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Contact: Steve Scharff at (252) 475-5057 (office), 256-0496 (cell) or sscharff@darenc.com
Dare County Department of Public Health
November 19, 2008

Ensure safe holiday travel for the children


Holiday seasons are travel seasons for many families planning to get together for Thanksgiving and Christmas.

Holiday trips provide an exciting learning experience for the whole family; however, to ensure that they are also safe ones, parents must provide extra-careful supervision while in unfamiliar surroundings.
``Traveling away from home, especially with very young children, can present some new and challenging experiences for parents,’’ commented Anne Thomas, Director of the Dare County Department of Public Health. ``These challenges can be dealt with successfully by planning ahead for them.’’

The Health Department’s Healthy Carolinians of the Outer Banks (HCOB) Child Abuse and Neglect Task Force has put together a list of several tips for travel that will make travel safer for the children.

General Travel Tips

  • Parents should prepare a tag for each young child to wear in the event a child becomes separated from the family. The tag should contain the parents’ names and emergency contact information.

  • Children should always be accompanied to public restrooms.

  •  Parents should be aware that the homes and other places visited may not be childproofed. Parents should keep an eye out for danger spots.

  • Cribs or play yards provided by hotels may not meet all current safety standards. Parents having any doubt about the safety of the crib or play yard should ask for a replacement or consider other options.

  • When traveling internationally, parents must remember that conditions at hotels and other lodging may not be as safe as those in the U.S. Parents should inspect for exposed wiring, pest poisons, paint chips, or inadequate stairway or balcony railings.
    Travel By Car:

  • Parents should always use a car safety seat designed for the size and age of infants and young children. A child who has outgrown a car safety seat with a harness should ride in a belt-positioning booster seat until the vehicle's seat belt fits properly (usually when the child reaches about 4' 9" in height and is between 8 to 12 years of age).

  • All children under 13 years of age should ride in the rear seat of vehicles.

  • Parents set a good example by always wearing seat belts.

  • Parents should plan to stop driving about every two hours to give everyone a rest stop.

  • A child should never be left alone in a car, even for a minute. Temperatures inside a car can reach deadly levels quickly.

Travel by Air:

  • Children need to be aware it's against the law to make threats such as: "I have a bomb in my bag." Threats made jokingly (even by a child) can result in the entire family being delayed and could result in fines.

  • Similar to travel in motor vehicles, a child is best protected on an airplane when properly restrained in a car safety seat appropriate for the child’s size. Belt-positioning booster seats cannot be used on airplanes, but they can be checked as luggage for use later in rental cars and taxis.

  • Although the FAA allows children under age two to be held on an adult's lap, safety-conscious families should explore options to ensure that all children have their own seats. Discounted fares may be available. If it is not feasible to purchase a ticket for a small child, parents should try to select a flight that is likely to have empty seats.

  • ``Traveling, visiting family members, and holiday bustle can all increase stress levels for the whole family, leading to irritability, tiredness and carelessness’’ explained Sandy Brookshire of the Dare County Department of Social Services and Chair of the Task Force. ``Trying to stick to your child's usual routines, including sleep and meal schedules, can help your family enjoy holiday travel and reduce stress.’’

The American Academy of Pediatrics (AAP) has more tips for the entire family whether on the road or in the air at http://www.aap.org/advocacy/releases/travelsafetytips.cfm . Parents can also check out the following websites for more information on how to help ensure the welfare of the community’s children: http://www.childwelfare.gov/preventing/communities or www.preventchildabuse.org.


Healthy Carolinians is a motivated group of multi-talented citizens interested in the good health and wellness of the Dare County community and is facilitated and organized by the Dare County Department of Public Health. For more information or to join a taskforce, please call Trish Blackmon at (252) 475-5026 or visit www.hcobx.org .


Contact: Steve Scharff at (252) 475-5057 (office), 256-0496 (cell) or sscharff@darenc.com
Dare County Department of Public Health
November 20, 2008

Dare Home Health and Hospice and Twiford Funeral Homes will present the Sixth Annual Community Memorial Service on Sunday, December 14 at the Roanoke Island Festival Park Art Gallery from 3:30 p.m. to 5 p.m.

