Tag Archive for: #granvillevancepublichealth

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Centering Pregnancy Program at Granville Vance Public Health

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If you are pregnant or know someone who is, the local health department offers a program for expectant mothers to get support from health professionals as well as from others who will be giving birth soon.

“Centering pregnancy” has been around since the 1990’s, and it’s a way for those in the low- to moderate-risk pregnancy categories to learn ways to reduce risk factors like high blood pressure and gestational diabetes, among other things.

Granville Vance Public Health Director Lisa Harrison says the centering pregnancy model is “exciting work,” where women come together and learn in a group setting. Women who participate in the program get one-on-one time with health care professionals, but they also join in small-group sessions where they can ask questions and learn from each other.

“It empowers women to be actively involved in their own health care decision-making,”Harrison said in an earlier interview with WIZS.

The Centering pregnancy program does not take the place of prenatal care that women receive elsewhere, and Harrison said it’s designed to complement the care that women receive from their own providers.

Given the health disparities that exist, especially among underserved populations, Harrison said this program offered by the health department is just one intervention to address maternal and infant mortality.

“It’s a way to set mom and baby up for the best outcomes,” she said.

In addition to the small group sessions during pregnancy, GVPH nurses also make home visits once mom and her newborn are home from the hospital. This service offers support to make sure mom and baby have the resources they need, and can connect them to additional resources to help them survive and thrive.

To learn more, visit https://www.gvph.org/clinic/maternal-health-clinic/.

Check for additional details about Centering Pregnancy and a full list of programs at www.gvph.org.

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TownTalk: Healthy Moms And Healthy Babies

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Have you heard of something called “centering pregnancy?” It’s a practice that’s been around since the 1990’s, and it is a way for expectant mothers to have support from health care professionals and other pregnant moms as they prepare for the moment that they deliver their newborn.

Granville Vance Public Health offers Centering Pregnancy through its clinics and GVPH Director Lisa Harrison said it’s something that’s been blazing trails across rural areas in the U.S. when it comes to maternal health.

“You have to be accredited as an agency to provide centering pregnancy,” Harrison said on Tuesday’s TownTalk. It’s designed for women with low- to moderate-risk pregnancies and it can help reduce the risk of health issues like high blood pressure and gestational diabetes, among other things.

“It’s exciting work,” she said, to provide an environment where women can learn and come together in a group setting. Women who participate in the program get one-on-one time with health care professionals, but they also join in small-group sessions where they can ask questions and learn from each other.

“It empowers women to be actively involved in their own health care decision-making,” she noted.

The Centering pregnancy program does not take the place of prenatal care that women receive elsewhere, and Harrison said it’s designed to complement the care that women receive from their own providers.

Given the health disparities that exist, especially among underserved populations, Harrison said this program offered by the health department is just one intervention to address maternal and infant mortality.

“It’s a way to set mom and baby up for the best outcomes,” she said.

In addition to the small group sessions during pregnancy, GVPH nurses also make home visits once mom and her newborn are home from the hospital. This service offers support to make sure mom and baby have the resources they need, and can connect them to additional resources to help them survive and thrive.

Harrison is no stranger to identifying best practices to support maternal and infant health. In fact, she and a colleague have recently written a chapter on this very topic for a book titled The Practical Playbook III. The first edition was published in 2019, and since then, it has become widely used among public health professionals.

When it comes to improving outcomes for maternal and infant health, it’s important for communities and providers to know what it takes – the policies and practices put in place – to support maternal health, she explained.

Community collaboration is “a critical piece of the safety net,” Harrison said.

To learn more, visit https://www.gvph.org/clinic/maternal-health-clinic/.

 

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TownTalk: Mental Health And Substance Use Forum Takes Place Next Week

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The approaching holidays bring families together to celebrate and spend time together, but  those family gatherings also can place undue pressure and stress on those who also may struggle with mental health and substance abuse issues.

