According to a new study published in the British Journal of Sports Medicine, putting all of one’s eggs in either the exercise basket or the nutrition basket cannot protect you from chronic diseases. An effective longevity routine needs to include a balance of both.
An international team of researchers sourced data from 350,000 individuals from the U.K. Biobank, a massive database of health information on British citizens, which medical professionals rely on for these sorts of sweeping analyses. They began the study a decade ago, when the median age was 57, and the participants were all free from “cardiovascular disease, cancer or chronic pain.”
The researchers set rubrics for diet quality and level of activity. For instance, as The New York Times pointed out, the best diets included “over four cups of fruit and vegetables per day, two or more servings of fish per week, less than two servings of processed meats per week and no more than five servings of red meat per week.” Meanwhile, the best exercisers regularly walked, biked and engaged in “vigorous exercise” for more than 10 minutes at a time. Breaking a sweat for just 10 to 75 minutes a week was associated with “lower risk of cardiovascular disease mortality.” That’s one short session a day.
Far and away, the lowest mortality risk came at the center of the Venn diagram: those who sourced high-quality diets alongside consistent movement were likelier to live longer, healthier lives. Their data was especially robust in the realm of cardiovascular health, which is no small achievement. Across the globe, cardiovascular disease (CVD) is easily the leading cause of death.
This might all sound really obvious. We all know that working out and eating right is a great idea. Why do we need expensive, international studies to remind us of something we learned in elementary school health class?
In practice, though, it’s difficult to observe both equally. There are a fair share of people who eat nutritiously, yet don’t observe a consistent fitness regimen (which hamstrings one’s heart health, limits endurance and has an array of unwanted side effects, like poor bone density). On the flip side, there are many amateur and professional athletes who view their concentration as license to eat whatever they want.
Marathon trainees go crazy on Seamless after a long run, weightlifters commit to “dirty bulking” as they try to up their bench press. This reductionist thinking assumes that health is simply a game of calories in and calories out — and goes further to imagine that if you’ve worked really hard on the roads or in the gym, you’ve “earned” a piece of cake.
From a mental health standpoint, yes, it’s important to treat yourself. But from a longevity perspective, it’s important to remember that the body treats unhealthy food choices all the same. Unfortunately, it isn’t possible to outrun or out-lift a steady slate of meals high in sugar, salt and fat. It can come as a shock — to the patient and all their friends — when a high-performing athlete develops a chronic disease. But if that athlete wasn’t favoring a non-processed, whole-food, largely plant-based diet, CVDs are very much in play.
The good news? You don’t have to listen to fitness influencers on Instagram. Your workouts don’t have to be so difficult, and your body doesn’t have to look a certain way. Instead of training like a triathlete, favor simple adjustments to your daily routine that the body absolutely counts as exercise. Walk everywhere; take the stairs where possible; make sure you really sweat a few days a week. If you pair a lifetime of movement with a clean diet, your lifetime’s going to stick around a while.
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By Gina Cousineau
As a nutrition expert and trained chef, you might think I am outside of my scope of practice when I tell you my goal is to save my clients’ lives, not only one plate at a time, but also through teaching them how to advocate for their health.
Unfortunately, as I have written about previously, our health care system doesn’t have the checks and balances necessary to prevent your needs from falling through the cracks. This, paired with an individual’s desire to wish away their ailments, really sets us up for increased disability and shortened lifespans.
Trained in integrative and functional nutrition, I consider myself an interventional health care practitioner, who works in conjunction with your medical providers to help you champion for your own well-being.
All prospective clients tell me they know what to do; they just don’t do it. And while I understand change is painfully difficult, if you were offered baby steps to move toward improving your health and longevity, would you consider it?
I believe your answer would be a resounding “yes.”
I always start with the question to prospective clients of “what is your goal?” If weight loss is your end-all, then feed the multibillion-dollar diet industry and choose one. Fact is, and you already know this from personal experience, you will lose the weight (or at least some of it), but you will not be able to keep it off.
So, instead, let’s consider changing that goal to “health gain” and allow the scale to move in your desired direction as a perk, not a priority. This small shift in your mindset can really help you focus on making more healthful and wholesome changes in the kitchen, as well as with your activities of daily living.
No restrictive and punitive diets, and no killing yourself in the gym; just imagine.
