October 2013! Volume 1 Issue 6!
Latino Health: Elder care and youth protection
•UC Davis Med Center’s Dr. David A. Acosta •Obamacare from a small business perspective
Est. 1983 ...serving the freshest juices and licuados in town, nothing frozen or concentrated. Our menu also includes sandwiches, salads, our famous quesadilla, fresh-ground coffee, mochas and other espresso drinks. A nice selection of beer and wine is also offered. Enjoy it all in the comfortable atmosphere of Luna's, one of this area's original cafe galleries. Or call in your order and we will have it ready for take-out. Luna's is available for meetings, fundraisers and catering your office luncheons. Breakfast is served Monday through Saturday. Featuring music and entertainment Wednesday through Saturday evenings. Dinner served starting at 5pm.
(916) 441-3931 1414 16th Street Sacramento, CA 95814
Hours: Monday: 9am-4pm, and 6:30pm-10pm Tuesday: 9am-4pm Wednesday: 9am-4pm, and 6pm-10pm Thursday: 9am-4pm, and 6pm-11pm Friday: 9am-4pm*, and 6pm-Midnight Saturday: 6:30pm to Midnight Sunday: Closed * We are closed for most holidays and Furlough Fridays between 8am-4pm 2!
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Subscribe Today! Magazine is your key news source on topics affecting California Latinos... â€œSacLatino Magazine brings attention to big issues, separating what is important from what is not. It explains confusing and misleading information into factual knowledge. And, provides a wealth of thought provoking topics in exceptionally well written articles complimented with stunning photography. â€œ ! ! ! ! ! ! - Stephanie Salinas, Publisher, SacLatino
Only $36 Per Year Guarantees you receiving 12 issues per year - a savings of $12. firstname.lastname@example.org
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Editorial AT WHAT COST HEALTHCARE? ! SacLatino is extending itself from statewide to national issues. This issue discusses healthcare. Contrary to preventative care, remedial focuses on providing a remedy for deficiency or fault, based on Webster始s Dictionary. Preventative means maintaining an active life while seeking ways to improve health and avoid disease. ! Beginning this month, enrollment for the Affordable Care Act has begun for all seeking coverage come January 1, 2014. Covered California is nothing short of lacking in outreach and support as seen in the shortage of people in call centers and crashing websites. ! We始ve spoken to key stakeholders in the health industry who have mixed reviews. How does the structure of this legislation affect children and seniors? This and the question of whether the 2.7 million young, healthy people sign up is something that is to be highly anticipated. Table of Contents: Meanwhile consumer sentiment among the 18-29, Cover Story Part One: Latino Elder Care by result of the Morning Consult poll, shows a 56 ! ! ! ! .... Page 6 percent approval rate as of September. ! What about other parts of the world with Cover Story Part Two: Latino Youth Care ! ! ! ! ....Page 9 universal health care? Countries in Latin America like Guatemala, Peru, and Brazil are championing Latina Executives promote education, the standard of Universal Health care, according to health! ! ! ! ! ! ! ! .... Page 11 a study conducted by The World Bank. How is it countries with far less economic means than the Guest Editorial: Obamacare and Small U.S. are so successful? And what can we learn Businesses ! ! ! ! .... Page 12 from them? Stephanie Salinas, Profile: Dr. David A. Acosta, UCD Med Publisher The Staff: Stephanie L. Salinas, Publisher Adrian Perez, Editor-In-Chief Cris Perez, Chief Operations Officer Cecelia Perez, Illustrator/Graphic Design
Center始s Diversity Specialist ! ! ! ! .... Page 14 Events: Rededication of the Cesar Chavez Sculpture ! ! ! ! .... Page 18
About SacLatino ! SacLatino and SacLatino.com are published and owned by SacLatino LLC, a private, for-profit public relations and communications business. For comments, information, or submit articles, write to: SacLatino, 2648 Del Paso Blvd, Sacramento, CA 95815 or email us at email@example.com . Any article and/or opinions expressed therein do not necessarily reflect the views of SacLatino, SacLatino.com or SacLatino LLC, but remain solely those of the author(s). SacLatino and SacLatino.com are copyrighted and its contents may not be copied or used without prior written consent. Copyright 2013. All rights reserved.