Melanie Griggs, a behavioral health clinical counselor at Granville Vance Public Health, said two upcoming listening sessions are designed to provide resources and information about services in the community.

“It’s a big, big problem,” Griggs said of individuals who find themselves in a mental health or substance abuse crisis.

Above and beyond those modern-day stressors that creep into people’s lives from time to time, other people experience anxiety, depression, loneliness and even suicidal thoughts.
“It affects the family, employers, our entire community,” Griggs said.  “All of us are touched by someone who struggles with either of these issues on a day-to-day basis,” she said.

GVPH is one of the partners hosting the discussions.

The Vance County forum will be held Tuesday, Nov. 28 at 6 p.m. at the Spring Street Missionary Baptist Church, 511 Orange St., Henderson.

The Granville County forum will be held Thursday, Nov. 30 at 6 p.m. at Cornerstone Christian Community Church, 3237 Knotts Grove Rd., Oxford.

“We’re going to talk a lot about access and where in our communities…you can go to get more information and support to address (people’s) particular concerns.”

Provider booths will include those that specialize in medications for Opioid Use Disorder (e.g., Buprenorphine, Methadone), individual and family counseling, medication management, crisis management, intensive outpatient services, and residential treatment.

“We want to make sure that people in our community know what’s out there…making sure they know where to go to get these services.”

Griggs said the community has access to a mobile crisis management unit, accessible by phone 24 hours a day, 365 days a year at 1.844.709.4097.

 

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Granville Vance Public Health Launches Tooth Club To Promote Oral Health In Children

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Thanks to a $50,000 grant, Granville Vance Public Health is launching a school-based oral health program called the Tooth Club to support and improve dental health among children.

The grant comes from the Triangle North Health Care Foundation and the GVPH Carolina Fellows Family Dentistry clinic will oversee the program to provide preventive and restorative care in various school settings, including Headstart, Henderson Collegiate and Vance County Schools, according to information from GVPH Workforce Development Jesus Peralta.

Regular preventive dental care is essential for good oral health, and early childhood tooth decay is the most common chronic childhood disease in the United States. Not all children in Vance and Granville counties have access to dental care. If left untreated, tooth decay can lead to infection and pain that can inhibit a child’s ability to eat, sleep, speak, play, and learn, as well as cause chronic childhood health challenges such as diabetes, heart disease and malnourishment.

The Tooth Club will offer preventive oral care, such as cleanings, x-rays, fluoride, sealants and oral health education to uninsured students enrolled in the SBOH clinics. Services are provided at no cost to the student or family – regardless of insurance status, household income or immigration status. Student participants can also receive restorative oral health care services at no cost.

Dr. Navid Nesab, the dentist at Carolina Fellows Family Dentistry, stated: “Our School Based Oral Health clinics allow students to receive preventive oral health services within a familiar school environment, reduce the amount of time students are absent from school for oral health appointments, and keep parents from having to miss work to take their child to the dentist for needed oral health services. Triangle North Health Care Foundation’s grant also allows us the ability to perform restorative care for uninsured SBOH patients at no cost to the families.”

Any child attending HeadStart, Henderson Collegiate, or Vance County Public Schools is eligible to enroll for the SBOH clinics, held at each school location periodically. To enroll your student, please contact the School Nurse at your child’s school to obtain the consent form or contact the dental clinic directly at 919.693.8797 or by email at dental@gvph.org. Visit  https://www.gvph.org/clinic/dental/ to learn more.

 

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The Local Skinny! Diabetes Program To Be Presented

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Granville Vance Public Health is sponsoring a program Monday at the Lincoln Heights Apartment Community Room to talk about Type 2 diabetes and how to reduce the risk of getting that life-changing diagnosis.

Wendy Ji, regional coordinator for the Minority Diabetes Prevention Program, was on TownTalk Thursday to share details about the upcoming event, which includes lunch and drawings to win prizes.

