Cigna Recognized for Cultural Competency Efforts

Health disparities directly and indirectly cost the U.S. economy $309 billion annually, and it is estimated that approximately 30% of direct medical costs for Blacks, Hispanics, and Asians are unnecessary costs resulting from health disparities, according to a paper prepared by Connecticut-based Cigna. Indirect costs, the paper points out, include lost work productivity and premature death. The paper, focusing on Cultural Competency in Health Care, is part of an initiative by Cigna that has been recognized with an "Innovation in Advancing Health Equity Award" by the National Business Group on Health, which honored the insurer for its ongoing commitment to promoting health equity and reducing health care disparities in the workplace and community.

"Health equity exists when all people, regardless of race, gender, socio-economic status, geographic location, or other societal constructs have the same access, opportunity, and resources to achieve their highest potential for health. It is our hope that these companies provide an example and encourage other employers to advance health equity," said Brian Marcotte, president and CEO of the National Business Group on Health.

Cigna was recognized for its nationwide program, America Says Ahh, to improve preventive care and encourage regular check-ups. A key feature of the campaign is the TV Doctors of America preventive care advocacy campaign featuring five famous TV doctors.  Among them is Alan Alda, best known for his role on M*A*S*H.  Alda will be on Hartford on Saturday evening at The Connecticut Forum.

“For Cigna's network doctors and clinicians, we created and delivered an in-depth cultural competency training with an emphasis on engaging Hispanic patients, and produced an external white paper on Cultural Competency in Health Care,” said Peggy Payne, a leader within Cigna's Health Equity Strategy area.

“The U.S. population is increasingly diverse. Cultural competency is essential to deliver health care services that meet the needs of each individual and improves overall health,” said Christina Stasiuk, D.O., National Medical Director for Health Equity at Cigna.

Racial and ethnic minorities currently make up about a third of the U.S. population, and are expected to become a majority by 2055, the paper points out, noting that:

• Hispanics will continue to make up the largest portion of the minority population
• The Asian population is expected to grow at the fastest rate between 2015 and 2055
• The foreign-born population will increase at a higher rate than the native born population, accounting for approximately 20% of the U.S. population by 2060

As the U.S. becomes more diverse, it is likely that more individuals will have limited English proficiency or will not adhere to Western cultural norms, which may contribute to greater health disparities, the Cigna paper points out.

“Reducing health disparities is a business and social imperative. Minority populations will likely become an increasing share of providers’ patient panels, employers’ workforces, and health plans’ customers, requiring that all stakeholders seek ways to promote health equity to improve health and access, reduce costs, and improve experience,” the Cigna paper emphasizes, suggesting employers can take to build cultural competency and improve health outcomes for all their employees by:

• Expanding their human resources leadership team to include experts in cultural competency and diversity
• Instituting multicultural staff representatives to support onsite health services, such as health fairs and open enrollment
• Seeking feedback from diverse groups of employees about their experiences as health care customers
• Providing materials and benefits information that are culturally competent, e.g., culturally adapted or language-specific
• Proactively gathering the demographic data of their workforce to measure and take action on health trends
• Collaborating with their health plan to better engage employees in their health

Cigna indicates that the company has “ongoing efforts to help ensure that Cigna staff is culturally and linguistically competent.”

The National Business Group on Health is the nation's only non-profit organization devoted exclusively to representing large employers' perspective on national health policy issues and helping companies optimize business performance through health improvement, innovation and health care management.

https://youtu.be/foL9gfbfweY

Edible Arrangements, Subway Take Steps Forward and Back in Roller-Coaster Economy

Two of Connecticut’s leading food franchise success stories - Edible Arrangements and Subway – have both been in the news in recent days, seemingly moving in opposite directions.  Subway, for the first time in memory, is reducing the number of franchises across the country, while Edible Arrangements is in the midst of extending its brand, as its founder has taken back control of the equity in the business. Subway dropped 359 U.S. locations in 2016, the first time that Subway has had a net reduction. The store count dropped 1.3 percent to 26,744 from 27,103, but Subway remains the nation’s most ubiquitous eatery. (Behind only McDonald’s in sales.) Sales at Subway franchises fell 1.7 percent last year to about $11.3 billion, according to published reports. Subway is still growing internationally, with sales outside the U.S. increasing 3.7 percent to $5.8 billion last year, as the company continued to open locations.

