacerbate these challenges. Gone are the days when companies could shift blame to suppliers without accountability. The globalization of supply chains has made them increasingly susceptible to cyber incidents, material shortages, and regulatory scrutiny. Consumers and governments alike are demanding greater transparency, pushing companies to disclose where products come from, how they are sourced, and whether their manufacturing processes harm people or the environment. The 2025 Global Risk Report notes that in response, governments worldwide have introduced stricter regulations, particularly in the European Union, where new and existing legislation is enforcing greater oversight and compliance. “As consumers, governments, and corporations acknowledge the effects of supply chain risks, transparency and due diligence will become more critical to the internal compliance structure of global businesses,” said Vice President of Sustainability Andrea Korney. “The enactment and greater enforcement of laws focused on sustainability issues have increased the obligations on companies to examine the sources and actions of their suppliers and how it all impacts the entire value chain.” In the 2025 J.S. Held Global Risk Report, multidimensional experts who combine scientific, technical, financial, and risk management expertise identify and explore key business risks shaping the future of supply chain resilience, including: Geopolitical instability Natural disasters and climate science Maritime route disruptions Regulatory fragmentation Cybersecurity threats Trade and tariff threats Critical minerals dependency Financial risks and fraud J.S. Held environmental risk and compliance expert John Peiserich, Esq., observes, “These risks are no longer hypothetical—they are actively reshaping the business landscape. Organizations that fail to anticipate and mitigate these challenges risk operational disruptions, financial losses, and reputational damage.” For businesses seeking to build resilient supply chains, the 2025 J.S. Held Global Risk Report serves as an important guide, providing expert insights and data-driven analysis to help companies navigate the evolving risk landscape. J.S. Held experts serve as trusted advisors to global clients on these and other risks, crafting business strategies, leveraging technology seeking to mitigate risk, and optimizing business opportunities to build resilience in an era of uncertainty. Supply chain risk is just one of the five key areas analyzed in the J.S. Held 2025 Global Risk Report. Other topics include sustainability, the rise of crypto and digital assets, AI and data regulations, and managing cyber risk. If you have any questions or would like to further discuss the risks and opportunities outlined in the report, please email GlobalRiskReport@jsheld.com. To connect with Andrea Korney or John Peiserich simply click on either expert's icon now. For any other media inquiries - simply contact : Kristi L. Stathis, J.S. Held +1 786 833 4864 Kristi.Stathis@JSHeld.com

Researchers looked at trust in scientists in 68 countries and found relatively high levels of trust everywhere The TISP Many Labs study of 71,922 people included those living in under-researched nations of the Global South The majority of survey participants believe that scientists should be more involved in society and policymaking. Public trust in scientists is still high, according to a survey carried out in 68 countries by an international team of 241 researchers, led by Dr Viktoria Cologna (Harvard University, ETH Zurich) and Dr Niels Mede (University of Zurich). The study found no evidence of the oft-repeated claim of a crisis of trust in science. The team, which included Aston University School of Psychology’s Dr James Reynolds and Dr Charlotte Pennington, also found that the majority of survey participants believed that scientists should be more involved in society and policymaking. This study is the result of the Trust in Science and Science-Related Populism (TISP) Many Labs study, a collaborative effort that allowed the authors to survey 71,922 people in 68 countries, including many under-researched countries in the ‘Global South’. For the first time since the COVID-19 pandemic, the study provides global, representative survey data on the populations and regions of the world in which researchers are perceived to be most trustworthy, the extent to which they should engage with the public and whether science is prioritising important research issues. Dr Mede said: “The study is the most comprehensive post-pandemic snapshot of trust in scientists, societal expectations of their involvement in society and policymaking and public views on research priorities.” Across 68 countries, the study finds that the majority of the public has a relatively high level of trust in scientists (mean trust level = 3.62, on a scale of 1 = very low trust to 5 = very high trust). The majority of respondents also perceive scientists as qualified (78%), honest (57%) and concerned about people’s wellbeing (56%). However, the results also reveal some areas of concern. Globally, less than half of respondents (42%) believe that scientists pay attention to the views of others. Additionally, many