health & wellness

In 2022, Covid cases increased locally but deaths declined

Photos by Tom Rivers: The first Covid vaccination clinic run by Orleans County was Jan. 28, 2021 at the Ridgeway fire hall. The slots filled up quickly and 100 doses were given out. Dan Doctor, in front at right, served as a greeter at the clinic. He is chatting with David Bell, the emergency preparedness coordinator for the Genesee and Orleans County Health Departments.

By Tom Rivers, Editor Posted 28 January 2023 at 11:19 am

Covid-19 wasn’t in the news as much in 2022 as the previous two years with many of the restrictions lifted and the return of community festivals, in-person and indoor graduations and other large events. Life was pretty much back to normal locally.

But there were actually more confirmed Covid cases in both Genesee and Orleans counties in 2022 than in either 2021 or 2020. The number of deaths from Covid was down in 2022 from the previous year in the two counties. However, the two counties reported 71 confirmed Covid-related deaths.

The Genesee and Orleans County Health Departments  continue to urge people to keep up with their Covid vaccinations and take precautions to avoid getting Covid and other respiratory illnesses.

The Orleans Hub asked the local health departments for the data on Covid cases and deaths each year since the Covid pandemic started in March 2020.

These charts provide the confirmed cases in each county, and the deaths attributed to Covid.

In the nearly three years of Covid, there have been 18,775 cases in Genesee (population 58,388) and 206 deaths.

In Orleans (population 40,343), there have been 12,055 confirmed Covid cases and 126 deaths. Those numbers in both counties don’t include January of 2023.

The two counties had their biggest Covid surge of the pandemic to start 2022. Orleans County had 855 confirmed cases in the week of Jan. 5-11, followed by 645 the following week and then 521 from Jan. 19-25, 2022.

The numbers are far less a year later. The county reported 41 cases from Jan. 11 to 17, 2023, and then 72 from Jan. 18-24.

Genesee’s omicron surge about a year ago included 1,848 cases from Jan. 5-11, 2022, followed by 1,014 from Jan. 12-18 and then 847 the following week.

Genesee has significantly fewer cases now. The county reported 73 cases from Jan. 11-17, and then 60 cases from Jan. 18-24.

After the huge increase in cases about a year ago from the omicron variant, the two counties had another increase in cases in April and May, and then a slight uptick in September and around Thanksgiving, said Kaitlin Pettine, director of health promotion and public information officer for the Genesee and Orleans County Health Departments.

“Currently, Covid-19 cases continue to fluctuate and we are at medium level of risk per the CDC,” Pettine said. “Seasonal flu and other respiratory illness continue to circulate.”

She said the Genesee and Orleans County Health Departments continues to recommend the following precautions to help avoid spreading Covid and other respiratory illnesses:

  • Stay home when you are sick. This will help prevent spreading your illness to others.
  • Avoid close contact with people who are sick.
  • Cover your mouth and nose with a tissue when you are coughing and sneezing.
  • Wash your hands frequently with soap and water.
  • Wash and sanitize frequently shared/touched items.
  • Avoid touching your eyes, nose and mouth.

Jack Welch, Orleans County chief administrative officer, assisted at a rapid test clinic in early January 2021 at the Orleans County 4-H Fairgrounds. He is shown in a driver’s side mirror of a car in line. The volunteers wore personal protective equipment when they ran the rapid test clinics during the winter.

Orleans Community Health announces members of new diversity, equity and inclusion committee

Provided photo: Members of the new Diversity, Equity and Inclusion Committee formed by Orleans Community Health are, standing from left, Angie Doval, Emily Stavange, Nadine Wright-Johnson, Kim Gray, Freddrica Fuentes and Leighann VanAuker . In front is Victor Doval. Members not shown are Jessica Marciano, Jessica Dittly and Scott Robinson.

By Ginny Kropf, correspondent Posted 25 January 2023 at 8:18 pm

MEDINA – Orleans Community Health has announced the launch of a new committee to better serve members of the community.

Scott Robinson, director of Marketing at Medina Memorial Hospital, released information explaining the Diversity, Equity and Inclusion Committee will bring individuals from the public together with team members of Orleans Community Health to serve all members of the community.

“Building an inclusive environment both internally and with our neighbors is our commitment,” said Marc Shurtz, CEO of Orleans Community Health. “As we continue to expand the services we provide to our community, we want all people to feel welcome and proud that we are their health care provider. The DE&I steering committee began meeting in 2022 to determine goals that would guide future planning. I’m happy with the direction things are going and the input we’ve received from those in the community.”

