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Washington, Others Will Treat e-Cigarettes as Drug Paraphernalia

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This June 12, 2013, file photo shows a person posing with an electronic cigarette, or e-cigarette. Electronic cigarettes have surpassed traditional smoking in popularity among teens, the government’s annual drug use survey finds. Even as tobacco smoking by teens dropped to new lows, use of e-cigarettes reached levels that surprised researchers. The findings marked the survey’s first attempt to measure the use of e-cigarettes by people that young. Nearly 9 percent of 8th graders said they'd used an e-cigarette in the previous month, while just 4 percent reported smoking a traditional cigarette, said the report being released Tuesday by the National Institutes of Health. (AP Photo / Tim Ireland, PA)

This June 12, 2013, file photo shows a person posing with an electronic cigarette, or e-cigarette. (AP Photo/Tim Ireland, PA)

 

RICHMOND, Va. (AP) – Some schools are getting tougher on e-cigarettes, even punishing possession of the devices more harshly than regular cigarettes.

The devices, which heat a nicotine solution to create a vapor instead of burning tobacco, have passed traditional smokes in popularity among teenagers. Schools are clamping down because e-cigarettes, sometimes also known as vaporizers, can also be used for illegal substances like marijuana.

Most schools have folded e-cigarettes into their anti-tobacco policies, which typically punish students with detention, a letter home and sometimes a tobacco education class.

But other schools in states including North Carolina, New Jersey, Washington and Connecticut, are grouping the devices in with bongs and pipes, meaning students could face long suspensions and required drug tests and have possession of drug paraphernalia marked on their school record.

“Our goal is to reduce access and discourage use on campus,” said Sarah D’Annolfo, dean of students at The Taft School in Watertown, Connecticut.

The co-ed boarding school amended its policy this school year to have e-cigarettes fall under its drug and alcohol policy. A disciplinary committee made up of faculty and students evaluate violations case-by-case, but they could result in a weeklong suspension and a mark on their record rather than a chat with the dean and school doctor and parental notification.

“It definitely sparks conversation within the school community about e-cigarette use and the possible dangers and the possible benefits,” D’Annolfo said. “That conversation alone is a hugely important learning opportunity.”

According to an annual government survey of more than 41,000 students, e-cigarettes have surpassed traditional smoking in popularity among teens.

Some 16 percent of 10th-graders had tried an e-cigarette in the past month, and 17 percent of high school seniors. Regular smoking continued inching down, to 7 percent of 10th-graders and 14 percent of 12th-graders. However, the survey didn’t ask about repeat use, or whether teens were just experimenting with something new.

Most agree it should be illegal to sell e-cigarettes to kids, and most states have banned such sales. But health and public policy experts can’t say for certain whether the electronic devices are a good thing or a bad thing overall, whether they help smokers kick the habit or are a gateway to ordinary paper-and-tobacco cigarettes.

Nevertheless, companies vying for a stake in the e-cigarette business have revived marketing tactics that helped hook generations of Americans on regular smokes. The TV commercials, race-car sponsorships and candy-flavored nicotine liquid all raise fears that makers are targeting young people to take up an addictive habit.

Last April, the Food and Drug Administration for the first time proposed regulations for e-cigarettes. They would include banning sales to minors and requiring health warning labels. The rules wouldn’t immediately ban the wide array of flavors or styles of e-cigarettes or curb marketing.

Gregory Conley, president of the e-cigarette advocacy group American Vaping Association, said minors shouldn’t have or use e-cigarettes but it’s “pure over-reaction” to punish students caught with them more than students who have regular cigarettes.

Still, the array of possible uses of e-cigarettes has spurred caution among school officials.

“We don’t know if it’s vapor or some kind of hashish oil or if it’s some kind of illegal substance,” said Anne Garrett, superintendent of Haywood County Schools in western North Carolina, where the policies were changed this month to treat the devices as drug paraphernalia.

