CDC SAYS MOST HEALTH CARE PROVIDERS DON'T DISCUSS ALCOHOL USE

FROM:  CENTERS FOR DISEASE CONTROL AND PREVENTION

Most health care providers don’t talk about alcohol, even when patients drink too much.

Alcohol screening and counseling is an effective but underused health service
Only one in six adults -- and only one in four binge drinkers -- say a health professional has ever discussed alcohol use with them even though drinking too much is harmful to health, according to a new Vital Signs report from the Centers for Disease Control and Prevention.

Even among adults who binge drink 10 or more times a month, only one in three have ever had a health professional talk with them about alcohol use. Binge drinking is defined as consuming four or more drinks for women and five or more drinks for men within 2-3 hours. Talking with a patient about their alcohol use is an important first step in screening and counseling, which has been proven effective in helping people who drink too much to drink less.

A drink is defined as five ounces of wine, 12 ounces of beer, or 1.5 ounces of 80-proof distilled spirits or liquor. At least 38 million adults in the United States drink too much. Most are not alcoholics. Drinking too much causes about 88,000 deaths in the United States each year, and was responsible for about $224 billion in economic costs in 2006. It can also lead to many health and social problems, including heart disease, breast cancer, sexually transmitted diseases, fetal alcohol spectrum disorders, motor-vehicle crashes, and violence.

Alcohol screening and brief counseling can reduce the amount of alcohol consumed on an occasion by 25 percent among those who drink too much. It is recommended for all adults, including pregnant women. As with blood pressure, cholesterol and breast cancer screening, and flu vaccination, it has also been shown to improve health and save money. Through the Affordable Care Act, alcohol screening and brief counseling can be covered by most health insurance plans without copay.

“Drinking too much alcohol has many more health risks than most people realize,” said CDC Director Tom Frieden, M.D., M.P.H. “Alcohol screening and brief counseling can help people set realistic goals for themselves and achieve those goals. Health care workers can provide this service to more patients and involve communities to help people avoid dangerous levels of drinking.”

Health professionals who conduct alcohol screening and brief counseling use a set of questions to screen all patients to determine how much they drink and assess problems associated with drinking. This allows them to counsel those who drink too much about the health dangers, and to refer those who need specialized treatment for alcohol dependence. CDC used 2011 Behavioral Risk Factor Surveillance System data to analyze self-reports of ever being “talked with by a health provider” about alcohol use among U.S. adults aged 18 and older from 44 states and the District of Columbia.

No state or district had more than one in four adults report that a health professional talked with them about their drinking, and only 17 percent of pregnant women reported this. Drinking during pregnancy can seriously harm the developing fetus.

Through the Affordable Care Act, more Americans will have access to health coverage and to no-cost preventive services like alcohol misuse screening and counseling. Visit Healthcare.gov to learn more. Open enrollment in the Marketplace began October 1 and ends March 31, 2014. For those enrolled by Dec. 15, 2013, coverage starts as early as Jan. 1, 2014.

EPA SAYS 26 MILLION AMERICANS LIVE WITH ASTHMA

FROM: U.S. ENVIRONMENTAL PROTECTION AGENCY
Nearly 26 Million Americans Continue to Live with Asthma, EPA says
SC, IN, TX programs honored as national models for asthma care


WASHINGTON – Throughout May, as part of Asthma Awareness Month, EPA is encouraging Americans to take simple steps to prevent asthma attacks while also honoring three leading asthma management programs for their efforts to improve the lives of people with asthma in underserved communities.

The economic costs of asthma amounts to more than $56 billion per year from direct medical costs and indirect costs, such as missed school and work days. During President Obama’s administration, EPA has made significant progress in improving air quality. In 2012, EPA strengthened the national standard for fine particle pollution, often called soot, which has been linked to a wide range of serious health effects including aggravated asthma. In 2011, former EPA Administrator Lisa P. Jackson signed the Mercury and Air Toxics Standards (MATS), which will help avoid 130,000 cases of aggravated asthma by 2016.

"Today one out of every 12 people suffers from asthma – and the numbers are increasing year after year," said EPA Acting Administrator Bob Perciasepe. "With President Obama’s support, EPA has taken commonsense steps towards cleaner air, which translates to fewer asthma attacks and instances of other respiratory diseases. As we mark Asthma Awareness Month, we call on all Americans to learn more about the easy ways they can avoid asthma triggers and prevent future attacks from happening to them or their loved ones."

Asthma is a national epidemic, affecting nearly 26 million people, including seven million children and disproportionally affecting low income and minority communities. The EPA is conducting a coordinated approach to promoting scientific understanding of environmental asthma triggers and ways to manage asthma through research, education and community-focused outreach.

Serving as a national model for asthma care, the following programs are leading the way in addressing asthma disparities and are the winners of the 2013 National Environmental Leadership Award in Asthma Management:

Greenville Health System (Greenville, S.C.): A multidisciplinary, multilingual, family-centered program that is able to, with partner collaboration, provide medical care, case management, school/daycare visits, and environmental control home visits for over 4,000 children and adolescents with asthma, especially those who have limited access to health care.


Parkview Health (Fort Wayne, Ind.): The program addresses the growing incidence of asthma-related illnesses in the communities they serve. Support services, resources and age-appropriate educational information on asthma are provided. Those that are a part of the Emergency Department Asthma Call Back Program, including a high number of low-income individuals, are provided home visits to assess and minimize environmental asthma triggers.

North East Independent School District (San Antonio, Texas): The urban, diversified school district’s Asthma Awareness Education Program targets the more than 8,000 students with asthma and provides direct case management strategies including counseling with families, home visits, coordination with asthma specialists, and asthma education.

State and local asthma programs across the country can take action throughout the month of May by holding community-based events to increase awareness of asthma triggers and the successful strategies for managing exposure to triggers.

American's who suffer from asthma can learn to control their symptoms and still maintain active lifestyles with these three simple steps:

1. Identify asthma triggers and avoid them. Air pollution, dust mites, secondhand smoke, mold, pests, pet dander can trigger asthma attacks. Identify and avoid personal asthma triggers – different people are affected differently. Work with your doctor to identify and avoid your triggers.
2. Create an asthma action plan. An asthma action plan will enable you to monitor your asthma on a daily basis and communicate important information about your personal asthma triggers and asthma control strategies. Ask your doctor to assist you in creating an asthma action plan.
3. Pay attention to air quality. Exposure to ozone and particle pollution can cause asthma attacks. When air quality is low, people with asthma may want to stay indoors, use air conditioning instead of open windows, and avoid outdoor activity. Check local air quality conditions and download an Air Quality Index app for smart phones.