Report Calls for Transition to Livable Communities Across Connecticut

In Connecticut, more than one-third of the population is over the age of 50, and that proportion continues to increase. Connecticut’s Legislative Commission on Aging has issued “Connecticut for Livable Communities,” a new report to the state legislature which outlines more than 50 recommendations for communities looking to enhance livability. The Commission has also launched a website which includes a list of communities that are responding to the call for more livable communities, and suggests a wide range of actions that communities can take.

Connecticut is undergoing a permanent and historic transformation in its demographics, the report points out. Between 2010 and 2040, Connecticut’s population of people age 65 and older is projected to grow by 57 percent, with less than 2 percent growth for people age 20 to 64 during the same period.

Livable communities are vibrant, inter-generational places that are easy to get around, according to the report. “They include affordable, appropriate housing options, supportive community features and services, and adequate mobility options. They foster independence, engage residents in civic and social life, and allow people to age in place. Done well, they benefit community residents across the lifespan.”

The 50-page report indicates that residents born in Connecticut today can expect to live to be 80.8 years old - the third highest life expectancy in the nation. A lengthy series of recommendations are highlighted in seven different areas: community engagement, health and well-being, housing, planning and zoning, safety and preparedness, social and support services, and transportation.

The recommendations include promoting opportunities for intergenerational collaboration, promoting in-home programs that improve health outcomes, creating a balanced transportation system that connects residents with health care services, and adopting policies that encourage incorporation of accessible housing features into new construction. The recommendations also include a call for municipal plans of conservation and development that include planning for older adults and individuals with disabilities to remain in their homes and communities, and building compact, mixed-use development “to encourage walking and eyes on the street.”

Creating livability requires “robust partnerships, long-range planning and sustained commitment.” To support those efforts the Legislative Commission on Aging plans to be:

• Providing educational opportunities on livable communities for community leaders and other partners in Connecticut;
• Creating partnerships to support the multi-faceted, multi-disciplinary endeavor of creating livable communities;
• Supporting, inspiring and incentivizing communities to enhance livability; and developing policies to support aging in place

To help communities implement the recommendations over time, the Commission plans to:

• Recognize localities that have implemented livable communities initiatives, pursuant to Public Act 14-73 (which established the livable communities initiative)
• Expand partnerships across multiple sectors to advance livability,
• Continue to convene municipal leaders, legislators and other thought leaders for statewide and regional forums on creating livability;
• Continue to identify funding opportunities for municipal leaders, seeking to implement or sustain livable communities initiatives;
• Work with partners to conduct asset mapping across all Connecticut communities, with the goal of helping each community understand its facilitators and barriers to developing livable communities;
• Continue to research models in other states, nationally and internationally;
• Work with the Connecticut General Assembly to identify and advance policy solutions that incentivize and inspire the creation of livable communities;
• Provide technical assistance to Connecticut communities seeking to enhance or promote livability; and
• Create town-specific data profiles to enable towns to enhance livability in a targeted and strategic fashion.

Among the communities listed on the new website as having best practices in place in parts of their towns or cities are Branford, Guilford, Madison, Bridgeport, Danbury, Darien, Enfield, Hartford, Middletown, New Haven, New Canaan, Norwalk, Seymour, and Torrington.  The Commission plans to proceed with "asset mapping across all Connecticut communities" and "continue to identify innovations, ideas, and best practices for implementing livability in the state. "

Simsbury, New Haven, New Britain Top Bike- and Walk-Friendly Towns in State

As part of a new "complete streets" initiative that began earlier this year, Bike Walk Connecticut has developed a first-of-its-kind ranking of the state's cities and towns on how bike- and walk-friendly they are. The results paint a varied picture of smaller communities and major cities taking effective steps to earn the designation bike- and walk- friendly. Connecticut’s top ten include: Simsbury (1), New Haven (2), New Britain (3), Glastonbury (4), Middletown (5), Canton (6), Weston (7), Hamden (8), Plainville (9) and South Windsor (10).

The scorecard and rankings of the most bike- and walk-friendly communities are based on an online, statewide public opinion survey that ran this spring and was open to anyone who lives or works in Connecticut.

