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Greetings from the Chair
Linda M. Bosma, PhD
Since our winter newsletter, your ATOD Section Leadership has been busy preparing for two important upcoming meetings: our annual conference in Washington, D.C., and the meeting later this June in Chicago on the Affordable Care Act/Health Reform.
Implementing Health Reform: The ATOD Section will be well represented in Chicago with several Section leaders attending. Our goal is to continue to emphasize the need for health reform to focus on ATOD issues across the continuum from prevention to treatment to recovery. We hope to network with others to encourage a strong emphasis on behavioral health in Affordable Care Act implementation. For more info, contact the ATOD Health Reform Workgroup headed by Kathye Gorosh, at email@example.com.
ATOD Section Midyear Program & Business meetings: Our midyear meetings were a big success! Members met in D.C. to finalize abstract selection and the fall program. (See more from Program Chair Lawrence Brown in this issue of the newsletter.) Our business meeting featured a great discussion with David Mineta, deputy director of the Office of National Drug Control Policy, to explore ways the Section can collaborate with ONDCP as it emphasizes a public health approach. The meeting also included a health reform presentation by Becky Vaughn, CEO, State Associations of Addiction Services.
Fall conference in Washington, D.C.: Start planning now for the fall conference in D.C.! The ATOD Section will feature a wealth of information on the latest issues in our field. Hotel rooms get booked fast in D.C., so make your reservations soon! All ATOD sessions, business meetings, and social events will be located in the Washington Convention Center this year, making it handy to the Mix-and-Mingle Lounge and all hotels.
Next 25 Years Campaign: Check Amber Thornton Bullock's article in this newsletter for the Section's Next 25 Years Campaign! Amber is our new Fundraising Chair — here's your chance to support the Section and be eligible to win a $50 gift certificate to the APHA Bookstore!
Thanks to everyone for your great work — the Section is blessed with so many great leaders who volunteer their time, energy and expertise. We encourage you to get involved and join our efforts!
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Update on APHA Annual Meeting 2011 ATOD Program
Lawrence S. Brown, Jr., MD, MPH, FASAM
ATOD Program Chair
With more than 600 submissions to the ATOD Section for the 2011 APHA Annual Meeting (a record for our Section), the task of reviewing and selecting abstracts for the oral and poster sessions was daunting, despite the generous number of sessions allotted to us. We would like to say "thank you" to the approximately 150 ATOD Section members who gave of their valuable time to do the reviews.
The large proportion of abstracts were of high quality, and the preferences listed by submitting authors created logistical challenges to the folks charged with arranging the program for 2011. We say "well done" to the ATOD Section Program Planners who completed this task with diligence and dispatch.
The next task is to ensure that all of our oral sessions receive continuing education accreditation. This was achieved last year, but for approximately half of the sessions, it required a second round of review by APHA staff to accomplish. As a result, we were not recognized for our achievement at the 2010 ISC Meeting. The goal this year is to obtain accreditation for all sessions in the first round of review. As an added incentive, APHA has added new recognition items for 2011, including, among others, an article in The Nation's Health and a CE Logo for our Newsletter.
The final goal is to obtain co-sponsorship for our sessions from as many other APHA Sections, SPIGs, Caucuses, and Forums as possible. Last year we obtained 65 co-sponsorships from 16 Sections, Caucuses, and Forums. Obtaining first round accreditation for our oral sessions should help us to surpass last year's results. Last year we offered to co-sponsor 81 sessions offered by other Sections, SPIGs, Caucuses, and Forums. All were accepted. We expect to do at least as well in 2011.
Even the most successful endeavors provide opportunities for improvement. For 2011, abstract submissions for our Student Award posters were less than 2010, which were less than 2009. To reverse this trend, next year's Call for Abstracts will need to showcase this session more prominently, or we may need to use additional outlets to spread the word. In addition, there were other suggestions for improvement of our Call for Abstracts announcement that will be evaluated once the program planning for this year is complete.
Calling all ATOD Members! Support ATOD's next 25 years!
Amber Thornton Bullock, MPH, CHES
Fundraising Chair & Section Councilor
Last fall we celebrated our 25th anniversary – a time we appropriately acknowledged our great work. I know that we are a group of ATOD movement builders that will not rest on our laurels. We are well poised as a strong, active ATOD Section to move onward and upward during our next 25 years – which starts right now!
To move forward, we of course need to make sure there are sufficient financial resources available to support programming for the ATOD issues we so deeply care about. While APHA provides some minimum resources, it is up to us to make up the rest to be able to sponsor various Section events.
Today we officially announce our "Next 25 Years Campaign". In honor of our 26th year, we are asking each ATOD member to make a $26 ATOD Section contribution. As a further incentive for this campaign, we will host a drawing for all donors to this campaign during our Section reception at our APHA Annual Meeting in November. The winner will receive a $50 gift certificate for the APHA Bookstore.
APHA now has an easy online system in place for you to designate your contribution to our Section. The link for online section contributions is http://www.apha.org/about/donate/Every Member/Sections/.
Thank you very much for your support – and we look forward to your support of our 26th year. So I invite you to contribute $26 to get this campaign off to a good start!
Integration – Coordinated Care Service Delivery Models – Where Are They? How Can We Find Where They Are?
