By Suzii Paynter March
Everybody needs it and there is not enough. Rumors fly, promises of millions are made, but national news notwithstanding, it’s only the local supply that matters. The city, the county, medical providers, pharmacies, hubs, hospitals are all at the ready… and ready… and ready. Could somebody turn on the spigot? Vaccine production, running water? It is a frustratingly bleak reminder that the systems we put in place matter.
When it comes to Waco and the meager amounts of vaccine we are being sent from Texas State Health Services, I’m wondering, “Is the State of Texas Health data up to date? Do they know Waco-McLennan has grown in the past 5 years? Is our dose allocation up to date? Or are they using 10-year-old Census data to determine the number of vaccine doses we need?” I mean, can people in Austin count?
Good people are working hard, but they are pioneers forging a way through the we-have-never-had-a-pandemic underbrush, not motorists driving down a well-travelled Interstate highway of frozen medicine delivery.
Remember the fits and starts that riddled Katrina response? The unintended health consequences for first responders from 911? Things got better when subsequent hurricanes hit, and new protections are now in place for first responders. As a nation we are not slow learners, and I take comfort in believing that we are able to learn and adapt.
Back to bathroom tissue. Last March the run on the tissue aisle at HEB meant they draped the aisle to hide the poor stock boys so they could get product to the shelves, pull down the draping and then scurry off the floor to safety before the rush of shoppers. There was an early morning hour set aside for elderly shoppers and other experimental measures employed by stores to try to meet demand and spread the essential tissue widely.
If you are 1b, are you calling and emailing every place you can think of? I am. Back in November I was prepared to wait patiently until April for my vaccine because I thought none was available…. THEN we were told vaccine was available for 1b NOW. Then I shifted from patient patient to eager patient, urgently looking for my dose!
I sincerely believe the spigot will come on and vaccines will be available. Waco has a system for delivery through public hubs and private sources, and there are many places and populations that need support. The need is going to get bigger and bigger, and we have to plan and build for tomorrow as well as today.
So my pledge is that even while I am anxious for my dose, I can still be a part of the build out – I can call, volunteer, organize my workplace, my family, keep up to date and help my friends get connected, too. The city needs volunteers as vaccinators, as paperwork and crowd management volunteers, and as ambassadors for various neighborhoods and in various congregations and pockets of the community. Call the city number to help: 254-750-1890.
Suzii Paynter March is chief executive officer of Prosper Waco, our community’s collective impact initiative. She is a graduate of Baylor University, with a lifetime of experience in organizational leadership and public advocacy.
The Act Locally Waco blog publishes posts with a connection to these aspirations for Waco. If you are interested in writing for the Act Locally Waco Blog, please email Ferrell Foster at [email protected].
By Mayor Dillon Meek
I want to thank our hospital personnel and our health district and city staff members working around the clock while being caring and compassionate and undoubtedly exhausted. Thank you!
Our local hospital systems, our city staff, our county judge, and myself are in close, regular contact with one another as we discuss and monitor data regarding our hospital capacity and hospital personnel and monitor whether or not there will be a need for an alternative care site. To date, this still seems more improbable than probable. Our hospitals and our Waco-McLennan County Office of Emergency Management have developed robust plans to keep our population safe should the number of hospital patients increase to a degree of serious alarm.
Our local doctors continue to advise us of the seriousness of this virus, and I urge our community to also make wise decisions in the days ahead by following these doctors’ calls to wear masks in public, follow safe distancing protocol, and wash hands. Following this doctor-endorsed protocol makes this situation not fearful.
As a reminder, at the present time, Texas mayors and local governments have almost no policy-making authority. Gov. Abbot has implemented and has control of the regulations and mandates – from wearing masks to closures of bars to occupancy requirements. The governor has issued an order stating we cannot issue more restrictive orders than him. We have not heard any word from the governor’s office that this might change.
The Waco-McLennan County Emergency Operations Center is working with the Texas Department of Emergency Management and DOCS Health Testing to provide free COVID-19 testing to the community. When you register online, it does ask for your insurance information. You do not have to have insurance to receive a test. For people with insurance, there is no out-of-pocket cost or copay to get the test. Please go to COVIDwaco.com to register.
The Emergency Management Center previously received a refrigerated trailer to be used as a temporary morgue. This refrigerated truck is currently housing 19 remains.
Vaccinations
This is a time for hope! People in McLennan County are getting vaccinated and we celebrate that.
As a reminder, there are many local organizations giving vaccines; we call these “ vaccine providers” or just providers. A list of these providers is on COVIDwaco.com and includes CVS, HEB, Brookshire Brothers, Baylor Scott and White, Ascension Providence. One of these many providers is our Waco-McLennan County Public Health District.
