May 2006 News

Michigan is seeing significant increases among young people aged 13 to 24, however most new diagnoses of HIV still occur among persons aged 30 to 44 years old.
Among these young people, prevention efforts need to be focused, relevant and accessible to African American youth in particular, since most of the increase is seen here.
African American, white and Hispanic men who have sex with men (MSM) continue to lead the epidemic in Michigan and we have seen significant increases in HIV among these men.
HIV trends among injecting drug users are showing promising declines.
The proportion of African American women getting diagnosed with HIV and AIDS at the same has declined significantly. This likely means that they are getting tested earlier in the course of their infection than other populations.

Report on the Status of the HIV/AIDS Epidemic in Michigan, 2005

"These trends underscore the importance of continuing to ensure that there are a range of options for Michigan?s residents to be tested and to learn their HIV status, including highly targeted programs for MSM and African American communities," said Loretta Davis-Satterla, Director of the MDCH Division of Health, Wellness, and Disease Control. "Early diagnosis is critical to helping those who are found to be HIV infected live healthier and longer lives through proper treatment."

Historically, Davis-Satterla said, MDCH has focused its resources for HIV and AIDS prevention into communities that are at higher risk for the disease, and recently received proposals from local community health organizations for $2 million in federal dollars available to target prevention services for high-risk populations. MDCH will finalize decisions on these important awards later this summer, Davis-Satterla said.

"Young people need to access care. We need to decrease the barriers to HIV counseling and testing and medical care," said Dr. Kathryn Wright, Medical Director of the Horizons Project at Children?s Hospital of Michigan. "There are many infected youth and young adults that fear the stigmatization and rejection of peers and adults and ? therefore ? do not get into care. They need assistance and ongoing support to engage and stay in care. Their future health depends on them getting adequate treatment."

During the last five years, the number of cases diagnosed each year remained stable at about 890 diagnoses per year. However, during this time, statistically significant increases were observed in the proportion of new HIV/AIDS diagnoses among men who have sex with men (from 51% to 57%; 461 to 550 cases) and among persons ages 13-24 years, (from 9% to 19%; 83 to 185 persons).

"I am excited, but not surprised, to see a decrease in the proportion of HIV/AIDS cases among injection drug users. Michigan and the City of Detroit have developed one of the most comprehensive and effective HIV prevention systems in this country, a system that includes effective substance abuse prevention messages and programs, drug treatment to help people get off drugs and even syringe access programs for active injectors," said Harry Simpson, Director of Substance Abuse Services for the Community Health Awareness Group (CHAG). "The decrease in cases we are experiencing today is the result of that system and an excellent example of what can happen when a community comes together to address the dual epidemics of HIV/AIDS and substance abuse."

Of the 185 13-24 year olds living with HIV/AIDS in 2004, most (77%) were among 20-24 year olds. A statistically significant decrease was observed in the proportion of cases among injection drug users (IDU) (from 17% to 12%; 150 to 120 cases).

Persons who were diagnosed with HIV/AIDS between the ages of 13 and 24 years during 2000-2004 are more likely to be African American than persons diagnosed at other ages ? 75 percent compared with 58 percent of the population of persons living with HIV/AIDS in Michigan.

The proportion of new diagnoses by race and sex remained stable between 2000 and 2004. However, MDCH notes that HIV/AIDS continues to disproportionately affect the state?s African American communities. African Americans make up 14 percent of the state?s population, but account for 62% of all cases of HIV/AIDS diagnoses in 2004. African American men account for 41% of all new diagnoses while African American women account for 21%.

Information on HIV/AIDS in Michigan can be found on the MDCH website.

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Michigan Receives Award To Participate In National Collaborative For Health Information Security And Privacy

LANSING – The Michigan Departments of Community Health and Information Technology have been selected to participate in a health information security and privacy collaborative with the Research Triangle Institute (RTI) to study security issues related to creating a statewide health information network, Governor Jennifer M. Granholm announced today.

“Creating a statewide health information exchange is an intricate process, especially when it is balanced with current health care privacy requirements,” said Janet Olszewski, Director of the Michigan Department of Community Health. “It is our hope that this collaborative will allow Michigan to concretely examine privacy issues, security policies, and business practices relevant to electronic health in order to create a 21st century health care system in Michigan.”

Promoting the use of health information technology as a means to improve health care quality and to ultimately reduce health care costs is a top priority for Governor Granholm and is part of the Governor’s plan to revolutionize Michigan’s healthcare system. This award will be used to support the on-going work of Governor Granholm’s statewide Michigan Health Information Network (MiHIN) initiative to foster an environment where private, secure, efficient and effective health information technologies can be used to benefit all of Michigan’s citizens.

“This contract award – worth $350,000 to the state of Michigan – is a critical step toward achieving Governor Granholm’s vision for Michigan health care,” said Teri Takai, Director of the Michigan Department of Information Technology. “Enabling our state’s health information exchange will improve the quality and accuracy of medical diagnoses, treatments, and prescriptions, while significantly reducing health care costs.”

