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NC Health Secretary calls for urgent action on infant mortality disparities

NC Health Secretary calls for urgent action on infant mortality disparities

Yahoo06-03-2025
The 2023 North Carolina Child Fatality Task Force Report reveals that non-Hispanic Black and American Indian children face significantly higher mortality rates compared to other racial and ethnic groups in the state.
2023 report: Infant mortality higher in the Carolinas compared to national average
In 2023, the disparity in infant mortality rates worsened, with Black infants dying at rates three times higher than white infants. North Carolina ranks as the 10th highest in the nation for infant mortality, underscoring the urgent need for intervention.
'All babies born in North Carolina deserve a healthy start to life,' said NC Health and Human Services Secretary Dev Sangvai. 'We are committed to ensuring women and families have the care and support they need prior to, during and after pregnancy, no matter where they live or how much money they make.'
The North Carolina Department of Health and Human Services (NCDHHS) has launched an updated NC Perinatal Health Strategic Plan to address these disparities. The plan includes measures such as paid parental leave for state employees, Medicaid reimbursement for group prenatal care, and increased postpartum health care coverage for NC Medicaid beneficiaries. North Carolina's Healthy Opportunity Pilots are also playing a crucial role in addressing non-medical drivers of health, such as housing, food, and transportation, which are vital for improving the health of women and children. Since North Carolina expanded Medicaid, over 640,000 residents have gained health care coverage, which is expected to lead to healthier pregnancies and better maternal and infant outcomes.
The efforts by NCDHHS and the expansion of Medicaid are critical steps towards reducing infant mortality and improving health outcomes for children and families across North Carolina.
VIDEO: Local nonprofit addresses Black maternal and infant health disparities
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In Maryland, there's now a greener way to handle dead bodies
In Maryland, there's now a greener way to handle dead bodies

Yahoo

time2 hours ago

  • Yahoo

In Maryland, there's now a greener way to handle dead bodies

In Maryland, there's now a greener way to handle dead bodies Inside a white brick building in West Baltimore, a long silver chamber full of water seesawed back and forth over a platform. Within it, a body dissolved. Skin, flesh and organs turned into amino acids and sugars with each tip of the chamber. In a matter of hours, all that remained were bones and the leftover watery solution. Subscribe to The Post Most newsletter for the most important and interesting stories from The Washington Post. This process, which is called alkaline hydrolysis, but is known more colloquially as water cremation, has been gaining popularity across the country since it was first used in the funeral industry in 2011, according to the Cremation Association of North America. More than half the states in the U.S. have legalized the process, according to the association. Maryland joined the list last spring. Soon after, the Joseph H. Brown Jr. Funeral Home started offering the service. The Maryland Health Department said Brown's is the only funeral home it is aware of that offers the service in the state. The water cremations take place inside a back room of Brown's funeral home. The silver chamber sits beside a few large blue tubs filled with chemicals and a sequence of pipes snaking between the pieces of equipment. White printed labels with percentage signs and hazardous material markings cover the barrels of solution. The saline smell of a soapy chemical compound permeates the air as does the mechanical sound of steel scraping against itself in perfect intervals. The area looks like a tiny, makeshift chemical plant. But that's not what Arnecia Edwards saw in her mind when she thought of the procedure. She envisioned her father, John Edwards, who died at 88, gently laid into a pool at a spa and calmly rocking into the ether. She thought of him returning to one of the places he loved the most, where he spent some of the sweetest moments of his youth - the waterfront. She recalled him as a younger, healthier man, before a career on the railroad wore on his body, before the non-Hodgkin lymphoma invaded his white blood cells, the stroke tore through his brain and the diabetes through his body. She saw him standing at the water's edge at Patapsco Valley State Park soaking in the nature around him. She remembered him teaching her to swim. That's part of what led her to choose water cremation. 'I think he would have loved it,' Edwards said. Death care professionals say water cremation appeals to those who resonate with the idea of themselves or their loved ones departing the Earth through water. 'It's just a gentler process,' said Lily Buerkle, a licensed mortician based in D.C. It also attracts people looking for a greener alternative to fire cremation. Maryland's path to legalizing alkaline hydrolysis began, in part, when Adrian Gardner, a former lawyer for The Maryland-National Capital Park and Planning Commission, was grappling with his mother entering hospice about three years ago and started researching the death industry. He learned about 'green death,' a term for more environmentally-friendly methods of managing dead bodies, including alkaline hydrolysis and natural organic reduction, also known as human composting. That process involves enclosing the body in a capsule and heating it to speed up the body's natural decomposition process. Once complete, the body becomes a mound of soil that the family can sprinkle in their yard, pot a plant with or donate for environmental restoration projects. Gardner reached out to Buerkle, who was knowledgeable and outspoken about green death. 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The idea touches something within a grieving person, he explained. The use of water gives it more of a natural and spiritual feeling for some people than fire, he said. 'If you look at it biblically, we talk about our bodies as being earthen vessels. Earthen. Clay,' Brown said. 'We wash away the clay, the vessel, and we give the family back the minerals, the calcium and phosphate.' The gentle nature of the procedure can be particularly meaningful for those who've lost young ones, Buerkle added. It's almost like returning them to the amniotic sack, the liquid-filled pouch that surrounds a fetus during pregnancy, she explained. 'Especially people who've lost children, especially babies, they think about, in the womb, they really only knew water,' Buerkle said. But before Brown could start offering this service, there were logistical obstacles to consider. The resulting liquid from the process would need to go down the sewer. 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Brown said he kept in contact with relevant state and local officials and felt pioneering a new industry in the state would be worth potential consequences from regulators. 'The first gets the oyster and the pearl and makes the decision as to what to do with the shell,' Brown said. More than a year later, the regulations are still not finalized. Maryland's Office of Cemetery Oversight held a public meeting in June to fine-tune the proposed regulations and is still reviewing them. Brown estimates he's done about 30 water cremations since he started offering alkaline hydrolysis in the summer of 2024. For some, the concept of water cremation is so meaningful, they'll send a loved one's body across state lines to put them to rest. When Janet Jackson, of the San Antonio area, lost her six-month-old grandson in February, she said her son couldn't stomach the idea of lighting his baby's tiny body on fire or putting it in the ground. Jackson had heard of water cremation and told her son about it. 'Grayson loved his bubble baths so much,' Jackson said. 'Every night they would FaceTime me during bubble baths.' Water cremation felt like the closest thing to sending Grayson off in a bubble bath, Jackson said. But it wasn't legal in Texas. So they sent his body to Missouri where it was legal. Thinking of Grayson leaving his life in water felt like a way to infuse some of his individuality into his death, Jackson said. And she believes it's what Grayson would have wanted too. 'I hear him telling me 'thank you' all the time,' she said. Related Content In Donbas, Ukrainians hold out as Russia besieges, bargains for their land As more National Guard units arrive in D.C., local officials question the need Ukraine scrambles to roll back Russian eastern advance as summit takes place Solve the daily Crossword

