You have to work to much better your mental health. Not the operate you do each and every working day to receive your living, but the function you will need to do to get paid your peace of mind. Yes, a seem thoughts can only be acquired. Getting said that, it is equally vital to acknowledge how really hard it is to get again to getting your greatest self after you sense misplaced. Though it could appear to be like a prolonged road to travel, it absolutely gets less difficult with time and follow. Properly, as they say, “The journey of a million miles commences with a solitary action.” So here’s how you can set forth your very best phase ahead to a much healthier intellect, How News Today.
1. Mark Copeman: “Strive to strike a harmony among perform and existence.”
Obtaining consulted with several MSPs in the IT sector, Mark has absent on to create a lot of applications on purchaser services and onboarding for his shoppers. He believes that a fantastic way to commence off on your mental wellbeing journey is to check out and come across a function-life harmony that basically does the occupation for you. For all you know, you have been performing on a restricted venture and you have hardly noticed your household. So get time to pause and replicate on all that has occurred about the week, and be certain you invest more than enough time off work with people you enjoy. The most significant component listed here is to preserve executing this evaluation periodically, How News Today.
2. Paul Environmentally friendly: “Journal your views.”
As the founder of MSP Internet marketing Edge, Paul has helped over 500 MSPs get their up coming consumer. As an writer himself, it is no surprise that Paul has located ease and comfort in creating a couple of lines just about every evening for the very last 5 yrs! Putting your ideas down on paper aids you acknowledge your inner thoughts by translating them into phrases, and a greater understanding of your feelings can support you truly feel greater.
3. Todd Kane: “Diet, work out, and slumber.”
In his career of 20+ yrs in the IT and MSP room, Todd has carved his have path to turning into a small business functions qualified. He believes that the important to a audio thoughts lies in a wholesome entire body. Countless research activities confirm that standard training can positively make improvements to mental health and fitness by lessening stress, melancholy, and holding destructive mood swings in test. Consuming healthy foodstuff abundant in fibers, protein, and nutritional vitamins also perform a big purpose in maintaining you healthy and active. Rest is just as significant, as has a immediate influence on how the mind features. Receiving in a least of 6-8 several hours each individual day, with lengthier deep snooze classes can increase your temper, and function wonders for your overall state of properly-remaining, How News Today.
4. Jeff Lord: “Surround yourself with people today who make you better.”
Jeff served as the VP of income and internet marketing at Dorian options for near to 7 a long time before he joined Triantan CCC LLC as a senior account executive. According to Jeff, the 1st stage to greater mental overall health is to get out of toxic circles. To give our minds the best shot at recovering, it is very important that we place ourselves in positive environments. They say you’re the regular of the five men and women you devote the most time with, and it’s real! When you’re aspect of a positive, supportive circle, you turn out to be the regular of all the empathy and positivity far too.
5. Chris Timm: “Unapologetically do items that make you content.”
Chris owns Sondela Consulting, centered in the Uk, and the author of PSA Profitability, a guide to support corporations enhance their profits. Chris thinks in undertaking what is finest for you now, without the need of overthinking about what the long run retains. When it will come to issues of psychological well being, you arrive initial. Supporting your self will come way forward of supporting many others.
A frequent blunder we all make when we try out to improve our psychological wellness is hunting at psychological health as a target to obtain. What we fall short to realize, nonetheless, is that mental overall health is the journey itself and not the vacation spot. It’s a course of action that requires consistency, assistance, and some self-like when factors do not go to system. The most vital section is to get pleasure from the mental wellbeing journey, so what are you ready for? It is a terrific day to begin caring for your mental health.
The national effort to vaccinate children has stalled even as the omicron variant upends schooling for millions of children and their families amid staffing shortages, shutdowns and heated battles over how to safely operate. Vaccination rates vary substantially across the country, a KHN analysis of the federal data shows. Nearly half of Vermont’s 5- to 11-year-olds are fully vaccinated, while fewer than 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} have gotten both shots in nine mostly Southern states.
Pediatricians say the slow pace and geographic disparities are alarming, especially against the backdrop of record numbers of cases and pediatric hospitalizations. School-based vaccine mandates for students, which some pediatricians say are needed to boost rates substantially, remain virtually nonexistent.
“You have these large swaths of vulnerable children who are going to school,” said Dr. Samir Shah, a director at Cincinnati Children’s Hospital Medical Center. Compounding the problem is that states with low vaccination rates “are less likely to require masking or distancing or other nonpartisan public health precautions,” he said.
