Healthy Water Campaign Begins in May

A photoshoot on Thursday, March 3 captured New York public school students from PS 294 and others engaging in various activities while enjoying a drink of fresh water.

The photoshoot is part of the Partnership for a Healthier NYC of which Bronx Health REACH is the Bronx borough lead development of a city-wide campaign to increase water consumption in New York City.

Residents in the South Bronx have some of the highest rates of diet related diseases including overweight and obesity, diabetes and heart disease compared to residents in the rest of New York City.

When people don’t drink enough water, they are more likely to drink soda and other sugar-sweetened beverages, which have been linked to weight gain and obesity. The campaign is scheduled to run from May to September 2016 and includes advertising on bus shelters and distribution of flyers and other promotional material by street teams at various Bronx summer events such as Boogie on the Boulevard.

Dr. Eliseo J. Pérez-Stable, the Director of the National Institute on Minority Health and Health Disparities (NIMD) at the NIH at the April Grand Rounds

Photo via NIH website.

This post is written by Emily Oppenheimer, Program Coordinator for the Partnership for a Healthier Bronx.

On Friday, April 8th, Dr. Eliseo J. Pérez-Stable, the Director of the National Institute on Minority Health and Health Disparities (NIMD) at the National Institutes of Health (NIH) presented on Health Equity. His presentation, “Reducing Disparities in Health Outcomes: The NIMHD Agenda on Equity,” was the April Grand Rounds feature of the Department of Family Medicine and Community Health at the Icahn School of Medicine at Mount Sinai. Dr. Perez- Stable was invited by Neil Calman, MD, President and CEO of The Institute for Family Health and Chair of the Department of Family Medicine at Icahn School of Medicine.
Dr. Pérez-Stable shared his optimistic, yet pragmatic views on shifting internal medicine approaches to reduce health disparities. His presentation examined the cultural, environmental, and biological factors and emphasized five ways to reduce health disparity in healthcare settings: (1) expand access, (2) public health consensus, (3) coordinated care, (4) patient-centered care and (5) performance measurement. Primary care works, and access to care makes a difference. He argued that comprehensive systems changes can target health issues and shift disparity.

An important point made by Dr. Pérez-Stable with particular resonance to Bronx Health REACH, given that 90% of the Bronx population is Black and Hispanic, was his statement that even though 40% of the U.S. population qualifies as racial/ethnic minorities, health equity is simply social justice and common sense.

Looking ahead, Dr. Pérez-Stable explained that NIMHD will be looking to collaborate more with the Agency for Healthcare and Quality (AHRQ), diversifying the biomedical workforce, enhancing cultural competence in care, examining structural racism, and focusing research on mental health and epigenetics. Bronx Health REACH is excited to learn that the National Institutes of Health has invigorated efforts and refined its focus on reducing health disparities.

To learn more, visit the National Institute on Minority Health and Health Disparities(NIMD) website.

Stark Health Disparities Between Bedford Stuyvesant and Bay Ridge/Dyker Heights

Photo via Flickr by Eli Duke

The New York City Department of Health and Mental Hygiene continues to address health disparities across New York City. Below is an article from Raven Rakia comparing the Bedford Stuyvesant section of Brooklyn to the Bay Ridge/Dyker Heights neighborhood and the stark health disparities between the two areas.

To read the full Community Health Profile for Bed Stuy click here

To read the full Community Health Profile for Bay Ridge click here

In New York City’s black neighborhoods, poverty, housing issues, and asthma go together

By Raven Rakia on 16 Oct 2015

It’s a tale of two cities. New data from the New York City Department of Health shows the health of New Yorkers can vary drastically by neighborhood and is linked to race, housing issues, and poverty.

Earlier this week, the Department of Health published community public-health profiles that take an in-depth look at each neighborhood in Brooklyn (other boroughs will be coming over the next two months). The profiles detail the poverty rate, access to health care, life expectancy, strokes, asthma, mental illness, and cause of death for each neighborhood’s population. They reveal the stark reality of how health in New York varies along race and income lines.

Living in Brooklyn’s predominantly black neighborhoods comes with an increased rate of asthma hospitalizations. In all but one of Brooklyn’s predominantly black neighborhoods, the number of asthma hospitalizations was higher than the borough and city average for both children and adults. The whiter the neighborhood got, the fewer asthma hospitalizations there were.