The RTI collaborative, in partnership with the National Governors Association (NGA) Center for Best Practices will form the Health Information Security and Privacy Collaboration (HISPC), consists of a multidisciplinary team of experts in privacy and security law and in health care management as well as several state and territorial governments.

Together, this team will implement a process that addresses organization-level business policies and state laws that affect privacy and security practices that may pose challenges to interoperable health information exchange. The contract will begin on May 24, 2006 and end on April 30, 2007. For more information or to get involved in the MiHIN please visit http://www.mihin.org

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Granholm Proclaims May 31 As Senior Health & Fitness Day

To raise awareness about the importance of healthy aging and physical activity for older Michiganians, Governor Jennifer M. Granholm has declared May 31, 2006 as Senior Health & Fitness Day in Michigan.

"Together, we can make Michigan a leader in disease prevention and health promotion efforts so that Michiganians can age successfully," Granholm said in her Executive Declaration.

According to the 2000 census, Michigan has nearly 1.6 million people over the age of 60, which represents 16 percent of the total population. By the year 2025, Michigan's population of people age 65 years and older is projected to grow from 12.3 percent to 18.1 percent.

Research has shown that regular, moderate physical activity can reduce the risk of heart disease, diabetes, and some cancers. It can also help reduce the discomfort of arthritis and help to maintain strength and balance.

"Senior Health & Fitness Day is a day to take action towards better health," said Sharon L. Gire, Director of the Office of Services to the Aging. "We are working to provide seniors with access to regular physical activity that can help keep them vital and healthy."

Senior Health & Fitness Day is the nation?s largest older adult health and fitness event. It is designed to introduce seniors to the many choices they have for physical activity, and to promote regular physical activity among this age group.

Michigan?s 16 area agencies on aging have worked with local organizations to plan health and fitness events to take place on May 31.

For more information about healthy aging or about local Senior Health & Fitness Day events, please contact the Office of Services to the Aging at (517) 373-8230.

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Michigan Continues To Investigate Cases Of Eye Infections

The Michigan Department of Community Health (MDCH) has reported three cases of rare eye infections in the wake of a voluntary worldwide recall of Bausch and Lomb soft contact lens products.

“We strongly encourage individuals who wear soft contact lenses and use the ReNu with MoistureLoc solution to dispose of those products immediately,” said Janet Olszewski, MDCH Director. “Contact lens wearers should immediately discontinue use of these products, and should consult an eye care specialist concerning alternative solution cleaning and disinfection solutions.”

As of today, the Centers For Disease Control and Prevention (CDC) has received reports of 130 confirmed Fusarium keratitis cases from 26 states and one territory, including Michigan. MDCH has been assisting the CDC in its investigation into potential cases of Fusarium keratitis in Michigan residents.

Since June 2005, three cases of Fusarium keratitis in soft contact lens wearers with no previous history of eye trauma have been identified throughout the state. Suspect cases diagnosed from June 1, 2005 to the present should be reported to the Michigan Department of Community Health.

On May 15, Bausch & Lomb issued a voluntary worldwide recall of its ReNu with MoisureLoc solution for soft contact lenses as a result of an ongoing investigation by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) into cases of rare eye infections in soft contact users. The current investigation was begun following reports of an unusual increase in the occurrence of keratitis, or inflammation of the cornea, due to infection with the fungus named Fusarium. The joint CDC and FDA investigation is ongoing.

The epidemiologic investigation has found that use of Bausch & Lomb’s ReNu with MoistureLoc contact lens solution is associated with an increased risk of developing Fusarium keratitis, as compared to other products evaluated in the investigation.

Use of good hygiene practices can help prevent serious eye infections in contact lens wearers, and include washing with soap and water and drying hands before handling contact lenses, avoiding the reuse of contact lens solution, wearing lenses according to physician recommendations, and following specific guidelines for cleaning and storage of lenses from a doctor and the solution manufacturer.

Symptoms of keratitis can include unusual eye redness, pain, tearing, blurred vision and light sensitivity.

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MDCH Recognizes May 14-20 As National Women's Health Week

As National Women’s Health Week comes to a close, the Michigan Department of Community Health is asking minority women to increase their use of available health services to combat health disparities.

Minority women use fewer health services yet continue to deal with premature death, disability, and disease. Many minority women also face social, economic, and cultural barriers. The first tool within the line of defense for these women is learning about their family’s health history.

A family health history refers to health information about you and your close relatives. Family members share genes, environments, lifestyles, behavior choices, and cultures. Because a family health history takes a “picture” of all these characteristics, it provides important clues about risk factors for many chronic conditions such as diabetes, heart disease, some forms of cancer and other conditions that can run in families. A risk factor does not guarantee but rather increase your chances of getting a disease.

