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Monday, June 10, 2013

Floyd County newpspaper editor calls on readers to make lifestyle changes to address area's diabetes health crisis

The editor of an Eastern Kentucky newspaper has joined an advocacy group's call for residents in his county to make simple, healthy lifestyle changes, serving as an example of how local newspapers and community members can engage the public to confront poor health status of the area, which is often put on the back-burner despite alarming warning signs.

Recently, the Tri-County Diabetes Partnership declared the rate of diabetes in Floyd, Johnson and Magoffin counties (map) "a crisis of epidemic proportions." The rate in 2002-10, the latest available, was 14 percent.

If the federal Centers for Disease Control and Prevention "saw a similar increase in any other illness, they would probably declare a national emergency,” said J.D. Miller, vice president of medical affairs for Appalachian Regional Healthcare, who chaired the meeting.

The group's statement was an appropriate response to direct public's attention to the imperative of addressing the area's skyrocketing rate of the disease, Ralph Davis of The Floyd County Times wrote in an editorial.

Diabetes will remain a crisis unless we do something about it, said Davis, and "if you have been waiting for a crisis before making healthy lifestyle changes, we’ve got one for you. In fact, we have several," Davis said.

The Central Appalachian region suffers from disproportionate rates of diabetes, cancer and heart disease, and Floyd, Magoffin and Johnson counties have much higher rates of obesity than state and national averages, Davis notes. Floyd County ranks last among the state’s 120 counties in overall health measures, and Johnson and Magoffin counties are ranked 108th and 104th, respectively.

To do something about this problem, Davis calls for concentrated attention by health care providers and government officials, but the problem won't be solved without action from the community and individuals, he says. Simple, healthy lifestyle changes are needed.

"It’s going to require the conscious decision by everyone in the region to do what they can to improve their diet and exercise habits, and to encourage their friends and family to do the same," said Davis.

Calls like Davis's are needed even more in most of the counties that surround the three counties, based on data from the CDC's Behavioral Risk Surveillance System. The counties in dark blue had rates above 14 percent; the highest was Greenup, at 17 percent.

The editor of an Eastern Kentucky newspaper has joined an advocacy group's call for residents in his county to make simple, healthy lifestyle changes, serving as an example of how local newspapers and community members can engage the public to confront poor health status of the area, which is often put on the back-burner despite alarming warning signs.

Recently, the Tri-County Diabetes Partnership declared the rate of diabetes in Floyd, Johnson and Magoffin counties (map) "a crisis of epidemic proportions." The rate in 2002-10, the latest available, was 14 percent.

If the federal Centers for Disease Control and Prevention "saw a similar increase in any other illness, they would probably declare a national emergency,” said J.D. Miller, vice president of medical affairs for Appalachian Regional Healthcare, who chaired the meeting.

The group's statement was an appropriate response to direct public's attention to the imperative of addressing the area's skyrocketing rate of the disease, Ralph Davis of The Floyd County Times wrote in an editorial.

Diabetes will remain a crisis unless we do something about it, said Davis, and "if you have been waiting for a crisis before making healthy lifestyle changes, we’ve got one for you. In fact, we have several," Davis said.

The Central Appalachian region suffers from disproportionate rates of diabetes, cancer and heart disease, and Floyd, Magoffin and Johnson counties have much higher rates of obesity than state and national averages, Davis notes. Floyd County ranks last among the state’s 120 counties in overall health measures, and Johnson and Magoffin counties are ranked 108th and 104th, respectively.

To do something about this problem, Davis calls for concentrated attention by health care providers and government officials, but the problem won't be solved without action from the community and individuals, he says. Simple, healthy lifestyle changes are needed.

"It’s going to require the conscious decision by everyone in the region to do what they can to improve their diet and exercise habits, and to encourage their friends and family to do the same," said Davis.

Calls like Davis's are needed even more in most of the counties that surround the three counties, based on data from the CDC's Behavioral Risk Surveillance System. The counties in dark blue had rates above 14 percent; the highest was Greenup, at 17 percent.

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Thinking outside the (litter) box

Grigg EK, Pick L and Nibblett B. Litter box preference in domestic cats: covered versus uncovered. J Feline Med Surg. 2013; 15: 280-4.

The most common behavior problem in cats leading to their relinquishment to animal shelters is inappropriate elimination or housesoiling. In this situation, cats eliminate urine, feces, or both around the house, but outside the litter box. Litter box management is one area of focus for prevention of elimination disorders of either medical or behavioral origin. Some of the common recommendations associated with improving litter box management are: 

1) cleanliness – boxes should be cleaned at least once per day and litter completely replaced weekly,
2) type of litter – the fine-grained clumping clay litter is the most commonly recommended,
3) number of litter boxes – the general yet untested rule of the number of cats plus one,
4) litter box size – larger box size especially for larger cats and,
5) style of box – recommending against self-cleaning boxes or covered boxes. 