people felt that the priorities of science are not always well-aligned with their own priorities. The researchers call upon scientists to take the results seriously and find ways to be more receptive to feedback and more open to dialogue. The findings confirm the results of previous studies that show significant differences between countries and population groups. In particular, people with right-wing political views in Western countries tend to have less trust in scientists than those with left-wing views. This suggests that attitudes toward science tend to polarise along political lines. In most countries, however, political orientation and trust in scientists were not related. A majority of respondents want science to play an active role in society and policymaking. Globally, 83% of respondents believe that scientists should communicate with the public about science, providing an impetus for increased science communication efforts. Only a minority (23%) believe that scientists should not actively advocate for specific policies. 52% believe that scientists should be more involved in the policymaking process. Participants gave high priority to research to improve public health, solve energy problems and reduce poverty. On the other hand, research to develop defence and military technology was given a lower priority. In fact, participants explicitly believe that science is prioritising the development of defence and military technology more than they would like, highlighting a potential misalignment between public and scientific priorities. Dr Cologna said: “Our results show that most people in most countries have relatively high trust in scientists and want them to play an active role in society and policymaking”. Dr Reynolds, a senior lecturer at Aston University School of Psychology, said: “This research demonstrates that people from all around the globe still have high trust in science and want scientists involved in policymaking. When we face great challenges, such as threats to public health or energy crises, the public recognise the importance that scientists can play and want us involved. This is also true of the UK where levels of public trust in science is one of the highest globally.” Dr Pennington, a senior lecturer at Aston University School of Psychology, said: “This project showcases the importance and power of big team science to answer fundamental questions about human behaviour. By pooling our expertise and resources, we were able to reach over 70,000 people and improve sample diversity and representation by recruiting from 68 countries. Overall, the study resulted in an optimistic finding – that people generally trust scientists and agree that they should engage more in society and policymaking. Such trust is important because it allows people to make research-informed decisions about their own lives.” Find out more about the research in Nature Human Behaviour by visiting https://www.nature.com/articles/s41562-024-02090-5.

J.S. Held Experts Examine Sustainability Investments and Headwinds in Annual Global Risk Report
In the 2025 J.S. Held Global Risk Report, scientific, technical, financial, and risk management experts explore the implementation of new and existing Environmental, Social & Governance (ESG) regulations across different regions along with significant compliance challenges for organizations operating on a global scale. As sustainability continues to be a critical issue worldwide, businesses are facing an increasingly complex regulatory landscape. While some jurisdictions are advancing sustainability frameworks, others, most notably the United States, are likely to see new environmental and energy policies which disfavor sustainability advancements as reflected by recent executive orders following the change in administrations. The European Union’s Corporate Sustainability Due Diligence Directive (CS3D), adopted in 2024, is a landmark regulation requiring both EU and non-EU companies to conduct due diligence to identify and prevent adverse environmental and human rights impacts throughout their operations and supply chains. J.S. Held environmental risk and compliance expert John Peiserich, Esq., observes, “Compliance with CS3D poses significant challenges for multinational corporations, especially those selling into the EU market, as they navigate conflicting regulatory requirements across jurisdictions.” In the United States, ESG-related policies have become a polarizing issue. Some states have mandated ESG criteria—such as climate risk assessments—for state-related investment decisions, while others have actively opposed such measures. Kim Logue Ortega, Associate Vice President at J.S. Held, adds, “Despite these contrasting approaches, businesses must continue addressing sustainability concerns, as environmental considerations are increasingly tied to permitting and regulatory approvals.” Following the June, 2024 United States Supreme Court ruling in Loper Bright, a team of environmental risk experts at the Verdantix Green Quadrant recognized consultancy J.S. Held, examined in Crosscurrents: Companies Face Regulatory Uncertainties in Wake of SCOTUS Decisions, how the Supreme Court further complicated