Of these providers, two were selected by the state to serve as vaccination Hubs to get vaccinations quickly to all eligible 1A and 1B recipients, regardless of residence. These two hubs are the public health district and Ascension Providence. Hub sites get larger quantities of vaccines than other providers. This week, the public health district received approximately 1,500 doses and Providence received 1,950 doses.
As a reminder, local government has no authority or control over any provider but does work to collaborate and partner with providers when they are able and willing.
Public Health District vaccination clinic
Yet again, staff was able to administer all doses without wasting any vaccine. Many vials even contained more than the average 10 doses per vial and staff made sure to utilize all of it — 1,618 people were vaccinated in the two-day clinic. I am so thankful for the care and effort our staff, partners, and volunteers put into every aspect of these events.
We have received another shipment of 1,500 doses and are hosting another vaccine clinic this week at the Waco Convention Center on Thursday, Friday, and Saturday. We were glad to be able to make a weekend clinic day available for those who are unable to make it in during the normal workweek.
We did not open a registration portal for appointments for this clinic. Staff worked from the waitlist to schedule appointments and reached out by email and by phone to the contact information provided in the waitlist. Staff is working diligently to make sure this is a fair and equitable process.
I acknowledge that many citizens have tried to register for the vaccine with us and were unsuccessful, and that this process has been frustrating for so many. The registration process was unable to accommodate the initial volume, but processes have improved, and the website will be continually updated to provide clarity. Be encouraged to continue to log on to the website, read updates in emails, and sign up for the public health district’s waiting list.
If you did not get an appointment for this week’s clinic, please be patient. Demand continues to far outweigh supply and the Health District is still only receiving 1,500 doses per shipment. We will continue to get consistent shipments of vaccine allocations from the state, and we will continue to move through the waitlist and to host clinics. We are not scheduling appointments until the allocations have been physically received.
If you have signed up through any of the prior lists, you are on the waitlist. We did not throw out any of the previous lists or contact information.
Please, continue to encourage those you know who are eligible for a vaccine to get on the waitlist, or help them register if they are unable. Just make sure that the name on the waitlist is the name of the eligible individual getting the vaccine. The waitlist link is available online at COVIDwaco.com (look for the big red button labeled Vaccine Waitlist Registration) and the call-center is available to assist with any questions or registration at 254-750-1890.
You are being responsible, good citizens in signing up for the waitlist. The list is 20,000 – a testament to how well our citizens are responding and Waco should be proud. Your Public Health District is committed to working through the list, and residents should know that, by signing up, they are helping Waco understand who needs a vaccine and how to best get it to people with different needs.
As we continue to move forward with these clinics, it is so evident that these events are a community effort. So much goes on behind the scenes that makes these clinics run smoothly. I would like to thank our community partners who have helped the Public Health District make these clinics happen:
• Baylor Scott and White-Hillcrest
• Baylor University, Louise Herrington School of Nursing in Dallas
• McLennan Community College, School of Nursing
• Tarleton State University, School of Nursing
• American Medical Response, EMS services
• Central Texas Medical Reserve Corps and all who have volunteered through that great organization
• Heart of Texas Red Cross
• McLennan County
• City of Waco Fire Department, Office of Emergency Management, Police, IT, Waco Convention Center, and the many employees who have pivoted to help work the call-center on weekends and after hours
• I would particularly like to highlight this week that Waco Transit is providing free rides to the Public Health District vaccine clinic through the Demand Response Van Service. Call 254-750-1620 24-hours in advance of your appointment to schedule your ride.
• City and county leadership and the Public Health District staff are working hard with limited information about shipments of vaccines. Communications are and will continue to be challenging, and your patience is appreciated. We will continue to communicate through our weekly update emails, our website, this press conference, social media, town hall meetings (one of which was recently done with a variety of leaders including Commissioner Pat Miller and Council Member Andrea Barefield).
Some telephone numbers to call
• Public Health District-supported bilingual call center (254-750-1890) to provide vaccine information and/or assist clients with registration for the vaccine clinic through the online registration portal,
• City Public Information bilingual Hotline (254-750-5606) with recorded, up-to-date COVID-19 and vaccine messages and resources.
Mayor’s Opening Remarks
Transcript with Headers Added
COVID-19 Press Conference, Jan. 20
By Mayor Dillon Meek
I appreciate everyone taking the time to join us. . . .
I’ll talk briefly on hospitalizations. Thank you to our healthcare providers. You are extravagantly serving us and we are thankful.
Hospitals and Doctors
Our local hospital systems, our city staff, our county judge, and myself are in close, regular contact with one another as we discuss and monitor data regarding our hospital capacity and hospital personnel and monitor whether or not there will be a need for an alternative care site. To date, this seems more improbable than probable.
