Organ Donation Draws Renewed Attention as Data Points to Acute Need

In the United States, 56 percent of the patients waiting for organ transplants are individuals of color, even though they account for 36 percent of the total population.

“While successful matching between donors and recipients does not take race or ethnic background into consideration, since we really all can help each other, more donors from all backgrounds will only result in fewer deaths on the waiting list,” says Caitlyn Bernabucci, Public Education Specialist for LifeChoice Donor Services. “Compatible blood and tissue types, which are a part of the donor and recipient matching process, are commonly found in people with similar backgrounds and ethnicities.”

To bring attention to the issue, August 1-7 is designated National Minority Organ Donor Awareness Week.  This is a nationwide observance to educate people of the need for donation and transplantation within the multicultural community, and how to register their decision to donate.

Today, nearly 199,000 people are on the national organ transplant waiting list. Largely due to the rarity of donation opportunities, only about 28,000 organs are transplanted each year. As a result, 18 people die each day due to the lack of a donor.

Currently, Hispanics/Latinos comprise 16% of the population, 19% of those waiting for a kidney, and 17% of those waiting for a liver, the federal agency reports.  According to the U.S. Department of Health & Human Services (HHS), African-Americans, Asians and Pacific Islanders, and Hispanics/Latinos are three times more likely than Caucasians to suffer from end-stage renal (kidney) disease, often as the result of high blood pressure and other conditions that can damage the kidneys. Almost 35 percent of the more than 95,000 people on the national waiting list for a kidney transplant are African-American.

In Connecticut, as of July 19, 2013, the waiting list for all organ transplants for Connecticut residents includes 1,368 individuals.  The ethnicity breakdown, according to official statistics, includes 668 whites, 457 blacks, 198 Hispanics, and 42 Asian.  Overall in Connecticut, individuals on the waiting list include 1,151 seeking kidney transplants, 192 awaiting liver transplants, 17 waiting for a pancreas transplant, and 25 hoping for a heart transplant.

HHS data indicates that in 2012, Hispanic recipients were 14.1 percent of the total organ transplants in the U.S, reflecting 15.8 percent of kidney transplants in the nation.  Among Hispanics, 66 percent of transplant recipients received kidneys and 22 percent received livers.  African-Americans received 19.9 percent of all organ transplants, including 24.8 percent of kidney transplants.  HHS reports that since 1996, the number of non-white donors has doubled.

“A disproportionately high number of minorities are currently in desperate need of an organ transplant. The need is so great in these communities mainly because diseases that cause end stage renal failure and the need for a kidney transplant, such as uncontrolled high blood pressure and diabetes, tend to impact this group more than others,” adds Bernabucci.

Although organs are not matched according to race/ethnicity, and people of different races frequently match one another, all individuals waiting for an organ transplant will have a better chance of receiving one if there are large numbers of donors from their racial/ethnic background. This is because compatible blood types and tissue markers—critical qualities for donor/recipient matching—are more likely to be found among members of the same ethnicity, the federal agency points out, adding that “a greater diversity of donors may potentially increase access to transplantation for everyone.”

Originally launched in 1996 as National Minority Donor Awareness Day on Aug. 1, the one-day observance became a week-long designation at the request of organ procurement organizations (OPOs) and other organ donation partners throughout the country, according to Texas organ transplant officials.

LifeChoice Donor Services, Inc. is the federally designated, non-profit organ procurement organization (OPO) for six counties in Connecticut and three counties in Western Massachusetts with a combined population of 2.2 million people.  The OPO serves twenty-three acute care hospitals for organ and tissue donation and two organ transplant hospitals, Hartford Hospital in Hartford, CT and Baystate Medical Center in Springfield, MA. Organ transplants include kidney, liver, pancreas, heart, lung and intestine.

Donate Life New England is a joint project of three federally designated organ procurement organizations that serve New England – New England Organ Bank, LifeChoice Donor Services, The Center for Donation and Transplant, the Connecticut Eye Bank, as well as Donate Life Connecticut. For more information about LifeChoice and to join the Donor Registry, please visit www.lifechoiceopo.org or call 1.800.874.5215.

