Flu update 10/30/13

Maine CDC issued a health alert about the beginning of flu season in Maine on Oct. 28. The health alert is available at: http://go.usa.gov/W2jz

Maine reported sporadic flu activity for the week ending Oct. 26. Weekly updates are available online:

• for Maine: http://go.usa.gov/NoK
• for the US: http://go.usa.gov/ITB
• for the world: http://go.usa.gov/ITK

Prevention and Treatment

Take everyday preventive measures against the flu:

• Wash your hands frequently with soap and water, but especially after coughing and sneezing. Alcohol-based hand gels can also be used.
• Avoid touching your nose, mouth, and eyes. Germs can spread this way.
• Get vaccinated against the flu. To find locations where vaccine is available, contact your health care provider or pharmacy, call 211, or visit www.211maine.org or www.flu.gov
• Consult your health care provider about getting a pneumococcal vaccine for anyone who is younger than 5, between ages 5 and 64 with high risk conditions, or age 65 and older.
• Avoid contact with sick people. If you are at very high risk for complications, you may want to avoid large crowds.

If you have the flu:

• Stay home if you are sick, until you are fever-free for a full 24 hours without taking fever-reducing medicine.
• Cough and sneeze into your elbow or into a tissue. Throw the tissue away.
• Although most people can stay home to recover without seeing a health care provider, it is possible for healthy people to develop severe illness from the flu. Anyone with the flu should seek medical attention for:
• Dehydration
• Trouble breathing
• Getting better, then suddenly getting a lot worse
• Any major change in condition

Guidance

US CDC has published a summary of the recommendations of the Advisory Committee on Immunization Practices (ACIP) for the 2013-2014 flu season at http://go.usa.gov/jdfB

US CDC has an influenza app for clinicians and health care providers to make it easy to access the latest guidelines and information. For more information about the app, go to http://go.usa.gov/43nR

The Vaccine Information Statements (VIS) for this coming season’s vaccines are available at http://go.usa.gov/jdAC

For more information, visit www.maineflu.gov.

Food Justice: Revisiting HEALTH

HEALTH is an organizational paradigm for Food Justice

Introduction: 
HEALTH has now been up and running for 5 years. Yay!
 
Okay, now that I've gotten the obligatory anniversary announcement out of the way, I want to draw attention back to a topic deserving of its own post:

What is "health"? What work does the acronym HEALTH perform?

In this post, I will elaborate a little bit on how I understand HEALTH after many additional years of life experience as an educator and activist, and why this understanding is preferable to the accepted definition and practice of "health." First, I will discuss the evolution of HEALTH from an organization to a blog to an experimental paradigm for coalition building. Second, I will juxtapose the self-centered normativity of "health" to the socialist politics of HEALTH. Third, I will break down HEALTH into several prerequisites and organizing points. I will conclude with acknowledging the difficulties of navigating this comprehensive vision of HEALTH and invite y'all to chime in with comments as to whether advocating HEALTH is as useful and un-problematic as I suggest.

1. The Evolution of a Vision (2005-2008)
Way back in 2005 I founded an organization on my college campus dedicated to addressing the intersections of oppressions. The club existed, on the one hand, to operate as an independent project for a course on Sustainable Buildings, and, on the other hand, to provide a much needed outlet for animal advocacy on campus. According to the original constitution submitted on April 5, 2005:

H.E.A.L.T.H. is dedicated to ecological sustainability and conservation, the adoption of compassionate and ecologically responsible lifestyles, and global awareness through activism and education. The club will work to develop an environmental taskforce for Beloit College, create and enforce environmentally sound policies, and educate the campus and community about ways to live more harmoniously with the Earth, nonhuman animals, and humans in developing countries. H.E.A.L.T.H. will be involved with nonviolent, grassroots environmental and animal activism 

HEALTH was founded upon ecofeminist philosophy, which I had begun studying independently a year before. Ecofeminism, in a nutshell, is a body of work that purports that the domination of nature (at least in the Western tradition) are entangled with the domination of women (as well as poc, working class, queers, and animals) historically, materially, conceptually, and mythologically. Ecofeminists valuably demonstrate, like other radical theories, that the oppression of humans and nonhuman beings mutually reinforce one another, and that liberation is only possible when all are free of injustices. HEALTH was conceived of this intersectional analysis.

