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#ExpertSpotlight: Mpox - are we ready?
As global health continues to navigate the challenges of infectious diseases, the re-emergence and spread of Monkeypox (now known as Mpox) underscores the ongoing threat posed by zoonotic viruses. This topic is critical not only because of its public health implications but also due to the broader issues it raises concerning global preparedness, vaccination strategies, and the socio-economic impact of outbreaks. The resurgence of Mpox, particularly in non-endemic regions, highlights the need for vigilant public health measures and cross-border cooperation to contain its spread. As the world remains focused on preventing another global health crisis, Mpox serves as a pertinent reminder of the interconnectedness of human, animal, and environmental health. Key story angles include: Vaccination strategies and public health response: Explore how different countries are deploying vaccines to control Mpox, and the challenges faced in achieving widespread immunity. Global health security and disease surveillance: Investigate the effectiveness of international disease surveillance systems in detecting and responding to outbreaks like Mpox, and the lessons learned from the COVID-19 pandemic. The role of zoonotic diseases in global pandemics: Examine the origins of Mpox as a zoonotic disease, and the broader implications for how human activities are influencing the spread of diseases from animals to humans. Impact on marginalized communities: Discuss how Mpox disproportionately affects marginalized populations, including those with limited access to healthcare, and the importance of equitable health interventions. Public communication and misinformation: Analyze the role of media and public health authorities in communicating accurate information about Mpox, combating misinformation, and educating the public about prevention and treatment. Economic implications of outbreaks: Examine the economic impact of Mpox outbreaks, particularly in regions where tourism, trade, and healthcare resources are significantly affected by public health crises. By addressing these angles, journalists can provide critical insights into the multifaceted impact of Mpox on global health, public safety, and socio-economic stability, contributing to a more informed and prepared public. Connect with an expert about Mpox: To search our full list of experts visit www.expertfile.com Photo Credit: National Institute of Allergy and Infectious Diseases
Teacher mindfulness doesn't begin on the first day of classes in the late summer or early fall. It is an invaluable skill that can be practiced and perfected all throughout the year, especially when teachers are on summer break. Leigh McLean is an an associate research professor in the School of Education and Center for Research in Educational and Social Policy at the University of Delaware. In her program of research, she investigates how teachers’ emotions and emotion-related experiences including well-being impact their effectiveness. Her work particularly focuses on how teachers’ emotions impact their instructional practices, and the role that early-career teachers’ emotions play as they transition into the career. She holds expertise in quantitative, mixed-methods, and longitudinal study design and implementation, multileveled data analysis, and classroom observation. Below she gives a few tips on how teachers can begin preparing themselves – and by extension their future students – for all the ups and downs of the upcoming school year. Engage in restorative rest this summer. One of the ways to prepare for the upcoming school year is to get restorative rest. It's important to let your brain disengage for a short time, but it's also beneficial to set aside time, before the school year begins, to think about the past school year. What went well? What might you want to do differently?? What techniques are you hoping to improve in the coming school year? As we as a society still reel from the COVID-19 pandemic, meaningfully reflect on the past four years and ask yourself what you've see with your students. What might they need to succeed this upcoming year? How can you facilitate an environment where students are getting supports for the unique challenges that the pandemic created? Incorporate mindfulness into your daily habit. A mindfulness practice is a daily regime of awareness, contemplation, and processing of all the things going on both within and outside of you. Mindfulness is a key skill when it comes to the larger goal of emotional understanding and regulation, and it has been shown to be a particularly helpful practice for teachers. However, you cannot expect to dive into mindfulness on day one of a new school year, it take practice. A great place to start is to pay attention to your emotions and work on emotional awareness in the weeks leading up to the school year. Shift your thinking fromo "emotions are noise that get in the way" to "My emotions are important signals that I have to pay attention to." This type of shift can be difficult to do for the first time in the heat of teaching so summer is a great time to practice these techniques. As educators, teachers experience the full range of human emotions every day, and they are usually the only adults in the room. While this might at the outset seem intimidating, teachers have the unique opportunity to use their emotions intentionally as cues for their students to pick up on. Dr. Jon Cooper, Director of Behavioral Health for the Colonial School District in New Castle, Delaware noted: "We want teachers to be the emotional thermostat, not the thermometer," and "We want them to intentionally set the emotional tone of the classroom." During the summer, think about how to set classroom norms and expectations to be responsive to your emotions and those of your students in a way that will create a more mindful classroom all around. This could look like including a classroom norm stating that aAll emotions are ok, even the bad ones. It could also look like acknowledging in your classroom management approaches that there is a difference between emotions and behaviors; so while all emotions are ok, not all behaviors that come from those emotions are ok. Take yourself through a school day and anticipate the needs of your students. One major mindfulness practice is taking yourself through a typical school day and identifying parts where students are most likely to have difficulties. Do students have challenging moments during small groups? Is there a lot of math anxiety going on in your class? Try structuring your day, approach, even your expressions so that you set yourself and your students up for success during these moments that are more likely to be challenging. Utilize mindfulness websites and apps. There are websites and apps teachers can use to further incorporate mindfulness into their daily lives, including: The Center for Healthy Minds UCLA's Free Mindfulness App For more tips... McLean is available for interviews and can expound on the ways teachers can set themselves – and their students – up for success. Click on her profile to connect.
