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February 26, 2009 EDITION
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County Gathers at Forum to Discuss State of Health in Ashe

The Ashe County Health Council presented a virtual State of the Union for health issues in the county when

they hosted the 2009 State of Health and Quality of Life Community Forum on Thursday, Feb. 19 at Ashe Services for Aging in West Jefferson. More than 70 people attended the forum, representing more than a dozen community groups from the county.

"I think it went very well," said Nancy Kautz, chairperson of A Healthy Carolinians Task Force. She noted that the event "hit all the different aspects of health in Ashe County.

"The main thing is that we have a good combination of agencies, organizations and informal community leaders" that are helping to get the information to the public, and that events like the forum are "how the connections get made in our community. That's what this is all about."

Pat Mitchell, director of economic development for Ashe County, opened the discussion with a run-down of the county's economic environment. She noted that more than 600 jobs have been lost in the last three years, but that the outlook "is very good, very positive" even if there are "rocky roads" at the moment. She added that the ecomonic cycle is "a little bit steeper" than usual, however, and will require "a little bit higher" of a climb to return to prosperity.

Mitchell said that one focus should be upgrading the skills of current workers, noting that "technology and the economy are going to be in continual change." She said the county has several strengths to focus on, such as leadership, a school system and strong work force.

Joe Thore, chief operating officer of Ashe Memorial Hospital, said that the hospital greatly benefitted from changing their status to that of a critical access hospital in September of 2007. Before that change, the non-profit hospital had been hit with losses of $2 million in 2006 and $1.3 million in 2007, and Thore said they "were on the brink of something drastic." But the change in status allowed them to receive cost-based reimbursement for Medicare, and the hospital has moved back into a positive position. Still, Thore said that it would take "years to recoup" to their 2004 status.

"We feel like we are in a good position to take advantage of being a critical access hospital," he added, noting that the hospital has 270 employees and a $14 million payroll. Tom Randolph of Mount Jefferson State Park spoke of the "benefits of nature" but noted that he sees license plates from across the nation but not many from Ashe County. He also spoke on the health of the environment, suggesting recycling, land protection and air quality as areas to focus on.

David Blackburn of the Ashe Ministerial Association said that they have seen an increase in the number of people needing help. The organization's 65 volunteers, who help residents in need with food or heating assistance, have seen a 20 percent increase in their workload.

Kautz and MaryBea Kolbe of Eat Smart Move More NC focused on ways to promote healthy lifestyle habits. Kautz presented statistics illustrating local health indicators, such as mortality and smoking rates, that can be viewed on the internet at www.healthyashe.org. Getting children exercising and eating properly was a priority Kautz mentioned, warning that "if children continue with lack of activity and obesity, they will not live as long as we will."

Callie Grubb of Ashe County High School introduced a student presentation and survey results indicating the amount of fruits/vegetables and sodas that high school students consume. They suggested that students may benefit if the schools offered more fruits and vegetables and juices instead of soda.

Steve Rochkind of the Smoky Mountain Center spoke briefly about the state of mental health in Ashe County, saying that the biggest problem is the stigma attached to seeking help for mental health issues.

"People don't want to seek help because they don't want to be seen as having a mental health problem," he said.

Jane Banks, executive director of Ashe Services for Aging, said that the housing situation in Ashe County does not provide enough affordable housing and that home repairs, especially for seniors, are in high demand. Seniors are the largest group of homeowners, she said, and many of their homes are in "disrepair."

Teri VanDyke then spoke about Indoor Air Quality, suggesting that non-smoking sections in restaurants might not be enough to assure quality air in a smoking facility. She said that while non-smoking restaurants had generally clean air, restaurants that were entirely smoking or those with a smoking section both failed to meet EPA recommendations for air quality.

Donna Weaver, administrator of Ashe County Department of Social Services, said that they serve the "working poor" who are losing their job, but that DSS is also fighting "the bad stigma with looking to Social Services." Still, they have seen a spike in Medicaid applications (they received 100 in the first 10 days of 2009) as well as an increase in requests for food stamps.

She noted that it could be attributed to "the domino effect that job losses have on a community."

Carolyn Shepherd of the N.C. Extension office spoke about the state of the environment. She said the county is still recovering from the droughts of recent years, which have been bad for beef and vegetable farmers. She noted that 2,500 acres of nursery plants in Ashe County are currently not selling, and that more local residents need to promote the idea of being a "locavore."

Kautz said that the purpose of the day was to "talk to people and ask, 'What do you think is important to do? Do you think we can do it? How can we do it?' and 'Can you help?"

Anyone interested in finding out more can call Ashe Healthy Carolinians at (336) 846-0781, or any of the organizations mentioned in this article.





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