The difference is stark: In Bed-Stuy, a neighborhood that is 64 percent black, there were 531 avoidable adult asthma hospitalizations per 100,000 people and 54 child asthma hospitalizations per 10,000 people. In the Bay Ridge and Dyker Heights neighborhood, which is 60 percent white, there were 94 avoidable adult asthma hospitalizations per 100,000 people and nine child asthma hospitalizations per 10,000 people.

The four neighborhoods in Brooklyn with the highest avoidable adult asthma hospitalization rates are all over 83 percent black and Latino, and they also have some of the highest poverty rates in the borough. While showing the connections between race, poverty, and health on a microscopic level, the data also offers a glimpse into some of the reasons why the differences may be so high. In Brooklyn, most of the levels of particulate matter (as a form of air pollution) range from 8 to 9.5 micrograms per cubic meter. When it comes to housing quality, in six neighborhoods, 70 percent or more rented homes have at least one maintenance defect. All six of those neighborhoods are predominantly black and Latino, and four out of the six neighborhoods have high rates of asthma hospitalizations. Poor housing quality could mean the presence of mold or asbestos, which are associated with respiratory illnesses.

The most important thing about all of this data is that it shows a complete picture of how the neighborhood you live in can affect how healthy you are. As NYC’s Health Commissioner Mary Bassett told CBS New York, “The health of a neighborhood doesn’t just rely on the decisions an individual makes, but on the resources that are available to them in that neighborhood.”

New Yorkers, if you want to be healthy, it’s going to be much easier if you’re white and can afford to live in a richer neighborhood. For everyone else: good luck.

Making Strides in Achieving PE for All

For supporters of school wellness, the link between health and academics is apparent. We know that when students are not able to lead healthy lives, it creates both learning and health disparities in low-income communities such as the South Bronx. In New York City, similar to what is happening across the country, schools are faced with the challenge of making sure that all students get adequate physical education. To determine if this is happening, information about New York City’s physical education program should be made public.

The Phys Ed for All Coalition,  of which Bronx Health REACH  is a founding member, advocates for policy, systems and environmental changes that will provide more opportunities for NYC students to receive quality physical education. On November 4th, the coalition celebrated Mayor Bill de Blasio signing into law Intro 644, requiring the New York City Department of Education to report on how much physical education is provided to students in each New York City public school. This is a first of its kind in the country. And as such, one of the PE 4 All Coalition members – the American Heart Association – is aiming to replicate this work nationally. The inaugural report is scheduled to be released publicly by August 2016.

In addition to the required reporting, the New York City Council has added $6.6 million to the New York City Department of Education budget over the next 3 years for the “PE Works Program” to cover central staff for the program, to hire 50 new phys ed teachers, and 4 PE instructors (each covering 2 districts throughout the City). While this all represents very important development in efforts to improve the quantity and quality of PE, we are concerned about the short life span of the funding. By year 4 of the program, schools are expected to fund the PE teachers on their own. How are schools supposed to fund an adequate number of PE teachers for all schools, resolve the problem of overcrowded gyms shared by co-located schools, and schedule adequate time for PE into the school day?

In response to these challenges Bronx Health REACH and one of it’s partners, New York Lawyers for the Public Interest, have been educating parents to be better advocates for their children, and raising more awareness about the links between health, physical education, and children’s behavior and academic performance. In addition,the PE 4 All Coalition members have suggested such creative responses to the challenges as: training teachers to provide physical education in small spaces, implementing active recess, using hallway space for physical activity breaks for students who need a break from sitting in the classroom; training school staff to establish wellness councils that can implement wellness policies and take on Active Design projects ensuring that health education and physical education are aligned in ways that lead to demonstrable changes in student behaviors; making physical education a more substantive part of the Principal’s Checklist; and finding ways to incentivize schools that are able to achieve physical education goals through the NYC Excellence in School Wellness Awards.

Bronx Health REACH through its recent Healthy Schools NY  grant and its current Creating Healthy Schools and Communities grant is doing its part by training PE teachers to establish wellness councils and Comprehensive School Physical Activity  Programs. But this should not be the responsibility of outside groups. Making sure that all NYC students receive adequate physical education will ultimately require more financial support than currently allocated. The PE 4 All Coalition will continue to identify and propose solutions that make adequate, quality physical education available for all NYC students, and welcomes new participation in the efforts. Please join us. If you or your school would like to get involved, contact Kelly Moltzen at kmoltzen@institute.org or Erin George at egeorge@nylpi.org.

Does Soda Need a Warning Label?

