Articles

February 2012: National Children’s Dental Health Month

In 2002, the Urban Institute reported that one of the most prevalent chronic illnesses facing children in the United States today is tooth decay. It is astounding that oral health problems persist among children in spite the fact that tooth decay is largely preventable through regular dental cleanings and checkups. Still, 24 percent of children ages 5 to 17 account for 80 percent of the tooth decay disease in permanent teeth among this age group. Socioeconomic disparities are blamed for these oral health burdens and low-income children are disproportionately affected. Inadequate access to dental care can be cited as the problem. Please read the report: http://www.urban.org/publications/309527.html

It is with this problem in mind that the Texas Health and Human Services Commission (HHSC) offers Children’s Health Insurance Program (CHIP) Dental Services though a managed care model. Beginning March 1, 2012, HHSC will expand managed care dental services to include Medicaid. The goal of this expansion is to provide quality, comprehensive dental services to eligible recipients. HHSC will select two or more dental contractors to provide services to both Medicaid and CHIP Members. Please read the report:
http://www.hhsc.state.tx.us/medicaid/MMC/TMHP_article_0611.pdf

It is good to remember also, that we can help protect our children’s teeth and diminish the growth of caries with various applications of dental sealants and with topical and systemic fluoride, but most importantly, a sound education and a good oral hygiene program will go a long way to help maintain healthy teeth and gums for a long, long time.

“Something Fun” from the American Dental Association in honor of National Children’s Dental Health Month:

http://www.ada.org/sections/publicResources/pdfs/2012NCDHM_ActivitySheets_English_FULL.pdf

Full Text of the Report on San Antonio Health Systems

Full text of the report on San Antonio health systems mentioned in the San Antonio Express News, “Urgent Matters: An Assessment of the Safety Net in San Antonio” is available online.

Gum Disease Linked with Gestational Diabetes Risk

Researchers have found that pregnant women with gum disease may be more at risk of developing gestational diabetes than pregnant women with healthy gums. Findings from the study show the 8 percent who developed gestational diabetes had higher levels of gum-disease-causing bacteria and inflammation. The study group consisted of 265 women, of which 83 percent were Hispanic…..a group already at higher risk to gestational diabetes and type 2 diabetes.

Preterm birth has also been linked to gum disease in previous studies.

“In addition to its potential role in preterm delivery, evidence that gum disease may also contribute to gestational diabetes suggests that women should see a dentist if they plan to get pregnant, and after becoming pregnant,” said lead researcher, Dr. Ananda P. Dasanayake.

Health Lotería #12: La garza

This week on the Health Lotería, “llegaron los picos largos de la feria de San Juan…” ["here comes long-bill from the fair of St John..."] — that’s right, it’s la garza [the heron]! And the heron brings along the health topic of clean drinking water.

For an introduction, we recommend the Environmetal Protection Agency website titled “Drinking water and health: what you need to know.” Also, the page on “Drinking Water” in medlineplus.gov is very full of information and important links.

Of course, a natural disaster — like Hurricane Dolly that affected the Valley this past week — can quickly change the stability of the drinking water system. According to this news which came out yesterday around 5pm, there are various parts of the Valley where health officials are currently recommending that residents boil their water before drinking it, to prevent the spread of possible water-born illnesses as a result of flooding and other problems in the wake of the hurricane:

  • North Alamo Water Supply Corporation (Includes parts of Donna, Weslaco, Elsa, Edcouch y La Blanca)
  • La Villa
  • Laguna Madre Water Supply (includes South Padre Island, Military Highway WSC, only those served by Las Rusias Plant)
  • Sebastian Municipal Utility District
  • Lyford
  • Primera
  • Port Mansfield
  • Santa Rosa

If you live in one of those areas or know someone who does, it’s important to verify with the authorities (the water service provider) that your water is safe to drink; if not, you should boil it for at least a minute before drinking it.

Hispanic Teen Parents and Intimate Partner Violence

Dr. Janna Lesser and others at UTHSC San Antonio recently published a study of teen parents’ experience managing intimate partner violence:

“At a young age they develop strategies to manage violence, but new challenges with violence manifest themselves as they enter into intimate partner relationships. For some of these youth, parenthood is perceived as a transforming experience that offers an opportunity for a positive change in their life trajectory.”

(Issues Ment Health Nurs. 2010 Feb;31(2):96-102)

Immigrants less likely to report family history of cancer

A new study indicates that immigrants are less likely to report family histories of cancer, and therefore might be missed by screening and prevention efforts that could otherwise benefit them. The study will appear in the 15 January issue of Cancer but is now online (see citation below). It is based on analysis of data from over 5000 respondents to the 2005 Health Information Trends Survey (HINTS). The analysis found that foreign-born respondents were two-thirds less likely to report a family history of cancer than US-born respondents — and that rate was consistent among immigrants regardless of the amount of time they had lived in the US or their degree of acculturation. Possible contributing factors discussed included:

  • Lower incidence of cancer in countries of origin: “Lower incidence rates of cancer outside of the United States are thought to be attributable to younger age structures in these countries, behavioral and environmental exposures, and a pattern of underdiagnosing and under-reporting cancers in under-resourced countries.”
  • Immigrants may have fewer opportunities to learn about family histories of cancer; distance from relatives, and some cultural beliefs (i.e. stigma) may inhibit exchange of information about cancer history.
  • Immigrants may be less likely to have experienced medical care that emphasized knowing and reporting family history of illnesses — not just cancer, but other family history as well.

