Siouxland District Health Department
Quarterly Newsletter - Dec.  2016
Issue 10
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A note from the Director

The year is now drawing to a close. It has been an eventful year in Public Health. Siouxland District Health Department celebrated the opening of a remodeled clinic area with a ribbon cutting in October. This project was all possible with the cooperation of the Siouxland District Board of Health and Woodbury County Board of Supervisors. It is partnerships like this that allow us to protect the health and well-being of Siouxland residents. This is not the only partnership that  SDHD is involved with. Our Worksite Wellness Coordinating Council involves 65 area businesses and meets to share ideas and support one another in their employee wellness efforts. Our Healthy Homes coalition is made up of individuals representing local governments, non-profits, coalitions, education and senior programs. They all have a vested interest in assuring that the homes our residents live in are not contributing to health issues. Healthy Siouxland Initiative is a health planning collaborative that has been in existence since 1999 and continues to bring together many community partners to identify the health challenges that are facing our community.
So in this time of thanks and reflection, before the start of 2017, we must acknowledge the many partners for their involvement and support they have shown to us in 2016. As you read through this issue of the SDHD update, you begin to see how we work towards achieving our vision "A Healthy Community for All." This is only possible with the support and cooperation that we enjoy from many local partners. So hats off to the beginning of 2017!
Kevin Grieme - Director

Siouxland Childhood Lead Poisoning Prevention Program
Lead poisoning remains an issue in Iowa, with the rate of lead poisoning in children higher than the national average.  Woodbury County is no different, and due to the high percentage of homes that were built before 1950 when lead paint was frequently used, childhood lead poisoning rates are higher than average.  It is recommended that all children in Iowa receive routine blood lead testing at 12 and 24 months of age, and more frequently for children who are identified as high risk. 
The Siouxland Childhood Lead Poisoning Prevention Program (CLPPP) is coordinated out of the Environmental Health Division at Siouxland District Health Department (SDHD).  This program provides some tracking and follow up services for children who are identified as lead poisoned, including referrals for health, developmental, and nutrition assessments, and a lead inspection at the home and other residences where the child frequently visits to try to determine and mitigate the source of the lead.  Education is provided to the parents of children who are identified as lead poisoned, with steps that can be taken to decrease the exposure to lead.  The program also provides education and outreach to others in the community such as health care professionals, property owners, and Realtors. SDHD provides blood lead screening to children under age six at no charge and without the need for an appointment.
(Public Health Standard: Protect Against Enviornmental Hazards). 

Healthy Homes Presentation
In early Nov. Michelle Clausen-Rosendahl, Environmental Division Director, had the opportunity to present to United Real Estate agents on the dangers of lead in homes and what homeowners can do to tackle those problems. For more information on the hazards of lead in your home visit the CDC. (Public Health Standard: Protect Against Environmental Hazards)   
Strengthening and Empowering Families Program
Strengthening and Empowering Families program is an in-home based parent education program available to Woodbury County families with children ages 0-5.  The program provides families with resources, skills and knowledge to assist them in providing for and nurturing their children.  Funding for this program is provided through a grant with Siouxland Council on Child Abuse and Neglect.  Each year the program works with 24 new families, who meet with our Health Educator weekly for 6 weeks.  Parents set goals and using evidence based curriculum gain knowledge on a variety of topics such as, child development, nutrition, child discipline, and child safety.  The program is available to all residents of Woodbury County at no charge.  You may contact Becky Carlson at 279-6119 for more information. (Public Health Standard: Promote Health Behaviors).

IDPH Fall Epi Workshop
Three Siouxland District Health Department epidemiologists attended the annual Fall Epi Training at Lakeside Labs near Okoboji on October 14.  The training is hosted by Iowa Department of Public Health disease investigation staff and offers area public health workers an opportunity to get caught up on the most current information on a variety of infectious disease topics.
This year's training focused on Zika virus, rabies and dangerous dog ordinances, shigella illnesses, and antibiotic resistance.  We were reminded that information on Zika virus is still changing on a regular basis as more information is gathered.  Ongoing transmission of Zika virus in Iowa is not considered likely due to the lack of mosquitoes that carry the virus being established here.  Increased surveillance was done this summer in the southern portions of the state and no Aedes albopictus of Aedes egypti mosquitoes were found.
Finally, we're reminded of the importance of good stewardship regarding antibiotic use.  A large percentage of antibiotics prescribed are either not the correct doses, not for the illness for which they were prescribed, or are not taken properly by the patient.  Our bodies have normal bacteria that is vital to our lives and every antibiotic that we take kills some of that good bacteria.  Much of that normal bacteria never comes back, putting us at risk for infections such as Clostridium difficile (C. diff).
 (Public Health Standard: Prevent Epidemics and the Spread of Disease).