The rankings are also based on municipal leadership and engagement efforts -- whether cities or towns have bicycle and pedestrian master plans; citizen task forces or advisory groups; complete streets policies; and whether they have conducted any public outreach efforts related to cycling, walking or complete streets.

Plans are for the surveys and scorecard to be conducted annually as part of Bike Walk Connecticut's new five-year initiative to make it safer and easier to walk and bike by implementing "complete streets" in cities and towns across Connecticut. Complete streets make it easier and safer for people to get around on foot or by bike, in order to become more physically active.

"We want this project to encourage cities and towns to take a really robust approach to complete streets and being bike- and walk-friendly,” said Kelly Kennedy, Executive Director of Bike Walk Connecticut. “Being able to get around safely by bike or on foot isn't just a fad or a health issue or environmental issue. It's an economic development issue.”

Rounding out the top 25 towns in Connecticut in the survey were 11. Coventry, 12. Torrington, 13. Meriden, Milford, 15. Hartford, Manchester, 17. Stonington, 18. Old Saybrook, 19. Southbury, 20. Colchester, Somers.

Bike Walk Connecticut has also started to develop an online repository for complete streets resources. The entire project is made possible through the financial support of the Connecticut Department of Public Health through Cooperative Agreement 1305 from the Centers for Disease Control and Prevention (CDC), the purpose of which is to promote statewide implementation of policies and actions to promote health and prevent and control chronic diseases.

Serious Health Issues Faced by State's Asian Pacific American Residents, New Study Reveals

Stereotypes about a thriving and problem-free Asian Pacific population in Connecticut are just plain wrong, according to a new statewide Needs Assessment Study which reveals “high rates of physical and mental health problems” and serious concerns about access to proper food and healthcare, often exacerbated by communication breakdowns  and language barriers." The 21-page study, by the Connecticut Asian Pacific American Affairs Commission, is said to be the first of its kind in Connecticut.  The 2010 U.S. Census reported APA’s as one of the fastest growing minority populations, growing from 2.4 percent of Connecticut’s population in 2000 to 4.4 percent by 2010. The Census projects a steady increase of the APA population through 2050.

The Needs Assessment was developed in collaboration with three community-based organizations: the Khmer Health Advocates, Lao Association of Connecticut and Connecticut Coalition of Mutual Assistance Associations. The project was also supported by the Asian American Studies Institute at UConn, the UConn School of Pharmacy and the UConn School of Social Work. It focused on housing, education, language access, employment, access to public resources, and medical and mental health.

More than 300 Southeast Asian Connecticut residents – all over age 18 - participated in the study, include just over one hundred from each of three ethnic groups: Cambodian, Lao, and Vietnamese. The study found clear distinctions between the populations in Connecticut, and researchers stressed that viewing the Asian Pacific American (APA) population in the state as one block of people does a disservice to them, and does not adequately respond to their needs.

Food Insecurity

Food insecurity was a “prominent problem,” according to the report. “Close to half reported that they often or sometimes couldn’t afford to eat balanced meals and 43 percent indicated that their food supplies ran out The survey also reviewed “several measures of food insecurity” and found “significant association” between the ethnic groups and “finding it too expensive to have a balanced meal often or sometimes,” as well as “going hungry for lack of sufficient money for food.”

The report also indicated that “all of the ethnic groups reported concern that some members of their community were socially isolated. In particular, they reported that those age 50 and older were most at risk for isolation.”

Healthcare Concerns

Regarding healthcare, “nearly half experienced at least some difficulty in getting the healthcare they believed they needed,” the report indicated. In addition, “more than half of all participants reported experiencing a language barrier with their physician, and for those that needed an interpreter, 59 percent indicated that a professional interpreter was never or rarely available for healthcare visits.”

In regards to Southeast Asian Refugees, the report noted "chronic mental and physical health conditions follwoing a history of severe trauma," adding that "it is vital that primary care physicians and others treating these individuals screen for a wide range of physical health conditions as well as PTSD and depression."  At a State Capitol news conference releasing the report, Dr. Megan Berthold, Assistant Professor in the UConn School of Social Work, said that there is an "urgent need" to address these concerns, adding that the lack of communication can be "dangerous" and could "lead to misdiagnosis."