It is important to note the following based on your family’s health history:

Major medical conditions and causes of death
Age family member developed the disease and age at death
For those with chronic diseases, note their lifestyle choices (such as smoking, alcohol use, lack of physical activity, and/or poor diet)
Genetic disorders, birth defects and/or learning disabilities

For more information on family health history, please go to www.MIGeneticsConnection.org. For information on women’s health in Michigan, please visit www.michigan.gov/mdch, click on prevention and then Health Disparity Reduction and Minority Health selections on this website.

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MDCH Recognizes May 14-20 As National Women's Health Week

In recognition of National Women’s Health Week, the Michigan Department of Community Health (MDCH) urges the awareness and prevention of lung cancer.

“Every Michigan resident who smokes or is regularly exposed to second-hand smoke at home or work is at risk for developing lung cancer,” said Janet Olszewski, MDCH Director. “MDCH continually supports local communities in their efforts to educate about secondhand smoke and to create smokefree worksites.”

Lung cancer is a leading killer of Michigan women, killing more of our mothers, sisters, daughters, and friends than breast and cervical cancers combined. Michigan women are most often diagnosed with lung cancer at age 50 years and older. Direct smoking is the number one cause of lung cancer. It is estimated that one of every four Michigan women smoke. Many of these women will become victims of lung cancer and will die prematurely as a result.

Recent research indicates that the effects of tobacco use seem far more damaging to women than to men and many women are not aware that lung cancer in non-smokers can be caused by chronic exposure to secondhand smoke. Non-smoking spouses of smokers have a 30 percent greater risk of developing lung cancer than do spouses of non-smokers.

Increase in age, family history of lung cancer and exposure to asbestos, radon, arsenic, nickel, chromium, silica, and polycyclic aromatic hydrocarbons (PAHs) in the workplace or at home are other risk factors for developing lung cancer.

Symptoms of lung cancer include a cough that does not go away, unexplained weight loss and loss of appetite, chest pain (often made worse by deep breathing), shortness of breath, hoarseness, wheezing, blood or rust-colored sputum, and recurring infections such as bronchitis and pneumonia.

Most insurance plans, including Medicaid, provide nicotine replacement therapy at reduced or no cost. The following website provides information about coverage offered by insurance providers: www.foundation.mahp.org/resources/tobacco/tobaccogrid.htm.

If you or someone you know smokes, please call the Tobacco Quit Line at 1-800-480-QUIT (7848) or order a free Quit Kits at: www.hpclearinghouse.org or www.michigan.gov/mdch/0,1607,7-132-2940_3182_22973-16771--,00.html. The Michigan Department of Community Health’s website, www.michigan.gov/tobacco, also provides helpful information regarding smoking cessation. For more information on lung health or lung cancer, please visit www.lungusa.org or www.cancer.org.

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MDCH Seeks Public Comment On Health Consultation For Hamtramck Neighborhood

The Michigan Department of Community Health (MDCH) has released for public comment a draft Public Health Consultation regarding the lead contamination in the Grand Haven neighborhood in Hamtramck, and has determined that overall exposure to lead in the soils, deteriorating lead-based paints, and other sources on some properties in the neighborhood, poses a public health hazard.

MDCH conducted this public health consultation at the request of the Michigan Department of Environmental Quality because there were concerns that properties in this area had been impacted by historic lead smelting operations.

The Wayne County Health Department and the city of Hamtramck have removed lead contaminated soils in the area bounded by Dequindre, Caniff, Grand Haven, and Commor Streets. The new homes under construction on properties in this area do not post a public health hazard.

However, soil lead concentrations on some other properties in the area are higher than the state clean-up criteria. MDCH recommends that homes with lead-based paint be abated and that soils with lead concentrations greater than the state's clean-up criteria be remediated. MDCH also recommends that children under 6 years of age living on these properties be tested for blood lead levels. The health consultation lists various resources people can go to for additional information.

MDCH invites the public to review the health consultation and offer comments on it. Copies of the document are available for public review at the Hamtramck Public Library, 2360 Caniff Street, Hamtramck. The document is also available on-line at www.michigan.gov/mdch-toxics, under "Health Assessments and Related Documents."

Information and comments should be addressed to Christina Bush, Toxicologist, Michigan Department of Community Health, Division of Environmental and Occupational Epidemiology, Capitol View Building, P.O. Box 30195, Lansing, Michigan 48909. People may also call the toll-free telephone number, 1-800-648-6942 (1-800-MI-TOXIC) or send comments via e-mail to bushcr@michigan.gov. Comments on the Public Health Consultation must be received by June 19, 2006. All comments received will be evaluated and considered and responses will be provided in the final version of the consultation

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MDCH Recognizes May 14-20 As National Women's Health Week

In recognition of National Women’s Health Week, the Michigan Department of Community Health (MDCH) is asking women to focus on heart health and disease prevention.

“Heart disease has been the number one killer of women nationally almost every year since 1900,” said Kimberlydawn Wisdom, Michigan Surgeon General. “In addition to heart disease, stroke is the third leading cause of death and a leading cause of disability. More women than men die from stroke with 3,299 Michigan women having died in 2004.”

