WVU Researcher Applying Iceland's Lessons about Teens Here

A West Virginia University researcher is working in two counties to apply lessons about peer groups from Iceland where he says teenage use of drugs, alcohol and tobacco has been “virtually eradicated.”

Alfgeir Kristjansson, assistant professor in WVU’s School of Public Health, says the island nation pushed to replace unsupervised, aimless leisure time with purposeful, organized activities that help them cope with stress, fill their need for camaraderie and provide a goal to pursue as a team.

According to the university, he’s working with teachers, parents, police and health professionals in Wood County to affect middle school and high school students, who “are products of their social environment,” and expanding into Calhoun County.

Kristsjansson says in addition to sports, art, filmmaking or religious activities could serve the same function.

WVU Offers Undergraduate Degree in Public Health

WVU has been offering nationally accredited master’s degrees in public health for over 20 years. But in January, the WVU School of Public Health will offer West Virginia’s first ever nationally accredited undergraduate degree.

The school was formed 3 years ago and is accredited by the Council on Education for Public Health.

“Because Public Health is a professional degree, our accreditors make sure that our students are working to meet the needs of employers,” says Janet Hunt, the Assistant Dean of the WVU School of Public Health.

Students will study each of the Public Health core disciplines, resulting in well-rounded students, says Hunt. After graduation, students can either go directly into the field or go back to school to specialize in a core discipline.

As a native of Wetzel county, Hunt says she is excited to offer the new degree in West Virginia because she had to go out of state to the University of Tennessee for her own degree in public health.

Shay Daily is the advisor to incoming Public Health undergrads. He says there will always be a need for public health professionals.  “The need for entry level things like health promotion and health education are going to continue to grow because of things like the affordable care act,” says Daily.

Undergrads will participate in community service and become involved in local public health projects through internships, group projects and a semester of clinical study. Many of the new public health classes will be available to non-majors and the school hopes that soon the courses will meet certain GEC objectives.

Health Effects of “Climate Disruption” Discussed at WVU

  “Climate Change and Population Health” was the title of a recent discussion at West Virginia University. Three panelists, a social scientist, an entomologist, and a public health expert turned over research and health concerns related to that research on climate change – or as the discussion moderator, Interim Chair of the Department of Health Policy, Management, and Leadership in the WVU School of Public Health, Robert Duval, was more apt to call it: Climate Disruption.

“Disruption” v. “Warming” in the Mountain State

Duval explained that while many areas on the globe are experiencing less precipitation, West Virginia is forecast to see more precipitation – in extremes. Panelists made a point to talk about increased “climate variability” which is science-speak for “unpredictable weather patterns”.

“We do have an increase in extreme precipitation events [in West Virginia] whether that’s drought or floods,” Duval said. “We’re actually shifting to call it Global Climate Disruption.”

Panelist Brent McCuster, Associate Chair of Geography in the WVU Eberly College of Arts and Science, further spelled out what that means for West Virginians. McCusker says there are several factors that leave residents in the state at especially high risk in the face of climate disruption threats – factors such as living in poverty … or in river valleys. 

“If we had everyone living on the tops of hills in West Virginia it wouldn’t be an issue but that’s not the case,” said McCusker.

He went on to explain that the populations in the state that are least capable of coping with extreme weather events are the ones most likely to take the brunt of environmental disruption.

Health Concerns

McCusker’s thoughts were echoed by Professor in the WVU Department of Occupational and Environmental Health Sciences, Heather Basara. She’s been studying health effects of climate change on human populations. Some of the diseases climate disruption will likely provoke, according to Basara: diabetes, heart disease, stroke, and respiratory diseases (to name a few).

That’s bad news in a state where such diseases are already prevalent.

“West Virginia is a key place for intervention,” Basara said, “whether that’s economically or in terms of disease management, access to care… the list is very long.”

Invasive Species

Yong-Lak Park, Assistant Professor Entomology in WVU’s Davis College of Agriculture spoke about his research that looks at the complicated relationships between pollinators, mites, and blueberries. With charts he demonstrated how easily these species, which depend on each other, could be thrown out of sync.

He went on to say that West Virginians could also see their environment infected by invasive species. He pointed to the stinkbug as an example of a species that threatens agricultural crops in the state. 