Free Summer Meals Program for Children Aims to Provide Nutrition, Sustain Academic Progress

Turns out, there is a free lunch.  In fact, Connecticut’s summer meal program for children 18 and under is providing hundreds of lunches – and breakfasts.  As Governor Malloy points out in a radio commercial now being broadcast around the state, 3 in 4 Connecticut children who could receive free meals aren’t doing so.

Officials say that the absence of good nutrition over the summer – when children are out of school and school lunch programs are unavailable - may contribute to children slipping somewhat in their educational progress.  “Summer learning loss,” they say, may be caused in part by “summer nutrition loss.”  The free Summer Meals program aims to turn that around.

The statistics are startling.  There are 100,000 children in Connecticut who don’t know where their next meal is coming from, according to Lieut. Gov. Nancy Wyman, who helped to kickoff the statewide initiative, and joins the Governor in the radio announcement.   That is why more than 400 locations around the state,  including churches, parks, schools and even some pools, are serving free meals to children throughout the summer as part of the summer meals program and the state’s ongoing End Hunger Connecticut initiative.

A new interactive website, www.ctsummerfoods.org, was launched at the beginning of the summer that lists all the locations serving the meals.  The site allows people to simply type in a town or zip code to see a list of locations in that area that offer the meals.

Children and teens, under 18, do not have to be receiving free or reduced price school meals during the school year to eat a free, nutritious, summer meal and/or snack at participating locations.  Connecticut ranks 5th in country, as of 2012, for such programs, with  about 25% of children who are eligible are receiving the breakfasts.  “We need to do better,” said Stefan Pryor, Commissioner of the State Department of Education, when the program began just after the school year ended.

The program website notes that “Only 25.8 of every 100 low-income students that participate in school lunch also participate in summer nutrition. If participation reached 40 percent, an additional 19,558 students would be reached and that would bring an additional $1.35 million federal dollars into the state.”

By heightening visibility of this program, the Connecticut No Kid Hungry campaign and its partners aim to increase participation in the state’s 2013 summer meals program by 9 percent. Flyers and other program material is available on-line to help local organizers get the word out in their communities.

In launching the program, “Blitz Days” were held in Hartford, Groton, Naugatuck, Norwalk and Waterbury to bring attention to the initiative, which is mostly funded by the federal government.  CT News Junkie has reported that program organizers don’t ask too many questions of those coming to receive meals. Income guidelines are not required because the idea is not to discourage anyone from receiving a meal, state officials said.

Last year the state of Connecticut received $1.55 million to administer the program. The bulk of that or $1.3 million was used to purchase food. Summer meals are paid for by the United States Department of Agriculture (USDA). The Connecticut State Department of Education works with the USDA to reimburse sponsors for the summer meals they provide to children and teens, under 18, at participating summer meals locations.

For details on dates and times that meals and/or snacks are being served at particular locations, individuals can use the Location Finder, text “CTmeals” to 877877, or call, toll-free, 2-1-1.  It is anticipated that the program will continue until the start of the school year in late August.

Patients Rate Hospitals in CT: Middlesex, Danbury, St. Vincent's Top Lists

When asked how they rated their hospital stay, about two-thirds of patients in Connecticut hospitals offer the highest, or very high, ratings.  And when asked if they would recommend the hospital to friends and family, a greater number, 72 percent on average, say they “definitely” would.  A closer look at the number  included in the U.S. News report on best hospitals, shows distinctions among Connecticut’s medical institutions – according to their patients.

Those receiving the largest percentage of very high overall ratings from patients are Middlesex Hospital (76%), St. Vincent’s Medical Center (73%), Danbury Hospital (72%) and Yale-New Haven Hospital (68%) – the only facilities to exceed the statewide average of 66 percent.

Topping the list of those that would definitely be recommended to family and friends by patients were Middlesex Hospital and Danbury Hospital, both with 79%, and St. Vincent’s Medical Center and Yale-New Haven Hospital, each with 77%.  Others exceeding the statewide average of 72 percent were St. Francis Hospital and Medical Center, Hartford Hospital, and Stamford Hospital, all with 73 percent.

The hospitals with the lowest percentage of patients offering the highest overall rating were Waterbury Hospital and Bristol Hospital.  The lowest percentage who would recommend the hospital at which they were patients to their friends and family were Charlotte Hungerford Hospital in Torrington, Bristol Hospital, and Waterbury Hospital.

