CT Playing Catch-up to Other States in Reducing Childhood Obesity

Although Connecticut has fared comparatively well to other states in adult obesity rates, the state does “not do as well for children, especially low-income children,” according to two new national reports, the Child Health and Development Institute (CHDI) of Connecticut indicates in the organization’s latest issue brief. “Preventing children from being overweight or obese requires action in the earliest years since experts agree that reversing these trends later in life can be very difficult,” CHDI points out. “It is currently estimated that one in four children are overweight or obese by the time they enter kindergarten.

The reports highlight how Connecticut is doing relative to other states on early childhood obesity prevention. Data for low-income children was drawn from families participating in the federal Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

The Trust for America’s Health and Robert Wood Johnson Foundation’s State of Obesity in America report shows that Connecticut ranks:

• 12th out of 50 states for highest WIC obesity rates (low-income children ages 2-4 years old)
• 27th out of 37 states for highest adolescent obesity rates (students grades 9-12) Mississippi high schoolers have the highest obesity rate in US: 18.9%. Montana the lowest: 10.3% Connecticut is 12.3%
• 42nd out of 50 states for highest adult obesity rates (18 and older)

A new report from the Centers for Disease Control (CDC), Early Care and Education State Indicator Report, tracks state policies aimed at preventing obesity in child care settings and shows that Connecticut is missing opportunities to address healthy nutrition in early childhood and education settings (ECE).

The 2016 report examines 15 data indicators including, assessing each state’s licensing regulations for high impact obesity prevention standards. Connecticut only had 2 out of 47 obesity prevention standards in State licensing regulations for early care and education programs and lacked ECE professional development training on obesity prevention that 42 other states offer.

CHDI explains that since 2014, Connecticut state agencies have started to address early childhood nutrition through licensing and training. The State is currently in the process of reviewing Early Childhood Education (ECE) licensing regulations, and has developed general training for some early childhood providers on nutrition and fitness.

Additionally, the Department of Public Health offers training to ECE providers via funding through the Centers for Disease Control and is working with the Connecticut State Department of Education (SDE), Office of Early Childhood (OEC), and the UConn Rudd Center for Food Policy and Obesity to enhance professional development training focused on obesity prevention.

“Despite this progress,” the CHDI stresses, “more needs to be done to catch up with other states and reduce obesity rates among young children.” CHDI adds that “Connecticut must look at best practice standards related to early childhood obesity prevention and do better for our children to ensure that they grow at a healthy weight.”

Connecticut now has the 10th lowest adult obesity rate in the nation, according to The State of Obesity: Better Policies for a Healthier America released September 2016. Connecticut's adult obesity rate is currently 25.3 percent, up from 16.0 percent in 2000 and from 10.4 percent in 1990.

CT’s Mortality Rate from Drug Poisoning is 11th Highest in US; Was 6th Lowest A Decade Ago

Connecticut’s mortality rate from firearms is less than half the national average, the state’s homicide rate is slightly above half the national average, but the rate of drug poisoning deaths exceeds the national average. Data from the Centers for Disease Control and Prevention (CDC) indicate that Connecticut’s mortality rate from drug poisoning was 17.6 per 100,000 population, with 623 deaths in the state in 2014, the 19^th highest rate in the nation.  The U.S. rate that year was 14.7, with 47,055 fatalities.  Last year, Connecticut’s mortality rate from drug poisoning climbed to 22.1, which was the 11^th highest rate in the nation, with 800 deaths. 

The states with the highest drug poisoning mortality rates in the nation in 2015 were West Virginia, New Hampshire, Kentucky, Ohio, Rhode Island, Pennsylvania, Massachusetts, New Mexico, Utah, Tennessee and Connecticut.  The lowest rates were in Nebraska, South Dakota, North Dakota, Texas and Iowa.

The CDC reported this month that opioids—prescription and illicit—are the main driver of drug overdose deaths. Opioids were involved in 33,091 deaths in 2015, and opioid overdoses have quadrupled since 1999.

In 2015, according to the CDC, significant increases in drug overdose death rates from 2014 to 2015 were primarily seen in the Northeast and South Census Regions. States with statistically significant increases in drug overdose death rates from 2014 to 2015 included Connecticut, Florida, Illinois, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Tennessee, Washington, and West Virginia.

The five states with the highest rates of death due to drug overdose were West Virginia (41.5 per 100,000), New Hampshire (34.3 per 100,000), Kentucky (29.9 per 100,000), Ohio (29.9 per 100,000), and Rhode Island (28.2 per 100,000).