Veronica Chandler’s north Wilmington home is her sanctuary, and it shows. From the soft instrumental music to the scent of lavender to the comfy seats that invite visitors to put up their feet, the message is clear – rest, relax, recharge. Original artwork by Veronica Chandler In this space, Chandler celebrates her rediscovered self, and it’s a journey she shares with all who visit. Part of the cozy feeling in her home comes from the artwork that lines the walls – mostly her own paintings and drawings created over the last six years as she navigates the challenges and triumphs of motherhood and discovers new ways to care for herself and those she loves. After experiencing anxiety, panic attacks and profound depression following the birth of her daughter in 2018, Chandler sought help at the ChristianaCare Center for Women’s Emotional Wellness, where a combination of medication and therapy helped her feel healthier and reconnected. She also returned to a former passion – art. “When I started painting, I found a way of silencing my brain, of calming it down. Being able to just focus on one thing on its own let my body regulate my nervous system,” she said. “I didn’t know what was happening to me. I just felt amazing.” More than ‘baby blues’ Perinatal mood and anxiety disorders are among the most common complications that occur in pregnancy or in the first year after delivery, according to the American College of Obstetricians and Gynecologists. Although many parents experience feelings of anxiety, fatigue and sadness in the first days with a new baby, postpartum depression can occur several months after childbirth. Symptoms are often more severe and can include extreme stress. Despite increased awareness efforts in recent years, perinatal mood and anxiety disorders – including postpartum depression, which occurs in up to 20% of all births – remain underdiagnosed, untreated or undertreated, even though the health impact extends beyond the person giving birth, said Malina Spirito, Psy.D., MEd, director of the Center for Women’s Emotional Wellness. The center opened in 2013 to help patients and their loved ones understand the challenges associated with perinatal mood and anxiety disorders. Since then, the program has tripled the number of clinicians and expanded services to include inpatient and outpatient consultations, ongoing psychotherapy and psychiatric medication management. “Just because we know something is common does not mean we have to put up with it, especially because the effects will be lasting if we don’t address them,” Spirito said. “Perinatal mood disorders have an impact on the overall health of a family. When a mom feels better, the relationships they have with the people around them are better as well.” Breaking the ‘super mom’ stereotype Looking back, Chandler recognizes her struggles with sleeping and anxiety following the birth of her first child may have been signs of postpartum depression. The symptoms went away only to return after her daughter was born two years later. Veronica Chandler sought help from the ChristianaCare Center for Women’s Emotional Wellness for postpartum depression. Caring for herself helped her rediscover her love of creating art. Although overjoyed by her growing family, Chandler deeply missed her mother, who lived in her native Ecuador. Added to those challenges were longer stays in the hospital for Chandler, who had a Caesarean section birth, and for her daughter, who had some minor health issues. In the weeks after giving birth, Chandler battled dizziness caused by anemia. Though exhausted by caring for a newborn, she couldn’t sleep. She constantly felt on edge, and her skin itched without relief. Worried when her symptoms didn’t abate after three months, Chandler’s husband broached the idea of postpartum depression. For Chandler, it was a relief another person noticed something was wrong, but she was scared to think about what might be needed to get better. “I think we’re programmed by our cultures and by our beliefs to think that we need to be ‘super moms’ and give everything we have,” said Chandler, who grew up in Ecuador and moved to the United States after marrying her husband. “I was in such a fog that I didn’t know I could still shine and be happy and content. The default for so many moms is to pour until there’s nothing left.” ‘Rediscovering who I was’ Chandler sought help at the Center for Women’s Emotional Wellness and soon began taking an anti-depressant as part of her treatment. She also saw a therapist to talk about the feelings she was experiencing. “Therapy was such a big part of this whole journey of rediscovering who I was. When you talk and someone listens, you figure things out,” Chandler said. While on a trip to Arizona with a cousin, Chandler discovered kachina dolls, a Native American art form often used to provide guidance to young people and instill the connection between nature and the spirit. The intricately designed images further fueled Chandler’s reignited passion for art. That passion helped Chandler manage the additional challenges brought on by the COVID-19 pandemic when her anxiety and depression resurfaced. Using painting, sculpture and other media, she has examined