Subway was founded about 52 years ago by Fred DeLuca and Peter Buck in Bridgeport. DeLuca died in 2015, leaving the company in the hands of his younger sister, Suzanne Greco, who became chief executive officer. The chain’s restaurants are entirely owned by franchisees.

Since its founding in 1999 in East Haven, Edible Arrangements has grown to more than 1,300 locations worldwide. Tariq Farid developed a "healthy obsession with fruit," and used his experience in the floral industry insight to develop a new business concept: fruit bouquets. Edible Arrangements began franchising in 2001, according to the company website.

Farid has completed a buyback of equity of the company which had been held by Greenwich private equity firm L Catterton.  The company has entered into a strategic partnership with L Catterton in June of 2012. Farid said the relationship provided assistance during a key growth phase for the brand, a time in which Edible Arrangements expanded into offering fresh fruit smoothies, froyo fruit blends, chocolates and more.

“The timing was right to take back full ownership so that I could be more fully engaged in building the future of the brand with our franchisees," Farid said, adding that "Edible Arrangements finds itself well-positioned for a future that includes exciting new opportunities for our franchises and the brand.”

Edible Arrangements has launched a system-wide conversion of traditional stores to a "whole-store" experience in the Edible To Go platform, featuring fresh fruit smoothies, froyo fruit blends and other fresh fruit treats. The company is coming off a year in which it registered a 27 percent increase over the previous year in both the number of new store openings and signings of new franchise agreements. It was named in Entrepreneur's Top 40 of "Fastest Growing Franchises" and "America's Top Global Franchises" as well as being included among the "Inc. 5000" list of the fastest growing privately-held companies.

"This is an exciting time to be a part of Edible Arrangements," Farid said. "At heart we are really a family of small businesses that have enjoyed incredible growth through a shared passion and willingness to work together towards common goals. Now we can focus all our energy on working together on the next evolution of the Edible Arrangements brand."

Edible Arrangements is headquartered in Wallingford; Subway is headquartered in Milford.

Responding to Hunger with Capacity Building; Coalition Initiative Renewed

The University of Saint Joseph (USJ)  and Urban Alliance received a $30,000 grant from the Farmington Bank Community Foundation to support More than Food, a framework that helps food pantries with more capacity-building resources in addition to short-term food supplies to help address the root causes of hunger.  More than Food, developed by USJ, Urban Alliance and Foodshare, was initially launched with funding from the Farmington Bank Community Foundation in 2014. This latest grant supports the program over the next two years. “More than Food focuses on promoting healthy food in pantries and helping people access other resources to find a job. We’re proud to support a partnership that is trying to find a solution to the hunger problem,” said Chris Traczyk, executive director of the Farmington Bank Community Foundation.  “It’s a comprehensive, collective-impact project.”  Dr. Katie Martin, assistant professor and director of the Public Health Program at USJ, and her research team developed a nutrition stoplight system called Supporting Wellness at Pantries, or “SWAP”, which helps food pantry clients choose healthier foods.

USJ is collaborating with the UConn Rudd Center for Food Policy and Obesity and the Council of Churches of Greater Bridgeport to pilot the SWAP system in six food pantries in CT, which together serve over 5,000 people on average every month. Under the More than Food framework, the grant from the Farmington Bank Community Foundation will help expand this work to offer trainings and implement and evaluate the SWAP system in additional food pantries.

As part of the More than Food framework, Urban Alliance has developed various training series and toolkits to equip food pantry staff and volunteers to offer case management services and resource centers that help connect clients to necessary community programs through its Beyond the Basics initiative. Also, Urban Alliance is developing a training program to help pantries create a welcoming environment that fosters the dignity and respect of each person served.