Deadly NYC Legionnaires' disease outbreak fueled by negligence, lawsuit says
Deadly NYC Legionnaires' disease outbreak fueled by negligence, lawsuit says

USA Today

time2 hours ago

  • USA Today

Deadly NYC Legionnaires' disease outbreak fueled by negligence, lawsuit says

Civil rights attorney Ben Crump has filed lawsuits against two construction companies over what he called a "completely preventable" outbreak of Legionnaires' disease that has killed five people and sickened more than 100 others in New York City. Legionnaires' disease is a severe pneumonia caused by a type of bacteria called Legionella, which grows in warm or hot water, according to the Centers for Disease Control and Prevention. An outbreak of the disease, which began on July 25, has been clustered across five zip codes in Central Harlem. The city health department said the outbreak is linked to cooling towers, heat exchangers that use fans and water to cool down buildings. On Aug. 14, health officials confirmed that 12 cooling towers at buildings including NYC Health + Hospitals/Harlem tested positive for the Legionella bacteria. Crump and other attorneys filed complaints on behalf of two construction workers who were hospitalized with Legionnaire's disease in July after working near the hospital in Harlem, according to a news release. Crump said the legal team has also filed a notice of claim and intend to sue the city as well. "It is believed that the cooling towers at Harlem Hospital were filled with rainwater after several large July storms," the release said. "The water was left untreated, which permitted bacteria to spread causing workers at the site to become sick." Construction companies, city accused of negligence Crump accused Skanska USA Building, Inc., Rising Sun Construction LLC and the city of negligence at a news conference on Aug. 20, announcing the lawsuits. The attorneys said the construction companies were put on notice about the possibility of Legionella bacteria through bulletins after the storms, but failed to take action to keep those working near the hospital safe. "When corporations cut corners, tragedies like this happen. Preventable tragedies, unnecessary tragedies," Crump said. Crump said the lawsuit is seeking not only compensation for the workers but also accountability and answers about why this outbreak occurred in Harlem — a historically Black neighborhood in Upper Manhattan. Skanska and Rising Sun did not immediatedly respond to a request for comment from USA TODAY. When asked about Crump's claims about the source of the outbreak, a spokesperson for the city's health department said the investigation is ongoing. "Molecular testing may help us determine which cooling tower — or cooling towers — were the source of the bacteria in the Central Harlem cluster," spokesperson Chantal Gomez said in a statement. "The Public Health Lab is still determining a match through DNA sequencing and we expect final results soon.' Electrian describes gasping for air while hospitalized with Legionnaire's Nunzio Quinto, a union electrian who worked at a ground-up construction of the NewYork City Public Health Laboratory, a 10-story facility adjacent to the hospital complex, said he thought he had food poisoning when he first started feeling lethargic in late July. Quinto said his family took him to the hospital, where he was immediately diagnosed with Legionnaire's disease. He suffered breathing problems, pain and internal bleeding during a five-day stay in the hospital, but said his coworkers weren't notified of his illness. "I want answers to what's going on. I can't have a safe place to work? This is New York City," Quinto said at the news conference. Contributing: Thao Nguyen