her own feelings relating to motherhood, family and society. Her work has been featured internationally in Vogue and closer to home in local art galleries. “Some people like to cook, and some people like to write. Art is my creative outlet that allowed me to come back to who I am,” she said. “We all have to release that creativity in some way.” Entering care sooner While the Center for Women’s Emotional Wellness has always focused on pregnant and postpartum patients, it has grown to address mental health needs related to preconception health, including artificial reproductive technology such as in vitro fertilization, Spirito said. The center also sees patients grieving a pregnancy or neonatal loss. More people are thinking about their mental health before they give birth, said Malina Spirito, Psy.D., MEd, director of the ChristianaCare Center for Women’s Emotional Wellness. “One of the most notable observations I’ve seen over the years is that birthing people are entering care sooner. It isn’t uncommon for women to seek out consultation prior to getting pregnant about how to manage their mood disorder should they become pregnant,” said Megan O’Hara, LCSW, a behavioral health therapist with the Center for Women’s Emotional Wellness. “Patients are educating themselves now and expecting their providers to consider their mental health as well as their physical health when getting care.” Women’s mental health care also has become more accessible, said Cynthia Guy, LMSW, MSCC, a women’s health behavioral consultant with the Center for Women’s Emotional Wellness. Behavioral health services are available in every ChristianaCare women’s health practice, including virtual and in-person care. “I can be the bridge connecting the patient with the resources they need to help them manage symptoms and what they are going through,” Guy said. Filling the cup As a result of her own experiences, Chandler teaches classes to help other mothers create their own art as a means of expression. It’s a small way of helping them to fill their own cup. The woman who once hid in her own closet to hide her feelings speaks openly about mental health with the hope people will lose their preconceived ideas about depression and anxiety. “I am so thankful for the journey and the many people I’ve met that have postpartum depression,” she said. “When we talk about what makes the best moms, I think the best mom is a healthy mom who is in balance and harmony.”
The pandemic and who reacted better has been debate fodder for the campaigns of Donald Trump and Joe Biden already this election. The pandemic, preparing for the next one is just one of several key public health issues that America is dealing with. Opioids, obesity and nutrition are just a few others. And as the Republican National Convention 2024 begins, journalists from across the nation and the world will converge on Milwaukee, not only to cover the political spectacle but also to dig deeper on the key issues that may decide the election. To help visiting journalists navigate and understand the depth of Milwaukee's heritage and modern vibrancy, our MSOE experts are available to offer insights. Robin Gates is a nurse executive with a wide range of experience in community home, health and hospice, organ and tissue donation, managing primary care clinics, and clinical trials involving medical devices and pharmaceuticals. She has also worked as a nurse educator for health care organizations and higher education. . . . Robin Gates Assistant Professor, Nursing Expertise: Population health expert: understanding and addressing the diverse factors that influence health outcomes across different populations. View Profile “Leadership experience in various health care environments provides my ability to empower the next generations of nurses to understand the medical system for nursing practice wholistically,” said Gates. “Nurses are change agents. We are a pivotal part of a multidisciplinary team. I emphasize to nursing students their role in the community, corporations, hospitals, clinics, telehealth, home care and hospice, insurance, government and so on.” MSOE Online February 25, 2022 . . . For further information and to arrange interviews with our experts, please contact: JoEllen Burdue Senior Director of Communications and Media Relations Phone: (414) 839-0906 Email: burdue@msoe.edu . . . About Milwaukee School of Engineering (MSOE) Milwaukee School of Engineering is the university of choice for those seeking an inclusive community of experiential learners driven to solve the complex challenges of today and tomorrow. The independent, non-profit university has about 2,800 students and was founded in 1903. MSOE offers bachelor's and master's degrees in engineering, business and nursing. Faculty are student-focused experts who bring real-world experience into the classroom. This approach to learning makes students ready now as well as prepared for the future. Longstanding partnerships with business and industry leaders enable students to learn alongside professional mentors, and challenge them to go beyond what's possible. MSOE graduates are leaders of character, responsible professionals, passionate learners and value creators.