Our hospitals and our Waco-McLennan County Office of Emergency Management have developed robust plans to keep our population safe should the number of hospital patients increase to a degree of serious alarm.
Our local doctors continue to advise us of the seriousness of this virus, and I urge our community to also make wise decisions in the days ahead by following these doctors’ calls to wear masks in public, follow safe-distancing protocol, and wash hands. Following this doctor-endorsed protocol makes this situation not fearful.
State Control
As a reminder, at the present time, Texas mayors and local governments have almost no policy-making authority. Gov. Abbot has implemented and has control of the regulations and mandates – from wearing masks to closures of bars to occupancy of requirements of businesses. The governor has issued an order stating we cannot issue more restrictive orders than him. We have not heard any word from the governor’s office that this might change.
Testing
The Waco-McLennan County Emergency Operations Center is working with the Texas Department of Emergency Management and DOCS Health Testing to provide free COVID-19 testing to the community. When you register online, it does ask for your insurance information. You do not have to have insurance to receive a test. For people with insurance, there is no out-of-pocket cost or co-pay to get the test. Please go to COVIDwaco.com to register.
Temporary Morgue
The Waco-McLennan County Emergency Management office previously received a refrigerated trailer to be used as a temporary morgue. This refrigerated truck is currently housing 23 remains.
Vaccinations
I will give a brief update on the Health District, which is but one vaccine provider in McLennan County, and then Judge Felton will discuss the other 20 vaccine providers in our county, as well as the vaccination process at the national and state level. (As a reminder, other vaccine providers include HEB, Veterans’ Affairs, CVS, Family Health System, and the hospital systems, as well as the Health District. Our Health District and Providence have both separately been designated as vaccination hubs.)
The Waco-McLennan County Public Health District is one of the local vaccine providers committed to serving the public and operating with complete transparency and with that I move into my report.
Today is Day 1 of the second vaccine clinic. We are running the clinic today and tomorrow and distributing the second 1,500 dose allocation that we recently received from the Texas Department of State Health Services.
We have heard the many frustrations with the clinic registration process, and I want you to know that we are listening and we are continually looking at ways to make changes to the process and make it as equitable as possible. I would ask for your patience for our Health District and city staff — they have worked tirelessly throughout the pandemic and now through this vaccine distribution process. This is just the second allotment that we have gotten as a function of being one of the state’s 28 vaccine hubs and we made a number of changes to the registration process over the past week.
Some of the things we did differently for the registration process this weekend were to:
— Announce 24 hours ahead of time that appointments would be made available.
— Open up registration at two different times to provide accessibility for those who may work on weekends.
— Reserve a percentage of appointments specifically for people calling because they do not have online access.
Throughout this process we have communicated and worked with area churches, non-profit and social service agencies, and community leaders to try and ensure that our vulnerable populations are not being left out of this process. I thank them for their help.
In the first clinic, about 87% of appointments were made by McLennan County residents. Just over 7% of individuals vaccinated were African American and just under 9% were Hispanic. 88% of individuals were white.
This week, 77% of appointments were made by McLennan County residents. Again, about 7% are African American and just under 14% are Hispanic. 86% are white.
We are committed to evaluating our process and making adjustments to ensure that it is equitable and that everyone will have a fair and equitable opportunity to get this vaccine .
Ultimately, the 1,500-dose allotment we are getting is nowhere near enough to meet the demand we are seeing within our community. This weekend online registration appointments were full in less than 10 minutes on Sunday and in less than 5 minutes on Monday. In just over a 36-hour period Sunday to Monday, our call center received almost 20,000 calls. We had 8 call-center operators on Sunday and 12 on Monday — these staff were able to answer and speak with 571 callers in less than an hour on Sunday and 491 callers on Monday.
For future clinics, there will not be a registration period like what has been hosted these past two weekends. The Health District has established a wait list for the vaccine. If you have already attempted to sign up for appointments and either signed up for the wait list through the registration portal text number or through the email newsletter you will be on this wait list. We have almost 14,000 people on the wait list, and it continues to grow.
Beginning today, a wait list registration link is available on COVIDwaco.com or by calling in to the call center at 254-750-1890 for assistance registering.
The Health District will contact people from this list to fill cancellations and to schedule appointments for future clinics. All vaccinations continue to be by appointment only. There are no walk-ups accepted at the vaccine clinic.
Thank You
We are excited to continue this vaccination effort in Waco and McLennan County. I would like to thank the Waco-McLennan County Public Health District staff, supporting City of Waco departments, and all of the community partners who have made these clinics possible and thank you for the efforts to date. You are doing important work in our community.
