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ISSUE # 47 • VOL. 12 • 2014

San Diego County Health and Family info Options




Serving our comunities since 2001



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Good affordable nutrition is possible Five easy ways to eat healthy The facts about kids and medication safety


Get the Facts and Join the Fight!

16 Parents, Protect Your Children’s Health With Immunizations

Soccer scores a Goal for your health


Prosecutor Paul greenwood is on a mission to stop elder abuse


Channeling grief into contribution


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SALUD+HEALTH INFO is designed for informative and educational purposes only. You should not rely on this information as a substitute for personal medical attention, diagnosis or hands-on treatment. If you are concerned about your health or that of a child,please consult your family’s physician or health provider immediately and do not try to diagnose yourself. SALUD+HEALTH INFO is published and distributed free of charge by ION Publishing Co. All rights reserved. ION Reserves the right to edit all information provided to the publisher as it deems necessary with regard to all legal, public health , State, Federal, International and other standards for the proper publishing of this periodical. We reserve the right to refuse any article and advertising at any time . No reproduction of this magazine by any means is permitted without the written consent of ION Publishing Company. ION has no affiliation with any health organization or political group. ION is not responsable for the claims of advertisers, not for the verity of submitted written articles.



Vaccines help prevent diseases that were once common in this country, including polio, measles and whooping cough. If you are a parent or grandparent of babies or young children, or if you provide child care for them, you want to do all you can to protect their health. One of the best ways to do that is to make sure the children are up-to-date with immunizations which protect against 14 childhood diseases. But, a growing number of San Diego parents are choosing not to vaccinate their children, leaving them prone to illness. Making sure children are protected from vaccine-preventable diseases is more important than ever. Parents and grandparents should ask their doctor or clinic to check their child’s immunization record and make sure their baby is up-to-date. Babies are not the only ones who should be vaccinated. Parents, older siblings, grandparents, health care professionals, and babysitters also need to be up to date. High immunization coverage levels mean fewer people get sick. For more information about immunizations and the diseases they protect against, please visit the San Diego County Immunization Program www.sdiz.org , and the Centers for Disease Control and Prevention www.cdc.gov ISSUE # 47 • VOL. 12• 2014



LIVE HEALTHY Healthy living is more than simple daily habits, it's a lifestyle. Regardless of your age and what you do for work and leisure, how often do you wish you had more time to have fun and enjoy yourself with your family and friends? And what is more important than teaching your kids or grandchildren to be healthy and happy? Always remember that children learn by example; but sometimes being task-oriented and having a tight schedule can leave us feeling burned-out and drained. This pattern of stress has to stop. You have to make a priority of feeling well, or in other words, your happiness. It is not what happens to you; it is how you look at what happens to you and the decisions you take.

Striving for a work/life balance is worth its weight in gold. You need to take care of yourself because overloading yourself will cause your mindset, your relationships and even your health to suffer. Whenever you are working hard or trying to solve a problem, it can be easy to feel temporarily drained or low on mental energy. When you are low on energy because you have spent too long focusing on a tough problem, take a break, but take a real break. There are types of breaks that are very simple to do but will allow you to regain energy and clear your mind so you can get back to work and focus. Whenever you need to recharge, take off five or ten minutes and grab a piece of fruit and a sip of tea, or plain fresh water... or just sit back with your eyes closed and take a few deep breaths. Sometimes you may need a change of scenery, so go outside for a brisk walk and get some fresh air, or you can try to take a 30-minute, or one-hour nap. Sleep makes you feel better, but its importance goes way beyond just boosting your energy and your mood. Adequate sleep is a key part of a healthy lifestyle, and can benefit your heart, weight, mind, and more. Sleep needs vary, but most adults do best with seven to nine hours of nightly sleep. Getting at least seven hours of sleep will go a long way toward improving your focus during the day. Certain tasks require a lot of our focus and energy. By taking steps to increase our energy levels through proper diet and exercise, it is easier to focus.

Take care of your health An important step toward good health is becoming aware of your own personal risk for chronic diseases. Some risks, such as smoking cigarettes or being overweight, are obvious, but other risk factors, such as high blood pressure or high blood cholesterol, have few visible signs or no symptoms at all. To learn more about your risk, make an appointment with your doctor for a thorough checkup. Salud+HEALTHinfo.com


ISSUE # 47 • VOL. 12 • 2014

Eat healthy. Fatigue breaks us down physically and emotionally and wreaks havoc on the immune system, making us more susceptible to illness, depression, and even chronic conditions like heart disease. Moreover, proper nutrition and the timing of what you eat can do wonders to make you feel alert and powerful. For example, breakfast really is the most important meal of the day. Not only does it give you energy to start a new day, but breakfast is linked to many health benefits, including weight control and improved performance. Eating breakfast is important for everyone, but is especially so for children and adolescents. According to the American Dietetic Association, children who eat breakfast perform better in the classroom and on the playground, with better concentration, problemsolving skills, and eye-hand coordination. Additionally, certain nutrients, especially iron, may help us to feel more energized. Iron is essential for producing hemoglobin, which carries oxygen to our body’s cells, where it is used to produce energy. Too little iron (iron-deficiency) has also been shown to decrease immunity, and can cause fatigue and impair physical and mental endurance. Great plant sources of iron include beans, lentils, spinach, and sesame seeds; eating them with vitamin C-rich foods can boost iron absorption. Salud+HEALTHinfo.com

Exercise makes you feel more relaxed, stronger, and more capable of handling life’s challenges. Exercise is for everyone who wants to feel better; it opens you up by invigorating your mind and body. Physical activity stimulates various brain chemicals that may leave you feeling happier and more relaxed. You may also feel better about your appearance and yourself when you exercise regularly, which can boost your confidence and improve your self-esteem.


Research shows that as little as 30 minutes of moderate-intensity physical activity on all days of the week, helps to protect and maintain your health. This level of activity can reduce your risk of heart disease as well as lower your chances of having a stroke, colon cancer, high blood pressure, diabetes, and other medical problems. Exercise and physical activity deliver oxygen and nutrients to your tissues and help your cardiovascular system work more efficiently. And when your heart and lungs work more efficiently, you have more energy to go about your daily chores.

You don’t have to join a gym, or sign up for exhausting classes to reap the benefits!

Examples of moderate activity are taking a brisk walk, light weight-lifting, dancing, raking leaves, washing a car, house cleaning, or gardening. If you prefer, you can divide your 30-minute activity into shorter periods of at least 10 minutes each. Now - go ahead and take dance classes, hit the hiking trails or join a soccer team. Find a physical activity you enSo, joy,having a and just do balance between it. your job and caring for yourself, making time for the things that ignite your joy, and eating a healthy, balanced diet, along with regular exercise and seeing your doctor can keep you HEALTHIER and HAPPIER.


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Good, Affordable Nutrition is Possible Rising food prices are making it increasingly difficult for families to prepare cost-friendly meals. When resources are limited, the 99-cent specials may get more attention than the homemade meals that may seen more expensive. Eating out costs money and uses extra gas. Preparing food at home allows YOU to control what goes in to your food. Food prepared at home can be healthier. If you have children or grandchildren involve them in the meal planning and preparation to build their kitchen skills. If you allow them to participate, to offer ideas and to help in choosing and preparing foods, not only will you be teaching them to choose the right foods, but also to cook and eat healthy foods.

You can have delicious and healthy dishes that fit your budget. The key is in planning what and how much to buy and how to prepare it. These tips will help you get started. Healthy eating starts with learning new ways to eat. A variety of foods each day will help you get all the nutrients you need. Most days, eat from each food group—grains, protein foods, vegetables and fruits, and dairy. Choose different foods in each food group. Cook once, eat twice. Making a large batch by doubling a recipe will save time in the kitchen later on. Extra portions can be used for lunches or meals later in the week, or freeze leftovers in individual containers for future use. If you must have snacks on hand like cookies, smaller portions help you avoid overindulging. Keep healthy foods in sight, like fruit on a bowl in the kitchen or cut-up vegetables in the refrigerator. You and your family are more likely to choose them over less healthy snack foods.

Tip Tip Save time by cooking large quantities of ground beef and chicken and then puttting in the freezer in smaller portions.

Plan ahead, take advantage of what you have and try to save time when cooking. Decide on the meals and snacks you want. Before you head for the grocery store, plan your meals and snacks for the week. Review recipes for what ingredients are needed. Check to see what foods you already have and make a list of what you need to buy. When planning the foods to add to your list, you should also take into account how perishable they are.



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Multiply Multiply Your Grocery Money!

Some foods should be eaten that same day; otherwise, freeze them. For example, you can make spaghetti and pastas, divide them in three parts and freeze two of them. Since this dish will have been previously cooked, it will not take as much time to prepare. As you cook them, you can combine them with other foods, such as chicken, beef chunks, and fresh vegetables, and by simply adding a sauce, you'll have a hearty dish that can be accompanied by mashed potatoes and fresh salad, which will make the dish bigger and healthier at every occasion, plus providing variety with the same dish.

