New Federal Funding Benefits Mental Health Services For Rural Youth

Community Care of West Virginia has been awarded $1,250,000 in federal funds to support behavioral and mental healthcare services for youth across north central West Virginia.

Community Care of West Virginia has been awarded $1,250,000 in federal funds to support behavioral and mental healthcare services for youth across north central West Virginia.

U.S. Sens. Joe Manchin and Shelley Moore Capito announced the award Thursday.

The federal funding is made possible through the U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA). It will target school-aged kids through 54 school-based wellness center locations across rural north central West Virginia.

In addition to hiring more staff across seven counties, the funds will expand access for youth to behavioral and mental health services as they transition back to school and normal activities following the COVID-19 pandemic.

Kevin Junkins, chief medical officer of community care of West Virginia, said the money will support critical school-based behavioral and mental health services in rural communities.

Community Care of West Virginia (CCWV) is a federally qualified health center with 16 community health center locations and51 school-based health sites along with several pharmacies and a dental office.

Hunters Encouraged To Donate Deer Meat To Combat Hunger

The Division of Natural Resources sponsors the Hunters Helping the Hungry Program, which provides thousands of pounds of venison to needy families across the state.

Hunters are encouraged to donate deer meat in order to help families around the state in need of food.

The Division of Natural Resources sponsors the Hunters Helping the Hungry Program, which provides thousands of pounds of venison to needy families across the state.

One in seven adults in West Virginia struggle with hunger.

Hunters who wish to participate in the program can take their deer to a participating meat processor and the venison will be donated to the state’s food banks.

The Mountaineer Food Bank and Facing Hunger Foodbank pick up the venison and distribute it to their statewide network of 600 charitable food pantries, senior centers, shelters, churches and more.

According to the WVDNR, more than 1 million pounds of meat has been provided to needy families and individuals throughout West Virginia.

Health Officials Sound Alarm Over Respiratory Infections

Health officials from the Kanawha-Charleston Health Department are reporting an uptick in numbers of respiratory infections in Kanawha Valley.

With more people out shopping for the holidays and an earlier than usual flu season, health officials say the chances of falling ill from a respiratory infection are high.

Kanawha-Charleston Health Department Health Officer Dr. Steven Eshenaur said with Respiratory Syncytial Virus (RSV), COVID-19 variants and flu filling up hospital beds, people should get vaccinated against both COVID-19 and flu.

With RSV, people with compromised or undeveloped immune systems can develop severe infection, including pneumonia.

Eshenaur said along with COVID-19 boosters and flu vaccinations it’s important to remember simple preventative measures like handwashing and, for the immune compromised, to avoid contact with large groups of people.

In West Virginia only 21 percent of people aged 65 and older had received a bivalent vaccine as of Nov. 5, 2022. The CDC reports that nationally, 6465 people were admitted to hospital for influenza during the week ending Nov 5.

Dr. Mike Robie, associate chief medical officer with Charleston Area Medical Center Health System said the elderly and young are the most vulnerable to disease and infection. Facilities like CAMC Women’s and Children’s Hospital continue to feel the strain.

“There are 19 kids currently admitted this morning with RSV,” he said. “The major symptom most of those kids are having is increased mucus production, a lot of congestion, that is what ends them up in the hospital, the need to have constant suction.”

Robie said five children were also admitted for influenza – a number doctors called problematic this early in the year.

Robie said hospitals are feeling the pressure and many are making transfer requests where needed.
But, with COVID-19, he said the situation has almost become the norm over the past two years.

“We have amazing nurses that just step up and take care of these kids and our community,” he said. “Without those nurses supporting our operations, we’d be in a lot of trouble.”

DHHR Reorganization Report Released; Entity To Remain One Department

The long-awaited organizational review for the Department of Health And Human Resources was released Thursday afternoon.

The long-awaited organizational review for the Department of Health And Human Resources was released Thursday afternoon.

In March 2022, Gov. Jim Justice vetoed HB 4020, a bill that would have split the massive DHHR into two different agencies. He hired a national consulting group to identify top-to-bottom issues, bottlenecks and inefficencies. A media release states that consultants with the McChrystal Group spent the last few months embedded — physically and virtually — in DHHR and spent hundreds of hours with various department staff.