In Louisiana, where 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of kids ages 5 to 11 have been fully vaccinated, Gov. John Bel Edwards, a Democrat, added the shot to the list of required school immunizations for the fall, over the objections of state legislators, who are mostly Republicans. The District of Columbia and California, where about 1 in 5 elementary school kids are fully vaccinated, have added similar requirements. But those places are exceptions — 15 states have banned COVID vaccine mandates in K-12 schools, according to the National Academy for State Health Policy.
Mandates are one of multiple “scientifically valid public health strategies,” Shah said. “I do think that what would be ideal; I don’t think that we as a society have a will to do that.”
Vaccine demand surged in November, with an initial wave of enthusiasm after the shot was approved for younger children. But parents have vaccinated younger kids at a slower pace than 12- to 15-year-olds, who became eligible in May. It took nearly six weeks for 1 in 5 younger kids to get their first shot, while adolescents reached that milestone in two weeks.
Experts cite several factors slowing the effort: Because kids are less likely than adults to be hospitalized or die from the virus, some parents are less inclined to vaccinate their children. Misinformation campaigns have fueled concerns about immediate and long-term health risks of the vaccine. And finding appointments at pharmacies or with pediatricians has been a bear.
“One of the problems we’ve had is this perception that kids aren’t at risk for serious illness from this virus,” said Dr. Yvonne Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases. “That’s obviously not true.”
Parents are left to weigh which is more of a threat to their children: the COVID virus or the vaccine to prevent the virus. Overwhelmingly, research shows, the virus itself presents a greater danger.
Kids can develop debilitating long-COVID symptoms or a potentially fatal post-COVID inflammatory condition. And new research from the CDC found that children are at significantly higher risk of developing diabetes in the months after a COVID infection. Other respiratory infections, like the flu, don’t carry similar risks.
Katharine Lehmann said she had concerns about myocarditis — a rare but serious side effect that causes inflammation of the heart muscle and is more likely to occur in boys than girls — and considered not vaccinating her two sons because of that risk. But after reading up on the side effects, she realized the condition is more likely to occur from the virus than the vaccine. “I felt safe giving it to my kids,” said Lehmann, a physical therapist in Missouri, where 20{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of younger kids have gotten at least one dose.
Recent data from scientific advisers to the CDC found that myocarditis was extremely rare among vaccinated 5- to 11-year-olds, identifying 12 reported cases as of Dec. 19 out of 8.7 million administered doses.
The huge variations in where children are getting vaccinated reflect what has occurred with other age groups: Children have been much less likely to get shots in the Deep South, where hesitancy, political views and misinformation have blunted adult vaccination rates as well. Alabama has the lowest vaccination rate for 5- to 11-year-olds, with 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} fully vaccinated. States with high adult vaccine rates such as Vermont, Massachusetts, Connecticut and Maine have inoculated the greatest shares of their children.
Even within states, rates vary dramatically by county based on political leanings, density and access to the shot. More than a quarter of kids in Illinois’ populous counties around Chicago and Urbana are fully vaccinated, with rates as high as 38{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in DuPage County. But rates are still below 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in many of the state’s rural and Republican-leaning counties. In Maryland, where 1 in 4 kids are fully vaccinated, rates range from more than 40{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} in Howard and Montgomery counties, wealthy suburban counties, to fewer than 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} along parts of the more rural Eastern Shore.
Nationally, a November KFF poll found that 29{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of parents of 5- to 11-year-olds definitely won’t vaccinate their children and that an additional 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} would do so only if required. Though rates were similar for Black, white and Hispanic parents, political differences and location divided families. Only 22{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of urban parents wouldn’t vaccinate their kids, while 49{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of rural parents were opposed. Half of Republican parents said they definitely wouldn’t vaccinate their kids, compared with just 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Democrats.
The White House said officials continue to work with trusted groups to build vaccine confidence and ensure access to shots. “As we’ve seen with adult vaccinations, we expect confidence to grow and more and more kids to be vaccinated across time,” spokesperson Kevin Munoz said in a statement.
The Hunt for Shots
Just before her younger son’s 5th birthday, Lehmann was eager to book COVID vaccine appointments for her two boys. But their pediatrician wasn’t offering them. Attempts to book time slots at CVS and Walgreens before her son turned 5 were unsuccessful, even if the appointment occurred after his late-November birthday.
“It was not easy,” she said. Wanting to avoid separate trips for her 10-year-old and 5-year-old, she nabbed appointments at a hospital a half-hour away.
“Both of my kids have gotten all their vaccines at the pediatrician, so I was kind of shocked. That would have certainly been easier,” Lehmann said. “And the kids know those nurses and doctors, so I think it would have helped to not have a stranger doing it.”