In 2012 alone, more than 36 million tons of food waste were generated, and only three percent of that waste was diverted from landfills for composting, according to the EPA.The fact is that some of that food waste could become useful compost, but what about if instead we tried to save money by multiplying or “cloning” our vegetables instead composting? Even though it can sound too good to be true, re-growing your groceries is possible.

Eat a snack or a meal and a glass of water before you shop. With a full stomach you are less tempted to buy ready-to-eat foods, candies, chips, or fast food, or drinks to satisfy your hunger or thirst.

If you take a minute and look at what are you throwing away, you may find some vegetables that can be re-grown from scraps. Yes - it means that you can grow your own vegetables without starting

Small changes in your shopping habits can mean saving money at the grocery store. Look for specials and seasonal foods. Only use coupons for foods you need; sometimes coupons tempt you to buy things you don't need. Reevaluate everything. Do I need this? Buy ONLY what’s on the list. • Buy smart, and be realistic. Shop healthy. Include some healthy snack foods and special treats on your shopping list. Remember to include some healthy convenience foods, such as cut-up, bagged, fresh vegetables or lower-calorie or lowersodium frozen foods. Dried beans and peas are a good source of protein and fiber. They last a long time without spoiling. Be aware of downsizing. Keep track of the price as well as the quantity or weight you are buying. A trend in recent years is for manufacturers to keep the same sized packaging and same product price, but reduce the quantity of product inside the package. This trend has been most commonly seen in baby food, and coffee, as well as paper and cleaning products.

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and onions. Place the root end in a dish of water. Make sure that the roots are in the water, but do not submerge the rest of the plant. Place it in a sunny window and spray with water 1-2 times a week to keep the top of the plant moist. After a few days, you should start to see roots and new leaves appear. After a week or so, transplant it into soil with just the leaves showing above the level of the soil. The plant will continue to grow, and within a few weeks it will sprout a whole new head. You can also plant your cutting directly into soil (without starting the process in water) but you will need to keep the soil very moist for the first week until the new shoots start to appear.

Multiply your Grocery Money Continued from page 7 from seeds! So you won’t need to buy them again - and you will also have some aromatic houseplants. There are three main ways you can grow plants from scraps: depending on the plant, you can start growing it in water, pebbles or soil, and most plants will eventually need to be transferred to soil. But since the beautiful San Diego climate is on our side, you can grow plants both indoors and outdoors.

Onions, Leeks, Scallions, and Fennel can be easily re-grown. For any of the four simply place the root end in a jar of water; it will begin to re-grow within just a few days. Just make sure to replace the water with fresh as needed. For basil, cilantro and garlic, when they start to sprout they’ll grow stronger roots if they are placed in a glass of water as well. Once the roots are long enough, just plant them in a pot. In a few weeks, new sprigs will start, and in a few months you'll have a full plant ready to enjoy in salads, pasta and as a garnish.

Vegetables and herbs that you buy once and enjoy can re-grow and reproduce forever! Never buy another head of lettuce again. Don't throw out the end of romaine! Use it to re-grow a head of lettuce. Like growing lettuce, growing green onions, celery, Bok Choy, cabbage, basil, parsley, pineapple, and avocados, all can be re-grown by using a dish with lilt water to encourage roots and reproduce!

This is the best time of year to eat and then reproduce the vegetables you enjoy the most. Your success re-growing lovely, fresh veggies from scrap may vary; some veggies just propagate more easily than others. So, go ahead and experiment – it’s lots of fun!

Cut the leaves or stalks off to about an inch above the roots on lettuce, celery, Bok Choy, cabbage



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If you are:

Pregnant, breastfeeding, or have children under 5 years old You can get: • Breastfeeding support • Nutrition and health education • Referrals to health care • Special vouchers for healthy foods Low wage, working families (and migrants) are welcome to apply

1-888-WIC-SYHC ( 1-888-942-7942)

This institution is an equal opportunity provider.ISSUE # 47 • VOL. 12• 2014





HEALTHY The benefits of healthy eating for children go beyond development and healthy growth. Healthy eating can stabilize children’s energy, sharpen their minds, and even out their moods. By encouraging healthy eating habits you can make a huge impact on your children’s lifelong relationship with food and give them the best opportunity to grow into healthy, confident and successful adults.


dairy, and protein.

Fresh, canned, dried and frozen fruits each supply a wealth of vitamins and minerals, most notably vitamin C and potassium. Vitamin C is an antioxidant that helps control infections and aids your body in producing collagen, a substance necessary for healthy bones, teeth and blood vessels. This vitamin also helps neutralize free radicals, which can decrease your risk of certain illnesses and diseases. Potassium is a mineral essential for the health of your heart and muscles. It also helps your body maintain a healthy Make Fruit & Vegetables easily accessible. Have a bowl of fruit on your counter and have freshly-cut fruit & veggies in the fridge ready to go.

Research shows that introducing fruits, vegetables, whole grains, and other healthy foods in the early years increases the chance that children will like trying out new healthy foods. Talk to your doctor or a registered dietitian about the nutrient-rich foods your baby needs and when to introduce them. When children are offered a balanced diet over time, they will develop good eating habits. To help with the selection of healthier food choices, the U.S. Department of Agriculture (USDA) has designed an easy-to follow symbol: My Plate. MyPlate focuses on eating a variety of foods from the five food groups. Each food group by itself provides some, but not all, of the nutrients and energy children need. This is why variety is the key to planning meals using MyPlate. The foods we offer children each day should include choices from all five food groups: grains, vegetables, fruits, Salud+HEALTHinfo.com


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Variety is the spice of life. Add different colors to their plates. This encourages them to eat a variety of vitamins too!



Protein Foods

fluid balance.

disease and cancer.

All vegetables supply nutrients, and the more colorful they are, the higher the concentration of key vitamins and minerals, such as vitamin A and folate. Vitamin A is crucial for the health of your eyes, but it also encourages your body to produce healthy white blood cells. Additionally, it helps your body maintain bone mass, and aids in the health of your skin. Many vegetables, most notably leafy greens, also provide folate, a B vitamin that helps reduce the risk of certain birth defects, such as


Meat, beans, nuts, seeds and tofu each supply a healthy dose of protein. Your body relies on protein for each of the functions it carries out and to produce energy from the foods you eat. Protein foods are also a healthy source of iron, a mineral that is crucial for the formation of healthy red blood cells and for the movement of oxygen through your body. Zinc is another mineral present in many protein foods. This mineral supports a healthy immune system and aids in wound healing and cell division.


spina bifida. The most notable benefit of eating plenty of grains is the amount of fiber you get. Whole grains supply several grams of fiber per serving, and choosing them over refined grains is a smart choice. A diet that includes plenty of fiber can reduce your risk of constipation, heart disease and diabetes. Enriched grains, such as bread, pasta and breakfast cereal, also contain a healthy dose of B vitamins. B vitamins, such as riboflavin, thiamin and niacin, aid in energy production and might also reduce your risk of certain health problems, such as heart Make healthy food look FUN – turn something that can be a little boring into something the kids are excited to eat! You can use cookie cutters to make shapes too. Fill their plates with FUN food!

Dairy foods are usually associated with calcium, a mineral essential for strong teeth and bones. Dairy foods, such as milk, cheese and yogurt, are also healthy sources of phosphorus, and milk supplies a good amount of vitamin D. Phosphorus works with calcium to support healthy bones and teeth and also helps you maintain a regular heartbeat and contract your muscles properly. Vitamin D helps your body absorb calcium. It also supports a healthy immune system and might reduce your risk of certain illnesses, such as heart disease and cancer.

For more information about the Five groups and eating plans and serving sizes, visit: ChooseMyPlate.gov. Salud+HEALTHinfo.com


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Tips for Cleaning Fruits, Vegetables

If you think foodborne illness is only caused by animal products, think again. Last year, the U.S. experienced several large outbreaks of illness caused by fruits and vegetables. Do you know how to make sure the produce you serve is safe? Federal health officials estimate that nearly 48 million people are sickened by food contaminated with harmful germs each year, and some of the causes might surprise you.

Wash your hands for 20 seconds with warm water and soap before and after preparing fresh produce. Cut away any damaged or bruised areas before preparing or eating.