Among those who received prescriptions, nearly one-third said they did not fill it due to the expense, and among all surveyed, 17 percent “did not see a doctor when they felt they need to” during the past year due to the high cost.

Among the ethnic differences, a greater number of Vietnamese are smokers, Cambodians were “significantly more likely to be diagnosed with PTSD and depression,” and the Lao community indicating the least frequency of language barriers with physicians. Overall, however, the report indicated that “these communities continue to be underserved due to the limited to no resources available to focus on the cultural and linguistic needs of their communities.”

Numerous Recommendations

Included in the recommendations, the study report states that “service providers, state agencies and stakeholders are encouraged to partner with APA communities” in multiple ways, and calls for additional research that “can advance the needs of the APA population.” The series of 14 recommendations include greater training and education, promoting preventative care, actively recruiting APA members in various professional fields, creating diversity in the workforce, translating materials into the most common APA languages, and raising awareness among the APA population regarding their rights.

It is hoped that Needs Assessment studies can focus on other APA ethnic groups, such as the Indian and Chinese communities, in future years. The APA population in Connecticut includes approximately 50 ethnic groups, sharing some similarities and having great diversity. As the initial study demonstrated, specific needs may vary – an important fact for policy makers and those working with this fast-growing aspect of the state’s population.

Among those commenting on the report during the news conference were Secretary of the State Denise Merrill, who was instrumental in the establishment of the Commission when she was House Majority Leader in the legislature, Marie Spivey, Chair of the State Commission on Health Equity, Tanya Hughes, Executive Director of the state's Commission on Human Rights and Opportunities, and Dr. William Howe, Chair of the Asian Pacific American Affairs Commission (see photo, at left). Theanvy Kuoch, Executive Directo of Khmer Health Advocates, noted that "working together we can improve outcomes for our community members while engaging them in their own care.  We have evidence that this approach also saves health care dollars."

The Asian Pacific American Affairs Commission was created in 2008 by an act of the Connecticut legislature.  The 21 member bipartisan commission oversees matters concerning hte Asian Pacific American population in Connecticut, and makes recommendations to the General Assembly and the Governor on the health, safety, education ,economic self-sufficiency and efforts to remain free of discrimination within the APA population in the state.

New CT Law Responds to Sudden Cardiac Arrest in Student Athletes As Debate Continues

Research shows that an EKG exam, coupled with a complete medical history, and a thorough physical exam is the best way to prevent sudden cardiac arrest. That statement, on the home page of the organization “Screen Across America,” is followed by this statistic: Cardiac arrest is the #1 cause of death of student athletes.” Screen Across America is a consortium of organizations that provide heart screenings to students. They have a presence in 26 states; Connecticut is not one of them. The organization “believes that this should be a standard of care because thousands of children die every year from sudden cardiac arrest.” New York, New Jersey, Massachusetts and Vermont are among the states with local organizations advocating for screening. Connecticut does have a chapter in the Sudden Cardiac Arrest Association (SCAA). The Naugatuck-based chapter raises funds to place Automated External Defibrillators in Connecticut schools.

A recent article in the Wall Street Journal highlighted the divided opinion among the medical community, as well as athletics departments, athletes and parents. The publication reported that “whether to screen young athletes’ hearts – as is done in nations such as Italy and Israel – represents one of the hottest debates in American cardiology.”

The article noted that opponents and proponents of screening each have medical studies backing up their positions, and that proponents were encouraged recently when the National Institutes of Health and the Centers for Disease Control and Prevention announced they would be creating a registry for studying sudden death among those 24 and younger.

Hartford Hospital’s chief of cardiology, Dr. Paul Thompson, told the WSJ that when a young athlete dies from hypertrophic cardiomyopathy (HCM), “it probably could hve been detected. But when a screen finds it in a young athlete without symptoms, we don’t know that it ever would have caused him problems. Meanwhile, he gest labeled a cardiac cripple for life.”

The Screen Across America consortium does not have a particular organizational model across all locations. Each locale operates “independently of each other,” the website points out, with some being nonprofits and others for profits. “Some of us charge for heart screenings while others offer it free of charge. Our screening protocols may differ slightly. However, many of us have adopted the Seattle Criteria – a set of guidelines made by international experts in the field of sports cardiology,” the website explains.