The increase in drug overdose deaths in Connecticut from 2014 to 2015 was 25.2 percent, the fourth highest in the nation among states that had a statistically significant increase.  Only Massachusetts, New Hampshire and Maine had larger increases.

Among the 28 states meeting inclusion criteria for state-level analyses, 16 (57.1%) experienced increases in death rates involving synthetic opioids other than methadone, and 11 (39.3%) experienced increases in heroin death rates from 2014 to 2015, the CDC reported.

The largest absolute rate change in deaths from synthetic opioids other than methadone occurred in Massachusetts, New Hampshire, Ohio, Rhode Island and West Virginia. The largest percentage increases in rates occurred in New York (135.7%), Connecticut (125.9%) and Illinois (120%).

Connecticut, Massachusetts, Ohio, and West Virginia experienced the largest absolute rate changes in heroin deaths, while the largest percentage increases in rates occurred in South Carolina (57.1%), North Carolina (46.4%), and Tennessee (43.5).

Connecticut announced a detailed opiate response initiative this fall.  The Connecticut Opioid REsponse Initiative (CORE) is a strategic plan from Yale experts in response to the state’s opioid and overdose epidemics. It recommends: 1) expanding access to effective, medication-based treatment for substance use disorders; 2) improving transitions within the treatment domain; 3) increasing the availability of naloxone — the antidote to reverse an opioid overdose — and; 4) decreasing the over-prescribing of opioid at high doses or in combination with sedatives.

The CDC said “there is an urgent need for a multifaceted, collaborative public health and law enforcement approach to the opioid epidemic;” the Drug Enforcement Administration referred to prescription drugs, heroin, and fentanyl as the most significant drug-related threats to the United States, the CDC reported.

Connecticut Opioid REsponse Initiative (CORE) news conference, 10/6/16

https://youtu.be/fqw-AXvsL_8

Northeast Sees Relatively Strong International Migration Amidst Overall Weak Population Growth

New data from the U.S. Census indicates that population growth and domestic migration patterns have continued to move away from the East and the Midwest to the South and West, at accelerated rates, the website newgeography is reporting. Equally important, according to the site, pre-Great Recession interstate mobility rates have been restored.  The Census population estimates for the nation, states and the District of Columbia indicate a population increase for the South of 7.7 million between 2010 and 2016. The West gained 4.7 million. By contrast, the Midwest grew 1.1 million, while the East, including Connecticut, was even lower, at 900,000.

Combined, the South and West accounted for 87 percent of the national growth, the website’s analysis of the Census data indicated. In 2011, the South and West captured 82 percent of the national growth. By 2016, the South and West had risen to 94 percent of the national population increase. The South, alone had 57 percent of the growth, up from 52 percent in 2011. The West also had a strong gain, from 31 percent in 2011 to 36 percent in 2016.  The growth leaders:

• Texas has led the nation in total population growth. Total population growth includes the natural change (births minus deaths), international migration and net domestic migration. Texas added 2.7 million residents, a 10.8 percent increase compared to its 2010 population. This is more than double the national rate of 4.7 percent.
• California was well behind, with a gain of 2.0 million, despite having started the decade with a 50 percent higher population. California’s growth rate was 5.3 percent.
• Florida added the third largest number of new residents, at 1.8 million, for a 9.6 percent growth rate from 2010.

Three states suffered population losses over the period. Illinois lost 30,000 residents and West Virginia lost 20,000. Vermont lost 1,000 and was joined by New England neighbors Maine, New Hampshire, Connecticut and Rhode Island in the bottom 10, with slim increases in overall population.

International migration was a bright spot for the Northeast, which along with the South were the two leading regions, followed by the West and Midwest.

The East and Midwest had a near monopoly on the bottom 10 in net domestic migration. New York lost 867,000 net domestic migrants, while Illinois lost 540,000. California’s loss was 383,000. New Jersey lost 336,000 and Michigan 216,000. Connecticut, Pennsylvania, and Ohio lost between 100,000 and 200,000, while Maryland and Massachusetts lost between 70,000 and 100,000.

