- Gaps in Mental Health Training, Rural Access to Care Compound Az's Maternal Mortality Crisis
- Enticing Rural Residents to Practice Where They Train
- New Round of Federal Funding Open for Rural Health Initiatives
- UAA Training for Health Care Providers Keeps Victims of Violent Crimes from Falling Through the Cracks
- Helene Exacerbated Rise in Homelessness Across Western North Carolina
- 'It's a Crisis': How the Shortage of Mental Health Counselors Is Affecting the Rural Northwest
- FCC Launches New Maternal Health Mapping Platform
- How Mobile Clinics Are Transforming Rural Health Access for Cochise County Farmworkers
- Struggling to Adapt
- Rural Governments Often Fail To Communicate With Residents Who Aren't Proficient in English
- Mental Health Association Launches Hub To Help Rural Residents
- Prescription Delivery in Missouri Faces Delays under USPS Rural Service Plan
- Getting Rural Parents Started On Their Breastfeeding Journey
- USDA Announces New Federal Order, Begins National Milk Testing Strategy to Address H5N1 in Dairy Herds
- Creating a Clearer Path to Rural Heart Health
SARS-CoV-2 Testing Strategies: Considerations for Non-healthcare Workplaces
CDC guidance is now available to provide employers of non-healthcare workplaces with strategies for how to incorporate testing for SARS-CoV-2, the virus that causes COVID-19, into a workplace COVID-19 preparedness, response, and control plan.
Financial Support for Child Care Providers in Pennsylvania During COVID-19
Pennsylvania Governor Tom Wolf visited the child care center at Pennsylvania State Employees Credit Union (PSECU) headquarters in Harrisburg to announce $53 million in additional financial support for child care providers that have suffered during COVID-19.
“This funding will help child care providers bridge the gap until their clientele returns,” Gov. Wolf said. “It will also help them with any increased costs that have been incurred due to the pandemic – things like cleaning and sanitization, which will help keep the 386,000 children who attend our licensed child care facilities safe, as well as the workers who do so much to care for them.”
The governor was joined at the announcement by Teresa Miller, secretary of the Pennsylvania Department of Human Services (DHS); George Rudolph, president and CEO of PSECU; and Tonya Bastinelli, director of the Bright Horizons child care center at PSECU.
In June, the Wolf Administration distributed $51 million in CARES Act Child Care Development Funds to eligible child care providers. The $53 million announced today is also from CARES Act funding and will be distributed this month. Another $116 million from Act 24 will be distributed in the coming months, bringing the total sum of financial support to $220 million.
The funding is distributed through the Department of Human Services’ (DHS) Office of Child Development and Early Learning (OCDEL), which licenses child care providers in the state and is working with Penn State Harrisburg’s Institute of State and Regional Affairs on an impact study to understand challenges for child care providers reopening and resuming operations during COVID-19.
OCDEL has 7,017 licensed child care providers as of June 24 and 65 have permanently closed based on the February 2020 license list. Based on participation in the June CARES Act distribution, slightly more than 100 additional providers have declined funds indicating they intend to remain closed.
The Penn State study highlights the various operational and financial impacts child care providers have endured and will continue to endure throughout the COVID-19 pandemic.
Based on the preliminary findings of the study, distributing stimulus funds in July is critical to ensure adequate capacity is available in the future. Data collected through this study will be used to help determine allocation of the remaining $116 million.
“While we do not know how this pandemic will look in a week, a month, or a year, we know that a healthy, robust child care system will be critical to weather the economic recovery ahead,” DHS Sec. Teresa Miller said. “This study will capture experiences and challenges child care providers have endured since COVID-19 arose in Pennsylvania and will allow us to direct additional funds how and where our child care providers need them most. This industry is vital to both a healthy economy and our children’s futures, and we will not abandon our child care providers who dedicate their lives to our youngest Pennsylvanians, often at low pay and now, a risk to their health. We will be with you through the challenges to come.”
“Stable, affordable, high-quality child care is an important piece of our workforce development,” Gov. Wolf said. “In fact, my Keystone Economic Development and Workforce Command Center identified it as one of the biggest hurdles to getting more Pennsylvanians into the workforce. As we continue to recover economically from this pandemic, we will need child care available so parents can resume working, or so they can attend training programs or job interviews. And, of course, it is crucial to continue providing high-quality care during critical early years when children are rapidly learning.”
Child care providers who would like to receive round 2 of CARES Act funds should go to the DHS website to fill out the attestation form.
CMS Shares Five Things About Nursing Homes During COVID-19
The Centers for Medicare and Medicaid Services (CMS) is sharing “Five Things About Nursing Homes During COVID-19” part of an ongoing series by the U.S. Department of Health and Human Services. Safeguarding the health and well-being of the most vulnerable and fragile Americans is a top priority for the Trump Administration. Watch to hear from Administrator Seema Verma about 5 things CMS is doing to stop the spread of coronavirus in nursing homes.
