Siouxland District Health Department
Quarterly Newsletter - Sept.  2016
Issue 9
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A note from the Director

Fall is now upon us and 2016 is flying by. "To Prevent disease, prolong life and promote heath using science based practices" is one definition of public health that we endorse here at Siouxland District Health.  This is done in many ways and fashions, some of those may not even be apparent to the average citizen. When we look at overall well-being we may not realize the impact that our personal behaviors play on this. For example, the amount of time you spend socializing each day has a direct impact on your well-being. To have a good day, a person needs around six hours of socializing! Now this might be a stretch for many of you, but for those of you that know me, it is not a problem. Look for those opportunities to interact with those around you. Go for a walk and enjoy the scenery, think about how you can include this in your daily life.
I encourage you to scan through this update and see what other items of information you can glean that will support you into a life of wellness.
Have a great fall,
Kevin Grieme, Director


Iowa Refugee Program
The Refugee Health Program, through the Iowa Department of Public Health, strongly recommends that newly arrived refugees complete an assessment upon entering the state. The assessment in recent years has had a completion rate ranging from 89–97% across the state.  The components of the assessment are as follows:  General Health, Nutrition and Growth, Immunizations, Hepatitis B, Tuberculosis, Sexually Transmitted Diseases/HIV, Parasites, Malaria (if history or symptoms warrant), Lead (for children age 6 months-16 years), and Mental Health. In 2015 Woodbury County had 7 identified refugees to the community, with SDHD public health nurses working with these individuals to secure proper medical homes and treatment. (Public Health Standard: Prevent Injuries and Prevent Spread of Disease).
Partnership In Community Health Grant - Local TV Commercials
SDHD was awarded a 3 year Federal Government Grant through CDC and the Division of Community Health.  This past spring and summer, during year 2 of the grant, SDHD employees along with KTIV, wrote and produced, 2 TV commercials that focused on increasing access to healthy eating and increasing use of active transportation. You may view both the healthy eating and active transportation commercials by clicking on the corresponding links. (Public Health Standard: Promote Health Behaviors).

2016 marks the 30th year that Siouxland District Health Department has counted pollen during late summer and early fall allergy seasons.  Using an apparatus that collects air particles, ragweed and other pollens are manually counted using a microscope and hand tallies.  Historically, this data has been used by the National Weather Service and, more recently, the Weather Channel.  Currently, data is published on our website as well as Facebook and Twitter.

Ragweed is often the cause of symptoms in people with “hay fever”.  Ragweed levels are very dependent on weather, but counts are usually the highest during the last week of August and the first week of September before dropping off as the temperatures begin to cool down.

Pictured below is the pollen counting apparatus that sits on the roof of Siouxland District Health Department, and Tyler Brock, Director of Lab, analyzing air particles through a microscope in the SDHD Lab. (Public Health Standard: Promote Against Environmental Hazards).
Iowa Department of Public Health and Iowa Department of Inspections and Appeals are set to begin a new public awareness campaign designed to increase reports of foodborne illnesses in Iowa during the month of Oct.  This campaign will be carried out at the local level with heavy involvement of Siouxland District Health Department.

A major component of this campaign is to increase reporting by creating a hotline for people to use to report food poisoning.  This hotline will be answered by staff at IDPH and forwarded to SDHD when the ill individual is a Woodbury County resident.  Epidemiology staff will gather the information related to the illness and restaurant inspectors will follow up with any food establishments that might be involved.

In addition to creating a dedicated reporting line to more easily identify outbreaks, the increased reports should also enhance the education people receive about the basics of foodborne illnesses.
 (Public Health Standard: Prevent Epidemics and the Spread of Disease)
Nutrition and Physcial Activity Self Assessments for Child Care Centers
SDHD received funding from both CDC through the Partnership in Community Health Grant  and the Iowa Department of Public Health to work with local child care centers on completing the Nutrition and Physical Activity Self Assessment for Child Care Centers (NAP SACC).  SDHD staff have worked with the following local child care centers over the past 2 years: Crittenton Center's Stella Sanford, West High School and Liberty locations, Native American Child Care Center, Angel House, Mary Elizabeth, and Apple Tree Childcare Center - Morningside location.  Each location completed a self assessment that helped identify nutrition and physical activity improvements that could be made, along with various breastfeeding and screen time policies that could be implemented. 

