Health

CDC Anti-Smoking Campaign Targets Kentucky

Jan 25, 2016
Flickr/Creative Commons/Ed Schipul

Louisville resident Linda Wood said she has smoked cigarettes since she was 16. Now 50, Wood said she’s seen television ads in the past showing the health issues caused by smoking.

“It makes you want to cut back a lot. And I have went from three packs a week to one pack,” Wood said.

Wood said when she watches the ads of Terrie Hall speaking with the aid of an artificial voice box, she thinks “that could be me.”

Wood said she is on her way to quitting.

The Centers for Disease Control and Prevention is hoping to reach more people like Wood. The CDC launched an anti-smoking campaign Monday that targets people living in states with high smoking rates, including Kentucky.

Flickr/Creative Commons/401(K) 2012

Federal officials are unsure how much the government will recoup of the $1.2 billion spent on loans and startup costs for a dozen health care cooperatives that later failed, including Kentucky’s.

The situation with the Kentucky Health Cooperative is complicated by the liquidation of the entity, which a state court ordered this month.

Under the Affordable Care Act, co-ops were created to increase competition among plans and improve consumer choice, according to a recent story by USA Today.

Of the 23 co-ops created, a dozen have failed, including Kentucky Health Cooperative.

About $2.4 billion of federal funds was put into the creation of the startup health insurance providers.

Since it was established, Kentucky Health Care Cooperative has been awarded a total of $146 million in federal loans, according to the Centers for Medicare and Medicaid Services.

Editor's note: A version of this post first appeared in January 2015.

Many people will see the snow currently blanketing much of the U.S. Eastern Seaboard as a nuisance coating sidewalks and roads. Others are celebrating it as an excuse to spend the day swooshing down a hill.

As for me, I like to think of snow as food.

Flickr/Creative Commons/401(K) 2012

The Institute for Sustainable Health & Optimal Aging at the University of Louisville has been awarded a multimillion-dollar federal grant to bring health care to rural and medically underserved Kentuckians.

The $2.55 million grant from the U.S. Department of Health and Human Services will be used to create the Kentucky Rural & Underserved Geriatric Interprofessional Program.

The three-year initiative will partner with organizations from six rural counties in Kentucky: Hart, Metcalfe, Barren, Bullitt, Henry and Shelby.

Dr. Anna Faul, executive director of the Institute for Sustainable Health & Optimal Aging at U of L, said the program is designed to help primary care practices in rural areas deliver care to older adults with chronic conditions.

“You really need an integrated approach where you can work with all of these professionals, and they can come around the table and create care plans that can be effective and also empowering for the older adult,” she said.

Flickr/Creative Commons/Dimitris Kalogeropoylos

An increased number of Kentuckians are affected by heroin abuse, according to a Kentucky Health Issues Poll released this week.

The poll asked adult Kentucky residents about the influence of drug misuse on their family members and friends.

It found 13 percent of Kentucky adults have a family member or friend who’s experienced issues because of using heroin. In 2013, only 9 percent of respondents answered yes to the same question.

The poll was produced by the Foundation for a Healthy Kentucky and Interact for Health, formerly the Health Foundation of Greater Cincinnati.

In 2012, state lawmakers passed legislation to address so-called pill mills. Last year, state officials said the “pill-mill bill” had been effective in reducing prescription drug abuse.

Flickr/Creative Commons/UW Health

Kentucky has seen an uptick in the number of pertussis cases, or whooping cough.  State health officials reported 87 cases between August and December of last year with the most cases occurring in Jefferson County and the Northern Kentucky region. 

Whooping cough is a highly contagious disease caused by bacteria and transmitted through sneezing, coughing, or talking. 

Teresa Casey works in communicable diseases with the Barren River District Health Department in Bowling Green.  She told WKU Public Radio that some groups are most at risk than others.

"We're very concerned about children under the age of one, pregnant women, people who have any kind of chronic breathing condition," Casey said.

Those conditions include cystic fibrosis, asthma, and severe heart disease. 

Whooping cough can be especially dangerous in infants, who should start receiving the the vaccine at two months of age.  Adults, especially parents and caregivers, should also be up to date on immunizations.

Kevin Willis

Bowling Green is partnering with a Nashville company to provide health care for city employees and their dependents.

The City Care Center will open Friday in 1,100 square feet of renovated space in the city hall annex.

Mayor Bruce Wilkerson says the city expects to save as much as $125,000 a year in health care costs with the new arrangement.

The care center will initially be staffed by a registered nurse for 20 hours a week.

Dr. Jane Gibson will be on site 16 hours a week.

"We've tried to make the hours somewhat flexible to accommodate employees,” Dr. Gibson said. “So we open early at 7:00 in the morning one day, and we stay until 6:00 another day, and work through lunch hours. It helps get people in without missing work."

WFPL News

Republican Gov. Matt Bevin has notified the federal government that Kentucky will dismantle its state health insurance exchange, Kynect.

The move will direct Kentuckians seeking health insurance under the Affordable Care Act, also known as Obamacare, to use the federal health insurance site, healthcare.gov.

More than 500,000 people have gotten health insurance through Kynect.

In a statement from the governor’s office, Bevin spokeswoman Jessica Ditto called the program a “redundancy.”