Approximately 4,200 degrees conferred during Georgia Southern’s 2024 Spring Commencement ceremonies
In May, approximately 4,200 graduates from Georgia Southern University’s Statesboro, Armstrong and Liberty campuses received associate, baccalaureate, masters, specialist and doctoral degrees in five Spring 2024 Commencement ceremonies. Georgia Southern President Kyle Marrero welcomed the graduates and their guests to the ceremonies, held at the Allen E. Paulson Stadium in Statesboro on May 7, 8 and 9, and at the EnMarket Arena in Savannah on May 11. “Graduates, I don’t need to tell you about your unique college journey, which has been challenging,” said Marrero to the crowds. “I am very proud of how, together, we have persevered allowing us to have a successful semester and today, our commencement ceremony. This graduation is a momentous occasion for Georgia Southern University, as well as for all of you. Today, you are part of history at Georgia Southern.” Speakers included: Mackenzie Anderson (’07), global director of Corporate Communications at Nike Alton M. Standifer, Ph.D. (’12, ’14), vice provost for Inclusive Excellence and chief of staff to the provost at the University of Georgia (UGA) Kim Greene, chairman, president and chief executive officer of Georgia Power Chris Ahearn (’09), director of research and trade development for the World Trade Center Savannah Candicee Childs, M.D., (’19) an emerging beacon of inspiration in the fields of medicine and literature. At present, she is a resident physician at Massachusetts General Hospital, the largest teaching hospital of Harvard Medical School, with a focus on child and adolescent psychiatry Anderson opened the graduation ceremonies in Statesboro, following a warm introduction from Marrero, who described her leadership role at Nike. “I’m sure you probably expected me to get up here and say something like, ‘Class of 2024, go out into the world and ‘Just Do It,’” Anderson mused. “But here’s the deal. I don’t have to tell you to just do it because you just did it. You did the impossible by making it through the pandemic. “Today you aren’t just graduating with a degree in whatever is written on your diploma. You’re also graduating with a degree in doing hard things. And today we celebrate you.” She continued, saying that earning a degree in “doing hard things” has no doubt been a challenge, but the graduates will soon find out that this is also their superpower. They produced their own playbook, as unique and rare as they are. How they use the playbook moving forward is up to them — to wit, be curious, be wrong while giving yourself permission to make mistakes, be humble and be persistent. “Launch into the world,” Anderson concluded. “And whether you land just across the street, across the country like me or somewhere around the world, remember where you came from. Today you are etching your name alongside a proud Eagle alumni network of more than 147,000 strong. “It is my honor to be the first to say, ‘Georgia Southern University graduating Class of 2024, welcome to the alumni family.'” Standifer shared his own story as a young man, undecided about going to college while he worked as a cashier. A regular customer, Mr. Paul, continuously asked Standifer about whether he’d attend college, until one day Standifer told him he was going to attend Georgia Southern University. With a wide grin, Mr. Paul congratulated him and handed him a $100 bill. Incredulous, Standifer asked why he’d given him such a large tip. Mr. Paul told him it wasn’t a tip. It was an investment, and he’d continue to mentor Standifer in the following years, and remain a profound influence in his life. “I want to encourage you all to think of the Mr. Paul’s in your life,” Standifer said. “Think of the people who have helped you get to today. And then when you leave here, make the conscious effort that you will be Mr. Paul for someone else.” In Savannah, Ahearn shared his journey of discovery in Georgia Southern’s classrooms where he explored Irish film, an introduction to the United Nations, abnormal psychology, Celtic identity and conflict, psychology and law, and gangs, drugs and criminal justice. “There’s a whole menu of choices for you and experiences for you to choose from to really help you discover who you are, where you fit, what drives you, what gets your creative juices flowing, and what options are out there when you graduate from these key interactions,” Ahearn said. Following, he pursued a master’s in international relations in Ireland that gave him a deeper perspective on how the world operates and how interconnected we all are. Ensuing professional roles in higher education, international networking and fundraising, culminated in his current role at World Trade Center, Savannah. From the stage, Ahearn stressed his key takeaways: network, stay in touch with your classmates, be authentic and perhaps, most importantly, travel. “Go outside your comfort zone,” he encouraged. “Try things you’d never try. Expand your horizons. This is your opportunity to learn about different cultures, to embrace the differences and similarities we share with our fellow global citizens and find common ground.” In closing: “Many of you may stay in the region to leave your impact as this community continues to expand,” Ahearn said. “There are plenty of great employment opportunities at your fingertips. Many of you will leave to follow your careers wherever they take you. But please know that you’re part of this institution’s history. You’ll always be an Eagle, and Georgia Southern will always welcome you home." Interested in learning more about Georgia Southern University? Contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
New COVID variant: Uptick expected, but cases should be mild
Talk of a new COVID-19 variant can lead to a feeling of shell shock and fears that another wave is approaching. But a University of Delaware epidemiologist says the FLiRT strain will likely cause more of a ripple marked by mild cases as opposed to the waves we became accustomed to four years ago. Jennifer Horney, professor and founding director of UD's epidemiology program, said that although the number of cases will rise during the summer due to travel, weddings and other large gatherings, the health impact won't be as dire thanks in large part to our existing public immunity. "What we can expect later in 2024 will likely depend on how well the vaccine advisors are able to anticipate changes to the virus and make recommendations about a vaccine that will become available in Fall 2024," she said. Horney has been one of the leading sources for media outlets on COVID-19 and served as a member of the Board of Scientific Counselors for the Centers for Disease Control and Prevention’s (CDC) Center for Preparedness and Response during the pandemic. She has led interdisciplinary research projects funded by many federal agencies and was part of the public health response to Hurricanes Isabel, Charley, Katrina, Wilma, Irene and Harvey where she conducted rapid assessments of disaster impacts on individual and community health. Reporters interested in setting up an interview can visit Horney's profile and click on the contact button. The message will reach her directly.