Although most people know animal products must be handled carefully to prevent illness, many don’t realize that produce can also be the culprit in outbreaks of foodborne illness. In recent years, the United States has had several large outbreaks of illness caused by contaminated fruits and vegetables—including spinach, tomatoes, and lettuce. Glenda Lewis, an expert on foodborne illness with the Food and Drug Administration, says fresh produce can become contaminated in many ways. During the growing phase, fruits and veggies may be contaminated by animals, harmful substances in the soil or water, and poor hygiene among workers. After produce is harvested, it passes through many hands, increasing the contamination risk. Contamination can even occur after the produce has been purchased, during food preparation, or through inadequate storage. Salud+HEALTHinfo.com

FDA says to choose produce that isn’t bruised or damaged, and make sure that pre-cut items—such as bags of lettuce or watermelon slices—are either refrigerated or on ice both in the store and at home. In addition, follow these recommendations:

Gently rub produce while holding under plain running water. There’s no need to use soap or a produce wash. Wash produce BEFORE you peel it, so dirt and bacteria aren’t transferred from the knife onto the fruit or vegetable. Use a clean vegetable brush to scrub firm produce, such as melons and cucumbers. Dry produce with a clean cloth or paper towel to further reduce bacteria that may be present. Throw away the outermost leaves of a head of lettuce or cabbage. Store perishable produce in the refrigerator at 40 degrees or below.


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Avoid Foodborne Illness


Food safety tips to prevent foodborne illness at both homes and businesses by The County of San Diego Department of Environmental Health : • Keep refrigerator and freezer doors closed. Keep potentially hazardous foods, such as meat or poultry, chilled to 41°F or less. • Do not place hot or unrefrigerated foods in the refrigerator once the power has gone out. It will raise the temperature inside the unit. Chill food with ice baths as needed. Any foods that were prepared prior to the power outage that were not rapidly cooled should be discarded. •If the freezer is not full, group packages together so they will retain the cold more effectively. Without power, a full freezer will keep everything frozen for about 2 days. A half-full freezer will keep food frozen 1 day. • If you have advance warning of a power outage and if the outage is anticipated to last more than 4 hours move foods that must be refrigerated to the freezer as space will allow. If necessary, use block ice or bagged ice for supplemental cooling. •Keep meat and poultry items separated from other foods so if they begin to thaw, their juices will not drip onto other foods. • Discard any thawed food that has risen to room temperature and remained there for four (4) hours or more. Salud+HEALTHinfo.com


• Kitchen ventilation units will shut off during power outages. Be advised that there have been reports of smoke, heat and grease emissions setting off alarm and fire suppression systems. • When in doubt, throw it out! • When the power comes back on, all potentially hazardous foods must be evaluated for proper temperatures. Bacteria can multiply rapidly on potentially hazardous foods that have been at room temperature for more than 4 hours. Thawed foods that are at 41°F or below should be used as soon as possible. Do not refreeze thawed foods. For more information on food handling, visit the U.S. Department of Agriculture Meat and Poultry www.usda.gov If the power outage lasts more than two hours, permitted food facilities should contact the Food and Housing Division at (858) 505-6900 or fhdutyeh@sdcounty.ca.gov


Lead poisoning is a serious menace. The disease can permanently and irreversibly damage the developing brains and other organs of young children. Serious effects can include lowered intelligence, behavior disorder, and slowed physical development. Once poisoned, a young child’s chances for academic, social and occupational success are significantly diminished. Lead poisoning is a silent threat to your children that could be lurking in many places around your home or property. It is a preventable condition caused by breathing in lead dust or eating something that has been contaminated with lead. "Lead poisoning is still a risk as long as there are people living in older homes that may have leadbased paint,” said Lillan Jalali, community health promotion specialist, from the San Diego County Health and Human Services Agency Childhood Lead

Main Sources of Lead • Lead-based paint is a hazard if it is peeling, chipping, chalking, or cracking. Even lead-based paint that appears to be undisturbed can be a problem if it is on surfaces that CONTINUED TO THE NEXT PAGE

ISSUE # 47 • VOL. 12• 2014

children chew or that get a lot of wear and tear. The older your home is, the more likely it is to contain leadbased paint.Besides lead-based paint, other potential sources include: • Contaminated dust forms when lead paint is dryscraped or sanded. Dust can also become contaminated when painted surfaces bump or rub together. Lead chips and dust can gather on surfaces and objects that people touch or that children put into their mouths. • Contaminated soil occurs when exterior lead-based paint from houses, buildings, or other structures flakes or peels and gets into the soil. Soil near roadways may also be contaminated from past use of leaded gasoline in cars. Avoid these areas when planting vegetable gardens. • Other Sources of Lead: Contaminated drinking water from older plumbing fixtures, Lead-based painted toys and household furniture, Imported leadglazed pottery and leaded crystal, Lead smelters, Hobbies, Folk remedies like azarcon and pay-loo-ah, and cosmetics like kohl and kajal.


Lead poisoning is preventable If you think your home has high levels of lead: • Get your children tested for lead, even if they seem healthy. • Do not use imported pottery to store or serve food. • Let tap water run for one minute before using. • Use only cold water for making your baby’s formula, drinking, and cooking. • Always wash your hands before eating. • Make sure your children eat healthy, low-fat foods high in iron, calcium, and vitamin C. • Wash children’s hands, bottles, pacifiers, and toys. • Regularly clean floors, windowsills, and other surfaces using wet methods that control dust. • Wipe or remove shoes before entering your house. • If you rent, it is your landlord’s job to keep paint in good shape. Report peeling or chipping paint to your landlord and call your health department if the paint is not repaired safely.

Protect Your Family From Lead In Your Home

Lead from paint chips, which you can see, and lead dust, which you can’t always see, can both be serious hazards.

Removing lead improperly can increase the hazard to your family by spreading even more lead dust around the house.

• Don’t try to remove paint yourself! • Get your home tested for lead if it was built before 1978. Poisoning Prevention Program (CLPPP) Lead poisoning often occurs with no visible or obvious symptoms and frequently goes unrecognized. Even low levels of exposure can cause learning and behavioral problems.The only way to find out if your child has lead poisoning is to get a blood test.Children with health insurance should be tested for lead poisoning by their health care provider any time it is possible the child might have been exposed to lead. The CLPPP recommends that children with publicly-funded insurance be tested when they are 1 and 2 years old and any time up to the age of 6 if they have never been screened before. Medi-Cal and low-income children can get free medical checkups, including a blood lead test. For information call the Child Health and Disability Prevention Program at 1-800-675-2229 or 1- 800-424-5323.


Just knowing that a home has lead-based paint may not tell you if there is a hazard.

The National Lead Information Center 1- 800-424-LEAD

The Department of Housing and Community Development COUNTY OF SAN DIEGO

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The Facts about kids and Medication Safety BY SAFE KIDS WORLDWIDE

Children are curious by nature, and it makes sense that they would be even more curious when it comes to medication. Many medications look and taste like candy. While it’s important to encourage our kids to explore and discover new things, when it comes to medication, we want to be careful to keep them safe. Here are a few tips to show you how.

Store Medicines Safely Keep all medicines in their original packages and containers.

Put all medicines up and away and out of sight including your own. Make sure that all medicines and vitamins are stored out of reach and out of sight of children. In 3 out of 4 emergency room visits for medicine poisoning, the child got into medicine belonging to a parent or grandparent.

Consider places where kids get into medicine. Kids get into medication in all sorts of places, like in purses and nightstands. In 67% of emergency room visits for medicine poisoning, the medicine was left within reach of a child, such as in a purse, on a counter or dresser, or on the ground. Place purses and bags in high locations, and avoid leaving medicines on a nightstand or dresser. It is estimated that in 38 percent of ER visits involving a medicine poisoning, the medicine belonged to a grandparent. Talk to grandparents about being extra mindful with medicine or pillboxes when children are around. Consider products you might not think about as medicines. Most parents store medicine up and away or at least the products they consider to be medicine. They may not think about products such as diaper rash remedies, vitamins or eye drops as medicine, but they actually are and need to be stored safely. Put the toll-free number for the Poison Control Center (1-800-222-1222) into your home and cell phones. You can also put the number on your refrigerator or another place in your home where babysitters and caregivers can see it.

If your child has collapsed, is not breathing, or has a seizure, call 911. Salud+HEALTHinfo.com


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Some spider bites, like those of the black widow or brown recluse, are also serious and can be lifethreatening. Most spider bites, however, are harmless. If bitten by an insect or spider, bring it for identification if this can be done quickly and safely.




By the National Institutes of Health

For emergencies (severe reactions):

Insect bites and stings can cause an immediate skin reaction. The bite from fire ants and the stings from bees, wasps, and hornets are usually painful. Bites caused by mosquitoes, fleas, and mites are more likely to cause itching than pain.

Check the person's airways and breathing. If necessary, call 911 and begin rescue breathing and CPR.

In most cases, bites and stings can be easily treated at home. However, some people have a severe allergic reaction to insect bites and stings. This is a life-threatening allergic reaction known as anaphylaxis, and it requires urgent emergency care. Severe reactions can affect the whole body and may occur very quickly, often within minutes. These severe reactions can be rapidly fatal if untreated. Call 911 if you are with someone who has chest pain, face or mouth swelling, difficulty swallowing, trouble breathing, or goes into shock. SYMPTOMS The non-emergency symptoms vary according to the type of insect and the individual. Most people have localized pain, redness, swelling, or itching. You may also feel burning, numbness, or tingling.

