Iowans memorialized as face of opioid epidemic

Iowans memorialized as face of opioid epidemic

Gazette Column
Seven Iowa men are featured on a national map that has become a living memorial to the thousands of Americans lost to opioids. The Iowa list of victims is noticeably incomplete. From 2002 to 2014, as many as 1,239 people died from a prescription opioid overdose in Iowa, according to the University of Iowa Injury Prevention Research Center. And, in each year since, the state has witnessed an increase in the number of people lost in opioid-related incidents. In 2016 — the year the seven men featured on the map died — there were 180 opioid-related deaths across the state. The Iowa Department of Public Health has projected 201 such deaths for 2017. The online map, developed in 2016 by ESRI engineer Jeremiah Lindemann, relies on users to add images and…
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Iowans ‘growing bolder’ in fight against senior hunger

Iowans ‘growing bolder’ in fight against senior hunger

Gazette Column
Are Iowans doing enough or the right things to help older residents get the nutritious and affordable food they need to thrive? That’s the question participants at the Growing Bolder Hunger Summit this week hope to answer. It’s an important question for all states, but especially for Iowa. About 16 percent of the state’s residents are age 65 or older. Population projections show an increase to 20 percent by 2050, meaning one out of every five residents will be over 65. The percentages are more pronounced in rural counties, where overall population has been declining. Monona County in western Iowa, for example, now has more residents over the age of 65 than it does residents under that age. Those who study state population trends believe the majority of counties —…
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Rural health programs face September deadline

Rural health programs face September deadline

Gazette Column
No doubt you’ve heard about the Women’s March and the March for Science. Let me tell you why more than 1,000 doctors marched on Washington earlier this month. Physicians and medical students converged on Capitol Hill to advocate for continued funding of teaching health centers, which offer medical residency programs in community settings. It’s one of the programs under the umbrella of the $7.2 billion Community Health Centers Fund, slated to end Sept. 30 unless Congress takes action. The combined programs support local access to medical care for thousands of Iowans and millions of Americans. They're especially vital for rural health. Teaching health centers — one of which is located in Des Moines — provide medical residency programs in community settings. Residents are trained in family and internal medicine, pediatrics,…
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Iowa HIV plan could help rural areas

Iowa HIV plan could help rural areas

Gazette Column
Comprehensive planning and data stockpiling by state officials is now a national case study on how to effectively meet the needs of rural residents with HIV. The details are part of a report by the U.S. Department of Health and Human Services, “Improving Health Outcomes Through Data Utilization,” which highlights six regional initiatives under the Ryan White HIV/AIDS Program. Work by the Iowa Department of Public Health, which receives a Part B grant through the Ryan White program, is Chapter One. The prominent placement is partly because Iowa is unusual in the world of HIV/AIDS outreach and care services. That is, about a third of state residents living with HIV/AIDS aren’t in urban areas. They’re scattered throughout the state, many in distinctly rural communities. These individuals often feel stigma regarding…
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Bird flu outbreak is a disaster

Bird flu outbreak is a disaster

Gazette Column
More than 10 million Iowa birds, mostly commercial layer hens, have been or soon will be culled in an effort to combat the spread of H5N2, an avian flu virus. And, as I was writing this, an additional 5.6 million layer hens and a yet unknown number of commercial turkeys were tagged by the Iowa Department of Agriculture as probably infected with the bird flu virus. Given Iowa’s role in egg production — one out of every five eggs consumed in the U.S. comes from Iowa — and the wide swathes of the state economy dependent on agriculture, the situation is clearly cause for the state to issue a disaster declaration. Yet. Gov. Terry Branstad has declined. (Update May 1, 3:15 p.m. — With the number of confirmed and probable…
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