Here’s a summary of the study from HealthDay/MedlinePlus — and here’s the same summary in Spanish. The full citation is as follows:

Orom H, Coté ML, González H, Underwood W, Schwartz AG. Family History of Cancer: Is it an Accurate Indicator of Cancer Risk in the Immigrant Population? Cancer [forthcoming 2008-01-15]. doi:10.1002/cncr.23173. http://dx.doi.org/10.1002/cncr.23173

Interesting partnership: Good Health at Goodwill

Here’s an interesting idea for a public-health partnership: the San Antonio Express-News reports that Metro Health has been running a small clinic — offering immunizations and free blood-pressure and cholesterol checks — in a space inside the Goodwill store at Blanco & 410. The clinic, called “Good Health at Goodwill,” has vaccinated 1300 patients with 2800 vaccine doses in its first year of operation, and the City Council has just renewed the lease with Goodwill for a second year. Meanwhile, Goodwill is discussing plans for additional in-store clinics with the city as well as with a Christus Santa Rosa physicians group — and the Goodwill of San Antonio home page indicates that the “Good Health at Goodwill” clinic’s services will expand to include mobile mammography, healthcare education, diabetes screenings, and much more. As natural as the partnership sounds, the Express-News article and the Goodwill homepage indicate that it is the only clinic of its kind in the nation.

March is National Nutrition Month

We have a serious situation on our hands.
For the first time in the history of the world we are seeing great progress in the near complete eradication of hunger. While we have not solved the problem completely, it can be said that we are supplying food to at least most of the world. More of the poorer countries are learning agricultural techniques to insure a sustained food supply.

Why then, with such success, are we now facing a global epidemic of obesity?  Perhaps nutrition cannot be defined merely as fuel for the body, but it must also include adequate work and exercise for the body.  Nutritious foods can make us healthy, but food alone will not necessarily produce a total picture of health; we need also nutritious work and exercise to build good muscle, bone, blood and tissue.

Last year, a global study performed by the Organization for Economic Co-operation and Development, (OECD),  on the health of the world in general, found that more than half a billion people, or one in 10 adults worldwide, were obese and that obesity was spilling over from the wealthy into poorer nations. It’s become an epidemic.

So, what can be done?

Most healthcare professionals agree that the most obvious and imminent causes for over-weight and obesity problems are consumption of excess calories, unhealthy eating habits and insufficient physical activity among children and adults. Individuals in the medical sciences, are being called upon to be leaders in opening the eyes of our communities to see the inherent dangers that threaten us all.

Below is a collection of articles aimed at studying and addressing our complete nutritional problem. You may want to share some of these articles and videos with your clients, patients, students and caregivers.  Together we can turn things around and help make lives better and healthier.

 

MedlinePlus: Obesity rates rise, threaten health in OECD nations:

US Department of Agriculture:

National Heart Lung and Blood Institute – For Health Professionals:

Texas Department of State Health Services:

Centers for Disease Control and Prevention:

MedlinePlus:

MedlinePlus
Nutrition for Seniors:

The Academy of Nutrition and Dietetics:

 

Scholarly articles

OECD

Obesity in Latino Communities:

Obesity prevalence and the local food environment

Texas Health Institute, 2006 Report

MedlinePlus.gov:

Behavioral intervention program

Science Daily

Children and Nature Network

 

 

Mental Health Services for Migrant Farmworkers

Last week the 20th annual Midwest Stream Farmworker Health Forum was held in Austin, with several speakers highlighting the need for improved access to mental health services. “Immigration is a mental health issue because it puts so much stress on parents and families,” according to Roger Rosenthal, director of the Migrant Legal Action Program (as reported in BataviaNews.com).  A search of PubMed found an article in the American Journal of Public Health published in 2000, but otherwise there appears to be limited evidence of research in this area.

More on traveling to Mexico for health care

As a follow up on my earlier post about Texans traveling to Mexico for health care, here are two additional recent articles: one from KENS-5 San Antonio (15 August), another from the Washington Post (18 June). Although both focus on dental care, the Washington Post article refers to a couple of interesting-sounding studies that deal with health care and border residents:

In a recent University of Texas study, 86 percent of low-income El Paso residents surveyed — half of whom were illegal immigrants — said they receive medical care or buy prescription drugs from Mexico. Similarly, a study published in the Pan-American Journal of Health [sic] found that more than 37 percent of uninsured New Mexico border residents get medical care in Mexico.

The second study referred to there appears to be the following:

Escobedo LG, Cardenas VM. Utilization and purchase of medical care services in Mexico by residents in the United States of America, 1998-1999 [Utilización y compra de servicios médicos en México por personas que viven en los Estados Unidos de América, 1998-1999]. Pan American Journal of Public Health May 2006;19(5):300-305.

I have not yet identified the University of Texas study referred to in the Washington Post article.