The list of current objectives for the committee include:

  • To define diversity, equity and inclusion and how each relates to Orleans Community Health.
  • To cultivate a culture of diversity, equity and inclusion in the facility and community.
  • To identify, share and facilitate opportunities for learning and self-growth within the facility and community.

“I think it’s great that we were able to get this committee off the ground and immediately work on ways that OCH can serve and represent everyone,” said Freddrica Fuentes, director of Nutritional Services at Orleans Community Health and one of the founders of the committee. “That means everyone, whether you’re a veteran, disabled, part of the LGBTQ community, or of a certain age, religious group or ethnic background. This committee represents a way that we can work with our partners in the community to better represent everyone, which is what we should always strive for.”

Current members of the committee are Emily Stavange, Angie Doval, Jessica Marciano and Jessica Dittly from the community; and Leighann VanAuker, Victor Doval, Freddrica Fuentes, Nadine Wright-Johnson, Scott Robinson and Kim Gray from Orleans Community Health.

Why and when should adults have routine eye exams?

Posted 24 January 2023 at 3:00 pm

By Dr. Robert W. Ford, Chief of Optometry, Oak Orchard Health

Most adult vision problems are a continuation of the vision problems you grew up with. But even if you never needed glasses, your eyes will change as you get older. Forty seems to be a magic number when most people begin to need reading glasses, but routine eye exams are recommended long before age forty to detect other vision and eye medical problems. Vision problems are probably caused by a combination of heredity and environment and are not usually preventable.

Can You prevent eye diseases? 

Not really, but you can reduce your chances of getting eye diseases by following the recommended medical guidelines for staying healthy. Try to eat a balanced diet, limit the amount of sugar and sweets you eat, and exercise frequently. Following these guidelines helps your entire body, including your eyes.

Do sunglasses help prevent cataracts?   

If you spend a lot of time outdoors for work or for fun, sunglasses help reduce your chances of getting certain types of cataracts. And that goes for kids as well as for adults. Remember to also wear eye protection for hazardous jobs and aggressive sports.

How do your eyes work? 

Vision is a dynamic process involving both the eyes and the brain. The eyes receive light and images from the environment, and the brain then stores, analyzes and interprets this data to give us vision. The eyes must be healthy so that light entering the eyes through the pupils, comes to focus on the back surface of the inside of the eyes, the retina, where the data is sent to the brain, resulting in vision. Eye doctors examine all the parts of the eye to make sure that the light has a clear path to the retina. If you are nearsighted or farsighted or have astigmatism, they put lenses in front of your eyes that bring the light to focus on the retina. They perform tests to see if your two eyes are working together and to see if your eye muscles are moving the eyes correctly.  If vision problems are not corrected, you may have blurred vision, eyestrain, and sometimes headaches. Uncorrected vision can also result in poor performance in the workplace depending on the job vision demands.

Will you need to have your pupils dilated during an eye exam?

Often this is needed. Why? Eye doctors look through your pupils to see into your eyes. They will often use dilating drops to make your pupils bigger so they can see more of the back of your eyes. It helps rule out any abnormalities such as diabetes, glaucoma, floaters, developing cataracts, and retina diseases. Pupils are dilated every 3 or 4 years when you are young and healthy, and more frequently as you get older.

Why do adults need reading glasses or bifocals in their forties?

When you are young, the lenses that sit behind your pupils focus the light accurately onto the retina when looking at close objects or books. As we age, the lenses in our eyes get hard, and can no longer focus close-up images onto the retina. Eye doctors prescribe glasses with bifocals, trifocals, or just reading glasses to solve that problem.

Why are my eyes so dry? 

Complaints of dry eyes are very common, and the diagnoses can be very complicated. Tears are constantly being produced to protect the surface of the eyes. For many reasons, the eyes get dry, and they may burn, itch, and get red. The lids may swell, and there may be deposits of mucus and debris in the corners of your eyes. Your vision can blur. The causes of dry eyes may include, a dry environment, inflammation, certain medications, lid oil gland dysfunction, allergies, a history of cataracts or Lasix surgery, hormone changes, and lid abnormalities. Your eye doctor may treat you with eye lubricants, hot compresses with lid massage, lid surgery, prescription medication, and more. The bottom line is, if you have dry eyes, see your eye doctor.

Glaucoma, the silent sight stealer

In the United States, 9% to 12% of all cases of blindness are caused by glaucoma. Vision loss is caused by damage to the optic nerve. This nerve acts like an electric cable with over a million wires. It is responsible for carrying images from the eye to the brain. There is no cure for glaucoma, but there are many treatments available to control this disease. Eye doctors screen for glaucoma at almost every eye exam. This is another good reason to have periodic eye exams.