HHS Awards More Than $21 Million to Support Health Centers’ COVID-19 Response
The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), awarded more than $21 million to support health centers’ COVID-19 response efforts. The majority of this investment—$17 million—supports 78 Health Center Program look-alikes (LALs) with funding to expand capacity for COVID-19 testing.
Due to the urgent need across the country to respond to the COVID-19 crisis, funding to expand capacity for COVID-19 testing is being made available to LALs through the Health Center Program. These LALs operate and provide services consistent with HRSA Health Center Program requirements; however, unlike HRSA-funded health centers, LAL operations are funded through mechanisms outside of the HRSA Health Center Program.
Currently, almost 88 percent of LALs report conducting COVID-19 testing in their communities, and 56 percent offer walk-up or drive-up testing. With this funding, LALs will expand the range of testing and testing-related activities to best address the needs of their communities, which will cover PPE purchases, workforce training, and laboratory diagnostic activities.
HRSA also awarded over $4.5 million to support the COVID-19 response of Health Center Controlled Networks (HCCNs). HCCNs support health centers to improve quality of care and patient safety by using health information technology to reduce costs and improve care coordination.
For funding details and to read the entire press release, please visit the HHS website here.
Protect Yourself from Ticks, Mosquitoes When Spending Time Outdoors
The Pennsylvania Department of Health reminded Pennsylvanians that as they continue to spend more time outdoors this summer, it is important to take proper steps to protect against tick and mosquito bites.
“Ticks and mosquitoes can carry dangerous diseases that can severely impact an individual’s health if not treated properly,” Secretary of Health Dr. Rachel Levine said. “It is essential that all residents know the proper ways to protect themselves against these serious diseases so they do not get sick. We encourage all Pennsylvanians to get outside and be healthy but do so in the safest way possible.”
Lyme disease is transmitted by ticks. In 2019, there were 9,009 confirmed and probable cases of Lyme disease in Pennsylvania. Over time, if not treated, Lyme disease can lead to severe symptoms that affect the heart, nervous system and joints.
You are at risk of getting a tick any time you are outside, including in wooded and bushy areas, areas with high grass and leaf litter, and even in your own yard. This is why it is important to take steps to decrease your chances of getting bitten. To reduce your chances of a tick bite:
- Walk in the center of trails and avoid areas with high grass and leaf litter;
- Use a repellent that contains at least 20% DEET;
- Wear light-colored clothing;
- Conduct full-body tick checks on yourself and on your pets after spending time outdoors; and
- Take a bath or shower within 2 hours after coming indoors.
If you have been bitten by a tick, make sure to monitor the area for any kinds of symptoms and contact your health care provider immediately. Symptoms of Lyme disease can include:
- A red, swollen bulls-eye shape rash;
- Fever;
- Chills;
- Headache;
- Fatigue;
- Muscle and joint aches; and
- Swollen lymph nodes.
West Nile virus is another dangerous disease that Pennsylvanians should be aware of. In 2019, there were seven total human cases of West Nile virus reported in the state. Mosquitoes that transmit West Nile breed in areas with standing water. Most people infected with West Nile virus do not develop any symptoms, but about one in five will have symptoms that resemble other illnesses, which might include:
- Fever;
- Headache;
- Body aches;
- Joint pains;
- Vomiting;
- Diarrhea; or
- Rash.
West Nile virus can also lead to other serious conditions like encephalitis (brain swelling) or meningitis (inflammation of the membrane around the brain). Other severe symptoms can include neck stiffness, confusion disorientation, coma, tremors, muscle weakness, and paralysis.
The best way to protect yourself from getting bitten by West Nile-infected mosquitoes is to wear insect repellent containing DEET during the April to October mosquito season, especially during dusk and dawn when many mosquitoes are actively feeding. It is also important to reduce the amount of standing water around your home. Cleaning the gutters on your house, emptying any outside containers, turning over any plastic pools and wheelbarrows when they’re not being used and using landscaping to get rid of standing water that collects around your property are all ways to decrease the number of mosquitoes with West Nile virus.
If you are having symptoms consistent with those caused from an insect or tick bite, contact your health care provider right away. For more information on ticks and Lyme disease, or on mosquitoes and West Nile virus, visit the Department of Health website or follow us on Facebook and Twitter.
Pennsylvania Fire Commissioner Opens $50 Million Grant Program to Support Fire, Rescue and EMS Companies Affected by COVID-19
Pennsylvania State Fire Commissioner Bruce Trego announced that the Office of State Fire Commissioner (OSFC) opened registration on July 6 for state grants aimed at providing direct financial relief to fire, rescue and emergency medical service (EMS) companies negatively impacted by the ongoing COVID-19 outbreak.