Another organization advocating screening is “Parent Heart Watch,” which was founded in 2005, as was SCAA. It was started by four parents who each saw their child die from sudden cardiac arrest (SCA). The organization’s website says that “research has shown that SCA is the leading cause of death on school property with one student athlete falling victim to SCA every three to four days. Heart disease is the second leading cause of disease-related fatalities in youth according to the Centers for Disease Control and Prevention (CDC).” The organization also provides information on timely, effective medical responses to cardiac arrest.

According to the American Academy of Pediatrics, SCA takes the lives of thousands of children every year. The United States Centers for Disease Control and Prevention estimates at least 2,000 such deaths occur annually, according to the website of the Sudden Cardiac Arrest Foundation. During the 2014 Connecticut legislative session, a proposal that became Public Act 14-93 earlier this month was approved, which will direct the State Board of Education, in conjunction with health experts, to develop a sudden cardiac arrest awareness program for use by local boards of education. The program must include information on:

• SCA warning signs and symptoms, including fainting, difficulty breathing, chest pain, dizziness and abnormal racing heart rate
• Risks of continued athletic activity after exhibiting SCA symptoms
• Means of obtaining treatment for a suspected occurrence of SCA
• Proper methods for returning students who experience SCA to athletics.

It will also require school coaches to:

• Review the SCA awareness program each school year, beginning in 2015
• Immediately remove students from play who show symptoms of SCA
• Not permit students removed from play to return without the written clearance of a licensed healthcare professional.

In addition, it calls for creation of a consent form for parents of student athletes to sign on the warning signs, symptoms and treatment of SCA and relevant school policies. Similar legislation has already been adopted in Pennsylvania, several other states are also considering SCA bills, according to the SCAF. The provisions of the new law take effect a year from now, with the school year that begins in the fall of 2015.

Connecticut’s legislation was inspired in part by the tragic story of Andy Peña, a Darien student athlete who died of sudden cardiac arrest in 2011, just one month away from turning 15. Andy’s parents, Victor and Giovanna, founded the Andy Smiles Forever Foundation in his memory, to educate the general public and support research on the causes and prevention of sudden cardiac death amongst youth, officials said.

http://www.youtube.com/watch?feature=player_embedded&v=hiheVyvFQiA

CT Ranks #12 in Meeting Long-Term Care Needs of Older Residents

When it comes to support for seniors and caregivers, it matters where you live – and Connecticut is better than most places. According to a new, comprehensive state-by-state Scorecard from AARP, Connecticut ranks 12th in the nation in meeting the long-term care needs of older residents and people with disabilities. Even with the solid showing, AARP officials stress that more needs to be done, especially as the state’s 50-plus population continues to grow. Specific areas cited include more support and training for family caregivers, and easing patient transitions to and from the hospital or a skilled nursing facility.

Raising Expectations 2014: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers – an update of the inaugural 2011 Scorecard – ranks each state overall and within 26 performance indicators along five key dimensions:

• affordability and access;
• choice of setting and provider;
• quality of life and quality of care;
• support for family caregivers; and,
• effective transitions.

New indicators this year include length of stay in nursing homes and use of anti-psychotic drugs by nursing homes, raising serious concerns about the quality of institutional care. The Scorecard was complied by AARP with support from The Commonwealth Fund and SCAN Foundation.

According to the state Scorecard, a majority of family caregivers (59.4%) face a degree of stress and worry. In addition, Connecticut ranks last (51) when it comes to the percent of home health patients with a hospital admission. This signifies a need for more resources and training for family caregivers - especially around complex medical tasks – so that their loved ones don’t end up back in the hospital and can continue to live independently at home, according to AARP officials.

“The vast majority of older Connecticut residents want to live independently, at home, as they age – most with the help of unpaid family caregivers,” says Nora Duncan, state director of AARP Connecticut, which serves nearly 600,000 members age 50 and older in Connecticut.

Today, unpaid family caregivers provide the bulk of care for older Connecticut residents, in part because the cost of long-term care remains unaffordable for most middle income families. In Connecticut, it is estimated that more than 486,000 residents help their aging parents, spouses and other loved ones stay at home by providing assistance with bathing and dressing, transportation, finances, complex medical tasks like wound care and injections, and more.