In addition to those responses, data is developed based on patient responses to questions related to pain control, staff courtesy, cleanliness of facilities, staff responsiveness to patient needs, and information provided related to discharge and recovery.

The data was compiled in August 2012 and release this month.

Waterbury, New Haven Among Nation's Leading Cities for Healthcare Social Workers

Connecticut, always on the lookout for occupations with strong potential for job growth, appears to already have one in our midst.  New statistics indicate that Waterbury and New Haven are among the top five metropolitan areas in the nation for healthcare social workers – a status that could serve to attract individuals in the fast-growing field to the state.

Nationwide, the median salary for a healthcare social worker is $47,770, and the job outlook is bright: jobs are projected to grow 26 percent from 2010 - 2020, which is twelve percentage points above the projected national job growth of 14 percent.  In Waterbury, the median salary is $65,250, the second highest in the nation; in New Haven, ranked at #5, it is $61,950, according to data compiled by the data analysis website ValuePenquin.

Healthcare social workers are professionals who provide a range of services that support patients' medical needs in their psychosocial environment, from advising caregivers to coordinating medical services.  With healthcare becoming increasingly complex, the need for healthcare social workers has grown, as reflected in the analysis that determined the Best Cities for Healthcare Social Workers, based on May 2012 data.

The U.S. Bureau of Labor Statistics has reported that Connecticut is ranked fourth nationwide in  job prospects and has the fourth highest annual wages, at $60,830.  The Bureau defines the occupation as one that provides individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses.  Services include advising family care givers, providing patient education and counseling, and making referrals for other services. Individuals in the field may also provide care and case management or interventions designed to promote health, prevent disease, and address barriers to access to healthcare.

In the ValuePenquin study methodology, median annual pay - a substantial factor in the decision process for people looking for work – was considered, along with how expensive the city is to live in.  Since the focus was on job opportunities, the study also factored in cities’ concentration of healthcare social workers. The ‘location quotient’ measures the concentration of a particular occupation in a city as a proportion of all occupations relative to the national average. They infer a higher location quotient to mean a relatively higher demand for a profession's services.  Data from the Bureau of Labor Statistics underscored the recent study, ranking Connecticut fourth in the nation in location quotient, reflecting a field in demand.

While the study ranked Waterbury and New Haven in the top five, Massachusetts communities also had a strong showing, reflecting the regions attractiveness for professionals in the field.  The top ten:

1. Carson City, NV
2. Waterbury, CT
3.  Cumberland, MD
4. Taunton/Norton/Raynham, MA
5.   New Haven, CT
6.  Napa, CA
7.  Yuba City,  CA
8.  Springfield, MA
9. Boston/Cambridge/Quincy, MA
10. Hanford/Corcoran, CA

In addition, New Bedford ranked #14, Worcester was #16, Brockton/Bridgewater/Easton, MA was #17, Providence/Fall River/Warwick was #18, Pittsfield was #19 and Barnstable was #20.

Yale-New Haven is Connecticut's Only Hospital with Nationally Ranked Medical Specialties

Yale-New Haven Hospital is Connecticut’s best-performing hospital according to the annual list released this week by U.S. News & World Report, which analyzed hospitals across the nation.

Yale-New Haven Hospital is ranked nationally in 10 adult and 5 pediatric specialties. It was also ranked as high-performing in 3 adult specialties, according to the magazine’s analysis.  It placed 6th in the country in diabetes and endocrinology, 11th in psychiatry, fourteenth in gynecology and #18 in gastroenterology.  It was the only hospital out of the eleven ranked in Connecticut to be nationally ranked in any specialty category.

Yale-New Haven performed 15,340 annual inpatient and 22,559 outpatient surgeries, and ts emergency room had 137,911 visits last year. Yale-New Haven Hospital covers 1.9 million square feet, employs more than 7,000, and is affiliated with 3,600 physicians and 600 resident physicians practicing over 100 medical specialties, U.S. News reported.  In pediatric specialties, Yale-New Haven ranked #4 nationally in diabetes and endocrinology.

Hartford Hospital and Saint Francis Hospital and Medical Center took second and third place, respectively in Connecticut, with St. Vincent’s Medical Center in Bridgeport ranked #4 in the state, followed by Middlesex Hospital at #5, Norwalk Hospital ranked sixth, Danbury Hospital and Waterbury Hospital, tied at #7, Bridgeport Hospital and Lawrence and Memorial Hospital tied at #9, and Stamford Hospital ranked eleventh.