A website, www.ittakesmorethanfood.org , has been developed to share information about the More than Food framework and provide practical guidance and tools to food pantries to help them offer healthy foods with choice, connect clients to needed services, and create a welcoming culture. The recent grant award will help refine, disseminate, and evaluate materials that will be shared through the website.

The website points to the mission ahead: "When the 'emergency' of hunger has lasted over three decades, and with strong evidence that food insecurity is associated with chronic health problems, it is time to rethink the way we provide food assistance and time to examine the effectiveness of food pantries. Through our work, we are changing the conversation about hunger away from emergency food to a person-centered and strength-based approach to help people set and achieve goals in their life."

“We are very grateful for the continuing support of the Farmington Bank Community Foundation, as well as the collaborative work of our partner organizations in making More than Food a holistic way to address hunger in our area,” said USJ's Martin. Currently there are multiple food pantries in Connecticut, Texas and Rhode Island that are implementing the More than Food framework to address the root causes of hunger.

Disparities Evident As Fairfield County Considers Its Community Wellbeing

Fairfield County’s sizeable immigrant population - twenty percent of Connecticut’s most populous county - grew 89 percent from 1990 to 2014. In some municipalities, foreign-born residents make up as much as a third of the population. That is among the findings in the Fairfield County Community Wellbeing Index 2016, which examined regional demographics, economic opportunity, education, health, quality of life, and happiness.  The report includes analysis of the communities, populations, and neighborhoods of Fairfield County, as well as opportunities available and issues facing the area.

Since 1980, the size of the population living in neighborhoods that are considered most affluent – defined as those with an average family income more than 2.5 times higher than the state level - has tripled within Fairfield County. Meanwhile, the number of people living in poor neighborhoods is 3.5 times its 1980 size. The number of people in middle-income neighborhoods has decreased by sixteen percent.

Fairfield County’s Community Foundation, a major funder of the report, partnered with DataHaven, area hospitals, and government agencies to help launch a more robust and comprehensive resource that could serve as a part of the hospitals’ and health departments’ Community Health Needs Assessments as well as a broader county-wide indicators program.

“Fairfield County’s Community Foundation is committed to addressing the most pressing issues facing Fairfield County, but to do that we first need to be able to identify and understand those issues,” stated Nancy M. von Euler, Vice President, Programs, Fairfield County’s Community Foundation. “The data in the Fairfield County Community Wellbeing Index 2016 will help us to develop priorities for collective action to build a stronger, healthier Fairfield County where everyone has the opportunity to thrive, regardless of their zip code.”

The report states that "Despite its overall affluence, Fairfield County is among the nation’s most unequal metropolitan areas. Inequities in well-being appear when evidence is stratified by income, age, race, gender, and zip code. These differences are often most apparent after considering data that were collected specifically for the age groups and neighborhoods that are most impacted."

Among the findings, between 2014 and 2025, adults ages 65 and over are Fairfield County’s only age group projected to grow significantly, with a thirty-seven percent increase. Disparities in the County were also evident:

• High and rising childcare costs are often prohibitively expensive for low and middle-income families. While Fairfield County has nearly enough spaces for all 3- to 4-year-olds to attend preschool, there are only enough regulated childcare slots for fifteen percent of the county’s children ages 0 to 2, and enough subsidized slots to cover only twenty-two percent of these youngest children in low-income households.

• The issue of dental care arose as an indicator of well-being, particularly among younger adults and families. The Index shows that for every 10,000 residents living in Fairfield County, 12 residents visit an emergency room to receive treatment for preventable dental conditions in any given year, whereas on the East Side of Bridgeport, 178 residents do.

• Fairfield County residents are healthy when compared to national benchmarks. However, many conditions and risk factors—such as asthma, food insecurity, exposure to community violence, and the early onset of diabetes—are disproportionately prevalent in lower-income neighborhoods and communities of color. Sections of Bridgeport in particular fall very far behind the surrounding area in many of these measures.