the regulatory environment by undermining agency authority to define compliance standards. This ruling is expected to lead to increased legal challenges to environmental and sustainability-related regulations, adding further uncertainty for businesses seeking to comply with evolving standards. With the second Trump administration expected to roll back key environmental justice directives and sustainability-related incentives introduced under the previous Administration, businesses must remain vigilant in monitoring regulatory developments. Strategic planning and proactive risk management will be crucial for navigating the evolving ESG landscape and maintaining compliance across multiple jurisdictions. J.S. Held experts present insights into how organizations can align with evolving frameworks while driving innovation and managing risk, as they explore: 1. EU Corporate Sustainability Due Diligence Directive, where non-compliance could lead to fines and civil liability, necessitating companies to rigorously assess environmental and human right impacts. 2. Regulatory Fragmentation and Greenwashing / Greenhushing, summoning businesses to avoid exaggerated or underreported sustainability claims to mitigate the rising threat of litigation and regulatory scrutiny. 3. Shareholder Activism and Litigation, as investors demand greater transparency on sustainability goals, which may present legal consequences for failing to meet expectations. One week into the new Administration in the United States, the anticipated rollback of environmental justice directives and sustainability-related incentives introduced under the previous Administration have begun to take shape in the form of various Executive Actions and other directives. J.S. Held experts are actively monitoring regulatory developments, providing strategic guidance to multinational clients as they navigate the evolving ESG landscape and compliance requirements across multiple jurisdictions. Sustainability is just one of the five key areas analyzed in the J.S. Held 2025 Global Risk Report. Other topics include global supply chain challenges, the rise of crypto and digital assets, AI and data regulations, and managing cyber risk. If you have any questions or would like to further discuss the risks and opportunities outlined in the report, please email GlobalRiskReport@jsheld.com. For any other media inquiries - simply contact : Kristi L. Stathis, J.S. Held +1 786 833 4864 Kristi.Stathis@JSHeld.com

Lingam, Mirsayar, van Woesik Recognized as ‘Top Scholars’ by ScholarGPS
Florida Tech faculty members Manasvi Lingam, Mirmilad Mirsayar and Robert van Woesik were named “Top Scholars” by ScholarGPS for their contributions to academia over the last five years. Lingam, who studies astrobiology in the Department of Aerospace, Physics and Space Sciences, was ranked No. 9,562 in the world across all disciplines and nearly 15 million ranked scholars, placing him in the top 0.06% of the platform’s scholars globally. He faired strongly in other areas, including: No. 1,919 (0.1%) among 1.9 million scholars in physical sciences and mathematics No. 491 (0.09%) among 545,000 scholars in physics No. 42 (0.31%) among 13,590 scholars in the specialty area planets ScholarGPS cited Lingam’s strong publication record, the impact of his work and the notable quality of his scholarly contributions. He’s published 50 times since 2020, exploring the possible origins, evolution and future of life in the universe. Mirsayar, who studies aerospace engineering, was ranked No. 35,155 across all disciplines and nearly 15 million ranked scholars, placing him in the top 0.24% of scholars globally. He’s published 11 times between 2020-2023, covering topics such as fracture mechanics and solid mechanics. Other highlights include: No. 6 (0.06%) among 8,601 scholars in fracture mechanics No. 49 (1.7%) among 2,879 scholars in solid mechanics No. 315 (1.8%) among 16,847 scholars in reinforced concrete Van Woesik, who studies coral reef ecology, was ranked No. 58,081 across disciplines, putting him in the top 0.39% of nearly 15 million scholars globally. He’s had 22 publications since 2020, covering topics such as coral bleaching, thermal stress and climate change. Van Woesik, who studies coral reef ecology, was ranked No. 58,081 across disciplines, putting him in the top 0.39% of nearly 15 million scholars globally. He’s had 22 publications since 2020, covering topics such as coral bleaching, thermal stress and climate change. Other highlights include: No. 5,282 (0.32%) among 1.7 million scholars in life sciences No. 336 (0.38%) among 88,930 scholars of ecology and evolutionary biology No. 191 (0.95%) among 19,998 scholars of global change. ScholarGPS uses artificial intelligence and data mining technologies to rank individuals, academic institutions and programs. Scholars are ranked by their number of publications, their citations, their h-index and their ScholarGPS® Ranks, which includes all three metrics. If you're interested in connecting with Manasvi Lingam, Robert van Woesik and Mirmilad Mirsayar- simply contact Adam Lowenstein, Director of Media Communications at Florida Institute of Technology at adam@fit.edu to arrange an interview today.