Image from Public Health Advocacy website

The harmful effects of cigarettes have been well documented, requiring them to have warning labels on the package. With  recent studies revealing the harmful health effects, should soda also have a warning label? New York State Assembly Member Jeffrey Dinowitz and state Senator Gustavo Rivera believe so and have introduced legislation (Assembly Bill 2320-B& Senate Bill S 6435)  requiring that any sugar sweetened beverages sold in New York State have a warning labels.

The label would state:

SAFETY WARNING: Drinking beverages with added sugar contributes to obesity, diabetes and tooth decay.

The label would be affixed to any carbonated or noncarbonated sweetened nonalcoholic beverage that has seventy-five calories or more per every twelve fluid ounces. Warning labels would not be needed for beverages consisting of one hundred percent natural fruit juice or natural vegetable juice that does not contain caloric sweeteners. A larger sign/poster would be posted in places such as restaurants and any establishment that dispenses sodas.

California lawmakers tried to pass similar legislation (SB203) but the bill died in committee in April 2015. CalBev, the California arm of the American BeverageAssociation, argued against the California bill by stating that soft drinks are not “uniquely responsible for weight gain,” and added that affixing a warning label would not change behaviors or teach people about healthy lifestyles.

But contrary to what CalBev has stated, various studies have confirmed that a warning label for soda is warranted. The California Center for Public Health Advocacy (CCPHA) states in a factsheet, “An overwhelming body of scientific research shows that liquid sugar is uniquely harmful because it gets absorbed so quickly, and much faster than solid food. When sugar floods the bloodstream, it overloads the pancreas and causes the liver to store much of the sugar as fat – which leads to fatty liver disease. Both of these conditions contribute directly to diabetes. Research shows that drinking one or two cans of a soda a day increases the risk of developing diabetes by 26 percent.”

Nutrition experts agree that sweetened beverages, such as soft drinks, energy drinks, sweet teas and sports drinks, offer little or no nutritional value, and contain large quantities of added sugars. A 20 ounce bottle of soda contains the equivalent of approximately 17 teaspoons of sugar, whereas the American HeartAssociation recommends consuming no more than five to nine teaspoons of sugar daily.

In New York City the harmful effects of soda consumption are more acute. Providing testimony before the New York State Assembly Standing Committee on Consumer Affairs and Protection on April 13, 2015, Christine Johnson, Assistant Commissioner of the Bureau of Chronic Disease Prevention and Tobacco Control at the New York City Department of Health and Mental Hygiene stated, “In New York City, 56% of adults are overweight or obese and over 10% have diagnosed diabetes. Rates are even higher in New York City’s poorest communities, which also bear a greater burden of chronic disease.

Nearly a quarter of adults drink at least one sugary drink per day, and consumption rates are nearly double in New York City’s lowest-income communities compared to the highest-income communities, and over 40% of New York City public high school students report drinking one or more sugary drinks daily. The proportion of New Yorkers regularly consuming sugary drinks has declined in recent years; however, these rates are still too high.”

A studyfunded by the Healthy Eating ResearchProgram of the Robert Wood Johnson Foundation, and conducted by University ofPennsylvania, Harvard T.H. Chan School of Public Health and the University ofWaterloo asked 2381 parents to select a beverage from a simulated vending machine containing a variety of were sweetened and unsweetened drinks. The study revealed that those drinks with warning labels were three times as effective in making parents less likely to purchase a sweetened beverage. The warning labels also were effective among parents of varying educational backgrounds revealing that not just the most educated parents read the labels, but all parents read and considered the labels.

Assembly Bill 2320-B & Senate Bill S 6435 is important. Having that warning on soda labels means that each time a consumer goes to buy or drink that soda they would know of the danger to their health and hopefully, would put that soda down.  We know, however, that getting these two bills passed will not be easy. It will draw the ire and enormous money and power of the Soda Beverage industry to defeat it. The Bronx Health REACH Coalition knows how critical it is to reduce the overweight and obese epidemic in the Bronx  where 2 in 3 adults are overweight or obese, and where 4 in 10 public school elementary students are either obese or overweight. Efforts of our policy makers to make it easy for residents to make healthy choices is extremely important.

Should warning labels be placed on soda? Join in the conversation below.