“Let’s Talk About Diabetes” is a free program that will be held from 11:30 a.m. to 12:30 p.m., Ji said. It’s just one way state health officials collaborate with local health departments to help individuals understand how a diagnosis of prediabetes can be reversed with simple lifestyle changes.

The MDPP that Ji coordinates serves Vance, Granville, Franklin, Warren and four other nearby counties.

“It’s very difficult to manage Type 2 diabetes,” Ji noted, adding that this program focuses on helping individuals understand what prediabetes is and how to keep it from developing into full-blown disease.

“Over one in three (people) have prediabetes,” Ji said. But only 80 percent of those are aware that they have it. “Being aware you are at risk is important to know so you can get resources and make lifestyle changes,” she said.

Someone with prediabetes has blood sugar levels that are higher than normal, but they haven’t climbed into the level to indicate diabetes.

More classes will be offered in the fall across the service area, Ji said. Individuals can have their A1C levels tested Monday, but there also is a 7-question screener to help participants understand their risk for developing diabetes.

Visit www.preventdiabetesnc.org to learn more.

Contact Ji at 252.492.7195, ext 125.

En español: Llamar a Elizabeth Lugo, 252.492.7195, ext.269.

Lincoln Heights Apartments is located at 257 Lincoln St., Henderson.

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TownTalk: Local Health Update With Lisa Harrison

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The COVID-19 pandemic has brought laser-focused attention to the need for community partnerships, and Granville-Vance Health Director Lisa Harrison knows firsthand the value of working together to assure overall community health.

Harrison, who recently completed her term as president of the National Association of City and County Health Officers, attended a national conference in Washington, DC, where public health officials gathered to talk about topics like vaccine equity.

“We had a really exciting day,” Harrison told John C. Rose on Monday’s TownTalk.

No matter where you find yourself – in the business world, faith community, education or simply a parent of young children, Harrison said “it’s wonderful that people are recognizing the hard work that the public health workforce commits to all the time to fight disease and promote health.”

“It doesn’t matter who you are in this community of ours, people’s health is one of the most important measures of wealth we have in this society. And I’m glad that people are realizing that there are people working hard to keep it that way,” she said.

Both Vance and Granville counties are currently enjoying low incidences of COVID-19 cases, but Harrison said flu is making its presence felt in the two counties.

“We are definitely seeing an uptick,” she said. “We need people to be washing hands and getting flu shots,” she said.

Vaccines provide protection for so many different diseases and sicknesses, she said, from shingles to COVID, childhood diseases to flu and pneumonia.

But access to vaccines still poses barriers and so she said public health professionals have to consider ways to get vaccines out into the community.

“We have to make an effort to go out into neighborhoods where transportation is a challenge for people and where there are maybe pockets of folks who don’t have the same amount of knowledge about the importance of vaccinations and staying healthy,” she said.

 

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Granville County Has First Case Of Monkeypox; Vaccines Ordered

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Granville County has its first confirmed case of monkeypox, and local health department officials said that they’re waiting for vaccines to arrive, but don’t have any at the moment.

Granville-Vance Public Health Director Lisa Harrison said they were notified Friday afternoon about the case in Granville County, one of 138 cases of monkeypox in the state.

“Although GVPH does not yet have vaccine on site, we have ordered the vaccine and we have a relationship with both Durham and Wake counties who are two of the sites that received monkeypox vaccine in NC in the first few weeks,” Harrison said in a weekly communication statement.

Harrison and her staff have been monitoring COVID-19 updates for the past two years, and recently have had to put monkeypox on their radar screen.

Both counties remain in the “high” community spread category for COVID-19, Harrison noted. Vance County has reported a total of 126 deaths from COVID-19; Granville County has reported 118 deaths.

The BA.5 variant is now most prevalent as indicated by the data dashboard. For the most up-to-date information, visit  https://covid19.ncdhhs.gov/dashboard.

The Kaiser Family Foundation website has helpful information on monkeypox. View the FAQ section here.