The ChristianaCare Hospital Care at Home program, a national leader in providing acute care in a place most familiar to patients – their own homes – has reached a new milestone with more than 1,000 admissions since opening in December 2021. ChristianaCare’s innovative program enables patients with common chronic conditions, such as congestive heart failure and diabetes complications, as well as infections like pneumonia, to receive hospital-level care at home through virtual and in-person care provided by a team of physicians, nurse practitioners, paramedics and others. Technology kits deployed to patient homes ensure round-the-clock access to a health care professional, along with twice daily visits from caregivers, medication deliveries and mobile laboratory services. ‘Absolutely amazing’ for patients Patients are evaluated for the hospital care at home program when they come to Wilmington or Christiana hospital emergency departments. Those who can be treated at home receive a technology kit that connects them to the command center, powered by the ChristianaCare Center for Virtual Health. With a touch of a button, they can access an expert team of ChristianaCare doctors and nurses. But hospital care at home isn’t just virtual care — the technology supports an entire care team that works inside the patient’s home and remotely to provide optimal support at all times — just like in a hospital. Carol Bieber, whose 98-year-old father Bill has been a hospital care at home patient, sees the difference it makes for him to wake up in his own bed, sit in his own living room and still get the care he needs to get better. “The whole hospital care at home experience is really calm and easy and familiar to him,” said Bieber, who lives in Newark, Delaware. “My dad is a people person, so to be able to connect with everybody who comes in to see him or talk to him on the screen is just amazing.” Innovative solutions for in-home care ChristianaCare’s Hospital Care at Home program was developed in 2021 after the Centers for Medicaid & Medicare Services (CMS) began the Acute Hospital Care at Home waiver program to allow Medicare beneficiaries to receive acute-level health care services in their home. U.S. Sen. Tom Carper, who represents Delaware, worked to pass the bipartisan “Hospital Inpatient Services Modernization Act” in 2023 that extended this program. Last month. Sen. Carper introduced the bipartisan “At-Home Observation and Medical Evaluation (HOME) Services Act” that would expand this lifesaving and cost-saving program. “Hospital at Home – which grew out of the COVID pandemic – was an opportunity for us to meet seniors where they are,” Carper said. “It has delivered positive outcomes, higher patient satisfaction, and saves money.” Sarah Schenck, M.D., FACP, executive director of the ChristianaCare Center for Virtual Health, said the hospital care at home program has yielded lower readmission rates than brick-and-mortar hospitals. Patient experience scores are about three times higher than a national average traditional hospital experience. “We’ve been conditioned to believe that care only happens within the four walls of a hospital. For our patients who have loved ones at home or their pets, a favorite chair or favorite food, they’re now able to have all of that as they heal,” Schenck said. “Once our patients have experienced this, what we hear from them is that they are truly grateful.” Promoting healing – at home Helping patients recover in their homes also has been transformational for caregivers who get to see a different side of their patients and better understand what they need to successfully recover. “I can’t express how much I enjoy the patients and their families,” said Heather Orkis, a paramedic with Hospital Care at Home. “To be able to enjoy the family and see these people get better in their own homes, with their families, their grandkids, their dogs, their cats – it’s just a completely different kind of medicine.” For Bill Bieber’s family, hospital care at home is more than health care. “It’s just the best thing ever,” Carol Bieber said.