The Biden administration has pointed parents to retail pharmacies and 122 children’s hospitals with vaccine clinics. Nationwide, more than 35,000 sites, including pediatricians, federally qualified health centers and children’s hospitals have been set up to vaccinate young kids, according to the administration. Yet administering the COVID vaccine to children presents obstacles that haven’t been as prominent for other inoculations.
Enrolling pediatricians in the COVID-19 vaccine program is a challenge because of the application process, reporting requirements for administered doses, and staffing, said Claire Hannan, executive director of the Association of Immunization Managers.
“Many of them are short-staffed right now and don’t necessarily have huge capacity to serve,” she said. Plus, “it’s not as easy to engage the schools in school-based clinics in certain areas just due to the political environment.” Health centers, government officials and other groups have set up more than 9,000 school vaccination sites for 5- to 11-year-olds nationwide.
The CDC’s long-standing program, Vaccines for Children, provides free shots for influenza, measles, chickenpox and polio, among others. Roughly 44,000 doctors are enrolled in the program, which is designed to immunize children who are eligible for Medicaid, are uninsured or underinsured, or are from Native or Indigenous communities. More than half of the program’s providers offer COVID shots, although the rates vary by state.
Pharmacies have been heavily used in Illinois, where 25{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of 5- to 11-year-olds are fully vaccinated.
Dr. Ngozi Ezike, a pediatrician and the director of the Illinois Department of Public Health, said 53{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of shots administered to younger children as of Jan. 5 were done at pharmacies. Twenty percent occurred at private clinics, 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at local health departments, 6{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at federally qualified health centers and 5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} at hospitals.
“You need all pieces of the pie” to get more kids vaccinated, Ezike said.
Kids Respond to ‘the Greater Good’
The Levite Jewish Community Center in Birmingham, Alabama, tried to boost vaccinations with a party, offering games and treats, even a photo booth and a DJ, along with shots given by a well-known local pharmacy. Brooke Bowles, the center’s director of marketing and fund development, estimated that about half a dozen of the 42 people who got a dose that mid-December day were kids.
Bowles was struck that children were more likely to roll up their sleeves when their parents emphasized the greater good in getting vaccinated. “Those children were just fantastic,” she said. In parts of the Deep South like this one, pro-vaccine groups face a tough climb — as of Jan. 12, only 7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Jefferson County’s children had gotten both shots.
The greater good is what pediatricians have emphasized to parents who are on the fence.
“Children are vectors for infectious disease,” said Dr. Eileen Costello, chief of ambulatory pediatrics at Boston Medical Center. “They’re extremely generous with their microbes,” spreading infections to vulnerable relatives and community members who may be more likely to end up in the hospital.
Seventy-eight percent of the hospital’s adult patients have received at least one dose. For children 5 and up, the figure is 39{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}, with younger children having lower rates than adolescents, Costello said. Particularly amid an onslaught of misinformation, “it has been exhausting to have these long conversations with families who are so hesitant and reluctant,” she said.
Still, she can point to successes: A mother who lost a grandparent to COVID was nonetheless reluctant to vaccinate her son with obesity and asthma whom Costello was seeing for a physical. The mother ultimately vaccinated all four of her children after Costello told her that her son’s weight put him at higher risk for severe illness.
“That felt like a triumph to me,” Costello said. “I think her thinking was, ‘Well, he’s a kid — he’s going to be fine.’ And I said, ‘Well, he might be fine, but he might not.’”
This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues and one of the three major operating programs at KFF (Kaiser Family Foundation). It has been republished with permission.
Methodology
Vaccination numbers are from the Centers for Disease Control and Prevention as of Jan. 12.
National vaccination rates are calculated by the CDC and include vaccinations provided by federal programs such as the Indian Health Service and the Department of Defense, as well as U.S. territories. To compare the vaccination rollout for kids and adolescents, we counted day 0 as the day the CDC approved the vaccine for each age group: May 12, 2021, for 12- to 15-year-olds and Nov. 2, 2021, for 5- to 11-year-olds.
The CDC provides vaccination numbers at the state and county level. These numbers do not include the small fraction of children who were vaccinated by federal programs. To calculate rates for 5- to 11-year-olds, we divided by the total number of kids ages 5 to 11 in each state or county.
To calculate the number of children ages 5 to 11 in each state, we used the U.S. Census Bureau’s 2019 Population Estimates Program “single year of age” dataset, the latest release available. For county-level data, we used the National Center for Health Statistics’ Bridged Race Population Estimates, which contain single-year-of-age county-level estimates. We selected the 2019 estimates from the 2020 vintage release so the data would reflect the same year as the state-level estimates.
Vaccination data by age is unavailable for Idaho, counties in Hawaii and several California counties. For county-level vaccination data, we excluded states in which the county was unknown for at least 10{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the kids vaccinated in that state.