ChristianaCare Reduces Health Care Costs by $6.2 Million While Improving Care for Medicaid Patients
ChristianaCare’s Delaware Medicaid Partners Accountable Care Organization (ACO) has set the standard for innovative, high-quality care at lower cost for the State of Delaware’s Medicaid population. According to the most recent data available, ChristianaCare’s ACO reduced health care spending by $6.2 million in 2023 while improving care for nearly 30,000 Medicaid beneficiaries in Delaware, including approximately 8,000 children. “We’re demonstrating that population health works,” said Christine Donohue-Henry, M.D., MBA, chief population health officer, ChristianaCare. “Our neighbors count on us to take care of them — and we can improve their health while also helping the state reduce health care costs. We do this by delivering high-quality care that emphasizes preventive care and proactive management of health conditions, and by investing in our population health infrastructure. “In this way, we can keep people healthier and reduce the need for them to access the most expensive kinds of care, such as emergency care and hospitalization.” ChristianaCare’s Medicaid ACO includes more than 1,900 primary and specialty care clinicians who partner with patients and families to prevent illness, manage chronic diseases and help them achieve their health goals. The ACO makes it easy for adults and children to get the screenings and treatments they need, improving overall health. ChristianaCare’s Medicaid ACO is one of four authorized by the State of Delaware and the only one to voluntarily accept downside financial risk at its launch in 2021, which means that if ChristianaCare’s Medicaid ACO is not successful in reducing cost and improving care for a particular year, the ChristianaCare ACO is required to make a payment to the state. By sharing in both savings and losses, the ACO controls state health care costs while maintaining high-quality care. Bending the Cost Curve by Focusing on High-Quality Preventive Care Alongside financial savings, ChristianaCare’s Medicaid ACO has improved care quality and worked to reduce health disparities. By focusing on preventive care, the ACO has helped adults and children get the screenings and treatment they need, leading to better health outcomes and fewer unmet needs. Since launching in 2021, ChristianaCare’s ACO has met all required quality standards and consistently improved its performance each year on key measures like diabetes management, blood pressure control and breast cancer prevention. Year over year, breast cancer screenings have increased by 4%, while patients with high blood pressure (hypertension) have shown improvement in blood pressure control. Notably, healthy blood sugar levels (HbA1c less than 8%) have also improved in patients with diabetes by 7%. In collaboration with its Medicaid health plan partners, ChristianaCare primary care and imaging teams host patient-centered health and wellness day events to increase access to care, close quality gaps and improve the overall health of the communities they serve. These events help patients get preventive screenings and services, supporting the ACO’s goals of better care and health equity. The ACO’s success is driven by its focus on caring for entire families, including addressing the needs of pregnant mothers and supporting children and adults throughout their lives, according to Rose Kakoza, M.D., MPH, senior clinical network director, ChristianaCare Clinical Alliance. Key programs include enhanced maternity care to support mothers and infants, expanded mental health services and social support programs that address food and housing needs. By integrating clinical care with social support — such as help with food and housing — the ACO is working to break cycles of poor health across generations. This approach also has practical benefits. For example, the improved mental health of a parent strengthens the family environment, supporting children’s well-being and development. “By making significant investments in population health and addressing both medical needs and the social drivers of health, we’ve not only improved health outcomes but also more effectively managed costs for Delaware’s most vulnerable residents, helping to reduce state spending,” Kakoza said. About Delaware Medicaid Partners Delaware Medicaid Partners ACO, led by ChristianaCare, uses a family-centered approach to save money and improve care for Medicaid patients. By combining medical care with social support, the ACO addresses the unique needs of Medicaid patients, improving health and promoting equity. Care coordination is provided by ChristianaCare’s CareVio®, whose team of nurses, social workers, and pharmacists help patients with serious health conditions get the care they need. CareVio uses real-time data to prevent complications that could lead to unnecessary hospital stays or emergency visits. Through ongoing collaboration and innovation, Delaware Medicaid Partners ACO aims to set an example for other states working to improve care while managing costs.