Hartford Hospital, ranked#1 in Greater Hartford, “performed nearly at the level of nationally ranked U.S. News Best Hospitals” in 9 adult specialties, U.S. News reported.  The hospital had 36,841 admissions in the latest year for which data are available. It performed 11,828 annual inpatient and 20,955 outpatient surgeries and had 95,567 emergency room visits.

At #3 statewide, Saint Francis “performed nearly at the level of nationally ranked U.S. News Best Hospitals” in 8 adult specialties. The hospital had 29,113 admissions, performed 9,178 annual inpatient and 10,482 outpatient surgeries and its emergency room had 71,446 visits.

St. Vincent’s, top-rated in Bridgeport and Western Connecticut, “performed nearly at the level of nationally ranked U.S. News Best Hospitals in 6 adult specialties. The hospital had 21,019 admissions, performed 4,521 annual inpatient and 5,138 outpatient surgeries and its emergency room had 74,177 visits.

Among 87 children’s hospitals across the nation that made the rankings in at least one specialty, Connecticut Children’s Medical Center in Hartford was nationally ranked in six pediatric specialties. It is a 166-bed children's general facility with 6,096 admissions in the most recent year reported, performed 2,036 annual inpatient and 8,062 outpatient surgeries. Its emergency room had 53,488 visits.  Connecticut Children’s is national ranked at #25 in pediatric urology, #35 in diabetes and endocrinology and #39 in pulmonology.

In Only 37 Communities Do More Than 2/3 of 4th Graders Pass All Physical Fitness Tests

What do the towns of Preston, East Windsor, Bethany, Stafford, and Clinton, have in common?  Less than 20 percent of fourth grade students in those communities meet the standard on all four physical fitness tests – the lowest percentages in the state.  For Preston, it’s the second consecutive year in the bottom five. 

At the upper end of the spectrum, 95.5 percent of 4^th graders in Eastford meet the standard on all four physical fitness tests, in Westbrook 89.5 percent, in Sterling 85.4 percent in New Canaan 83.3 percent and Union 80 percent – the only towns to exceed 80 percent in the most recent data, for 2011.  In 2010, 100% of fourth grade students in two towns – Union and Caanan – passed all four physical fitness tests, no towns reached that level in 2011 data.

Overall, in only 37 communities did more than two-thirds the fourth grade students pass all four physical fitness tests, and in another 63 communities more than half (but less than two-thirds) of the students did so.  In 69 communities, fewer than half of the fourth graders pass all four tests - compared with  67 communities the preceding year..  Connecticut has 169 towns and cities.

The data is available on the web site of the Connecticut Data Collaborative, which is bringing together data from various state agencies, making it more readily available to the public, along with the means to combine data from different agencies and chart the information in data visualization charts that help to illustrate patterns that enhance understanding.

The Connecticut Data Collaborative is a collaborative public-private effort to improve the quality of and access to policy-related data in the state – a central portal where all Connecticut organizations and residents can access a wide range of data from federal, state, local and private sources relating to the health, well-being and economy of the residents of the State of Connecticut. The goals of the Collaborative include:

• Advocacy – Advocating for the public availability of all state data to inform public debate and to drive planning, policy, budgeting and decision making in state government.
• Standards – Promoting and modeling use of data standards around privacy, interoperability, data definitions and quality.
• Access – Meeting demands for public access to data through the Collaborative’s data portal, CTData.org, and the associated Connecticut Nonprofit Strategy Platform.
• Building Capacity — Creating opportunities for Collaborative and peer support in data development and use both online and in person.

Fatal Accidents Raise Isssue of Mandatory Motorcycle Helmet Law in CT

Since the beginning of June, motorcycles have been responsible for three deaths in the Fairfield County according to the Greenwich Time -- two in New Milford and one in Danbury -- as well as several injuries. The paper reported that “the recent fatalities have thrown long-standing debates over Connecticut's partial motorcycle helmet laws into a new light, prompting questions as to the efficacy of helmets and the future of statewide regulations requiring their use.”

