The Good Health of Subsistence Living... The smelts have come and the salmon will soon be running. Not only the food, but the exercise of subsistence activity is good for you. Diabetes Outreach Coordinator Debbie Michael, with friends and family, prepared smelt for drying recently and will be out at their fishcamp through the summer. More on page 5 Photo by Julie Olick Volume XV No. 6 • June 15, 2010 INSIDE: ALH Funded, p. 3 • SBIRT, p. 7 • Breast is Best, p. 11 • Lights Out, p. 12
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The Good Health of Subsistence Living - Yukon-Kuskokwim Health
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The Good Health of Subsistence Living...The smelts have come and the salmon will soon be running. Not only the food, but the exercise of subsistence activity is good for you. Diabetes Outreach Coordinator Debbie Michael, with friends and family, prepared smelt for drying recently and will be out at their fishcamp through the summer. More on page 5
Photo by Julie Olick
Volume XV No. 6 • June 15, 2010
INSIDE: ALH Funded, p. 3 • SBIRT, p. 7 • Breast is Best, p. 11 • Lights Out, p. 12
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Board of DirectorsUnit 1Raymond F. Waska, Sr.P.O. Box 46Emmonak, Alaska 99581907-949-1514
Paula AyunerakP.O. Box 5Alakanuk, Alaska 99554907-238-3212
Unit 2Ray AlstromP.O. Box 8Marshall, Alaska 99585907-679-6320
James C. LandlordP.O. Box 32168Mt. Village, AK 99632907-591-2531
Unit 3Wayne MorganP.O. Box 234Aniak, Alaska 99557907-675-4264
George S. MorganP.O. Box 54Upper Kalskag, Alaska 99607907-471-2490
Unit 4James NicoriP.O. Box 41Kwethluk, Alaska 99621907-757-6837
Willie Lake, Gene Peltola among long-time honorees at Years of Service luncheon
Willie Lake, 35 years with YKHC.
Employees honored at last month’s Years of Service luncheon, from left: Richard Robb, Heather Johnson, Shane Welch, Gene Peltola, Mark Vrooman, Earline Wise, Elena Herrera, Martha Olick, Willie Lake, Christine Sassman, Melanie Gibson, David Friday, Lawrence Lewis, Melody Jordan.
Other clinics that have done a great job with immunizations:Clinics that have 100 percent for on time (3-27 months) immunization rates over the last month
Villages with immunization rates over 90 percentKwethlukGraylingPilotStationChefornakMekoryuk
Keep up the great job!
Kipnuk Clinic staff: Kipnuk Health Aide Sharon Kanuk, SI Debbie David, PHN Petra Cupino, Kipnuk Health Aide Norma Evan, SI Martha Attie, and Kipnuk Health Aide Andrewski Toyukak.
Regional Legislators direct funds to DeltaThe26thAlaskaStateLegislaturesessionwrappeduponApril18,2010.The90daysessionsaw426HouseBillsIntroduced,101ofwhichpassed;aswellas313SenateBillsintroduced,82ofwhichpassed.AlaskaStateSena-torLymanHoffmanfinishedhis24thyearservingtheYKDeltaandplaysanimportantroleasCo-chairoftheFinanceCommittee.RepresentativeBobHerroncommencedhissecondyearwithflyingcolorsthroughresponsibledirectionoverstatepolicyinreducingenergycostsforHouseDistrict38.InadditiontotheCapitalFundingrequestsappropriatedbyGovernorParnell,SenatorHoffmanandRepresentativeHerron’sLegislative2010newsletterhighlightedtheirworkandcollaborationinsecuringfundingallocationsfornumeroustransporta-tionandschoolconstructionprojects,energyefficiencies,andfundingformorefisheriesresearch.
What is PC? IndividualsincapacitatedbytheiralcoholconsumptioninpublicplacesaretakenintoProtectiveCustody(PC)andtransportedbyBethelPoliceDepartment(BPD)personneltotheSoberingCenterlocatedintheEmergencyDepartment.ThisoccursafterBPDper-sonnelattempttotransporttheinebriateindividualtoasafeandfamiliar/knownhomeorrelative.
A summary of the data shows...• Thefrequencyofvisitsforpatientswithalcoholrelatedmatterswasmostlylimitedtoa1-timebasis.
The majority of PCs arrived to the ED during midnight hours between 11 p.m. and 1 a.m.