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Our Kids' Community Breakfast Club A Self-Sustaining Empowered Community Our Kids' Community Breakfast Club (OKCBC) a community engagement model, is designed to improve the quality of life for kids and their families. The program operates during the time when school is not in session on Saturdays. The five program components include: • • • • •
Nutritious Breakfast Arts and Crafts Literacy and Math Activities Parent Education Basic Health Screenings
OKCBC currently takes place on the fourth Saturday of each month from 10:00am-12:00pm at Oak Park Community Center, located at 3425 Martin Luther King, Jr. Blvd. Sacramento, CA. OKCBC is a 501(c)(3) nonprofit. Tax ID 27-3502550
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Cover Story: Latino Health
Who should care for our elderly? By Adrian Perez
! Tina Gomez, not her real name, was criticized and disowned by her brothers after learning she had placed their mom in a home where she could get proper care for her illness, dementia. Although she explained that their mother needed the type of attention she could not provide, the brothers were angered and one of them took the mom to live with him. Who was right? ! Although Latinos have a median age of 26, the planning for geriatric care is not viewed as essential, or at least not yet. Instead, a typical Latino family will practice cultural ways that have been handed down over the generations. ! Published studies show a common thread among Latinos living in the U.S., regardless of their national origin. Caring for elder family members is the responsibility of the family as a whole. So when Tina placed her mom in a geriatric care facility, she was violating a family cultural value. But, are these values helpful or hurtful? ! First of all, Latino Americans live longer than their fellow American counterparts. In a study conducted by the Center for Disease Control found that Latinos live an average of 80.7 years, longer than Whites (75 years) and Blacks (73 years.) The study attributes longevity to life style, including walking, eating and not smoking, and not affluence and education, as once believed. ! Secondly, Latinos grow up with close-knit 6!
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ties to family and friends, allowing for much needed social interaction. ! "If you lose that family connectedness, then you tend to have more health problems," says Dr. Jane Delgado of the National Alliance for Hispanic Health. "The people across the board who live oldest and healthiest are people who are part of social networks." ! The Alliance, which is located in Washington D.C., has produced several publications to help healthcare providers in working with Latino patients. Dr. Jane Delgado On of their most recent publications is entitled â€œThe Latina Guide to Health, Consejos and Caring Answers.â€? This first of its kind publication takes into account the unique experiences of Latinas living in the U.S.! ! ! ! Continued Page 8
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Cover Story: Latino Health ELDERLY Continued From Page 6 ! Close family and friend ties are especially essential to Latinos with dementia or alzeheimerʼs disease. But, is that healthy for all involved? ! According to a 2010 study conducted by the Alzeheimerʼs Association, Latinos are 1.5 times more likely to acquire the disease than Whites. This is attributed to three key factors: • Latinos are living longer, increasing the risk; • Latinos have a higher diabetes, hypertension, and cholesterol problem, which attributes to alzeheimerʼs; and, • Latinos are the fastest growing population and will account for 1.3 million of all alzeheimer cases by 2050. That study prompted a secondary study by Columbia University School of Nursing which found a significant fact - the caregivers become a victim too. ! It turns out that unskilled and underprepared family and friends dealing with an elder suffering from dementia takes its toll on the caregiver, financially, socially, and even psychologically. While, placing a loved elder in a healthcare home causes stress and depression to the family member, caring for them could be
worse. Solution, an online healthcare management information system for the caregiving family being developed by Columbia University. ! “The aim of this health information management system is to develop a web-based tool that conforms to the needs of the Hispanic caregiving community and to evaluate its impact on helping caregivers manage their health and the health of the person they are caring for,” says Robert J. Lucero, Ph.D., MPH, RN, Assistant Professor at the Columbia University School of Nursing. ! Will this help the Latino family caregiver? It is unknown. However, this effort is the first of its kind and there is much hope it will provide some level of success. It depends on its use and more importantly, the ability to have access to the system. ! In the meantime, many Latino families, like the Gomezʼ will continuing practicing what has been handed down for generations, that family and friends are responsible for taking care of the elders. - SacLatino !
Hispanics, especially immigrants, live a healthy life style that includes eating right, walking, good social interactions, and not smoking.