In one recent incident – where the rider survived – the Time reported that “the bike burst into flames shortly after it collided with oncoming traffic, and its rider was thrown nearly 10 feet into the street.”

A report by consumerreports.org last month indicated that “in 2010, 98 percent of motorcyclists riding in states with helmet laws were wearing them. In states without the laws, helmet use was just 48 percent.”  The Insurance Institute for Highway Safety reports that:

• Laws requiring all motorcyclists to wear a helmet are in place in 19 states (including New York, New Jersey and Massachusetts) and the District of Columbia
• Laws requiring only some motorcyclists to wear a helmet are in place in 28 states (including Connecticut, which requires helmets be worn by individuals 17 and under)
• There is no motorcycle helmet use law in 3 states (Illinois, Iowa, and New Hampshire)

National Highway Traffic Safety Administration research shows riders who wear helmets are three times less likely to suffer brain trauma than those without them. According to a 2012 study released by the Centers for Disease Prevention and Control, motorcyclists accounted for 12 percent of motor vehicle fatalities in 2010, despite making up less than 1 percent of vehicle miles traveled, the Time reported.

Motorcycle helmets have not been uniformly required in decades.  In 1967, to increase motorcycle helmet use, the federal government required the states to enact helmet use laws in order to qualify for certain federal safety programs and highway construction funds. The federal incentive worked. By the early 1970s, almost all the states had universal motorcycle helmet laws.

Michigan was the first state to repeal its law in 1968, beginning a pattern of repeal, reenactment, and amendment of motorcycle helmet laws. In 1976, states successfully lobbied Congress to stop the Department of Transportation from assessing financial penalties on states without helmet laws. The Connecticut General Assembly overturned the universal helmet requirement here later that year. The state passed its partial helmet law in 1989, applying only to individuals age 17 and younger.

Two years ago, The Hartford Courant was among the voices urging the mandatory helmet law be reinstated:

“In 2007, the most recent year for which statistics are available, 36 motorcycle riders died in crashes in Connecticut. That number may seem small, but it's not. Per mile traveled, the number of deaths on motorcycles was 37 times the number of people killed in cars, says the Insurance Institute for Highway Safety. A common saying among those in the medical community is that motorcycles ought to be called "donorcycles," because so often the organs of dead bikers are used for transplants.”

A 2011 Yale School of Medicine report analyzing state crash data between 2001 and 2007 found that two-thirds of the 358 riders killed in motorcycle accidents had not been wearing helmets. In an editorial this week, the Greenwich Time noted that “the National Highway Traffic Safety Administration estimated that in 2008, helmets saved the lives of 1,829 motorcyclists, and that 822 who died that year would have survived if helmets had been worn.”

The higher risk of serious injury or death that comes with optional helmets may also translate into economic losses. NHTSA data reportedly suggests that projected reductions in fatalities stemming from universal helmet laws could translate into savings in service costs and household productivity of up to $1,200,000 per avoided fatality.

The Connecticut Motorcycle Riders Association (CMRA) , formed in 1980, opposes helmet requirements, as it has for more than three decades.  In the organizations view, it is a matter of freedom of choice – whether or not to wear a helmet is a decision to be made by bikers, not government. It was that view that prevailed when the legislature changed the state’s mandatory helmet law in 1977.  In 1980, motorcyclists rallied in unprecedented numbers in Connecticut when a state legislator was involved in a motor vehicle accident in which a motorcyclist was killed.

Since then, the issue has been raised unsuccessfully at the state Legislature in bills or amendments 11 times. The CMRA website said, regarding the 2013 session, that “we are able to say that we have not had to fight any helmet laws this year,” and indicated that “we have repeatedly defeated attempts to reinstate the mandatory helmet law for adult motorcycle riders.”  The issue has not been considered since 2005, according to the Time.  The CMRA website also includes this tagline:  “Let Those Who Ride Still Decide.”  The organization has supported the creation of a self-funded rider education program and pushed for the adoption of a more comprehensive motorcycle license test throughout the state, the website points out.

Connecticut Ranks 17th in Beach Closings/Advisories in 2012

As the summer beach season moves into full swing, Save the Sound, a program of Connecticut Fund for the Environment, is calling attention to the number of days that Connecticut beaches had to be closed, or were under public advisories during 2012 due to environmental or related factors. The Natural Resources Defense Council’s (NRDC) annual “Testing the Waters” report, issued last week, found that Connecticut beaches were closed or under advisories for 198 days in 2012. That is down from 538 in 2011 but still more than twice the number of closings/advisories in 2010, 2009, or 2008.