Reassure the person. Try to keep him or her calm. Remove rings and constricting items

because the affected area may swell. Use the person's EpiPen or other emergency kit, if they have one. (Some people who have serious insect reactions carry it with them.) If appropriate, treat the person for signs of shock. Remain with the person until medical help arrives.

When to Contact a Medical Professional. Call 911 if the person is having a severe reaction: • Trouble breathing, wheezing, shortness of breath • Swelling anywhere on the face or in the mouth


• Throat tightness or difficulty swallowing

Remove the stinger if still present by scraping the back of a credit card or other straight-edged object across the stinger. Do not use tweezers -- these may squeeze the venom sac and increase the amount of venom released.

• Feeling weak

• Wash the site thoroughly with soap and water. • Place ice (wrapped in a washcloth) on the site of the sting for 10 minutes and then off for 10 minutes. Repeat this process. • If necessary, take an antihistamine, or apply creams that reduce itching. Over the next several days, watch for signs of infection (such as increasing redness, swelling, or pain). • DO NOT apply a tourniquet. • Do NOT give the person stimulants, aspirin, or other pain medication unless prescribed by the doctor. Salud+HEALTHinfo.com


• Turning blue

PREVENTION Use appropriate insect repellants and protective clothing, and also avoid perfumes and floralpatterned or dark clothing Use caution when eating outdoors, especially with sweetened beverages or in areas around garbage cans, which often attract bees. For those who have a serious allergy to insect bites or stings, carry an emergency epinephrine kit (which requires a prescription). Friends and family should be taught how to use it if you have a reaction. Wear a medical ID bracelet. ISSUE # 47 • VOL. 12 • 2014

Get the Facts and Join the Fight! Mosquitoes are one of the deadliest creatures on earth, spreading diseases like West Nile virus, malaria, dengue, encephalitis, and others.

The Mosquito Life Cycle -A mosquito has four stages of life: 1. Egg: Once laid in water, eggs will hatch in 2 to 3 days. 2. Larva: A mosquito larva looks like a tiny wiggling worm in the water. 3. Pupa: A larva becomes a pupa and the adult mosquito develops inside. 4. Adult: Total development time from egg to adult can be less than 1 week during periods of warm weather. The average mosquito will live for about 2 weeks.

There is no human vaccine to prevent West Nile virus and no specific treatment for the virus. The best defense against West Nile Virus is to avoid mosquito bites. You can reduce contact with mosquitoes by taking the following actions: • If outdoors when mosquitoes are active, dress in light-colored, long-sleeved clothing, long pants and socks during dawn and dusk hours when outdoors during prime mosquito hours. Apply mosquito repellent with DEET to clothing and exposed skin in accordance with label directions. • Make sure doors and windows have tight-fitting screens. Repair or replace screens that have tears or holes.

Vector Control Program

• Report dead birds on your property to the Vector Control Program. Dead birds (crows, blue jays and raptors) can be the first indicators of the presence of West Nile Virus in the area. • Call Vector Control to get free mosquito fish for green pools, ponds and fountains (858) 694-2888

The Best Defense is to Avoid Mosquito Bites.

County of San Diego Salud+HEALTHinfo.com

• Discard any outdoor container that might hold water, or empty water from wading pools and bird baths once a week.

• Neglected swimming pools can be ideal sources for larval development of the mosquito species that transmits WNV and therefore a public health hazard. Residents should report neglected pools. Technicians would be dispatched to inspect and treat the pool, as necessary, to eliminate the risk. Worldwide, nearly 4 million people die each year from various mosquito-borne diseases. Being outside means you’re at risk. The more time you’re outdoors, the more time you could be bitten by an infected mosquito. By monitoring and reducing mosquito populations, the County of San Diego Vector Control Program protects public health and promotes an environment where residents can enjoy parks, open spaces and other outdoor activities.

(858) 694-2888 | SDFightTheBite.com ISSUE # 47 • VOL. 12• 2014


ISSUE # 47 • VOL. 12 • 2014

San Diego residents, two full years before the virus was even confirmed to be in San Diego County.

Bill's Fight for His Life

Today he hopes by sharing his story he will help others avoid getting sick.

Bill does not remember being bitten by a mosquito. He does remember “waking up on Monday morning with a rash” from his neck to his feet. He immediately went to see his doctor who sent him to the lab for some blood work to try to determine the cause of the rash.

The West Nile virus, WNV is a potentially life-threatening disease carried by birds. Mosquitoes transmit the virus from infected birds to people and horses. The virus often goes undiagnosed as many people who contract the virus show no symptoms. Others get mild symptoms ranging from headaches to muscle stiffness, rash, fever and nausea. These symptoms are often mistaken for the flu.

By this point, the virus was attacking Bill’s brain. He has “no memory of going to the lab or driving back to work.” By Wednesday, Bill was shivering so much that his jaw hurt. He also began to hallucinate. His next stop was the hospital emergency room where he spent the next 13 hours getting tested for meningitis among other things.

In severe cases, the illness can cause encephalitis (inflammation of the brain) and meningitis (swelling of the tissue surrounding the brain and spinal column).

As there is no treatment for viral meningitis, his doctors needed to find out if his Symptoms include meningitis was bacterial or numbness, paralysis, viral. It took almost two tremors, severe weeks to get the diagnosis. headaches, hallucinations “By being aware of the illness, its It was West Nile virus. and loss of vision. symptoms and preventive measures, By then Bill had lost almost we can all ensure a healthier San Diego.” 30 pounds. He has very Encephalitis and meningilittle memory of his long tis can also affect memory hospital stay. On a follow and other cognitive functions. These neurological up visit to his doctor, Bill found out that his effects can be permanent. Nearly 1,200 deaths doctors didn’t know if he “was going to make have been reported nationwide since 1999, when it.” the disease was first discovered in the U.S. Before he got West Nile virus, Bill Polick knew a lot about West Nile virus (WNV. He was For more information call or visit: present at the County’s 2001 news conference that exposed the threat WNV poses to (858) 694-2888 | SDFightTheBite.com Salud+HEALTHinfo.com


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San Diego Now Has a New Place to Play, Exercise, and Relax! Fireworks boomed, scissors snipped a 1,600 foot-long ribbon and fountains of water soared toward the sky all at the opening of the County’s new Waterfront Park downtown. Crowds of people looked on as the park formally opened to the public, and then stayed on to enjoy a wide range of festivities throughout the 12-acre site. Designed with conservation in mind, two of the park’s three gardens feature droughttolerant plants. Drip irrigation rings the trees, and planting beds reduce water usage. Instead of concrete, decomposed granite was used for walking paths, minimizing storm water runoff. A concession building was built to Leadership in Energy and Environmental Design, or LEED, Silver standards.

A spectacular 830-foot-long fountain runs nearly the length of the park and its jets shoot water 14 feet into the air. The fountain’s basins create a one-inch-deep splash area for children. The fountain is the most eye-catching feature of the park. It uses 80,000 gallons of water that is stored in an underground reservoir and reused over and over again. The water is treated constantly so it remains safe to the public.

The County’s newest park features an expansive civic green along the entire western side of the park with room for 3,900 people on the north lawn and 2,900 on the south lawn, grand promenades and an elevated terrace that wraps around the west side of the building.

The park is open daily from 6 a.m. to 10 p.m. and people interested in reserving a spot for weddings, company events and birthday parties can call County Parks and Recreation at (619) 232-PARK (7275) or stop by the new Parks office on the southwest side of the building. For more information about County parks, visit: sdparks.org.

"We are reclaiming our waterfront and that is what today is all about," said Mayor Kevin Faulconer. "It was a parking space, now it is a people space."


“This park is the new showpiece of the North Embarcadero,” said Supervisor Greg Cox. “The County’s dream for a park encircling our County Administration Center has finally come true, and it will become a destination in itself for residents and visitors alike.”


“The San Diego waterfront belongs to the public,” said Supervisor Ron Roberts. “I am immensely proud, and grateful, to have been part of a Board of Supervisors that showed how a dream can become a lasting gift for future generations.”

ISSUE # 47 • VOL. 12 • 2014


YOU! Disaster Can Occur Suddenly and Without Warning

PLAN! PREPARE! AND STAY INFORMED! Living in a coastal state, we are faced with certain risks for natural disasters and other emergencies for which we must always be prepared. Many different types of disasters can force people to evacuate their homes, and proper and timely evacuation can be the difference between life and death. While it may be difficult to leave your home, your support network, and your friends, it could be even worse to ignore the warnings of emergency. After the firestorm on May, the County of San Diego is urging residents to be prepared and to take steps to protect you and your family.

PLAN! Families can better cope with disasters and recover faster by preparing in advance and working together as a team.. Planning what to do before a disaster strikes provides the best protection for you and your family. Your plan should also include what to do when other disaster than earthquake may occur such as Tsumani, Wild fire and even a home fire.It is important to create a communication plan to help you and your loved ones connect and get help. A disaster could happen while parents are at work and children are at school. Complete a family disaster plan and review it every year to establish things such as a reunion location if you are separated from your family and identifying the location of utilities around your home. To complete a family disaster plan, visit, ReadySanDiego.org and click the Family tab. Templates are available in English, Spanish, Tagalog, Vietnamese, Chinese and Japanese.