Some parents think such measures are too harsh. In Parsippany, New Jersey, Kathleen Leone refused to let school officials drug test her 16-year-old daughter after she was caught with her older brother’s e-cigarette in her pocketbook, leading to a four-day suspension.

“I’m not going to sit here and tell you that she should have it, but you know, she’s 16, and 16-year-olds do stupid things,” said Leone, who’s also a teacher. “In her record it says she was suspended for refusal to take (a drug test), and that’s something that could affect her chances getting into a university.”

But the concerns raised by school districts may not be too far-fetched.

Devices that look exactly like e-cigarettes but have a compartment that can be filled with substances like concentrated forms of marijuana are sold online and in stores across the country. In states like Colorado and Washington state, where marijuana is legal for adults over 21, stores not only sell the hash oil itself but sells it in pre-filled cartridges.

Traditional e-cigarettes also are being modified by users for use with the oil, illegal in most of the country.

Much like using an e-cigarette with liquid nicotine, the vapor – along with any odor – produced dissipates quickly. Still, some argue most people could smell the difference.

The National Association of State Boards of Education doesn’t have an official policy on e-cigarettes, but Executive Director Kristen Amundson said she believes the group would recommend that the devices be treated as tobacco products. But if a school district thinks they have a particular problem with the devices, then sending a really clear message may be a good idea, she said.

“But it is always better if school administrators use good judgment and discretion,” said Amundson, a former Virginia legislator and teacher who also served on the school board of northern Virginia’s Fairfax County. “That’s how we end up not having to hear a case of a kindergartner who brought a little paring knife to school suddenly being recommended for expulsion for bringing a weapon to school.”

Community

It’s Time to Lose Weight Before the Holidays

Licensed internist Dr. H. Geoffrey Watson has joined gastroenterologist Dr. Ralph Peterson at Oakland’s MacArthur GI to address the rising obesity epidemic. With U.S. obesity rates reaching 42.4%, the clinic offers supervised weight-loss programs and screenings for fatty liver disease. Treatments include dietary counseling and various medications, such as GLP-1 receptor agonists, which regulate digestion and appetite. As certain populations continue to be disproportionately affected by chronic health conditions, medical experts are highlighting new tools available to help patients reach their goals before the holiday season. Read more.

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Dr. H. Geoffrey Watson. File photo.

Dr. H. Geoffrey Watson, a licensed internist, has joined renowned gastroenterologist Dr. Ralph Peterson at MacArthur GI in Oakland to address obesity, provide supervised weight-loss programs including GLP-1 therapy, and screen for and treat fatty liver disease.

The Obesity Epidemic

Obesity is associated with numerous chronic health problems, including hypertension, diabetes, heart disease, sleep apnea, asthma, depression, joint disorders, fatty liver disease, and high cholesterol. Its causes include genetics, environment, stress, medication side effects, hormonal imbalances, and other factors.

Since 1999, the prevalence of obesity in the United States has risen from 30.5% to 42.4%. Childhood obesity rates are also climbing, with approximately 19.3% of children and adolescents now affected.

Measuring Obesity: Body Mass Index

Obesity is measured using a formula called the Body Mass Index (BMI). You can calculate your own BMI on most smartphones by searching “BMI calculator” and entering your height and weight. A BMI of 25 to 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.

Populations Disproportionately Affected

Obesity affects certain populations at higher rates. Among U.S. adults, obesity prevalence is 49.9% in Black adults, 45.6% in Hispanic adults, 41.4% in White adults, and 16.1% in Asian adults.

Treatment Options

A variety of treatments are available for obesity, including dietary counseling, exercise programs, bariatric surgery, and anti-obesity medications.

Common oral medications include:

• Adipex (phentermine): A stimulant that works by suppressing appetite.

• Contrave (bupropion/naltrexone): A combination of an antidepressant and an anti-addiction medication that helps control appetite and cravings.

• Qsymia (phentermine/topiramate): A combination of a stimulant and an anti-seizure medication that reduces appetite and cravings.