Originally designed to address the unhealthy relationships between humans, animals, and the Earth, HEALTH would take on new meaning as an acronym during research for my interdisciplinary capstone project when I discovered the work of agrarian writer Wendell Berry and ecofeminist Chris Cuomo.

Wendell Berry's essays exemplified what thinkers like Fritjof Capra and David Orr called systems thinking. Systems thinking took into account the process, relationship, dynamism, wholeness, and complexity of "problems" (in contrast to mechanistic thinking which addressed problems by dissecting them into static, discreet parts with simple, predictable, linear cause and effect relationships. The problem with mechanistic thinking (in modern, industrial science, economics, politics, and technology) is that it often creates new problems and so it doesn't "solve for pattern."

In "Health is Membership," Berry wishes we return to the etymological root of  "health" as the whole-ness of belonging:

The word "health," in fact, comes from the same Indo-European root as ‘heal,’ ‘whole,’ and ‘holy.’ To be healthy is literally to be whole; to heal to make whole... our sense of wholeness is not just a sense of completeness in ourselves but also in a sense of belonging to others and to our place; it is an unconscious awareness of community, of having in common. (144)

[The contemporary] view of health that is severely reductive. It is, to begin with, almost frantically individualistic... One may presumably be healthy in a disintegrated family or community or in a destroyed or poisoned ecosystem.” (146)

In another essay, "Solving for Pattern," Berry discusses more concretely the destructive logic of providing health care for one group of a system at the expense of others who belong to that community in agriculture:

Our dilemma in agriculture now is that the industrial methods that have so spectacularly solved some of the problem of food production have been accompanied by ‘side effects’... the irony of agricultural models that destroy, first, the health of the soil and, finally, the health of human communities. (267)

The real problem of food production occurs within a complex, mutually influential relationship of soil, plant, animals, and people. A real solution to that problem will therefore be ecologically, agriculturally, and culturally healthful... [I]t is impossible to sacrifice the health of the soil to improve the health of the plants, or to sacrifice the health of plants to improve the health of animals, or to sacrifice the health of animals to improve the health of people. (269, 274)

Chris Cuomo provided more depth to Berry's arguments, in part by coming out of an ecofeminist tradition critical of the pastoral romanticization of the heteronormative family and settler colonialism. Cuomo offered an alternative route to addressing ecological ethics that wasn't based in mechanistic utilitarian, individualistic deontological, and apolitical care ethics. Cuomo proposed an eudaimonian ethic, based on the ancient Greek concept of flourishing, but applied to community as a social and ecological construct.

Humans cannot flourish without other humans, ecosystems, and species, and nothing in a biotic community can flourish on its own. Likewise, communities (both social and ecological) depend on the existence of other communities. Ethical objects therefore flourish as both social and ecological entities. To be extracted from community, human or otherwise, is to lack relationships and contexts that provide the meaning, substance and material for various sorts of lives.[*]

My ambition to build a coalition between clubs on campus and develop a sustainability taskforce, however, did not materialize. Several years organizing campus events and actions brought me to appreciation of how difficult it was to put this holistic perspective into practice. Such a comprehensive message and focus was naturally complex to deliver and we HEALTH spread itself thin attempting to address issues such as animal liberation and indigenous sovereignty (which I had come to appreciate after studying in Australia). Under the lack of general interest in and availability for advocacy on campus, HEALTH could not sustain itself after I graduated.

2. The Evolution of a Vision (2008-2013)
 

South Central Farm (1994 - 2006) was the largest urban farm and CSA in the USA.

When I returned home from a summer working as an educator at an animal sanctuary, I was inspired to keep my holistic vision and advocacy alive by creating a blog. Having learned from the past of how difficult it was to manage an organization that had potentially infinite possibilities, I narrowed the focus of HEALTH to a food justice blog that would encompass not only food sovereignty (which I learned the importance of through a sustainability project in my community), but also ecological sustainability, and animal liberation. The devotion of HEALTH to food justice seemed a natural fit since food is a site at which so many discourses of health (e.g., bodily, animal, ecological, communal, national) collide.