Nearly one in every four Michigan adults is estimated to have high blood pressure, one of the leading risk factors for both heart disease and stroke. It also contributes to diabetes, kidney failure, eye disease, and other vascular diseases.

Also called hypertension, blood pressure is shown as a fraction of two numbers, such as 120/80. The top number is called the “systolic” and the bottom number the “diastolic” pressure. A blood pressure reading greater than 140/90 is considered high and needs medical attention. Despite a wide range of effective medications available to treat high blood pressure, the number of people who have their blood pressure under control is disappointing.

Many people think of high blood pressure as a condition caused by stress, but other major risk factors include: obesity, smoking, little or no exercise, too much salt in the diet, race, and a family history of hypertension. For women, birth control pills, pregnancy and menopause can all increase the likelihood of developing hypertension. Those with a parent, sibling or child with high blood pressure, especially at an early age, are at increased risk. Studies also show that African Americans are more susceptible to high blood pressure.

One out of four women with high blood pressure is unaware that they have high blood pressure, often because there are no noticeable symptoms. Those at risk should have their blood pressure checked at every doctor’s office visit or at least every two years, and more often if recommended.

Eating a low-salt, low saturated fat diet, getting 30-60 minutes of physical activity on most or all days and limiting alcohol consumption can all help prevent and control high blood pressure. Foods rich in sodium, potassium and magnesium or a supplement with these vitamins may also prevent high blood pressure.

For more information on heart disease and stroke in Michigan, visit www.michigan.gov/cvh. To learn about Women’s Health Week go to www.4women.gov.

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MDCH Finalizes Exposure Investigation Report For Continental Aluminum

The Michigan Department of Community Health (MDCH) has finalized an Exposure Investigation Report for an Oakland County aluminum smelter and has found that the site poses no apparent public health hazard.

The report – conducted on Continental Aluminum in New Hudson – discusses analytical results of air sampling conducted in the township in the spring of 2004, the public health implications of those results, and responds to public comments received on the draft report.

Continental Aluminum – a secondary aluminum smelter that has operated in New Hudson for the past eight years – had a public health assessment conducted by the federal Agency for Toxic Substances and Disease Registry (ATSDR) after odor and health complaints from area residents led to a request from Lyon Township officials. ATSDR decided the most appropriate action was to conduct an Exposure Investigation. MDCH investigates sites of environmental concern for ATSDR under a cooperative agreement.

MDCH conducted the Exposure Investigation from March 1 to May 31, 2004. The Department tested the air for the presence of compounds that can be emitted by secondary aluminum smelters and collected local meteorological data as well. Analytical results showed these compounds to exist in the air but at concentrations well below health-based comparison values. MDCH released the findings for public review and comment on February 25, 2005, and conducted several community meetings to discuss the report. Following a 60-day comment period, MDCH compiled and responded to the comments received.

Digital copies (CDs) of the report and an executive summary are available for reading or printing at the Salem-South Lyon District Library, 9800 Pontiac Trail, South Lyon; the Lyon Township Public Library, 27025 Milford Road, New Hudson; and the Lyon Township offices, 58000 Grand River Avenue, New Hudson. The report and executive summary also are available on the Department website at http://www.michigan.gov/mdch-toxics under the Health Assessments and Related Documents link.

The MDCH Division of Environmental and Occupational Epidemiology conducted the Exposure Investigation for Continental Aluminum under a cooperative agreement with ATSDR. Information concerning the human health effects of exposure to environmental contaminants can be found on the ATSDR web page at http://www.atsdr.cdc.gov/toxfaq.html.

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Ann Arbor Psychologist Has License Summarily Suspended

The Michigan Department of Community Health (MDCH) has summarily suspended the license to practice psychology of Charles B. Fraelich, Ph.D. The MDCH Bureau of Health Professions orders a summary suspension when it believes that the public’s health, safety, and welfare warrant emergency action.

On April 26, 2006, Fraelich was indicted for Aggravated Sexual Abuse with Children and Transportation for Illegal Sexual Activity-Coercion and Enticement, in the United States Federal District Court, Northern District of Georgia. The indictment was based, in part, on Fraelich’s using the Internet to solicit a sexual meeting with an underage girl. The criminal matter remains pending.

On May 4, 2006, MDCH issued an order immediately suspending Fraelich’s license pursuant to the Public Health Code. An administrative hearing will be scheduled to address the status of Fraelich’s license to practice psychology.

For more information on disciplinary actions taken by the health professional licensing boards within MDCH, please go to http://www.michigan.gov/mdch, and click on Health Systems and Licensing.

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MDCH Recognizes May 14-20 As National Women's Health Week

In recognition of National Women’s Health Week, women are encouraged to increase their amount of physical activity as a step towards better health.

According to national and statewide studies, most women lag behind men in their level of physical activity. The women cited a lack of time as the biggest barrier to being able to get the exercise they need to stay healthy and ward off disease.

