COLUMBUS, Ohio – New research examines the growth of syringe service programs in Ohio, and highlights the demand for continued support for them.
Also known as needle exchanges, SSPs provide access to sterile needles, and safe disposal of used needles, to people who use injection drugs.
Melissa Federman, Treuhaft chair for Health Planning at The Center for Community Solutions, explains these harm reduction programs reduce the spread of infectious diseases. She cites the success of the Cleveland program, which was Ohio's only needle exchange for 20 years.
"We haven't seen the spikes in Hepatitis C and HIV in Cuyahoga County that we've seen around the state,” she points out. “But what we also know about the exchanges is that clients who use them are five times more likely to engage in treatment services than their counterparts."
The research from The Center for Community Solutions shows there were only six established needle exchanges in Ohio prior to 2016 when the state legalized local syringe programs. Ten more have opened since then, and another three are in development or newly launching.
Federman says most SSPs provide a number of other services that keep the public healthier, including disease testing and Hepatitis A and B vaccinations.
However, she notes most programs rely on private donations and volunteers, which can limit their reach.
"The syringe service program may exist only on Fridays,” she points out. “It may only exist on a Tuesday afternoon. And you see that all of them, as soon as they have additional funding, try to expand services, really, to meet the needs of their local clients."
Federman adds several Ohio counties that are considered at risk for HIV outbreak do not have a needle exchange. She contends more private and public funding is needed.
"What we're hoping for, especially because we continue to see gaps for counties at risk of outbreaks of HIV, that this becomes a call to action for additional and sustained funding for these programs," she states.
The rate of new HIV infections among injection drug users in Ohio has doubled since 2012.
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Ohioans are seeing changes in their water infrastructure as cities work to replace lead service lines, a requirement under federal regulations.
But concerns have risen over the materials being used for replacements.
Teresa McGrath, chief research officer with the group Habitable, said while lead exposure poses significant health risks, she cautions against replacing these pipes with polyvinyl chloride due to its environmental and health implications.
"It's important to get those lead pipes out. Let's prioritize that," said McGrath. "But let's not make a regrettable substitution while we do that."
PVC production involves hazardous chemicals, including vinyl chloride, a known human carcinogen. However, PVC remains a popular choice because of its lower cost and ease of installation.
Environmental health advocate Yvette Jordan - the chair emeritus of the Newark Education Workers Caucus, and a steering committee member at Lead Free NJ - underscores the importance for Ohioans to be well informed about their environments.
"What is in their home?" said Jordan. "If they have a service line, is it plastic? Copper? What exactly is it and how does that affect their health, their community, and most importantly their families and children who are most affected by this?"
McGrath highlighted specific concerns about PVC and alternative materials that could be safer.
"The best available water pipe that we have evaluated for use inside a home is copper pipes," said McGrath, "and we will be the first ones to tell you that copper pipes are not perfect, but it is the best available."
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March is National Nutrition Month and rising grocery costs, and food recalls have consumers revisiting the idea of growing their own healthier and more affordable food. Research from gardening site, Gardenp.com shows the average garden produces $600 worth of produce. Indiana farmer's markets attract large numbers of Hoosiers who want fresh, farm-grown fruits, vegetables, and other staples at reasonable prices.
Philip Hartman, president of InstaFarm, which creates countertop food gardens, said foods grown in the healthiest chemical-free soil will produce optimum crops.
"So your food that you buy at the grocery store, your produce, has typically lost up to around 50% of its nutritional value by the time it gets to the store. Also, you don't know how it was grown. So the quality of your produce is linked to the quality of your soil," he said.
Lower costs, convenience, and fewer pesticides make garden-to-table food even more appealing. Hartman advises beginner gardeners to use healthy, nutrient-rich soil because it improves the nutritional value of fruits and vegetables. Gardens use a large amount of soil nutrients and when soil is depleted of these necessary nutrients, the crops are affected too.
Hartman works with students from kindergarten through high school and is passionate about helping children understand where their food comes from. He notes children don't get to see a farm or where their food is grown until they are well into their late teens.
"It's amazing, you know, children that don't usually like vegetables, when they engage in the growing process, all of a sudden, they're inspired to eat this and it's a great way to train them about what's good for them and how to recognize healthy foods," he added.
Gardenpals.com says millennials make up 29% of gardener demographics. Indiana is home to over 60,000 farms covering over 19 million acres. The state ranks in the top five for growing corn, soybeans, blueberries, tomatoes and melons, according to the Indiana Department of Agriculture.
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A Minnesota Senate committee today will hear testimony about a rare but scary scenario for families: sudden cardiac events in school settings.
A bill calls for staff training requirements for responding to emergencies. The American Heart Association says each year, more than 23,000 children experience cardiac arrest outside a hospital and 40% are sports-related.
The proposal would require a school district or charter school to develop a Cardiac Emergency Response Plan, so staff know what to do in those critical moments.
Kelly Youland, a Woodbury mother, experienced it firsthand when her baby became unresponsive leaving a Chicago baseball stadium.
"Ultimately, she required CPR for 16 minutes before her pulse came back," Youland recalled.
She and her husband both work in the medical field and had the instincts to help get lifesaving efforts underway. Thankfully, her daughter recovered, inspiring Youland to speak in support of the bill. It includes $2 million to help schools develop plans and secure automated external defibrillators. The Minnesota State High School League testified existing protocols and partnerships already cover this need.
The League did express a desire to work with lawmakers on this measure, citing the need for flexibility amid resource constraints. Youland acknowledged she and her family were lucky but other emergency responses have been slow to come together. She feels such situations can be avoided.
"Our schools prepare for all sorts of emergencies, whether they're fire, weather, lockdown," Youland pointed out. "This is something that our schools need to prepare for."
A bill adopted by the Minnesota Legislature last year called on the Education Department to provide a blueprint for the plans but they remain optional. Last month, a Maple Grove High School track athlete died after going into cardiac arrest following a non-team practice near the school.
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