Lastly, I would like to invite our community to tune in to a COVID-19 vaccine town hall meeting that will take place on Jan. 21, 2021 from 7-8 p.m., featuring Commissioner Patricia Miller as moderator, Dr. Terri Woods-Campbell, Dr. Peaches Henry, Council Member Andrea Barefield, Dr. Jimmy Hunter, and Chet Edwards. This town hall will be available on Channel 10, as well as the Waco City Cable Channel.
By Ferrell Foster
Neighbors figure large in human interaction. They give us friendship, help, and encouragement as we face the varied opportunities and challenges of life. And because we care about both ourselves and our neighbors, we get vaccinations.
Tuesday afternoon, I rolled up my sleeve and took a literal shot in the arm. I was one of 424 people vaccinated on the first day of the “first large-scale public COVID-19 vaccination clinic in McLennan County,” as reported by the Waco Tribune-Herald.
Our Waco-McLennan County Public Health District and all others involved in this clinic deserve applause for this beginning. The process was smooth and efficient — in and out pretty quickly. Volunteers from McLennan Community College’s nursing program and Waco’s Family Health Center, plus the Waco Fire Department, ran the clinic.
I arrived 15 minutes early for my Tuesday afternoon appointment, went through the various steps, and received my shot promptly and on time. After the shot, I waited the required 15 minutes before leaving. Eighteen hours later, I have had no reaction to the shot other than a sore arm reminiscent of the shingles vaccine I received a couple of years ago.
The clinic will give 1,500 vaccinations by appointment this week (already booked up), but this is just the beginning. My age got me into this group, and it was good to see other Wacoans taking advantage of the opportunity.
I am concerned that people with little or no Internet access are at a big disadvantage when appointments are made online, but I hope our health district is working for ways to connect with this important part of our community — maybe with some appointments being made through community organizations, rather than online.
Large-scale vaccination is not an easy job, but we have started, and that is good for the health, education, jobs, business, entertainment, and government. Let’s keep #WacoSafe.
Ferrell Foster is acting executive director of Act Locally Waco. He also is senior content specialist for care and communication with Prosper Waco.
The Act Locally Waco blog publishes posts with a connection to these aspirations for Waco. If you are interested in writing for the Act Locally Waco Blog, please email Ferrell Foster at [email protected].
By Lindsey Breunig-Rodriguez
Every year we like to provide program updates and share new curriculum. Do not worry, next month we will back to regular scheduled fruit and veggie facts.
Greetings from the McLennan County Texas A&M AgriLife Extension Service! My name is Lindsey, and I am the Extension agent for the Better Living for Texans (BLT) Program. BLT is a nutrition education program for adults and youth who are SNAP participants or SNAP eligible, and in October we kicked off our 26th year of serving Texans.
Programs are free and rooted in research. Evidence-based information empower individuals, families, and communities to make positive changes for healthier lives. Whether we meet in-person, online, virtually, or through a combination of methods, we are here to serve you. This monthly update will feature our available curriculum. You will see that BLT is for all Texans.
Curriculum Highlights:
FOCUS: NUTRITION
A Fresh Start to a Healthier You! – Target Audience: Adults
Promotes increasing fruit and vegetable intake, food safety, and food resource management.
A Fresh Start to a Healthier You! – ONLINE – Target Audience: Adults
Promotes increasing fruit and vegetable intake, food safety, and food resource management.
Conducted completely online.
Get the Facts – Target Audience: Adults
Teaches how to read Nutrition Facts Labels and identify portion sizes, sodium, fat, and added sugar found in foods.
Healthier Carbohydrates -Target Audience: Adults
Promotes a healthful eating pattern to prevent or delay diet related chronic diseases
Be Well, Live Well – Target Audience: Older Adults
Promotes nutrition and physical activity specifically targeting older adults
Color Me Healthy – Target Audience: Preschoolers and Kindergarteners
Provides fun, innovative, interactive learning opportunities on physical activity and healthy eating.
Balancing Food & Play – Target Audience: 3rd-5th graders
Promotes good nutrition and healthy weight; physical activity; limiting screen time; increase fruit and vegetable intake; drinking milk with meals and water with snacks.
Choose Healthy – Target Audience: Middle Schoolers
Teaches about MyPlate, physical activity (energy balance), making healthy food choices, and choosing healthy drinks.
FOCUS: GARDENING
Growing and Nourishing Healthy Communities – Target Audience: Adults
Teaches how to build gardens and grow fresh vegetables.
Learn, Grow, Eat and GO! – Target Audience: 3rd-5th graders
Enhances gardening skills and increased fruit and vegetable intake
FOCUS: PHYSICAL ACTIVITY
Walk Across Texas! (WAT!) – Target Audience: all ages
Promotes increased physical activity through tracking miles walked
Walk N Talk – Target Audience: all ages
Promotes increased physical activity – WAT! with added nutrition messages in a discussion format. Discussion topics are: 1. Fruits and Vegetables, 2. Rethink Your Drink! (hydration, flavored waters, sugary drinks, etc.)