• Disparities in access to reliable transportation persist between racial and income groups. A majority of Fairfield County workers, regardless of income, commute to another town for work. Many low-income (annual wages under $40,000) workers leave Bridgeport for work, while large shares of high-income workers commute to New York City.

“The process of developing this report allowed local partners and community members to identify links between the well-being of residents and the places where they live. Looking beyond typical measures like income levels or unemployment rates, the Community Wellbeing Index reveals a much more uneven distribution of opportunities in areas such as neighborhood walkability, economic development, public health, and education,” said Mark Abraham, Executive Director of DataHaven and a lead author of the report. “The impact that these barriers to opportunity have on overall well-being and happiness will serve as a call to action for many groups working to improve Fairfield County’s diverse neighborhoods and towns.”

The Fairfield County Community Wellbeing Index 2016 was based on a variety of federal and statewide data sources. Partners of DataHaven’s Fairfield County Community Wellbeing Index 2016 include Fairfield County’s Community Foundation; Bridgeport Hospital; Danbury Hospital; Greenwich Hospital; Norwalk Hospital; St. Vincent’s Medical Center; and Stamford Hospital.

Healthy Eating Not So Great Among Children, Community Can Help

Only one-third of parents of children ages 4-18 feel they’re succeeding at fostering healthy eating habits in their kids, according to a recent national survey.  The University of Michigan C.S. Mott Children’s Hospital National Poll on Children’s Health found that just over half of parents believe their children eat mostly healthy, and only one in six parents rate their children’s diets as “very nutritious,” according to a press release. A fourth of parents polled said their child’s diet is “somewhat or not healthy at all.” Common challenges – not surprisingly - get in the way, according to experts: price, picky eaters and convenience.

“Most parents understand that they should provide healthy food for their children, but the reality of work schedules, children’s activities and different food preferences can make meal preparation a hectic and frustrating experience,” poll co-director Sarah Clark explained. “The tension between buying foods children like, and buying foods that are healthy, can be an ongoing struggle. Many of us know the feeling of spending time and money on a healthy meal only to have our children grimace at the sight of it and not take a single bite.”

Other data from the poll – which involved 1,767 parents – include that one in five parents don’t think limiting their child’s intake of fast food or junk food is important, and that 16 percent said limiting sugary drinks is “somewhat or not important.”

In general, parents of teens were less worried about unhealthy eating habits compared to parents of younger children.

The C.S. Mott Children's Hospital National Poll on Children's Health measures current national public opinion, perceptions and priorities regarding major health care issues and trends for U.S. children and people in their communities.

Also this month, the Rudd Center for Food Policy and Obesity at the University of Connecticut found that residents of one Maryland county bought fewer sugary drinks after a campaign to reduce the consumption of sugar-sweetened beverages that included policy changes and public health outreach efforts.

The Rudd Center study, published in JAMA Internal Medicine, is the first to use objective retail sales data to measure the effectiveness of a community-led campaign to reduce consumption of sugary drinks.

“This study demonstrates the power of a community-based public health campaign that combines health-supporting policy changes with extensive outreach. The residents of Howard County have been engaged in every phase of this effort and their commitment to switching their drinks showed up in the supermarket sales data,” said Marlene Schwartz, Director of the UConn Rudd Center for Food Policy and Obesity, and the study’s lead author.

Beverages with added sugars are among the leading sources of empty calories—calories that supply little or no nutrients—for both children and adults, and overconsumption of sugar is associated with obesity and increased risk of heart disease.

The study’s key findings show that based on sales data from Howard County supermarkets:

• Sales of sugar-sweetened soda declined nearly 20 percent.
• Sales of 100 percent juice fell 15 percent.
• Sales of fruit drinks with added sugars fell a little more than 15 percent.

Comparing sales data in 2012, before the Howard County Unsweetened campaign, to sales data in 2015, researchers found notable declines in purchases over the three-year period.