The McChrystal Group’s findings recommend DHHR remain a single department and focus structure and progress improvement around a prioritized plan.

The report concludes:

“To improve West Virginia’s health and human services outcomes, the status quo is not an option; DHHR requires bold organizational change. After completing this organization assessment and strategic plan, the McChrystal Team disagrees that splitting DHHR into two separate departments is the option that will provide the desired results. Instead, the McChrystal Team recommends that DHHR remain a single department and focus all improvement efforts – to both structure and process – around the strategic plan designed to address the highest priorities within West Virginia’s environment.”

Having trouble viewing the document below? Click here to read the full report.

The estimated $1 million report notes the need to reverse some of the lowest-in-the-country health care rankings.

It said improving stalled, state-wide health and human service outcomes calls for creating leadership teams, improving interdepartmental communications and seeking proactive input from the many bureaus that make up DHHR.

The report calls for overcoming funding obstacles, improving technology resources and answering pervasive workforce challenges.

Justice has directed DHHR leadership to immediately implement the McChrystal Group’s recommendations.

“I made the right decision to veto this bill in March 2022, and these national experts have confirmed my decision with their report,” Justice said. “I have directed Secretary Crouch and his leadership team to immediately implement the McChrystal Group’s recommendations. They will do so in an effective and efficient way and will ensure there is no lapse in any vital support or services for the West Virginians who rely on the DHHR. I will also work closely with the Legislature on changes to laws or funding that may be necessary to implement these changes.”

Read the full report here.

Charleston Cannabis Measure Waits For Another Election

A group called Charleston Can’t Wait collected 3,000 signatures in time to get a cannabis decriminalization measure on the ballot. But voters might have noticed it wasn’t there.

A group called Charleston Can’t Wait collected 3,000 signatures in time to get a cannabis decriminalization measure on the ballot.

But voters might have noticed it wasn’t there.

Katey Lauer, co-chair of West Virginia Can’t Wait, a statewide organization that’s involved, said the effort hit an administrative hurdle.

The City of Charleston and Kanawha County were prepared to accept the signatures. However, if not enough of them could be verified, they would all be thrown out. The effort would be back at square one.

“And we didn’t want to take our chances,” Lauer said. “We thought, well if we’ve got this many, we want to hold on to them and make sure this work pays off. And we can really represent the will of all the people who signed their signatures in the first place.”

So the group held back to gather more signatures and verify them using a software program it purchased. That can help eliminate the ones that don’t count: people who put down the address of the house they grew up in, or an old apartment. People who said they live in Charleston but actually live somewhere else.

“We’re in a tricky moment where we have plenty of signatures,” Lauer said, “and we want to make sure those signatures actually get counted.”

The group may be able to get enough signatures to call for a special election on the issue. It isn’t clear when that would happen, or who would pay for it.

The other option would be to wait until the next municipal election. But that’s not for another four years. And the signatures have to be valid four years from now.

“I don’t think there’s any question, is there will in the city to get it on the ballot,” Lauer said. “The question is, can we hit that tricky administrative window the city and county have set up?”

Lauer said her group had volunteers collecting signatures at about half the city’s wards Tuesday.

The ballot measure would eliminate fines, court fees and jail time for simple cannabis possession, which is now a misdemeanor. It would not apply to dealing cannabis or possessing large quantities of it.

“And so if you were found to have a small amount of cannabis in your vehicle or on your person,” she said, “there would be no repercussions for that.”

Lauer said she’d seen a lot of enthusiasm for the effort and that the issue seems to transcend partisan and generational divides.

“I don’t think this is the kind of issue you can really profile people on,” she said. “I’ll walk up to someone who I think at first glance might not be for this, and they might be the most enthusiastic supporter I’ve talked to all day.”

Voters in Charleston are likely to get a say on cannabis – it just wasn’t in this election.

Destitute Small Towns At Heightened Risk Of Dangerous Tap Water

An analysis of Environmental Protection Agency records shows many small communities in particular are left unprotected by destitute and unmaintained water providers. The Associated Press found that on average over the past three years, these racked up roughly twice as many health violations as big city providers. Certain small water utilities persistently struggle to provide safe water. Fines can push these precarious utilities even deeper into trouble. In many places, people struggle to find water or else drink water that isn't clean. We visit Keystone, W.Va., Terre du Lac, Mo. and Ferriday, La.

