Community News

WASHINGTON, DC – October 9, 2024 – Unless you live in a cave, everyone in western North Carolina knows that it rained there a lot from September 25 to 27. Afterwards, the French Broad and Swannanoa Rivers flooded roads, homes and businesses causing massive destruction. Our region has not ever had the amount of rain and floods that we encountered since the ‘Great Flood’ of 1916. Hurricane Helene has inflicted more death and destruction on the continental U.S. since Katrina in 2005. So why should anyone prepare for such a catastrophic event that has never occurred before?

I lost my electricity, running water, internet access and cell service. Even the ability to send a text message was iffy. My rechargeable flashlight ran out of charge, so I used battery power flashlights. I had to drive my car around town to recharge my cell phone. I was advised to boil low-pressure water before washing my hands, brushing my teeth, or using it for food preparation. However, I didn’t hear the instructions correctly on the radio and boiled it for one hour not one minute. My wife told me that half the water had evaporated away!

My food and water supplies were dwindling over the course of 4-5 days. I was eating dry cereal for breakfast, a low glycemic energy bar for lunch, and used the grill to eat the remaining frozen food for dinner (hoping that I didn’t run out of propane). After about 4-5 days, my frozen and refrigerated food became warm and was no longer safe to eat. I ran out of low-pressure water to boil at about 4-5 days too.

I learned that there were 4 roads in and out of Asheville. Only 1 was passable and it headed south. To get to my son’s house (10 hours away in Chicago), I would have to drive west, but this road was impassible. I could add 2 hours to the drive by driving north, but this road was out too.

I was starting to get hungry and thirsty, and this was affecting my brain, which told me that I need to eat food and drink water. I developed the strong urge to stay healthy. Therefore, I packed a day bag and drove to Charlotte via Greenville. Greenville looked like Asheville with long gas and food lines and no traffic lights. After 5 days in a hotel room in Charlotte, including 2 trips back to Asheville to clean the bathrooms and kitchen sink and assess for any return of power (yes!) and running water (no!), I was invited to a friend’s house 10 hours away in northern Virginia. Food and water never tasted so good!

I have become a climate refugee. According to Wikipedia, a climate refugee is a person who is forced to leave their home region due to sudden or long-term changes to their local or regional environment like due to extreme weather events. These changes can interfere with their well-being or livelihood. It has also been referred to as being an ‘environmental migrant’ or ‘climate migrant.’

Ashevillians have flocked to many places to stay healthy. My story will end when I return home after my running water returns. I am lucky! Some people can have health problems from catastrophic events. Infectious disease, musculoskeletal injuries, and mental health problems are only a few of the conditions that can arise after this extreme weather event.

Listen to the full report below:

Contact: Dr. Dick Needleman, Health reporter, 103.3 AshevilleFM, [email protected]

WINSTON-SALEM, NC – October 4, 2024 – I heard a phenomenal interview on the Winston-Salem radio station WFDD on October 4^th. WFDD’s David Ford interviewed Dr. Christopher Ohl, a professor of internal medicine and infectious diseases at the Wake Forest University School of Medicine. He offered some great tips on how to stay healthy during major floods, the psychological impacts of floods, and the many important uses of water.

Staying healthy during major floods is challenging. He emphasized trying to stay clean to reduce the risk of getting ill. He suggests keeping hands clean before eating and after going to the bathroom.

The mental health impact after floods may be the biggest health problem in the long run because they may last longer than other health problems. Natural disasters like floods can cause someone to feel helpless, grief stricken, and anxious. Grief reactions can occur from personal loss. Post-traumatic stress disorder (PTSD) is associated with the trauma following a major flood. Anxiety and panic attacks can occur after a natural disaster. Other mental health problems can include depression and suicide.

We must have water to survive. This point seemed obvious to me. Water keeps people hydrated and healthy. You need it to stay clean and to bathe. It has many applications for sanitation like flushing toilets. I would add to the list food preparation and washing clothes and dishes.

Some of the not so obvious uses of water is for cooling. Hospitals need it for their large equipment including CT scanners and communication gear. Schools must have water too.

The doctor recommended being prepared for major catastrophic events like floods. His suggestions were stockpiling food and water, staying up to date with vaccination for respiratory illnesses, and have an evacuation plan like staying out-of-town with friends or relatives. He also feels that having strong mental health services available is vital.

Listen to the full report below:

Contact: Dr. Dick Needleman, Health reporter, 103.3 AshevilleFM, [email protected]

UNITED STATES – September 19, 2024 – The Commonwealth Fund conducted their triennial report comparing the performance of the United States health care system with other nations. The top 3 countries are Australia, the Netherlands, and the United Kingdom. Many countries were very similar in the performance categories. The United States was an outlier with much lower measures. All countries were developed nations. In addition to the U.S., they are Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, and the United Kingdom. Five domains of health system performance were looked at: access to care, care process, administrative efficiency, equity, and health outcomes.

The data was obtained from surveys performed in each country. Three groups were surveyed: seniors (age 65 and older), primary care physicians, and persons 18 and older. The study was sensitive to the impact that COVID-19 had on the health care system. It also stratified for income, gender, and geography.

Each of the countries were found to have done better in some areas and worse in others. In other words, a high overall ranking did not guarantee a high ranking for all the domains. The low-overall ranked U.S. ranked 2^nd in care process and last in access to care and health outcomes. The U.S. health care system excels in the high-quality care parameters of preventive services, safety, coordination, patient engagement, and sensitivity to patient preferences. The most obvious conflict is that the U.S. ranked the lowest on health outcomes, despite spending more money than the other developed nations per capita.

Understanding other health care systems may be used to help improve how things are done in the low-performing U.S. The other developed countries seem to meet their residents’ basic health care needs, which included universal coverage.

Listen to the full report below:

Contact: Dr. Dick Needleman, Health reporter, 103.3 AshevilleFM, [email protected]

ASHEVILLE, NC – September 13, 2024 – The Mountain Area Health Education Center (MAHEC) is hosting the 1^st annual Health is Wealth Summit about ‘closing the life expectancy gap in Western North Carolina (WNC)’ on October 5^th. The purpose of the conference is to address poverty as a public health issue. Attendees will meet the people behind local services that can improve health and provide opportunities to advocate for anti-poverty measures.

Our economic circumstances have a large effect on our health and well-being. Everyone’s health is affected by where we live, work, learn and play and by circumstances in our families, communities and neighborhoods.

Poverty is a leading cause of death in the U.S. Only cancer, heart disease, and smoking contributed to more deaths in 2019 than persons who lived in poverty for 10 continuous years, according to a study published in the New England Journal of Medicine last year. The same study also showed that persons who lived in poverty for 1 year had a 42% excess risk for death. Short-term poverty contributed to more deaths in 2019 than accidents, lung disease, stroke, suicide and homicide.

The summit will be held from 9:30 am to 4 pm at MAHEC, including a Health & Advocacy Fair from 1 to 3 pm. The conference and fair are open to the public. The target audience for the conference are medical providers, community-based organizations, and human service organizations. Admission is free for those who register. You can sign-up for the full-day meeting at https://mahec.net/home/event/74082  or just for the fair at https://ow.ly/cbCv50Tn7lh

You should attend this conference if you want to:

• Change the narrative about poverty
• Learn about existing efforts to fight poverty in WNC
• Promote opportunities to fight poverty

Listen to the full report below:

Contact: Dr. Dick Needleman, Health reporter, 103.3 AshevilleFM, [email protected]