J.S. Held Releases 2025 Global Risk Report Addressing Critical Risks Amid Uncertainty
On the first day of the new presidential administration in the United States, global consulting firm J.S. Held unveils its annual report focused on critical areas impacting industries and economies worldwide. Explore the 2025 J.S. Held Global Risk Report here: In an increasingly uncertain and volatile global landscape, businesses, governments, and investors face a growing array of challenges that demand immediate attention and innovative solutions. The 2025 J.S. Held Global Risk Report explores five interconnected topics that organizations must consider in managing risk and opportunity in the year ahead. These include: 1. Sustainability Investments & Headwinds: With various ESG regulations across jurisdictions and increasing scrutiny over corporate environmental and social practices, experts explore how organizations can align with evolving frameworks while driving innovation. 2. Global Supply Chain Challenges: From geopolitical conflicts to climate disruptions, the report analyzes how companies can build more resilient and sustainable supply chains. 3. Crypto & Digital Asset Intensification: As the crypto landscape transitions through regulatory shifts and technological advancements, the report highlights both the risks and opportunities for businesses and investors. 4. Artificial Intelligence, Data & Digital Regulatory Response: With Artificial Intelligence (AI) systems reshaping industries, experts examine the regulatory, ethical, and operational challenges, as well as the competitive advantages for organizations that harness this transformative technology responsibly. 5. Cybersecurity Complexities: From AI-powered cyberattacks to evolving data protection laws, the report provides insights into how organizations can safeguard operations and maintain customer trust in a rapidly shifting digital environment. The 2025 J.S. Held Global Risk Report includes an analysis of these categories of risk and actionable opportunities for companies to gain a competitive edge while addressing critical vulnerabilities. “The 25 technical, scientific, financial, and strategic advisory experts who contributed to the J.S. Held Global Risk Report have collaboratively parsed not only each risk independently but also at their unique points of intersection to create a framework to support business decision-making,” noted Greg Esslinger, Executive Vice President and Global Investigations Practice Leader. “Our experts’ deep understanding of the external factors related to the topics that keep CEOs, CFOs, COOs, CLOs, and Boards of Directors up at night drives the curated insights shared in the report and helps clients navigate risks and capitalize on emerging opportunities in the year ahead,” adds John Peiserich, Esq., Executive Vice President and Environmental, Health, & Safety Practice Leader. The depth and breadth of J.S. Held’s work in the insurance market provides a strong foundation in risk assessment, data analysis, global awareness, regulatory compliance, technological adaptability, and risk mitigation. Collectively, these skills better equip the firm’s experts to assess business risk across diverse geographies, geopolitical landscapes, compliance frameworks, and digital advancements. "In a world where uncertainty is the only constant, there is a need for something solid you can hold onto," observes J.S. Held Chief Executive Officer Jonathon Held. "Our name is our promise," he adds. "Our role as strategic advisor is emblematic of this promise, even in the face of the most daunting risks, clients have the expertise and guidance to act with confidence" "Agile, collaborative, and creative client-centric teams provide solution-forward advisory to our clients across the globe, no matter the scope or complexity of a project; the J.S. Held Global Risk Report is reflective of the trusted advisor role we have earned over the last 50 years," noted J.S. Held President and Chief Operating Officer Lee Spirer. J.S. Held's expertise in strategic advisory is built upon five decades of experience in the most rigorous venues – state, federal, and international courts – and spans more than 150 different industry segments. If you have any questions or would like to further discuss the risks and opportunities outlined in the report, please email GlobalRiskReport@jsheld.com. To connect with John Peiserich simply click on the expert's icon now. For any other media inquiries - simply contact : Kristi L. Stathis, J.S. Held +1 786 833 4864 Kristi.Stathis@JSHeld.com
More than half of U.S. states allow the sale of raw milk directly from farms to consumers, a number that would likely increase if Robert F. Kennedy Jr. – a raw milk advocate – is confirmed to lead the Department of Health and Human Services (DHHS). Kali Kniel, a professor of microbial food safety at the University of Delaware, can discuss the dangers and potential benefits of drinking raw milk. Some have celebrated the legalization of raw milk around the country, claiming it tastes better and has some nutritional benefits. Meanwhile, the U.S. Food and Drug Administration, one of the DHHS agencies Kennedy would lead, cautions against drinking raw milk, which comes directly from cows, sheep or goats and has been banned from being sold across state lines since the 1980s. Concerns regarding raw milk have been elevated as a deadly strain of bird flu is infecting dairy farms around the country. In the following Q&A, Kniel talks about the pathogens that may be present in raw milk, ways to communicate food safety to the public and other topics. Milk and other dairy products that sit on shelves at the grocery store are pasteurized. What does this process involve and why is it important for dairy products? Pasteurization of milk is a process of heating milk and passing it between heated stainless steel plates until it reaches 161 degrees Fahrenheit. It is held at that temperature for around 15 seconds before it is quickly cooled to 39 degrees Fahrenheit. This process is intended to kill the pathogenic bacteria that could make a person sick. How does this process affect milk’s quality and nutritional value? Scientific studies have shown that pasteurization does not significantly change the nutritional value of milk. Unpasteurized milk may have more vitamin C, which does not survive the pasteurization