“The transition will have no impact on Kentuckians’ ability to obtain or continue health care coverage for the 2016 plan year,” Ditto said.

For decades, if people on Medicaid wanted to get treatment for drug or alcohol addiction, they almost always had to rely solely on money from state and local sources.

Creative Commons

States initiatives to expand health insurance coverage through either traditional Medicaid or private insurance have equally good outcomes for low-income adults, according to a study released Tuesday.

The Harvard’s School of Public Health study compared survey results from 5,600 low-income adults in Kentucky, Arkansas and Texas.

The study was released as Kentucky’s new governor mulls reforming the Medicaid expansion. Kentucky expanded its Medicaid program under the Affordable Care Act while Democratic Gov. Steve Beshear was in office. Arkansas, however, used federal dollars to pay for private health insurance for low-income adults.

Texas has not expanded health care at all.

Kentucky and Arkansas saw improvements in health care coverage rates and the ability of low-income adults to obtain prescription medication, chronic disease management, among other things, Sommers said.

According to the study, “the uninsured rate in Kentucky and Arkansas dropped 14 percentage points more than it did in Texas between 2013, prior to full implementation of the ACA’s health insurance provisions, and 2014, after the expansion’s first full year.”

Flickr/Creative Commons/Ed Schipul

Kentuckians’ views on a statewide smoking ban have remained virtually unchanged since 2013, with the vast majority of residents supporting the measure, a new poll shows.

The Kentucky Health Issues Poll released Monday that found 66 percent of Kentucky adults favor a statewide smoke-free law, and 31 percent oppose it.

The poll was funded by the Foundation for a Healthy Kentucky and Interact for Health, formerly the Health Foundation of Greater Cincinnati.

Gabriela Alcalde, vice president for policy and program at the foundation, said there has been a steady increase in recent years of Kentuckians who favor a smoking ban law, which would prohibit smoking in indoor public places.

“There’s been extensive work by advocates as well as health educators,” she said.

Kentucky has the highest smoking rate in the U.S. at 30.2 percent, according to the most recent Gallup-Healthways report.

Louisville Metro Public Health can provide new syringes to people regardless of whether used syringes are exchanged, according to the state Attorney General’s Office.

Louisville’s health department is operating what’s called a needs-based negotiation model, which provides multiple clean syringes regardless of whether participants bring in dirty ones.

The opinion issued Monday was requested by Senate President Robert Stivers,  a Republican from Manchester.

A dance program is offering Kentucky veterans with mental health issues a way to ease back into civilian life.

The state’s Department of Veterans Affairs estimates thousands of Kentucky veterans suffer from Post Traumatic Stress Disorder or Traumatic Brain Injury. The program being offered in Louisville is called Dancing Well: The Solider Project.

Men, women and children are swirling in this demonstration of Dancing Well. It’s part of a Veterans Administration Health Expo in Louisville. 

Deborah Denenfeld is calling out the steps.  She’s a dance educator who created Dancing Well four years ago. 

"The psychiatrist who worked at Fort Knox contacted me thinking that perhaps I would come and call a couple of evenings of contra dancing for the soldiers," said Denenfeld.  "He thought that perhaps the movements and the music would help improve their memories.

Contra is similar to square dancing, but it’s done in two long lines. Denenfeld decided to adapt very basic community dances to meet the physical and emotional needs of soldiers with PTSD and Traumatic Brain Injury, or TBI.  

"People have issues with balance and vertigo, and that affects what I teach," she said. "So if there's a swing, I will show them how to do a very simple, two hands, walk around, slow swing."

Denenfeld got advice from dance therapists. She got good feedback from the Fort Knox sessions, and then had a 10-week session in Louisville a couple of years ago. So far, about 20 veterans have taken part in Dancing Well. 

WFPL News

More than two-thirds of Kentucky residents don’t want the state to roll back its expanded Medicaid system, according to a poll released Friday.

The Kaiser Family Foundation poll also shows that half of Kentucky residents hold unfavorable views of the Affordable Care Act, the federal law that allowed the state to expand Medicaid.

“Most of them would rather keep Medicaid as it is today than scale it back to cover fewer people,” said Liz Hamel, director of public opinion and survey research at Kaiser.

The poll found 72 percent of Kentuckians don’t want to scale back Medicaid expansion to cover fewer people.

entucky’s Medicaid expansion — and its fate — are a closely watch component of Gov. Matt Bevin’s administration. Bevin, a Republican who took office Tuesday, campaigned reforming the state’s adoption of the Affordable Care Act.

While talks of barring refugees from coming to the U.S. persist among politicians, Kentucky agencies are preparing to welcome some 2,000 refugees from around the world in 2016.

And those refugees will need health care.

The University of Louisville’s Refugee Health Program looks at health issues for those fleeing threats and violence, and provides services to people resettling in Kentucky.

Last year, 2,141 adult and children refugees received health screenings in Louisville, Bowling Green and Owensboro, according to the Kentucky Refugee Health Assessment Report, released on Thursday.

Rahel Bosson, director of the program, said although there are certain conditions that are population-specific among refugees, overall, some of the top health concerns for refugees are also common for Kentuckians.

“Dental abnormalities — things like cavities, tooth abscess. Vision problems, hypertension, hyperlipidemia, obesity, tobacco abuse,” she said.

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