Kathye Gorosh
ATOD Health Reform Work Group Coordinator; Section Councilor; CEO, New Age Services
This new era of health care reform is bringing long overdue recognition to the need for integrated health care service delivery. While "integration" is a keyword in many circles – it has multiple meanings, not unlike "co-occurring disorders" which references different disorders depending on the context (i.e., substance use and mental health; HIV and mental health; HIV and substance use).
What is emerging as a common understanding of the term is the connection between behavioral and physical health. Evidence of Integration "projects" is beginning to emerge across the country as a variety of these care models have been funded similar to demonstration grants. Both primary care settings and behavioral health settings (with substance use often in standalone settings distinct from mental health) need to benefit from new funding opportunities that will assess population-based care as well as cost and utilization factors. Generally speaking, this combination of care is described as integration or collaboration
In 2009, SAMHSA put out an RFA which funded 56 grantees as part of their PBHCI (Primary and Behavioral Health Care Integration) program "for improving the physical health status of people with serious mental illnesses and substance abuse and co-occurring disorders. It facilitates the integration of primary care services with the care delivered in publicly funded community mental health and other community-based behavioral health settings." For what seems to be a partial listing of grantees, go to: http://www.samhsa.gov/Grants/2010/awards/sm-09-011.aspx.
The ATOD Section of APHA is seeking integrated service delivery models to share with our members. Your agency may be such a model either out of necessity based on your geographic location (most likely outside of concentrated urban areas) or as a "work in progress" to meet the evolving needs dictated by the Affordable Care Act. Or, you may have received funding to work specifically on integration.
As you may know, it continues to be an uphill struggle for "addiction" to be meaningfully included as part of behavioral health funding and planning – which commonly includes mental health specific services and excludes drug prevention and treatment. Therefore, there is a continued need for your advocacy – particularly at the state and federal levels to specify addiction for funding and services.
Check out SAMHSA's site on health reform – it is filled with information: tools, models, outcomes, research and other documents – with an overall focus on Integration and Health Homes: http://www.samhsa.gov/healthReform/healthHomes/index.aspx.
Please let the ATOD Section know of the name/location/contact person so we can compile a list to share with our members on our APHA ATOD website. At this year's Annual APHA meeting in D.C., we would like to arrange for a "tour" of local models. Last year a group of us visited Arapahoe House in Denver - see newsletter article on "Exploring Local Services." Suggestions for D.C. are welcome!
Contact Kathye Gorosh at email@example.com or Linda Frazier at email@example.com with your ideas, feedback or suggestions for future topics for the ATOD Newsletter.
On behalf of our Work Group – we would like to be a resource for our ATOD members and share select information as it becomes available. We will be posting information on our APHA ATOD website: http://www.apha.org/membergroups/sections/aphasections/atod/Resources/. The "Resources and Links" will house key documents and links for the Section.
Behavioral Health is essential to health ~~ Prevention Works ~~ Treatment is Effective ~~
People Recover
Exploring Local Services at the Annual APHA meeting.
Linda J. Frazier
ATOD Section Councilor; Senior Partner, Public Health Connections
In November 2010 ATOD sponsored a site visit to Arapahoe House, a well-recognized Colorado community treatment provider, as part of the Annual Meeting activities. Section members met with staff and had an afternoon tour of the organization. Of particular interest was our discussion of Arapahoe House efforts to integrate their behavioral health services with primary health care for their clients by collaborating with a local family practice network, the Metro Community Provider Network of the Denver metro area (http://www.mcpn.com/welcome/Welcome.htm).
Arapahoe House provides drug treatment and mental health services to vulnerable individuals and families in metro Denver. For the last 35 years Arapahoe House has been empowering members of the community to find help, hope and healing from drugs and alcohol. With 13 locations and more than 20 specialized services, Arapahoe House is a leading non-profit provider of affordable drug and alcohol treatment and behavioral health services in Colorado. Arapahoe House services help more than 15,000 members of their community every year. Services include addiction treatment for women and their children, teens, adults and families through residential, outpatient, housing, employment, DUI and women's case management services. Nationally recognized programs of Arapahoe House are designed to meet each client's unique treatment needs to help give them a greater chance of recovery.
Interested in learning more about Arapahoe House? Visit www.arapahoehouse.org.
Know of a Washington, D.C., community provider we should consider for the ATOD 2011 Annual Meeting site visit? Contact Linda Frazier at email@example.com or Kathye Gorosh at firstname.lastname@example.com with your input or suggestions.
Speaking up for public health and alcohol, tobacco and other drug funding
Leonard Lamkin, MPA
A few members of the ATOD Section strolled up to Capitol Hill to speak with their Congress members and/or staff after the Mid-Year meeting. The advocacy effort focused on:
1. Support the Prevention and Public Health Fund - The fund was created as part of the Health Reform Act signed into law by President Obama. It establishes "The Fund" administered by the HHS Office of the Secretary to provide for "expanded and sustained national investment in prevention and public health programs." The Fund can be used for any program authorized by the Public Health Service Act over fiscal year 2008 levels for "prevention, wellness, and public health activities." House and Senate Appropriations Committees may also allocate funds through appropriations legislation.
Update: The FY2011 Continuing Resolution did not specify allocations for the Prevention and Public Health Fund. In February 2011, HHS announced it intended to distribute the Prevention Fund as follows: Community Prevention - $298 million; Clinical Prevention - $182 million; Public Health Infrastructure - $137 million; and Research and Tracking - $133 million.
For more information on the announcement, please visit:
Our effort was focused on educating members of Congress and their staff on the importance of this fund.