If you have questions, want to plan and brainstorm, or want to hear more, please reach out to Lindsey at McLennan County’s Texas A&M AgriLife Extension office:
Phone, 254-757-5180 or email, [email protected]
Due to the continued spread of COVID-19 and the challenges it poses to communities across Texas, Texas A&M AgriLife Extension and many others continue to practice public health recommendations. Whether we are communicating online or face-to-face know that program content will always be research-backed to help individuals navigate decisions for themselves and their families. For information on resources, ideas, and programs for yourself and family visit Texas A&M AgriLife’s HUB.
USDA is an equal opportunity provider and employer. This material was funded by USDA’s Supplemental Nutrition Assistance Program — SNAP. To learn more about the Supplemental Nutrition Assistance Program (SNAP) or to apply for benefits, visit www.yourtexasbenefits.com
Lindsey Breunig-Rodriguez is an Extension Agent for the Better Living for Texans program with the Texas A&M AgriLife Extension Service. She is originally from Grapevine but now calls Waco home. A graduate from Baylor University, she loves to venture out to Cameron Park, visit the local Farmers Market, and try out the awesome eateries in Waco. If you see her and hear a loud bark, that’s her pup Lucy Ann just saying hello.
The Act Locally Waco blog publishes posts with a connection to these aspirations for Waco. If you are interested in writing for the Act Locally Waco Blog, please email [email protected] for more information.
By Jamie Willmann
In a time where much dissension exists, where the world is hurting out of a lack of love and community, and where isolation has hindered social interaction, we can find a sense of connection in the most unexpected places.
There is benefit in meeting someone who is experiencing the same trials or pain we are going through. Though we may all come from differing backgrounds, we can find unity in this COVID-19 disaster by digging a little under the surface. Underneath, we still find persons who have emotions and feelings that are directly affected by the state of the world.
Finding commonality in trials breeds possible connection. When we relate to one another, sympathy is present. It creates a sense of safety knowing that someone knows what we are experiencing. We may not feel as lonely in our trials anymore, and it creates an internal sense of validation.
People across the world are experiencing an influx of changes to their normal routines. By nature, we are adaptable to new environments and changes, but the pandemic is entirely on a new scale. It is bringing new situations that we never thought possible.
We are not designed to be isolated from others. We crave community and the presence of others. As we now adjust to something that goes against our nature, problems arise. Anxiety increases, and irritability becomes present.
In the moments when you feel COVID-19 has shattered your daily life, imagine that you are standing at the edge of potential for growth. Although you may feel anxious, depressed, or fearful, you also share in the fact that there is growth that can come out of this. You, however, have to choose that path.
The first step is acknowledging you need help and then accepting a helping hand from your neighbor.
There is a conception of mental health that needs to be stopped. Many believe they must appear as if they have it all together, which then inhibits them from receiving the help that could change the trajectory of their daily lives. We must break down these expectations to allow others in to help us.
Whether you are facing job loss, money problems, sickness, or family loss, know that you are not alone. Nowhere does it say that you have to do this on your own.
Our Crisis Counseling Program (called Texans Recovering Together) is made possible by a dedicated group of professional counselors.
— We are a team of people devoted to providing accessible, caring, and responsive services.
— We are here to listen to you, to build you up, and to provide you with what you need to press on.
— We are a network of community support that is here by your side.
By empowering our communities and taking a strength-based approach, our services provide empowerment to the community and resilience to combat the fear. We believe that we are better together, and we want to help you through these hard times.
Call us at toll-free at (866) 576-1101 to speak with a counselor, or request counseling here.
We are #TexansRecoveringTogether. We are here to help you recover.
Jamie Willmann was raised in a Christian home and was taught to serve and love others at an early age. She has a passion for making people smile and brightening people’s days. Jamie came from Wisconsin three years ago to attend Baylor, where she graduated with a degree in international studies. She now devotes her free time to self-care, exercising, relaxing in nature, and fellowship with friends.
The Act Locally Waco blog publishes posts with a connection to these aspirations for Waco. If you are interested in writing for the Act Locally Waco Blog, please email [email protected]for more information.
By Ferrell Foster
Five Waco civic, health, and school leaders Wednesday encouraged the people of Greater Waco to think of their neighbors and to be careful how they are involved in gatherings and celebrate the Labor Day weekend. They also stressed the importance of getting a flu shot.
With the holiday coming and football season upon us, Mayor Kyle Deaver asked residents to do these activities “smartly and safely” so the community can remain open. “Take care of yourself and take care of each other.” He made the comments during the weekly City of Waco News Conference related to the COVID-19 pandemic.