Women having trouble finding the time and/or motivation to exercise should start out slow beginning with three 10-minute sessions of moderate activity, such as a brisk walk, per day at least five days per week.

The following fee-free activities are suggested for those needing to get up and get moving:

Use music – Walk to it, dance to it – alone, with a friend, or your children
Jump rope – Buy your child one and join in
Sneak activity into your work day – Get a friend to walk with you or take the stairs instead of the elevator
Shopping – Park further away from the entrance and choose to enter the mall through a store other than the one you want to shop in. Also aim to fit in a few extra steps/laps after shopping and before heading home.
Stay positive – Tell yourself “I can do this!” and “It’s only one mile.”
Partner up – The pleasure of spending time and talking with a good friend is a powerful incentive.
Stay informed – Visit the Michigan Surgeon General’s website, www.MIStepsUp.org, for great tips and tools on how to move more and eat better

For more information on women and physical activity, please visit www.4women.gov and www.michigan.gov/cvh.

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Granholm Recognizes HIV Vaccine Awareness Day

Honoring the work of those searching for an HIV vaccine, Governor Jennifer Granholm today issued a proclamation recognizing May 18 as HIV Vaccine Awareness Day.

“In Michigan alone, an estimated 16,200 residents are infected with the virus that causes AIDS,” said Janet Olszewski, Director of the Michigan Department of Community Health (MDCH). “A preventive HIV vaccine could help save millions of lives.”

For the fourth year in a row, organizers are asking people to recognize HIV vaccine research by wearing a red AIDS ribbon upside down on May 18. The upside-down AIDS ribbon forms a “V,” for “vaccines,” and symbolizes the urgent need to stop the spread of HIV/AIDS.

Experts believe that a vaccine to prevent HIV infection offers the best hope of controlling the global pandemic and loosening its grip on the world’s most vulnerable populations. The prospects for success have never been greater; more promising vaccines are currently being researched.

An HIV vaccine may also be beneficial for HIV infected individuals by helping to delay the onset of AIDS or slowing disease progression. These types of vaccines are referred to as “therapeutic” vaccines. It is not known if a preventive HIV vaccine will have a “therapeutic” benefit in HIV infected individuals. Additional clinical trials are underway.

For more information on National Vaccine Awareness Day, please visit the National Institute of Allergy and Infectious Diseases website at http://www3.niaid.nih.gov/news/events/HVAD .

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MDCH Recognizes May 14-20 As National Women's Health Week

In conjunction with National Women’s Health Week, the Michigan Coalition for Bone Health and the Michigan Department of Community Health (MDCH) hope to raise the awareness of osteoporosis.

Most often seen in women, but also occurring in men, osteoporosis is defined as porous bones—or bones that are not strong enough to support athletic activity. The disease is most often found in those who have experienced a bone fracture during adulthood, smokers, people who are of slight build (small frame), and adults aged 50 or older. The condition also has been described as a pediatric disease with geriatric consequences.

“Osteoporosis is largely preventable,” said Jean Martin, Chair of the Michigan Coalition for Bone Health. “Despite this fact, the disease affects nearly 44 million people, including 1.5 million in Michigan. We want people to know that a few, simple lifestyle changes can help them avoid this life-challenging disease.”

Osteoporosis prevention should begin early in life. Three essential secrets for building and maintaining strong bones for a lifetime include:

1. Make food choices that are rich in calcium and vitamin D. Good choices for calcium include low-fat dairy products (milk, cheese and yogurt), broccoli, tofu, blackstrap molasses, and fortified foods like orange juice, cereals, and breakfast bars containing added calcium. The best source of Vitamin D is 10 to 15 minutes of sunshine on the hands, arms and face (without sunscreen) three times a week. Food sources of Vitamin D include fortified dairy products, egg yolks, saltwater fish, liver, and fortified foods with added Vitamin D.

2. Participate in weight-bearing physical activity and resistance training exercises. Weight-bearing activity includes walking, running, dancing, and soccer. Resistance exercises include lifting weights or using resistance bands.

3. Choose a healthful lifestyle that excludes smoking and excessive alcohol.

Family history also plays a role in awareness as mothers and daughters typically share similar bone density. For those experiencing menopause, a bone mass loss of 20 percent can occur within the first seven years of onset.

For more information on osteoporosis, please visit www.michiganosteoporosisconnection.org or www.nof.org. For more information on the Michigan Coalition for Bone Health, please contact Jean Martin, Associate Professor of Nursing, Grand Valley State University (616-331-7167) or Molly Polverento, Michigan Public Health Institute (517-324-7397).

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Newberry Psychologist Has License Summarily Suspended

The Michigan Department of Community Health (MDCH) has summarily suspended the psychologist license of Herman Rummelt, Ph.D., based on his felony convictions in the United States District Court, Western District of Michigan. Rummelt failed to report his convictions to MDCH as required by the Public Health Code.