Healthy Environment, Healthy People: The Intersection Between Climate and Health
How is climate change influencing our health? Why does climate change have a greater impact on vulnerable populations and low-income people? How does the U.S. health care system affect the climate? How can health care systems improve their impact on the climate and the environment? ChristianaCare’s inaugural Climate and Health Conference addressed these topics and raised possible solutions at the John H. Ammon Medical Education Center on the Newark, Delaware, campus on April 12. At the conference, the common denominator was this: An unhealthy environment can lead to illnesses and deaths from air pollution, high heat, contaminated water and extreme weather events. Health systems, government entities, community organizations and individuals all have a role to play in decreasing these effects. “Climate, the environment and health care systems are intertwined,” said Greg O’Neill, MSN, APRN, AGCNS-BC. “We need to pay close attention to this relationship so we can improve health for everyone.” O’Neill is director of Patient & Family Health Education and co-chair of the Environmental Sustainability Caregiver Committee at ChristianaCare. Climate change and intensifying health conditions Negative health effects are so closely tied to the environments where people live, work and play that The Lancet called climate change “the greatest global health threat facing the world in the 21st century [and] the greatest opportunity to redefine the social and environmental determinants of health.” At the conference, speakers addressed specific areas of concern. Asthma. Air pollutants, while largely invisible, are associated with asthma. What’s more, people who live in urban areas with little green space are more likely to have uncontrolled asthma, said speaker Robert Ries, M.D., an emergency medicine resident at ChristianaCare. And there’s the rub, he said: When people with asthma spend time in green spaces, it may improve their health. “In Canada,” he said, “some doctors prescribe nature – two hours a week for better overall health outcomes. Could we do that here?” Heat-related illness. Temperatures worldwide have been rising, increasing the likelihood of heat-related health incidents. Heat waves may be harmful to children and older adults, particularly those who don’t have access to air conditioning, swimming pools or transportation to the beach, said speaker Alan Greenglass, M.D., a retired primary care physician. Children visit the emergency room 20% more frequently during heat waves. Weather-related illness. Climate change is causing more floods, which may result in respiratory problems due to mold growth; and droughts, which may threaten water safety and contribute to global food insecurity, said speaker Anat Feingold, M.D., MPH, an infectious disease specialist at Cooper Health. Stress and anxiety. Climate change can affect mental health, even leading to “solastalgia,” which is distress about environmental change and its effect on one’s home, said speaker Zachary Radcliff, Ph.D., an adolescent psychologist at Nemours. He encouraged clinicians in the audience to keep this mental health concern in mind when seeing patients as it may become more prevalent. Cardiovascular disease risk. Frequent consumption of red meat increases the risk of cardiovascular disease, the top cause of death in the U.S. It’s also unhealthy for the environment, said speaker Shirley Kalwaney, M.D., an internal medicine specialist at Inova. Livestock uses 80% of available farmland to produce only 17% of calories consumed, creating a high level of greenhouse gas emissions. By comparison, plant-based whole foods decrease the risk of cardiovascular disease and diabetes. They use only 16% of available farmland, producing 82% of calories consumed. This makes reducing red meat in our diets one of the most powerful ways to lower the impact on our environment. Health equity and the environment People in low-income communities are more likely to live in urban areas that experience the greatest impacts of climate change, including exposure to air pollutants and little access to green space, said speaker Abby Nerlinger, M.D., a pediatrician for Nemours. A Harvard study in 2020 demonstrated that air pollution was linked with higher death rates from COVID-19 — likely one of the many reasons the pandemic has disproportionally harmed Black and Latino communities. Similarly, access to safe, affordable housing is essential to a healthy environment, said Sarah Stowens, Ed.D., manager of State Policy and Advocacy for ChristianaCare, who advocated for legislation including the Climate Solutions Act, another bill that increased oversight regarding testing and reporting of lead poisoning and a policy to reduce waste from topical medications. Opportunities for change in health care Reduce emissions from pharmaceuticals and chemicals. These emissions are responsible for 18% of a health system’s greenhouse gas emissions. One way to reduce this number is for clinicians to prescribe a dry-powder inhaler (DPI) instead of a metered-dose inhaler (MDI) when applicable and safe for the patient and to give patients any inhalers that were used in the hospital at discharge if they are going home on the same prescription. Hospitals have opportunities to reduce greenhouse gases while caring for patients, said Deanna Benner, MSN, APRN, WHNP, women’s health nurse practitioner and co-chair of ChristianaCare’s Environmental Sustainability Caregiver Committee. The health care sector is responsible for 8.5% of U.S. greenhouse gas emissions, the highest per person in the world. U.S. greenhouse gas emissions account for 27% of the global health care footprint. One way to significantly reduce the carbon footprint is to use fewer anesthetic gases associated with greater greenhouse gas emissions, Benner said. Limit single-use medical devices. Did you know that one surgical procedure may produce more waste than a family of four produces in a week? Elizabeth Cerceo, M.D., director of climate health at Cooper Health, posed this question during her talk. Sterilizing and reusing medical devices, instead of using single-use medical devices, she said, may meaningfully reduce hospital waste. ChristianaCare’s commitment to healthy environments and healthy people As one of the nation’s leading health systems, ChristianaCare is taking a bold, comprehensive approach to environmental stewardship. ChristianaCare reduced its carbon footprint by 37% in 2023 by purchasing emission-free electricity. ChristianaCare joined the White House Climate Pledge to use 100% renewable energy by 2025, reduce greenhouse gas emissions by 50% by 2030 and achieve zero net emissions by 2050. ChristianaCare has created an Environmental, Social and Governance structure to help advance a five-year strategic plan that delivers health equity and environmental stewardship. Nearly 150 staff members have become Eco-Champions, an opportunity to be environmental change-leaders in the workplace. In 2023, ChristianaCare’s successful environmental stewardship included: Reducing our carbon footprint by 37% by purchasing emission-free electricity. Recycling 96,663 pounds of paper, which preserved 11,485 trees. Reducing air pollution by releasing an estimated 33,000 fewer pounds of nitrogen oxides and sulfur oxides through the use of a cogeneration energy plant on the Newark campus. Donating 34,095 pounds of unused food to the Sunday Breakfast Mission in Wilmington, Delaware. Donating 1,575 pounds of unused medical equipment to Project C.U.R.E., ChristianaCare’s Virtual Education and Simulation Training Center and Delaware Technical Community College. “In quality improvement, they say you improve the things that you measure,” O’Neill said in expressing goals for continued success. In looking ahead, said Benner, “I really hope that this conference is the catalyst for positive change with more people understanding how climate is connected to health, so that we can protect health from environmental harms and promote a healthy environment for all people to thrive.”