process, but milk is not considered a good source of vitamin C, as it contains less than 10% of the Recommended Dietary Allowance (RDA), the average amount of nutrients it takes to meet a healthy person’s needs. There are no beneficial bacteria in raw milk. Milk (pasteurized or raw) is not a good source of probiotic or potentially beneficial bacteria, so for that consumers should choose yogurt and other fermented dairy products as well as other fermented products. Scientific studies using animal models have shown no difference in how calcium in raw milk and pasteurized milk is absorbed by the human body. Popularity in drinking raw milk is increasing, despite the U.S. Food and Drug Administration advising that it’s not safe to drink. What are the health risks that come with drinking raw milk? Raw milk may contain pathogenic bacteria, including Campylobacter, Salmonella, pathogenic types of E. coli, Listeria and Brucella, as well as the protozoan parasite Cryptosporidium. These are all zoonotic microbes, which means they can be transmitted from animals to humans. Often the animal does not appear ill, so it is not possible to determine if an ill animal is shedding these pathogens in its feces that can contaminate milk. Microbial testing of the finished product and environmental monitoring programs may be helpful, but do not guarantee that the raw milk is absent of these pathogens. Milk can be contaminated with these pathogens from direct contamination with feces or from environmental conditions. Cross-contamination from dairy workers can also happen, even when people are trying their best to reduce the risk of cross-contamination. The likelihood of a disease outbreak occurring associated with a person consuming raw milk is relatively high given that others may also be exposed. Unpasteurized milk will have a relatively short shelf life and may not be available for testing. Following good hygiene practices on the farm and during milking such as biosecurity around the farm, appropriately sanitizing equipment and monitoring the health of animals can reduce the chance of milk contamination, but not eliminate it. There have been numerous outbreaks of illness associated with raw milk as well as cheese made from raw milk. Persons most at risk of illness associated with drinking raw milk include children, in particular 5 years of age and under, individuals aged 65 and over, pregnant women and immunocompromised individuals. It should be noted that all outbreaks of illness associated with raw milk have included individuals under 19 years of age. Children may be most vulnerable, as they cannot voice an opinion on consumption and risk of raw milk if it is in their household. The Center for Disease Control and Prevention (CDC) collects data on foodborne disease outbreaks voluntarily reported by state, local or territorial health departments. According to the CDC from 2013 to 2018 there were 75 outbreaks of illness linked to raw milk consumption. These outbreaks include 675 illnesses and 98 hospitalizations. Most of these illnesses were caused by Campylobacter, shiga-toxigenic E. coli, or Salmonella. An increase in outbreaks has been correlated with changes in the availability of raw milk. For example, between 2009 and 2023, there were 25 documented outbreaks in the state of Utah, which has 16 raw milk retailers licensed by the Utah Department of Agriculture and Food. In all of these outbreaks, the raw milk was contaminated with the bacteria Campylobacter, which typically causes gastroenteritis symptoms like diarrhea and nausea, but may also cause chronic illness, including Guillain-Barré syndrome which can cause paralysis. How likely are these illnesses to happen from drinking raw milk? It is difficult to say. Foodborne illness is often underreported, depending on how severe people’s symptoms are. According to one study, only about 3.2% of the U.S. population drinks raw milk, while about 1.6% eats cheese made from raw milk. But compared with consumers of pasteurized dairy products, they are 840 times more likely to experience an illness and 45 times more likely to be hospitalized. The authors of this work used the CDC’s national reporting system to analyze data from 2009 to 2014. Despite health risks, why do some people still drink raw milk? Some people feel a nostalgic connection to raw milk, and others may feel that foods that are not treated with heat retain certain nutrients and enzymatic activity. I am not aware of any peer-reviewed rigorous scientific studies that indicate the nutritional benefits of consuming raw milk over time, given the risks of potential for illness, combined with a well balanced diet full of healthful food choices. It remains that raw milk is particularly risky for children to consume, as children can get sick from consuming fewer bacterial cells compared to adults. More than 900 cases of highly pathogenic avian influenza — the disease commonly known as bird flu — have been detected in dairy cattle across 16 states, and at least 40 people have been infected with the disease from close contact with dairy cows. Raw milk is being tested for the virus. With raw milk gaining interest among consumers, what are the possible consequences? Does it elevate the risk of bird flu spreading further to people? There remain clear risks of transmission of pathogenic bacteria through consumption of raw milk, and now with the potential for contamination of raw milk with avian influenza, it is even more important that consumers protect themselves by drinking pasteurized milk. The people most at risk right now are those involved with the milking process and in the handling of dairy cattle. So it is important that those individuals be aware of the risks and take appropriate precautions, including hand washing and wearing appropriate personal protective equipment like protective clothing, gloves, face shields and eye protection. As of December, the U.S. Department of Agriculture is requiring 13 states to share raw milk samples so the agency can test for bird flu viruses. How could this testing better help us understand the virus? I think it is very smart that USDA is leading the National Milk Testing Strategy, which will help us understand the extent of infected herds. Surveillance of microorganisms is an important way to assess risk so we can develop appropriate strategies to reduce and control these risks.