The highly trained staff at Oak Orchard Health provides vision care for children and adults including people who have special needs. Call for an appointment or visit our website for more information www.OakOrchardHealth.org

G-O Health Departments urge awareness about radon, a radioactive gas

Posted 17 January 2023 at 11:03 am

Press Release, Genesee and Orleans County Health Departments

January is Radon Action Month, an annual observance that focuses on increasing the public’s awareness of the health risks of radon and how you can take action.

Radon is a naturally occurring radioactive gas that has no smell, taste or color. When radon forms from the breakdown of uranium found in soil, it can enter a home through cracks in the walls, basement floors, foundations and other openings.

According to the United States Environmental Protection Agency, radon is the second-leading cause of lung cancer and claims the lives of approximately 21,000 Americans each year. This January, we are encouraging all homeowners, renters, real estate agents and building managers to conduct radon testing. The New York State Department of Health recommends testing for radon during the buying/selling of a home, after doing a major renovation, and every two to five years depending on previous radon level readings.

The EPA and NYSDOH have identified Genesee County as having a high average indoor radon screening level greater than 4 pCi/L (pico curies per liter). The good news is, testing your home with a short term radon test kit is a quick and easy way to determine if there are high levels of radon present in your home. The test kits are easy to use and contain basic instructions on how to receive the most accurate results when testing your home for radon.

“The only way to know if high levels of radon are present in your home is by testing your home for radon,” stated Paul Pettit, Public Health Director for the Genesee and Orleans County Health Departments.

Editor’s Note: According to the EPA, Orleans County is listed as Zone 2 (Moderate Potential) and Genesee County is listed as Zone 1 (Highest Potential) for radon zones.

The Genesee County Health Department was awarded a five year grant through the NYSDOH to provide radon prevention education and distribute free radon test kits to Genesee County residents. Currently, there is a limited supply of radon test kits that can be given to residents of Genesee County and this process is free of charge when you request a kit. If you live outside of Genesee County, you can purchase an inexpensive radon test kit from your local hardware store.

If test results come back and the radon levels in your home are greater than 4 picocuries per liter of air (pCi/L), you can contact a certified radon mitigation contractor to install a radon reduction system in your home. This would be at the homeowner’s expense.

For more details about the program or to seek a radon test kit, call the Genesee County Health Department at (585) 344-2580 ext. 5555. For more information on radon or other GO Health programs and services, visit GOHealthNY.org.

Cheryl Kast joins Orleans Community Health in Albion

By Ginny Kropf, correspondent Posted 13 January 2023 at 3:01 pm

Cheryl Kast

ALBION – Orleans Community Health’s Albion Healthcare Center has expanded its primary care team with the addition of Cheryl Kast, physician assistant certified, to its family medicine/primary care team.

“After serving many area families over the last decade, Cheryl has developed the trust and comfort we strive for at Orleans Community,” said Scott Robinson, director of Marketing at Orleans Community Health in a news release.

Kast brings more than two decades of experience to the growing team at the Albion Healthcare Center. She specializes in family medicine with experience in primary care (including pediatric patients), pulmonary, otolaryngology and internal medicine.

She is a Western New York native, and grew up on a dairy farm in Wyoming County. She now resides in Albion with her husband John. They have three children.

“We’re thrilled to have Cheryl on our team,” said Mark Shurtz, CEO of Orleans Community Health. “She is well-known and has a real passion for the community.”

Alana Palone, clinic administrator at the Albion Healthcare Center, said X-ray services said returned last week and now they are excited to share this added good news with Kast’s hiring.

“Cheryl is going to be a great asset to our primary care team, one that greatly benefits all of us,” Palone said.

GOW Task Force keynote speaker to share ways to reduce stigma of substance use disorder

Posted 9 January 2023 at 5:03 pm

Press Release, GOW Opioid Task Force

ALEXANDER – Diana Padilla, research project manager at the New York State Psychiatric Institute, Division of Substance Use Disorders, Columbia University Medical Center, will be the keynote speaker at a “Reducing Stigma in Our Communities” training in the Village of Alexander.

The session is set for 10 a.m. to 1 p.m. Jan. 18 at the Alexander Recreation & Banquet Facility on Route 98.

Hosted by the GOW Opioid Task Force and Genesee County Health Department, the training is designed to help healthcare and social services professionals, as well as members of the general public, learn how to identify and address stigma surrounding opioid use disorder and improve access to services in the Genesee Region.

Padilla has worked in the field of behavioral health for more than 24 years. Her experience includes service provision to communities with substance use, HIV/HCV, trauma and stress, and other psychosocial conditions.