On March 28, 2006, Rummelt was convicted of three felony counts of Health Care Fraud. As a result, Rummelt was sentenced to 30 months in prison, to be followed by a three-year period of supervised release, and ordered to pay an assessment and restitution totaling $853,065.

On May 3, 2006, MDCH issued an order immediately suspending Rummelt’s license pursuant to the Public Health Code, which provides for the mandatory summary suspension of a health professional’s license upon the conviction of a felony. An administrative hearing will be scheduled to address the status of Rummelt’s psychologist license.

For more information on disciplinary actions taken by the health professional licensing boards within MDCH, please go to http://www.michigan.gov/mdch, and click on Health Systems and Licensing.

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MDCH Recognizes May 14-20 As National Women?s Health Week

In honor of National Women’s Health Week, the Michigan Department of Community Health (MDCH) and the Michigan Association of Genetic Counselors reminds women of childbearing age to take appropriate steps to better health to ensure optimizing the chances of having a healthy baby.

Being in good health and adopting healthy habits prior to getting pregnant can help prevent certain birth defects. The simplest and most effective preconceptional health habit is to take a multivitamin containing 400 micrograms (400 mcg or 0.4 mg) of folic acid in addition to consuming a healthy, varied diet. Up to 70 percent of birth defects of the spinal cord and brain, known as neural tube defects (such as spina bifida and anencephaly), can be prevented by taking daily folic acid prior to becoming pregnant and throughout the first trimester of pregnancy.

“Adding folic acid to individual diets has added benefits for everyone’s health,” said Dr. Kimberlydawn Wisdom, Michigan’s Surgeon General. “New research suggests folic acid may also lower the risk of cardiovascular disease, Alzheimer’s disease, and certain types of cancer.”

Wisdom also advises pregnant women to remember that routine prenatal care visits are important for the health of both mother and baby. Women should avoid smoking and alcohol consumption and take time to document their family health history, including family members with birth defects, learning disabilities, and chronic diseases. The information gathered should be shared with your health care provider.

For more information on pre and postnatal health, please visit the MDCH website at www.michigan.gov/mdch. For more information on family health history, please go to www.MiGeneticsConnection.org.

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Michigan Department of Community Health Launches Problem Gambling Website

The Michigan Department of Community Health (MDCH) today announced the launch of a new problem gambling web site, www.gambleresponsibly.org, designed to assist both individuals who may have a problem with gambling and others who want to learn how to avoid getting in over their heads.

“We are pleased to offer this web site to the citizens of Michigan to help address the issue of problem gambling,” said Janet Olszewski, MDCH director. “Gambling comes in many forms--casino games, Internet gambling, office pools, sports betting or dice--and this website is designed to help people learn the warning signs of problem gambling while offering solutions on how to prevent gambling from getting the best of you.”

The site also serves as a resource for friends and family members who may be concerned with the gambling habits of a loved one.

The site includes important features such as:

· Gamble Smarter. The key is to view gambling as entertainment—not as a way to make money. Gamble Smarter offers information on types of gambling, “12 Hot Tips” to help keep you on track and “Trade Secrets” to help dispel some myths of gambling strategy.

· Gambling Got Ya? This section offers a quiz used by the experts to help you understand if you or someone you love may have a gambling problem.

· Getting Out. Money problems from gambling can leave people feeling trapped in a cycle of debt and despair. Getting Out offers assistance through the Michigan Problem Gambling Help Line, 1-800-270-7117, a toll-free, confidential service to give people the help and support they need to overcome a gambling addiction. It also includes links to Gamblers Anonymous and debt reduction services.

· Winners’ Circle profiles the biggest gambling winners—people who have come face-to-face with their gambling problems and won by seeking professional counseling and advice. The Winners’ Circle offers stories based on real-life examples of gambling addiction and recovery.

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MDCH Recognizes May 15 As National Women?s Check-Up Day

May 15 marks National Women’s Check-Up Day, a nationwide effort to encourage women to visit health care professionals to receive regular, preventive check-ups and screenings for heart disease, diabetes, cancer, osteoporosis, and other conditions.

“Educating yourself on your family’s health history is a smart step towards prevention,” said Janet Olszewski, MDCH Director. “By understanding your family’s comprehensive health history, individuals can deter dozens of preventable health conditions.”

Family health history is any information pertaining to general health conditions and diseases in grandparents, parents, siblings, children, and more distant relatives. It reflects all the factors that influence health and are often shared by family members, such as lifestyles, behaviors, ethnicity, traditions, cultures, religions, social supports, and environments as well as genes.

“The best genetic test available today is your family health history,” says Julie Zenger Hain, Medical Geneticist at Oakwood Healthcare System in Dearborn and Co-Chair of the Michigan Cancer Genetics Alliance. “Family health history is also important for those who are adopted since the history reflects shared behaviors and environments.”