The original mission statement for HEALTH was posted on September 8, 2008:

HEALTH advocates ecological and social justice through campaigns in which the intersection of multiple oppressions in the production, distribution, and consumption of “food" can be addressed simultaneously... Health in its fullest sense cannot be achieved alone.

Over the next year, I would compile an array of resources, spanning form introductory web sites, documentary videos, peer-reviewed articles, academic journals, non-profit organizations, blogs, and books covering animal, agricultural, ecological, and social justice. Although I attempted to avoid doing so, the blog has admittedly leaned harder on the animal justice side of things. In the first two years, however, I did address matters of gender, race, class, and sexuality injustices in food production, consumption, and distribution.

One post I'm particularly fond of is "Skinny Bitch and Bulimic Vegetarians" published in April of 2009. Of all my posts, this one most directly addressed the limits of advocating personal "health" (or at least the superficial performance of health). After diagnosing the fat-shaming elements of vegan outreach (particularly the aesthetic appeal of Skinny Bitch and the PETA's campaign media), I shared my perspective on "health":

HEALTH cannot be achieved by individuals alone; true health is the consequence of an entire community flourishing mutually together. Modern reductionist approaches to health define "health" as something that can be achieved independent of Others and often at the expense of them (e.g., (over)fishing to consume more fish oil, enslaving people to pick tomatoes, wiping out wildlife to grow organic leafy greens, "curing" diseases by giving them first to millions of "animals"). Within this outlook, veg*n outreach that promotes veg*nism as good for "one's health" is playing into the liberal, antagonistic discourse of self-interest.

Since HEALTH must be achieved together it ought not, as much as possible, come at the expense of the health of Others. In this sense, appropriating mainstream means of advertising (i.e. using the promise of becoming a conventionally sexy and beautiful women) so as to exploit common insecurities over body-image (o)pressed into the minds of young women is not healthy. Exploiting, and thus perpetuating, oppression as a means to a "good" end can never be healthy, even if it promotes "health," because it ultimately subordinates the health of Others.

Read more »

Hepatitis A outbreak and response

Maine CDC’s Infectious Disease Epidemiology Program recently investigated a case of hepatitis A virus (HAV) infection that was traced to a community event in Durham. A person infected with HAV prepared and served food at a church supper attended by about 100 people.

When administered within two weeks of exposure to hepatitis A, vaccination is very effective in preventing illness. Representatives from Maine CDC’s Public Health Nursing (PHN) Program, Infectious Disease Epidemiology Program, and Maine Immunization Program collaborated to plan and execute a free, public hepatitis A vaccine clinic.

The Maine Immunization Program procured the vaccine and assisted in the clinic logistics, including answering questions about the vaccine and other doses needed. Five public health nurses and the PHN supervisor participated in the clinic, administering vaccine to 52 adults and six children.

For more information about the initial investigation and response, see the press release at http://go.usa.gov/Dz4F

For more information about prophylaxis and treatment, see the health alert at http://go.usa.gov/Dz23

Gluten-free standardization on food labels

The Food and Drug Administration (FDA) has finalized the definition of the term “gluten-free” and is regulating its use on food labels. No longer can manufacturers simply label foods as “gluten-free” without following proper guidelines. The term "gluten" refers to proteins that occur naturally in wheat, rye, barley and cross-bred hybrids of these grains. In people with celiac disease, an autoimmune digestive condition, foods that contain gluten trigger production of antibodies that attack and damage the lining of the small intestine. Such damage limits the ability of celiac disease patients to absorb nutrients and puts them at risk of other very serious health problems, including nutritional deficiencies, osteoporosis, growth retardation, infertility, miscarriages, short stature, and intestinal cancers.