Adapting to/Preparing for Forecasted Climate Disruption

Adaptation was a key topic during the discussion. It also provoked a lot of passion in the panelists. They discussed the role of scientists in political dialogues. McCusker said that until now, scientists have largely taken a back seat in political arenas, expecting scientific findings to speak for themselves. That was a mistake, he said, data do not speak for themselves. As a result of a relaxed posture, McCusker said, scientists now are having to spend an inordinate amount of time dispelling misinformation instead of tending to more pressing concerns like climate mitigation and adaptation.

WVU Public Health Dialogue: Does Being Poor Mean Being Sick?

Stress. We all live with it, but at what point does it become toxic? When do social pressures turn from a healthy challenge to a source of poison? These are some of the ideas turned over in a public health dialogue at West Virginia University last week that explored the “social determinants of health.” Guest-speaker Dr. Paula Braveman spoke about how social factors in our lives play a role in our health.

“We’re in a very different place talking about the social determinants of health than we were ten years ago, twenty years ago even,” Braveman said. She explained, science and our growing understanding of human bodily processes is making it easier to gain insights into the biological effects of environmental factors like income and social status.

“That’s a huge leap to be able not to just say, ‘we think,’ but, ‘this is the way things work.’ We can trace the biology of…social determinants of health.”

Good Stress vs. Bad Stress

Braveman knows a lot about stress. She points out that some kinds of stress actually promote health. The kind of stress we feel when we are challenged, when we know overcoming the challenge is within our reach—that stress, Braveman says is good for us.

Then there’s “toxic” stress which is when perpetual anxiety invades your brain and body, changing your chemistry, and making you more susceptible to problems like diabetes, depression, cancer, and heart disease.

All common in West Virginia.

Braveman explains that chronic “toxic” stress is the kind you experience when your child gets sick and your thankless, minimum-wage job gives you no leeway to be able to stay home and be with that child, and your car is out of inspection and in need of new tires, and your laid-off husband has a drinking problem. When that life is normal, Braveman says, in addition to making you more predisposed to certain illnesses, the constant stress deregulates body including the immune system, so you just get sick more often.

The Fix

No one has come up with any quick fix to solving these kinds of scenarios, or an easy way to interrupt the cycles of poverty that are often the side effect. But Braveman points out two important steps that could quickly create waves of positive change:

  • Raise minimum wage – providing the poorest with more resources
  • Invest in childcare – an investment in the future of society

Braveman says building resiliency to rise above chaos in our communities takes concerted and organized efforts on the part of both individuals and policy-makers alike. Access to good nutrition, education, community, and transportation are all factors that play a role as much as a good job and clean water and air. And as for individuals, Braveman says, support groups are important. People need to know that they aren’t struggling alone in order to better able to cope.

** Dr. Braveman’s was the third in a series of public health dialogues being hosted at West Virginia University. The final talk this year is December fifth. It’s about a community-based drug overdose prevention program. The talks are free and open to the public.

"100 Years of Poor Health" Kicks Off W.Va. Public Health Dialogue

West Virginia University’s School of Public Health is kicking off a series of monthly Public Health Dialogues this week. The first in the series is titled “Black Lung and Chemical Spills: 100 years of Poor Health in West Virginia.”

Award-winning journalist Chris Hamby, policy think-tank director Ted Boettner, and public health researcher Dr. Stephen Woolf will be panelists discussing recent insights into West Virginia’s health disparities and economic challenges. The talk is free and open to the public. It begins at noon on Friday, 9/5, at the WVU Health Sciences Center in Morgantown.

Panelists:

  • Chris Hamby is an investigative reporter for the website Buzzfeed. His series “Breathless and Burdened”–about Black Lung– won him the 2014 Pulitzer Prize.
  • Steven H. Woolf, M.D., M.P.H. is the director of the  Virginia Commonwealth University Center on Society and Health. His studies focus on how addressing poverty can have a larger impact on the overall health of Americans than investiments in medical technology.
  • Ted Boettner is the director of policy think tank The West Virginia Center on Budget and Policy which studies state budget and tax issues, economic development, and family economic security.

Future topics for the Public Health Dialogues hosted by WVU include “The State of Health in West Virginia” on Oct. 3; “The Social Determinants of Health” on Nov. 7; and “A Comprehensive, Community-Based Opiod Overdose Program” on Dec. 5.

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