In determining the campaign’s impact, researchers compared weekly beverage sales of top-selling brands in 15 Howard County supermarkets with a matched group of 17 supermarkets in southeastern Pennsylvania. The study did not include sales data from non-supermarket vendors such as convenience stores.

The Rudd Center for Food Policy & Obesity at the University of Connecticut is a distinguished multi-disciplinary policy research center dedicated to promoting solutions to childhood obesity, poor diet, and weight bias through research and policy.  The study was funded primarily by the Horizon Foundation, with additional funding from the Robert Wood Johnson Foundation, and from the Rudd Foundation to support data collection. Voices for Healthy Kids, a joint initiative of the Robert Wood Johnson Foundation and the American Heart Association, is a strategic partner of both Howard County Unsweetened and Sugar Free Kids Maryland.

CT Ranks 5th in U.S. in Dental Health, Best in New England

The neighboring states of Minnesota, Wisconsin, Illinois and North Dakota have the best dental health in the nation, but Connecticut and Massachusetts break the mid-west logjam, ranking fifth and sixth in a new survey of nearly two dozen dental-health related categories by the financial website WalletHub. Connecticut ranked second in a series of oral health categories and 17^th in a group of dental habits and care categories, according to the survey, resulting in the 5th place finish overall.  Connecticut and Massachusetts ranked one-two in the highest percentage of adults who visited a dentist in the past year, and Connecticut placed third, after New Hampshire and Pennsylvania, in the highest percentage of adolescents who visited a dentist in the past year.

Connecticut also topped the list in two additional categories:  Lowest Percentage of Adults Who Experienced Pain in the Past Year Due to Oral Condition and Lowest Sugar-Sweetened Beverage Consumption Among Adolescents.  The state also ranked in a tie for third for having the lowest percentage of elderly population with no natural teeth.

Data used to create the ranking were collected from U.S. Census Bureau, Bureau of Labor Statistics, Centers for Disease Control and Prevention, Healthy Grid, American Dental Association, Health Resources & Services Administration, Medicaid and CHIP Payment and Access Commission, American Academy of Pediatric Dentistry and Oral Health America, according to WalletHub.

With the state’s ranking in the background, the Connecticut Oral Health Initiative (COHI) will host a session on health equity during Oral Health Day at the State Capitol on Wednesday, March 8, from 10 am to 3 pm in the Legislative Office Building.

Connecticut oral health-related organizations will on hand throughout the day to raise awareness and educate decision-makers and the public about policies to improve the oral health of Connecticut residents. The organization’s focus this year is on preserving Medicaid coverage for adults and children, allowing children to remain on their parents' dental insurance until age 26, and integrating oral health into health systems.

Other legislative initiatives include a proposal to increase the number of adults aged 19 to 26 years covered by dental insurance to provide continuity of dental care into adulthood, and another to decrease the incidence of oral and other cancers by decreasing tobacco use by Connecticut residents. By raising the Legal Age For Purchase and Use of Tobacco Products.

COHI leads and collaborates in statewide oral health advocacy efforts; promotes the necessity of oral health to overall health; serves as an expert resource on oral health policy; and publicizes oral health policy analysis and recommendations.

Also at the Capitol, the Department of Public Health is proposing a mandate for dental hygienists to have at least one contact hour in cultural competency prior to the renewal of their license, as part of the commitment to health equity.

Health Reform Efforts Earn CT a C+, Survey Says

Connecticut health care thought leaders have again given the state a C+ grade for health reform, as the state’s GPA dropped slightly  from 2.4 to 2.2. Connecticut’s grade for effort didn’t change from last year – holding steady at a B-/C+ (GPA 2.5) in the annual survey by the Connecticut Health Policy Project, as part of their efforts to increase public awareness of health care issues among state residents. Connecticut continues to earn higher marks for Medicaid and the health insurance exchange, according to the survey. Grades for patient-centered medical homes were down from recent years. Lowest marks went to efforts to address the health care workforce, the only area that received a D grade overall.