Jerry Maze, executive director for Education Service Center Region 12, noted, “What happens in the community shows up in the schools,” and that can be both good and bad. “If everyone works together and makes good decisions, we get better outcomes.”
Dr. Brian Becker, of Ascension Providence Hospital, called special attention to the holiday weekend, noting that following standard safety procedures is important for our public health and to our neighbors.
Dr. Marc Elieson, of Baylor Scott & White-HIllcrest, also spoke to the importance of wearing face masks, distancing, and proper hand hygiene. ”Be wise,” he said.
A number of questions were asked about schools and Baylor. For students, “it’s so much more about what’s happening off campus,” Mayor Deaver said. “We know this is hard; it’s trying for everyone, … but it’s the way we keep schools open and having football” and other activities.
Dr. Jackson Griggs, of the Family Health Center, praised the efforts of Baylor University to test and then isolate students exposed to COVID-19. “I’m impressed with efforts by Baylor to mitigate the risk.”
Current hospitalizations are down some, but the hospital representatives said their in-patient numbers usually lag behind case counts by about a week. And case counts have been rising in McLennan County.
The current “Effective Reproduction Rate” for McLennan County is 1.07, Mayor Deaver said. Anything above 1 means the disease is expanding, not contracting. The Rt is a measure of contagiousness or how many people one COVID-19 person infects.
In his closing remarks, Dr. Griggs highlighted the importance of bringing down the positivity rate. In recent weeks that rate has hovered just under 15% in McLennan County, which is above the state rate. More testing helps identify people with COVID-19 and also lowers the positivity rate. “Anyone with subtle symptoms needs to come in and be tested,” Dr. Griggs said. The first step is to contact your primary care physician.
The head of Family Health Center also emphasized the importance of flu vaccinations. “We need to keep flu rates down this season,” Dr. Griggs said. There’s a lot we don’t know about flu and COVID-19 infections in the same person. “Flu vaccines are imperative.”
It is especially important to promote the flu vaccines in “communities of color” because they have been particularly hard hit by COVID-19 and have “historically lower vaccination rates.”
The news conference is aired at 1:30 p.m. each Wednesday at WCCC-TV for the public to view.
Ferrell Foster is senior content specialist for care and communication for Prosper Waco. He also serves on the Act Locally Waco Board of Directors and helps the website with blog posts related to health, education, financial security, and equity.
By Paula Solano
As we to transition into the 2020-2021 school year, we can appreciate how our school and health systems work collectively to ensure the safety of students and educators. I find apples, a seasonal fruit often associated with both health and education, appropriate for this season.
Extended workdays, possible home schooling, and other responsibilities may often lead to missing a meal or making a fast-food run. The U.S. Department of Agriculture’s MyPlate provides recipes, tips, and resources to guide you in creating a healthy eating plan. Start simple, download the MyPlate App, an easy-to-use app that will help guide you and track your progress.
Apples might be the essential fruit to have in a pinch. In fact, apples can be enjoyed during breakfast, lunch, or dinner or as a perfect on-the-go snack. When selecting apples, choose those that are firm, with intact stems, and they should smell fresh.
Wash your hands as recommended by the CDC, clean contact surfaces, and thoroughly rise apples to remove any dirt before you pack, enjoy, or use while preparing a meal. Refrigerate apples in a plastic bag, away from other fruits and raw meats for up to three weeks.
Not only are apples yummy, they are saturated fat free, low in fat cholesterol, and sodium free. Apples are rich in fiber and phytochemicals (compounds produced by plants).
Enjoy these tasty apple recipes!
Apple Cinnamon Yogurt Muffins (Kid Friendly)
Serving: 24
Nutritional Information: Calories: 217, protein: 3g, fat: 10g, carbohydrates: 29g, fiber: .6g, sodium: 230mg, cholesterol: 44mg
Ingredients
1 ¾ cups sugar
3 cups all-purpose flour
3 1/2 teaspoons baking powder
1/2 teaspoons salt
1/2 teaspoon grated orange zest
1/4 teaspoon ground nutmeg
1 cup (2 sticks) butter or margarine
1 cup grated Braeburn or Golden Delicious apple
1 container (8-ounce) low fat vanilla yogurt
2 large eggs, beaten
1 teaspoon ground cinnamon
Instructions:
1. Heat oven to 350° F. Grease 24 3-inch muffin pan cups or line with paper liners. In large bowl, combine flour, 1 cup sugar, the baking powder, salt, orange zest, and nutmeg. With pastry blender or fork, cut in 3/4 cup (1 1/2 sticks) butter until mixture is crumbly.
2. In medium bowl combine apple, yogurt, and eggs; add to flour mixture, stirring until just combined. Spoon batter into prepared muffin cups and bake 20 to 25 minutes or until centers spring back when gently pressed.