Rev. Dr. J. Albert Bush – A Strong Voice for the Bronx Community and Beyond

Bronx Health REACH  will be featuring individuals that have made a significant contribution to not only the Institute for Family Health's Bronx Health REACH, but have been strong activists for needed change in the Black and Latino communities in the Bronx as well as elsewhere. A notable member of this group of change agents is the Rev. Dr. J. Albert Bush, Sr. pastor of Walker Memorial Church in the Bronx. Rev. Bush is a 1983 graduate of the Lutheran Theological Southern Seminary in Columbia, South Carolina where he earned a Master of Divinity degree, and later earned a Doctor of Ministry Degree from the Drew University Theological Seminary in New Jersey. 2016 marks his 34th Pastoral Anniversary at Walker Memorial Church.

Growing up in South Carolina as the second of nine children, Rev. Dr. J. Albert Bush was the first in his family to graduate from college. Adopting a liberationist approach to theology, Rev. Bush started to see and understand how God could use poor people as an instrument to make change in their community.

Answering the call to serve at Walker Memorial Church in 1982 provided a wake-up call for him. Walker Memorial Church had been at 116th Street in Harlem, and moved to the Bronx prior to his arrival. “The Bronx at the time had no housing, no industry, just burned out buildings and depression all around. Many of the people in the congregation saw my arrival as a ticket back to Harlem,” says Rev. Bush. Believing that his time in the Bronx would only be two years, Rev. Bush found himself asking God, “Why did you send me here? Do I belong here?”

Out of his quest he discovered that Walker Memorial Church did not need to return to Harlem. He could learn to love and care for the people of this community and lead them so that they could take responsibility for the change that needed to come. Looking back Rev. Bush admits that was a painful decision, but is convinced that it was the right one at the time. “God was making plans for me to do something, and when I embraced that concept, I led my congregation to become involved in the renewal and rebuilding of this community,” says Rev. Bush.

That renewal and rebuilding has included the Grand Concourse Academy Charter School. “We purchased the empty lot next door twelve years ago and built Grand Concourse Academy Charter School without any federal, state, or grant money. The school was built with all the financial support coming from members of Walker Memorial Church,” says Rev. Bush.

Rev. Bush has also been a long time member of the Bronx Health REACH Coalition where he provides Walker Memorial Church as the meeting place of the Faith Based Outreach workgroup and the quarterly Coalition meetings. He has seen the damage health disparities has done to the community. “This community unfortunately has some of the highest breast cancer rates, highest heart disease rates, and highest amputation rates from diabetes. The thing that surprised me most was the lack of awareness in the community itself. People did not know they were unhealthy,” says Rev. Bush

He believes that healthcare should be more affordable, and more accessible. “You are talking to a man that was once paying $2,500 a month for health insurance over four years to cover his family. That is crazy! One needs a full time job just to pay for health care and that is senseless. It seems that we are comfortable in America keeping and maintaining an underclass,” says Rev. Bush. Rev. Bush adds, “I have experienced a great deal of what the people I seek to help have experienced. I was born in poverty, raised in poverty, and knows what it is like to not have health insurance. I feel every American should have the same level of healthcare that every Senator and Congressman receive. If we can grant it to them, they can return the favor.”

One thing Rev. Bush would change to make health care more equitable would be the elimination of the two class system where those with insurance can see anyone faster than those without insurance that have limited options. “I know of people that have died in the emergency room that had been waiting up to fourteen hours to be seen by a doctor, but people with same problem that have health insurance, they can be seen by someone lickety-split,” says Rev. Bush.

Rev. Bush still continues his work assisting those that have been displaced by disasters in places such as Mississippi and Georgetown, South Carolina. “I am the lead for our denomination (National Baptist Convention) for the disaster response team to any man-made and natural disasters. I have fifteen men on the ground in Mississippi providing relief to those affected by the tornadoes. I have thirty-seven men in Georgetown, South Carolina who are working in partnership with the American Red Cross, FEMA, and other disaster relief agencies, as well as congregations, to aid and assist the people of South Carolina with emergency supplies, such as food, water, and clothing, helping people rebuild homes damaged by the floods,” says Rev. Bush. Currently Rev. Bush is working with officials in Flint, Michigan trying to resolve the man-made disaster of poisoned water.

And the relief efforts are not limited to the United States. In response to the Ebola crisis in Liberia, Rev. Bush Sent aid project through his missionary organization, So Send I You to Providence Baptist Church in Monrovia. “We have sent food relief to Liberia by shipping two ninety foot containers to Liberia with $90,000 worth of food. We also have a daycare center in South Africa in the poorest section of Soweto, and a food kitchen in Swaziland that feeds seventy-five orphan children that have lost both parents to AIDS. We are also building a church and library in South Africa,” says Rev. Bush.