Daily, I shake my head as individuals tell me they believe they can “out-train that bad diet.” They can’t. Your fancy coffee drink takes 10 minutes to consume, and few of you can train hard enough in an hour to balance just those calories.
While the nutrition space of late is pushing mindful and intuitive eating, I personally believe that there is nothing instinctual about your eating as an adult.
Starting next month, I will launch a series of live webinars, recorded for your convenience, focusing on advocating for your health and reducing your risk of lifestyle diseases such as heart disease, stroke, diabetes, hypertension, colorectal cancers, and more.
While nutrition and fitness will be part of the conversation, preventative care will lead the way.
Because I only have one opportunity a month to influence your well-being, I have decided to offer my loyal readers, along with these webinars, the opportunity to participate in a complimentary 50-minute private session, in-person in my home office in San Clemente or via Zoom.
While I hope to get in as many of you as possible over the next few months, your fully completed application will dictate which of you will be chosen.
Within this application, you are able to share your family health history, as well as your own story, and these details provided prior to our meeting, will allow for a fruitful and comprehensive opportunity for you to help yourself advocate for a long, healthy, independent, joyful life.
Simply go to mamagslifestyle.com and register in the pop-up in the center of the page. Indicate which paper you found us in, as only readers will have this opportunity to meet with Mama G.
Gina Cousineau is a local nutrition expert who specializes in weight loss and helping her clients improve their health. As a trained chef with her BS in Dietetics and MS in Integrative and Functional Nutrition, her goal is to help her clients enjoy every morsel they consume, learning how to move with ease in the kitchen while using their “food as medicine.” Subscribe to her weekly newsletter for complimentary cooking classes, recipes, webinars and more at mamagslifestyle.com, or reach her at [email protected] and 949.842.9975.
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A you a weekend workout warrior? Or do you prefer to spread your sessions out across the week?
Well, according to a new study it could be the type and total amount of exercise that counts, rather than the actual number of sessions, which is good news for people who struggle to find the time to exercise.
The research, published in JAMA Internal Medicine journal, involved 350,000 participants and did not find any significant difference in mortality rates between weekend sweaters compared to regularly active participants.
Results indicated that adults who perform the recommended amount of physical activity per week may experience similar health benefits whether the sessions are spread throughout the week or concentrated in a weekend.
The current recommendations for adults aged 18-64 is a weekly total of two and a half to five hours of moderate activity, or one hour and 15 mins to two and a half hours of vigorous activity, or an equivalent combination of both.
"This large study suggests that, when it comes to exercise, it doesn't matter when you do it," cardiac nurse Joanne Whitmore told the BBC.
"The most important thing is that physical activity is undertaken in the first place."
Ben Lucas, Director of Flow Athletic, agrees, telling 9Honey: "It's true that some exercise is better than no exercise, especially in terms of health markers. If all you can fit in is a workout on the weekend, then absolutely, do what you can. Something is better than nothing."
Less might not always be more
Now this might be music to your ears if you consider yourself relatively time-poor. But while working out only on weekends might be enough to keep you fit, it might not be the ideal way to go for a variety of other reasons.
READ MORE:12 health mistakes to avoid making this winter
READ MORE:How often do you have to hit the gym to build muscle?
According to the Department of Health, while there is a weekly target for physical activity, recommendations do state that ideally a person should "be active on most (preferably all) days".
"The con [of only working out on weekends] is that to make that exercise worthwhile you will need to train strenuously, for example HIIT training, heavy weight training, and you need to commit," Lucas tells us. "If you are only training two days a week, you need to stick to it and make sure it happens."
Lucas says spreading your sessions out is better for consistency and balance, and you could also put yourself at more risk of injury, if you are relatively sedentary for most of the week, before putting your body through extended sessions on just one or two days.
"The guidelines say that we should train for 150 minutes per week, that comes to 75 minutes per workout. That's a very long time to train for someone who isn't as fit and it can lead to injury to train at intensity for that long," he warns.
He recommends aiming for three or more workouts a week, or 30 minutes a day, even if it's a brisk walk.
"Especially if you are desk bound and if you are not doing much incidental exercise it is important to move for you overall health. It's good for your mood, mind, digestion, weight management and being consistent will give you better results than being more sporadic," he adds.