In her capacity as a research project manager, she develops curriculum and is a senior staff trainer for the Northeast & Caribbean Addiction/Prevention Technology Transfer Centers.

Using a cultural and recovery-oriented perspective, Ms. Padilla instructs on how to enhance strategies and interventions to best engage and meet the needs of substance using communities, LGBTQ+ people, diverse and other traditionally underserved populations.

Her areas of expertise include culturally and linguistically responsive services, trauma informed care, community disparities, racial stigma, social determinants of health, and affirming and inclusive best practices with clinical, non-clinical and peer support professionals.

Registration deadline for the free training is Jan. 12. Lunch will be provided. To register, click here.

Health Department highlights busy 2022, with pandemic response and more

Posted 30 December 2022 at 10:48 am

Press Release, Genesee and Orleans County Health Departments

As we say goodbye to 2022, Genesee and Orleans County Health Departments (GO Health) would like to wish you all a healthy and Happy New Year.

This was a full year for the Health Departments. Not only were staff involved in ongoing Covid-19 activities, Monkeypox (Mpox) and polio were added to the list of emerging issues. Staff were determined to keep working towards Public Health Accreditation (expected in 2023) and also kept many public services and operations running smoothly to help improve the health and well-being of residents.

• The Community Health Services staff have been working diligently, including remaining up-to-date on the evolution of the Covid-19 vaccination guidelines. Throughout 2022, immunization clinics (including Covid-19 and traditional), as well as outreach to migrant and seasonal farmworkers resulted in 3,212 vaccinations being administered. This includes 42 individuals who received post-exposure rabies treatment after being exposed to a confirmed or suspected rabid animal. Not including Covid-19, 472 communicable disease investigations were conducted. During the growing season, staff provided various healthcare services to 1,388 seasonal and migrant farmworkers on location to reduce barriers to receiving care.

• Public Health Emergency Preparedness started 2022 responding to a tidal wave of Covid-19 cases from the omicron variant. However, due to lower severity of this variant combined with increased immunity within the community, efforts to contain this variant began to lessen, and public health emergency preparedness eventually began focusing on risks associated with new infectious threats, which ranged from avian influenza and Ebola to Mpox and polio. Experience from Covid-19 response led to dramatic changes for Emergency Preparedness, including revision of major preparedness plans, re-organization of the medical reserve corps and revision of an emergency preparedness mobile app.

• Environmental Health staff continue to regulate permitted facilities throughout Genesee and Orleans Counties through compliance with the New York State (NYS) Sanitary Code. They help assure the community is safe from foodborne illnesses by conducting inspections of food service establishments. Staff also routinely inspect septic systems, monitor Public Water Supplies, enforce the NYS Clean Indoor Air Act, and offer free rabies clinics. The Lead Program continues to promote education and outreach to enhance lead poisoning prevention and promote testing of children for lead exposure. GO Health was awarded a second grant from the Department of Housing and Urban Development (HUD) to expand an existing home-repair program to address lead hazards and prevent childhood lead poisoning throughout the entire Genesee, Livingston, Orleans and Wyoming (GLOW) region.

• Staff within our Children’s Programs work with families of our youngest children providing case management, education, support and referrals.  Some of the services children may need that are provided through this program are speech therapy, physical therapy, occupational therapy and special education teacher services. Staff work closely with families to make sure children receive the services they need.

• The Public Health Education team spent a majority of the year developing the 2022-2024 Genesee, Orleans and Wyoming (GOW) Counties Community Health Assessment (CHA)/Community Health Improvement Plan (CHIP) and in partnership with local hospital systems, Community Services Plan (CSP). The team was also responsible for implementing the ‘Strengthening Capacity in Suicide, Overdose, and Adverse Childhood Experiences (ACE’s) Prevention for Local Health Departments’ technical assistance grant. This funding improved the internal capacity of GO Health to address the intersection of suicide, overdose and ACE’s and brought together community partners for a GOW Trauma & Resiliency Conference.

• Weights & Measures completed 470 inspections accounting for over 1,190 devices within the two counties. These tests involved pumping more than 26,000 gallons of fuel and using more than 5.9 million pounds of test weight ensuring all commercial weighing and measuring devices meet NYS standards. The department handled 13 complaint investigations, confirmed 591 package weights & 300 item prices, and collected 132 fuel samples confirming fuel sold within both counties met a variety of parameters. Since transitioning to a department of one in 2020, W&M has shown savings in excess of $150,000.