In 2016, there were 825,000 interstate moves, according to the data outlined by newgeography, which is more than double the post-2000 low of 411,000 in 2011. The 2016 moves exceeded the 2001 to 2009 average by more than 10 percent

CT Residents See Regionalism as Viable Option for Local Services; Highway Improvement A Transportation Priority

Connecticut residents believe that some services traditionally handled by individual municipalities  can be effectively delivered regionally.  A new statewide survey found that public health earns the most support for a regional approach and public safety the least.  More than 3 in 4 people (76%) say that public health services can be provided on a regional basis, followed by animal control (68 percent) and education (66 percent).  The survey found that 65 percent of state residents believe that library services can be delivered regionally, and 61 percent share that view regarding public safety services. The survey for InformCT, a public-private partnership that provides independent, non-partisan research, analysis, and public outreach, was administered by researchers from the Connecticut Economic Resource Center, Inc. (CERC) and Smith & Company.  The analysis is based on the responses of survey of 510 state residents, with a margin of error of 5 percent. 

Survey respondents were asked about regionalization of services in surveys conducted in the first three quarters this year, and support was generally consistent – respondent’s views of regionalizing the various services did not vary more than four percentage points for any of the policy areas during that time.  Favorability of regionalization of public health services has increased each quarter, while regionalizing education has increased from Quarter 1.  While support for regional public safety services has also increased from Quarter 1, it received the least support among the services queried in each survey.  Only regionalizing libraries has seen a decline from the first quarter, and preferences for regionalizing animal control has held steady.

“Increasingly, towns will not be able to afford to sustain the level of services to which they have become accustomed, as budget pressures increase along with a reluctance to raise taxes. Residents showed concern, and a willingness to consider regionalism as a partial solution,” said Robert W. Santy, who serves as Board Chair of Inform CT and is President & CEO of the Connecticut Economic Resource Center (CERC) Inc.

The  also found that the most important factor when choosing a town in which to live, is property taxes, followed by the quality of the school system.  Those factors earned 53 percent and 51 percent of respondents, respectively, who describe the factor as “very important” - the only aspects  described as very important factor by a majority. Other factors deemed very important include recent appreciation of home values (30 percent), proximity to transportation and employment (29 percent) and proximity to entertainment ad amenities (24 percent).

The survey  also asked about transportation in Connecticut, finding that 74 percent said they use their car almost every day.  Other modes of transportation were not nearly as popular.   More than 80 percent indicated that they had used a local bus (86%), long distance bus (91%), commuter rail (87%), Amtrak (92%), an airplane (92%) or a bicycle (82%) only once, or not at all, in the past month.  Regarding state spending to improve transportation, respondents ranked highway improvements as the highest priority by a wide margin, with commuter rail, local bus, and bicycle lanes/pedestrian walkways, ranked next highest.  Highway improvements was described as the highest priority by more respondents than the other six options combined.

Education Is Key to Improving State of Black Hartford, New Report Says

"The State of Black Hartford,"  published more than two decades after a landmark sociological text originally published in 1994, squarely focuses on education as the overriding issue on which Hartford’s future, and Connecticut’s, will be determined, flatly stating that “the future of Hartford rests with how we educate our children so they can contribute to the state and survive as productive citizens.” “The mis-education of children is a human rights struggle. Children of color are our children and the thousands that are failing can no longer be tolerated. We have a moral, ethical and economic responsibility to educate children in Hartford. Hartford’s future is our children and they deserve an opportunit to compete and survive,” the new report’s conclusion states.

The report, published in recent weeks and unveiled at a public session in Hartford, points out that “the city remains challenged with high unemployment rates, uneven public education, missed opportunities in economic development, and a work force that is not adequately prepared to achieve sustainable living wages.  There are new forms of discrimination where children graduate from high school without a real education to support themselves.”

Observing that “education in Hartford has been a priority for many years,” the report goes on to suggest what should happen next.  “Leaders with great intentions have tried, but it is time to require and invite the involvement and participation from parents and families as partners in their children’s education. There is no other way to address the needs of children. Our society has made it very clear it will not take care of them.”

The 220 page report, made possible through a $36,000 grant from the Hartford Foundation for Public Giving, was written by volunteers from a diverse group of disciplines, including educators, social workers and ministers. It was published by the Urban League of Greater Hartford, Inc.  Stanley F. Battle, director of the University of St. Joseph's master's of social work program was Editor; Ashley L. Golden-Battle was content editor.

The State of Black Hartford 2016 addresses challenges that African Americans face at both the national and local level through a series of briefs and chapters.  The chapter authors “pay close attention to how Blacks are perceived by the public” and “incorporate barriers to education, economic stability, health and welfare.”  Metrics and case studies are used "to better understand Black Hartford."  Chapter authors include Peter Rosa, Amos Smith, U.S. Sen. Chris Murphy, Maris Dillman, Rodney L. Powell, Yan Searcy, Kimberly Hardy, Yvonne Patterson, Eunice Matthews, Clyde Santana, Trevor Johnson, and Rev. Shelley Best.