2. Support Public Health Funding - Stop the proposed cuts to CDC. We spoke with the Congressional staff about the important role of CDC. We also discussed proposed cutting in overall public health funding. Emphasis was placed on public health workforce development and the need to maintain or increase funding which will allow colleges/universities to educate a nursing workforce that is equipped to deal with the emerging issues which are related to health reform and mental health parity.
Our effort was to support increased funding for CDC and no public health cuts. Note: Freshman Republican Senator Kirk of Illinois, who usually supports funding for NIH and CDC, was proposing a 10 percent cut in all federal agencies including these which he considers to be important according to his staff person.
3. Creation of the Addictions Institute – Our Section has serious concerns about the placement of population based research and programs into the proposed merger of NIAAA, NIDA and various tobacco research projects at NIH into one new addiction institute. The proposal would divest population level tobacco research from NCI. The fact that the word "tobacco" does not appear in the announcement shows that there is still an opportunity to keep population-level and policy work at NCI where it belongs. Part of our effort was to educate members of Congress and their staffs about population based efforts for tobacco, alcohol and drugs as well as what the cuts in intervention and treatment dollars would mean for their districts. For more information see the editorial by Seffrin, et al. (on April 18, 2011) "Tobacco and NIH: More than Addiction" at http://tobaccocontrol.bmj.com/search?fulltext=seffrin&submit=yes&x=0&y=0.
4. Other: Prescription drop-off program - The Office of National Control Drug Policy and the Drug Enforcement Administration have launched prescription drop off dates. The problem is that the current law only allows for DEA agents to accept expired prescription drugs. A change in the law to pharmacists would allow for more expired drugs to be disposed of properly. This is an important issue for three public health reasons: (1) expired medications pose a potential health risk/patient safety for not only our seniors but all who take regular medications; (2) the medicine cabinet has become a place for adolescents and young adults to access medications for illegal use; and lastly (3) medications thrown down the drain/toilet can pose a risk to our drinking supply.
5. Other: Flavored cigars – Michael Byron explained his concern that the 2009 legislation gives the FDA control over tobacco banned fruit/candy flavoring in cigarettes, where they are used rarely, but allowed them to stay in use in little cigars, where they are much more common. Staff were presented with some examples of these products and were told of concerns that brightly-packaged apple and strawberry flavored cigars would certainly appeal to underage youth. Staff said the issue will be relayed to Congressman Cummings (D-Md.) and see whether he might want to get involved. This issue was also raised with Congressman Davis (D-Ill.).
Other thoughts for the future:
We need all of our Section Members:
Note: Thank you to all who took part in the Hill Visits: Vanessa Millar; Michael Byron; Lawrence Brown; Leonard Lamkin, and Kathye Gorosh.
Update on Local/State Tobacco Control Policy Efforts
Cynthia Hallett, MPH
ATOD Section Chair Elect
On May 9-11, Americans for Nonsmokers' Rights co-hosted the first ever National Smokefree Gaming Symposium in Las Vegas at a smokefree venue.
The goal of the Symposium was not only to raise awareness and share research about the dangers of secondhand smoke exposure in casinos, but to truly strengthen the movement and solidify our strategies making all casinos 100 percent smokefree.
Highlights from the Symposium:
• In collaboration with Roswell Park Cancer Institute, Americans for Nonsmokers' Rights released "Fighting for Air: Secondhand Smoke in Casinos," an eight-minute documentary which features current and former casino workers affected by secondhand smoke exposure. Watch for a link to the documentary on our website at www.smokefreecasinos.org.
• Navajo Nation President Ben Shelly attended the Symposium with First Lady Martha Shelley, to accept an award and standing ovation for signing an Executive Order making all workplaces on the Navajo Nation lands 100 percent commercial tobacco-free. Although his Executive Order did not take effect due to a procedural challenge, President Shelley is committed to supporting legislation this session to make sure that all workers are protected against secondhand smoke.
• New research was presented, including research examining secondhand smoke levels in 66 smoky casinos in five states and three casinos that are smokefree. James Repace of Tufts University presented these findings, which provide conclusive evidence that casino workers face extremely dangerous risks as a condition of their employment.
• A panel of casino workers shared personal stories of suffering and said they would no longer sit silently by while forced to work in unsafe conditions. Legal experts also presented potential options for workers ready to fight back.
Much like in the early years of fighting for smokefree restaurants, the same arguments are thrown at us from the opposition. Fortunately, the smokefree gaming movement has strong science and solid public support behind it and both are growing quickly. It's no longer a question of if casinos will be smokefree, but a question of when.
Thanks to everyone who attended the conference; we look forward to a productive year working together toward our goal of 100 percent smokefree casinos!
Note: Originally printed in the Americans for Nonsmokers' Rights Summer 2011 newsletter, UPDATE. Reprinted with permission.
On May 9-11, Americans for Nonsmokers' Rights co-hosted the first ever National Smokefree Gaming Symposium in Las Vegas at a smokefree venue.
The goal of the Symposium was not only to raise awareness and share research about the dangers of secondhand smoke exposure in casinos, but to truly strengthen the movement and solidify our strategies making all casinos 100 percent smokefree.
Highlights from the Symposium:
• In collaboration with Roswell Park Cancer Institute, Americans for Nonsmokers' Rights released "Fighting for Air: Secondhand Smoke in Casinos," an eight-minute documentary which features current and former casino workers affected by secondhand smoke exposure. Watch for a link to the documentary on our website at www.smokefreecasinos.org.