TAMPA, Fla. (WFLA) — If the federal Premium Tax Credits expire due to legislative inaction in U.S. Congress, over half a million Floridians will lose their health insurance. The PTCs were set up through the American Rescue Plan Act of 2021, which temporarily expanded eligibility to pay for health insurance through 2022.
So far, U.S. Congress efforts in the House and Senate have failed to finalize a plan to extend the PTC credits, putting over 3 million people at risk of losing their health care coverage, purchased through the market set up by the Affordable Care Act of 2010.
Of the 3.12 million across the U.S., based on estimates by the Robert Wood Johnson Foundation and Urban Institute, 513,000 of those who would lose their insurance are Florida residents. That’s 16% of Americans at risk of losing their health care coverage.
For Florida, the number of uninsured residents would grow by 24.8% according to the estimates in the study. It would also mean a more than $5 million drop in total spending on health care for nonelderly residents in the Sunshine State.
“States with the largest losses include non-expansion states such as Florida, Georgia, and Texas, which saw large enrollment growth in 2022 with the enhanced PTCs,” the analysis reported. By non-expansion state, the analysis refers to states which have not expanded access to Medicaid or Medicare.
Residents at highest risk for loss of coverage due to PTC expiration are those living below the federal poverty line. Americans who are currently eligible for free coverage on silver plans, the ones who live at 150% or below on the FPL, meaning individuals earning less than $20,385 per year, or a family of four with a household income of $41,625, would be required to pay premiums “an average of $457 per person per year.”
FamiliesUSA, a healthcare advocacy organization, said that should the PTC credits expire, premiums for American consumers will go up 53%. The average cost per person for premiums is currently $960, according to FamiliesUSA. They said if ARPA’s health provisions are not extended, Floridians could see their go up as much as 61%.
Canada will require that companies add nutrition warnings to the front of pre-packaged food with high levels of saturated fat, sugar or sodium in an effort to help grocery shoppers make healthier choices with just a glance.
But ground meat will be exempt from the labels, after ranchers groups objected to Health Canada's proposal earlier this month.
The government says the labels are meant to help Canadians eat healthier, as the so-called "nutrients of public health concern" have been linked to conditions such as cardiovascular disease and Type 2 diabetes.
"These regulations are designed to make it easier for us to make informed, healthier choices," said Health Minister Jean-Yves Duclos.
Health Canada said the new labels will complement, rather than replace, the more detailed nutrition information that's typically on the back of food packaging.
In general, they'll be placed on pre-packaged foods that contain more than 15 per cent of the suggested daily value of saturated fat, sugars or sodium. For pre-packaged meals, the warnings will only go on items with more than 30 per cent of the recommended daily intake.
Ground meat exempt from warning
The proposed labels were at the centre of controversy earlier this month when a group of ranchers opposed the government's plan to include warnings on ground meat.
At the time, the Canadian Cattlemen's Association said the policy would "vilify" ground meat and make people think it's a less healthy choice than whole cuts.
Now, Health Canada has exempted ground meat from the warning labels, even if it's high in fat or salt. The product was deemed to have health benefits in spite of the "nutrients of concern," along with milk, many cheeses and fruit.
"Canadian families rely on ground beef as a nutritious and affordable food staple and an important contributor to food security. We are pleased with Health Canada's decision to omit ground beef from requiring a misleading warning label," Canadian Cattlemen's Association President Reg Schellenberg said in a written statement.
Packages of sugar and salt will also be exempt, as the government said including labels on such products would be redundant.
The rules are set to come into force at the beginning of 2026, which the government said gives companies ample time to manage the costs of adjusting their packaging.
Health Canada will also limit the size of "voluntary health-related information," such as labels that proclaim an item high in fibre.
Colorado became the first state in the country to have a state-designed health care insurance option for its residents approved by CMS last Thursday.
Approval of the Colorado Option through the federal1332 waiver now means the state can proceed with rate setting for its standardized health insurance plan, which is mandated to be sold at lower prices and should be finalized by summer’s end to take effect in 2023, culminating a decade’s worth of health policy efforts aimed at reducing health care costs.
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Those efforts include the state’s reinsurance program, which was extended for an additional 5 years last year and spreads risk across the health insurance market to help insurers pay expensive claims, and the Hospital Provider Fee that supports hospitals serving Medicaid and uninsured patients.