The ChristianaCare Hospital Care at Home program, a national leader in providing acute care in a place most familiar to patients – their own homes – has reached a new milestone with more than 1,000 admissions since opening in December 2021. ChristianaCare’s innovative program enables patients with common chronic conditions, such as congestive heart failure and diabetes complications, as well as infections like pneumonia, to receive hospital-level care at home through virtual and in-person care provided by a team of physicians, nurse practitioners, paramedics and others. Technology kits deployed to patient homes ensure round-the-clock access to a health care professional, along with twice daily visits from caregivers, medication deliveries and mobile laboratory services. “This program is a wonderful example of how ChristianaCare is building a better health care system and meeting people’s health care needs through innovation, collaboration and an unwavering commitment to providing the very best care for the people we serve,” said Janice E. Nevin, M.D., president and CEO of ChristianaCare. “We are proud to be at the forefront of hospital care at home nationally, through the collaboration with leaders like Sen. Tom Carper of Delaware, who has championed this new model of care at the federal level; Medically Home, which partnered with ChristianaCare to help us design a program that best meets the needs of the communities we serve; and our own health professionals – we call them caregivers – whose expert care and coordination make this all possible. Together, we are creating health so that people can flourish.” ‘Just amazing’ for patients Patients are evaluated for the hospital care at home program when they come to Wilmington or Christiana hospital emergency departments. Those who can be treated at home receive a technology kit that connects them to the command center, powered by the ChristianaCare Center for Virtual Health. With a touch of a button, they can access an expert team of ChristianaCare doctors and nurses. But hospital care at home isn’t just virtual care—the technology supports an entire care team that works inside the patient’s home and remotely to provide optimal support at all times—just like in a hospital. Patients connect with their health care team with just the touch of a button. Carol Bieber, whose 98-year-old father, Bill, has been a hospital care at home patient, sees the difference it makes for him to wake up in his own bed, sit in his own living room and still get the care he needs to get better. "The whole hospital care at home experience is really calm and easy and familiar to him," said Bieber, who lives in Newark. “My dad is a people person, so to be able to connect with everybody who comes in to see him or talk to him on the screen is just amazing.” Innovative solutions for in-home care ChristianaCare’s Hospital Care at Home program was developed in 2021 after the Centers for Medicaid & Medicare Services (CMS) began the Acute Hospital Care at Home waiver program to allow Medicare beneficiaries to receive acute-level health care services in their home. U.S. Sen. Tom Carper, who represents Delaware, worked to pass the bipartisan Hospital Inpatient Services Modernization Act in 2023 that extended this program. Last month. Sen. Carper introduced the bipartisan At Home Observation and Medical Evaluation (HOME) Services Act that would expand this lifesaving and cost-saving program. “Hospital at Home – which grew out of the COVID pandemic – was an opportunity for us to meet seniors where they are,” Sen. Carper said. “It has delivered positive outcomes, higher patient satisfaction, and saves money. That is why when this program was about to go away with the end of the COVID public health emergency, I joined my colleagues across the aisle to extend the program for two more years. Today, especially as we celebrate the success of the program in Delaware with ChristianaCare, I’m encouraged that we can further extend that program!” Sarah E. Schenck, M.D., FACP, executive director of the ChristianaCare Center for Virtual Health, said the hospital care at home program has yielded lower readmission rates than brick-and-mortar hospitals. In addition, patient experience scores are about three times higher than the national average for a traditional hospital experience. Options like Hospital Care at Home give patients the care they need in the space they want, said Dr. Sarah Schenck, executive director of ChristianaCare's Center for Virtual Health. “We’ve been conditioned to believe that care only happens within the four walls of a hospital. For our patients who have loved ones at home or their pets, a favorite chair or favorite food, they’re now able to have all of that as they heal,” Schenck said. “Once our patients have experienced this, what we hear from them is that they are truly grateful.” Promoting healing – at home Helping patients recover in their homes also has been transformational for caregivers who get to see a different side of their patients and better understand what they need to successfully recover. “I can’t express how much I enjoy the patients and their families,” said Heather Orkis, a paramedic with the hospital care at home program. Patients aren't the only ones who enjoy the experience of Hospital Care at Home - so do the health care professionals who care for them. “To be able to enjoy the family and see these people get better in their own homes, with their families, their grandkids, their dogs, their cats – it’s just a completely different kind of medicine.” For Bill Bieber’s family, hospital care at home is more than health care. “It’s just the best thing ever,” Carol Bieber said. Families appreciate the frequent interactions with members of the Hospital Care at Home team.