Bethany Uhler Thompson didn’t know what to expect when she decided to start a youth string orchestra at Chatham Youth Development Center.
She was inspired by her uncle, who was incarcerated and had confided in her how isolating being in prison could be. Thompson used to perform with her cello in a juvenile detention center when she was younger, but she wanted to get incarcerated people involved in the community of music makers.
That’s how Chatham Strings was born.
For about two years, Chatham Strings, an orchestra made up of donated violins, cellos and one viola helped incarcerated children explore creativity, teamwork and accomplishment. COVID-19 stalled the program in 2020, and then Thompson graduated from her program and moved to California.
She hopes, however, that the impact has remained.
“There’s potential benefits to music involvement,” Thompson said, “like recovering from traumatic experiences in life, fostering a positive experience with learning and new experiences, education, and also developing interpersonal skills that are so essential to life.”
The results of Chatham Strings, which Thompson explored in her dissertation for a doctor of musical arts degree at the University of North Carolina Greensboro, are all anecdotal and correlatory, Thompson said. But some children said being involved in the program helped them try new experiences — even if they were told they were never going to succeed.
“They were discouraged from learning new things, that was part of their past,” Thompson said, “When they were given the opportunity to try something new, and they started enjoying it, and noticing a bit of success, they started saying, ‘Oh, why am I limiting myself?’”
Maybe success on the cello could transfer to success in beautician school, or math class, Thompson said.
Transformation through music
Chatham Strings was one look into the transformational powers of music, which studies suggest improve cognitive skills, health and well-being.
Just 40 miles away from Chatham Youth Development Center, Durham-based Kidznotes has boasted that participants in its out-of-school music program for students in lower-income areas have higher school attendance rates and improved academic performance. The program is based on the El Sistema model originally launched in Venezuela for children in impoverished neighborhoods to learn music.
More important than test scores, though, is the joy of music, said Shana Tucker, Kidznotes’ executive director.
“It is not something that stays,” Tucker said. “But it is something that hopefully we all experienced — at least once in our lives, at least once a week, once a day — but you’ve got to know what it is and recognize it when it comes because it dissipates.”
Tucker has spoken with countless parents who no longer play an instrument, but they can’t forget the first time they held one, how special it was.
Thompson recalled a similar reverence from the children in Chatham Strings, who, even in the midst of an argument with other students, set aside their instruments.
But is music special? What makes it different from other activities?
Nothing magical
According to Donald Hodges, professor emeritus at UNCG, there is something unique, but nothing magical about music.
“The elements of all the bits and pieces probably can be found in other things as well, for different children, different individuals,” Hodges said,
Playing music can activate different parts of the brain, Hodges said. For example, when you play a violin, your right hand, which controls the bow, controls the rhythm, while your left hand, which presses the notes on the strings, controls the melody.
After doing that activity over and over again, it creates a permanent imprint on the brain.
That kind of coordination can be found in many activities, Hodges noted. He rejects ideas that music has a mystical, uncanny quality, but that doesn’t mean there isn’t something important and uniquely human about making music.
Societies across the globe incorporate music into their daily lives, albeit in different ways. It is perhaps the human in music that makes it feel so special.
“Every musical style, if it’s your favorite, regardless of what it is,” Hodges said, “activates the part of the brain that says ‘Hey, I am a human being and this is how I feel about my humanity.’”
In recent years, research made possible through new imaging techniques that can show what the brain is doing in real-time has shown that music definitely has some neurological benefit. Wake Forest Baptist Medical Center researcher John Burdette found in a 2014 study that just listening to one’s favorite music changed the connections between auditory brain areas and the hippocampus, a part of the brain that’s “responsible for memory and social emotional consolidation.”
Other research has explored how people with dementia are able to recall music lyrics, despite profound memory loss, and a recent study found that people who started music training when young had stronger structural connections in the auditory regions of their brains.
Healing through music
Thompson taught her students how to compose music in addition to playing, allowing them to further express themselves.
The research shows that even as children accumulate such ACEs as the incarceration or loss of a parent, witnessing violence or having a close relative with mental illness, it puts them at higher risk of poor educational attainment, substance use and even physical health problems such as cancer in adulthood.
It can be hard for traumatized people to open up, Hodges said. Music can help.
One student in Chatham Strings composed a piece about the loss of a parent. The orchestra performed that piece, “Motherly Love.”
Encouraging reliability and reliance on others
Playing music and being part of an ensemble involves coordination and teamwork, but it also requires expression — as an individual and as a group.
“Everybody plays an important role,” Hodges said. “Not everybody can play first as well. So it’s a tricky balance.”
Tucker said her organization, Kidznotes, works to create a “community through music.”