Donna Dickerson’s heart would sink every time she’d wake up, turn on the faucet in her mobile home and hear the pipes gurgling.

Sometimes it would happen on a day when her mother, who is 86 and has dementia, had a doctor’s appointment and needed to bathe. Sometimes it would be on Thanksgiving or Christmas when family had come to stay.

“It was sickening, literally a headache and it disrupted everything,” she said. “Out of nowhere, the water would be gone, and we’d have no idea when it’d be back.”

It is hard enough to care for someone with dementia. Caring for someone with dementia with no safe water takes the stress to another level.

While failures of big city water systems attract the attention, it’s small communities like Keystone, West Virginia that more often are left unprotected by destitute and unmaintained water providers. Small water providers rack up roughly twice as many health violations as big cities on average, an analysis of thousands of records over the last three years by The Associated Press shows. In that time, small water providers violated the Safe Drinking Water Act’s health standards nearly 9,000 times. They were also frequently the very worst performers. Federal law allows authorities to force changes on water utilities, but they rarely do, even for the worst offenders.

“We’re talking about things that we’ve known in drinking water for a century, that we have an expectation in this country that everybody should be afforded,” said Chad Seidel, president of a water consulting company.

The worst water providers can have such severe problems that residents are told they can’t drink the water. For ten solid years Dickerson and 175 neighbors in the tiny, majority Black community of Keystone had to boil all their water. That length of time is nearly unheard of — such warnings usually last only for days. The requirement added gas and electricity costs on top of the water bill. In addition, residents would lose water outright for days or even weeks at a time with no warning.

A coal company had built the original system, but since left, leaving no one in charge.

When Dickerson’s water went out, she would drive the dying county’s winding mountain roads to the food bank, or buy water at Dollar General – one of the area’s only stores. She’d haul containers back home and heat up pots on the stove to fill the tub, so her mother could bathe. She stored water in containers in her mobile home’s two bathrooms to flush toilets. Dishes and laundry would pile up.

There was the cost of gas, the cost of 5 gallon water jugs, the cost of washing clothes at the laundromat. There was also an emotional cost.

“It drains you,” she said. “You have to learn how to survive.”

When President Gerald Ford signed the landmark Safe Drinking Water Act in 1974, he said “nothing is more essential to the life of every single American,” than clean water to drink, also mentioning clean air and pure food. The law protected Americans against 22 contaminants, including arsenic. Nearly half a century later, evolving science has broadened the coverage to more than 90 substances, and strengthened standards along the way.

The miracle is that most water systems keep up – 94% comply with health standards.

But Dickerson lives in one of the places that didn’t, the AP found, that struggles and fails repeatedly.

After years of problems, Keystone finally got hooked up to a new water system last December, McDowell Public Service District, which focuses on upgrading systems in coal communities. The deteriorating water mains were replaced, and a non-proft called DigDeep helped pay to connect homes to the new infrastructure.

When a water utility doesn’t treat water properly or has high levels of a contaminant, states are supposed to enforce the law. They usually give communities time to fix problems, and often they do. But if there is intransigence or delay, the state can escalate and impose fines. In many towns, that doesn’t go well.

“Giving them a penalty is not going to get you anywhere. It’s just going to make the situation worse in most cases,” said Heather Himmelberger, director of the Southwest Environmental Finance Center at the University of New Mexico. The towns can’t afford the work.

Some 3% of all systems the AP analyzed landed on the EPA’s enforcement priority list last year. Even worse are the 450 utilities that stayed on the list for at least five of the last 10 years. Four million Americans rely on these systems.

Regulators rarely step in to force change.

“Mostly what regulators have is moral appeal and they’ll wag their finger,” said Manny Teodoro, a professor at the University of Wisconsin who focuses on public policy and water.

The EPA says the vast majority of systems do provide safe water and for those that struggle, the agency has increased technical assistance, inspections and enforcement. Those efforts have decreased the number of systems consistently committing health violations, according to Carol King, an attorney in the EPA Office of Enforcement and Compliance Assurance.

Teodoro said originally water systems sprouted up when communities did, giving rise to a fragmented drinking water sector dominated by small providers. School districts in America formed the same way, but went through a period of consolidation. That’s happened far less with community water systems.