Noting that Hartford holds the “distinction of being both the capital for one of the wealthiest states in the country and being one of the poorest cities in country,” among the key observations highlighted in the report:

• “We need family stability, livable wages, economic development, and education to fully bridge the achievement gap.”
• “Hartford is a great place to work—the Greater Hartford community is aware of this fact. It is important to make sure that Hartford residents receive some of those benefits.”
• “Economic growth and business development are the foundation for Hartford’s survival. With downtown development and the presence of universities, it is time to develop new business incubators in the arts, home repair, healthcare, biotechnology, and business.”
• “In Hartford, 37 percent of the population is Black yet they make up only 10 percent of the population throughout the rest of Connecticut and 12 percent of the population in the United States (DHHS, 2012). The population of Hartford is younger than other Connecticut and U.S. cities with over 70 percent of the residents being under 45 years old (DHHS, 2012).”
• “The lifeblood of Hartford depends on education, business, employment, economic status and mortality, housing and food.”

Issues including criminal justice, housing, healthcare, child welfare are also discussed in depth in the report.  Case studies, anecdotal evidence and data are highlighted throughout the report.  The central role of faith, and religious institutions is also the focus of the report, in the context that “presently Black Churches are still striving to meet increasing demands with decreasing resources.” 

That uphill effort is reflected in the report indicating that “the Black Church cannot continue to operate as an independent agent with sparse budgets drawn from the meager donations of an already struggling congregation.  Clergy and congregations need to build coalitions with other churches…”  The importance is underscored as the report stresses that “active involvement of faith leaders as community leaders in the ongoing struggle for social, political, and economic justice is no less necessary now than it has ever been.”

The report bluntly states that “…if we do not educate children from urban school districts, the future of this state will be at serious risk. The achievement gap continues to expand with little improvement. It is true that there has been some improvement in graduation rates. However, many graduating seniors from urban school districts must endure remedial work if they decide to attend a two or four-year institution.”

Education is viewed as essential to solving a range of persistent challenges facing the city’s African-American community and city residents: “The challenges that confront Hartford include the overarching issue of poverty.  While some efforts to address economic development, crime, and financial stability have been discussed in this book, education is the ultimate determinate of success.  In order for Hartford to excel, the population must be educated. The emerging majority must be able to support itself and children require cutting edge educational opportunities.”

Among the data points:

• One half of high school graduates need help when they start a community college or a state university. Sixty-three percent of Hartford high school graduates require a remedial coursework.
• Slightly less than one third of Black males and slightly more than one third of Latino males to begin college education at public institutions of higher education complete their education within six years.

The report notes that “Frequently, urban youth can’t afford to attend community colleges, so how will they be able to earn a four- year degree?  Hartford has the right idea to focus on education and economic development. Children need their parents, grandparents, aunts, uncles and the community to be successful.”

The report also calls for crime and homicide rates to be addressed at the community level. “There are families who have lived in Hartford for over 30 years and all of their children graduated from the Hartford Public school system. Their children are successful.  How did they do it and why don’t we ask them?”

Economic development, the report explains, is another pivotal area that requires attention that differs from past efforts: “Blacks must become a major part of the growth strategy of these neighborhoods. The promise will only work if there is a diverse group of investors with Black investors in these zones. Black people must become owners in the city in greater numbers.”

Dr. Stanley F. Battle, educator, author and civic activist is currently Director/Professor of the MSW Program in the Department of Social Work and Latino Community Practice at the University of Saint Joseph.  Previously, Dr. Battle was the Interim President at Southern Connecticut State University, Chancellor at North Carolina Agricultural and Technical State University (NCA&T) and President of Coppin State University in Baltimore.

The mission of the Urban League of Greater Hartford is “To reduce economic disparities in our communities through programs, services and educational opportunities.”

Preventing Elder Abuse: CT Ranks 26th in USA

Connecticut ranks 26^th among the nation’s 50 states in providing protections for elder abuse, according to a new analysis of state policies by the financial website WalletHub. Connecticut is the 7^th oldest population in the nation.  The U.S. Census Bureau expects the national population aged 65 and older to nearly double from 43.1 million in 2012 to 83.7 million in 2050, in large measure due to aging Baby Boomers who began turning 65 in 2011.

Abuse happens every day and takes many forms, WalletHub’s explains. “Anyone can become a victim of abuse, but vulnerable older Americans — especially those who are women, have disabilities and rely on others for care or other type of assistance — are among the easiest targets for such misconduct.”