Walker Memorial Baptist and Thessalonia Baptist Church Raise Over $1000 for the American Heart Association

Members of both Walker Memorial Baptist and Thessalonia Baptist Church participated in the fashion show.

On Saturday, March 12, Walker Memorial Baptist Church and Thessalonia Baptist Church, both long time members of the Bronx Health REACHFaith-based Outreach Initiative, in partnership with the American Heart Association held a Heart and Health Awareness brunch to spotlight the issue of women and heart disease. This year's event had more than one hundred people in attendance to hear two speakers and view a fashion show, raising over $1,000 for the American Heart Association.

Bronx Health REACH's Charmaine Ruddock gave a presentation about #Not 62-The Campaign for A Healthy Bronx, and what needs to be done to improve the ranking of the Bronx. Paula Rice, volunteer with the American Heart Association shared her 'heart stopping' experience with cardio vascular disease. Ms. Rice had suffered a heart attack three years ago at the age of sixty. After Ms. Rice spoke another woman shared her experience of recovering from a stroke she had suffered a few years ago.

Gada Dickerson from Thessalonia Baptist Church spoke about how even though heart disease affects both men and women, a woman having a heart attack symptoms may not be so obvious and may differ from those of men. Gada also spoke about the importance of exercising every day, even doing something as simple as walking. The American Heart Association recommends 10,000 steps per day which one can track of by wearing a pedometer.

A special feature of the day was the on site health screenings and distribution of health literature by Lincoln Hospital. Joyce Davis, Head of the Deacon Board of Walker Memorial Baptist Church served as the master of ceremonies. The fashion show featured members of both Walker Memorial Baptist Church and Thessalonia Baptist Church.

Pictured from left to right are Bronx Health REACH's Charmaine Ruddock; Paula Rice, volunteer with the American Heart Association; and Joyce Davis, Head of the Deacon Board of Walker Memorial Baptist Church.

Kick Butts Day in the Bronx!

Image: Province of British Columbia via Flickr

 

 

Today is Kick Butts Day, and we are featuring a guest blog post from Guillermo Flores, Bronx community engagement coordinator at NYC Smoke-Free.

 
Hello there!  Today, we’re celebrating Kick Butts Day in the Bronx!
My name is Guillermo Flores and I am the Bronx community engagement coordinator at NYC Smoke-Free, a program of Public Health Solutions made possible with the support of the New York State Department of Health’s Tobacco Control Program.  At NYC Smoke-Free, we work to protect the health of New Yorkers through tobacco control policy, advocacy, and education. Formerly the NYC Coalition for a Smoke-Free City, NYC Smoke-Free partners with community members, legislators, and health advocates to support local efforts to end the devastating epidemic of  tobacco use throughout New York City. We believe every New Yorker has the right to breathe clean, smoke-free air where they live, work and play.

 
Kick Butts Day is an international day of activism sponsored by the Campaign for Tobacco-Free Kids that empowers youth to stand out, speak up and seize control against Big Tobacco. There are over 1,600 tobacco retailers that populate our Bronx communities. This growing number of tobacco outlets in our neighborhoods re-normalizes tobacco use. And in far too many communities, youth are more likely to find tobacco on their neighborhood blocks than parks, schools, libraries, or toy stores.  We work with key stakeholders to bring awareness to this issue, to protect our youth from the over exposure to tobacco in their neighborhoods, and to find ways of stopping the proliferation of tobacco supply and use in the Bronx and New York City.

 
These initiatives as well as Smoke Free Housing, Tobacco Free Outdoor Air Policies, and other evidence based tobacco control policies are part of the New York State Tobacco Control Program. This program plays a crucial role in saving the lives of New Yorkers and preventing such chronic health conditions as heart disease, cancer and respiratory illness.  New York’s comprehensive tobacco prevention and cessation program prevent  youth from starting to smoke, helps adult smokers quit, and serves as a counter to the tobacco industry’s aggressive marketing and negative influence.  For more information, please visit our website.

Pastor Robert L. Foley Sr. – From Civil Rights’ Marches of the 60s to Championing the Cause of Eliminating Racial and Ethnic Health Disparities in the Bronx.

Bronx Health REACH continues it’s series of individuals that have made a significant contribution to not only the Institute for Family Health's Bronx Health REACH, but have been strong activists for needed change in the Black and Latino communities in the Bronx. 