PREPARE! Families should prepare an emergency supplies kit. Gather items for a home, work and car emergency kit to last three days at minimum. The items should be stored in a ready-to-grab waterproof bag or container, such as a plastic tub. Pre-packaged emergency kits are available at some big box stores or at the American Red Cross, but residents can also put their own kits together by buying items or gathering items from home. Check your emergency supplies throughout the year to replace first aid supplies, batteries, food, and water as needed. Personalize your kits for your family by considering the dietary needs of infants, pets and other family members. If anyone in your family requires medication, keep an extra week’s supply in your kits. Keep a copy of important documents such as insurance policies, identification, and bank records in case you have to evacuate quickly. You can scan and store them online or on a thumb drive. Do the same with family photographs.

STAY INFORMED! One important step is to download the County’s free SD Emergency app, available from both the Apple Store and Google Play. The app has preparedness information, and provides critical updates during a disaster, such as shelters, health warnings and other information. Residents can also sign up to get free emergency alerts by cell phone during a disaster. Register your phone for AlertSanDiego. You can register up to five phone numbers per address. During an emergency, the County of San Diego emergency website will be updated with news including road closures and shelters. If the power is out, you can use your batterypowered radio to get updates from KOGO 600 AM or XTRA Sports 1360 AM. Residents can call 2-1-1 for emergency updates or services. The County of San Diego also will also send out information on Twitter via the San Diego County, Ready San Diego and San Diego Listo accounts.’

Please visit: ReadySanDiego.org for more information ISSUE # 47 • VOL. 12• 2014


Soccer Scores a Goal for Your Health! Each soccer player scores a goal in favor of their bones’ health and their physical , mental and social development. Soccer isn't the most popular sport in the world for nothing. Millions of children across the world reap the benefits of this demanding, yet fun, game. There are many benefits of playing soccer for children, with one of the main ones being to increase their level of fitness and to teach them the importance of regular exercise. Soccer is an aerobic sport, and getting children involved in playing a game that involves as much cardiovascular exercise as soccer does will help them to maintain a healthy heart and lungs as they grow and develop. Regular playing will also build muscle strength, particularly in the legs, and improve their energy levels over time.

Soccer is known as a “high impact” sport that involves the players’ constant attention, coordination, agility, education and entertainment. In addition, during each match, a soccer player is in continuous movement, including the goal keeper, who has the most responsibility and pressure during the match: the defense of the goal line. Even though the goal keeper might not run or move as much as the other players, he is required to keep his attention on all the moves and show agility in stopping all the goal attempts. No matter the result of the games, with all of the skills that children learn through playing soccer and take forward with them later in life, any soccer-playing youngster will be a winner.

Soccer is a sport that, when played during the younger years, helps in muscle development and strengthens the bone system in general by increasing bone mineral density (BMD). What many people may not think about when considering enrolling their child into a sport are the benefits of soccer for children beyond just the physical fitness aspect of the game. As a team sport, it is a great hobby to help youngsters build social skills. Because soccer players are required to work as part of a team, communication skills are essential. Young players will learn the importance and value of working as part of a team; transferable skills that they will continue to use and build upon throughout their lives.By putting all of the skills that they have learned into practice, youth teams will work together and play together to be the best that they can be. Soccer is a sport that can begin as healthy recreation, but has the potential of becoming something professional, and along the way, winning each match is a goal to reach. Salud+HEALTHinfo.com


ISSUE # 47 • VOL. 12 • 2014

Avoid the most common soccer injuries with

Safety Measures

Provided by: The American Academy of Orthopedists

• First, be prepared for accidents by having present someone who knows first aid for minor injuries, such as face cuts, bumps or minor sprains. However, it is also important to have someone at hand for major emergencies, such as concussions, dislocations or elbow, leg, knee, finger or toe fractures. • Clinical studies have proven that muscles are more easily hurt when cold, which is why, before engaging in any sport, 3 to 5 minutes should be devoted to warm up and stretch muscles. You may walk, jump rope, bike or finish with 30 seconds of stretching. • The field should be in good conditions, be flat, not wet, not have any holes or trash, and the ball should not absorb water, since this makes them heavier and an injury risk. • The players should wear synthetic clothing, special soccer shoes and shin guards at each match or training session.

Soccer Heat Safety Tips By The U.S. Soccer Federation Even slight dehydration can compromise performance and increase the risk for heat- related illness. Thirst isn’t an accurate indicator of fluid needs. All athletes should be encouraged to drink on a schedule or at regular intervals before they become thirsty. Fluids to Avoid During Practice or Games are: Fruit juices, carbonated beverages, caffeinated beverages, and energy drinks.

AFTER ACTIVITY -Regardless of thirst, drink every 20 minutes for one hour after activity. Drinks high in sugar content can slow fluid absorption and cause upset stomach. Carbonation can reduce voluntary drinking due to stomach fullness. Caffeinated beverages have a mild diuretic effect and could promote dehydration. Drinks high in carbohydrates such as energy drinks slow fluid absorption. BE PREPARED DURING HOT WEATHER Children should wear light-colored, loosefitting clothing. Take breaks in the shade whenever possible. Always have a phone available and be familiar with emergency numbers. Keep ice and ice towels on hand in case of heat-related emergencies.

Learn the warning signs of dehydration and heat illness. If someone becomes fatigued, dizzy, nauseous or has a headache during exercise in the heat, have them stop, rest and drink fluids. Seek medical attention if symptoms persist.

Those who attend the matches are recommended to not sit close to the goal area because there have been cases of mortal hits caused by balls that do not make it into the net. Deaths among the players or attendees have also occurred when the audience loses control, getting into fights and throwing objects. Salud+HEALTHinfo.com


ISSUE # 47 • VOL. 12• 2014


It’s hot...

CAN KILL! It’s humid...

Avoid Heat-related Illness! • DRINK PLENTY OF WATER.

Do you know the signs of

• Watch for symptoms of HEAT EXHAUSTION and HEAT STROKE.


• Be prepared to act by learning correct first aid procedures ahead of time.


Heat Exhaustion Symptoms Headaches Dizziness or lightheadedness Weakness Mood changes, irritability, confusion or the inability to think clearly Nausea and vomiting Fainting Pale, clammy skin ACT IMMEDIATELY! If not treated, heat exhaustion can advance to heat stroke Move victim to a cool, shaded area. Don't leave the person alone. If symptoms include dizziness or lightheadedness, lay the victim on his or her back and raise legs 6 to 8 inches. If the symptoms include nausea or vomiting, lay the victim on his or her side. Loosen and remove any heavy clothing. Give the person cool water to drink – about a cup every 15 minutes–unless he or she is nauseated or vomiting.



ISSUE # 47 • VOL. 12 • 2014

Fan the victim and spray with a cool mist of water or apply a wet cloth to the skin. Call 911 for emergency help if the person does not feel better in a few minutes.

Heat Stroke Symptoms A MEDICAL EMERGENCY Dry, pale skin with no sweating Hot, red skin sunburned



Mood changes, irritability, confusion or the inability to think clearly Inability to revive from an unconscious state CALL 911 for emergency help IMMEDIATELY! Move victim to a cool, shaded area. Don't leave the person alone. If symptoms include dizziness or lightheadedness, lay the victim on his or her back and raise legs 6 to 8 inches. If the symptoms include nausea or vomiting, lay the victim on his or her side. Loosen and remove any heavy clothing. Give the person cool water to drink – about a cup every 15 nauseated or vomiting. Fan the victim and spray with a cool mist of water or wipe the victim with a wet cloth or cover with a wet sheet. Place ice packs under the armpits and groin area. Salud+HEALTHinfo.com

COOL ZONE TIPS To Beat the Heat Slow down. Be your most physically active during the coolest part of the day, usually between 4-7 a.m. Pace yourself when engaging in physical activity. Stay indoors as much as possible. If air conditioning is not being used, stay on the lowest floor. Keep shades down and blinds closed, but windows slightly open.

Air out hot cars before getting into them. Never leave children or pets inside vehicles at any time, even with the windows cracked. Temperatures inside a vehicle can reach lethal levels no matter what the weather is like. Drink more fluids than usual even if you do not feel thirsty. Water is the safest liquid to drink during heat emergencies. Avoid drinks with alcohol or caffeine; they make the heat's effects on your body worse. Eat small meals and eat more often. Avoid foods that are high in protein, which increases metabolic heat.

Electric fans do not cool the air, but they do help sweat evaporate, which cools your body.

Avoid using salt tablets unless directed to do so by a physician.

Take a cool shower, bath or sponge bath.

If it is safe to do so, leave windows open at night. Open windows on two sides to create cross ventilation.