WalletHub’s analysts compared the 50 states and the District of Columbia based on 10 key indicators of elder-abuse protection. The data set ranges from “share of elder-abuse, gross-neglect and exploitation complaints” to “financial elder-abuse laws.” By one estimate, the analysis summary points out, elder abuse affects as many as 5 million people per year, and 96 percent of all cases go unreported.

States described as having the “Best Elder-Abuse Protections” are the District of Columbia, Nevada, Massachusetts, Wisconsin, Missouri, Tennessee, Iowa, Louisiana, Vermont and Hawaii.  At the bottom of the list were Rhode Island, California, Wyoming and South Carolina.

WalletHub’s review of data from all 50 states and the District of Columbia were conducted across three key dimensions: 1) Prevalence, 2) Resources and 3) Protection.  Connecticut’s highest ranking in the individual categories was in Resources, ranking 23^rd.  The Resources category included Total Expenditures on Elder-Abuse Prevention per Resident Aged 65 & Older, Total Expenditures on Legal-Assistance Development per Resident Aged 65 & Older, Total Long-Term Care Ombudsman Program Funding per Resident Aged 65 & Older.

The state legislature earlier this year folded the Legislative Commission on Aging into the new Commission on Women, Children and Seniors.  Former executive director Julia Evans Starr pointed out in an April article that "Elder abuse is a significant social justice issue that transcends race, ethnicity, religious affiliation, income, and education levels. At least 10 percent of older adults have suffered elder abuse — and that proportion is set rise among Connecticut’s rapidly growing, longer-lived population. It demands a strong policy response."

CT Residents See Improving Economy, Even As Jobs Remain in Short Supply; Millennials Most Upbeat About Business Conditions

Seven in 10 Connecticut residents say overall business conditions in the state are either better or the same as six months ago, according to the quarterly Inform CT Consumer Confidence Survey, and 75 percent expect conditions to either remain the same or improve in the next six months. The latest survey, covering the third quarter of 2016, also found residents are more willing to spend on major consumer items – a sign of a strengthening economy – and less concern about immediate job security.  The survey also found that millennials, ages 22-25, are the demographic most upbeat about the state’s economic progress, with 41 percent saying overall business conditions were better than six months ago.  Those ages 18-21 and 26-35 had the next most positive views.

In a reversal from the previous quarter, 42 percent of state residents surveyed said they were unlikely to move out of state in the next 5 years, compared with 34 percent who described such a move as likely.  In the previous survey, conducted in the second quarter of this year, the numbers were reversed with 42 percent saying that it was likely they’d be moving out of state within five years, compared with only 32 percent who said such a move was unlikely.

The quarterly survey is released by InformCT, a public-private partnership that provides independent, non-partisan research, analysis, and public outreach to help create fact-based dialogue and action in Connecticut.

Tempering upbeat views is the continuing widely-held opinion that there are “some jobs in Connecticut, but not enough.”  Those expressing that view increased to 63 percent in the third quarter, the highest percentage since the survey began.  An additional 24 percent view jobs as “very hard to get.”  Thus, nearly nine in ten view the number of available jobs as insufficient in the state.  The survey also found:

• Less concern about job security: Only one-third (35%) expressed concern that their job or the job of their spouse/partner is in jeopardy, down from 39 percent in the previous quarter and 42 percent in the first quarter this year.
• Continuing strong concern about health insurance costs: Nearly two-thirds of state residents (64%) say they are concerned about being able to afford health insurance.
• Continuing concern about retirement savings: Overall, 50 percent of those surveyed disagreed with the statement “I will have enough money to retire comfortably,” compared with 23 percent who agreed.  Those currently of working age are most concerned about retirement savings.
• Connecticut is a good place to raise a family: Overall, fifty percent of those surveyed expressed that view, compared with 28 percent who disagreed, a ratio that has been relatively consistent in the quarterly surveys.  The two age groups that agree most are now, or will likely soon be, starting families – 62 percent of those ages 22-25 and 60 percent of those ages 26-35.
• Personal financial situation improving: 30 percent of survey respondents said their personal financial situation was better today than six months ago, compared with 28 percent who said they were worse off.

Residents of Windham and Fairfield counties were more likely to view overall business conditions as being better now than six months ago, the survey found.  Twenty-nine percent of Windham residents held that view as did 28 percent of Fairfield residents.  Residents of the state’s other six counties, Middlesex (23%), New London (20%), New Haven (20%), Litchfield (16%), Tolland (16%) and Hartford (16%) had fewer residents expressing that opinion.