 

A notable member of this group of change agents is Pastor Robert Lewis Foley, Sr., D. Min, D.D. Pastor of Cosmopolitan Church of the Lord Jesus in the Bronx, New York. Rev. Foley was raised in Georgia, graduated from Morris Brown College in Atlanta, and received a master of divinity degree from the Interdenominational Theological Center in Atlanta, and a doctor of ministry degree at Drew University in Madison, New Jersey.

Pastor Robert Lewis Foley, Sr. was born in Marietta, Georgia. His father had been a pastor serving several congregations in Georgia and Birmingham, Alabama and would become an influence on Pastor Foley's decision to enter the Christian ministry in 1956 and a pastor himself in 1962. After becoming a pastor in Atlanta, Georgia, Pastor Foley became involved in the civil rights movement by attending meetings in Atlanta with  Dr. Martin Luther King, Jr.  and Dr. Ralph Abernathy,  participating in events with Julian Bond and Stokely Carmichael, and marching  from Selma to Montgomery. At the time Pastor Foley did not realize that working with and marching alongside these historical civil rights leaders would put him on the path to becoming a community leader and providing a voice for underserved communities. "During the time of my involvement with these civil protests, I had no idea that what we were doing would have the impact on this nation that became the reality. I did it because I thought it was the right thing to do, and now I realize it is part of the reason God sent me to this world," says Pastor Foley.

While attending the ITC Seminary in 1965, he married and continued his pastoral ministry in Atlanta. In 1967, after a meeting with the late Bishop John Bright (the leader of all the New York based AME churches), Pastor Foley was transferred to New York where he continued his pastoral ministry in Tuckahoe, New York and in Harlem. After a few years, he decided to organize and establish an independent church. The first worship service of this new church named Cosmopolitan Church of the Lord Jesus, took place at a Prince Hall Masonic Lodge in Manhattan, and the next several services of worship were held in the auditorium of a public school also in Manhattan.

As fate or more likely providence would have it, a colleague of Pastor Foley spoke to him about a realtor who had placed an advertisement regarding a church building for sale in the Bronx, New York. The owner of the Bronx church invited Pastor Foley and his congregation to hold a service in the space, and soon after accepted an offer to purchase the church. At first Pastor Foley was uncertain if the congregation would be able to pay the mortgage, but soon discovered his congregation wanted to stay permanently. “We never missed a payment on the mortgage and retired that 18 year mortgage in 16 years, even though many of our members at that time were retired senior citizens living on a fixed income,” says Pastor Foley, and he continues to serve this congregation after 38 years.

In 1999 Joyce Davis and Maxine Golub from the Institute for Family Health met with Pastor Foley as the Institute for Family Health was launching a community coalition whose goal was the elimination of racial and ethnic health disparities in the South Bronx. A special emphasis of the soon to be formed coalition was to focus attention on the discrimination and health disparities in health services provided by many of New York City’s teaching hospitals. "They gave an overview of how widespread the problem was, and it was an eye-opener for me since I was not aware how large and devastating health disparities were, and seeing how the minority communities were not being properly attended to by the medical community motivated me to join," says Pastor Foley.

Pastor Foley continues to be an active participant in many Bronx Health REACH initiatives. He not only graciously provides his church as a monthly meeting place for the Health Disparities Workgroup, but Cosmopolitan Church of the Lord Jesus has been host to several of Bronx Health REACH’s pastors breakfasts.  The most recent event was the hosting of a meeting of local elected officials and clergy leaders to address the Bronx being ranked 62 out of the 62 New York State counties in health outcomes and health factors in the Robert Wood Johnson’s County Health Ranking Report.

The pulpit is the one place Pastor Foley believes he has the most influence. "Every week I try to say something that speaks to the importance of maintaining your physical and mental well-being. Maintaining a healthy lifestyle is an extension of our ministry, and the church must maintain relevancy to the community if we are to serve effectively and meaningfully," says Pastor Foley. Additionally, he serves as a member of the Community Advisory Board of Montefiore Hospital, the Advisory Board of the Bronx Region of the American Cancer Society, the New York Yankees Community Relations Council, and the Police/Clergy Liaison of the NYPD.

Dr. Eric Gayle – A Commitment and Passion for Providing Underserved Communities with High Quality Medical Care

Bronx Health REACH continues its series on individuals who have made a significant contribution to not only the Institute for Family Health, but to the African-American, Black and Latino communities in the Bronx where they have been strong activists for needed change. A notable member of this group of change agents is Dr. Eric Gayle, Vice President, Medical Services and Regional Medical Director, in New York City for the Institute for Family Health. Dr. Gayle also mentors minority students who are interested in careers in medicine, and leads the Institute’s credentialing committee.