“It is our extreme pleasure to serve the residents of Genesee and Orleans Counties,” stated Paul Pettit, Public Health Director for GO Health. “We thank the Genesee and Orleans County Legislatures, the Board of Health, our community partners and other volunteers for their support and collaboration. We look forward to another productive year of improving the health and well-being of our community and wish everyone a safe, healthy, and happy New Year.”

For more information about GO Health programs, visit www.GOHealthNY.org.

How can you pay for your health care? We have options.

Posted 27 December 2022 at 2:00 pm

By Stacie Bridge, Chief Operations Officer, Oak Orchard Health  

There are many ways to pay for healthcare and we are here to help. Oak Orchard Health strives to make it simple for you. 

Here are our accepted forms of payment:

  • Most private health insurance and managed care plans
  • Public health insurance (Medicare, Medicaid, Child Health Plus)
  • Cash, check, credit/debit card
  • Sliding fee scale, based on family size and income

Sliding Fee Scale Program

If you don’t have insurance, we offer a sliding fee scale program that makes sure you can still get the health care you need regardless of income or insurance status. This program offers patients discounts on services based on family size and annual income. Patients approved for the Sliding Fee Program must also pay their co-pay at the time of the visit. If you qualify for this program, chances are we can enroll you in a health insurance program. 

Do I qualify for health insurance? 

Many people qualify for health insurance but don’t know the guidelines. You may be surprised to know that a family of four, earning $52,000 per year or less qualifies for free health insurance (Medicaid) through the New York State of Health. There is no monthly payment. Another example is if you are a family of three and earn about $43,000 or less, you would also qualify for Medicaid. 

If you earn more than the income limits for Medicaid, then you may qualify for the Essential Plan or the cost share reduction plan. With the Essential Plan, there may be co-pays depending on income levels. The bottom line is that there are many options, so talk to an Insurance Enroller at Oak Orchard Health to find out what is right for you and your family. 

What do I need for my insurance application? 

Your application will require your contact information, Social Security number, and basic household size which is based on your tax status. So, if you are married, put two but if you claim dependents on your income tax then you need to add them. NYS will verify what is in your application including your income. 

Child Health Plus

Child Health Plus is for kids under 19 years of age. There are no out-of-pocket costs, no co-pays, or deductibles through this program. Like Medicaid, qualifying for it is based on income. 

New York State has been automatically recertifying Medicaid 

 Yes, during COVID, NYS has been automatically recertifying everyone so that you did not have to file a new application. We will find out on or about November 15th how NYS will manage this moving forward. 

College Students and Graduates

If you are in college or graduated, how can you get health insurance? The first question is whether you are a dependent on your parent’s insurance. If you are not a dependent, then the insurance application is filed with the student’s income which is typically low. Look to the New State of Health website to apply or an insurance enroller at Oak Orchard to help. 

Key Enrollment Dates

The 15th of the month is especially important. If you are eligible for a qualified health plan like the Essential Plan or Child Health Plus, you must file before the 15th if you want insurance to start the first of the following month. If you want insurance to start on January 1, your application needs to be filed before December 15th. The earlier the better. 

For Medicaid, they typically backdate to the first of the month that you applied.  For example, if you applied on November 15th, your Medicaid insurance will start on November 1. If you choose a managed care plan (like the Essential Plan), then it would start on December 1st. 

We hope this has helped but if you have questions, we can help you enroll in health insurance coverage. Insurance Enrollers are here and trained to educate and provide enrollment assistance to everyone applying for coverage through the New York State of Health. Just call (585) 637-3905 to make an appointment.

Covid still present, influenza on the rise

By Tom Rivers, Editor Posted 14 December 2022 at 4:10 pm

Chart from Genesee & Orleans County Health Departments

Nearly three years since the start of the Covid-19 pandemic, residents continue to contract Covid in Orleans County, although the most recent week shows a drop from 47 confirmed cases during the week of Nov. 30-Dec. 6 to 26 from Dec. 7-13.

Genesee County saw an increase in cases, from 55 to 76, according to data from the Genesee and Orleans County Health Departments.

Both counties are considered at the medium level for community level. At that level, the CDC recommends people at high risk of getting sick to wear a high-quality mask or respirator (e.g., N95) when indoors in public.

Right now, influenza cases are outpacing Covid locally. There were 125 cases reported last week in Orleans, and 115 in Genesee, according to the state Department of Health.

The 44,426 cases in the state, for the week ending Dec. 3, were up 64 percent from previous week.

Governor Kathy Hochul today urged New Yorkers to take basic steps to protect against the spread of viral respiratory infections.