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Cover Story: Latino Health
Latino Youth: A health challenge requiring two strategies
By Adrian Perez
! Television is the next source of information for Latino youth outside of school. Knowing this, beverage and fast-food companies are heavily targeting them with advertising. But who is at fault? ! Laws, rules, policies and even a spanking cannot change the desires of our taste buds. End result - obesity. A disease stricken condition that can be deterred through education and exercise. ! When Latino immigrants arrive, their eating habits combined with walking regularly keeps them at a healthy level. Once they begin to assimilate, there is more sitting and quick trips to fast food joints. This is especially true among second and third generation Latinos. But, there is another critical issue that occurs, the propensity to use illicit drugs. We are what we eat! ! Recent immigrants have a tendency to be much healthier than those acclimated to the American way of life because of their eating and life habits. This includes eating cultural foods that include vegetables, nuts, and fruits. There is also a tendency for them to eat less red meat and more chicken or fish. And, they walk more than those whoʼve acclimated or were born in the U.S. However, once the children become more acclimated, they are influenced by television commercials and friends to eat foods that are neither cultural in nature or healthy. In addition, they sit more, increasing their chances of becoming overweight.
! Today, more than one in five youth between the ages of 10 and 19 in the United States is Hispanic. By 2020, that figure will rise to approximately one in four and, by 2040, nearly one in three adolescents will be Hispanic. ! Along with that increase are the rates of obesity, which are higher for Hispanic adolescents than for black and white U.S. adolescents. Hispanic parents cite a greater number of barriers to their childrenʼs physical activity than do white parents. Also, Hispanic high school students are more likely than their white peers to spend three or more hours a day watching TV, and are less likely than their white or black peers to be part of an organized sports team. ! Overall, there are dozens of studies that clearly demonstrate a need for parents and adolescents to take action. The primary key is education. The more knowledge the parent and child has, the less likely poor nutritional and exercise habits will form. ! Poor education creates an additional ill, low income. The correlation between the two have also linked adolescent mental behavior and drug abuse. National surveys reveal that many Hispanic teens struggle with mental health and substance abuse issues. October 2013 g SacLatino.com 9
Cover Story: Latino Health ! A study conducted by the Partnership at Drugfree.org found that Hispanic teens are more likely to engage in substance abuse. Perhaps the most revealing was that over half (54 percent) of the Hispanic teens surveyed reported they had used an illegal drug. The drug of choice marijuana (47 percent.) Other drugs included Ecstacy (13 percent) and cocaine (13 percent.) ! The study alludes to several reasons why Hispanic teens are more prone to use drugs, and include: Nearly two-thirds are offered drugs at least once in their lifetime, with 42 percent offered drugs at their own school -- so much for Zero Tolerance; 24 percent reported seeing frequent drug use in their community; and, perhaps a key culprit is the lack of taking a strong stance by the parent. ! The study also looked at parental attitude and guidance for Hispanic teens and found the following: 21 percent of Hispanic parents thought it was okay for their teen to smoke marijuana; 28 percent felt it was safer for their teen to use Rx drugs to get high than using street drugs; 28 percent have difficulty enforcing rules against drug abuse; and 35 percent of Hispanic parents feel there is little they can do to help their teens abstain from using illicit drugs.