There were more male than female PCs across the reported months. Both male and female PCs were on average between 21 – 31 years of age.
by Marisela Valesquez, SBIRT Program Coordinator
Volume XV No. 6 • June 15, 20107
What is SBIRT?Screening, Brief Intervention and Referral to Treatment(SBIRT)isamedicalapproachtohelpreducealcoholuseand/orpreventsub-stanceabuseanddependence.Thefirststepisscreeningforalcoholconsumption.
SBIRT at YKHCYKHC’smostessentialvisionoftheSBIRTProgramistoscreencorporate-wide:fromtheEmergencyDepartmenttotheupcomingSoberingCenterFacility,followedbytheoutpatientclinicstothesurroundingvillageclinics.
Screenedpatientshavetheopportunitytogaineducativealcoholinformation,thecommunity’sAAsupportgroupschedules,andarealsoaskedwhethertheywouldlikeareferraltobehavioralhealthservices.*Protective Custody (PC): Bethel Police Department (BPD) personnel (including Community Service Patrol/Officer) take individuals incapacitated by their alcohol co nsumption (in public places) into Protective Custody and transport them to the Sober-ing Center located in the Emergency Department. This occurs AFTER BPD personnel attempted to transport the inebriate individual to a safe and familiar/known home or relative.
*Title 47: A patient with suicidal ideations or are a threat to themselves or others.
by Marisela Valesquez, SBIRT Program Coordinator
Saturday, July 1710 a.m – 3 p.m.
Log Cabin parking lot at Pinky’s Park 326 Akiachak Dr. (City Sub)
Danielthoughtaboutcontinuinghiscaribouhuntingafterthepaininhisheadsubsided,buthe listened to his body andchangedhismind.Instead,hewentbacktoBetheltotheYukon-KuskokwimHealthCorporationEmergencyRoom.ACT-scanrevealedthathehadabrainaneurysmandwasimmediatelymedevac-edtoANMCinAnchorage,thentotheSwedishMedicalCenterinSeattle,Wash-ington,afewhourslater.
Quyaviksuganka tamalkuita cingumastenkastory and photos by Debbie Michael, YKHC Diabetes Prevention & Control Daniel Bill pilots his boat on the Kuskokwim, in search of smelts. He attributes his survival
of a brain aneurism to living a healthy subsistence lifestyle—good food, plenty of exercise.
Volume XV No. 6 • June 15, 20109
Health Benefits of Subsistence LivingItisvaluableintheYukon-KuskokwimDeltatounder-standthatactivitiesofsubsistencelivingaremethodsofexercise.Fishing,gathering,andotherfishcampdutiescontributetohealthbyburningcalories,increasingstrength,andimprovingthefunctioningofthecardiovas-cularsystem.
Lynn Olick and Deanna Matthew string smelts for drying.
Lynn Olick and Daniel Bill haul in some smelts.
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SUBSCRIBE to the Messenger! Online Messenger: Published monthly on our website: www.ykhc.org. Enter your email address in the “Messenger by Email” link.Messenger Quarterly: Published in March, June, September and December and mailed to all YK Delta village boxholders. Bethel residents and others: Subscribe by sending your name and mailing address to [email protected] or call Public Relations at 907-543-6038
Survey Results In: WIC Foods Make a Difference
by Renee Legan, WIC Program Registered DietitianTHANKYOU…toalltheparticipantswhocompletedtheWICsurvey.
The WIC program recently received ~300 completed surveys! Here are a few quotes from our WIC moms…
Question 1: What change in eating habits or physical activity has your family made?• Ieatmorefruits&vegetables.Ialsostoppedeatinganythingthat
Question 3: Have you had problems purchasing the new WIC foods?• Storewasslowatgettingfruitsatfirst.• The2lbbreadisalwaysovermy16ozlimitsoIonlypurchase1lb
2009.Question 4: How helpful has WIC been in assisting you to suc-cessfully breastfeed your baby? • 93%indicatedthatWIChasbeenVeryHelpful.Question 5: Do you have any comments or suggestions?• Ilikethechangeinfoods.WhathappenedtoKix?• KeepupthegoodworkWICandthankyouverymuch!• Thankyoufortheprogrambecauseithelpsourfamilyalot.• Thanksforaddingwholegrains,vegetables&fruits!• TheWICfoodsareveryhelpfulformysonandthankyouso
much.Heisgrowingmorehealthynow…Wow!