“Fire, rescue and EMS companies throughout the state have struggled since the state began taking action to curtail the spread of COVID-19,” said Trego. “Increased operational tempo, and an inability to raise funds through community events have hit these organizations hard. The financial lifeline these grants provide will help hundreds of companies keep their lights on.”
Of the $50 million in funding set aside for this new program, $44 million will be made available to fire and rescue companies and the remaining $6 million will go to EMS companies. Grant funding must be used for operational and equipment expenses.
Additional guidance, including detailed registration instructions are available online at OSFC’s website. The registration period for this grant program ends August 7, 2020 at 4:00 P.M.
Pennsylvania Governor Announces Protections from Foreclosures and Evictions Through Aug. 31
Pennsylvania Governor Tom Wolf signed a new executive order that protects homeowners and renters from eviction or foreclosure until Aug. 31, if they have not received assistance from a new program administered by the Pennsylvania Housing Finance Agency (PHFA) or are not already receiving relief through one of several federal foreclosure moratorium programs or judicial orders. Lenders and property owners that receive funds through the PHFA program agree not pursue foreclosure or eviction actions as a condition of participation in the program.
“I am taking this action to help families know they will have a roof over their heads and a place to live while all of us fight the COVID-19 pandemic,” said Gov. Wolf. “It takes one more burden off of people who are struggling and ensures that families can remain in their homes so they can protect their health and wellbeing.”
The governor signed legislation in May providing $150 million for rental assistance and $25 million for mortgage assistance through PHFA with CARES Act funds. PHFA began accepting applications July 6.
The U.S. Department of Veterans Affairs, Federal Housing Finance Agency, including Fannie Mae and Freddie Mac and the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Agriculture have each extended eviction and foreclosure protections for housing under their authority to Aug. 31.
In almost all circumstances, renters and homeowners are required to continue making monthly payments if they can. Pennsylvanians struggling to make monthly payments should contact their landlord or mortgage servicer immediately. The governor’s executive order does not apply to proceedings regarding property damage or illegal activity.
The governor previously signed an executive order suspending evictions and foreclosures, which expires Friday. That action followed a Pennsylvania Supreme Court order which closed court eviction proceedings until May 11.
Additional Commodities Eligible for Coronavirus Food Assistance Program
Today, U.S. Secretary of Agriculture Sonny Perdue announced an initial list of additional commodities that have been added to the Coronavirus Food Assistance Program (CFAP), and that the U.S. Department of Agriculture (USDA) made other adjustments to the program based on comments received from agricultural producers and organizations and review of market data. Producers will be able to submit applications that include these commodities on Monday, July 13, 2020. USDA’s Farm Service Agency (FSA) is accepting through Aug. 28, 2020, applications for CFAP, which helps offset price declines and additional marketing costs because of the coronavirus pandemic. USDA expects additional eligible commodities to be announced in the coming weeks.
USDA collected comments and supporting data for consideration of additional commodities through June 22, 2020.
Changes to CFAP include:
- Adding the following commodities: alfalfa sprouts, anise, arugula, basil, bean sprouts, beets, blackberries, Brussels sprouts, celeriac (celery root), chives, cilantro, coconuts, collard greens, dandelion greens, greens (others not listed separately), guava, kale greens, lettuce – including Boston, green leaf, Lolla Rossa, oak leaf green, oak leaf red and red leaf – marjoram, mint, mustard, okra, oregano, parsnips, passion fruit, peas (green), pineapple, pistachios, radicchio, rosemary, sage, savory, sorrel, fresh sugarcane, Swiss chard, thyme and turnip top greens.
- Expanding for seven currently eligible commodities – apples, blueberries, garlic, potatoes, raspberries, tangerines and taro – CARES Act funding for sales losses because USDA found these commodities had a 5 percent or greater price decline between mid-January and mid-April as a result of the COVID-19 pandemic. Originally, these commodities were only eligible for marketing adjustments.
- Determining that peaches and rhubarb no longer qualify for payment under the CARES Act sales loss category.
- Correcting payment rates for apples, artichokes, asparagus, blueberries, cantaloupes, cucumbers, garlic, kiwifruit, mushrooms, papaya, peaches, potatoes, raspberries, rhubarb, tangerines and taro.
Additional details can be found in the Federal Register in the Notice of Funding Availability (NOFA) and Final Rule Correction and at www.farmers.gov/cfap.