• Navajo Nation President Ben Shelly attended the Symposium with First Lady Martha Shelley, to accept an award and standing ovation for signing an Executive Order making all workplaces on the Navajo Nation lands 100 percent commercial tobacco-free. Although his Executive Order did not take effect due to a procedural challenge, President Shelley is committed to supporting legislation this session to make sure that all workers are protected against secondhand smoke.
• New research was presented, including research examining secondhand smoke levels in 66 smoky casinos in five states and three casinos that are smokefree. James Repace of Tufts University presented these findings, which provide conclusive evidence that casino workers face extremely dangerous risks as a condition of their employment.
• A panel of casino workers shared personal stories of suffering and said they would no longer sit silently by while forced to work in unsafe conditions. Legal experts also presented potential options for workers ready to fight back.
Much like in the early years of fighting for smokefree restaurants, the same arguments are thrown at us from the opposition. Fortunately, the smokefree gaming movement has strong science and solid public support behind it and both are growing quickly. It's no longer a question of if casinos will be smokefree, but a question of when.
Thanks to everyone who attended the conference; we look forward to a productive year working together toward our goal of 100 percent smokefree casinos!
Note: Originally printed in the Americans for Nonsmokers' Rights Summer 2011 newsletter, UPDATE. Reprinted with permission.
Menthol Country: Come to Where the Flavor is
André Stanley
ATOD Section Governing Councilor and Awards Chair
New research published in the May 2011 edition of the American Journal of Public Health cites several studies that provide specific evidence that menthol cigarettes have adverse health effects on African American smokers. The research concludes that there is substantial public support for the removal of mentholated cigarettes from the U.S. market, an action the U.S. Food and Drug Administration is presently considering.
For decades the tobacco industry heavily marketed menthol cigarettes to minorities, and as a result, the menthol smoking rates among minorities are disproportionately high (80 percent of African American smokers now smoke menthol cigarettes). African Americans are further disadvantaged because though more menthol smokers try to stop, fewer are successful at quitting, especially African Americans. The most effective way to tackle this appalling figure is to reduce the number of people who begin smoking in the first place. A ban on menthol cigarettes would effectively do just that.
"With the momentum of this new research and public support for a ban on menthol, now is the time for the FDA to finally act on this important issue. Tobacco is not an equal opportunity killer, and the link between menthol smoking and African Americans cannot be overemphasized, nor can it be overlooked," said Dr. David Abrams senior author of the aforementioned studies.
Menthol is derived from the peppermint plant and provides a minty flavor and cooling sensation in cigarettes, covering up the tobacco taste and reducing the throat irritation associated with smoking. Therefore, menthols lure young people into taking up a deadly addition. Newer and younger smokers use menthol cigarettes at dramatically higher rates than older, established smokers.
Menthols have long been marketed as having medicinal benefits. The earliest ads encouraged smokers to switch to a menthol brand to "combat a cough." The truth is that there is no evidence that menthol cigarettes are safer than any other cigarette. The Family Smoking Prevention and Tobacco Control Act, enacted in 2009, bans flavoring cigarettes with any herb or spice, or strawberry, grape, orange, clove, cinnamon, pineapple, vanilla, coconut, licorice, cocoa, chocolate, cherry or coffee flavor – except for menthol. The reason for this, of course, is because of the influence of the tobacco industry.
If a menthol ban goes into effect, researchers project conservatively that 340,000 deaths will be averted from 2011 to 2050, a third of them among African Americans. Data also show that more than half of all Americans support a ban on menthol, with greater support among African Americans. So let's keep the pressure on Congress and get menthol cigarettes out of the U.S. market.
The studies were commissioned by the American Legacy Foundation and published in AJPH.
Smoke-Free Public Housing in Lake County, Ill.
A senior citizen tired of holding a tissue over her mouth to combat secondhand smoke infiltrating her apartment, raised these concerns for over the last five years. The 83-year-old lung cancer survivor and former smoker can breathe more easily now.
On Sunday, May 8, 2011, eight Lake County owned senior public housing complexes went smoke-free. The Lake County Housing Authority Executive Director has been quoted as saying, "We stepped up in order to protect our residents." They are working with the county health department to offer smoking cessation advice to those who want it. About a dozen have quit so far. First-time violators are fined $100. Residents, visitors and staff must also be at least 20 feet away from doorways in order to smoke. The housing authority believes it will reduce the costs of cleanings and re-painting apartments as well as reduce fire hazards.
The remaining county owned public housing is scheduled to come under the ban on May 1, 2012. Lake County has become the largest in Illinois to outlaw smoking throughout entire buildings including tenants' own apartments. Chicago and Cook County have no such ordinance.
Top 10 Smokiest Cities
To learn about the top 10 smokiest cities, click onto the CBS News website for a slide show: http://www.cbsnews.com/2300-204_162-10007038.html.
Resource from TReND
The Tobacco Research Network on Disparities, or TReND, is pleased to announce the release of the special journal issue, Cigarette Smoking Interventions Among Diverse Populations. This issue, published in the American Journal of Health Promotion, includes 15 papers that provide insight into how to effectively reduce tobacco's impact on populations who are disproportionately affected by tobacco use. In this special issue, researchers examine the use and efficacy of various evidence-based interventions among diverse populations, including African Americans and Hispanics.
We invited you to review these papers and share them with your colleagues. Hard copies can be ordered through NCI in the near future.