“When it comes to helping older Connecticut residents live in the setting of their choice, this silent army of family caregivers assumes the lion’s share of responsibility,” explains Duncan. “Many juggle full-time jobs with their caregiving duties; others provide 24/7 care for their loved ones. With every task they undertake, these family caregivers save the state money by keeping their loved ones out of costly nursing homes – most often paid for by Medicaid. They have earned some basic support.”

The top 12 states overall are Minnesota, Washington, Oregon, Colorado, Alaska, Hawaii, Vermont, Wisconsin, California, Maine, District of Columbia, and Connecticut, which make up the top quartile among the states. At the bottom of the rankings are Tennessee, Mississippi, Alabama and Kentucky.

According to the Scorecard, Connecticut ranks 29th in the percent of Medicaid long-term care dollars that support care provided at home and in the community – the care setting that most residents prefer. The Scorecard spotlights specific areas that call for improvement, including:

• Percent of home health patients with a hospital admission;
• Percent of nursing home residents with low care needs;
• Percent of people with 90+ day nursing home stays successfully transitioning back to the community.
• Family caregivers without much worry or stress, enough time, well-rested;

Of the 26 Scorecard indicators, 13 may be improved through state policy changes, which officials say points to the importance of AARP’s multi-state advocacy campaign, launched this year, to help older Americans live independently, at home, and the family caregivers that support them. “Even facing tight budgets following the Great Recession, Connecticut is making clear progress to help our older residents. However, this Scorecard shows we have more to do – and with a predicted ‘silver tsunami’ sweeping over our state in the next 20 years, the time to act is now.”

The full state Scorecard, along with an interactive map of state rankings and information, is available at www.longtermscorecard.org.

Connecticut Leads Nation in Dental Visits for Third Consecutive Year

For the third year in a row, Connecticut residents were the most likely to say they visited a dentist in the last 12 months. The state is joined by two New England neighbors, Massachusetts and Rhode Island, as the only states where nearly three in four residents report that they visited a dentist. The top 10 states for dental visits, according to a Gallup Healthways Well-Being survey, are: Connecticut (74.9%), Massachusetts (74.5%), Rhode Island (73.8%), Alaska (72.6%), Wisconsin (72.4%), Minnesota (71.9%), North Dakota and Utah, (each at 71.4%), Delaware (70.9%) and South Dakota (70.7%).

Just over half of the residents in Mississippi say they’ve visited a dentist during the past year (53%), coming in last for dental care among the 50 states. At the bottom of the list with Mississippi are Oklahoma, Louisiana, Arkansas, Texas, West Virginia and Tennessee.

Five states - Connecticut, Massachusetts, Rhode Island, Wisconsin, and Minnesota - have ranked in the top 10 states for dental visits every year since Gallup and Healthways began daily tracking in 2008.

Connecticut has taken the top spot four times -- from 2011 through 2013, and in 2009. On the other end of the spectrum, eight states -- Mississippi, Oklahoma, Louisiana, Arkansas, Texas, West Virginia, Tennessee, and Kentucky -- have ranked in the bottom 10 every year since 2008. Nationally, 64.7% of Americans in 2013 said they visited the dentist at least once in the past 12 months. This is essentially unchanged from 65.4% in 2012, and remains in line with the averages reported in previous years since 2008.

These findings are based on interviews with more than 178,000 American adults conducted during 2013 as a part of the Gallup-Healthways Well-Being Index. Respondents were asked whether they visited the dentist in the last 12 months.

Residents of Eastern states are the most likely to report visiting the dentist in the past year, according to the survey data. Residents in the Midwest are the second-most likely to report visiting the dentist in the past year, and four Midwestern states are included within the top 10 for 2013. Residents of Southern states are the least likely to go to the dentist and make up eight of the bottom 10 states for dental visits.

The study noted that a relationship between dental visits and income exists, and those states with fewer reported visits also have, on average, a relatively lower percentage of residents with enough money to pay for healthcare and a higher percentage of uninsured residents.