The top concern of the sector is funding for infrastructure, according to a survey.

Josiah Cox has a special view of which towns end up in the worst trouble. He spent years working on water issues and noticed many small utility owners failed to save money for maintenance or struggled when experienced staff members left.

So he started a business, Central States Water Resources, buying up problem utilities, doing upgrades and billing customers for the costs over time.

Terre Du Lac, Missouri was one. It’s a private, 5,200-acre community of roughly 1,200 homes nestled around 16 lakes. It advertises a relaxed atmosphere an hour south of St. Louis where people come to golf or water ski.

But rust coated the water tower. The community drinking water well was pulling up naturally-occurring radioactive material that can cause cancer.

He has seen a lot: bird feces in drinking water and one place that treated its water with chlorine tablets meant for swimming pools.

“You start what we call the death spiral of these utilities” where they don’t have the resources to pay for what regulators are demanding, Cox said.

Michael Tilley, who was slammed by regulators for how he operated the Terre Du Lac system before Cox took over, spent most of his life in the community and knows many residents. He said he felt a responsibility to serve them well, but repeatedly faced hurdles finding grant money.

“I think if I had any claim to fame it was just keeping the rates low and trying to operate this thing on a shoestring,” he said. “I look back a lot of times and that was my problem.”

Recruitment of professionals to run small water system is also a major issue. The largely white, male workforce is aging, according to surveys.

Earlier in his career, Tim Wilson, a water project manager, spent time running the treatment plant in Wahpeton, Iowa, a community of just over 400 that expands when vacationers rush in during the summertime.

Small, rural communities have a “ridiculously hard” time recruiting certified operators, he said. Then once they trained, they can be lured away by better pay and benefits elsewhere.

The job demands can also be overwhelming. In Wahpeton, Wilson was the lone employee responsible for the treatment plant. He doubled as a snow plow driver and zoning expert at local government meetings. His crowning achievement, he says, was convincing officials to hire another person to help. It took six years.

Nearly 1,000 miles south in Ferriday, Louisiana, staffing is one problem, but the water has failed people in every major way.

You know your water is in trouble when it’s being distributed by the National Guard. That’s where residents of Ferriday took their bottles and buckets for four months back in 1999.

“I haven’t drunk the water since,” said Jameel Green, 42, who has lived in town most of his life. He now makes sure his two girls, ages 16 and eight, don’t drink Ferriday water either, even if it costs $60 a month.

He held up a garden hose caked with a white film from the water.

It wasn’t always like this. In the 1950s and 1960s, Ferriday had a vibrant music scene – Jerry Lee Lewis was a local and acts like B.B. King stopped by. Some 5,200 people called Ferriday home. There are about 40% fewer people now, and Ferriday is a mainly Black community. The Delta Music Museum that celebrates the town’s place in music history is surrounded by mostly empty shops.

In 2016, the water situation was supposed to change. The U.S. Department of Agriculture helped fund a new treatment plant that went into operation.

But when the company that built the plant walked away after completion, the people operating it were left with little training on how to run it. Staff have struggled to find the right mix of chemicals, according to the Rev. James Smith Sr., who was brought in to help with the issue.

“That’s the big problem. Everybody is still doing trial and error,” Smith said.

Ferriday’s water problems represented “a system in total breakdown,” according to Sri Vedachalam, director of water equity and climate resilience at Environmental Consulting & Technology Inc, who reviewed public files.

Water disinfection in Ferriday is leaving behind levels of carcinogens that are too high. For failing to fix its problems, the state issued Ferriday a $455,265 fine in November 2021.

Smith said the water is now significantly improved. It’s tested regularly and plant operators are working on new treatment methods.

But Ferriday never responded to the fine and the Louisiana health department is threatening to ask a judge to impose a timeline for improvements and force payment.

Without a lot more money and more aggressive intervention in the worst places, experts say many Americans will continue to endure an expensive search for drinkable water, or else they’ll drink water that is potentially unsafe.

“In my view, this is a desperate problem,” Teodoro said.

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Phillis reported from Ferriday, Louisiana, and St. Louis. Fassett reported from Seattle.

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The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP’s environmental coverage, visit https://apnews.com/hub/climate-and-environment

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