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! “This new study shows a clear need for us, as Hispanic parents, to educate ourselves about the dangers posed by drug and alcohol abuse within our own community and to set clear rules for our kids,” said Doctora Isabel, a radio psychologist who dispenses advice on crucial issues affecting Hispanic families on her popular live, call-in talk show, “Doctora Isabel” on Univision Radio. “Parents are the biggest influence over the decisions our kids make and we need to talk frequently with them about the risks of drug and alcohol abuse. They will listen!” ! Another are of concern is depression among Hispanic adolescents. Hispanic male and female adolescents were more likely to feel depressed than their black and white peers, and a higher percentage of female Hispanic teens felt suicidal. ! This area of study is still being developed, but a recent, and key, finding it the stress Hispanic adolescents experience living in two cultures. Moreover, the stresses experienced by American-born to immigrant Hispanics. ! If you know of an adolescent who is in need of guidance, reach out and offer a hand. There are numerous programs that can help guide the child and parent to living a healthy life. - SacLatino
The Sacramento Convention Center was host to the 2nd annual Capital Region Womenʼs Conference organized and presented by Comstock Magazine and Healthcorps. ! The goal of the conference was to, “put women in touch with other women as well as life and technological tools that will help them achieve their goals and dreams towards better health and more wealth.” ! Over 60 speakers and panelists were invited to speak on different topics of life such as
technology, entrepreneurship, and stepping into power. ! One of the speakers, Isabel Santo Tomas, Vice President of Private Wealth Management at Stanley Morgan stated it best: ! “Being a woman today is an important topic, this is a moment to take advantage of and learn and grow.” ! She is a first generation Latina, a North Carolinan and Cuban descent, working with clients in the Latin America market, particularly Mexico being one of the biggest. ! One of the most challenging issues sheʼs had to face is the malignity of the finance industry and being a Latina woman. ! “With so many years underneath my belt,
being a woman, Hispanic, double minority in a manʼs world - Iʼve had a lot of obstacles to overcome.” ! The health component of the conference, for her, meant finding personal power that makes h e r a s u c c e s s f u l m o t h e r, f r i e n d , a n d professional. ! She and fellow speaker Kathlyn Mead, COO of California Endowment, have endured the hardship of being single Latina mothers and also agree on the significance of education. ! “Our [Latino] education attainment is huge in terms of the ability to have the power to influence what goes on in our communities,” Mead says, “but itʼs financial power, the power that having a strong financial economic base provides to us.” ! Mead is an advocate for education of the youth and ensuring their future is kept in mind through her work at the California Endowment. She oversees over $2 billion dollars in assets in the health industry. ! A recent study conducted by the Robert Wood Johnson Foundation published in March of this year provides evidence on how education means living a healthier, more productive, and longer life. ! According to its study, “an additional four years of education reduces a rage of health risks.” This means 1.3 percent less risk of diabetes, 2.2 percent less risk of heart disease, and 12 percent less risk of smoking, which over time is known to cause more serious diseases. - SacLatino October 2013 g SacLatino.com 11
GUEST EDITORIAL: OBAMACARE
Business Owners and Nonprofits Singing ʻBall of Confusionʼ with Obamacare By Manuel Cosme, Jr., CPA Special to SacLatino Magazine
The Temptationʼs mega hit title song “Ball of Confusion” is very appropriate with everything surrounding the new law, the Patient Protection and Affordable Care Act, otherwise known as Obamacare. The confusion is with all the major players engaged in its implementation, and leading them are the individuals and business owners who must adhere to the law or face penalties or civil liability. Due to the business mandate extension to 2015, there will not be a penalty for not providing health care coverage to employees. But civil liability exposure to business owners is real and I would guess that lawyers are licking their chops to secure a paycheck for themselves. The 2700 page law was translated to 15,000 or 19,000 pages. (See, thereʼs no consensus on this too!) With court challenges on the interpretation of many sections of the law, there may be an additional 10,000 pages to make it “clearer” – whatever that means? So ultimately, the judges will provide the pathway to the legal implementation of the law. There will be many workshops, seminars, webinars, meetings, and phone calls to educate the masses on how to use the programs not yet fully developed. Small business owners are in a quagmire because they must spend time outside of their workplace to attend places who will instruct onTO making sure that they are in CLICKthem HERE SAMPLE compliance with the law or hire experts on the law 12!