For more information, please visit: http://ajhpcontents.org/toc/hepr/25/sp5.
ATOD & Health Reform Workgroup
There are numerous resources on the ATOD & Health Reform Resource webpage, which include recently added articles by Kathye Gorosh and John O'Brien as well as Job Listings/Postings at: http://www.apha.org/membergroups/sections/aphasections/atod/Resources.
States Enact Significant Alcohol Policy Changes in 2009
The Alcohol Policy Information System (APIS), a project by the National Institute on Alcohol Abuse and Alcoholism, announces its latest update of state-by-state alcohol policies. The update reports developments in 29 current APIS policy topics, for the period 1/2/2009 through 1/1/2010.
There were 34 policy changes across the APIS topics during this reporting period including:
Underage Drinking
Alcohol Control Systems
Health Insurance: Loss Due to Intoxication (UPPL Laws)
Health Insurance Parity for Alcohol-Related Treatment
Visit the APIS website to obtain details on these and other important policy developments across the country: http://www.alcoholpolicy.niaaa.nih.gov/. Many of these changes are consistent with the goal of reducing underage drinking and its consequences as well as alcohol-related death and injury in the general population.
This project has been funded with Federal funds from the National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Department of Health and Human Services, under Contract No. HHSN267200800007C.
Emergency Scheduling of Chemicals Used for Synthetic Marijuana
The Drug Enforcement Administration exercised its emergency scheduling authority to control five chemicals (JWH-018, JWH-073, JWH-200, CP-47,497, and cannabicyclohexanol) used to make so-called "fake pot" products. This action makes possessing and selling of these chemicals or products illegal in the United States except as authorized by law. This emergency action was necessary to prevent an imminent threat to public health and safety. The temporary scheduling action will remain in effect for at least one year while the DEA and the U.S. Department of Health and Human Services further study the effects of these chemicals.
Over the past couple of years, smokeable herbal products marketed as being "legal" and as providing a marijuana-like high have become increasingly popular, particularly among teens and young adults. These products consist of plant material that has been coated with research chemicals that claim to mimic THC, the active ingredient in marijuana, and are sold at a variety of retail outlets, in head shops, and over the Internet. These chemicals, however, have not been approved by the FDA for human consumption, and there is no oversight of the manufacturing process. Brands such as "Spice," "K2," "Blaze," and "Red X Dawn" are labeled as herbal incense to mask their intended purpose.
"Young people are being harmed when they smoke these dangerous 'fake pot' products and wrongly equate the products' 'legal' retail availability with being 'safe'," said DEA Administrator Michele M. Leonhart. "Parents and community leaders look to us to help them protect their kids, and we have not let them down. Today's action, while temporary, will reduce the number of young people being seen in hospital emergency rooms after ingesting these synthetic chemicals to get high."
For more information, please visit: http://www.deadiversion.usdoj.gov/fed_regs/rules/2011/fr0301.htm.
Using Prescription Monitoring Programs to prevent prescription drug abuse, misuse, and diversion
Meelee Kim, MA
ATOD Section Newsletter Editor
The current National Survey on Drug Use and Health results point to a rise in non-medical use of prescription drugs from 2.5 percent of the population in 2008 to 2.8 percent in 2009. Nearly one-third of people age 12 and over who used drugs for the first time in 2009 began by using a prescription drug non-medically. Illicit drug use increased from 5 percent to 12 percent among active duty military service members over a three-year period from 2005 to 2008, primarily attributed to prescription drug abuse. While motor vehicle accidents have historically been the leading cause of death due to injuries in the United States, 17 states and the District of Columbia are now seeing drug‐induced deaths as the leading cause of injury deaths.
"These results are a wake-up call to the nation. Our strategies of the past appear to have stalled out with generation 'next.' Parents and caregivers, teachers, coaches, faith and community leaders, must find credible new ways to communicate with our youth about the dangers of substance abuse." - SAMHSA Administrator Pamela S. Hyde, JD
State Prescription Monitoring Programs, or PMPs, have great potential to help curb and prevent prescription drug abuse, misuse and deaths because they can serve as a public health and public safety tool. Currently, there are 48 states and a U.S. territory that have legislation in place that enables the implementation of a PMP. While PMPs vary from state to state, they share a common denominator: the potential to (1) serve as a tool for better patient care and treatment; (2) serve as an early warning system of drug epidemic; (3) and assist law enforcement in cases of prescription drug diversion.
For more information on how state PMPs can have an impact on the prescription drug epidemic, please visit the PMP Center of Excellence at Brandeis University website: http://www.pmpexcellence.org/.
Blogs of Interest
Featured on the National Public Health Week blog are blogs from Dr. Cheryl Cherpitel and ONDCP Director Gil Kerlikowske. Both contributed to highlight the role of alcohol and other drugs in accidental overdoses and injuries.
Update on APHA Book Publications
Norman Giesbrecht, PhD
APHA Publications Board Chair
I am very pleased to announce that there are a number of books in production as well proposals for books that have been accepted, and work on them is under way. Furthermore, several authors of current products will be available to sign their books at the fall APHA Annual Meeting in Washington, D.C.
APHA members of all Sections are encouraged to using existing, new and emerging products in their academic courses. These resources are also very relevant to policy, prevention, advocacy and client care initiatives. Please encourage your colleagues to use these timely and evidence-based resources. Go to the APHA website to find out more: www.aphabookstore.org.
