Lung Association Encourages More Screenings

The American Lung Association is encouraging West Virginians to get screened for lung cancer.

The American Lung Association is encouraging West Virginians to get screened for lung cancer.

In West Virginia, about 2,050 people are expected to be diagnosed with lung cancer this year and more than half, 1,190, will die from the disease. It’s the leading cause of cancer death in the country. The association says the key to survival is early detection.

The Preventive Services Task Force recently expanded guidelines of who should be screened. Now, anyone aged 50 to 80 who has a 20 pack-year smoking history and currently smokes or has quit within the past 15 years should be screened.

The screening involves a CT scan or special X-ray that takes multiple images. Those images are then put together on a computer. Contact your healthcare provider to get started.

DHHR Organizational Structure To Be Reviewed By Consulting Firm

The structure of the West Virginia Department of Health and Human Resources is being reviewed to identify potential inefficiencies within the organization.

The structure of the West Virginia Department of Health and Human Resources is being reviewed to identify potential inefficiencies within the organization.

The DHHR oversees multiple government health agencies, including the Bureau for Behavioral Health, Bureau for Child Support Enforcement, Bureau for Children and Families, Bureau for Medical Services, Bureau for Public Health, Office of Inspector General, and the West Virginia Children’s Health Insurance Program.

A contract was awarded to the McChrystal Group to direct the review process and develop a new organizational and financial plan for the department going forward. The McChrystal Group is a management consulting firm based in Alexandria, Virginia.

The assessment comes after Gov. Jim Justice vetoed House Bill 4020 last March. The bill would have split the department into two distinct agencies. A Request For Proposal was then posted by the West Virginia Purchasing Division in April.

In a press release, the DHHR estimated the assessment and upcoming plan development will cost over $1 million.

NIH Grant Boosts Vision Research At WVU

A large federal grant will help researchers at West Virginia University understand vision problems.

A large federal grant will help researchers at West Virginia University understand vision problems.

The National Institutes of Health has awarded West Virginia University an $11 million Center of Biomedical Research Excellence (COBRE) grant for a visual sciences research center.

The funding will help WVU recruit researchers and clinician-scientists who will work together to develop innovative ways to prevent, treat and slow the progression of vision problems and blinding eye disease that are currently incurable.

West Virginia has one of the highest rates of visual disability in the U.S. The CDC estimates four percent of West Virginians live with blindness or severe difficulty seeing even with glasses.

In a press release from WVU, the principal COBRE investigator Visvanathan Ramamurthy said the center’s research could have implications across—and beyond—West Virginia.

Roane General Hospital Gets An Expansion and A New Vision for Community Wellness

A community hospital in Spencer, West Virginia has received a multi-million-dollar facelift with an eye on changing the health culture of the region.

Roane General Hospital dedicated on Tuesday an expansion and renovation of its facilities. The hospital noted that the $28 million project that was “as much about promotion of good health as it is on health care.”

The updates encompass about 40,000 square feet of new space. The new Center for Health and Wellness is two stories. On top are 26 exam rooms, two waiting areas and eight nursing stations. Below, on the ground level, are new spaces for physical therapy, cardiac and pulmonary rehab, as well as rooms for fitness education and also classes. There’s also a new cafe with an eye on offering healthy food choices.

The hospital, which is the area’s largest private employer, is also offering a Prescription For Your Health program aimed at connecting patients and their primary care doctors with a wellness contract. That offering is free and includes a medical plan, an education plan — with nutrition education — and a medical fitness plan.

All of it circles the wagon on a new vision for the region and a focus on community health. “Prior to the expansion, we didn’t have the space or the vision for that,” said CEO Doug Bentz in a news release. “The vision came out of our goal of focusing on health and wellness, and it drove much of the redevelopment of the hospital.”

Jim Wallace
/
Artist-blacksmith Jeff Fetty created a new vase with flowers piece called “Rising Spirits” that is dedicated to hospital workers and those who have lost loved ones in the pandemic.

Other renovations in the project are focused on the front of the building, giving it a new look for visitors. That includes a sculpture created by artist-blacksmith Jeff Fetty. It features a large, colorful vase filled with flowers. Named “Rising Spirits,” the work honors hospital employees and those who have lost loved ones during the pandemic.

The project was funded by the U.S. Department of Agriculture Rural Development as well as hospital contributions.

“Diseases Of Despair” Deaths Drop Slightly But Still Higher In Appalachia Than U.S.

New research shows that deaths due to the mix of substance abuse and suicides known as “diseases of despair” declined slightly in 2018. But the mortality rates throughout the Ohio Valley and Appalachian region are still higher than the national average.

A report from the Appalachian Regional Commission found that overall mortality rates from diseases of despair, which include suicide, liver disease, and overdoses, decreased between 2017 and 2018 — the first decline since 2012.

But the research, done by the Walsh Center for Rural Health Analysis and Center for Rural Health Research at East Tennessee State University, shows those mortality rates are still disproportionately higher for Appalachia compared to the rest of the United States.

“What’s interesting about this is how you define the decline,” Michael Meit explained.