GLP-1 Receptor Agonist Therapy

Glucagon-like peptide-1 (GLP-1) receptor agonists were originally approved to treat type 2 diabetes. GLP-1 is a hormone produced naturally by the body that regulates digestion, blood sugar, and appetite by communicating with GLP-1 receptor cells throughout the digestive tract. These medications reduce cravings, appetite, and food intake by influencing the hunger hormones ghrelin, which stimulates hunger, and leptin, which signals fullness.

What We Offer

Drs. Peterson and Watson provide FDA-approved tirzepatide injections, a GLP-1 receptor agonist medication indicated for weight management. Each patient receives a comprehensive history and physical examination to ensure the safety and appropriateness of the medication as part of an overall weight-loss protocol. Dr. Peterson also offers ultrasound screening for fatty liver disease.

We look forward to helping you reach your weight-loss goals and feel your best this holiday season.

H. Geoffrey Watson, M.D., runs the MacArthur GI Clinic at 10520 MacArthur Blvd., Oakland, CA. He can be reached at (510) 562-7467.

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Community

Allen Temple Baptist Church Hosts Free Prostate Cancer Screenings on Oct. 17

The summit’s mission is to reduce the impact of prostate cancer through education, early detection, research, and support. It is presented in partnership with The Oakland Institute of Health, Inc., SCAN, Brotherhood of Elders Network, UCSF Helen Diller Family Comprehensive Cancer Center, Alameda County Public Health Department, Stanford Medicine Cancer Center, Impact Oakland Now, Bay Area Umoja Health, Bay Area Black Nurses Association, Inc., and 100 Black Men of the Bay Area, Inc.

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The Prostate Cancer 2500™ Care Summit brings together health systems, community organizations, and survivors to put early detection within reach

Black men in America are diagnosed with prostate cancer more often than other men and are about twice as likely to die from it. Early detection changes that outcome.

On Saturday, Oct. 17 from 10 a.m. to 2 p.m., Allen Temple Baptist Church will host the Prostate Cancer 2500™ Care Summit (#PC2500), a free event open to the entire community.

. Attendees can receive prostate cancer screenings and health consultations on site, learn about prevention and nutrition, ask medical experts questions in an interactive Q&A, and hear from survivors who will share their stories and offer support.

Screening is recommended beginning at age 45, and at age 40 for Black men with a family history of prostate cancer. All men are welcome, and families are encouraged to attend.

The summit’s mission is to reduce the impact of prostate cancer through education, early detection, research, and support. It is presented in partnership with The Oakland Institute of Health, Inc., SCAN, Brotherhood of Elders Network, UCSF Helen Diller Family Comprehensive Cancer Center, Alameda County Public Health Department, Stanford Medicine Cancer Center, Impact Oakland Now, Bay Area Umoja Health, Bay Area Black Nurses Association, Inc., and 100 Black Men of the Bay Area, Inc.

For more information prior to the event, reach out to Rev. Charlotte Y. Williams at (510) 604-5242 | cwilliams@allen-temple.org

For more information on the day of the event, reach out to Deacon Dwight Williams (510) 501-1650 dwight.williams@allen-temple.org. The church is located at 8501 International Blvd., Oakland, CA 94621 The service is free and free parking and refreshments will be provided. The site is accessible to persons with disabilities. To pre-register, go to Allen-Temple.org

Allen Temple Baptist Church was organized in 1919 in Oakland. For 107 years, ATBC has served as a bright beacon of faith, hope, and love beyond its’ four walls. Allen Temple is committed to sharing the love of God and the message of Good News throughout the world. We welcome people of all ages and cultural backgrounds as we joyfully celebrate worship and fellowship, and carry out ministries of evangelism, discipleship, education, community outreach, and global missions. Allen Temple’s holistic, prophetic and social justice ministries address the needs of the whole person as well as the whole community. Dr. Jacqueline A. Thompson.

Rev. Charlotte Y. Williams is the minister and director of Communications at Allen Temple Baptist Church.