Growing up in Kingston, Jamaica Dr. Eric Gayle quickly learned that a community lacking robust healthcare means having to wake up at 4:30 in the morning to stand in line for hours to be seen by a doctor. To Dr. Gayle, this did not seem right, and those experiences influenced him to become a doctor. The path to becoming a doctor began following his arrival in New York with his mother after completing high school in Jamaica. Dr. Gayle found having to navigate getting into college and medical school in the United States had its challenges. One was the few financial resources available to him; the other was improving his language skills since his spoken language was his native Jamaican patois. He found that he had to work hard to enhance his own standing in the eyes of others for them to give him access to opportunities. After determining the best avenue for getting into medical school, Dr. Gayle enrolled at the Sophie Davis Biomedical Education/CUNY School of Medicine, beginning his path to a career in medicine.

One class he took opened his eyes to the poor health services many New Yorkers received. Dr. Gayle had to review health services offered to the Harlem community and in doing so he was shocked to learn that Harlem residents received the same poor health services as Dr. Gayle experienced growing up in Jamaica. As a Bronx resident Dr. Gayle also observed that his neighbors in the community were not getting what they needed to become healthy. After completing his B.S. from the Sophie Davis Biomedical Education/CUNY School of Medicine, Dr. Gayle transferred to the Mount Sinai School of Medicine to complete his medical degree. He then did his residency in family medicine at Beth Israel Hospital, and upon completion of his residency in 1998, went to work at one of the Institute for Family Health’s (IFH), clinics in the Bronx.

His current responsibilities relate to the overall operations of the IFH New York City clinical centers. Dr. Gayle is responsible for ensuring that there is enough provider staff at all IFH centers, and that providers meet expectations on the quality of care for patients. "We are here for the patients, to improve their health and to serve the community. My principal responsibility is to give all health centers everything they need to be successful and meet that objective. Even though practicing in underserved communities is not easy, I can impact someone’s health by prescribing medication or offering them advice. It is hard to impact some of the social determinants of their health. Those are outside my control," says Dr. Gayle.

From his days growing up in Jamaica, Dr. Gayle knows what his patients are experiencing when it comes to accessing healthcare in underserved communities. "I know what it means to be in poverty and have social determinants impact your health. When my mother and I arrived in New York we did not have health insurance so I understand what my patients are going through and I have an understanding of what it takes to get them through these challenges," says Dr. Gayle. Addressing the current state of health disparities, Dr. Gayle believes there is more work to be done. "I don’t think we have impacted social determinants of health. I see there is dialogue and research but nothing has been done to improve income equality or housing, as many are still dealing with the same issues that were there 20 years ago. People are struggling to find food. Why does that continue to be a problem? It would take commitment and resources such as money to revamp the whole system," says Dr. Gayle.

A commitment to providing underserved communities with high quality medical care is what has been a guiding passion throughout Dr. Gayle’s career. So what advice would he give to those graduating medical school seeking a similar career but who are graduating with $200,000-$300,000 in student debt? “Though, this may be seen as a significant barrier I tell students not to be discouraged. If you have the passion, and really want to do this work, you can be successful," says Dr. Gayle.

Gada Dickerson - Doing All That She Can to Help Improve the Health and Well-being of Bronx Residents

As the Health and Wellness Ministry Chairperson for Thessalonia Worship Center in the Bronx, Gada Dickerson always had an interest in health; not just her health, but improving the health and well-being of others. Her mother and father worked in a hospital, so it seemed natural for Gada to pursue a job as a hospital nurse. She enrolled and graduated from a nursing program, but as fate would have it, her nursing career was not to be. After completing the nursing program a hiring freeze went into effect at New York City public hospitals, which quickly limited her options. As a result, she changed her career focus and, instead, pursued a health services administration degree.

When Gada began attending Bronx Health REACH meetings, she discovered that Bronx Health REACH offered various health programs at Bronx churches. In time, Thessalonia Worship Center joined Bronx Health REACH's Faith Based Outreach Initiative. This Initiative helps faith organizations – of all denominations – raise their congregations awareness of racial and ethnic health disparities; provide health programming around nutrition and fitness, and diabetes prevention and management. The first program launched at Thessalonia Worship Center was Fine, Fit and Fabulous. It was well received by the congregation with 20 church members participating in the program. Gada pointed out that the reason for the success was, “Our late pastor, Dr. Rev. Shellie Sampson, Jr. was a big supporter of maintaining a healthy lifestyle. He viewed obesity as a daily struggle, and allowed us to use the banquet hall whenever we needed it for our Fine, Fit and Fabulous classes. Our current pastor, Reverend Malobe Sampson is also a big supporter."