“As we continue the spread of respiratory illnesses, the flu, and Covid-19 throughout our state, I urge all New Yorkers to remain vigilant and continue to use all available tools to keep themselves, their loved ones and their communities safe and healthy,” Hochul said. “Stay up to date on vaccine doses, and test before gatherings or travel this holiday season. If you test positive, talk to your doctor about potential treatment options.”

Activities director at North Wing in Medina honored with ‘Caring Heart Award’

By Ginny Kropf, correspondent Posted 7 December 2022 at 8:42 pm

Activities director at North Wing in Medina honored with ‘Caring Heart Award’

MEDINA – Orleans Community Health has announced that Adrienne Belson, activities director at the facility’s North Wing, has been named recipient of a Caring Heart Award.

The Caring Heart Award is given each year by the New York State Health Facilities Association of New York State Center for Assisted Living to honor staff of skilled nursing facilities for service and dedication in the health care field.

“She’s an incredible talent and value to our team at Orleans Community Health,” said Scott Robinson, director of marketing at the hospital.

Belson has been an activities director for the past 15 years and it’s a position she can’t imagine being without, she said.

“My favorite part of my position is I love the residents and families we serve,” Belson said. “North Wing is like a big family. I love taking residents out into the community, so I can see how different they are outside of these walls.”

Health Department urges people to get flu shot during National Influenza Vaccination Week

Posted 5 December 2022 at 3:40 pm

Press Release, Genesee and Orleans County Health Departments

National Influenza Vaccination Week is Dec. 5-9, 2022.  This is an annual observance in December to remind everyone that there is still time to get vaccinated against the flu to be protected during the upcoming holidays and winter months.

“The best way to reduce your risk from seasonal flu and its potentially serious complications is by getting the flu vaccine every year,” stated Paul Pettit, Public Health Director for Genesee and Orleans County Health Departments (GO Health). “The vaccine lowers the chance of getting you and those around you sick with the flu. It also reduces the burden on the health care system by reducing doctor visits and hospitalizations.”

Everyone 6 months or older should get a flu vaccine every year. It’s best to get the flu vaccine early on in flu season, ideally by the end of October. You might wonder, is it too late to get vaccinated?  The simple answer is no.

“Getting the vaccine later is better than not getting it at all,” Pettit said. “Once you have the flu vaccine, research shows that the vaccination reduces the risk of severe illness if you do get the flu.”

Vaccination is also important for people who live with or care for high risk individuals to prevent spreading the flu to them. Individuals who are considered higher risk include younger children, pregnant people, people with certain chronic health conditions such as asthma, diabetes or lung disease, and people 65 years and older.

Children younger than 6 months old are also at a higher risk of serious flu illness because they are too young to be vaccinated. People who care for or are around infants should be vaccinated to protect those that are vulnerable and cannot be vaccinated.

Below are the number of reported flu cases for Genesee and Orleans Counties since 2018 according to the New York State Department of Health. Note that there was limited flu reported in 2020-2021 and 2021-2022 compared to annual averages because of the heightened focus on practicing public health precautions such as frequent hand washing, social distancing, staying home when ill, limiting social gatherings, and wearing face coverings.

During that period, less germs were spread due to people staying home and limiting their contact with others outside of their household as a result of the Covid-19 pandemic.

In addition to receiving your flu vaccine, you can take preventative actions every day to help stop the spread of germs:

  • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based sanitizer
  • Avoid touching your eyes, nose and mouth
  • Avoid close contact with people who are sick
  • If you are sick, stay home and limit contact with others as much as possible so that you prevent the spread of infection.
  • For flu, the Centers for Disease Control and Prevention (CDC) recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or other necessities. Please note that stay-at-home guidance is different for Covid-19.
  • Cover your coughs and sneezes with a tissue. Throw the tissue in the trash after you use it.
  • Clean and disinfect frequently shared surfaces and objects

To find a vaccine site near you, click here.

For more information about Genesee and Orleans County Health Departments, visit GOHealthNY.org.

2 surgeons join forces at Medina Memorial Hospital

By Ginny Kropf, correspondent Posted 2 December 2022 at 9:06 pm

Provided photo: Doctors Todd Prier, left, and Joseph Misiti have joined forces to provide surgical services at Medina Memorial Hospital. When Dr. Misiti donated his practice to Orleans Community Health, he also decided to join the new surgeon.

MEDINA – When Dr. Joseph Misiti announced earlier this year he would donate his practice to Orleans Community Health, his office moved into Medina Memorial Hospital, and the search began for an additional surgeon.

In the summer, Dr. Todd Prier was hired and assumed his duties in the hospital, working with Dr. Misiti, who will stay for undetermined time.