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Business

OP-ED: Proposition 44 Would Put a Price on Trust

The danger in Proposition 44 is not only its 90 percent figure. It is that the meaning of “qualifying” spending will be worked out later. A clinic preparing a budget today may not know whether a navigator, health educator, transportation program, outreach worker, technology upgrade, or other patient-support service will be counted the way it expects. Yet the financial consequence of getting it wrong could be immediate.

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iStock.

Oakland’s public conversation about health care must begin with a simple truth: a doctor’s appointment is not the same thing as access to care.

For a mother juggling work and child care, access may mean a text-message reminder, a bus pass, an evening appointment, or someone who can explain what Medi-Cal covers. For an older patient managing diabetes, it may mean help scheduling a specialist visit and understanding new medications. For a family that has been dismissed or misunderstood in medical settings, access may begin with meeting a community health worker who knows the neighborhood, speaks their language, and treats their concerns with respect.

Community health clinics make that kind of care possible. They are part medical provider, part navigator, part educator, and part trusted local institution. Proposition 44 threatens to narrow the definition of what counts as patient care in a way that could undermine the very supports that allow patients to receive it.

The statewide measure would require covered nonprofit community clinics to spend at least 90 percent of their annual revenue on health care or qualifying program services. The ballot measure directs the Attorney General to establish more detailed guidance on what expenses qualify. Clinics that do not meet the threshold could face penalties for the difference. The Legislative Analyst’s Office reports that affected clinics currently spend an average of about 80 percent of revenue on health care services.

A percentage may look like a clean measure of accountability. But health care is not cleanly divided between what happens inside an examination room and everything that enables a patient to enter one.

Consider the work that happens before and after a visit. Clinic staff maintain confidential patient records. They follow up after missed appointments. They keep information systems secure. They recruit and train employees in an expensive and competitive health care labor market. They coordinate referrals, process claims, purchase supplies, maintain buildings, and make certain that patients are not lost somewhere between diagnosis and treatment.

Oakland families should not be asked to accept the fiction that these functions are unrelated to care.

The danger in Proposition 44 is not only its 90 percent figure. It is that the meaning of “qualifying” spending will be worked out later. A clinic preparing a budget today may not know whether a navigator, health educator, transportation program, outreach worker, technology upgrade, or other patient-support service will be counted the way it expects. Yet the financial consequence of getting it wrong could be immediate.

The Legislative Analyst’s Office says clinics falling short of the requirement could be required to pay the shortfall amount to the state and could seek to recover the money only if they show compliance within five years. The same analysis estimates state enforcement costs in the low tens of millions of dollars annually, supported by fees.

That is a troubling arrangement for organizations that are expected to provide care to people with the fewest alternatives.

Oakland has learned that trust is not built through slogans. It is built when a patient is listened to, when a parent can secure an appointment for a child, when a clinic returns a call, and when a person receives help without being shamed for their income, insurance, language, immigration history, or prior experience with the system.

For Black residents in particular, trustworthy care is not an abstract goal. Persistent inequities in health outcomes and patient treatment are real. Community-centered clinics can help bridge the gap with culturally responsive staff, patient navigators, behavioral-health programs, and partnerships that understand the conditions shaping health outside the clinic door.

Proposition 44 could pressure providers to treat those supports as expendable because they do not fit neatly into a state-enforced formula. That would be a mistake.

Accountability is necessary. Clinics that receive public resources should be transparent, well governed, and focused on their mission. But good oversight asks whether patients are being served well, whether money is managed responsibly, and whether communities can obtain needed care. It should not rely on a rigid ratio that may punish clinics for doing the hard work of reaching people who need more than a brief medical encounter.

A broad coalition of providers and community organizations opposes Proposition 44, including the California Primary Care Association, the California Medical Association, the California Hospital Association, Planned Parenthood Affiliates of California, and the California Teachers Association.

Oakland needs health policy that expands the circle of care. Proposition 44 risks drawing that circle smaller.

The Oakland Post editorial board urges a No vote on Proposition 44.

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