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or read the 15,000 (er, 19,000) pages of the law and the subsequent court rulings. As a partner in a business that provides payroll and bookkeeping services exclusively to small and medium size businesses, I feel compelled to provide as much information as possible to my clients on current and upcoming regulations. As of October 1, 2013, ALL employers must provide a written notice of the new law to ALL current employees – regardless of number of employees, and 14 days after hiring a new employee. The new law has two business classifications: Small Business – those under 50 full time equivalent employees and Large Business – those 50+ full time equivalent employees. (Notes: Full time equivalent - there is a formula for part time people to equal one full time person. A full time employee is an individual working 120 hours or more per month. If you do the math: 120 hours/month x 12 months = 1440 hours or 27.69 hours per week x 52 weeks. So itʼs conceivable that a full time person, as most people are stating, may not be an individual working 30 hours per week.) ! ! Continued on page 16
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Profile: Dr. David Acosta
Dr. David A. Acosta: Taking diversity at UCD to a new level An active promoter of cultural competency in medicine, Dr. David A. Acostaʼs challenge will also be to integrate the Affordable Care Act. ! No one can say Dr. Acosta will have any easy job ahead as U.C. Davis Med Centerʼs new Associate Vice Chancellor of Diversity and Inclusion, especially with a new School Dean, a growing medical school, the integration of the Affordable Care Act and completely new surroundings. But, his calm persona and depth of experience says he is ready for the task. ! The former Chief Diversity Officer at the University of Washington School of Medicine is not new to the Sacramento region. After graduating from the University of California (UC), Irvine, College of Medicine, Acosta completed his residency at the Community Hospital of Sonoma County in Santa Rosa, California. He enjoyed Northern California and moved to Susanville, where he practiced family medicine. “I was the director of a clinic in Susanville called the Northeastern Rural Health Clinic, where I provided care primarily to farmworkers,” says Acosta. “These included rural and undocumented workers.” Acosta says that the Susanville Clinic also served as clinical learning environment for medical and nurse practitioner students from UC Davis Medical Center. He remained there for 7 years until moving to Washington. “My work at the University of Washington was a very interesting challenge,” says Acosta. “I was their first Chief Diversity Officer and there were few minorities entering the field of medicine, 14!
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so I initiated several programs designed to remedy the deficiency.” ! Acostaʼs work was very visible at the University of Washingtonʼs School of Medicine. Some of those programs include: • The Rural Health Fellowship Program for Tacoma Family Medicine, an affiliated Family Medicine Residency program at the universityʼs School of Medicine. • An obstetrical access clinic that, as a partnership with the Tacoma-Pierce County Public Health Department, delivered interdisciplinary obstetrical care to socioeconomically disadvantaged urban women. • The National Institutes of Health-funded Center for Cultural Proficiency in • Medical Education at Washington, which received a Washington State Association of Multicultural Education award. He also co-authored a diversity strategic plan and founded the Center for Equity, Diversity and Inclusion at UWʼs School of Medicine. Acosta led
Profile: Dr. David Acosta innovative educational initiatives there, including a Hispanic Health Pathway certification program for medical students interested in working with Hispanic communities and several health-care disparities courses.
! The programs Acosta instituted made him a leader in the ethnic and minority community. ! “The challenges here at UC Davis Medical Center are different that what I experienced in Washington,” says Acosta. “Here we have a much more diverse population and dozens of languages that are spoken. To provide proper medical care to all these communities will require being able to meet their needs culturally and in their language.” ! Acosta shares that cultural understanding will be a key factor in working with the Sacramento regionʼs diverse population. ! “We know that different cultures consume different foods, some which can be very nutritional,” adds Acosta. “In the Latino culture, we know that nopales (cactus) is eaten not only for the flavor but for the healthy values they also contain.” ! Another potential challenge facing Acosta is the naming of a new Chancellor for the Medical
Center. As of this writing, the selection process for the new Chancellor was underway. A group of Latino leaders from the school and the Sacramento area were asked to be a part of the selection vetting process. ! “I havenʼt met the Latino leaders involved in the process yet,” says Acosta. “But am hoping to get out and meet as many as I can, especially once I get the program going here.” ! Another large challenge for Acosta and the school will be to integrate the American Affordable Care Act (Obamacare) in its healthcare services. ! “We know this is going to require us to get out into different communities and let people see that our campus is a great place for them to have their healthcare needs addressed,” Acosta adds. “We know they will have a choice and we would like them to choose us.” ! As Diversity officer for the University of Washington College of Medicine, Dr. Acosta was recognized by the Washington State Association with the Multicultural Education Award. More recently, he received an “Honorary PA (Physicianʼs Assistant) certificate for his years of dedication and support of the PA profession. ! Dr. Acosta is a member of the American Academy of Family Physicians, the National Hispanic Medical Association, the National Alliance for Hispanic Health, the National Association for Rural Medical Association and serves with the Association of American medical Colleges. - SacLatino October 2013 g SacLatino.com 15