3. Cool muffins in pan 5 minutes; remove from pan and cool until able to handle. Meanwhile, melt remaining 1/2 stick butter. In small bowl, combine remaining 3/4 cup sugar and the cinnamon. To serve. brush tops of muffins with butter and roll top in cinnamon-sugar mixture.
4. Enjoy!
Golden Apple Oatmeal
Servings: 1
Nutritional Information: Calories: 122, protein: 4g, fat: 2g, carbohydrates: 27g, fiber: 3g, sodium: 331mg, cholesterol: 0mg
Ingredients
1/2 cup diced Golden Delicious apple
1/3 cup apple juice
1/3 cup water
1/8 teaspoon cinnamon
1/8 teaspoon nutmeg
1/8 teaspoon salt (optional)
1/3 cup quick cooking oats (of your choosing)
Instructions:
1. In small pot, combine apple, apple juice, water, cinnamon, nutmeg, and salt (if desired); heat to boiling. Stir in oats and cook 1 minute. Cover and let stand two minutes before serving.
2. Enjoy!
Paula Solano is a Master in Public Health student at Baylor University and certified Community Health Worker who is volunteering at the Texas A&M AgriLife Extension Service. A Waco native, she is passionate about serving her community, particularly underserved and underrepresented residents.
The Act Locally Waco blog publishes posts with a connection to these aspirations for Waco. If you are interested in writing for the Act Locally Waco Blog, please email [email protected] for more information.
NEWS RELEASE
The Texas Health and Human Services Commission announced today the launch of HTW Plus, enhanced postpartum care services for eligible women enrolled in the Healthy Texas Women program. Beginning Sept. 1, about 90,000 HTW clients will automatically receive this new postpartum care coverage for up to 12 months.
While all women in HTW have access to screening, diagnosis, and medication to treat postpartum depression, women with HTW Plus coverage will also be able to receive outpatient individual, family, and group psychotherapy services, as well as peer specialist services.
HTW Plus will provide physical health, mental health, and substance use disorder services that address asthma, diabetes, hypertension, certain cardiovascular conditions, perinatal mood and anxiety disorders including postpartum depression, and substance use disorders including drug, alcohol, and tobacco use.
Approximately 90,000 postpartum women enrolled in Healthy Texas Women on average each month will be covered by HTW Plus and have access to expanded postpartum care services for up to 12 months after the date of enrollment in the Healthy Texas Women program.
HHSC will issue new HTW Plus pink cards and an updated information packet to women eligible for the new service package.
In 2019, SB 750 directed HHSC to evaluate postpartum care services provided to women enrolled in HTW after the first 60 days of the postpartum period and develop a postpartum care services package for women enrolled in HTW.
HHSC contracted with The University of Texas Health Science Center at Tyler and The University of Texas System Population Health to conduct an evaluation of services used by women in the Medicaid for Pregnant Women program in comparison to the Healthy Texas Women program. Additionally, findings from the Maternal Mortality and Morbidity Review Committee informed the HTW Plus service package.
The evaluation focused on services related to the major health conditions recognized as contributing to maternal morbidity and mortality in Texas—common cardiovascular conditions, substance use disorders, mental health conditions, and certain chronic health conditions.
Covered services include:
- Cardiovascular imaging and laboratory studies, blood pressure monitoring equipment, and antihypertensive, anticoagulant, and antiplatelet medications
- Diabetes management services including labs, additional injectable insulin options, blood glucose testing supplies, and voice-integrated glucometers for women with diabetes who are visually impaired
- Asthma medications and supplies
- Psychotherapy and peer specialist services for postpartum depression and other mental health conditions
- Screening, brief intervention, and referral to treatment (SBIRT); medication assisted treatment (MAT); and peer specialist services for the management of substance use disorders
- Tobacco cessation drugs
About Healthy Texas Women
The Healthy Texas Women program provides family planning services and other women’s health services that contribute to preconception care and better birth outcomes. The program provides a wide variety of women’s health and core family planning services, including contraception, cancer screenings and pregnancy testing. In Fiscal Year 2019, about 279,000 women on average each month were enrolled in the Healthy Texas Women program.
By Kayla Gilchrist
Oftentimes, many people confuse COVID-19 and its risks with influenza (flu), believing they are relatively the same.
“It’s not that serious; it’s just like the flu.”
“Why can’t they find a seasonal vaccine for coronavirus like they did for the flu?”
“I’ve had the flu before so I’m pretty sure I can handle COVID-19.”
Although both COVID-19 and the flu share similar characteristics, such as both being contagious respiratory illnesses, they are caused by separate viruses which bring about some vital differences.