According to Anne Thomas, Director of the Dare County Department of Public Health, ``This service provides a sense of community as we remember loved ones and friends who have gone before. We find strength and hope together.’’

Home Health and Hospice is administered by the Dare County Department of Public Health.

The service will include music and readings as well as the opportunity for those in attendance to name and remember dear ones. A time of fellowship and refreshments will follow the service.

No registration or RSVP is necessary to attend and everyone is welcome. For more information, contact Ellie Ward, Home Health and Hospice Nursing Director at 252-475-5034 or elliew@darenc.com .


Contact: Steve Scharff at (252) 475-5057 (office), 256-0496 (cell) or sscharff@darenc.com
Dare County Department of Public Health
November 19, 2008

Suzanne Tate, a local children's book author, visited all of the second grade students at Nags Head Elementary School on Thursday, October 23 to read her book, Spunky Spot- A Tale of One Smart Fish.
The visit was coordinated by the Dare County Department of Public Health and the Dare County Schools as an event for Red Ribbon Week.

``Red Ribbon Week is time set aside each year for highlighting ongoing activities that educate our community about the health and social consequences of substance abuse,’’ explained Public Health Director Anne Thomas.

The children’s story relates the feelings of a young fish tempted to eat a worm. The young fish’s parent convinces Spunky Spot to avoid the worm because it is on a hook and could lead to terrible consequences.

In addition to the reading by the author, all second grade students were presented copies of this book. Tate also answered questions and talked to the students about being an author.

``We really enjoyed getting to meet with her,’’ commented Second Grade Teacher Jenna Gray.
Sheila Davies of the Public Health Department’s newly created New Horizons Substance Abuse Program served as the liaison between the Health Department and the school district in setting up the program.

# # #

Mrs. Tate Reading
Suzanne Tate, a local children’s book author, visited Nags Head Elementary School during Red Ribbon Week and presented each student with a copy of one of her books.

 

 



 


(Nicholas and Chloe with new books)
Nicholas Zitnik and Chloe Carter, second graders at Nags Head Elementary School, proudly display their new books given to all second graders by local children’s book author Suzanne Tate when she visited the school during Red Ribbon Week.

 

 

 


Tuesday, November 6, 2008
Contact: Steve Scharff at (252) 475-5057 (office), 256-0496 (cell) or sscharff@darenc.com
Dare County Department of Public Health

How to prevent Lung Cancer

``When it comes to Lung Cancer playing with smoke can be more dangerous than playing with fire,’’ reasons Dare County Director of Public Health Anne Thomas. ``Researchers have definitively identified the health risks associated with tobacco use, now we need to spend more time implementing solutions.’’ Thomas was referring to the research that shows that eight out of 10 cases of lung cancer, the leading cancer killer, are caused by smoking. In response to this research, and the 2006 Community Health Assessment, Healthy Carolinians of the Outer Banks formed a task force to determine what could be done to decrease the incidence of lung cancer in Dare County.
According to Carol West, mission delivery manager for the American Cancer Society (ACS) on the Outer Banks and a member of the Lung Cancer Task Force, ``Lung cancer is the leading cause of cancer death for men and women, but it is also the most preventable cancer.’’

With eight of 10 lung cancer cases caused by smoking tobacco and the other two cases resulting from secondhand smoke, asbestos and cancer-causing agents in the home or workplace, the most effective method of preventing this form of cancer becomes readily apparent. Smokers need to stop; non-smokers need never to start smoking.

Although lung cancer is the most preventable forms of cancer, it is also one of the most difficult to cure. According to West, the five-year relative survival rate for cancer that has not spread to additional sites in the body is 49 percent. It is only 15 percent for all stages combined.

Beginning last June, the Dare County Commissioners succeeded in forming a partnership with the University of North Carolina that brings world-class cancer specialists to Dare County to meet with patients for consultations and second opinions, recommending the most appropriate courses for treatment. UNC Patient Navigators are available in Dare daily to help arrange appointments with the physicians who visit Dare on alternating Fridays.