Meit is the director of research and programs at the Center for Rural Health Research at ETSU and an author of the report.

He said that the region’s diseases of despair mortality rate only decreased by one percentage point.

“In 2015, diseases of despair as a group was 37% higher in the Appalachian region compared to the rest of the nation and now 2018 data shows it’s 36% higher.”

By using the Centers for Disease Control and Prevention mortality rates, researchers are able to keep track of what’s happening in the region; 2018 is the most recent data on record.

What Meit found most interesting is the profile shift of the types of deaths within the region.

“Where things changed is that the disparity in overdose went down considerably from 65 % higher to 48% higher,” Meit explained. “But that was then balanced out by suicide which went from 20% higher to 30% higher and alcohol liver disease which went from 8% higher to 13% higher.”

He said the decline in diseases of despair mortality could be driven by a shift from opioid use to methamphetamines and the decline of overdose deaths.

“It’s easy to overdose on opioids, particularly when fentanyl came around. That led to the spike in overdose mortality. Methamphetamine does not typically lead to fatal overdose unless it is spiked with fentanyl or something else,” Meit said.

As a whole, there are still major challenges in diseases of despair within the region.

The diseases of despair mortality rate among 25 to 54-year-olds in Appalachia was 43% higher than the rest of the nation and disparities among women were larger in 2018 compared to the rest of the country.

ARC Federal Co-Chairman Tim Thomas said in a press release that the Appalachian region still needs support.

“This report highlights why ARC’s economic development efforts are so critical when it comes to addressing issues like substance abuse,” Thomas said.

Researchers are anticipating the impacts of the coronavirus pandemic may have on disease of despair mortality rates in the future.

The reports notes that “the impact of COVID-19 will likely lead to an increase in mortality from disease of despair, particularly as the Appalachian region and the rest of the United States experience economic challenges as a result of the pandemic, isolation, and limitations on access to in-person treatment and recovery support.”

Meit said anecdotal evidence suggests that there could be an increase in overdose deaths in 2020. That data won’t be available until late 2021 or 2022.

The Ohio Valley Resource is supported by the Corporation for Public Broadcasting and our Partner Stations.

WVU Researchers Tackle Lyme Disease As Climate Change Expands Its Reach

Researchers at West Virginia University have received a nearly $2 million federal grant to develop a vaccine for the tick borne illness Lyme disease.

The infusion of research dollars comes as cases of the bacterial infection, spread through the bite of an infected tick, are on the rise nationwide and in West Virginia.

Originally thought to be found primarily in colder, northern regions, today Lyme disease affects an estimated 300,000 people nationwide. In recent years reported cases in West Virginia have risen from 35 in 2000 to nearly 700 in 2018, according to data from the Centers for Disease Control and Prevention. The agency now categorizes West Virginia as one of 14 states with a “high incidence” of the disease.

For many people, symptoms look like a bad cold or flu, sometimes accompanied by a bull’s-eye rash. If caught early, it can be treated with antibiotics. However, some who are infected with Lyme are left with devastating long-term health problems such as arthritis, meningitis and inflammation of the heart and brain.

“It may not have the high fatality rates, but it has a serious drain on the way people live their lives and contribute to society,” said Timothy Driscoll, an assistant biology professor and head of the Vector-Borne Disease Laboratory at West Virginia University.

The five-year grant from the National Institute of Allergy and Infectious Diseases is being led by Mariette Barbier, assistant professor in the School of Medicine’s Department of Microbiology, Immunology and Cell Biology.

The team is focusing on developing a vaccine that would protect against the bacterium that causes Lyme disease, called Borrelia. The team is also approaching a Lyme vaccine differently than the way most vaccines are developed.

“Rather than taking the whole pathogen, and injecting it, what we’re asking is ‘what are the most important antigens that our immune system recognizes … and [we’ll] just use those,” Barbier said.

Climate Connection

Experts say climate change is playing a role in the expansion of Lyme disease. Richard Ostfeld, a disease ecologist with the Cary Institute of Ecosystem Studies, has studied ticks for about three decades. He said Lyme disease is spreading across the country, in part because of a warming climate.

“As the climate warms, the length of the warm period of the year increases,” Ostfeld said. “So, you get more frost-free days in the fall and in the spring, and that looks like it’s important in giving the ticks a greater chance to find hosts, animal hosts, like mice and chipmunks.”

But it’s not the only piece of the puzzle. Human expansion into habitat that was once wild increases the changes people will encounter tick-carrying creatures. Ostfeld said small mammals that are often tick carriers also survive well in our new strip malls and suburbs.

“And they are crucial in the proliferation of Lyme disease because they support tick population growth, and they support tick infection,” he said.

Vaccine development could take upwards of 10 years. There are other Lyme vaccine candidates in development, but as the range of Lyme disease grows, Driscoll said so too has the need for a preventative measure like a vaccine.

“As its range has increased, and we’ve seen it coming into West Virginia, we want to try to cut it off at the pass and see if we can not get knocked back,” he said.

If the WVU vaccine is shown to work in modeling, the team will work with potential commercial partners to put it through clinical trials, and eventually on the market.

Exit mobile version