Among other consumer survey findings:

• Nearly three-quarters of those surveyed (73%) said that in the next 6 months they were likely to take a vacation outside the state, the highest proportion since the survey began nearly two years ago, and the fourth consecutive quarterly increase.
• The proportion of respondents likely to make a major consumer expenditure for furniture or another product also was the highest in seven quarters, at 43 percent, up from 26 percent a year ago.
• The percentage of respondents who indicated they were likely to buy or refinance their home (16%) or purchase a new car (26%) were both at levels higher than in the 3rd quarter of 2015.

Administered by researchers from the Connecticut Economic Resource Center, Inc. (CERC) and Smith & Company, the analysis is based on the responses of 510 residents across Connecticut and addresses key economic issues, providing a glimpse of the public’s views.  The survey has a margin of error of 5 percent.

ConnectiCare, First Health Insurer to Open Retail Store, Adds More

Holiday shoppers may encounter something new amidst the traditional retail stores vying for attention.  Last month, ConnectiCare opened its first storefront location, a 6,000-square-foot standalone building in Manchester. The company plans to open outlets in Bridgeport, Newington and Orange in the coming days, according to David Gordon, ConnectiCare's senior vice president for strategy and product innovation. "The impetus for taking this step came from listening to our customers," Gordon said. "The key thing that we consistently heard was how they want a choice in how they engage with us."  It is a way of “providing face-to-face interactions with our members and our nonmembers, who feel their relationship with us would work better if we were sitting across a table from each other."

ConnectiCare is apparently the first health insurance company in the state to offer services from a retail storefront location.  Manchester was chosen after a study of ConnectiCare members, traffic and drive-time patterns and general population figures. The selection of Bridgeport also was based on proximity to significant numbers of ConnectiCare members, and the surrounding population, and are tied to a new partnership with CliniSanitas to offer bilingual facilities for the state's growing Hispanic population.

The flagship Manchester location, near Buckland Hills mall, is staffed by 12 people and includes an area for seminars on various health topics as well as space for yoga and Zumba classes.   ConnectiCare's stores in Bridgeport, Newington and Orange will be smaller than the Manchester flagship, which opened in October.

The ConnecticutCare storefronts will be adjacent to CliniSanitas Medical Center locations.  The centers will offer primary care, specialty care, urgent care, laboratory and diagnostic imaging, as well as health education and wellness services. All three centers – Bridgeport, Newington and Orange - will offer extended evening and weekend hours, with walk-ins welcome. The centers are to be staffed with medical and administrative staff who are bilingual in English and Spanish.

This expansion is the result of a strategic alliance between GuideWell Sanitas and ConnectiCare to serve the health care needs of Connecticut's growing multicultural population, while helping to address the long-standing disparities in the health status of people from culturally diverse backgrounds, officials said. ConnectiCare is the only health insurance plan being accepted by the CliniSanitas Medical Centers, which will also serve those paying directly for health care services and those with traditional Medicare coverage, the companies recently announced.

CliniSanitas has more than 40 years of health care experience with over 200 facilities in South America. In 2015, the first stateside CliniSanitas centers were opened in Florida. The company explains that their  model is focused on improving access to quality primary care services, and delivering the best health outcomes while preventing unnecessary high medical costs, encouraging longer appointments aimed at strengthening the doctor-patient relationship.

CliniSanitas Medical Centers is a joint venture between two leading health care organizations – GuideWell Mutual Holding Company and Organización Sanitas Internacional. GuideWell is a U.S.-based not-for-profit mutual holding company and the parent to a family of forward-thinking companies focused on transforming healthcare.

"We're excited to start our journey in Connecticut in partnership with ConnectiCare and GuideWell to bring our proven model of patient-centered care to the diverse community of Connecticut. These new medical centers will build on our successful centers in Miami, Florida, and our experience transforming healthcare in South America," said Dr. Fernando Fonseca, Chief Executive Officer of CliniSanitas.

"The CliniSanitas Medical Centers will help us deliver on our brand promise to make it easy for our members to get the care they need. ConnectiCare is pleased to help bring the people of Connecticut access to the high quality and culturally relevant health care provided by the CliniSanitas Medical Centers," said Michael Wise, ConnectiCare's President and Chief Executive Officer.

A local company for 35 years, ConnectiCare, a subsidiary of Emblem Health,  has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible.  In September, ConnectiCare, the single-largest insurer on the state’s health exchange, announced it would participate in the exchange in 2017.