Early detection for lung cancer is difficult with doctors finding many early lung cancers only incidentally after tests for unrelated medical conditions. Signs of lung cancer may include a cough that does not go away and gets worse over time, chest pain, shortness of breath, wheezing or hoarseness. They may also include weight loss and loss of appetite, coughing up blood, fever without a known reason and repeated problems with pneumonia or bronchitis. Anyone experiencing such symptoms should consult with a physician.

``Recognizing that tobacco avoidance is the key to beating this and many other forms of cancer, I felt we needed to do something quickly for our county’s children to increase their chances of never becoming involved with tobacco use,’’ added Thomas. ``Several years ago, we created a Peer Power Program for use in the school district’s health program that has been very successful in using trained students to educate other students, their peers, on the importance of leading healthy life styles.’’

In addition, a tobacco prevention program was put in place in Dare County to educate the owners or supervisors of businesses and public gathering places and attempt to convince them of the benefits of being tobacco free for the better health of their workers and patrons.

Under the leadership of Tobacco Prevention Specialist Lisa Phillips, also a member of the Lung Cancer Task Force, Dare County now boasts a high percentage of restaurants, stores and public sites that ban the use of tobacco. Phillips also works with students to educate business owners and supervisors in the program, Touch No Tobacco (TNT).

Peer Power and TNT both receive funding through the N.C. Health & Wellness Trust Fund.
The American Cancer Society underscores the need for people to avoid areas where smoke is present as secondhand smoke has led to lung cancer becoming one of the top ten killing cancers in people who have never smoked.

The common treatments for lung cancer, depending on cancer type and stage, are surgery to remove cancerous tumors, chemotherapy and radiation therapy, either in combination or alone.
West points out, `` Interestingly, ACS says everyone, smokers or not, may be able to reduce their risk of lung cancer by eating a healthy, balanced diet with at least five servings of fruits and vegetables every day.’’

There are many free resources and counsel available throughout Dare County including:

  • The Dare County Department of Public Health, Health Education Department at 252-475-506 or tblackmon@darenc.com;

  • UNC/Dare County Cancer Care Initiative, Contact Nurse Navigators at The Cancer Resource Center on the second floor of the medical office building adjacent to the Outer Banks Hospital. Contact center coordinator Betse Kelly at 252-449-7350 or email marybetse.kelly@theobh.com;

  • Contact the American Cancer Society at www.cancer.org or 1-800-ACS-2345, 24 hours a day and 365 days a year;

  • The National Cancer Institute at www.cancer.gov or 1-800-4-CANCER;

  • The Lung Cancer Alliance at www.lungcanceralliance.org or 1-800-298-2436;

  • The American Lung Association at www.lungusa.org or 1-800-586-4872;

  • The American Heart Association at www.americanheart.org or 1-800-242-8721;

  • The Campaign for Tobacco-Free Kids at www.tobaccofreekids.org or 1-202-296-5469;

  • The National Heart, Lung, and Blood Institute at www.nhlbi.nih.gov or 1-800-575-9355.

In the end, stopping the use of tobacco could nearly wipe out lung cancer, says West. Unfortunately, she adds, nearly 23 percent of Americans continue to use tobacco. She advised that people needing help to stop smoking should contact their doctor, or call the Cancer Resource Center or the ACS.

``The costs to our community’s families due to lung cancer illnesses and death is dramatic on financial as well as emotional levels,’’ says Thomas. ``In one very real sense, it is fortunate that this disease is so preventable; however, we still have a lot of work to do to change people’s attitudes and behavior in regards to tobacco use.’’

In addition to Thomas, West and Phillips, other members of the Cancer Task Force include Co-Chairs Betse Kelly of the Cancer Resource Center and Janet Jarrett of Regional Medical Services, Bobbie and Ed Beckley, Barbara Gardella, Tonya Moye, Dr. Demetri Poulis, Brandi Rheubottom, Cyndee Robert-Slaughter, Louanne Woody, Lynn Mills, Tarra Midgette, and Ellie Ward.
Healthy Carolinians is a motivated group of multi-talented citizens interested in the good health and wellness of the Dare County community and is facilitated and organized by the Dare County Department of Public Health. For more information or to join a taskforce, please call Trish Blackmon at (252) 475-5026 or visit www.hcobx.org.