Below is a bulleted list of statements about monkeypox, who is getting sick and the role of vaccines in curbing spread: 

  • ALL of the cases in NC so far have been in men ages 18-65
  • Transmission happens through skin-to-skin contact, and occasionally contaminated items
  • Symptoms include: Lesions on the skin, fever and swollen lymph nodes
  • Monkeypox impacts people of all sexual orientations
  • Monkeypox has been declared a public health emergency of international concern
  • Vaccine supply will continue to increase and we should have some locally soon — the sooner an exposed person gets the vaccine, the better.
  • Both smallpox and monkeypox vaccines are effective at protecting people against monkeypox when given before exposure to monkeypox

 

The Food and Drug Administration (FDA) last week issued an emergency use authorization (EUA) for the Jynneos vaccine to allow health care providers to administer it via intradermal injection for individuals 18 years of age and older. Intradermal injection uses one-fifth the size of dose as subcutaneous injection, allowing the U.S. to stretch the current limited vaccine supply to reach more patients. The updated EUA is based on a 2015 study that showed a smaller dose of the vaccine injected intradermally generated a similar immune response to a larger dose injected below the skin. The EUA also allows for the use of Jynneos vaccine in individuals younger than 18 at high risk of monkeypox infection though via the original subcutaneous injection route.

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TownTalk: COVID-19 Vaccines Now Available for Children Under 5

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With COVID-19 vaccines now approved for use with the youngest children – ages six months through 5 years, Granville-Vance Public Health Director Lisa Harrison encourages parents to ask questions of health care professionals to determine the best course of action when deciding which vaccine to choose.

Harrison spoke on Town Talk Wednesday with John C. Rose and said there is a wealth of information for parents located at www.gvph.org. She said it’s important to get information from trusted sources – like your child’s pediatrician or from the local health department.

Specialized nurses and immunization nurses administer the vaccines at the health department for anyone who wants a shot, including this youngest group of children most recently approved to get the vaccine.

The Pfizer shot is a three-series shot and is cleared to be given to children six months through 4 years. The Moderna shot is a two-dose series and is cleared for children through age 5. Both vaccines are now at the health department, and parents can consult with health professionals before deciding which one to ask for.

“Both are certainly well tested and effective,” she said.

Side effects are similar to those that adults have after getting shots and boosters – swelling and redness at injection site, slight fever or feeling tired for a day or two, but that’s about it, Harrison said.

Vance and Granville counties both have returned to “high” transmission rates recently, and Harrison said as long as the counties remain in this category, she personally will choose to wear a mask when she is indoors with a lot of people. When she’s outside, she opts to not wear a mask.

It’s more difficult for younger children to keep masks on, and to follow the other W’s – “wait” 6 feet apart and “Wash” your hands frequently, she said, so vaccines for this youngest group just makes good health sense.

In fact, masks are not recommended for children ages 2 and under.

Vaccines “are the biggest and most important intervention we’ve had over the last hundred years,” she explained. And the various COVID-19 vaccines are more tested than any other vaccine.

One thing that health professionals have learned over the course of the pandemic is the unpredictable nature of the virus. “It’s hard to have this much patience with a mutating virus, for sure,” she said. Being vaccinated, however, is “the way we get through to the other side of the pandemic,” she added.

 

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COVID-19 Cases Continue Downward Trend In Vance, Granville

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New cases of COVID-19 continue to decline in Vance and Granville counties over the past week, and Granville Vance Public Health Director Lisa Harrison said that while this is good news for the community, it’s important to pay close attention to what’s happening outside the community – even on other continents – to remain vigilant about safety precautions.

Vance County reported 10 new cases in the 7-day period ending Mar. 18; Granville reported 16 new cases in that same time frame. Both counties are in the low category for percent positivity – 2.7 percent for Vance and 1.7 percent for Granville, according to information from GVPH.

Both counties are now below the state’s percent positive rate of 2.3 percent.