We are also looking for new proposals for books. If you have an idea for a book, please send a few paragraphs describing the idea, intended audience and your qualifications to Nina Tristani, Director of Publications, APHA, email@example.com.
Thank you for supporting APHA Books and promoting these products.
Books at Printer in June
· Megacities and Public Health, Omar Khan, MD, MHS
Books Currently in Production
Books in Development
• Communicating Public Health Information Effectively is now on Kindle.
Co-sponsored Books
Jossey-Bass: Emerging Infectious Diseases published in April 2011.
Jones and Bartlett Learning books to be published before the 2011 Annual Meeting: Essentials of Biostatistics in Public Health, Essential Case Studies in Public Health: Putting Public Health into Practice, Global Health 101, Field Epidemiology in Public Health Practice, Epidemiology in Women's Health, Essentials of Health, Culture and Diversity, Epidemiology of Chronic Disease, Introduction to Air Pollution Science, and Essentials of Program Planning and Evaluation.
APHA is also co-publishing with Wiley, Designing Healthy Communities by Richard Jackson. The book is a companion to a PBS series to air this fall.
• Communicating Public Health Information Effectively is now on Kindle.
Co-sponsored Books
Jossey-Bass: Emerging Infectious Diseases published in April 2011.
Jones and Bartlett Learning books to be published before the 2011 Annual Meeting: Essentials of Biostatistics in Public Health, Essential Case Studies in Public Health: Putting Public Health into Practice, Global Health 101, Field Epidemiology in Public Health Practice, Epidemiology in Women's Health, Essentials of Health, Culture and Diversity, Epidemiology of Chronic Disease, Introduction to Air Pollution Science, and Essentials of Program Planning and Evaluation.
APHA is also co-publishing with Wiley, Designing Healthy Communities by Richard Jackson. The book is a companion to a PBS series to air this fall.
Public Health & Transportation
These are exciting times when considering the many ways our transportation systems impact health and equity in our communities. Congress extended the current federal surface transportation bill until Sept. 30, 2011, and Congressional committees are aiming to draft a new transportation bill before this latest extension ends.
Want to learn more about the connections between transportation, equity and health? View our archived webinar series, subscribe to the monthly transportation and health eNewsletter that offers an array of new events and updates, and download the newly released online public health and transportation toolkit and accompanying resources today.
We also invite you to send a message to your members of Congress urging that they ensure that strong public health provisions are included in the federal surface transportation reauthorization.
APHA 139th Annual Meeting and Exposition
Registration is now open for the APHA 139th Annual Meeting and Exposition in Washington, D.C., Oct. 29 - Nov. 2, 2011.
More than 1,000 cutting edge scientific sessions will be presented by public health researchers, academicians, policy-makers and practitioners on the most current public health issues facing the nation today. For registration and more information about the Annual Meeting, visit www.apha.org/meetings.
13th National Leadership Conference on Underage Drinking Laws
Join the Office of Juvenile Justice Delinquency Prevention and the Underage Drinking Enforcement Training Center in "Spotlighting Community Solutions to Underage Drinking" in Orlando, Fla., from August 10-12, 2011.
As the Enforcing Underage Drinking Laws Program marks its 13th National Leadership Conference, be a part of the nation's preeminent Conference on Underage Drinking!
The conference will feature:
For more information, please visit: www.udetc.org.
8th Annual INEBRIA Conference
Registration is now open!
Early bird reduced rates available until July 15.
When: Sept. 21-23, 2011
Where: Liberty Hotel, Boston
These conferences will communicate new findings from research on screening and brief intervention (SBI, also known as early identification and brief intervention, EIBI), foster professional collaborations, and facilitate the development and dissemination of SBI research with a particular focus on implementation and sustainability.
To submit an abstract, workshop or symposium, or to register for the conference, go to: www.inebriaboston.org or http://www.bumc.bu.edu/care/inebria/ or http://inebria2011.jbsinternational.com/Register.aspx.
2011 Addictions Health Services Research Conference
Registration for the 2011 Addiction Health Services Research conference is now open. The conference will take place at the Mason Inn in Fairfax, Va., Oct. 3-5, 2011. This year's theme is "Service Integration: From Client to Organization to Funding Agencies."
For more information, please visit: http://guest.cvent.com/d/ldqywb.
If you have questions, please contact Amy Murphy at email@example.com or (703) 993-5222.
35th AMERSA Annual National Substance Abuse Conference
The Association for Medical Education and Research in Substance Abuse is pleased to announce its 35th Annual AMERSA National Conference to be held Nov. 3-5, 2011, at the Sheraton Crystal City Hotel in Arlington, Va.
The meeting will reflect on AMERSA's interdisciplinary strengths and the commitment to disseminate the latest developments in substance abuse education, prevention, treatment and research that challenge all health care professionals. We have planned an exciting program featuring research abstracts, skill-focused workshops, and plenary speakers addressing issues of national and international importance. Both CME and CEU credits will be offered.
Conference Travel Awards –
AMERSA is pleased, once again, to offer full or partial awards for up to 15 health care professionals (new attendees only) to attend the 2011 AMERSA National Conference.
For more information, and to apply online, please visit www.amersa.org or contact email@example.com.
Post-Doctoral Fellowships at UCSF
POSTDOCTORAL SCHOLARS: One- to two-year NIH/NIDA-funded positions as postdoctoral scholars in drug abuse treatment and services research are available in a multidisciplinary research environment in the Department of Psychiatry, University of California, San Francisco.