Here are the guidelines:

According to the FDA, the term “gluten-free” now refers to foods that are either inherently gluten-free or foods that do not contain any ingredient that is:

• A gluten-containing grain (e.g. spelt wheat)
• Derived from a gluten-containing grain that has not been processed to remove gluten (e.g. wheat flour)
• Derived from a gluten-containing grain that has been processed to remove gluten (e.g. wheat starch), if the use of that ingredient results in the presence of 20 parts per million (ppm) or more gluten in the food

Foods that contain an unavoidable bit of gluten must keep that presence to less than 20 ppm.

The guidelines are based on the smallest amount of gluten that can be detected using scientific analysis tools and are in line with the international bodies that set guidelines for food safety standards. Manufacturers have until Aug. 5, 2014, to comply with the rule. For more information, go to http://go.usa.gov/DHe2

Re-Assessing Animal Rights: Resources

I've been thinking about the state of the animal defense movement* quite a lot after attending four conferences on organizing this summer. Perhaps for the better, the Animal Rights 2013 conference was not one of them. The conferences I attended were either organized by and for grassroots activist or were nearly silent on the status of animal others. Never have I learned so much and been inspired more. There I was exposed to alternative interpretations of the history and politics of the US and the modern world, and there I realized how white and superficial the analyses and strategies of mainstream animal activists often are.

This post is dedicated to providing resources to those open to re-assessing the history, politics, organization, tactics, theories, and language of the animal defense movement. I intend to write more about the presentations and drama I witnessed at these conferences, but for now I want to share some essays and presentations that have really challenged and inspired me to re-think my assumptions and history of abstract theorizing that is valued in academic settings, especially in philosophy.

Re-Assessing Animal Defense

 

The History and Politics of the Animal Defense Movement

With the rise of the vegan movements, the politics of animal defense have become increasing personal that many activists have forgotten that vegan-consumption is just one strategy, and not even the most important. On the other hand, large nonprofits have taken to reforms that do not challenge the source of animal oppression: their status as commodities. Yet still, animal defense is often interpreted from the perspective of those who have made careers at nonprofits and universities--what of the history of the grassroots?

• Animal Rights: Moral Crusade or Political Movement (Kim Stallwood 2013)
• The State of the US Animal Rights Movement (Interview w/ Gary Francione 2002)
• Animal Rights History, Welfarism, and 'Star Wars' (Interview w/ Josh Harper 2011)
• History of the Anti-Vivisection Movement (Josh Harper 2013)

The Limits of Vegetarian Outreach

Vegetarian outreach has been a staple of the nonprofit animal defense movement since the 1990's when activists realized that over 95% of animals were killed and exploited by agribusiness. While there is much debate over how to best "sell" vegetarianism, critiques of the sufficiency of veganism as a "baseline" has been less frequent. Is vegan education our most effective tactic? Is "veganism" sufficient for animal liberation?

• The Science of Animal Advocacy (Nick Cooney 2013)
• Science of Science-y -- A Critique of Vegan Outreach Studies (DXE 2013)
• Skinny Bitch and Bulimic Vegetarians (Adam Weitzenfeld 2009)
• Boycott Veganism: Animal rights only begins with your diet (Anonymous 2007)
• A Critique of Consumption-Centered Veganism (Adam Weitzenfeld 2011)
• Abolition, Liberation, Veganism (Ida Hammer 2011)

The Problem with Analogies to Human Oppression

Some animal activists draw logical analogies between the institutional violence against nonhuman animals and oppressed humans. The presumption is that the public will have a logical breakthrough that violence against nonhuman animals is unjust like violence against oppressed humans. Have the articulation and performances of these analogies bore the breakthroughs as activists hoped, or only further alienated them from their cause?

• Animal Whites: PETA and the Politics of Putting things in Perspective (Tim Wise 2005)
• On Analogies as Advocacy Tools: Some Thoughts on Appropriation (BWM 2013)
• Performance Politics: Abstract Animals and Suffering Humans (Dylan Powell 2013)
• Why "Putting Non-Humans First"... Doesn't Work (Corey Wrenn 2013)
 

Critiques of Non-Profit Campaigns & Conferences
The hegemony of corporate non-profits have "hijacked" the strategy, language, and tactics of animal liberation. Non-profits generate funds and publicity for animals, however, they have also been notoriously conservative on matters of class, race, and gender in their organizations and campaigns. Their collusion with State power, capital, and white supremacy has built a large funding base, but are they building a movement upon the marginalization and oppression of humans?