Other Comments: From Larry Nutter, AC Branch Manager in Hooper Bay:“ThenewWICfoodsarehealthier,especiallythewholegrains,fruits,&veg-etables.Stockingthenewfoodswasachallengeatfirst.Wealwayscarriedwheatbreadbutonlyselling1-2loavesaweekandnowweareselling25-30loaves.”
From Shea Brumley RD, LD Clinical Diabetes Educator, Interim Coordinator, Diabetes Prevention & Control Program:“NowthatWICoffersfruits,vegetablesandwholegrainsthevillagestoresinourregionarestockingtheseitems.Thischangehasimpactedthediabeticsinourregionbyprovidingthemwithbetteraccesstonutritiousfoods.AndreaRuble,FNP,AniaSwiniarska,RN,andIrecentlyreturnedfromthevillageofTuntutuliak.Afteralongdayofseeingpatientswestoppedbythevillagestoreandtooursurpriseonewallofthestorewaslinedwithboxesoffreshfruitsandveg-etables.ThepicturebelowwastakenbyAniathatnightatthevillagestoreinTuntutuliak.”
Volume XV No. 6 • June 15, 201011
There’snoexcusetonotbreastfeedyourbaby
The Breast is Best
by Tania ThomasDorothyChase,OBSeniorUnitClerk,CharlyBairdORNurse,andSusanBotamanenkoOBnurseweregatheredaroundtherefrigera-torstoringtheirbreastmilk—freshlypumpedduringtheirlunchbreakwhentheydecidedtheywantedtosharesomeoftheirexperi-encesofworkingbreastfeedingmoms.Theyansweredsomeoftheirownquestionsofwhytheychosetobreastfeed.
• Getthenutritiontheyneed• BondwiththeirMom• Behealthierandhavelessillnessessuchasearinfections• Haveastrongerimmunesystemandwillbeabletofightoffgerms• Avoidrottenbabyteeth• DecreasesthechanceofpneumoniaandRSVWhat does it take to be successful with Breastfeeding:
Myth: It is not easyFact:itiseasy,itisproducedinyourbodynaturallyandyoudonothavetopurchaseitfromthestore.Ifyouhavedifficultiestherearewaystomakeitbettersodon’tgiveup.
Myth: I don’t have a milk supplyFact:youdowhenyouthinkyoudonot
Myth: I’m not producing enough milk;Fact:yourbodyproducesenoughmilkaslongasyoucontinu-ouslyfeedyourbabyorpumpyourmilk.Themoreyoufeedorpumpyourmilk,themoremilkyourbodywillmake.
Myth: I never have a private place to feed my baby. Fact:therearemanyplacesawomancanfeedherbabyprivately.
Myth: I can’t feed my baby because I work. Fact:Momscanpumptheirmilkwhileatworktocontinuetofeedtheirbabytheirmilk.
YKHC “nursing” mothers who have continued to breastfeed—via breastpump—and keep working: Mary Devlin, OB Senior Unit Clerk Charly Baird, OR Nurse Susan Botamenko and Clinical Nurse Educator Joyce Ekamrak.
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........?Who do I call911State Trooper 1-800-764-5525or Village VPSO
Life-threatening emergency...Active suicide attempt, overdose, incident involving weapons, possible serious harm to somebody, person threatening to kill or seriously hurt themselves or somebody else
543-6300or 1-800-478-2642YKHC Emergency Services for Behavioral Health on-call Clinician
Mental health situation...Somebody might need to be committed to psychiatric hospital in Bethel or Anchorage—acting bizarre, out of touch with reality, maybe seeing/hearing things that are not there, “talking crazy,” maybe talking about suicide
1-866-465-8930ComPsych Employee Assistance Program
Personal or family problems...A YKHC employee or family member needs help dealing with an alcohol or drug problem, depression, job stress, marriage or financial problems, grief issues, domestic abuse, or similar problems.
1-800-478-3321or 543-6093 in BethelBehavioral Health Critical Incident Stress Management Program
After a disaster or tragedyThere’s been a terrible event in my village—a suicide, bad accident with injuries, multiple deaths, etc. and we need help coping with all of this
Working Together to Achieve Excellent Health
What goes on when the lights go out?by Donna Bach, YKHC Public RelationsOnMay21,2010,BethelUtilitiesCorporationscheduledamainte-nanceupgradepower-outagefromFridaynightatMidniteuntil6a.m.ontheBethelpowergrid.Restassured,noonewasmorepre-paredthanthededicatedstaff,healthserviceprofessionalsandsafetymanagementatYKHC.