Dr. Prier was born in Kansas City, but grew up in Orangeville, Ontario, Canada, where his father was working.

Dr. Prier knew he wanted to be a surgeon after watching a surgery show on a public broadcasting station.

“It was the most wonderful thing I’d ever seen,” he said.

Prier entered the University of Guelph to study kinesiology and would earn his doctorate of medicine at the University of the Caribbean on St. Maarten’s. His first internship was at a Yale affiliate in Connecticut, followed by the Henry Ford Hospital for Surgery in Detroit.

His first practice was in Northern Michigan in a town of 1,500 people. The hospital had 50 beds.

For the last 13 years, Dr. Prier has practiced in Binghamton. He was looking for a change, he said, because he wanted to be closer to his parents in Canada, when he applied for the job in Medina.

He specializes in endocrine surgery, thyroid (he did up to a 100 surgeries a year in Binghamton), esophageal surgery, GI surgeries, as well as laparoscopic hernia, abdominal, colon surgeries wall reconstruction and general surgery.

With the addition of Dr. Prier and continuation of Dr. Misiti, Medina Memorial Hospital will be able to do more surgeries, Dr. Prier said. Doctors Thomas Russo and Jennifer Griffith with Rochester Regional Health are also affiliated with Medina Memorial Hospital.

Kimberly Gray, chief nursing officer and director of surgical services, said, “The addition of Dr. Prier allows us to return more services to our Medina community. In addition to him working with us full time, we’ve added more hours, putting us in a very good place.”

Health Department: Training in naxolone can help prevent overdose deaths

Posted 1 December 2022 at 3:10 pm

Press Release, Genesee and Orleans County Health Departments

Fentanyl is now the leading cause of death for Americans 18 to 45 years old. It is being mixed illegally with drugs like counterfeit painkillers, heroin, cocaine and methamphetamine.

Fentanyl is 50 times more potent than heroin and 100 times more potent than morphine, so the lethal dose is much smaller. You cannot see, taste or smell fentanyl, but there is something you can do to protect others.

Getting trained to administer naloxone can help get those that are experiencing an overdose the time they need to get help. Naloxone is an FDA-approved medication that works to reverse an opioid overdose, including a fentanyl overdose. Naloxone works as an opioid antagonist by binding to opioid receptors and blocking the effects of opioids.

In Genesee County, fentanyl has caused a large number of deaths, and has even been found mixed in with other drugs. Since 2018, there have been 58 fatal opioid overdoses in the county, with 10 additional deaths still pending official causes of death as of November 2022. In 2020, Genesee County experienced 15 fatal opioid overdoses (25.7 per 100,000). With a higher fatal opioid overdose rate than that of New York State in 2020 (21.8 per 100,000), it is especially important for Genesee County residents to know the signs of an overdose so naloxone can be administered.

If someone is having difficulty breathing, is unconscious, choking, or experiencing discoloration of their skin or lips, an overdose may be occurring. Naloxone can be used to reverse both fentanyl and other opioid overdoses, such as heroin, oxycodone, morphine, and methadone. There is no harm in administering naloxone if an overdose is not occurring or opioids are not in the body.

The Naloxone Co-Payment Assistance Program, commonly referred to as N-CAP, can help individuals obtain naloxone. If you have prescription coverage as part of your health insurance plan, N-CAP will cover up to $40 in prescription co-payments. This ensures there are little to no out-of-pocket expenses for those getting naloxone at their local New York State pharmacy, all of which provide naloxone through a standing order that allows you to get this medication without a prescription. To learn more about N-CAP, please visit: www.health.ny.gov/overdose.

Individuals who use any type of illicit substance or misuse prescribed opioids are at risk of experiencing an overdose. Now more than ever, it is important to have naloxone nearby. Encourage your loved ones to be trained, carry naloxone, and tell their friends where they keep it in case they overdose. Reversing an overdose can be done in four steps: call 911, administer naloxone by inserting into the nostril and pressing the plunger, give CPR if trained, and stay until help arrives.

To learn more about fentanyl and naloxone, visit:

Holiday eating stress you out? Here are some helpful tips!

Posted 29 November 2022 at 2:00 pm

By Chrissy Krueger RN, RD, CDN, CDCES, Diabetes Education & Care Specialist, Oak Orchard Health 

As a Diabetes Educator, at Oak Orchard Health, I hear a lot about the anxiety and stress of overeating during the holidays. Whether it’s Thanksgiving, Christmas, or another seasonal holiday, learning to eat healthy during this time can be a challenge – but you can do it. Keep in mind that each holiday represents just one day, and you can get back on your healthy meal plan the next day. 