• Smoke and Mirrors -- A Critique of the Non-Profit Industrial Complex (Ida Hammer 2009)
• Invasion of the Movement Snatchers  (James LaVeck 2006)
• The Need to Address Classism at Conferences, Seminars, and Festivals (Ida Hammer 2008)
• Recalling the Animal Rights Conference 2013 (Anastasia Yarbrough 2013)
• Sexualization (of Women in the Animal Rights Movement) (Vegan Feminist Network 2013)
• Colonialism (in the Animal Rights Movement) (Vegans of Color 2008)
• Veganism and Prison Abolition (Ida Hammer 2009) 

The Intersections of Human and White Privilege in the ADM

The animal defense movement has continued to be the whitest social justice movements in the US for decades, despite that people of color are no less compassionate and no less likely to be vegetarian. We've already looked at colonial campaigns, analogies that alienate, under-representation in leadership, and complicity in racist law enforcement. What analytic tools, strategies, and language can whites adopt and support to build coalitions across racialized experiences?

• Working With(in) Whiteness (pattrice Jones 2013)
• The Color of Animal Rights (Dr. Harper, L. Ornelas 2013)
• Intersectionality in Theory and Practice (pattrice Jones 2013)
• What’s Wrong with ‘Rights’ (pattrice jones 2013)
• Beyond Veganism: Food Justice (Lauren Ornelas 2012)
• Decolonizing our Taste Buds and Self-Care (Claudia Serrato 2013)

How to Disrupt Oppression

Once equipped with more sophisticated theory and more supportive of people of color and queer leadership and projects, animal activists are on their way to building a movement that reaches beyond the single-issue identity politics of "animal rights." This is, of course, easier than it sounds. Because nearly all of us in the US have been colonised by white supremacist capitalist heteropatriarchy, it will take some effort on our behalf to challenge its "common sense" built into our brains-and-flesh. How can we resist these old habits?

• Don't be that Dude: Handy Tips for the Male Academic (Acclimatrix 2013)
• The Problem when Sexism Sounds so Darn Friendly (Melanie Tannenbaum 2013)
• Feminist Killjoys (and Other Willful  Subjects) (Sara Ahmed 2010)
• How to Tell Someone they Sound Racist (Jay Smooth 2008)
• The Revolution Will Not be Polite (Rachael 2012)
• Getting Called Out: how to Apologize (Chesaleigh 2013)

Critiques of Ally, Intersectionality, and Privilege

Over the last ten years as the internet has made it easier to "call-out" animal activists for their complicity with racism and other oppressive systems, some mainstream organizations and many white activists have adopted the language of anti-oppression. Have white activists' identification as allies, acknowledgement of their privileges, and references to "intersectionality" transformed their activism or obscured privilege and power?

• No More "Allies" (Mia Mckenzie 2013)
• Defining and Critiquing 'Intersectionality' (S.E. Smith 2010)
• Tim Wise & the Failure of Privilege Discourse (Robtheidealist 2013)
• The Problem with Privilege (Andrea Smith 2013)
• How Vegan Oppression Cannot Exist (Ida Hammer 2010)
• A Class Struggle Anarchist Analysis of Privilege Theory -- From the Women's Caucus

Are there any essays, talks, and books that have changed your advocacy for animals? Please share in the comments. I may add them to the list!

Read more »

Loops revisited: How to rethink macros when using R

Meaningful use

The American Reinvestment & Recovery Act of 2009 includes many measures to modernize our nation's infrastructure, one of which is the "Health Information Technology for Economic and Clinical Health (HITECH) Act." The HITECH Act supports the concept of meaningful use of electronic health records.