Scholars work with a preceptor to design and implement studies on the treatment of drug dependence, and select a specific area of focus for independent research. Director Dr. James Sorensen and Co-Directors Drs. Steven Batki, Kevin Delucchi, Joseph Guydish, Sharon Hall, Carmen Masson, and Constance Weisner are all involved with either the NIDA Clinical Trials Network (CTN) or Treatment Research Center (TRC). Training of psychiatrists, women, and minorities for academic research careers is a priority.
Send CV, research statement, samples of work, and two (2) letters of recommendation to Barbara Paschke, 2727 Mariposa St., Suite 100, San Francisco, CA 94110; (415) 437-3032; email@example.com.
Additional information including faculty research interests is available at: http://ucsftrc.autoupdate.com/post_doctoral_program.vp.html.
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Andrea Frydl, MHS, CHES
ATOD Section Councilor
Call for Content!
We are searching for relevant and timely content to update our Facebook, Twitter, and Web pages with. If you have events or important news stories that you would like to share with the group about your respective fields, please send us the information so we can feature it through Facebook, Twitter or our website. Examples of relevant featured content are: a call for public comment on a new regulation, a newly released report on alcohol, tobacco or other drugs, an upcoming conference, etc.
Please email Andrea Frydl at email@example.com or our main ATOD email address at firstname.lastname@example.com.
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The ATOD Section has set up a listserv to help members communicate with each other on matters relating to policy, practice and research in the areas our Section covers. The listserv is a way to quickly inform others of developments, solicit assistance on matters of ATOD policy and its implementation and alert our members to opportunities and events of interest.
Control of the listserv will remain exclusively with the ATOD Section, and all listings will be kept strictly confidential. Messages will be disseminated only after the sender and message content have been "vetted" as appropriate for our Section.
To join the listserv, e-mail your name and e-mail address to Listserv Coordinator Mary Brolin at email@example.com.
To provide a message for posting (after vetting), e-mail the material to Listserv Coordinator Mary Brolin at firstname.lastname@example.com. You do not have to be a member of the Listserv to post messages.
Tell your colleagues about upcoming events, conferences, programs, research, opportunities or anything you are interested in. If your e-mail address changes or you wish to unsubscribe, e-mail Mary as well.
Keep Your E-mail Address Up to Date
E-mail has become a primary means of communication within our Section and APHA. Please notify APHA of any changes in your e-mail address or other contact information at www.apha.org.
If you are part of the ATOD Listserv, please notify Mary Brolin at email@example.com of any changes in your e-mail address.
Newsletter Articles Requested
This is your newsletter, so please send us information you would like to share with your colleagues. We're interested in summaries of conferences, commentaries on articles, research or policies and announcements about conferences. If you have important news, we'd like to hear about it and publish it in the APHA-ATOD Section Newsletter.
Please e-mail your news to Meelee Kim at firstname.lastname@example.com.
The deadline for our 2011 Fall Issue is in mid-September.
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Livdetox contains several dietary constituents that have been shown to support against various toxic environmental stresses that affect the function and structure of the liver.
Choline' betaine' and methionine are involved in methyl group metabolism' which is essential for normal liver function. Choline' as an integral component of lecithin (phosphatidylcholine)' is used for synthesis and maintenance of normal cell membranes. Choline deficiency results in steep increases in serum enzyme markers of liver injury. Animals deficient in choline and inositol have an excess liver accumulation of fat. Inositol and choline supplementation of animals prone to fatty livers prevents this liver dysfunction.
Taraxacum (dandelion) has been traditionally used as a detoxifying herb working principally on the liver and gallbladder. This herb is thought to stimulate the elimination of toxins and is one of the strongest cholagogues and choleretics known.
Silybum marianum' milk thistle' is rich in flavonoids known collectively as silymarin. Silymarin has also been shown to support healthy liver function under a variety of environmental stress factors such as alcohol consumption and exposure to pollutants and other potentially harmful substances. Silymarin compounds are known for their antioxidant activities preventing damaging lipid peroxidation by excessive free radical levels.
Cynara scolymus (artichoke) has been used medicinally for centuries. Similar to milk thistle' it is beneficial to the liver as it protects it against environmental and infection-generated toxins. Extracts of artichoke can stimulate the flow of bile from the liver and prevent cholestasis. It also can protect liver cells from oxidative damage. Cynara's usefulness in liver support is thought to be due to its content of caffeoylquinic acids' e.g. cynarin' and flavonoids.
Curcumin has been demonstrated to be a potent antioxidant' and may also provide important support for healthy liver function.
Livdetox may be a useful dietary supplement for individuals who wish to maintain the structure and function of a healthy liver.
These statements have not been evaluated by the Food and Drug Administration (FDA). These products are not meant to diagnose' treat or cure any disease or medical condition. Please consult your doctor before starting any exercise or nutritional supplement program or before using these or any product during pregnancy or if you have a serious medical condition.
Three (3) Tablets Contain:
Choline Bitartrate ...1'500mg
L-Methionine ...15mg
Inositol ...150mg
Betaine HCl ...75mg
Lecithin (Soya) Granules ...75mg
Niacin ...10mg
Taraxacum ...50mg
Curcumin ...50mg
Silybum Marianum ...50mg
Cynara ...50mg
Adults take 3 tablets daily or as directed by physician.