Some examples of over 120 changes implemented at child care centers:
  • Offer fruit and vegetables at least 2 times per day
  • No sweetened drinks other than 100% juice are served
  • 1% or skim milk only
  • Holiday celebrations will be mostly healthy food or nonfood treats
  • Foods are served family style
  • Provide a least 120 minutes of active playtime to all children daily
  • Limit television and video watching
  • Incorporate the Coordinated Approach To Child Health (CATCH) curriculum
  • Provide physical activity educational handouts to parents 1 time per month
(Public Health Standard: Healthy Behaviors)
Alps Challenge
During the month of Aug. SDHD's internal wellness committee, Healthy U, encouraged employees to get out of their chairs and take some extra steps in our back stairwell.  Employees needed to climb the equivalent of 80 flights to reach the top of the mountain.  Staff moved their pix axes up the mountain to show their progress over the 4 week program.  Yodel Lay He Hoo!!! (Public Health Standard: Workforce, Promote Healthy Behaviors). 

Maternal Child Adolescent Health Program
The Maternal Child Health Program is now the Maternal Child Adolescent Health (MCAH) Program.  This change better reflects the full age range of clients served and also includes an expansion of available services in both the Child and Adolescent Health (CAH) and I-Smile™ Oral Health programs. CAH will expand services with a focus on adolescent well visits, immunizations, and medical homes, while the I-Smile™ Oral Health Program will now include the I-Smile™ @ School Program.  I-Smile™ @ School provides preventative services for 2nd and 3rd grade students in schools with 40% or higher free and reduced lunch rates.  Services provided by SDHD staff include: dental sealants, oral health education, oral screenings, and fluoride varnish applications.  While new to SDHD, I-Smile™ @ School is a well-established program which has seen great success across the state of Iowa.  Visit the IDPH Bureau of Oral and Health Delivery System's website for more information on this school-based sealant program. (Public Health Standard: Promote Healthy Behaviors)

SDHD Clinic Remodel 
SDHD completed a large remodeling project this summer, combining two seperate areas; WIC and Nursing.  The remodeling project now includes one central clinic area that provides services for, MCAH, WIC and nursing clients, allowing individuals to experience a seamless public health appointment and perhaps receive services from multiple public health programs all at one time. Top picture is the new waiting room, bottom right is the height and weight station, and bottom left is the vaccine prep area. A ribbon cutting and press conference with the Siouxland Chamber and ambassadors will be held on Oct. 4th at 10:00 a.m. for the public. (Public Health Standard: Administration)   
Riverfication Day
On Friday September 16, the Environmental Division’s Ivy Bremer and Alicia Sanders presented at the City of Sioux City’s Riverfication event. Ivy and Alicia presented to over 200 area 6th graders about the “Epidemiology Timeline of Drinking Water.”  The presentation highlighted how far our nation’s drinking water has come in regards to safety and health within the last 150 years. (Public Health Standard: Prevent Against Environmental Hazards).

SDHD Quality Improvement and Workforce Development Plans

Stemming from SDHD’s 2014 Strategic Plan and in preparation for Public Health Accreditation Board (PHAB) accreditation, SDHD Quality Improvement Committee (QIC) completed a Quality Improvement (QI) Plan this past March and our Workforce Development plan in June.
The QI plan outlines our quality improvement infrastructure and supplies a framework for guiding QI activities in the work we do. The SDHD QI Plan outlines past and current projects and serves as a guidance document to assure QI processes are integrated into our organizational practice, programs, processes and interventions.
Training and development of our workforce is one part of our comprehensive effort in agency quality improvement.  Fundamental to this work is identifying gaps in knowledge, skills and abilities through the assessment of both organizational and individual needs and addressing those gaps through targeted training and development of our workforce.  SDHD collaborated with the Midwestern Public Health Training Center to develop and administer an all staff survey to assess our workforce development needs over the next three years. Each respondent received a PDF copy of their own survey to use for individual professional development purposes and the analysis of the survey helped guide our Workforce Development Plan.
(Public Health Standard: Administration, Workforce)

Park(ing) Day 2016

On, Sept. 16th, SDHD joined nearly 30 other local businesses and organizations in participating in the first Sioux City PARK(ing) Day, in downtown.  PARK(ing) Day is a global event where citizens, artists and activists collaborate to temporarily transform metered parking spaces into “PARK(ing)” spaces: temporary public places. The project began in 2005 in San Francisco. The mission of PARK(ing) Day is to call attention to the need for more open and or green space, and to generate discussion on how public space is created and allocated. SDHD showcased an ergonomically correct standing workstation along with workstation stretches that can be completed in the office setting.  Other organizations offered the opportunity to visit with live pets, participate in Yoga, fly a kite, or simply sit and relax with a good book.  PARK(ing) day hopes to return next year, the third Friday of Sept. (Public Health Standard: Prevent Injuries)

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Siouxland District Health Department · 1014 Nebraska Street · Sioux City, IA 51105 · USA

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