Insect Repellents – The Factsby Keisha Green, Pharm.D Candidate, Medical University of South CarolinaChoosingandusinginsectrepellentscanbeeasyifyouknowthefacts.ItisimportanttochoosearepellentthathaveactiveingredientsregisteredwiththeU.S.EnvironmentalProtectionAgency(EPA).TheactiveingredientsthatareregisteredwithEPAmeanthattheyareapprovedforeffectivenessandsafetywhenusedaccordingtotheinstructionsonthelabel.
“The importance of effective preparation cannot be underestimated, especially when dealing with events that can be quite rare in the healthcare setting,” said Coryee Hamons, Director of Risk Management. “This is why the Emergency Operations Plan (EOP) must be activated, tested and evaluated on a regular basis so we are better prepared for those unplanned events that may disrupt normal operations. Taking a complex written plan and bringing it to life reduces the fear factor and provides confidence for the staff affected by the event,”
Babies who are breastfed have stronger im-mune systems and are better able to fight off germs. (YKHC file photo.)
With breastfeeding you will need to:• Eatwell• Drinkplentyoffluids• Getrest,takeanapwhenyoucan• FeedmorefrequentlyRemember,thehealthiestbabiesarebreastfed!Let’sraisethehealthiestbabiestogetherandpro-moteallMoms,newandexperienced,tobreast-feed.
If there are concerns, questions or tips you may have about breastfeeding, please feel free to contact the Irnivik; OB Unit. 543-6346, a baby friendly unit!
COMING SOONto upriver Kuskokwim villages:Donlin Creek Mine Health Impact Assessment
Public MeetingsWhat does regional mining mean to you and the health of your community?What human health effects do you think are related to the mine?
Collaborative Health Impact Assessment Agencies:
Yukon-Kuskokwim Health CorporationState of Alaska Dept. of Natural Resources &
Department of Health & Human ServicesAlaska Native Tribal Health Consortium
Look for notices posted in your village!
Volume XV No. 6 • June 15, 201015
Dr. Marcia Haggerty (right) with Christy Ticknor. (photo by Rhonda Vanover)
Thank your Health Aide today for the work they do.
Your appreciation encourages health aides to continue their fine job caring for everyone in the village.
~ Stop by the clinic to thank your health aide~ Tell others to appreciate their health aides~ Bring them cookies or a small thank you gift~ Nominate them for Health Aide of the Month~ Have a community potluck celebration for all
the clinic workers~ Write them a nice thank you letter
Martha Constantine, CHP, in Kwethluk clinic checking the ears of a young patient. Photo by Carl Evans.
Yukon-Kuskokwim Health CorporationP.O. Box 528Bethel, Alaska 99559907-543-6000
Getting on a Boat? Be sure to Float! Wear your PFD.Personal Flotation Device
Summer in the YK Delta means fishing, boating, swimming, travel, and recreation. This year, beat the odds; get a PFD and wear it.
Today’s PFD’s fit better, look better, and are easy to move around in. Some PFD’s are made to protect you from cold water. A PFD with bright colors is easier to see and may increase your chances of rescue.
A PFD must fit comfortably and snug. Make sure your PFD is made for your weight and size.
But, no matter which PFD you choose, the best PFD is the one you wear. Remember, spending a little time now can save you a lifetime later.
In Bethel? Stop by the YKHC Retail Store and see what we have!We are located in the lobby at the “New YK” BuildingHours: Monday–Friday, 7:30 a.m.– 11 a.m. / noon–3:30 p.m.
We also sell coffee and espresso drinks, so join us for a “cuppa joe”
Float Coats & PFDsInjury Control & EMS Sales
Safety Equipment at the Retail StoreYKHC’s Injury Control & EMS, Sales Shop offers a variety of
safety equipment such as: PFDs, ice cleats, off-road helmets,
snowmachine helmets, goggles, and first aid kits.
The products we purchase are directly from the manufacturer,
which means we purchase the items at wholesale cost and
consumers buy them for less than what the stores charge!