The Division of Insurance recently finalized its reinsurancepayment parameters for 2023 that aims to maximize rate reductions, increase enrollments, and improve morbidity all while encouraging engagement and competition among carriers and providers in the individual marketplace.
In its most recent legislative session, Colorado enacted 3 pieces of consumer protection legislation, House Bills1284,1285, and1370, all designed to lower health care costs.
HB 1284 requires emergency medical services to be billed at the in-network rate regardless of the facility and guards against unexpected and costly charges. HB1285 prohibits hospitals from pursuing debt collection if federal price transparency standards are not followed, requiring providers to publicly post their standard pricing for various services.
Meanwhile, HB 1370 requires carriers to implement a copayment-only structure for prescription medications in at least a quarter of their health plans.
CMS hailed Colorado as a national leader in health care cost reduction efforts.
“Through thisnew model, Colorado leverages federal savings to expand affordability and coverage in the state like no other state has done before,” said CMS Administrator Chiquita Brooks-LaSure. “The Colorado Option is groundbreaking and a step in the right direction to reduce the uninsured rate, while investing in health insurance coverage affordability and improvements, and advancing health equity. We encourage all states to consider innovative ways to use section 1332 waivers in the future to expand and improve coverage and lower costs for their residents.”
Passed in 2021, the Colorado Option instructed state regulators to write up a “standardized plan”—a consistent package of benefits and cost structures like co-pays—that insurance companies are mandated to sell with premiums 5% below what they were in 2021, after inflation adjustments. That target increases to 15% below by 2025.
Offered only on the individual and small group markets, the plan is designed to save the federal government on its existing insurance premium subsidies by creating what are known as “pass-through” savings that can come back to the state.
The state’s waiver application estimates those savings would amount to $13.3 million in 2023 and $147.9 million by 2027.
The moves come as Coloradans struggle with higher costs of living.
In the current environment of inflation, cost of living has emerged as a “serious” problem according to nearly 90% of those recentlypolled by the Colorado Health Foundation. In its adjacentpoll, two-thirds of Coloradans characterized the cost of health care as a “very serious” problem.
This sentiment was reflected by the Colorado electorate who voted for moderate candidates in Republican primaries, results that reflect broad support for “kitchen table” issues, according to local politics reporter Marianne Goodland.
The percentage of personal consumption expenditures on health care services climbed to 14.9% in 2019 prior to the pandemic.
Source: Colorado Department of Health Care Policy and Finance
The inflationary trends have insurance companies skeptical that reduction targets can be met while being actuarially sound. The Colorado Association of Health Plans stated that the methodology used to calculate inflation, the Consumer Price Index’s medical index, will not reflect the true rise in costs being seen on the ground.
That delay in care along with the persistent workforce shortage have contributed to rising health maintenance costs, according to the Colorado Hospital Association (CHA), as providers struggle to meet the pent-up demands of a growing population.
“Much of the focus of state policy in recent years has been on health care affordability,” said Katherine Mulready, Chief Strategy Officer and Vice President for Legislative Policy at CHA. “The reality is that when supply outstrips demand, prices rise. So this does not portend well for affordability, which in turn, doesn’t portend well for access. We’re talking about both indirect access of costs, but also direct access.
The provider is not there when you need them to be there. There’s not a lot of optimism I can paint in that picture right now other than we’re doing everything we can to stave off [the] continued crisis.”
Providers nationwide are coordinating efforts to reimagine health care where telemedicine is emerging as a solution to meeting demand and improving access.
Mulready said the association is utilizing new tools and roles as a part of that reimagination, such as advocating a policy that would allow greater use of certified registered nurse anesthetists in advanced practices to manage some anesthesiologist services.
“The policy principle that underlies all of our workforce is allowing the market or allowing employers the flexibility they need to continue to deliver high quality and accessible care,” Mulready said. “As long as we can find a professional who has the experience and training to do the tasks that’s being contemplated, we should be able to use them and we shouldn’t see artificial limitations on their scope through their licensing boards or other places. Some of that’s reimbursement policy, some of that’s licensing policy, some of its facility policy, but there’s a lot of work. [CHA is] invested there to try to advance that reimagination of care delivery.”