How does Legionnaires' disease spread? What to know about NYC outbreak
How does Legionnaires' disease spread? What to know about NYC outbreak

Yahoo

time3 hours ago

  • Yahoo

How does Legionnaires' disease spread? What to know about NYC outbreak

NEW YORK − Health officials are still finding cases in one of the city's largest Legionnaires' disease outbreaks in years as they continue monitoring Harlem cooling towers suspected of sickening more than a hundred people. On Aug. 19, New York City health officials identified a fifth person died before mid-August from the central Harlem outbreak of Legionnaires' disease, which is a severe type of pneumonia. Since the outbreak began in late July, 108 people have been identified as sickened, according to the New York City health department. The outbreak is concentrated across five ZIP codes in central Harlem, a historically Black neighborhood in Manhattan. New cases continue to decline as officials remediate cooling towers suspected to harbor the Legionella bacteria that causes the disease. When was the last large Legionnaires' outbreak in NYC? The health department identifies cases each year, sometimes resulting in death. The city saw its largest recent outbreak in 2015. Then, 138 cases and 16 deaths were linked to a single cooling tower in the South Bronx, just across the Harlem River from the Harlem neighborhood. A more recent outbreak in 2022 in the Bronx's Highbridge neighborhood saw 30 people sickened, a city health department report said. Decades earlier, a large outbreak in Pennsylvania gave Legionnaires' disease its name. In 1976, an outbreak at an American Legion veterans organization state convention in a Philadelphia hotel infected 180 people and killed 29. How does Legionnaires' disease spread? The bacteria − found naturally in freshwater − grows in warm or hot water, according to the Centers for Disease Control and Prevention. The disease doesn't spread between people, but from mist containing bacteria that people inhale, city health officials said. Without maintenance, water systems, such as hot tubs, cooling towers, hot water tanks or big plumbing systems give the bacteria ideal places to grow. CDC estimates nine in 10 outbreaks were caused by preventable problems with effective water management. In New York, officials suspect a dozen cooling towers, used atop 10 larger buildings to control the temperature of cooling systems using fans and water as heat exchangers, caused the current outbreak. The cooling towers sprayed mist containing from the tops of buildings. Legionnaires' disease doesn't spread by drinking water, or from cooled air from air conditioners. Window AC units, ubiquitous on many buildings in New York, also aren't a risk for bacterial growth, since they don't use water to cool the air. City health officials have sampled and tested water from the cooling towers and treated affected buildings in the five ZIP codes (10027, 10030, 10035, 10037 and 10039). What are Legionnaires' disease symptoms? Most people exposed to the bacteria don't develop Legionnaires' disease. The risk to most people in central Harlem ZIP codes is low, but people who live or work in the area and have flu-like symptoms are urged to seek care right away, city health officials said in an Aug. 6 notice to residents. As a severe form of pneumonia, symptoms include fever, chills, muscle aches and cough, city health officials said. People can also get headaches, fatigue, loss of appetite, confusion or diarrhea. Symptoms develop between two and 10 days after exposure, but it can be up to two weeks. People at higher risk include those ages 50 and older, smokers, have chronic lung disease and have weakened immune systems from a condition or medication. Possible complications can include lung failure and death, with about one in 10 people who get sick dying from the disease due to complications from illness, CDC said. The disease is easily treatable with antibiotics. If people develop symptoms, they should seek medical care right away. What is risk ahead? With hotter, more humid temperatures in a warming climate, Legionnaires' disease is a growing health concern. CDC data shows the condition is becoming more common in recent decades. In New York, outbreaks tend to oscillate between predominantly lower income Black and Latino neighborhoods, a former health official previously told USA TODAY. Contributing: Thao Nguyen, USA TODAY Eduardo Cuevas is a reporter for USA TODAY based in New York City. Reach him by email at emcuevas1@ or on Signal at emcuevas.01. This article originally appeared on USA TODAY: What is Legionnaires' disease? What to know about NYC outbreak

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