“The dynamics of orchestra works is very similar to how you create an intentional community outside of the program,” she said.
Members of an orchestra support each other the same way they might support their neighbors or family members outside the orchestra. Just like in life, orchestra is more than just “playing your part,” she said.
In Chatham Strings, Thompson said students quickly realized that if one person missed class, they wouldn’t sound as good. Students then felt a responsibility not only to themselves or Thompson, but to the group itself.
“There’s a sense of responsibility,” Thompson said. “Of course, did that make them always make the right decisions? No. Does it do for any of us? But it had impact on them wanting to be responsible and be a part.”
The pandemic has affected how both groups feel that community through music.
Kidznotes was forced to go online as schools went online, and for some children that meant attending their group violin lessons from the McDonald’s parking lot because that was where there was Wi-Fi, Tucker said.
For children in school during COVID, life is hard and unpredictable, Tucker said.
The pandemic changed the way we feel community through music. But music still found a way.
As lockdowns began in countries around the world, videos of people playing trumpet or singing from their apartments circled around social media.
In the end, it comes down to joy.
That joy that music is so apt to bring is still retrievable despite the world. And that joy, that meaningful experience is something that anybody can experience, no matter your age, your cognitive ability or your numbers, Hodges said.
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Mother and father can have a tough time figuring out how to chat to their youngsters about health and fitness, specifically when it will come to matters like power education and lifting weights. The subject matter is a little bit of a Catch-22. You never want to be overbearing, pushing a workout plan on a child who isn’t interested, but you also want to be in a position to give the right solutions to help your little one make safe selections and uncover age-correct functions if they are keen to strike the gym.
Arnold Schwarzenegger tackled the topic in his most latest publication, answering a reader’s query about how to persuade their 12-12 months-outdated son to produce a enjoy for coaching. While youth coaches and pediatricians are good means to solution precise thoughts for your own child, acquiring some advice from the Austrian Oak himself unquestionably cannot harm.
“You have to make it enjoyable,” Arnold writes. This is good assistance, and just what toughness and conditioning specialist Rick Howard, M.ED., CSCS, *D, who focuses on youth physical fitness and actual physical training, encouraged in a 2018 MH write-up. Schwarzenegger went on to propose introducing bodyweight workouts initial for their simplicity given that the kid in dilemma was just 12. That’s okay—but young children can elevate weights, way too, just as very long as they are correctly coached and observed. The strategy that lifting too early can stunt expansion is a myth.
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But how to make exercise routines exciting is the larger obstacle. Fortunately, Arnold has additional assistance: use the carrot, not the rod. “When I grew up, a large amount of periods we did not do points mainly because we needed to, we did items due to the fact we ended up informed to, like when my father manufactured us do force-ups right before we could engage in,” he writes. “That method of parenting labored for me, but it doesn’t perform for everybody.”
In its place, Schwarzenegger encourages mothers and fathers to produce games with created-in incentives—and a wholesome volume of participation from the dad or mum. So as a substitute of just sitting in front of the Tv set with your child, get lively. “To make it much more entertaining, get a deck of cards, and deal yourselves both a card, and determine whatsoever quantity on each individual of your cards is the variety of thrust-ups you will both equally do throughout that business crack,” he writes. “Which is also a important – to make it enjoyment, you need to have to be accomplishing this with your youngsters, so they see that you get pleasure from it and you aren’t just creating them do one thing you would not do on your own. I assume a massive reason my young children love training is that they grew up hanging out with me in the gym. You have to be portion of it. You have to get pleasure from it, or why would your youngsters?”
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Brett Williams, NASM Brett Williams, a health and fitness editor at Men’s Health and fitness, is a NASM-CPT qualified coach and former professional soccer participant and tech reporter who splits his exercise time involving toughness and conditioning teaching, martial arts, and jogging.
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Executives at Maui Health provided updates on the hospital’s vaccine mandate, the status of vaccine availability for kids, and hospital operations. The information was shared during the hospital’s last community Town Hall event of the year, held on Thursday.
Maui Memorial Medical Center. PC: Wendy Osher (8.16.21)
Marked Improvement Over Two Months as we Head into the Holidays
“The last time that we were here, we were in a much different situation,” said Wade Ebersole, Chief Operating Officer with Maui Health. “Delta was nearly at its peak, the hospital was incredibly busy, our staff were going to great lengths to keep people safe. We have since seen COVID wane in the past couple of weeks and we’re in a much better position right now. In fact, the infection rate is about one quarter of what it was two months ago.”
As infection rates go down and vaccinations eligibility expands, Maui Mayor Michael Victorino and Governor David Ige have announced the easing of some restrictions, effective Nov. 12, 2021.