Avoid using the oven.

If you take diuretics, ask your physician about a lower dosage during hot weather.

Place a piece of cardboard covered with Wear lightweight, aluminum foil in sunny windows to reflect loose-fitting, lightsunlight and heat away from the house. colored clothing. Light colors will reflect away Call your physician if you feel you may be some of the sun's experiencing a heat-related illness. heat. Aging and Independence Services designates Cool Zone sites air-conditioned settings where seniors and others can gather during the heat of the day, lowering individual usage and helping to conserve energy for the whole community. For more information call 1-800-510-2020


ISSUE # 47 • VOL. 12• 2014

When Should You Go to the

EMERGENCY DEPARTMENT? By The American College of Emergency Physicians (ACEP) More than 300,000 Americans on average are treated in our nation's emergency departments every day, according to the latest government statistics, and patients are treated for a wide variety of medical conditions. The American College of Emergency Physicians (ACEP) offers a list of warning signs that indicate a medical emergency. If you think the medical condition is life-threatening or the person's condition will worsen on the way to the hospital, then you need to call 9-1-1 and have your local Emergency Medical Services provider come to you.

Warning Signs that Indicate a Medical Emergency.

Emergency departments see patients based on the severity of their illnesses or injuries, not on a first-come, first serve basis. With that in mind, ACEP offers the following tips to patients when they come to an emergency department in order to get the best possible care as quickly as possible:

Difficulty breathing, shortness of breath Chest or upper abdominal pain or pressure

Bring a list of your immunizations, medications and allergies with the name of each medication, how often you take it, and for how long. A list of allergies is important, especially if there are many of them. Be sure to include medications, foods, insects or any other product that may cause an allergic reaction.

Fainting, sudden dizziness, weakness

Communication is important. Please remain calm. A calm attitude can help increase communication with the doctors and nurses who are caring for you. The more they know about your situation,the more quickly proper treatment can begin.


Suicidal feelings

Confusion or changes in mental status

Difficulty speaking

Uncontrolled bleeding


Coughing or vomiting blood

Changes in vision

Any sudden or severe pain

There can be long waits in the emergency department as doctors and nurses tend to those with the most severe conditions, but by all means tell us if you are in pain or there is any change in your condition while you're at the hospital.

Severe or persistent vomiting or diarrhea

Shortness of breath Unusual abdominal pain ISSUE # 47 • VOL. 12 • 2014

Diabetes Diabetes affects how the body uses the food needed for energy. People with diabetes have high blood sugar levels because their pancreas either produces little or no insulin, or the cells do not

Many Americans have prediabetes without knowing it. How do people know if they have diabetes? People with diabetes frequently experience certain symptoms, but in some cases, there are no symptoms. In this case, people can live for months, even years without knowing they have the disease. People with diabetes should see a health care provider who will help them with their prediabetes or diabetes, and give them referrals to develop a care team.

respond appropriately to the insulin that is produced. Without enough insulin, the glucose stays in the blood. If the glucose cannot get into the cells, it builds up in the blood. Excess of glucose over time can cause health problems related to diabetes such as damage to the eyes, teeth, gums, kidneys, nervous system, and the emotional health. Almost one out of every ten adults in the United States has diabetes. In addition, an estimated 41 million people ages 40 to 74 have entered the danger zone known as pre-diabetes. Prediabetes and Type 2 diabetes are more common in people who are overweight, and occurs more often in African Americans, American Indians, some Asian Americans, and Hispanics/ Latinos. Diabetes prevalence in the United States is likely to increase as a large segment of these populations ages. The Centers for Disease Control and Prevention CDC is projecting that the prevalence of diagnosed diabetes in the United States will increase 165 percent by 2050. Salud+HEALTHinfo.com

How is diabetes managed? The good news is that with healthy eating, physical activity, and by checking their sugar levels, people with prediabetes can do a lot to prevent or delay diabetes, and people with type 1 and type 2 diabetes can also control their blood glucose levels and reduce their risk of developing complications. The county is coordinating interactive and goal-oriented workshops called “Healthier Living”. The workshops are held once a week for people with chronic health conditions such as diabetes, arthritis, depression, heart disease, COPD, or any chronic illness. There are classes strictly for people with diabetes. Topics include diet, exercise, medication management, cognitive symptom management, problem solving, relaxation, communication with healthcare providers, and dealing with difficult emotions. The Healthier Living workshops are available at sites throughout the county. For more information please call: Kyra Reinhold (858) 495-5710 or kyra.reinhold @sdcounty.ca.gov


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Healthier Living Do you have an ongoing health condition? Attend a Healthier Living Class!

It is FREE It is for YOU


During six classes you will: • Enjoy a small group of 10-15 led by peers trained in self-management • Discover ways to better manage your health challenges and lessen their impacts on your life • Explore ways to reduce fatigue, anxiety, sleep loss and pain • Find ways to communicate better with your doctors, friends and family • Set goals and problem solve to make positive changes • Experience a supportive environment for focusing on wellness

Healthier Living with Chronic Conditions classes starting on the following dates: - June 7 (Saturdays) from 11:30 a.m. to 2 p.m. at the Point Loma Library, 3701 Voltaire St., San Diego 92107. - June 16 (Mondays) from 1:30 to 4 p.m. at City Heights Square, 4065 43rd St., San Diego 92105. - June 25 (Wednesdays) from 9:30 a.m. to noon at Poway Villas, 13001 Bowron Rd., Poway 92064 - July 12 (Saturdays) from 1 to 3:30 p.m. at the Casa de Oro Library, 9805 Campo Rd., Spring Valley 91977. - July 15 (Tuesdays) from 10:15 a.m. to 12:45 p.m. at OASIS, 3rd floor of Macy’s, 1702 Camino del Rio North, San Diego 92108.

Sign Up! Contact: Kyra Reinhold (858) 495-5710 kyra.reinhold @sdcounty.ca.gov We are always adding classes to the schedule. Call us to find a location near you.

- Spanish - July 15 (Tuesdays) from 1 to 3:30 p.m. at the Public Authority, 780 Bay Blvd. #200, Chula Vista 91910. Salud+HEALTHinfo.com

ISSUE # 47 • VOL. 12 • 2014

Indicators of Adult Abuse, Neglect, or Exploitation Physical Signs

Psychological/Behavioral Signs

 Dehydration or malnutrition


 Scratches, punctures, burns, bruises

 Lack of communication and talking

 Broken bones

 Isolation or withdrawal

 Pain from touching


 Soiled clothing or bed


Signs of Financial Exploitation  Missing personal belongings  Suspicious signatures

 Frequent change of healthcare professionals

Signs of Caregiver Abuse  Forced isolation

 Frequent checks made ......out to “cash”

 Lack of affection or care for the adult

 Elder has no knowledge of ......monthly.income

 Communicates to others that adult.is a burden

 Numerous unpaid bills

 Prevents adult from speaking with others

 Discrepancies in tax returns

 Prevents visitation from family and friends

 Large bank withdrawal

 Inappropriate sexual.relationship orlanguage

 Unusual bank activity

 History of mental illness, criminal behavior, or family violence

 A changed will

 Conflicting stories or accounts of details

Abuse should not be kept in the dark! By making a report you can save a life! To report adult abuse, neglect, or exploitation, please call:

1-800-510-2020. This article is published for community education and awareness. Part of the information was provided by: The Center for Injury & Violence Prevention, Virgina Department of Health.



ISSUE # 47 • VOL. 12• 2014

Prosecutor Paul Greenwood is On a Mission to Stop Elder Abuse Seniors are living longer and more often in their own homes independently. This can make seniors vulnerable to scammers. More than fifteen years ago, the bosses at the San Diego County District Attorney’s Office told Paul Greenwood that he would begin prosecuting elder abuse cases.To date, Greenwood and his colleagues have prosecuted more than 350 felony cases. The San Diego office is among only a handful of official elder abuse units in the country, and Greenwood has made it one of the most aggressive and respected foes of the crime. In his free time, Greenwood travels the country educating the public on how to protect against abuse. He also teaches those on the frontlines how to better enforce laws and prosecute offenders. Creating a new division about a little-known crime was a tall order for the native Brit, but Greenwood knew something about career challenges. He spent the first 12 years of his legal career as a barrister in England, defending and prosecuting criminal cases. Then in 1991, with his wife homesick for her native San Diego, Greenwood moved to the

Financial abuse can happen to anyone, regardless of income level, education, living situation, race, ethnicity, religion or social status. How to spot elder abuse and what you can do about it: The number one perpetrator of physical elder abuse is the son living at home with his widowed mother. He is between 35 and 50. He is either a single son who has never left home, o a divorced son who complains that he cannot pay alimony so he comes back home, or he has just returned from prison. In every case, he is lazy and unemployed. Most of the time he’s addicted to drugs, alcohol or gambling, and steals from his mother in order to feed his addiction. The first thing he takes is her jewelry, which he pawns. Then he steals her checkbook and cashes her pension checks. When his mother finds out, and confronts him, he hits her in the face.