Coronaviruses are found in both humans and animals causing mild to moderate respiratory issues. COVID-19 is caused by a completely new coronavirus called SARS-CoV-2, which causes a more severe illness. The flu is caused by influenza viruses — completely different strands of viruses than coronaviruses.
Due to some of the symptoms of the flu and COVID-19 being similar, it can be difficult to tell the difference without testing to confirm a proper diagnosis. Because COVID-19 comes from an entirely new strand of virus (SARS-CoV-2), we are learning more and more everyday.
Given the best and most updated information from the Centers for Disease Control and Prevention, below are some key differences and similarities between COVID-19 and influenza.
Similarities
1. Common symptoms shared by both COVID-19 and the flu which range from asymptomatic (no symptoms) to severe are:
- Fever or feeling feverish/chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue (tiredness)
- Sore throat
- Runny or stuffy nose
- Muscle pain or body aches
- Headache
- Some people may have vomiting and diarrhea, though this is more common in children than adults
2. For both the flu and COVID-19, one or more days can pass before an infected person starts to experience signs of illness or symptoms.
3. It’s possible to spread both viruses up to 24 hours before showing any symptoms.
4. Both can spread between people within about 6 feet or from person-to-person contact through droplets made when an infected person coughs, sneezes, or talks. These droplets can reach the mouth, nose, or be inhaled into the lungs of someone nearby an infected person. Both viruses can also spread through physical touch (e.g. shaking hands) or by people touching infected surfaces then touching their face.
5. Both COVID-19 and flu pose the highest risk to:
- Older adults
- People with certain underlying medical conditions
- Pregnant women
6. Both COVID-19 and flu can cause these complications:
- Pneumonia
- Respiratory failure
- Acute respiratory distress syndrome (i.e. fluid in lungs)
- Sepsis
- Cardiac injury (e.g. heart attacks and stroke)
- Multiple-organ failure (respiratory failure, kidney failure, shock)
- Worsening of chronic medical conditions (involving the lungs, heart, nervous system or diabetes)
- Inflammation of the heart, brain or muscle tissues
- Secondary bacterial infections (i.e. infections that occur in people who have already been infected with flu or COVID-19)
7. Anyone with a high-risk of complications and/or who have been hospitalized for COVID-19 or flu should receive proper medical care.
8. Any and all vaccinations for COVID-19 and flu must be approved or authorized for emergency use (EUA) by the FDA.
Differences
1. If you have COVID-19, it could take longer to develop symptoms than if you have the flu — up to 14 days after infection. A person with the flu usually develops signs and symptoms anywhere from one to four days after infection. Unlike the flu, with COVID-19 you may also experience a change in or loss of taste or smell as part of your symptoms.
2. If you have COVID-19, you might be contagious longer than if you have the flu. Most people with the flu are contagious up to 7 days while those with COVID-19 can remain contagious up to 10 days.
3. COVID-19 is believed to be more contagious. It’s been observed to spread quicker and more easily to a wider range of people than the flu.
4. Children are more at risk for complications from the flu than from COVID-19, however the CDC states that “both infants and children with underlying medical conditions are at increased risk for both flu and COVID-19.”
5. School-aged children pose a higher risk of a rare but severe complication of COVID-19 called Multisystem Inflammatory Syndrome in Children (MISC).
6. Those with the flu will most likely recover in less than two weeks unless they develop complications, whereas recovering from COVID-19 could take up to two weeks and even longer should complications develop.
7. The flu has FDA-approved influenza antiviral drugs to treat it and multiple vaccines produced annually for prevention. Studies, including a study on an antiviral agent called Remdesivir, which is available under Emergency Use Authorization (EUA), are still in progress on how to prevent and treat COVID-19. The National Institutes of Health (NIH) developed a regularly updated guide on treatment of COVID-19 here https://www.covid19treatmentguidelines.nih.gov
Here are resources to use for what to do if you are sick with COVID-19 or the flu and how to prevent them:
https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
https://www.cdc.gov/flu/treatment/takingcare.htm
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/
https://www.cdc.gov/flu/prevent/index.html
Sources: https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm
https://www.ynhhs.org/patient-care/urgent-care/flu-or-coronavirus
https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus
Kayla Gilchrist is an adventure-seeking, fun-loving, Christ-oriented, twenty-something with an extensive background in media and a knack for writing. She received her bachelor’s in communications with a minor in theatre arts from Prairie View A&M University. When she isn’t writing or managing social media accounts, Kayla enjoys acting, directing short films, delicious food, poetry, swimming, novels, and spending time with family and friends. She happily just joined the City of Waco team and is excited to use her skills as a helpful resource during the COVID-19 pandemic.
The Act Locally Waco blog publishes posts with a connection to these aspirations for Waco. If you are interested in writing for the Act Locally Waco Blog, please email [email protected] for more information.