Little research has been done to look at box style, such as a preference for uncovered versus covered litter boxes. The authors wanted to determine if cats did prefer uncovered litter boxes when all other factors are equal. Twenty-eight cats were enrolled in the study. Nineteen of the cats showed no preference between a covered or uncovered box. Some individual cats did have preferences for one box type or the other – four cats for uncovered boxes, four cats for covered boxes. With a minority of cats exhibiting a litter box style preference, offering a ‘cafeteria’ choice of litter boxes, including a covered box, might be beneficial. Additional studies related to litter box management are recommended, such as evaluating scented versus unscented litters. [VT]

See also: Sung W and Crowell-Davis SL. Elimination behavior patterns of domestic cats (Felis catus) with and without elimination behavior problems. Am J Vet Res. 2006; 67: 1500-4.

More on cat health:
Winn Feline Foundation Library
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Grigg EK, Pick L and Nibblett B. Litter box preference in domestic cats: covered versus uncovered. J Feline Med Surg. 2013; 15: 280-4.

The most common behavior problem in cats leading to their relinquishment to animal shelters is inappropriate elimination or housesoiling. In this situation, cats eliminate urine, feces, or both around the house, but outside the litter box. Litter box management is one area of focus for prevention of elimination disorders of either medical or behavioral origin. Some of the common recommendations associated with improving litter box management are: 

1) cleanliness – boxes should be cleaned at least once per day and litter completely replaced weekly,
2) type of litter – the fine-grained clumping clay litter is the most commonly recommended,
3) number of litter boxes – the general yet untested rule of the number of cats plus one,
4) litter box size – larger box size especially for larger cats and,
5) style of box – recommending against self-cleaning boxes or covered boxes. 

Little research has been done to look at box style, such as a preference for uncovered versus covered litter boxes. The authors wanted to determine if cats did prefer uncovered litter boxes when all other factors are equal. Twenty-eight cats were enrolled in the study. Nineteen of the cats showed no preference between a covered or uncovered box. Some individual cats did have preferences for one box type or the other – four cats for uncovered boxes, four cats for covered boxes. With a minority of cats exhibiting a litter box style preference, offering a ‘cafeteria’ choice of litter boxes, including a covered box, might be beneficial. Additional studies related to litter box management are recommended, such as evaluating scented versus unscented litters. [VT]

See also: Sung W and Crowell-Davis SL. Elimination behavior patterns of domestic cats (Felis catus) with and without elimination behavior problems. Am J Vet Res. 2006; 67: 1500-4.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Join us on Google+
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Sunday, June 9, 2013

Veteran journalist offers advice on covering mental health issues: Be careful, creative, and balanced, not discriminatory

The term 'mental health' has been tossed around a lot lately in stories about Kentucky's mental health funding and mental health coverage through Medicaid expansion. It's important to use precise language when writing about the topic, because a fourth of Americans are affected by mental-health issues each year, and many  don't seek treatment due to its stigma.

"Fair, accurate and balanced portrayals of mental health in the news media are so important," says Melissa McCoy of the California Newspaper Publishers Association. She notes that studies show coverage of mental health is mostly reactive, responding to a school shooting or n act of violence, which could skew public perceptions about mental illness. She says journalists should "provide accurate coverage of mental health without adding to its stigma" or to the discrimination faced by those with mental illness.

Journalists can seek balance by asking themselves about the relevance of mental health to the story and making sure to use the right type of language, says McCoy; be creative about mental health coverage by integrating it into stories about general health, veterans returning from war, substance abuse recovery, unemployment or even stress among students. 
The term 'mental health' has been tossed around a lot lately in stories about Kentucky's mental health funding and mental health coverage through Medicaid expansion. It's important to use precise language when writing about the topic, because a fourth of Americans are affected by mental-health issues each year, and many  don't seek treatment due to its stigma.

"Fair, accurate and balanced portrayals of mental health in the news media are so important," says Melissa McCoy of the California Newspaper Publishers Association. She notes that studies show coverage of mental health is mostly reactive, responding to a school shooting or n act of violence, which could skew public perceptions about mental illness. She says journalists should "provide accurate coverage of mental health without adding to its stigma" or to the discrimination faced by those with mental illness.

Journalists can seek balance by asking themselves about the relevance of mental health to the story and making sure to use the right type of language, says McCoy; be creative about mental health coverage by integrating it into stories about general health, veterans returning from war, substance abuse recovery, unemployment or even stress among students. 
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