Paul Greenwood, Deputy District Attorney Head of Elder Abuse Prosecutions San Diego District Attorneys Office

States. "When I was given the task of establishing an elder abuse prosecution unit in January 1996, my office previously had rarely filed elder abuse charges. Today I am responsible for overseeing multiple prosecutions that are being handled by experienced prosecutors throughout our county – ranging from homicides, sexual asSalud+HEALTHinfo.com

saults, neglect, physical beatings and financial exploitations. With each case comes challenges, but we are constantly learning new techniques and are absolutely committed to protecting and enhancing the lives of senior citizens in the County of San Diego."


Other types of abuse: A lot of financial abuse scenarios involve unlicensed contractors who rip off elderly homeowners. The opportunistic thief comes to the door looking for an easy target. I show them examples of the telemarketing sweepstakes scams.

Continued on the next page ISSUE # 47 • VOL. 12 • 2014

Prosecutor Paul Greenwood Continued Victims don’t report these crimes as there’s fear of retaliation, concern that the adult children or police will try to remove the victims and put them into a nursing home. It’s wrong to stay silent because it gives the crooks more encouragement; they are going do it again to somebody else. I get very upset when I read crime reports showing that an elderly person walked into a bank and asked to withdraw $5,000 in cash. I call the manager and ask, “What are you doing allowing your customers to pull out this kind of money?” they say, “Well, it is none of our business.” I say, “Yes it is your business.” Nursing homes typically are also reluctant to report immediately. I hear about these cases by asking the state department that oversees nursing homes to send me copies of citations that they have already issued on specific homes. Then I phone or e-mail someone and ask, what happened to that investigation? In my view, there is a crime here. It’s scary. These crimes would just go unprosecuted if I hadnt pestered the state department. Out of all my cases I would say about 65 percent have a financial exploitation component. I get many calls from people who are frustrated because they tried to report a financial exploitation case and were told they had to sue. This happens because Salud+HEALTHinfo.com

many police officers and detectives are not trained to understand that there are many ways—subtle, manipulative ways—to steal from an elder, some subtle, manipulative ways. For example, the suspect meets the elderly victim and starts to build a friendship, showering the unsuspecting victim with companionship. The suspect then tells the victim that his car has been stolen and that he needs to borrow $17,000 to purchase a car. The victim willingly writes out a check for $17,000. The suspect makes no repayments. When this scenario is shared with the police, they say, “I don’t see a crime here. That’s a consensual transaction, and if you now have a dispute over it, you need to sue that person.” There was a case that received a lot of local attention, and the primary perpetrator received two consecutive life sentences plus nine years on top of that. Very rewarding. He was a salesman who sold a vacuum cleaner to a charming, sweet 75-year-old woman. Six weeks later he came back, knocked on her door at 10 o’clock at night and said he had broken up with his girlfriend and could he come in and use her telephone to call his mother. Of course, she recognized him and let him in. As he was being led to the telephone, he jumped her from behind. When she woke up, she had been duct-taped from head to foot, and put her into the trunk of her own car for 26 hours without food, water, or restroom breaks and drove off in her car. Eventually she felt she was dying


and she cried out to her late husband to send an angel to rescue her. An hour and a half later, the vacuum cleaner salesman blew through a red light and when the car stopped, a deputy sheriff opened the trunk and found the woman almost dead. The jury only took about an hour and 15 minutes to convict him of torture and attempted murder. What keep me upbeat in my job is because I love my job, and I am very proud and passionate about pursuing justice for all victims. But there is an extra emphasis when I see victims in the latter stages of their life. They are typically the most endearing, trusting, wonderful, charming people and don’t deserve this. And in many of the cases, the defendants targeted them because they expected to get away with it. I have learned a great deal from defending these victims. A majority of them are astonishing; they are not entirely bitter about what has happened to them. They have been through World War II, and they don’t hold grudges. Many times they are devastated, but not vindictive. It has also taught me a lot, I am afraid, about human nature. Thankfully, many times, the truth will prevail. Article written by Cynthia Ramnarace who

writes about health families from Attorney Paul and Greenwood Rockaway Beach, N.Y.A version of this encourages anyone who article appeared on February 2010, in the U.S. edition of AARP Bulletin, with the suspects elder abuse to contact headline: Ending Elder Abuse. The informathe Adult Protective Services tion was updated, edited and reprinted in hotline at (800) 510-2020. Salud+HEALTH info with permission from the local office of AARP. The information was reprinted and transalted to Spanish to increase knowledge, and to raise community awareness of Elder abuse risk reduction in San Diego California.

ISSUE # 47 • VOL. 12• 2014

Channeling Grief into Contribution By Ellen Schmeding, Director, County Aging & Independence Services In the 1990’s when her mother was dying slowly day after day from Alzheimer’s disease, philanthopist Darlene Shiley would have spent every dollar she and her husband, Donald, had to save her.

at our June 12 Aging Summit: Creating a Safe and Caring Community. She will share more about her caregiving experience as well as her passion for finding a solution to Alzheimer’s disease.

But as is still true today, “there is not enough money to buy a treatment or drug that doesn’t exist,” she says. Besides losing her mother to Alzheimer’s, Darlene lost her uncle and aunt to the same disease. In 2010, she lost Donald, who suffered with dementia related to cardiovascular disease.

The Aging Summit was started in 1998 as a forum of discussion in the community to help us all prepare for the growth of an aging population. The event is held every other year and focuses on different important topics, such as transportation, housing, life options, intergenerational programs and technology. This year, the focus is on safety as well as caring for caregivers.

“Sometimes I just want to sit down and cry,” Darlene says of her grief from these losses. “But I found a way to channel it. I decided to start funding a difference.” The Shileys acquired their wealth from Donald’s creativity as a biomedical engineer. He developed devices, such as an artificial heart valve, that continue to save the lives of countless people. How fitting that Darlene is choosing to continue this legacy by funding medical research into Alzheimer’s disease and helping groups like the Alzheimer’s Association that benefit those who suffer from dementia and their family caregivers.

Board of Supervisors Chairwoman Dianne Jacob and Supervisor Greg Cox will host the event, and will be joined by District Attorney Bonnie Dumanis. Aging Summit sponsors include HHSA’s AIS, Behavioral Health Services and Public Health, SDG&E, the North County Action Network (NorCAN), AARP and the Barona and Sycuan Tribal Governments.

The Shileys have given their name and funding to many health-related causes: UCSD Shiley Eye Center, the USD Shiley Center for Science and Technology, Scripps Shiley Sports and Health Center, SDSU Shiley BioScience Center, the Palliative Care Initiative at Cal State San Marcos, the Scripps Brain Research Center and the Salk Institute research on Alzheimer’s disease.

Additional Speakers: Journalist and “Passages” author Gail Sheehy will also address the topic of caregiving. She was her husband’s primary caregiver for the last 17 years of his life before he died from cancer. She wrote “Passages in Caregiving” to share her raw experi-

Darlene Shiley will be one of the keynote speakers Salud+HEALTHinfo.com


ISSUE # 47 • VOL. 12 • 2014

ence of caregiving and that of others. She likens the caregiving journey to navigating the twists in a labyrinth, and emphasizes that “there is life after caregiving.” Paul Greenwood, who heads the District Attorney’s Elder Abuse Prosecution Unit, will present 10 tips for avoiding becoming a victim of scams and fraud. Aging Summit Break-Out Sessions: The Aging Summit will be held at two locations: The Town & Country Convention Center in Hotel Circle and at the California Center for the Arts in Escondido. The keynote speakers will be live at Town & Country and be webcast to the North County audience. Each site will have additional break-out sessions and lunch. Some of the break-out session speakers at Town & Country will include George Chamberlin, executive editor at the Daily Transcript, business editor for KOGO radio and money advisor on NBC 7; Mary Davis, third-degree blackbelt in Karate; Nora D. Eisenhower with the new national Consumer Financial Protection Bureau; and Karen Barney with the Identity Theft Resource Center. There will be a special track related to Alzheimer’s. Among the North County speakers will be caregiving researcher and expert Dr. Sharon Hammill from Cal State San Marcos; Jennifer Marsh from Elizabeth Hospice; and panels on home safety and civic engagement. North County will also have an Outdoor Wellness Zone with a variety of health screenings and health education talks. For more details on Aging Summit agendas and online registration, visit www.AISevents.org. You can also register by phone through the AARP Registration Line: (877) 926Salud+HEALTHinfo.com 8300.

Por Denise Nelesen, County’s Aging & Independence Services

Telephone Reassurance for Vets In support of veterans and military families, Legacy Corps volunteers are providing free regular “check-in” calls. If a scheduled call is not answered, the volunter notifies designated family, friends or neighbors. Frequency and duration of calls are dependent on needs and availability of volunteers. The Legacy Corps also provides regular respite aid for families with a veteran or military member. For details, call (858) 505-6300.