Hartford’s Health & Fitness Ranks #12 Among Nation’s Top 50 Metro Regions

Apparently, Hartford is in better shape than many of us may have thought. In fact, a national analysis by the American College of Sports Medicine (ACSM), with support from the Anthem Blue Cross and Blue Shield Foundation, ranks the metropolitan statistical area (MSA) of Hartford-West Hartford-East Hartford as 12th in the nation in the annual American Fitness Index™ (AFI) report. The 2014 AFI data report, “Health and Community Fitness Status of the 50 Largest Metropolitan Areas,” reflects a composite of preventive health behaviors, levels of chronic disease conditions, and community resources and policies that support physical activity.

In the 2014 report metropolitan Hartford received a score of 63.8 (out of 100 possible points) to earn the overall #12 ranking. Hartford ranked #7 in Community Health and #17 in Personal Health, according to the data analysis.

Leading the rankings is the Washington, D.C., metro area with a score of 77.3, followed by Minneapolis-St. Paul, Portland, Denver, San Francisco, San Jose, Seattle, San Diego, Boston Sacramento and Salt Lake City.

Researchers analyzed the data from the U.S. Census, the U.S. Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS), The Trust for the Public Land City Park Facts and other existing research data in order to give a scientific, accurate snapshot of the health and fitness status at a metropolitan level.

The data regarding Hartford-West Hartford-East Hartford indicate that 78 percent engaged in physical activity or exercise within the past 30 days, 35 percent eat two pieces of fruit per day, and 14 percent eat 3 or more vegetables per day. Just over 15 percent of the population are smokers. Overall, 60 percent are described as being in “excellent or very good health,” although 36 percent indicate they had days when their “mental health was not good” during the past month.

Among the “areas of excellence” cited for Hartford-West Hartford-East Hartford are a higher percent bicycling or walking to work, more farmers’ markets per capita, more golf courses and tennis courts per capita and a higher percent eating two or more fruits per day.

ACSM worked with the Indiana University School of Family Medicine and a panel of 26 health and physical activity experts on the methodology of the AFI data report. The 2014 edition uses revised methods from the first six full-edition reports released from 2008 to 2013.

New variables, including each community’s Walk Score ranking, have been added or modified and some variables have been removed to improve and enhance the 2014 data report.

“The AFI data report is a snapshot of the state of health in the community and an evaluation of the infrastructure, community assets and policies that encourage healthy and fit lifestyles. These measures directly affect quality of life in our country’s urban areas,” said Walter Thompson, Ph.D., FACSM, chair of the AFI Advisory Board.

The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world. More than 50,000 international, national and regional members are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine.

Tolland County is Healthiest in Connecticut, Fairfield Next, Report Finds

The healthiest county in Connecticut is Tolland County, according to a new report analyzing health data from nearly every county in the country. The 2014 County Health Rankings & Roadmaps ranked Connecticut’s eight counties by health outcomes and health factors. According to the report, health outcomes represent how healthy a county is while health factors represent what influences the health of the county.

In health outcomes, Tolland County led the way, followed by 2)Fairfield County, 3)Middlesex County, 4)Litchfield County, 5)New London County, 6)Hartford County, 7)Windham County and 8)New Haven County.

In health factors, Middlesex County ranked first, followed by Tolland County, Fairfield County, Litchfield County, New London County, Hartford County, New Haven County and Windham County.

The County Health Rankings & Roadmaps program helps communities identify and implement solutions that make it easier for people to be healthy in their schools, workplaces and neighborhoods, according to study authors. The Robert Wood Johnson Foundation collaborated with the University of Wisconsin Population Health Institute on the state-by-state analysis and report, which measured the health of nearly every county in the nation.

The report website includes “county snapshots” - detailed data for each county, in each of the health factors and health outcomes. Comparisons between counties, and the statewide numbers, are also available.

Health factors data included in the analysis are health behaviors, such as tobacco use, diet and exercise, and alcohol and drug abuse; clinical care, including access to care and quality of care; social and economic factors, including education, employment, income, safety and family support; and physical environment, including air and water quality, housing and transit. Health outcomes date included length of life, and quality of life, with factors such as physical health and mental health.

The report website provides specific data in each of the categories, and ranks Connecticut’s eight counties in each factor. This year’s Rankings release marked the fifth anniversary of the first national release of the County Health Rankings.