Here are a few tips to help you get through the holidays feeling good about yourself.  

Start by preparing in advance. 

If the party is not at your home, consider asking the hostess if you can help by bringing a dish to pass. That dish will be a healthy one for you and delicious for others. That’s your “go-to” dish when you’re feeling hungry or other options are not too appealing. 

Skipping meals before the holiday dinner isn’t a good idea. 

Skipping meals can result in moodiness or irritability. For some, it can also lead to low blood sugar. You should not get yourself so hungry that you will eat anything and everything!  Try to eat regularly throughout the day, maybe smaller meals than usual, but do eat breakfast and lunch. 

Re-think the holidays. 

Why are you gathering? To be with family and friends? Sharing experiences with each other? The point is that holidays aren’t just about food. In fact, after eating your meal, avoid lingering near the holiday spread. Go into another room to mingle.  Also, consider taking a walk with someone you haven’t seen in a while. 

Avoid taking leftovers home. 

Unless a loved one was unable to attend and you want to bring them some treats, avoid bringing leftovers home. If you’re the hostess, don’t make too much food and if you do, have a plan for giving it away to your guests or a local senior center or food shelter.

Don’t give up your healthy lifestyle. 

Often people use Thanksgiving as a reason to start overeating throughout the holiday season. Try to think of each holiday as a one-day event and get back on track with your healthy habits the next day. You’ll feel better!

Heart-healthy portions. 

Whether you have diabetes or not, these are great guidelines on how to fill your plate. A good rule of thumb is that half your plate should contain non-starchy vegetables such as green beans, broccoli, or cauliflower, a quarter of the plate with protein, and a quarter with carbohydrates. Riced cauliflower is very popular and can be substituted for mashed potatoes – or make half the mashed potatoes with real potatoes and the other half with riced cauliflower. Your guests won’t know the difference!

Desserts.

 If you have room for dessert, try to limit your portion sizes. An eighth of a pie or 2” square of cake can be enough. If you’re going to bring a dessert, choose one that has fewer carbohydrates and sugar. People with diabetes can eat desserts but it’s all about the size of the portion. The smaller the better. 

Always carry a glass of water. 

Having a glass of water and sipping it throughout the day will help you avoid picking on food. This will also help to reduce your alcohol consumption. 

No thank you. 

Be comfortable saying no thank you when offered another portion.  Those who truly love you will not change their mind based on how much or what you eat!

Holidays are not just for eating.

 If you’re the hostess, you can plan to do something with your guests like playing games or taking a walk. Plan to have everyone step away from the table and go to another room to play a game like charades or a card game. The more active the better. 

If you do overindulge, don’t beat yourself up about it. Just get back on track. Take a walk the next day and start eating healthy again.  Remember, don’t skip meals either!

If you need help managing diabetes, are interested in nutrition and/or incorporating a healthy lifestyle, contact Oak Orchard Health and ask how to be referred to the nutrition diabetes care specialist. Happy holidays!

 

New legislation in NY will protect patients with steep medical debt

Posted 25 November 2022 at 10:12 am

Wages can’t be garnished, liens placed on homes for medical bills

Press Release, Gov. Kathy Hochul’s Office

Governor Kathy Hochul on Wednesday signed legislation (S.6522A/A.7363A) to protect patients facing steep medical bills that can lead to wage garnishment or liens against their property.

“No one should face the threat of losing their home or falling into further debt after seeking medical care,” Governor Hochul said. “I’m proud to sign legislation today that will end this harmful and predatory collection practice to help protect New Yorkers from these unfair penalties. With medical debt a burden for far too many, this is an important step to address this crucial issue.”

Legislation (S.6522A/A.7363A) amends the civil practice law and rules to prohibit health care providers from placing home liens on an individual’s primary residence or garnishing wages to collect on medical debt.

Nearly half of American adults struggle to afford health care costs, and more than 50,000 New Yorkers have been sued for medical debt over the past five years; this problem is most pervasive in Upstate New York.

Previously, hospitals or health care providers had been able to impose and enforce liens on a patient’s primary residence to satisfy a judgment in a medical debt lawsuit, leading to housing instability and devastating financial consequences for vulnerable New Yorkers.

“New Yorkers should not fear losing their homes or livelihoods as a result of seeking medical care, especially during such challenging financial times,” said State Senator Gustavo Rivera. “I want to thank Governor Hochul for signing my bill into law to protect New Yorkers from facing liens on their homes or wage garnishment by medical institutions in their effort to collect medical debt. We must work together to eradicate medical debt from our State and I am thrilled that we are taking this important first step.”