Task Forces have also been established on Obesity, Child Abuse and Neglect and Heart Disease and Stroke to determine ways to improve health conditions in the county in their respective areas.


Thursday, October 16, 2008
Contact: Steve Scharff at 252-475-5057

Playing it Safe

``A child is the most important investment in any family’s or community’s future,’’ says Dare County Public Health Director Anne Thomas. ``As we do with any investment, we must watch it carefully for safe and healthy growth.’’

Each year hundreds of children are hurt playing on playgrounds, riding bicycles or playing in sporting events. Many of these injuries could be avoided simply by paying more attention through closer supervision.

The Health Department’s Healthy Carolinians of the Outer Banks’ Child Abuse and Neglect Taskforce reminds parents and guardians what they should do to ensure their child’s safety:

  1. Before children join athletic teams, they should have had a physical and given the okay to play.  Parents should not push children to take part in an activity. 
  2. A child’s skill level and size should match others on an athletic team.
  3. Coaches or supervising adults should be made aware of their responsibility for children’s safety at games and practices.
  4. Responsible adults should pick up and drop off children promptly at sporting activities.  Children should never be dropped off where there is no adult supervision present. 
  5. Coaches should be given emergency contact information.
  6. Children should be constantly reminded never to get in a car with a stranger.
  7. Injured children, no matter what coaches or other players say, should not be permitted to participate in a game.  Parents have the responsibility to protect children.
  8. Children should have and use the proper equipment and safety gear (helmet, mouth guard, elbow pads, knee pads, shin pads etc.) appropriate to the activity. For example, safety gear rules should be enforced while children ride bicycles.  Each year, over 300,000 children go to the emergency room with bike injuries, usually head injuries that can be avoided with the use of a helmet.
Sports for children build character and promote fun for families. Parents should encourage and support children in these sports activities.

For more information, parents can check out the following websites for more tips on how to help ensure the welfare of the community’s children: http://www.childwelfare.gov/preventing/communities or www.preventchildabuse.org  

Healthy Carolinians is a motivated group of multi-talented citizens interested in the good health and wellness of the Dare County community and is facilitated and organized by the Dare County Department of Public Health. For more information or to join a taskforce, please call Trish Blackmon at (252) 475-5026 or visit www.hcobx.org.


Contact: Trish Blackmon at 475-5026
Dare County Department of Public Health

Get rid of the junk food! 

That was the word coming from  parents and community members who had expressed their concerns of the sugar and fat laden snack choices which, until recently, where the majority made available to youngsters in the vending machines at local Parks and Recreation sites.   

``I am especially concerned with obesity among our young people,’’ commented Health Director Anne Thomas. ``Adults understand the health risks connected with poor dietary habits, but our youngsters need the encouragement and the knowledge to make the right choices.’’ 

Students from First Flight High School’s Peer Power program assessed the nutritional values of the vending machine choices last May and concluded that the majority of the choices were unhealthy, and were shocked that water was unavailable as a beverage choice.  When approached to adopt a healthy vending machine policy, Tim White, Public Service Director of the Parks and Recreation policy did not hesitate to react and adopt the policy.  

``The policy specifies that each vending machine will provide healthy snack options,’’ related Public Service Director Tim White who directs the Parks and Recreation program. ``Additionally, water should be provided as an option in all Parks and Recreation beverage machines. Occasionally, vendors fail to fill the machines properly and  adoption of this policy will ensure that healthy choices are the majority, not the minority. ” 

According to the policy, healthy choices include: water, low fat chips, fruit/granola bars, raisins, whole grain crackers, whole fruit snacks and pretzels. 

Mandy Earnest, a member of the Health Education team at the Health Department and co-chair of the Obesity Taskforce, has been working with the students educating them on the need to make healthy dietary choices and the benefit of routine exercising to fight the battle against obesity.