Spring Flu Hits Connecticut and Northeast Harder than Rest of USA

Not only does winter refuse to quit in Connecticut, the flu season is also slow to recede, with a second wave hitting the region this month.  According to data monitored by the state Department of Public Health, Connecticut is one of only a handful of states where flu cases have remained widespread well into April.

Overall, more than 5,000 cases of various strains of flu have been reported in Connecticut since the start of flu season last fall, with the largest number coming in New Haven County, followed by Hartford and Fairfield Counties.

The latest “Flu View” map from the national Centers for Disease Control and Prevention (CDC) indicate while flu season appears to have ended across most of the nation, Connecticut is one of less than a half-dozen states that continue to have “widespread” influenza activity.

Connecticut is joined by regional neighbors New York, Massachusetts, New Jersey and Delaware in the recent spike in flu cases.  New York has recently been reporting its highest volumes of the entire flu season.  The states of Maine, New Hampshire, Rhode Island and Oklahoma have the next highest level of flu cases, according to the CDC data.

The most recent data, for the week ending April 5, indicates that statewide emergency department visits attributed to the “fever/flu syndrome” have recently increased in Connecticut and continue at a level near or above 5 percent statewide during the last 16 weeks.  The CDC reports that the region including Connecticut, Maine, Massachusetts, New Hampshire Vermont and Rhode Island is one of only two in the nation with “elevated” out-patient flu levels as of early April; the other region with elevated levels includes New York and New Jersey.  The rest of the nation is characterized as being at “normal” levels of flu incidence.

A total of 5,162 positive influenza reports have been reported for the current season, which is due to conclude, for data collection purposes, next month.  The initial peak in January brought record emergency volumes to some facilities, including Hartford Hospital.  This year’s second wave, is occurring later than a year ago, into April.  Last year's second wave occurred in March.

Influenza has been reported in all eight Connecticut counties since the start of flu season: New Haven (1,559 reports), Hartford (1,384), Fairfield (1,221), Windham (242), New London (220), Tolland (186), Middlesex (179), and Litchfield (171).

This month, Connecticut influenza activity continues to be classified geographically as “widespread” according to the state Department of Health, and many regions in the state are experiencing a second wave of flu activity, led by the influenza B strain, often referred to as “spring flu.”

In Connecticut, the Department of Public Health (DPH) uses multiple systems to monitor circulating influenza viruses. During the influenza season, weekly flu updates are posted from October of the current year, through May of the following year.

Last winter’s flu season brought 57 flu-related deaths to Connecticut, all were among patients at least 55 years of age including 48 (84%) who were greater than 65 years old. The year-long stats, reflecting August 2012 – August 2013, reflected flu instances from residents of all eight Connecticut counties and included: 4,177 from Fairfield County, 2,789 from New Haven County, 1,915 from Hartford County, 672 in Windham, 638 New London, 613 Middlesex, 388 Litchfield, and 319 from Tolland County.  Last year’s total was 11,511 confirmed flu cases, with the number of cases peaking twice, in the week ending Jan. 12, predominantly Type A flu, and the week ending March 23, predominantly Type B.

All data for the current flu season are considered preliminary and are updated with available information each week starting in October and ending in May; a final report will be available from DPH before the start of the next season.

Soda Tax Won't Hurt Job Prospects, Study Finds

As the Connecticut legislature considers a proposal to implement a 2 percent tax on sodas, proposed by Senate Majority Leader Martin Looney at the suggestion of New Haven Mayor and former state senator Toni Harp, two new academic studies challenge the beverage industry’s view that state and local taxes on sugary drinks will hurt employment, and offer suggestions to policy makers based on the tobacco tax experience. Harp has said the soda tax would discourage consumption of the sugary beverages – part of her campaign to combat obesity – and bring in an estimated $144 million in revenue for the state each year. It would tax all beverages “high in calories or sugar” by two percent, but does not specify how many calories or grams of sugar would trigger the tax.

The studies, appearing in the February and March issues of the American Journal of Public Health, argue, in one case, that claims of employment losses are off base because they focus only on the effects within the industry, ignoring the economic activity that comes with people substituting lower-priced goods for more expensive products as well as new spending from tax revenues.  The other study says that tobacco taxes offer a how-to road map for policy makers.