Ask the Expert: What is the impact of the Francis Scott Key Bridge on the supply chain?
Early in the morning on March 26, 2024 a super freighter lost complete power and struck a support column on the Interstate 695 (I-695) resulting in catastrophic collapse of the bridge. This will limit shipping until salvage and cleanup operations are completed. The shutting down of the port will have a direct impact on the economy of Baltimore at a rate of over $200 million of cargo passing through the port every day. Dr. David Rollins, a supply chain expert and an assistant professor in the Rader School of Business at Milwaukee School of Engineering, provides insight into the industrial, consumer and fiscal impact of the Key Bridge collapse. "The port’s major exports are coal, automobiles, and light trucks, while it imports goods like sugar, cars, light trucks, heavy farm and construction machinery, minerals, and fertilizer. The shipping methods employed by the port of Baltimore include containerized units, break bulking, and roll-on roll-off for automobiles, trucks, and machinery. "The impact on the global supply chains will be negligible from the standpoint that the ports of Philadelphia and Norfolk are poised to accept international shipping vessels and have the capacity for the extra traffic. The supply chain for coal and automobiles will be disrupted in the short term as the traffic of both international cargo ships and railcars will be rerouted to the other ports. Materials loaded on ships scheduled to depart after March 26th will likely be held until the salvage and cleanup are completed. However, if a customer needs expediting services, materials may be shipped through air cargo or rerouted to another port for shipment. "A supply chain requires three elements to be successful: The logistics and transportation of physical goods, which is a short-term issue for Baltimore. An information channel, if executed properly supply chain and logistics managers shipping through the Port of Baltimore have rerouted goods to either Norfolk, VA or Philadelphia, PA, the two closest ports. The transfer of funds for both goods and services, which has a limited impact on the supply chain compared to the potential impact on the city of Baltimore’s economy. "Prior to COVID-19, the information exchange part of supply chains was mostly overlooked. Improved communication will help render the bridge collapse a minor issue in the global supply chain. "One domestic issue will be the time and distance between the seaports and the supplier’s location or the destination of the products. From the Midwest, the largest source of automobile suppliers, rail shipping requires extra lead time but will keep transportation costs low. If producers ship via truck, the increase in mileage to the closest port, Philadelphia, is 56 miles resulting in an increase in fuel cost per shipment of approximately $34.461. "The Key Bridge incident will result in the rerouting of traffic via Interstate 95 (I-95) through Baltimore. I-95, which travels through the Fort McHenry tunnel to downtown Baltimore will be highly congested during commuting times resulting in slower deliveries. Interstate 895 (I-895), traveling through the Harbor tunnel, also provides another. Both routes will only add a couple of miles for goods movement. Hazardous material trucking will not be allowed through the tunnels and will be required to take I-695 around the west and north side of the city. This route is 14 miles longer than the Francis Scott bridge route. "Typically, semis get around 6.5 miles per gallon of diesel fuel2. Increasing the costs for the logistics and trucking companies. Based on the load capacity of a semi-trailer at 48,000 pounds, the increase in fuel expenditures will have a negligible effect on the cost to consumers. "The resilience of the supply chain has improved in the past couple of years due to lessons learned during the COVID-19 pandemic. The extent to which supply chain managers have grown and adopted changes will determine the ultimate effect the Francis Scott Key Bridge had on the supply chain." Dr. Rollis is available to speak with media about the impact the Key Bridge collapse will have on the supply chain. Simply click on his icon below to arrange an interview. ### 1Estimated fuel costs based on mileage from Chicago to the port with an estimated truck mileage of 6.5 per gallon at a price of $4.00 per gallon. 2Motorask.com, supported by the U.S. Bureau of Transportation Statistics. The BTS did not have data after 2021, but the website Motorask.com used the higher mileage which is used in the calculation.