Sacramento City Councils sends ʻStrong Mayorʼ initiative to voters ! At its October 15, 2013 meeting, the Sacramento City Council voted 5-4 to move the ʻStrong Mayorʼ discussion to the voters next year. The debate was contentious with arguments on both sides stating strong reasons for and against the initiative, which is be pushed by a group called Sacramento Tomorrow. The initiative will be placed in the November 2014 ballot. ! Sacramento Mayor Kevin Johnson has moved three times in the last four years to make his role that of an executive and less of a ceremonial position. ! “Our city has grown weary of this discussion,” said City Councilmember Allen Warren. “Iʼm of the opinion that this should be decided by the people.” ! The plan, if approved by city voters, would change city government by giving executive authority to the mayor to run the city. Currently, city councilmembers have an equal say as that of the mayor, with day-to-day city business being run by the City Manager who is appointed by the councilmembers. Many believe this mode of
operation is outdated and needs to come in line with the majority of U.S. cities the size of Sacramento which have a strong mayor system of government. ! “Sixty-percent of the top 50 cities in the United States based on population have an executive mayor system,” testified Erica Bjork, representing a group of young professionals. However, Councilmembers who opposed the initiative were asking about the actual need to alter government when it doesnʼt appear the city needs it. ! “It doesnʼt give us more jobs, it doesnʼt help our neighborhoods,” said City Councilmember Steve Hansen. “It doesnʼt move our city forward.” ! Called the 2014 Checks and Balances Act, the most significant component would be to allow the Mayor the ability to appoint the City Manager. If approved, it would “sunset” after five years at which point it would require another vote to extend it and make it permanent. - SacLatino
Obamacare, Continued from page12
If youʼre reading this, so can your clients ADVERTISE IN SacLatino email us at firstname.lastname@example.org for information Donʼt stay behind... 16!
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Businesses with under 25 employees and provide health insurance to some or all of their employees can benefit by receiving a tax credit up to 35% of premiums paid (increases to 50% after 2014). Non-profit organizations benefit by getting a refund of payroll taxes up to 25% of premiums paid (increases to 35% after 2014). Employers must provide health insurance premiums paid on the employeeʼs year-end wage report, W-2 (Box 12, Code DD). ! So, weʼre clear now? Manuel Cosme, Jr. is a Small Business Tax Specialist from Vacaville, California. He is also the Chairman of the Board for the National Federation of Small Business Owners.
Notable Latinos In Medicine
Dr. Antonia Coello Novello, M.D., Born in Puerto Rico, Dr. Novello is a physician and public health administrator who served as Vice Admiral to the Public Health Service Commissioned Corps Dr. Novello has the distinction of being named the first woman and the first Latina to serve as Surgeon General from 1990 to 1993 under President George H.W. Bush and President Bill Clinton. While Commissioner of Health for the State of New York, Dr. Novello was indicted for theft of government services. In a plea deal, she was charged with filing false documents.
Luis E. Miramontes, Chemist At only 26 years of age, the Mexican chemical engineer was instrumental in co-inventing the progestin “norethindrone” Its synthesis allowed for it to be used as one of the first contraceptives. The scientific contribution of Luis Miramontes is very extensive, includes numerous publications and nearly 40 national and international patents
Dr. Rene favaloro, M.D. Born in Argentina, Dr. Rene Favaloro became the first surgeon to perform a coronary bypass surgery on a patient suffering from coronary artery disease. By doing so, he revolutionized natural history by greatly improving peoplesʼ quality of life. "Dr. Favaloro revolutionized the natural history and quality-oflife of patients with ischemic heart disease," Dr. Favaloro passed away in 2000
Dr. María del Socorro Flores González, The Mexican born Biochemist patented processes to diagnose invasive amebiasis, a parasitic disease which effects millions of people in developing countries, and kills over 100,000 each year. Her 20 years of research led to the improved diagnostic methods appropriate for developing countries. Dr. Flores Gonzalez found that conducting previously available diagnostic tests having proved insufficiently sensitive when used in endemic zones.
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Re-Launching of the Cesar Chavez Sculpture October 15, 2013 Cesar Chavez Park Sacramento, California Photos By Sherri Martinez
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