“It’s a welcome sign,” said Ebersole. “One of the reasons we’re seeing such low numbers is because a number of our community members have been vaccinated. We know that this is one of the most important things you can do to help curb the spread of this disease, and we thank everyone who has made the decision to do that.”
As of Thursday, there were just two COVID-19 patients in the Maui hospital–neither were in the ICU or on a ventilator. This is a stark contrast from mid-August when the Maui Memorial Medical Center had 39 COVID-19 positive patients in the hospital, seven in Intensive Care and four on ventilators.
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Ebersole said despite the improvement, there’s still a lot of work to be done, noting that the hospital remains very busy.
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Dr. Michael Shea, Chief Medical Director at Maui Health said, “We’re hoping that as we begin to gather, we remember to continue to do things that have prevented spread of this disease as we go into Thanksgiving, Christmas and New Year’s.”
“Thinking ahead to the holidays, if you’re going to gather, gather outside… Keep in mind again, social distancing, masking when you can, stay responsible, and let’s keep everybody safe,” said Dr. Shea.
Impacts of Vaccination Expansion to 5-11 Year Olds
By including the 5-11 age group in vaccination data statewide, Maui County is at a 68{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} completion rate, and 74{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the eligible population has received at least one dose.
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“In the last surge, which was our largest surge to date, we did notice that a lot of the community spread stemmed from keiki who were eligible for vaccination, brining home and spreading it to susceptible adults at home,” said Dr. Shea. “So again, making sure that we get those who are eligible vaccinated, is of vital importance to our community.”
Chrissy Miller, RN, Employee Health / Vaccine Clinic Manager, Maui Health. PC: Maui Health / Akakū
Hospital leaders say the vaccination does for small children between 5-11 years old has been ordered for the hospital, but had not yet arrived as of Thursday.
The Food and Drug Administration granted Emergency Use Authorization of the Pfizer vaccine for the age group. The dosage for 5-11 year olds is 10 micrograms, 1/3 the dose used for adults. The Centers for Disease Control and Prevention approved administration of the vaccine earlier this week.
Shipments of the state’s initial order of 41,700 doses of vaccine for children began arriving in the state on Monday. Some medical providers on Oʻahu and Kauaʻi have already begun offering the vaccine after receiving their shipments.
“We put in an order for the pediatric doses. We’re waiting for arrival of those doses. They haven’t arrived yet,” said Chrissy Miller, RN, Employee Health and Vaccine Clinic Manager at Maui Health. “So at this time, we’re only vaccinating those that are 12 and older; but as soon as we’re ready and we have the vaccines in, we’re going to go ahead and post on our website at https://www.mauihealth.org/covid-19/covid-19-vaccine/.”
Who is eligible to receive a vaccine or booster?
Booster shots available to all eligible individuals, as approved by the CDC, including many frontline workers, whose occupation or workplace settings present an increased risk of infection or transmission of COVID-19. As mentioned above, the dosing for 5-11 year olds had not yet arrived at the hospital as of Thursday.
Maui Health is also administering Pfizer vaccine booster doses to:
Individuals who have already received both doses of the Pfizer or Moderna vaccine, with the last dose received at least six months ago, AND who also meet one of the following criteria:
Are 65 years of age or older, or
Nursing home or assisted living residents, or
Foster homes and community care home residents, or
Are 18 to 64 years of age with underlying medical conditions, including cancer, diabetes, asthma, HIV infection, heart disease, and obesity, or
Are 18 to 64 years of age with increased risk for COVID-19 exposure and transmission because of occupational or institutional setting, including but not limited to healthcare, correctional facility staff and prisoners, and individuals in homeless shelters
Individuals who received one dose of the J&J vaccine at least two months ago and are ages 18 and older.
Mix & Match booster doses:
“The FDA did release that you can mix and match for the booster dose,” said Miller. “So, if you had two doses of the Pfizer, two doses of Moderna, or a single dose of Johnson & Johnson, and it’s been six months, you can then go ahead and mix and match.”
Miller noted that the Maui Memorial Medical Center is offering Pfizer as the booster dose at their clinic, which is located in the front lobby.
Maui Health has expanded hours for the month of November. The clinic is open from 8:30 a.m. to 12 p.m. and 1-4 p.m., Monday through Friday.
DAISY Award Launched to Honor Extraordinary Nurses:
Maui Health announced the launch of a new DAISY Award to honor extraordinary nurses as they continue to work through the pandemic.
Since 1999, DAISY, which is an acronym for Diseases Attacking the Immune System, has been honoring nurses .