Funding Available for Pennsylvania Businesses that Maintained Access to Fresh, Healthy Foods During Pandemic
The Pennsylvania Department of Agriculture announced that the The Fresh Food Financing Initiative COVID-19 Relief Fund — funded through the CARES Act — is available to for-profit, nonprofit, or cooperative entities impacted by COVID-19, including grocery stores, corner stores, convenience stores, neighborhood markets, bodegas, food hubs, mobile markets, farmers markets, on-farm markets, urban farms, and food aggregation centers with a direct connection to direct-to-consumer retail outlets.
To be eligible, more than 50 percent of sales must be from staple and perishable foods to consumers and the retailer must serve customers that live in a low-to-moderate income area. Applicants must also provide access to affordable, high-quality fresh produce, meat and dairy products and other healthy grocery items for low-to-moderate income shoppers, and must accept SNAP and WIC to the maximum extent possible.
In recognition of the disproportionate impacts of both COVID-19 and food apartheid on communities made up of Black, Indigenous, and People of Color (BIPOC), and especially Black and African American communities, prioritization will be given to businesses owned by minorities and serving low-income BIPOC communities. Additional prioritization criteria include businesses located in or serving a USDA-designated food desert; businesses sourcing and selling Pennsylvania grown or processed products to the extent practicable; and applicants with supplier diversity and offering increased business opportunities for Minority Business Enterprises, Women Business Enterprises, Service-Disabled Veteran Business Enterprises, Veteran Business Enterprises, Lesbian, Gay, Bisexual, and Transgender Business Enterprises; and Disability-Owned Business Enterprises.
“This pandemic has revealed many things, one of the most prevalent has been about where our food comes from – how it gets from the farm to those who need it. This relief fund is about strengthening the local food system and improving food security and nutrition,” said Sec. Redding. “We need to stimulate local economies, increase market opportunities for Pennsylvania farmers, create jobs, and contribute to better health by improving access to fresh, local foods – we need to feed Pennsylvania, now and in the years to come. And that is all a part of this initiative.”
The program is administered by the Department of Agriculture in partnership with the Department of Community and Economic Development. Applications will be accepted through August 14, 2020. Grant funds will be distributed to eligible applicants for impacts related to COVID-19 that have been incurred between March 1, 2020 and November 30, 2020, such as:
- Higher operating costs related to cleaning and social distancing requirements, including costs related to outside contracting associated with managing social distancing, limited occupancy, and cleaning;
- Infrastructure improvements including renovation, new construction, or adaptive reuse directly related to COVID-19;
- Equipment purchases that improve the availability of quality fresh food, such as additional refrigeration to manage volume, or personal protective equipment such as plexiglass dividers;
- Inventory (higher cost of goods, higher transportation or delivery costs, or procuring Pennsylvania-grown produce, meat, and dairy products, or loss of product);
- Innovative food access technology such as mobile or pop-up markets, or mobile EBT reader technology;
- Costs to expand access to Pennsylvania grown or processed produce, dairy and meat products or provide stable market access for Pennsylvania farmers that have lost or limited markets; and
- Other one-time or increased expenses incurred related to COVID-19.
“The COVID-19 pandemic has highlighted the individuals and businesses that stepped up to protect and provide for their communities over the past several months, by supplying critical goods and services,” said Sec. Davin. “Little is as life sustaining as providing access to fresh, healthy food, especially in food-insecure areas. This funding will help alleviate the financial burdens placed on Pennsylvania’s food system during the pandemic and will ensure continued access to nutritional foods as we work toward greater recovery.”
The Pennsylvania Department of Agriculture (department) will accept applications until August 14, 2020. If you have any questions about the application process or need an application sent to you via mail, please email Michael Roth at michroth@pa.gov.
To apply for funding, the applicant must submit the on-line Electronic Single Application for Assistance located at www.esa.dced.state.pa.us. In addition to the Electronic Single Application for Assistance, the applicant should provide the following items when applying for the grant. All items should be attached electronically to the ESA submission. Awarded grants are reimbursement grants, so applicants are responsible to spend all funds prior to submitting for reimbursement.
For full details on Fresh Food Financing Initiative COVID-19 Relief Fund eligibility, award amounts, additional prioritizations, and criteria visit agriculture.pa.gov/foodsecurity.
For information as it relates to agriculture during COVID-19 mitigation in Pennsylvania visit agriculture.pa.gov/COVID. For the most accurate, timely information related to Health in Pennsylvania, visit on.pa.gov/coronavirus.
Journal of Appalachian Health Is Now On the Directory of Open Access Journals!
The Journal of Appalachian Health has been added to the Directory of Open Access Journals.
DOAJ is a community-curated online directory that indexes and provides access to high quality, open access, peer-reviewed journals. DOAJ is independent; All funding is via donations. All DOAJ services are free of charge including being indexed in DOAJ. All data is freely available.
DOAJ operates an education and outreach program across the globe, focusing on improving the quality of applications submitted (Source: DOAJ, 2020).