Senior Photography Contest The City of San Diego’s Senior Citizen Services is having a photography contest for adults ages 50 and older for the categories of “Abstract,” “Still Life,” “Landscape” or “Portrait.” Entries will be accepted from June 16 to 27 in the lobby of the City Administration Building, 202 C St. in downtown San Diego. There


will be a limit of two pieces per exhibitor. Pieces must be ready to hang. Award-winning entries will be on display in the City Administration Building from July 7 to 17. For an application or for more information, contact Senior Citizen Services at (619) 236-6905.

Golf Event to Benefit Elder Law A charity golf tournament to benefit the nonprofit Elder Law & Advocacy is set for 11 a.m. on Friday, June 27, at the Rancho Bernardo Inn. The $125 fee includes golf and dinner. Proceeds benefit programs for older adults, especially elder abuse prevention and education. To register for golf, or for the dinner and the silent auction only, or sponsoring, call (858) 565-1392, ext. 210, or online:http://guestli.st/230106. RSVP by June 13.

Help for Mature Work-Seekers One of the products of a previous Aging Summit is the San Diego Mature Workforce Coalition, a consortium of experts on older adults and ISSUE # 47 • VOL. 12• 2014

employment issues who have been meeting regularly to further the interests of older adults seeking work options. The coalition has created www.sdmatureworkers.org, a website with a variety of resources for people seeking jobs or other work opportunities, even career changes. One of the recent additions to the website is “The Career Playbook Series: Boomers + Second Half Plays,” a sequel to “Plan ‘B’ for Boomers and Beyond.” You can find both booklets under “Resources for Job Seekers.” They were written by Carleen MacKay, author and career management consultant with Ageless in America.

Special Kinship Days Scheduled As many as 22,000 families in San Diego County have grandparents or other relatives raising grandchildren, generally referred to as “kinship” families. To help these families with resources and to help them connect with other similar families, two regional Grandparents Raising Grandchildren events are being offered. The first event will be held from 9 a.m. to 3 p.m. Saturday, June 21, at the Chula Vista Learning Community Charter School, 590 K St., Chula Vista. Supervisor Greg Cox will host this event. There will be activities, education and Salud+HEALTHinfo.com

entertainment for the grandparents as well as the grandchildren. Lunch will be provided.Spanish translation will be available. Sponsors include HHSA, AARP and the YMCA. To register for this event, call the AARP Registration Line at (877) 9268300 or register online at aarp.cvent.com/GRG. The second Grandparents Raising Grandchildren event will be held on Saturday, Aug. 23, at the San Marcos Senior Center. More details will be available in the July Aging & Independence bulletin.

Official Kickoff for Cool Zones

With the unexpectedly hot days in May, Cool Zones have already been go-to places this year, but the official Cool Zone kickoff will be held at 11:30 a.m. on Thursday, June 26, at the La Mesa Adult Enrichment Center, 8450 La Mesa Blvd., La Mesa 91941. Board Chairwoman Dianne Jacob, who created the idea for the Cool Zones in 2001, will host the kickoff. SDG&E partners with HHSA on the Cool Zone program. Cool Zones are air-conditioned sites, such as libraries and community centers, where older adults and others can go to cool off and save the cost of using their energy at home. When people share air conditioning in this way, they reduce the chance of blackouts or brownouts. Cool Zones also provide the opportunity to


socialize. The County has designated more than 100 Cool Zone sites in the hottest areas of the county. Look for the Cool Zone bear logo on their windows. To find a site near you, go to www.CoolZones.org or call (800) 510-2020 and press “6.”

Join a Community Action Network

Four regional Community Action Networks focus on the issues and needs of older adults and persons with disabilities. They meet regularly and welcome your participation. The San Diego Community Action Network (SanDiCAN) meets from 10:30 a.m. to noon on the last Tuesday of each month at the War Memorial Building, 3325 Zoo Dr., San Diego. For more information, contact Brian Rollins: (858) 5056305. The East County Action Network (ECAN) meets from 1 to 3 p.m. the third Wednesday of each month at the Renette Recreation Center, 935 S. Emerald Ave., El Cajon. For more information, call Kathy HolmesHardy: (619) 401-3994. The South County Action Network (SoCAN) meets from 1 to 3 p.m. on the fourth Tuesday of each month at the San Diego County Library, Bonita-Sunnyside Branch, 4375 Bonita Rd., Bonita. Contact Anabel Kuykendall: (619) 476-6223. The North County Action Network (NorCAN) meets from 1 to 3 pm. on the fourth Tuesday of each month at the San Marcos Senior Center, 111 Richmar Ave., San Marcos. For more information, contact Marty Dare: (858) 505-6300. ISSUE # 47 • VOL. 12 • 2014

Saturday, June 21st .,2014 • 9 a.m. to 3 p.m. Chula Vista Learning Community Charter School 590 K Street, Chula Vista, CA 91911

Register Now! CONNECT WITH USEFUL RESOURCES! (i.e. Eligibility workers, Support Groups)


OBTAIN FREE HEALTH SCREENINGS! (i.e. Blood Pressure, Bone Density, Dental)

Register early, and receive an extra drawing ticket! * Includes other relative caregivers


* Spanish translation available

FUN ENTERTAINMENT & ACTIVITIES for the entire family, including your

FREE Lunch & Onsite Childcare for pre-registered participants

County Supervisor Greg Cox

To register for this special event or for more information, visit: aarp.cvent.com/GRG or call 1-877-926-8300

Dancing for Your Health

Once you start dancing,

Bailando por su Salud

You won’t want to stop!



Friday, August 8, 2014 6:30 to 9:00pm


Loma Verde Recreation Center 1420 Loma Lane Chula Vista, CA 91911

FREE event for adults Live DJ Dance instructors Tasty Treats

Call today to reserve your spot:

1-877-926-8300 or http://aarp.cvent.com/cvdance

This is a free event, but we ask attendees to bring a donation of non-expired canned or packaged food items to support San Diego Food Bank. Opportunity drawings for those who donate.


ISSUE # 47 • VOL. 12• 2014

The 11 Annual Intergenerational Games Was a Huge Success! The day was filled with a variety of activities,lots of learning about healthy living, dancing - and oodles of laughter. There was a definite increase in health awareness and education related to nutrition and wellness for all ages. We could write more about all the fun that was had, and about the enjoyment shared by the attendees, community partners and organizers, but these pictures do a much better job of telling the story.

The South Bay Games is just one of several intergenerational programs offered by the County of San Diego through the Health and Human Services Agency. Other Intergenerational Games were recently held in San Marcos and the Rancho Bernardo/Poway area. Special thank you to all the Intergenerational Games Sponsors and Volunteers. Gold Sponsors: Sharp Chula Vista Medical Center and Care 1st Health Plan. Silver Sponsors: American Medical Response, Health Net, Kaiser Permanente, Janice Pope, St. Paul’s Pace, Sunrise Bonita and Westmont at San Miguel Ranch. Bronze Sponsors: Bonita Optimist, San Ysidro Health Center and Sprouts. Other contributors included A Better Solution in Home Care and Trader Joe’s. Also thanks to the partners: AIS/HHSA, Chula Vista Elementary School District, SoCAN, the U.S. Olympic Training Center and the South Bay Family YMCA. “Together we can made a big difference in our community! Together we can develop a strong sense of community and find positive role models for a healthy, productive and brighter future for all. A community where youngers and olders share the joy of learning while playing together in a "Living Well" community, for all ages".



ISSUE # 47 • VOL. 12 • 2014

REGISTER NOW! Creating a Safe and Caring Community When Thursday, June 12, 2014 8:30 a.m. to 2:30 p.m.



Creating a Safe and Caring Community

Central (main site): Town & Country Convention Center 500 Hotel Circle North San Diego 92108

North County: California Center for the Arts Escondido 240 N. Escondido Blvd., Escondido 92025

Aging Summit 2014 focuses on the important topic of safety, as well as examining concerns of family caregivers, particularly those dealing with Alzheimer's disease and other dementias. Each site will have break-out sessions with such topics as:

KEYNOTE SPEAKERS Gail Sheehy (pictured above) Author of “Passages” and “Passages for Caregivers” Darlene Shiley Philanthropist and former caregiver Paul Greenwood Head of the District Attorney's Elder Abuse Prosecution Unit

Self-Defense Financial Planning Disaster Preparedness Helping the Helper Finding the Best Long-Term Care Identity Theft Prevention How Technology Can Help Keep You Safe Suicide Prevention Easing the Burden of Alzheimer's Disease And more… The Aging Summit will also include local resources, exhibit tables, a free lunch and opportunity drawings!

Registration required; visit www.AISevents.org, or call the AARP Registration Line: (877) 926-8300

(The keynote speakers will be webcast from the main site to North County, followed by activities and workshops unique to each site.) Salud+HEALTHinfo.com

ISSUE # 47 • VOL. 12• 2014

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