The Stage 2 measures for public health reporting state that an Eligible Hospital (EH) or Eligible Provider (EP) must register intent to submit ongoing submission of electronic data to the Public Health Authority (PHA) for the following types of reporting:

• Immunization Registries
• Syndromic Surveillance
• Reportable Lab Results
• Cancer Registries
• Specialized Registries

The EH or EP must register with the PHA within 60 days of the start of the organization’s EHR reporting period, if they plan on attesting for such public health reporting for that period. Once registered, the EH or EP is immediately considered to be engaged in ongoing submission to the PHA. However, to remain engaged in ongoing submission the EH or EP must do the following:

• Be ready to participate in the on-boarding process when the PHA is ready to engage.
• Respond to any PHA written requests for actions. Note: The EH or EP does not meet the measure if there is a failure to respond to two written requests within 30 days on two separate occasions.

For more information about meaningful use, visit http://go.usa.gov/DHhC. For Maine CDC’s Meaningful Use Stage 2 Registration page, go to http://go.usa.gov/DHS4.

Dental bond assists dental school and community-based clinics

The University of New England’s new College of Dental Medicine held its formal ribbon-cutting ceremony on October 2. Gov. Paul LePage spoke and helped cut the ribbon, as one of the supporters of this program.

The inaugural class of 64 students includes 24 from Maine. As they proceed through their professional training, the students will spend up to a year as externs in community-based dental clinics throughout Northern New England, including a number in Maine.

Funds from a bond approved by Maine voters in November 2010 contributed to UNE’s state-of –the-art Oral Health Center and teaching clinic in Portland. Bond-related grants will now assist nine organizations in 11 locations throughout the state, from Sanford to Presque Isle, to upgrade their dental clinics to meet standards for hosting students, with the more immediate impact of improving access to dental services by allowing more efficient and cost-effective care. Contracts are in process for those projects, most of which will be completed within three to six months. All will be completed by the end of 2014.

SCC Briefed on Accreditation Status from Maine CDC and Portland Public Health

The Statewide Coordinating Council for Public Health (SCC) received an update at their September 19 meeting in Augusta. Shane Gallagher and Kate Marone, Accreditation Coordinators from Portland Public Health and Maine CDC respectively, provided a brief overview of Accreditation, followed by status updates from their agencies.

Maine CDC continues to prepare to apply for Accreditation, and plans to submit its application in January 2014. Portland Public Health applied in late spring, and is now gathering the necessary documents to submit to the Public Health Accreditation Board (PHAB). The Accreditation process includes gathering and preparing several hundred documents in order to demonstrate how the organization is meeting the 32 Accreditation Standards. Both agencies hope to achieve national Public Health Accreditation status by the end of 2014.

To request a copy of the presentation, or to learn more, please contact Maine CDC’s Accreditation Coordinator, Kate Marone, at kate.marone@maine.gov

It's Breast Cancer Awareness Month

During 2013, it is estimated that more than 1,150 women will be diagnosed with breast cancer and 190 women will die from the disease. As October marks National Breast Cancer Awareness month, Maine CDC reminds women that regular screening mammograms are critical in diagnosing and beginning treatment of the disease.

A screening mammogram can detect breast cancer early, even before symptoms arise. The American Congress of Obstetricians and Gynecologists and the American Cancer Society recommend annual mammogram, starting at age 40. The US Preventive Services Task Force recommends screening every one to two years, starting at age 50. Women with a first degree relative with breast cancer may warrant testing prior to these age recommendations. All patients should enter into a personal discussion regarding their screening with their primary care physicians and decisions should be individualized.

Women with hyper dense breast tissue may be at increased risk, as a mass may be masked by the dense tissue. Not all breast cancer is palpable as a lump on breast exam, which is why mammogram is so important.

The Maine CDC Breast and Cervical Health and Colorectal Cancer Control Programs can provide information about cancer screening tests and has some resources available for free cancer screenings.

Women must be age 40 or older and meet financial and other program criteria. Interested women are encouraged to call 1-800-350-5180 or 1-207-287-8068; TTY users call Maine Relay 711.

More details can also be found at: http://go.usa.gov/DHJ5