Erie County Showcases Services for Safer, Healthier Lives during Public Health Week & County Government Month

ERIE COUNTY – The Erie County Department of Health (ECDOH) is joining with other Erie County departments to celebrate National County Government Month (NCGM) in April. National Public Health Week (NPHW) (April 3-9) coincides with NCGM, and offers a chance to highlight some of the public health services that promote community health and safety.

ECDOH manages dozens of programs, from environmental health and emergency medical services, to harm reduction and early intervention, to the county’s Public Health Lab and Medical Examiner’s Office. Using NPHW themes, we are highlighting seven Erie County initiatives that demonstrate the range of public health works for disease prevention, health promotion and improved quality of life.

Community
Earlier this year the Office of Health Equity produced its first annual Health Equity Report: An Initial Health Disparities Assessment. The report examines health disparities that exist in our community, incorporating a health equity lens, social determinants of health and data that documents gaps in health outcomes. Full report: https://www3.erie.gov/health/sites/www3.erie.gov.health/files/2023-02/healthequityreport.pdf

Violence Prevention
Violent acts can be deadly and can cause life-long health complications for individuals. The long-term trauma and grief felt by individuals, families and community is complex and intense. With these facts in mind, Erie County declared gun violence as a public health crisis. Federal agencies like the Centers for Disease Control and Prevention (CDC) and medical organizations like the American Academy of Pediatrics have done the same. The Erie County Gun Violence Prevention Task Force, established in 2021, is charged with preparing programs and initiatives addressing six areas of concern:

  • decrease gun violence among youth;
  • increase funding to programs specifically designed to reduce gun-violence;
  • work with local law enforcement agencies to create strategies to reduce the number of illegal firearms in Erie County;
  • work with populations that have been marginalized to provide education on gun violence, issues and solutions;
  • advocate for relevant policies that improve health in communities of color;
  • support Local, State, and Federal programs that advance anti-gun violence initiatives.

Reproductive and Sexual Health
Did you know that our department has a Family Planning Center and a Sexual Health Center at 608 William Street in Buffalo? This facility provides confidential medical services that support patients – testing, treatment and education. No one is ever denied services based on their ability to pay. http://www.erie.gov/familyplanning and https://www.erie.gov/sexualhealth

Mental Health
The ECDOH Office of Health Equity coordinates Mental Health First Aid trainings for the general public, businesses, organizations, schools, block clubs, faith communities and more. There are trainings for adults who interact primarily with adults, and for adults who interact primarily with teens. “Mental Health First Aid” training helps people assist someone experiencing a mental health or substance use challenge or crisis. It takes the fear and hesitation out of starting conversations about mental health or substance use by improving understanding and providing an action plan that teaches people to safely and responsibly identify and address potential issues. More information and upcoming trainings at: http://www.erie.gov/mhfa

Rural Health
About 10% of Erie County residents live in rural areas. CDC notes that nationwide, rural Americans are at greater risk of the five leading causes of death than urban Americans: heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke. Ways that rural Americans and everyone can protect themselves: be physically active, eat right, don’t smoke, wear your seat belt, and see your doctor regularly.
More from CDC: https://www.cdc.gov/ruralhealth/index.html

Accessibility
Also from the Office of Health Equity, the newsletter for “Let’s Talk about Living with Disabilities” is full of information and resources for people who are living with disabilities and their caregivers. From the newsletter:
You can get the best possible care from your doctor and the people around you by learning how to listen to your body and speak up for your needs:

  • You know your body best. Notice how you feel when you are well and what is different when you are not well.
  • Talk openly with your doctor and caretakers about your concerns.
  • Find healthcare providers that have experience treating people like you.
  • Ask to make sure that you can physically get to and get inside your health care provider’s office, wait comfortably, and access examining tables as needed.
  • Bring a friend or take notes if you are concerned you might not remember or fully understand what your provider tells you. Ask as many questions as needed.
  • Bring a list of all the medicines you take with you to health care each visit.

Food and Nutrition
The theme of Food and Nutrition is a fitting place to focus on #ErieGrown, an initiative of the Erie County Department of Environment and Planning and the Office of Agriculture. Access to fresh fruits and vegetables is one part of a healthy and balanced diet. Erie Grown makes it easier to find local produce from local farms and agribusinesses. Their web site has farmers’ market maps, community garden information, a produce locator, food preservation information, recipes and much more. See: www.erie.gov/eriegrown

The post Erie County Showcases Services for Safer, Healthier Lives during Public Health Week & County Government Month appeared first on Buffalo Healthy Living Magazine.

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A pair of extreme new Trump administration rules aimed at functionally banning gender-affirming healthcare for transgender youth could force even more hospitals to close down.

NPR reported Thursday that the Department of Health and Human Services (HHS) drafted a proposed rule that would prohibit federal Medicaid reimbursement for medical care provided to transgender patients younger than 18 and prohibit the same from the Children’s Health Insurance Program (CHIP) for patients under 19.

Another proposed rule goes even further, blocking all Medicaid and Medicare funding to hospitals that provide gender-affirming care to youth.

As Erin Reed, an independent journalist who reports on LGBTQ+ rights, explained, this “would effectively eliminate access to such care nationwide, except at the few private clinics able to forgo Medicaid entirely, a rarity in transgender youth medicine.”

The policies are of a piece with the Trump administration and the broader Republican Party’s efforts to eliminate transgender healthcare for youth across the country.

Bans on gender-affirming care for those under 18 have already been passed in 27 states, despite evidence that early access to treatments like puberty blockers and hormones can save lives.

As Reed pointed out, a Cornell University review of more than 51 studies shows that access to such care dramatically reduces the risk of suicide and the rates of anxiety and depression among transgender adolescents.

The new HHS rules are being prepared for public release in November and would not be finalized for several more months.

But if passed, the ramifications could extend far beyond transgender people, impacting the entire healthcare system, for which federal funding from Medicare and Medicaid is a load-bearing piece. According to a report last year from the American Hospital Association, 96% of hospitals in the US have more than half their inpatient days paid for by Medicare and Medicaid.

It is already becoming apparent what happens when even some of that funding is taken away. As a result of the massive GOP budget law passed in July, an estimated $1 trillion is expected to be cut from Medicaid over the next decade. According to an analysis released Thursday by Protect Our Care, which maintains a Hospital Crisis Watch database, more than 500 healthcare providers across the country are already at risk of shutting down due to the budget cuts.

Tyler Hack, the executive director of the Christopher Street Project, a transgender rights organization, said that the newly proposed HHS rule would be “forcing hospitals to choose between providing lifesaving care for trans people or maintaining the ability to serve patients through Medicare and Medicaid.”

“Today’s news marks a dangerous overreach by the executive branch, pitting trans people, low-income families, disabled people, and seniors against each other and making hospitals choose which vulnerable populations to serve,” Hack said. “If these rules become law, it will kill people.”