``Youngsters learn better by doing,’’ said Earnest after a recent tour of vending machines with the youngsters. ``They become the teachers for other youngsters who are more receptive to the information when it comes from a peer.’’ 

Peer Power is a program provided by the Dare County Department of Public Health in partnership with Dare County Schools that teaches students about healthy behaviors, including nutrition, physical activity, and the harmful effects of tobacco use.  The program is supported by the North Carolina Health and Wellness Trust Fund. 

The healthy vending policy is a part of the campaign against obesity that is being launched through the Healthy Carolinians of the Outer Banks (HCOB) Obesity Taskforce.  

Healthy Carolinians is a motivated group of multi-talented citizens interested in the good health and wellness of the Dare County community and is facilitated and organized by the Dare County Department of Public Health. For more information or to join a taskforce, please call Trish Blackmon at (252) 475-5026 or visit www.hcobx.org.


Dare County Drinking Water Wells

In 2006, the North Carolina General Assembly passed Session Law 2006-202 (House Bill 2873), which requires local health departments to initiate programs for permitting, inspection and testing of private drinking water wells. These types of wells include (1) private wells that serve a single residence and (2) transient non-community water supply wells that do not meet the definition of “public water supply” in 15A NCAC 18C (i.e. restaurants, churches, schools, child care facilities, and medical facilities). The State rules became effective on July 1, 2008.

The Dare County Department of Public Health, Environmental Health Division, began permitting, inspecting, and sampling drinking water wells pursuant to the State rules on July 1, 2008. A permit is required for all new drinking water wells and also to repair an existing well. Permits are valid for five (5) years. The application fee for a new drinking water well is $75.00 and the permit fee is $200.00. A permit is not required for repairs that involve pumps, pumping equipment, or storage tanks. Each new well will be inspected to ensure it is properly located, constructed and grouting according to the State rules. Also each new well will be sampled and tested for bacterial and chemical analysis.

For additional information, the Dare County Department of Public Health, Environmental Health Division can be contacted at 252-475-5080.

###


September 2, 2008
Contact: Silvia De’Angelis, 475-5036

Dare Home Health & Hospice Announces Grief Support Group

Dare Home Health & Hospice is announcing an eight week grief support group which will start on September 9, 2008. The group will meet every two weeks through December 16, 2008. The Bereavement Support Group is provided without charge for anyone in our community who has experienced the loss of a significant person (s) in their life and is looking for support.

The facilitators for this group are experienced grief counselors. If you are interested in learning more or participating, please call Dare Home Health and Hospice at 475-5028.

Dare Home Health & Hospice is an agency of the Dare County Department of Public Health. For information regarding Home Health & Hospice services, please call 252-475-5034.


July 25, 2008
Contact: Kimberly Cholewinski, Health Education Supervisor, Dare County Department of Public Health (475-5079), kimberlyc@darenc.com

Ellie Ward Elected to the 2008 Board of Directors, Association for Home & Hospice Care of NC

Ellie Ward, Nursing DirectorEllie Ward, Nursing Director, Dare Home Health and Hospice, an agency of the Dare County Department of Public Health, has been elected to serve on the Board of Directors for the Association for Home & Hospice Care of North Carolina (AHHC). AHHC is the state trade association for home care and hospice agencies in North Carolina. AHHC's mission is to promote leadership, advocacy and education for home and hospice care. The association was established in 1972, and is one of the oldest and largest organizations of its kind in the nation. AHHC represents nearly 700 licensed agencies who in turn serve over 100,000 patients in all 100 counties in North Carolina.

Ward has worked with Dare Home Health and Hospice since 1996 and has served as Nursing Director since 2000. Dare Home Health and Hospice is an agency of the Dare County Department of Public Health and has been providing home health services to residents in Dare County since 1976. Dare Hospice, Inc., a volunteer non-profit organization joined with the home health agency of the Dare County Department of Public Health in June of 1997. Services available include: nursing, physical therapy, occupational therapy, speech therapy, nutrition therapy, certified nursing attendants, medical social worker, pastoral care and support, as well as volunteer services.


For more information about Dare Home Health and Hospice, please call 475-5028.

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