The report analyzes beach closure and advisory statistics from beaches around the U.S.; Connecticut ranked 17th out of the 30 states listed.

According to the NRDC report, 22 percent of Connecticut’s closing/advisory days last year were due to monitoring that revealed elevated bacteria levels and 29 percent were preemptive due to heavy rainfall, which can overwhelm outdated stormwater systems and wash untreated sewage into rivers and the Sound. The remaining days were preemptive due to wildlife.

The beaches with the worst records for exceeding the state's daily maximum bacterial standard were Pear Tree Point Beach in Fairfield County and Seabluff Beach in New Haven County, which tested above the maximum 28 percent of the time; Oak Street B Beach in New Haven County at 20 percent; and Fairfield County’s Calf Pasture Beach, Weed Beach, and Rowayton Beach, all at 19 percent.

“When it comes to clean water, being ‘middle-of-the-pack’ is not good enough,” said Leah Schmalz, director of legislative and legal affairs for Save the Sound. “One out of every ten American citizens lives within an hour’s drive of Long Island Sound, and they deserve clean, safe beaches—even one closing because of bacteria and pollution is too many.”

“Just an inch of rain in 24 hours causes many local health departments around the Sound to shut down beaches. Drought conditions may provide the perfect beach weather—no rain means no contamination from stormwater runoff—but we can’t rely on Mother Nature to do our pollution control for us. If we want to enjoy our coastline, eat local seafood, and promote tourism along the shore, rain or shine, we have to be proactive. That means stopping pollution at the source by upgrading our sewage treatment plants, separating the combined sewer overflows that dump almost two billion gallons of untreated sewage into our waterways each year, and investing in innovative stormwater runoff solutions like drain filters and green infrastructure.”

By comparison, the same NRDC report found that Westchester County in New York lost 112 beach days in 2012, and that New York State ranked 22nd out of 30 states, up from 24th in 2011.

Two Westchester County beaches had the first- and third-worst records in the state for the number of water samples that exceeded the state bacterial standard. Bacterial levels at Shore Acres Club in Mamaroneck tested above the standard fully 50 percent of the time, and Surf Club in New Rochelle exceeded 35 percent of the time. Overall, Westchester County beach samples exceeded the standard 14 percent of the time, making Westchester the fourth-worst tested county in New York. Bronx County, which also affects water quality in the western Sound, came in at number three.

Save the Sound issues weekly Sound Swim Alerts for Connecticut and Westchester County to inform residents when beaches are open for swimming and when they are closed. The alerts can be found on Save the Sound’s blog.

Additional info on water pollution, contamination and depletion.

Top CT Trails Ranked for Hiking with Your Dog

Summer is officially underway, and Connecticut residents are responding to the great outdoors, hiking the state’s numerous scenic trails.  For those interested in bringing their dog along, the website bringfido.com has compiled the top 10 dog-friendly hiking trails in the state:

1.   The Cascades at Lake Mohigan (Fairfield)

2.       Housatonic Rail-Trail - Trumbull (Pequannock Valley Greenway) Trumbull

3.       Bear Mountain Reservation (Danbury)

4.       Farmington River Trail (Farmington)

5.       Timberlands (Guilford)

6.       Kettletown State Park (Southbury)

7.       Central Bark Dog Park at Copp Family Park (Groton)

8.       Winslow Park (Westport)

9.       Housatonic Valley Rail-Trail (Monroe)

10.   Hop River State Park Trail (Vernon-Rockville)

The publication “A Bark in the Park – Connecticut” lists the basics for taking your dog on a hike, including helpful hints on the collar, identification tags, bandanna, leash and water.  Also discussed are conditioning, trail hazards, and the perils of black bears, rattlesnakes and porcupines.

The basic do’s and don’t when hiking with your dog are also outlined by backpacker.com:

Find a canine-friendly trail Look for places that are "easy on the paws" -  shady trails with soft, leaf- or needle-covered terrain; avoid paths littered with sharp rocks, off-trail routes with steep drops, or any surface that gets very hot.