“Nurses have had to go above and beyond with compassionate care,” said Marian Horikawa-Barth, Chief Nurse Executive at Maui Health. “The DAISY Foundation was formed by the family of Patrick Barnes who died at age 33. He died of complications of Idiopathic Thrombocytopenic Purpura. The nursing care that Partick was provided during his hospitalization profoundly touched his family… Today DAISY awards programs are seen nationally and internationally in about 5,000 health care facilities,” said Horikawa-Barth.
She encouraged the public to consider nominating nurses for recognition under the program.
“These expressions of gratitude from families and patients really go a long way in supporting nurses, especially in their high stress job, and in this high tension time… Especially right now when we have a shortage of nurses across the country, we want to retain as many nurses as possible,” said Horikawa-Barth.
Details are available at the Maui Health website.
Maui Health’s Emergency Operations Center, Chief Nursing Executive Marian Horikawa-Barth. PC: Maui Health / Akakū.
Q&A:
What’s the Latest on the Maui Hospital Visitor Policy
With declining numbers of COVID cases, the Maui Memorial Medical Center continues to evaluate the hospital’s visitor policy.
“Within the Emergency Operations Council, we are constantly evaluating a number of different policies,” said Ebersole. “We know how important family is to the healing environment. We want desperately for family members to have access to their loved ones while they are in the hospital. Balancing that with the risk to the visitors, and the risk to staff, and to patients.”
As of the middle of last month, Ebersole said, the hospital did open up visitation, but it remains “really limited” at this time. Only those who are vaccinated can visit their loved ones in the hospital.
“There is a second phase to that where we will open up the hospital visitation to everyone independent of their vaccine status; and we are evaluating the case rates in the community before we make that decision,” said Ebersole.
What are you doing with employees who refuse vaccination?
To date, Maui Health has provided more than 71,000 doses of the COVID-19 vaccine to eligible participants. More than 97{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the workforce at Maui Health has been fully vaccinated.
“As many of you may know, from the beginning I have said that choosing to get vaccinated or not, getting vaccinated is a personal decision, and that everyone has their reasons for making the decision. As health care workers, we have all been held to a higher standard, and I think that’s what’s happening now–being held to a higher standard, and I happen to agree that we should be,” said Dr. Shea.
“We, along with every other hospital in the state, all the county workers, state workers, most of the hospitals in the country, have mandated vaccines because it’s the right thing to do for our community. People do have the individual right to make a decision not to follow that mandate,” said Dr. Shea.
“At this point, for people who choose to apply for exemptions–there are exemptions potentially for deeply held beliefs in religion that may oppose vaccination or medical reason why they’d have contraindication to vaccination. They can apply for those. Those will be evaluated and if they are accepted, those individuals can be tested twice a week and continue to work,” said Dr. Shea.
If someone does not get the exemption or refuses to participate, they would be placed on administrative leave without pay for 60 days.
“The medical staff is an independent body that works with the hospital, and their Medical Executive committee also has imposed a vaccine mandate for them,” said Dr. Shea.
The Department of Health and Human Services released its rule on Thursday, to ensure that the nation’s healthcare workers are vaccinated. President Biden said, “No one should be at risk when they seek medical care.” Information on that rule is posted here.
Monoclonal Treatment Clinic at Maui Lani to End Nov. 12:
“Right now there are a number of places where you can be treated if you test positive for COVID-19, and you meet the criteria for this,” said Ebersole.
Maui Health partnered with Kaiser to set up a clinic outside the Maui Lani facility in Wailuku. “That will run through Nov. 12. After that, you can receive treatment here at the hospital,” said Ebersole.
“And if you contract COVID and think you’re eligible, please reach out to a trusted provider. They will help guide you through the appropriate steps to receive this treatment,” he said.
Monoclonal Antibody Treatment at Maui Lani. PC: Maui Health.
Emergency Use Authorization vs. Full Approval for COVID-19 Vaccines:
Emergency Use Authorization is invoked by the FDA when there is an urgent public health need.
“What it allows them to do is to shorten the time of some of the steps of the process,” said Dr. Shea. “But they don’t skip any of the steps. So they may not have as much data as [they would] for a full approval. There are some other time steps that are very time consuming and not as critical as the safety data. So they do review safety data, they review all the safety data carefully. If they feel there is no significant safety risk, then they will give Emergency Use Authorization,” said Dr. Shea.
Can people get pericarditis or myocarditis after taking the vaccine?
According to the Centers for Disease Control and Prevention, myocarditis is inflammation of the heart muscle, and pericarditis is inflammation of the outer lining of the heart.
“There are case reports of getting pericarditis… or myocarditis, which is inflammation of the heart muscle itself, after getting COVID vaccines. These cases are extremely rare. There are approximately 60 cases per million people who got the vaccine,” said Dr. Shea.