Unlike past years, thought leaders gave more C’s across the majority of issue areas, mirroring the overall grade for the first time. A new question assessing the level of trust between stakeholders in Connecticut health policymaking elicited low responses, averaging only 26 out of 100 possible points, with zero to ten being the most common response. Low trust scores were found in every stakeholder group.

The Connecticut Health Policy Project is a non-profit, non-partisan research and educational organization dedicated to improving access to affordable, quality health care for all Connecticut residents.

Sixty-one thought leaders across Connecticut’s health fields and sectors were surveyed online between December 20, 2016 and February 9, 2017. Forty-one (67%) responded. The invitation list was collected from membership of health-related state councils, board and committees, and leadership of health-related organizations.

Respondents represented community organizations, foundations, providers, payers, consumer advocates, labor, media, business people, insurance brokers, and academics. To ensure independent responses, state officials responsible for reform were not surveyed, officials said.

Health Consultants For Pre-School Age Children Can Improve Health; Report Urges Policy Changes in CT

Research shows that the presence of a health consultant, usually a nurse by training, in child care centers leads to positive outcomes including improved nutrition, better sanitation and infection control, increases in access to preventive health care, specialty health care, mental health care, and oral health services. That’s according to a report by the Child Health and Development Institute (CHDI), which recommends health consultation as a “key strategy for integrating health into early learning systems and maximizing the contribution of early learning programs to children’s healthy development.”

“We rely on child care health consultants to ensure children’s health and safety in early care settings according to child care licensing regulations, but these providers are not fully supported nor utilized by our child health systems,” said Lisa Honigfeld, co-author of the report and vice president for health at CHDI. “Policy reform can strengthen and expand the role of child care health consultants to connect parents, child health providers, and child care centers to better promote health and developmental outcomes for children.”

CHDI’s “IMPACT, Promoting Children’s Health in Early Care and Education Settings by Supporting Health Consultation,” summarizes research on the role and benefits of health consultation in early learning settings, and reviews policies, regulations, training, and payment structures used in Connecticut and other states. The report concludes that Child Care Health Consultants (CCHC) can be “instrumental in contributing to the achievement of pediatric population health goals in Connecticut by monitoring the health of young children at the community level and contributing to community health system efforts.”

The 30-page report provides a framework for Connecticut to integrate health into early learning systems by taking advantage of opportunities presented as part of the state's overall health reform efforts. Recommendations include:

1. Develop infrastructure within the State to support health consultation with training, reimbursement, and quality improvement.
2. Strengthen licensing requirements to collect and report detailed health consultation information for all licensed child care sites.
3. Advocate for inclusion of CCHCs in Connecticut’s health reform plans.
4. Use a multi-disciplinary oversight group to develop a system of health consultation services to the meet the needs of Connecticut’s child care programs.

The report notes that a majority of children younger than age five spend “significant time” in early care and education settings, with more than 98,000 children enrolled in licensed child care centers, Head Start programs, and family child care homes.

“Unlike mental health consultation,” the report states, “overall health consultation is not supported with state level infrastructure and payments for health consultants to early Childhood Education sites. For private child care or preschool programs, the cost to hire a health consultant is borne by the program, with no system in place to ensure the quality of the CCHC workforce or ensure that health consultation is implemented to maximize the health and safety of children in child care.”

Connecticut regulations allow child care sites to employ a registered nurse, advance practice registered nurse, physician, or physician assistant to serve as the site’s health consultant.  Child care licensing requires child care sites that serve children ages three to five have quarterly health consultation visits.

Indicating that “several states and initiatives are testing innovations to better support integration of primary care medical services and community services,” the report suggests that “Connecticut, too, is poised to promote increased cross-sector collaboration in early childhood,” citing the establishment in 2013 of the Office of Early Childhood at the state level, which brought under one roof a range of services and responsibilities that had been housed in a number of different state agencies.