Fit & load his pack Adjust the harness on your dog so it's snug but won't chafe (remove saddlebags first, if the pack allows). You should be able to fit two fingers under it. Load the bags with dog food, treats, water (some packs come with hydration bladders), bowls, and extra gear for you–this is the time for beer or another pillow! Make sure both sides are weighted equally; total load shouldn't exceed one-third of your dog's body weight.

Camp with your dog

• Keep dogs leashed around other hikers, bikers, horses, and on steep or slippery terrain (so they don't knock anyone over). Step aside and yield the trail to all others.
• Pack out poop on dayhikes (double-bag it!). On longer trips, follow regulations and bury away from the trail and water sources.
• Bring a camp towel and brush to clean and dry dogs thoroughly before letting them in the tent. Trim nails pretrip to prevent rips in the tent floor.
• Pack a foam pad for sleeping, and a wool or down blanket in cold weather.
• Keep track of dogs at night with LED lights or glowstick bracelets on collars.

Connecticut Well Represented in National Mental Health Dialogue

Keeping a commitment made in the aftermath of the Sandy Hook Elementary School murders last December, President Barack Obama launched a national mental health dialogue at the White House Monday aimed at increasing understanding and awareness of mental health, and Connecticut organizations are involved in the efforts from the outset.

Among the initiatives announced during the day-long conference was a new national website, www.mentalhealth.gov, and a series of public meetings to be held around the country under the “Creating Community Solutions” rubric.  Two of those community conversations will be in Connecticut – in Hartford and Norwalk – and one of the six national organizations coordinating the initiative has its headquarters in East Hartford.

The Center for Civic Engagement at the Hartford Public Library will organize the Hartford event as part of the National Dialogue on Mental Health. In response to unprecedented need for civic engagement, Hartford Public Library created the Center for Civic Engagement (CCE). The CCE aims to create a community change process, foster development of a community vision, contribute to a stronger, more successful community, and establish a civic engagement model.

The dialogue in Norwalk will be co-sponsored by the Fairfield County Community Foundation and the Southwest Regional Mental Health Board.  The Fairfield County Community Foundation promotes philanthropy to build and sustain a vital and prosperous community where all have the opportunity to participate and thrive.  The Southwest Regional Mental Health Board is dedicated to ensure a quality system of comprehensive, recovery oriented mental health and addiction services that enhances the quality of life and well being of all residents of Southwest Connecticut.

The Creating Community Solutions initiative will allow participants to learn about mental health issues - from each other and from research - and to develop plans to improve mental health in their own communities, according to officials.   The national dialogue is to include young people who have experienced mental health problems, members of the faith community, foundations, and school and business leaders.

Among the six national “deliberative democracy” organizations involved in developing the Creating Community Solutions program is East Hartford-based Everyday Democracy, according to federal officials.  Everyday Democracy helps people organize, have dialogues, and take action on issues they care about, so that they can create communities that work for everyone. Its ultimate goal is to contribute to the creation of a strong, equitable democracy that values everyone's voice and participation.    Details about Everyday Democracy's role in the initiative and how partner communities and organizations can get involved will be available on the organization’s website in the coming days.

Details regarding the date, location and registration information for the Hartford and Norwalk sessions will be available on a new website, at www.creatingcommunitysolutions.org.  The site is part of the national mental health website, which was created by the U.S. Department of Health and Human Services.   Thus far, community dialogues have been scheduled in New Mexico, California, Alabama, and Arizona, and an additional 29 sites – including the two in Connecticut – are making plans.   A Facebook page, https://www.facebook.com/CreatingCommunitySolutions, has also been launched.

Materials to support the conversations are being developed and will shortly be available for download, including an Information Brief, Organizing Guide and Discussion Guide.  In addition to Everyday Democracy, the organizations working together to design and implement Creating Community Solutions are America Speaks, Deliberative Democracy Consortium, National Issues Forums, the National Coalition for Dialogue & Deliberation, and the National Institute for Civil Discourse.

In addition, a number of national associations are asking their members or affiliates to organize local events. These groups include the United Way, American Bar Association, National League of Cities, YWCA, National School Public Relations Association, 4-H, Grassroots Grantmakers, Alliance for Children and Families, National Physicians Alliance, Association for Rural and Small Libraries, and the International Association for Public Participation, among others.