“The symptoms tend to be things like severe chest pains, severe shortness of breath, which would cause you to seek care anyway, and the FDA has discussed this and feels the risk is very, very small and is acceptable,” said Dr. Shea.
Why isn’t natural immunity considered as fulfilling the vaccine requirement? Can you test for antibodies?
“The CDC actually released a very large study last Friday, which looks at this very question,” said Dr. Shea.
“What they saw was people who had COVID, had some immunity. People who got vaccinated who hadn’t had COVID actually got better immunity than those who had COVID. But the people who had the best immunity were people had COVID and then got vaccinated,” according to Dr. Shea.
“We want you to have the best protection possible. The lowest protection is having had COVID by itself without getting vaccinated, and so… you have to be vaccinated, whether you’ve had COVID or not, essentially,” he said.
Dr. Michael Shea, Chief Medical Officer, Maui Memorial Medical Center. PC: County of Maui / Akakū (9.28.21)
A standard problem for many mother and father is the balance of getting absent from their little ones when at operate or partaking in personalized hobbies, and the guilt that can accompany that. But when investing time with the young children, you may well be considering of all the get the job done you nonetheless need to have to do and want to get some training in. Why not make exercising one thing the whole household can be a part of, building it a thing to do to expend more time alongside one another and advertise everyone’s health and nicely-remaining?
Exercising has the exact same benefits for grown ups and for young children, way too! Workout positive aspects all ages, and can enable with advancements to cardiovascular wellness, minimized stress/melancholy, enhanced strength, alertness, ability to concentrate, and snooze. If that sounds excellent to you, consider of the added gain of equally you and your youngsters seeing these improvements. General suggestions for little ones among the ages of 6 and 18 are that children must be receiving all-around 60 minutes of reasonable activity a working day. Before you get confused, know that there is small composition to this recommendation, letting for the freedom and flexibility needed to help kids find what they love and to do varying types of work out.
Below are some ways to believe of acquiring the complete family members included for the upcoming work out.
Program when probable
1 of the most effective techniques to get started attractive your kids to be energetic is to make confident you are becoming energetic you. You want to design the actions of making time and prioritizing wellness and activity for your young ones, and it is significant to display them that their health (and yours) is one thing well worth doing the job on and functioning towards (1). Discover approaches to develop a regime. Straightforward routines can consist of just after-dinner walks, loved ones competitions at the park (basketball, soccer, softball, tennis), or to heading down to the regional pool for the duration of the week. Don’t be intimidated by the 60 minutes a day, it genuinely doesn’t have to have to be several hours at a time. Can you spare 10 minutes, 15 minutes correct now? Terrific! Make those little moments insert up, but there is no want to slide for the old tale that it’s all or almost nothing. Purpose for is just doing just about anything because anything is far better than almost nothing.
Try out new matters
It’s vital to choose age-appropriate functions, as some young children may be ready to go for a mile hike and carry their have provides, but other individuals may perhaps be seeking ahead to some backyard exercise sessions or obstacle programs at the nearby park. We might be making an attempt to steer our children away from display screen time, and even though that can possibly be a optimistic detail, really do not be concerned to embrace their technological know-how. Quite a few video clip game titles can keep you and your little ones relocating, these types of as Wii Sporting activities, Ring Match Experience, Just Dance, and other movement-oriented game titles. Some sport consoles make work out course game titles, such as Zumba or yoga courses. There are also loads of totally free guided video clips on the internet, and you can find a favored YouTube channel, or use apps like Peloton, which all have spouse and children sections for exercises(2). With time and organizing, you can make weekend routines a little even larger or lengthier to get in some excess motion. Every single weekend, permit a diverse loved ones member select the exercise of their option. That way all people receives in some thing they like, and everybody will get some wide range. Present a listing of pursuits you have tools for or are will prepared to devote in like mountaineering, swimming, kayaking, stand-up paddleboard, area 5k, biking, and extra (1).
Have enjoyable with it
Most likely the selection just one rule or assistance to make workout a practice for the complete household is to make it exciting! Get your young children involved in the final decision-earning, guidance imagination by making new games, or use aged children’s toys and workout equipment in new means. Bond with relatives associates even though conversing on a hike. Be inclined to invest in on your own and your wellness if you’re seeking to teach your young ones these habits way too. Involving them and generating them see the benefit and fun of exercise can established them up for a life span of exercising and wholesome behaviors.
Kimberly Burke is a lecturer in the Division of Health and fitness and Physical exercise Science and the director of their Grownup Health Program at Colorado Point out College. Grownup Conditioning presents physical exercise alternatives for staff members of CSU as properly as local community users while giving arms-on studying activities for overall health marketing students. To master a lot more, see the Adult Health Program web site