In most states, including Connecticut, a CCHC is typically a licensed registered nurse, according to a survey of states undertaken for the report.  Two states (Hawaii and Indiana) require that the CCHC be a physician, the research found, and four states (Illinois, Maine, Maryland, and North Carolina) allow licensed practical nurses to be health consultants. North Carolina allows other disciplines (sanitarian, nutritionist, and dietician) to be trained and credentialed as a health consultant.

The report points out that “CCHCs need specialized training, skill sets, and experience to address health issues for individual children and for the group setting as a whole. They also need to be aware of health and community resources so they can link child care facilities and families to appropriate services when needed. Programs with a significant number of non-English speaking families benefit from the services of a CCHC who is culturally sensitive and knowledgeable about community health resources for parents’/guardians’ native cultures and languages.”

The Child Health and Development Institute of Connecticut (CHDI), a subsidiary of the Children’s Fund of Connecticut, is a not-for-profit organization working “to ensure all children have a strong start in life with ongoing supports to ensure their optimal health and well-being.” CHDI advocates for “effective policies, stronger systems, and innovative practices.”

Combating Opioid Epidemic in Connecticut Schools - Officials Team Up for Educators Workshop

The Connecticut Association of Schools (CAS), in partnership with the U.S. Attorney's Office, the FBI, the Drug Enforcement Agency (DEA), and victims of drug abuse, will be offering a one-half day workshop for administrators, teachers, and counselors on the devastating opioid epidemic that is growing in severity in Connecticut an across the country. This video-based educational program is designed for high schools and geared specifically for teens and adolescents, officials explain, and will be accompanied by an educator’s discussion guide. The guides will be available for participants to immediately use in a variety of educational settings.

Projections for 2016 by the State Medical Examiner indicate that close to 900 people died of accidental drug overdoses in Connecticut. That is almost three times the number of people who died in car accidents last year, organizers point out. Even more devastating, they note, is the fact that a majority of these deaths are of young people ages 18 to 25, many of whom developed an addiction to opioids after misusing prescription pills while in their teens or early adolescence. Sports injuries, dental pain and other illnesses are common reasons for the original prescription.

According to the Centers for Disease Control and Prevention, opioids were involved in 33,091 deaths nationwide in 2015, and opioid overdoses have quadrupled since 1999.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.  In Connecticut, between 2014 and 2015 the rate increased by 25 percent.  

Recognizing that law enforcement is only one facet of the solution, the U.S. Attorney’s Office is fighting this epidemic on several fronts, including criminal prosecution and outreach to schools for prevention, officials said. The office has formed a Heroin Education Action Team (HEAT), which includes parents of local overdose victims, to further assist in this effort.

“Opioid Epidemic in CT – Stemming the Tide” will take place on March 3, 2017, 8:30 to 11:00 a.m., at the CAS-CIAC Conference Center in Cheshire.  Registration deadline is February 24, 2017; the cost is $15.00

CAS officials are also calling for schools to show, “as soon as possible, and no later than the end of the school year,” videos about the crisis.

“Please ensure that every student in your high school sees at least one of the following two films,” the association urges:

• 1) a 15-minute film called The Opioid Crisis Hits Home: Stories from Connecticut that can also be used to educate educators, parents and the general public about the opioid epidemic; and
• 2) the FBI/DEA documentary film Chasing the Dragon: The Life of an Opiate Addict, which is 45-minutes long and accompanied by an educator’s discussion guide geared specifically to teens and adolescents.

Since last September, a number of Assistant U.S. Attorneys have partnered with parents of overdose victims, young recovering addicts, FBI, DEA, and local law enforcement to facilitate Chasing the Dragon presentations at high schools in Milford, New Haven, Danbury, Plymouth, Shelton, East Hartford and New Fairfield.

The films “are provided as a public service for the sole purpose of saving lives,” officials underscore. School officials can schedule an opioid awareness presentation by contacting  Assistant U.S. Attorneys Vanessa Avery or Robert Spector at 203-821-3700.