When investigating the health history of your family, the following are important to note:

Major medical conditions and causes of death
Age family member developed the disease and age at time of death
For those with chronic disease, not their lifestyle choices such as smoking, alcohol use, lack of physical activity, and/or poor diet
Birth defects and/or learning disabilities
The information gathered should be passed on to health care providers who will use the information to recommend lifestyle changes such as moving more, eating healthier, and smoking cessation. Your physician may also recommend cholesterol and blood pressure tests, a mammogram, colonoscopy, or other preventive procedures.

National Women’s Check-Up Day is coordinated by the U.S Department of Health and Human Services and supported by the Michigan Department of Community Health, Michigan Cancer Genetics Alliance, and the Michigan Association of Genetics Counselors.

For more information on National Women’s Check-Up Day, please visit www.4women.gov. For more information on family health history, please go to www.MiGeneticsConnection.org.

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Michigan Cancer Consortium Helps Women Understand Mammogram Options

The Michigan Cancer Consortium (MCC) has developed a fact sheet to assist consumers in making informed decisions on the use of digital mammography in the detection of breast cancer.

“The introduction of digital mammography has generated considerable controversy and confusion among women,” said Max Wicha, M.D., chair of the MCC Breast Cancer Advisory Committee Digital Mammography Workgroup. “As a result, this fact sheet was created to address the frequently asked questions women may have about digital mammography.”

Studies have shown that mammograms save lives and that it is important for women to be screened no matter what type of mammogram they receive. All women age 40 and older should receive a mammogram as part of their annual breast cancer screening and a clinical breast exam.

Digital mammography is a relatively new technology, in which low energy x-rays pass through the breast exactly like conventional mammograms, but are recorded by means of an electronic digital detector instead of a film. A radiologist can manipulate the digital mammogram electronically to magnify an area, change contrast, or change the brightness of the image.

Digital mammograms are more expensive than screen film mammograms and women are encouraged to check with their health care providers to ensure the digital mammogram will be covered.

The American Cancer Society estimates that 7,070 Michigan women will be diagnosed with breast cancer in 2006 and that 1,360 women will die from the disease. Mammograms have been shown to save lives by detecting breast cancer early when in its most treatable stage.

To obtain a copy of the consumer fact sheet, please visit the MCC website at: http://www.michigancancer.org/WhatWeDo/positionpapers-digmamm.cfm .

The MCC is staffed and supported by the Michigan Department of Community Health and the Michigan Public Health Institute.

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Michigan Recognizes National Safe Kids Week May 6-13

Safe Kids Michigan, led by the Michigan Department of Community Health (MDCH) and Safe Kids Worldwide, today announced its recognition of National Safe Kids Week May 6-13.

Founded in 1995, Safe Kids Michigan will be focusing on this year’s theme of Safe Pools for Safe Kids. Drowning is the second leading cause of accidental death among children ages 1 to 14, with pool and spa drains being a little known culprit.

Findings from a recent national study conducted by Safe Kids Worldwide, showed 66 percent of parents are not at all aware or are only somewhat familiar with the risk of a child becoming entrapped or entangled in the drain of a pool or spa.

“Most of us are educated on-and take appropriate steps to prevent-the typical causes of drowning such as children being left unattended in a bath tub, swimming pool, or other source of water,” said Janet Olszewski, MDCH Director. “But few realize how easy it can be for even supervised children to become entrapped in the powerful drain of a pool or spa.”

Entrapment occurs when part of a child’s body becomes attached to a drain because of the powerful suction of a pool or spa’s filtration system. It also can occur when a child’s hair or swimsuit gets tangled in the drain or on an underwater object, such as a ladder.

“A child is no match for the forceful suction of a drain,” said Jeff Spitzley, Safe Kids Michigan coordinator. “With the right equipment and knowledge, children can easily be protected from this risk. Parents should warn their children to stay away from drains and install safety devices if they own a pool or spa.”

Current data shows one out of two parents, or 49 percent, report that they have a pool or spa at home. With pool and spa ownership becoming more popular, informing parents and caregivers is essential.

Through public awareness activities like National Safe Kids Week, Safe Kids Michigan seeks to educate parents and caregivers about potential risks to children and adults’ role in preventing injuries. National Safe Kids Week has been held annually for 13 years.

For more information on Safe Kids Worldwide, or for a copy of the research report, please visit www.usa.safekids.org. To obtain more information about Safe Kids Michigan, please contact Jeff Spitzley at (517) 335-8183 or spitzleyj2@michigan.gov.

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May Recognized As Hepatitis C Awareness Month

Michigan Governor Jennifer M. Granholm has designated May as Hepatitis C Awareness Month in Michigan.

“Hepatitis C poses a significant threat to the health of Michigan residents,” said Janet Olszewski, Director of the Michigan Department of Community Health. “Public awareness and education is key to preventing this disease which ravages the liver.”