Following on Fine, Fit and Fabulous, Thessalonia Worship Center implemented the culinary ministry which provided information on selecting, preparing, and serving healthy versions of favorite meals at church events. "Our church provided traditional fare such as macaroni and cheese, fried fish, fried chicken, and collard greens which are not the healthiest options. A Bronx Health REACH nutritionist spoke to the church kitchen staff that had been preparing the meals, and eventually there were changes made that included using less fat and salt, offering fruit and salad at the start of the buffet table, and reducing portion sizes," Gada noted.

As a lifelong South Bronx resident Gada sees many health challenges faced by those living in the community. “When I go grocery shopping and see other shoppers filling their shopping carts with unhealthy items such as frozen pizza and hot pockets, I wonder, where are the fruits and vegetables? If you eat fruits and vegetables as a child, you will continue eating them as an adult. People have to make health a priority in their life.”

For now, Gada is focused on improving the health of her fellow church members. “Our church is always doing a healthy program, and since I am on various email lists, I am able to get Thessalonia Worship Center involved in a variety of health programs. Currently our church is doing blood pressure readings every Sunday for church members.” Whether it be at her church, or a #Not62 – Campaign for A Healthy Bronx! Town Hall event, you can be certain that Gada is doing all that she can to help improve the health and well-being of her fellow Bronx residents.

Drinking Tap Water From an Outsider’s Lens

Image: NYC Environmental Protection website

This post was written by Bronx Health REACH Intern Sandra Nakandakari Higa.

Growing up in Lima, Peru, my relationship with tap water was different from most people in the United States. I would use it to wash my body and rinse my mouth, but it would always stay on the surface, never letting it get inside my body. Peru is a county where typhoid and cholera can be present in water, and as such, before drinking, water must always be boiled to kill germs.

In Peru, as in many countries in South and Central America, the struggle to access safe drinking water is a complex problem with many layers. First, the source of water is a highly polluted river, with runoffs from mining and industrial activities. Second, treatment plants usually don’t have the technologies and capacities to remove hazards appropriately and their main approach to control bacterial levels is throwing an excessive amount of chlorine. This renders a potable water that fails to meet WHO standards for drinking. Lastly, often the underground water line is not protected and different contaminants leak into the stream. Thus, even if the water leaves treatment plants free of microbes, it can get contaminated on their way to the tap, forcing users to boil the water before consumption.

By contrast, the New York water supply has many layers of protection. First, the areas surrounding the two main sources of water, the Delaware and Catskill watersheds, are regulated to prevent hazards from getting into the source. The stream, pumped by gravity alone, travels via aqueducts to the Kenisco Reservoir, where water quality is constantly monitored and treated with appropriate levels of chlorine. Then, the water reaches the high-tech treatment plant in Westchester, where UV light (a safer and supplementary option for chlorine) is used to kill microbes. Next, right before the water enters the city, it stops at the Hillview Reservoir. There, water is monitored and treated again to disinfect it and the pH is raised to levels that prevent the leaking of harmful metals due to corrosion of the pipes. The water finally feeds the city through a huge network of pipes and around 1000 water-sampling stations throughout the city allow the regular testing for contaminants, including lead.  

After two years in the US, my perception of tap water has completely changed. When I first arrived in 2014, I only drank bottled water or filtered tap water. As immigrants, we take our culture and customs with us, which is an important practice that preserves our history and heritage. However, it is equally important to keep an open mind to change, especially when these changes improve quality of life and health. In New York City, we are fortunate to have access to high quality water all over the five boroughs, from a tap in the Empire State Building to a sink in a South Bronx apartment.  If you struggled coming up with reasons to choose tap water, it is time to reconsider. Making consumption of tap water a habit  should be easy, because the benefits are many for health, the environment and it’s free!

References:

• “Water Problems in Latin America”. World Water Council, 22 Mar. 2004. Web. 4 May 2016.
• Barlow, M. and Clarke, T. “The struggle for Latin America’s Water”. Global Policy Forum, Jul 2004. Web. 4 May 2016.
• Rueb, Emily S. “How New York Gets Its Water”. The New York Times, Mar 2016. Web. 5 May 2016.