The Connecticut Association of Schools,  a non-profit, tax-exempt educational organization, has grown to represent well over 800 of Connecticut’s public and parochial schools.

First Television, Now Picture Books – Contributors to Less Healthy Eating Among Children

Concerns about the impact of television promoting products such as snack food and soda have been well documented for some time, but academic research is now suggesting another culprit for childhood obesity and a growing lack of healthy eating among youngsters. Children’s picture books – the books filled with brightly colored drawings and basic themes that are staples of bedtime stories, pre-school readings and local story hours.  How they depict food – and eating – has led a UConn researcher to raise red flags.

The study – conducted by Jane Goldman, professor emerita in UConn’s Department of Human Development and Family Studies, and Lara Descartes, a former assistant professor with the department and now a professor of Family Studies at Brescia University College in Canada – found that while the ratio of healthy to unhealthy foods depicted in books is higher than it is on television, books more often link positive events and concepts – such as love and nurturing – to treats, such as ice cream and baked goods, rather than fruits or vegetables.

The findings were first published a year ago in the journal Appetite and were the subject of presentations last fall by Goldman and Descartes at the University of California at Irvine and a global conference on food in the United Kingdom, and reported this month by UConn Today.

“It’s not that you shouldn’t have ice cream in books, but people should be aware of what the underlying message is,” Goldman said. “What are the messages children are getting about foods when a picture book is read to them, and are those messages related to the obesity epidemic among children?”

The researchers evaluated 100 picture book titles in Scholastic’s “Favorite Books for Preschoolers” collection – a mix of classics and newer titles, fiction and non-fiction. Sixty-nine of the 100 books in the collection included one or more food items in the text and/or illustrations. Although “the ratio of healthy foods to nutrient-poor foods was higher in the books,” according to the researchers, there was bad news as well as good in their findings.

Goldman and Descartes first identified books in which food is mentioned one or more times – 48 titles fit into that category – and others in which food is a theme or sub-theme, a group that included 21 titles. The pages on which food is mentioned were then coded based on the placement of the food, or centrality; the level of emotion expressed, or affect; and the number of times, or frequency, with which the food is mentioned. Using characters’ expressions as a guide, researchers assigned a rating of positive, negative, or neutral to each food reference.

The researchers found that vegetables are depicted in more than a third of the books and centrally portrayed in more than half, but only 18 percent of the depictions received a positive “affect” rating.  Conversely, sweetened baked goods are both centrally positioned, and have a positive “affect” about 80 percent of the time.  And ice cream, although not in many books, always was associated with positive outcomes - five of the seven times ice cream is mentioned, it’s offered as a treat, to make someone feel better, or as a happy ending.  Among the other findings:

• Almost all 69 picture books in the sample depict one or more healthy foods.
• Twenty-nine (42 percent) depict only healthy foods; and thirty-three (48 percent) depict both healthy and nutrient-poor food, but the majority of the depictions are healthy foods.
• Fruits, while depicted in more than half the books, are most often in the background, and only one-third of fruit depictions received a positive “affect” rating.

The researchers say it’s important to look at the context in which foods are presented as well as the frequency, observing that the people they interviewed rarely noticed that food was mentioned in children’s books, nor what messages were being conveyed, UConn Today reported.

Goldman was not surprised, UConn Today reported, that many of the picture books surveyed in the study portrayed sweet and comparatively unhealthy foods as very desirable or that they were associated with positive outcomes.  When nutrient- poor foods are presented both frequently and positively, she indicated, it may well contribute to children’s view of them as more desirable.  This is especially likely given the fact that picture books are just one part of a child’s total media consumption and that television content is known to promote a positive association with nutrient-poor foods.

“What we hope the study  does is make people aware of how food is presented in picture books, in the same way they have become aware of how gender roles are presented in books,” Goldman says. “Books are a tool we use all the time, so how can we use books to promote healthy ideas about food. In early childhood there is an emphasis on helping children read and on healthy eating and lifestyle, so why not think about the messages in books that support or contradict that healthy lifestyle message.”