Absenteeism Continues to Decline in CT Schools, Nation Looks to CT Approach

Chronic absenteeism is down across the state, according to new data released by the State Department of Education (SDE), a trend that is gaining notice beyond Connecticut and a sign that collaborative efforts to keep students across Connecticut in school and engaged are having a positive impact. The number of chronically absent students in Connecticut dropped to 9.6 percent in 2015-16, down from 10.6 percent the year before and down from a high of 11.5 percent in 2012-13. The decline in Connecticut’s chronic absenteeism rate means that over 10,000 more students are attending school on a daily basis than four years ago. Nationally, missing too much school is a coast-to-coast crisis that affects more than 6.5 million students.

Connecticut's work is gaining attention at the national level, and was subject of an article in the education publication Kappan Magazine.  The article, “Chronic early absence: What states can do” was co-authored by Hedy Chang, executive director of Attendance Works, Charlene M. Russell-Tucker, chief operating officer of the Connecticut State Department of Education, and her colleague Kari Sullivan,  state attendance lead at SDE.

The data also shows that while minority students have disproportionately high rates of chronic absenteeism when compared with their white peers, rates of chronic absenteeism are decreasing for black and Hispanic students in Connecticut.

In 2015-16, the chronic absenteeism rate for Hispanic students was 15.7 percent, down from 19.1 percent in 2012-13. For black students, the rate was 14.5 percent in 2015-16, down from 16 percent in 2012-13. (The new data is available on the CSDE’s data portal, EdSight. The data was released as part of a Chronic Absenteeism presentation delivered this month to the State Board of Education.)  The magazine article notes that “Low-income students are four times more likely to be chronically absent than others, often for reasons beyond their control, such as unstable housing, unreliable transportation, and a lack of access to health care.”

Chronic absenteeism is defined as missing 10 percent or more days of school for any reason, including excused absences, unexcused absences, suspensions, and other disciplinary actions.

“We have identified several areas where we are shifting our focus to fulfill our promise of an excellent public education for every Connecticut child. One of those focus areas is chronic absence,” said Commissioner of Education Dianna R. Wentzell. “We want every public school student in our state to be in school and engaged. That means we have to work with families, educators, and community stakeholders to decrease the number of days that students are out of school.”

Earlier this year, the State Board of Education adopted its Next Generation Accountability System, which uses multiple academic and non-traditional indicators to assess how well a school is performing toward the goal of preparing all students for success in college, career, and life. Chronic absenteeism is one of the new indicators included in the system, which means school districts will have to pay close attention to the problem of chronic absenteeism and take steps to ensure more students attend school on a daily basis.

Research shows that chronic absenteeism is inextricably linked with student performance, and students who are chronically absent are less likely to read on grade level, are less likely to perform well academically, and are at a greater risk for dropping out of high school. Risk factors for chronic absence include poverty, homelessness, chronic health conditions, frequent moves, and disabilities.

The article notes that “Most school districts and states don’t look at all the right data to improve school attendance. They track how many students show up every day and how many are skipping school without an excuse but not how many are missing so many days in excused and unexcused absence that they are headed off track academically.”

Among the communities being highlighted by SDE are Killingly, where chronic absenteeism dropped from 16.2% to 9.7%; Bridgeport, where the reduction was from 25.1% to 19.0%; East Haven, where the drop was from 16.1% to 11.2%; New Britain, where absenteeism was reduced from 24.6% to 20.7%; and Danbury, which saw a reduction from 11% to 7.1% between 2012-13 and 2014-15.  Attendance Works,  a national and state initiative that promotes awareness of the important role that school attendance plays in achieving academic success, is also highlighting specific Connecticut districts where progress is being made, including New Britain, Middletown and Vernon.  

The SDE has been working with key partners such as the Governor’s Prevention Partnership, Attendance Works, the Campaign for Grade-Level Reading, and the Legislature’s Committee on Children. Chronic absenteeism is addressed in the annual Alliance District grant application for participating districts. The state is also expanding restorative justice programs, such as the Connecticut School-Based Diversion Initiative, and positive behavioral interventions and supports. Additionally, districts are increasing utilization of the Department of Children and Families’ Emergency Mobile Psychiatric Services to respond to mental health crises.