There have been 14,173 cases of COVID-19 in Granville County and 11,809 cases of COVID-19 in Vance County for a total of 25,982 across the health district.

Granville County has documented 111 deaths as a result of COVID-19 and Vance County has a total of 112 deaths for a total of 223 deaths across the health district.

“It is true that we are in a much better and much different place than we have been during the pandemic,” Harrison said. “It is also true the pandemic is not over. Never underestimate the power of data, of your public health teams, health care provider teams, education support teams, and in general, where many of us turn often: Faith, Hope, and Love. Whatever the future brings, we have the courage and the tools to navigate it,” she said.

Beginning Wednesday, Mar. 23, the DHHS dashboard summary will reflect how the state’s health offiicials are continuing to keep a close watch on COVID-19 trends in the state. The following seven metrics will be used, with less emphasis of the percentage of positive tests:

 

  • Wastewater surveillance, which can detect COVID
  • Emergency department reports of people coming in with COVID-like illnesses
  • Hospital admission numbers
  • Case trends
  • Booster shot rates
  • Prevalence of variants
  • Reports from the Centers for Disease Control and Prevention on community spread in the states.

This change is being made because so many people are testing themselves at home and not necessarily reporting results to DHHS, Harrison said.

She added information on a recent increase in cases and hospitalizations in the United Kingdom and  other European countries. There are several possible reasons for this increase, Harrison noted: the more transmissible BA.2 Omicron variants, more people gathering more often without masks and waning immunity from vaccination or previous infection.

State public health and political leaders held a press conference on Thursday, Mar. 17 and the main points of the press conference were:

  • We can look forward with the belief that the worst of this pandemic is behind us and it’s also important to take stock at how far we have come.
  • There are COVID-19 vaccines, treatments, testing supplies, and improved infrastructure to help people make choices as they live amid the virus.
  • Now we turn the page on the pandemic to a new phase – “one of individual responsibility, preparedness, and prosperity.”

“While COVID is now a threat we can manage, it has not disappeared,” NC DHSS Secretary Kody Kinsley said. “We will remain vigilant and we will work to equip you with the information and tools you need to make choices that are best for you and your family.”

Four principles will guide the DHHS response, Kinsley said, to “ensure a fast and fair response that improves the health, safety and well-being of all North Carolinians.”

The guiding principles are:

  • Empowering individuals to make informed decisions for themselves and their families
  • Maintaining health system capacity
  • Collaborating with local partners
  • Prioritizing equity in access to vaccines, treatments and other tools, as well as crucial information

Stay up-to-date by visiting https://gvph.org/

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New COVID-19 Cases Drop In Vance, Granville

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For the first time in months, Vance and Granville counties COVID-19 percent positive rates have dropped to the “low” level. There have been no new deaths reported in the last few weeks in either county.

Vance reported 17 new cases over the past week, and Granville reported 27, according to the weekly update from Granville Vance Public Health.

Those numbers represent a 3.4 percent positivity rate for Vance County and a 3.0 percent positivity rate in Granville.

No new cases of COVID-19 have been reported in the last two weeks from the Granville buildings of the Federal Prison in Butner, NC.

There have been 14,118 cases of COVID-19 in Granville County and 11,783 cases of COVID-19 in Vance County for a total of 25,901 across the health district.

Granville County has documented 111 deaths as a result of COVID-19 and Vance County has a total of 112 deaths for a total of 223 deaths across the health district.

“We have reached a number of milestones in the COVID-19 pandemic as we have rounded out year two and are all collectively hopeful that no more variants of concern are around the corner,” said GVPH Director Lisa Harrison.

As mask restrictions loosen, Harrison said health professionals and others will continue to pay close attention to the level of disease in the population and to make sure the public remains healthy and safe from communicable disease.

“For those in public health, the epidemic curve (in this case, the pandemic curve) shows us a visual picture of what we have been through together,” Harrison said.