The study to be published in March, led by Jennifer L. Pomeranz, JD, MPH, while at the Yale Rudd Center for Food Policy and Obesity at Yale University, uses as its premise that “excise taxes on sugary beverages have been proposed as a method to replicate the public health success of tobacco control and to generate revenue.”

“Sugary Beverage Tax Policy: Lessons Learned from Tobacco”  indicates that “as policymakers increase efforts to pass sugary beverage taxes, they can anticipate that manufacturers will emulate the strategies employed by tobacco companies in their attempts to counteract the impact of such taxes.”  Pomeranz suggests that “policymakers should therefore consider two complementary laws—minimum price laws and prohibitions on coupons and discounting—to accomplish the intended price increase.”

Researchers at the University of Illinois, in a just-published study in the February issue of American Journal of Public Health, found that a 20 percent increase on the price of sugar-sweetened beverages would have an overall positive impact on the labor market.

The American Beverage Association has traditionally argued that manufacturers, distributors and small business owners, particularly grocers and convenience store proprietors, would suffer were soda taxes to be imposed, but the study says that’s not likely.

In recent years, proposals to tax those beverages fell short in California, Vermont, Hawaii, Massachusetts, Mississippi, New York and Rhode Island, Governing magazine reported.  In Maine voters passed a soda tax of 42 cents per gallon in 2008 but repealed it two years later amid a major lobbying effort from the American Beverage Association. Voters in Washington state similarly reversed their legislature in 2010.  As of the end of state legislative sessions in 2011, Governing reported, only four states had taxes specifically targeting sugary beverages, including Arkansas, Tennessee, Virginia, and West Virginia, according to the Tax Foundation.

In the study published this month, researchers ran a simulation of the impact of 20-percent soda tax in Illinois and California—selected for regional differences—and found slight employment increases would occur, but the net effect would be close to nothing. They found that people choose to spend their money on other things, not to forego spending entirely, and that employment gains in other sectors of the economy far outweigh the job losses for soda makers, National Journal reported.

“We find there are losses in the beverage industry, but when you’re talking about the whole economy suffering job losses, you can’t just talk about your own industry,” Lisa Powell, health policy professor at the University of Illinois at Chicago and the study’s lead author, told National Journal. “Using job loss as a scare tactic for the economy overall is misleading.”

Public health advocates have warned of a link between added sugar and illnesses ranging  from Type 2 diabetes and obesity to heart disease and osteoporosis. The caloric intake of sugary beverages increased dramatically from 1988 to the mid 2000s, though consumption has dropped across all age groups in recent years, Governing reported, with some citing the increased public attraction to teas and other beverages.  Like Harp and Looney in Connecticut, some elected officials around the country have proposed raising taxes on sugary drinks in order to reduce consumption.  The New Haven Register reported that Harp has pointed out that revenue from the cigarette tax has decreased, showing that the effectiveness of a tax in reducing consumption.

Pomeranz is a public health law and policy researcher focusing on marketing, labeling and youth access issues related to food and beverages, over-the-counter diet drugs, and dietary supplements, publishing on topics including discrimination, the First Amendment, public health preemption, and innovative regulatory strategies to address public health problems such as obesity. She is Assistant Professor at the Center for Obesity Research and Education in the Department of Public Health and at the College of Health Professionals and Social Work at Temple University, having served previously as Director of Legal Initiatives at the Yale Rudd Center for Food Policy & Obesity.  She is currently the Policy Chair of the Health Law Section of the American Public Health Association and the official liaison between the American Academy of Pediatrics and the American Public Health Association.

Lisa Powell is a Senior Research Scientist in the Institute for Health Research and Policy and Research Professor in the Department of Economics at the University of Illinois at Chicago. She has extensive experience as an applied micro-economist in the empirical analysis of the effects of public policy on a series of behavioral outcomes.

A 2011 study by the Yale Rudd Center for Food Policy & Obesity found that young people are being exposed to a massive amount of marketing for sugary drinks, such as full-calorie soda, sports drinks, energy drinks, and fruit drinks.  The study, described as the most comprehensive and science-based assessment of sugary drink nutrition and marketing ever conducted, found that companies were marketing sugary drinks targeting young people, especially black and Hispanic youth.

This story was reported by CT by the Numbers on February 16, 2014