“It is critical that we all understand the importance of daily school attendance. Even in the early grades, lost time in school can put students at risk of becoming disengaged or dropping out of school down the road,” said Commissioner Wentzell.  The state approach focuses on six "high-impact" strategies:

#1: Build Awareness #2: Use Data to Promote Action #3: Cultivate Champions to Build a State-Level Infrastructure #4: Build Capacity #5: Identify and Leverage Bright Spots #6: Foster Accountability

The magazine article co-authors stress that “By monitoring chronic absence in grades K-12 — and paying particular attention to the youngest students — states can address the needs of students and their families before they require more expensive intervention and remediation.”

UConn Study Questions Marketing, Ingredients in Food Advertised to Young Children

It would be disingenuous to describe the results as surprising, but a new study has found that marketing for baby and toddler food and drinks often contradicts the advice of health professionals. According to the study by the Rudd Center for Food Policy and Obesity at the University of Connecticut, companies tend to use marketing messages that may lead parents to believe that these commercial products are healthier alternatives to breastmilk or homemade food.

The new Baby Food FACTS report found that companies spent $77 million in 2015 to advertise infant formula, baby food, and toddler food and beverages to parents, primarily through TV, magazines, and the internet. By comparison, companies spent $98 million to advertise fruits and vegetables in 2015 – products intended for the entire U.S. population.

“Our analysis shows that marketing for baby and toddler food, infant formula, and toddler milk and nutritional supplements often contradicts expert guidance and in some cases encourages parents to feed their young children products that may not promote healthy eating habits,” said Jennifer Harris, UConn Rudd Center Director of Marketing Initiatives and the report's lead author.

The report analyzed companies spending $100,000 or more in total advertising in 2015 and documented changes in advertising over the past five years. Eight brands from three companies (Nestle, Abbott and Mead Nohnson) were responsible for 99 percent of advertising spending. Four additional baby and toddler food brands spent $100,000 or more in advertising in magazines and online, including Plum Organics (Campbell Soup Company), Beech-Nut (Hero A.G.), and Happy Baby and Happy Tot (Nurture Inc.).

Among the findings:

• Infant formula brands had the most internet advertising and were most active in social media and on mom blogs.
• Nearly 60 percent of advertising dollars promoted products that are not recommended for young children, including sugar-sweetened toddler drinks and nutritionally poor snack food.
• Beech-Nut and Gerber marketed their baby food products in a way that supported most expert recommendations on best practices for feeding infants.
• Toddler milk products including Enfagrow, Gerber Good Start Grow, Nido 1+, Similac Go & Grow, and Happy Tot Grow & Shine, contained added sweeteners, including sugar, glucose syrup solids, honey, and corn syrup solids.
• Pediasure Grow & Gain, a nutritional supplement aimed at toddlers, had 240 calories per serving and as much sugar as an 8-ounce sports drink.
• In contrast to nutritious baby and toddler fruit, vegetable, and meal products, just four of 80 baby and toddler snack foods, such as cookies, cereal bars, puffs, and fruit snacks, were nutritious choices for young children.
• Fifty percent of baby and 83 percent of toddler snacks contained added sugars.

The findings included in this report “provide policymakers, health professionals, public health advocates, industry representatives, and parents an opportunity to address misinformation conveyed through marketing of baby and toddler food and drinks.”

The study also found that traditional advertising spending (primarily on TV and magazines) by infant formula brands declined substantially—from more than $30 million in 2011 to less than $10 million in 2015.

Among the recommendations, the Rudd Center researchers indicated that toddlers’ diets should help them develop gross and fine motor skills and learn to enjoy the taste, flavors, and textures of real fruits and vegetables. By age two, toddlers should be eating the same food as the rest of the family. For all children, they stated, a healthy diet should include a variety of fruits and vegetables every day, and limited consumption of saturated fat and sodium. Children under two should not consume any food with added sugars.

The report called on the U.S. Food and Drug Administration to issue final guidance on claims on infant formula packaging, including claims that compare infant formula to breastmilk, and also regulate claims on toddler milk packaging. The Federal Trade Commission should similarly regulate claims made in advertising, the report advised. The food industry was also urged to expand the Children’s Food and Beverage Advertising Initiative (CFBAI) self-regulatory program for improving food advertising to children to incorporate marketing of baby and toddler food and drinks.

The study was funded by a grant from the Robert Wood Johnson Foundation and presented Nov. 1 at the American Public Health Association’s 2016 Annual Meeting and Expo in Denver.  The Rudd Center for Food Policy & Obesity at the University of Connecticut is a multi-disciplinary research center dedicated to promoting solutions to childhood obesity, poor diet, and weight bias through research and policy. For more information, visit www.UConnRuddCenter.org.