June 2008

Outpatient Issue

 

Mary C. Selecky

Secretary of Health

Mary C. Selecky has served as Secretary of the Washington State Department of Health since March 1999, serving under Governor Chris Gregoire and former Governor Gary Locke. Prior to working for the state, Mary had a 20-year tenure as administrator of the Northeast Tri-County Health District in Colville Washington. Coming from one of Washington's most rural areas, Mary is keenly aware of the unique challenges facing rural communities.

Reaching Out

Preparing For Cross Border Public Health Emergencies Even More Important

With 2010 Winter Olympics On The Horizon

When I first heard that the Winter Olympics were coming to British Columbia in 2010, it seemed like a long time in the future. That’s not the case anymore. The games are scheduled for March of 2010, which is less than two years from now. As you can imagine, like any huge event, there’s a lot of work to be done.

Even though the games are north of our border, everyone expects they’ll have a big impact on our state. Many of those who travel from across the country and around the world for the games will come through Washington airports, drive on Washington highways, stay in Washington hotels and motels, and spend time here before and after reaching Canada. Hundreds of thousands of visitors will pass through the northwest; public health agencies and health care facilities must be ready.

Planning for the Olympics was one of the important topics discussed during the 5th Annual Cross-Border Conference in May. Nearly 200 public health and emergency preparedness partners convened in Bellingham. Participants came from several states and provinces, including Ontario, British Columbia, Alberta, Yukon Territory, Alaska, Idaho, Montana, Oregon, and Washington — as well as federal partners from both sides of the border.

We have taken the lead on this work for our region. I’m pleased to say we’ve made tremendous progress improving public health cooperation between border states and our Canadian counterparts. Five years ago during our first meeting, most of us were shaking hands and learning each others’ names for the first time. We now have plans in place to share information and jointly respond to outbreaks and other public health issues.

Bugs don’t respect borders; that’s one of the reasons this work is so important. We now have 24-hour contacts on each side of the border, so I know who to call in British Columbia any time something happens, day or night. We have some legal agreements in place, and are working on others regarding sharing health information and transporting patients across the border. The last thing you want to do during an outbreak is delay taking action until legal issues can be resolved.

During the meeting we tested our plans with a tabletop exercise. The scenario was a foodborne outbreak during the Winter Olympics. It provided an opportunity to talk an incident through and think about the details that can get missed in broader planning.

I feel good about what we have accomplished; yet the more you do, the more you find needs to be done. We’re considering a full-scale cross border public health exercise next year.

New Quit Line Services To Help Pregnant Women Quit Smoking

Just in time for Mother’s Day, we added some new services to our free Tobacco Quit Line to give pregnant women more help when they’re ready to quit using tobacco.

The new tools include written quit materials and extra follow-up calls to help pregnant women increase their chances of quitting and remaining tobacco-free after the baby is born. Also, our quit coaches have received additional training to better understand the challenges pregnant women face when trying to quit smoking.

In Washington, more than 8,700 babies are born each year to women who smoke during their pregnancy. Our state’s maternal smoking rate has remained stagnant over the last several years, with about 12 percent of pregnant women reporting smoking during the last three months of their pregnancy.

Babies with moms who smoke are more likely to die from Sudden Infant Death Syndrome and have health problems like ear infections and pneumonia. These new resources will make a real difference in the health of pregnant women and their babies.

The expanded quit line services are part of our effort to reach out to pregnant women who smoke. Last year, we launched the “Quit for You Quit for Two” campaign to raise awareness of the health dangers associated with smoking while pregnant and the resources available to help women quit.

The quit line (1-800-QUIT-NOW, and in Spanish, 1-877-2NO-FUME) provides free help to all pregnant women who smoke — no insurance required. Quit coaches help callers develop a quit plan and a strategy to avoid secondhand smoke before and after the baby is born. The quit line can supply free nicotine replacement medications when appropriate and approved by the woman’s physician.

I need your help with this issue. If you know a pregnant woman who smokes, tell her about these new Quit Line services. A call to the Quit Line could put her and her baby on the road to better health.

 

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