Gov. Jared Polis has made clear his administration’s goal of lowering health care costs for consumers. In 2020, for instance, Polis vetoed a bill that would have increased coverage for alternative opioid treatments over concerns the measures would increase private insurance costs.
As costs rise and the midterm elections approach, health policy advocates will look to continue striking that balance between holding the line on health insurance prices and adding benefits for Coloradans in next year’s legislature.
There's a chance your health insurance company owes you some cash.
Depending on how you get your coverage, you may be one of the 8.2 million policyholders expected to get a piece of $1 billion in premium rebates this fall from various insurers, according to a preliminary analysis from the Kaiser Family Foundation.
The amount is down from $2 billion issued in 2021 and a record $2.5 billion in 2020.
"In the last couple of years we've seen some really large rebates — twice the size of this year's amount," said Cynthia Cox, a vice president at the foundation and director of its Affordable Care Act program. "But I'd say $1 billion is still significant."
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Generally, you're more likely to see a rebate if you have an individual policy (including through a state health exchange or the federal one) or participate in a small- or large-group plan. (Many of the biggest U.S. employers choose to self-insure, which means their plans don't have to adhere to certain requirements placed on insurance companies. Different rules also apply to Medicare and Medicaid coverage.)
So why are the rebates going out?
Basically, insurance companies that sell group or individual policies must adhere to a "medical loss ratio" requiring them to spend at least 80% of premiums paid by enrollees on health-care costs and certain other expenses related to patient health. (For large group plans, the ratio is 85/15.) If that threshold is not met, enrollees are reimbursed the difference.
Each year, the ratio is calculated based on a rolling three-year average. So the rebates this year derive from insurance companies' financial data from 2019, 2020 and 2021.
This year's refunds — which will go to eligible participants enrolled last year — work out to about $141 per plan participant in the individual market, $155 in the small group market and $78 in large group plans, according to the Kaiser analysis. However, that amount can vary widely, depending on your location and insurer.
Insurers typically either send a check to policyholders or deduct the rebate from premiums (and send a check to individuals no longer enrolled but owed some money). Be aware that if you are in a group plan, your employer may split the rebate with you, Cox said.
If you're entitled to a rebate, you should receive it by Sept. 30.
Political columnist Mark Shields died last week. There have been many tributes, all of which focused not only on his sharp commentary but also on what a decent person he was, and the fact that he was interested in, not appalled by, encounters with people who saw the world through different lenses from the ones he used. That is to say, he was an intellectual liberal as well as a political one. Two years ago, when he retired, his sparring partner on PBS's "NewsHour," David Brooks, wrote a lovely encomium.
There is nothing liberal about billionaire libertarian Peter Thiel, whom The Washington Post's Elizabeth Dwoskin profiled in Sunday's June 19 paper. I knew some but not all of this, and was especially intrigued by the title of a biography of Thiel: The Contrarian. Huh? There is nothing contrarian about this ideologue. That is what is so frightening about ideologues: Their ideological framework levels all of life's complexities. In their framework, no one hits a bump in the road, and it is those bumps that keep us humane. He is a 21st-century Ayn Rand with gobs of money. How boring.
In The Guardian, a report on the cost of not having universalhealth insurance: A new study indicates that the lack of such universal coverage in the United States resulted in an additional 338,000 lives lost during the pandemic and an additional $105 billion in health care costs. So, the next time someone says we can't afford universal health insurance, point out that we can't afford what we have, morally or financially.
At The New York Times, Coral Davenport takes a thorough and bracing look at the potential danger to environmental protections, and other necessary government functions, posed by a forthcoming Supreme Court decision in the case West Virginia v. Environmental Protection Agency. In this histrionic age, it is best to avoid the temptation to overstate the stakes in our various political and cultural battles. In this instance, to paraphrase a famous orator, extremism in the defense of common sense is no vice.
Politico looks at the challenges of changing newsroom cultures with a focus on the leadership of Sally Buzbee at The Washington Post, where she replaced Marty Baron in 2021. There is no way for democracy to function without a free press, and there are multiple dangers facing a free press today — some ideological, some financial, some cultural.