Lactation Counselor Training
During the week of December 5, four of the WIC dietitians and nurses attended the Lactation Counselor Training course held at UnityPoint Health – St Luke’s. This week long course was provided through The Center for Breastfeeding Healthy Children Project, Inc. and allows the attendee to become a Certified Lactation Counselor (CLC).  This CLC certification means that a person has received training and competency verification in breastfeeding and human lactation support including assessing the latching and feeding process, providing corrective interventions, counseling mothers, and understanding and applying knowledge of milk production.  All of this gives CLCs a strong foundation with which to help moms and babies.  It is very exciting that all of SDHD’s WIC dietitians, nurses and peer breastfeeding counselors have completed this training!  For more information on the CLC Training, click here. (Public Health Standard: Promote Healthy Behaviors)
ACE Training
Siouxland District Health Department in conjunction with the Early Childhood Initiative group and Iowa State Extension held Adverse Childhood Experiences (ACE) training on Oct 28thACEs – are categories of childhood experiences that produce high levels of stress for children.  Traumatic events that occur in a child's life that are linked with a higher risk of experiencing medical, psychiatric and social issues into adulthood. According to a study by Iowa State University, 55% of adult Iowans experience at least one instance of childhood abuse or household dysfunction before the age of 18. 
Nearly 40 professionals working in the social services and health field participated in the workshop that provided a deeper understanding of ACE and the research behind it.  (Public Health Standard: Healthy Behaviors)

Worksite Wellnees Coordinating Council
The Worksite Wellness Coordinating Council has been meeting at SDHD for over 5 years. This local meeting brings employers together to discuss and learn about designing and offering worksite wellness programs at their places of employment. SDHD staff provides coordination and facilitation of this monthly meeting which is held at SDHD on the third Wednesday from 8:00 – 9:00 a.m.  Several education topics have been covered over the years, including: how to develop a worksite wellness program, ergonomics in the workplace, stress and resilience in the workplace, worksite gardens, consumer credit counseling available for employees, helping employees manage a chronic condition, and wellness spotlight tours of successful worksites. Pictured above are SDHD staff touring Palmer Candy Factory, a designated BlueZone workplace that has implemented a variety of wellness programming for their staff.  If interested in attending future meetings please contact Angela Drent at 279-6119 or visit Live Healthy Siouxland. (Public Health Standard: Promote Healthy Behaviors)
PHAB Accreditation Kickoff
Good…Better….Best, On the Road to PHABulous! Siouxland District Health Department (SDHD) staff celebrated our next step in the Public Health Accreditation Board (PHAB) accreditation process.  SDHD staff will serve on Domain Teams to help identify and select documentation to highlight how our work in the community is meeting national standards.  The required documentation will showcase our capacity to deliver the core functions and ten essential public health services and will be organized around the twelve domains set by PHAB.  Engaging in the accreditation process will challenge us to think about our roles and responsibilities and encourage quality and performance improvement in our health department. (Public Health Standard: Administration, Workforce).
HOPES Holiday Party
Each year HOPES staff put on a holiday party for their participating families here at SDHD. This year attendance was 56 individuals from 15 families.  They participated in games, enjoyed some treats, and took photos with Santa. Thanks to Mike Scaletta for fulfilling the Santa duty, and to his employer Van Meter Inc. who supported his volunteer participation. Healthy Opportunity for Parents to Experience Success (HOPES) is a nationally accredited home visitation program that SDHD staff offer to residents of Woodbury and Ida County. (Public Health Standard:Prevent Injuries, Promote Healthy Behaviors)
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