Image Credit: Petrovich9/Getty Images Plus Although time is a set duration of hours, minutes and seconds, the perception of time can vary dramatically based on the individual and especially during times of high stress and uncertainty such as disasters, recessions and most recently the COVID-19 lockdown. For example, ask anyone when a specific event occurred during the pandemic and they are likely to respond with, “That happened three months ago. Or did that happen three years ago?” While there have been studies on the feeling that there is not enough time or experiencing time as moving too slowly, Baylor University sociologists Matthew Andersson, Ph.D., and Paul Froese, Ph.D., investigated this sense of multifaceted time perceptions during the pandemic and their effects on mental well-being. Their findings – using national Gallup data collected in spring 2021 in the middle of the pandemic – were published in the journal Time & Society. “We know from existing research that people often experience time in altered ways whenever disasters strike, and we wanted to see if that was true during the pandemic as well,” Andersson said. The Baylor researchers found that Americans during the pandemic generally reported some degree of feeling rushed while also perceiving multiple types of time distortion involving slowness, quickness and days and weeks blending together. This disorientation also was frequently reported alongside other pandemic-related stressors, including economic strain, working from home, homeschooling a child and severe household conflict. Together, they complicated how people perceive time by disrupting routines and creating experiences of trauma, adding to the decline in mental well-being and an increase in feelings of loneliness. Time disorientation and mental well-being The top three findings of the study all demonstrate the connection between altered time perception and the mental states of an individual. “If time does not seem to be moving ‘normally,’ it is generally related to lower levels of mental well-being, such as increased depressive, anxiety symptoms or a lessened sense of control,” Andersson said. “We think this is because people tend to feel grounded or calm when they feel like time is moving as it should.” Secondly, the researchers found that individuals can often experience these time disorientations in multiple and contradictory ways, which can be related to even lower well-being. “Feeling rushed and feeling that time is slow are kind of opposites, but they are both related to having this sense of multifaceted blending of time,” Froese said. “We can show very clearly how these new stresses that were brought on by the pandemic created heightened senses of disorientation in terms of time.” More importantly, they found these time disorientations were affected by social, familial, physical and work situations, which created lower levels of mental well-being. “Specific forms of stress we were seeing during the pandemic, such as financial hardship, homeschooling, working from home and severe household conflict, all had relationships to experiencing different kinds of time distortions,” said Andersson. This was more evident in younger people “because it [lockdown] probably upended their daily routines in a much more dramatic way than it would have in somebody who's retired,” said Froese. Experience of time The rushed pace of industrialized society existed before the COVID-19 pandemic, but the stressors associated with the pandemic added to the feelings of time being out of control. “Our approach to capturing experiences of time rests on the assumption that individuals relate to time in complex ways,” Froese said. “We found original evidence to suggest that experiences of quickness, being rushed, slowness and indistinct boundaries of days all coincide, and that these multiple disorientations each relate to diminished mental wellbeing, to objective work and family demands, and to widespread exposures to pandemic-related stressors.” The survey was conducted as part of the Baylor Religion Survey, one of the most extensive national surveys of American religious beliefs, values and behaviors that produces unique data concerning religion, health and community in America today. The 2021 data collection by Gallup contained a section devoted to how the pandemic affected Americans’ activities, including how the pandemic changed the emotional lives of Americans. Looking to know more? We can help. Dr. Paul Froese is a professor of sociology and a research fellow for the Institute for Studies of Religion. He has been teaching and researching at Baylor since 2002. Dr. Matthew Andersson’s research focuses on health inequality as it unfolds across the life course. Specifically, he researches educational and socioeconomic inequalities in mental and physical well-being as they relate to childhood, adolescent and adulthood factors. Both experts are available to speak with media about this important topic - simply click on either expert's icon to arrange an interview time today.