Relatedly, at The Atlantic, Conor Friedersdorf looks at the recent struggle at Georgetown University Law School over the limits of free speech. Newly hired Ilya Shapiro tweeted something that was undeniably stupid and offensive. He apologized, was suspended and the university investigated the matter. Shapiro ended up resigning but he also objected to the investigation by campus bureaucrats. The case raises serious issues about the direction of higher education. As health-law scholar Gregg Bloche told Friedersdorf: "Fear of career-ruining responses to words that offend is chilling classroom discussions, faculty scholarship, and conversation among colleagues."
At Chicago Catholic, Cardinal Blase Cupich offers some advice about preaching on the Trinity, and he cites the book The Vision of Catholic Social Thought: The Virtue of Solidarity and the Praxis of Human Rights, by St. John's University moral theologian Meghan Clark. At a time when too many reduce religion to ethics, it is wonderful to highlight the work of a theologian who recognizes the ways in which are dogmatic truths ground our ethical teachings, and even more when that work gets noticed by a bishop! I reviewed Clark's wonderful book here.
Neighborhood Well being - Kids with Special Health Care Wants, Wholesome Communities, Mother or father Child, WIC. Communicable Disease and Epidemiology - Immunization Clinic, Prevention & Screening, Syringe Trade, TB Program. The DH has attracted criticism for its disastrous handling of the outcome of Modernising Medical Careers , particularly in the adjustments it made to the specialist coaching of doctors and the Medical Coaching Software Service (MTAS). Please name upon our division if we will provide extra information or be of assistance to you.
In a drive geared toward empowering deserving and interested people, the Division of Well being once more is inviting applications for alternatives within the Internship and Group Service programme. The NHS Enterprise Services Authority provides business help services to NHS organisations, including the administration of the NHS pension scheme. In 1968, the Ministry of Health was dissolved and its capabilities transferred (along with those of the similarly dissolved Ministry of Social Safety) to the newly created Division of Well being and Social Safety (DHSS).
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The Rising and Extremely Infectious Illness (EEHID) Portal supplies free, up-up to now, and constant access to hundreds of finest observe resources and programs for rising and extremely infectious diseases. Work with other social policy departments on a renewed Mental Health and Addictions technique. The Suffolk County Division of Health Providers promotes wellness and protects the public's well being and atmosphere.
Successive DH ministerial teams have been criticised for repeated reorganisations of the NHS in England, the place major care commissioning responsibility, in particular, has been allocated to four totally different sets of organisations within the last ten years: PCGs, clarification needed small space PCTs (e.g. covering a rural local authority district or part of a metropolis), larger-space PCTs (e.g. overlaying an entire County), PCT clusters (e.g. quarter of London or South of Tyne and Wear) and the currently unspecified Medical Commissioning Teams.
The Erie County Division of Health responds 24 hours a days, weekends and holidays, to potential threats to public well being. New Jersey is residence to over 2,000 licensed hospitals, nursing properties, and medical care services. Test your email INBOX, JUNK, SPAM, LITTER and TRASH folders to find your new account consumer ID and short-term password. In accordance with the Tuition Reimbursement Policy of the Texas Well being and Human Companies System, workers may receive reimbursement for programs completed whereas attending vocational faculties, colleges, or universities.
The core function and accountability of the Western Cape Department of Well being is to ship a complete package deal of well being providers to the folks of the province. In response, the Louisiana Division of Well being (LDH) and the Louisiana Workforce Fee (LWC) will host a collection of Workforce Summits in July to assist providers who ship companies to people with developmental and mental disabilities, and the aging inhabitants.
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The Health Research Authority protects and promotes the interests of patients and the public in health research. The Division of Health right this moment revealed the report on the outcomes of the 2017 Northern Ireland Sight Take a look at and Ophthalm.. extra. Chief Dental Officer for England (CDO) — Barry Cockcroft, appointed in 2006. We attempt to forestall the unfold of disease, shield in opposition to environmental hazards, promote healthy life, ensure access to high quality health providers, and reply to disasters.
The Facilities for Illness Management and Prevention (CDC) introduced on June 1, 2017, there's an ongoing outbreak of Salmonella that has sickened 372 folks and has hospitalized seventy one of those folks in forty seven states (see link beneath for extra information). Hiring certified employees has been a continuing challenge for health care companies that provide dwelling and neighborhood-primarily based services.