In recognition of this month, an educational program entitled “Hepatitis C: The Vision and the Voices” will be held for Michigan legislators and policymakers. The event, which is being co-sponsored by the American Liver Foundation – Michigan Chapter, Hepatitis C and Me, the Michigan Department of Community Health, and the Michigan Hepatitis C Foundation, will take place in Conference Rooms A, B, and C of the Capitol View Building on May 25th from 7:30 a.m. to 8:30 a.m.

“Hepatitis C: The Vision and the Voices” will present an overview of the disease of hepatitis C and will provide insights into the impact of this disease on individuals and the broader community. There will also be a delineation of the continuum of services that are needed to effectively address this disease.

Hepatitis C is the most common blood-borne infection with an estimated 160,000 Michigan residents currently infected with the virus that causes this disease. Seventy-five to 85 percent of individuals infected with the virus go on to develop chronic infection, which can result in damage to the liver, end-stage liver disease, and death.

The disease causes few, if any, symptoms making it hard for early detection. It is estimated that sixty to seventy percent of individuals infected with the virus do not know they are infected. Roughly 50 percent of individuals who are treated for hepatitis C will clear the virus from their body and for others, risk of progression can be prevented or delayed through early detection, appropriate medical management, and behavior change.

“Individuals who are infected with hepatitis C should be further evaluated by a physician,” says Dr. Peter Gulick, Director of the HIV/Hepatitis Clinic at Michigan State University and one of the presenters for the planned educational program. “This evaluation can help determine the extent of liver damage and can be used to make decisions regarding whether treatment is indicated.”

For more information on the education forum, please contact Lori Stegmier, Michigan Department of Community Health - Hepatitis Planning Coordinator at (517) 335-9435.

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Granholm Recognizes May As Older Americans Month

Michigan Governor Jennifer M. Granholm signed a proclamation today announcing May as Older Americans Month, and Michigan residents are asked to recognize the experience and commitments of our older adults and to celebrate their contributions to the community.

This year’s theme for Older Americans Month is Choices for Independence, said Sharon Gire, Director of the Michigan Office of Services to the Aging (OSA).

“One of the greatest trends facing today’s policy makers is the aging of our population,” Gire said. “As the state’s focal point for aging issues, OSA is on the leading edge of new initiatives to promote independence and enhance the dignity of Michigan’s older persons and their families. By working together we can address issues to promote successful aging.”

As part of Older Americans Month, OSA will celebrate Senior Health and Fitness Day on May 31, 2006. Senior Health and Fitness Day is the nation’s largest fitness event for older adults. Throughout Michigan events are planned for May 31, 2006 with a common goal of keeping older adults fit and healthy.

This year, the first Baby Boomers --- the generation born between 1946 and 1964 --- will celebrate their 60th birthdays. According to recent U.S. Census figures, 16% of Michigan’s population is age 60 and older. Michigan will continue to see increases in the population of people age 60 and over and we will also continue to see people living longer, reaching age 85 and beyond.

OSA is the designated State Unit on Aging, authorized under the Older Americans Act of 1965, as amended, and the Older Michiganians Act of 1981. OSA advocates on behalf of adults age 60 and over and caregivers for policies, programs, and services. The office administers federal and state funds and manages grants for aging services. For more information on OSA, or the events taking place during Older Americans Month, please contact OSA at (517) 373-8230 or visit www.miseniors.net.

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Governors Task Force On Elder Abuse Convenes Three Public Input Forums

Members of the Governor’s Task Force on Elder Abuse will go on the road to convene three public input forums designed to form the state’s plan to address elder abuse.

“These local forums present Michigan citizens with a tremendous opportunity to share their concerns and ideas about the effects of elder abuse on older adults,” said Sharon L. Gire, Director of the Michigan Office of Services to the Aging (OSA). “Elder abuse can take many forms – physical abuse, emotional abuse, neglect, and financial exploitation – and may be characterized by a variety of symptoms. We want to hear directly from the people about what they think should be done to address this complex and growing social problem.”

The purpose of the forums is to obtain public input on the draft recommendations of the Task Force. The draft recommendations are available for review at www.elderabusemi.org or www.miseniors.net or by calling 517-373-8230. Information gleaned will have a direct effect on the development of the final report.

Upcoming Forum Dates and Locations:

Monday, May 8, 2006 – St. Ignace Little Bear East Community Center 275 Marquette Street

Tuesday, May 9, 2006 – Detroit Greater Grace Temple 23500 W. Seven Mile Road

Friday, May 12, 2006 – Grand Rapids City Council Chambers 300 Monroe NW, 9th floor

All forums will be held from 1 p.m. until 4 p.m. If special accommodations are needed to attend any of the forums, please contact the OSA office at (517) 373-8230. Written comments may be submitted to the Michigan Office of Services to the Aging, P.O. Box 30676, Lansing, MI 48909-8176 until May 12, 2006.

The Task Force on Elder Abuse was established by Executive Order 2005-11. The 17 members, who represent key sectors of the community dedicated to protecting older adults, were charged with assisting the state in identifying new resources, best practices, and necessary changes in law, policies, and practices to assist in preventing elder abuse.

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