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Overall Rating for Livdetox 120 Tablets
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text: Clearance Cassia Leaves 16 pc. Dinner Set Item #: 126923 $59.99 $39.97 Ship to Home Add a subtle, modern edge to your kitchen with this Cassia Leaves Dinner Set. The brown leaves and tan background give this set a contemporary feel. Set includes four (4) dinner plates, four (4) salad plates, four (4) bowls, and four (4) mugs Crafted of stoneware Each dinner plate measures 11 in. in diameter Each salad plate measures 8.65 in. in diameter Each bowl measures 8 in. in diameter Each mug holds up to 13 oz. Tan finish with dark brown leaves Microwave safe This item is available at Kirklands.com only, not available in stores. This item is no longer available for purchase.


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Subscribe to news updates on the Lung Association and lung health issues.
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May 12, 2006Kids with breathing difficulties more likely to have behaviour problemsSecond-hand smoke exposure, uncontrolled asthma and sleep apnea all possible culprits
Research continues to link breathing difficulties - whether from second-hand smoke, asthma or sleep apnea - with behaviour problems in children.
Results of the latest study (footnote 1), presented at the Pediatric Academic Societies annual meeting in San Francisco, showed that exposure to second-hand smoke, even at very low levels, is associated with behaviour problems in children and pre-teens. The study, led by Dr. Kimberly Yolton, a researcher at the Children's Environmental Health Center in Cincinnati, found that kids exposed to five or more cigarettes a day had more instances of acting out, more anxiety and depression, and more reports of behaviour problems from parents and teachers.
Dr. Yolton's team studied 225 children ages 5 to 11 exposed to the smoke of an average 14 cigarettes a day. The researchers found that the more smoke a child breathed, the worse her behaviour. Although the children in this study were all diagnosed with asthma, Dr. Yolton anticipates that the negative behaviour effects of second-hand smoke could be present in children without asthma, as well.
Dr. Yolton's study comes on the heels of other research that connects breathing difficulties to poor behaviour in kids. In a University of Rochester Medical Center study published in the journal Pediatrics (footnote 2), researchers found that city children with asthma are more likely to have problems with behaviour than their peers with no asthma. And kids with persistent asthma symptoms demonstrated even more behaviour problems compared with children with asthma who had no regular symptoms.
Another recent study of children found a correlation between sleep-disordered breathing problems and Attention-Deficit/ Hyperactivity Disorder (ADHD) (footnote 3). Sleep-disordered breathing in children-in this case, obstructive sleep apnea usually arises when a child's tonsils or adenoids block off their breathing passages during sleep, causing pauses (apneas) in their breathing. In this study published in Pediatrics, lead researcher Dr. Ronald Chervin found that that children referred for tonsillectomies were more likely than other children to have behaviour problems like ADHD. One year after the tonsillectomy, children who'd undergone the operation showed improved behaviour. In fact, half of the children known to have ADHD before the operation (11 out of 22 kids) lost their ADHD diagnosis a year after their tonsils/adenoids were removed.
"This is one of the first studies to document, using gold-standard measures, that all of these sleep and behaviour problems tend to resolve one year after enlarged tonsils and adenoids are removed," says lead author Dr. Ronald Chervin. The author cautions "an undiagnosed sleep disorder is not the solution for all children with ADHD. But it could be something worth looking into for a substantial minority, especially those children with symptoms that suggest a sleep disorder such as sleep apnea."
More about second-hand smoke.
More about sleep apnea in children.
More about asthma in children.
References1. Environmental Tobacco Smoke Linked to Behavior Problems in Children and Pre-teens. Cincinnati Children's Hospital Medical Center. Press Release April 30, 2006.
2. Alterman JS, Conn KM, Forbes-Jones E, Fagnano M, Hightower AD, Szilagyi PG. Behavior problems among inner-city children with asthma: findings from a community-based sample. Pediatrics. 2006 Feb;117(2):e192-9.
3. Chervin RD, Ruzicka DL, Giordani BJ, Weatherly RA, Dillon JE, Hodges EK, Marcus CL, Guire KE. Sleep-disordered breathing, behavior, and cognition in children before and after adenotonsillectomy. Pediatrics. 2006 Apr;117(4):e769-78.
© 2012 Canadian Lung Association. All Rights Reserved.Comments or questions?
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What is Bill Gates Buying Now?
Meena is a member of The Motley Fool Blog Network -- entries represent the personal opinion of the blogger and are not formally edited.
Bill Gates's Bill & Melinda Gates Foundation Trust is a $17+ billion portfolio that manages assets to fund the billionaire's charitable works. The trust recently filed its 3Q 13F, revealing very little shakeup in the trust's holdings - four in total. Outlined below are the trust's key moves and what the trust's investment thesis might be.
Berkshire Hathaway (NYSE: BRK-B) continues to be the trust's largest holding, now worth 47.5% of its entire 13F portfolio. During 3Q, the trust increased its share count by 14%. A big part of the overwhelming presence of Berkshire is Warren Buffett's donation of shares. Berkshire shares act much like a traded investment fund, and do not attract many hedge funds as a result. Even with a beta of 0.5, Berkshire has managed to outpace the market (S&P 500) year to date by three percentage points. Check out all of Warren Buffett's Berkshire holdings.
The trust downsized its AutoNation (NYSE: AN) position by 20% in 3Q, and is the 18th largest 3Q 13F holding. We see one potential better auto industry play as Group 1 Automotive. Group 1 pays a 1% dividend and has the same five year EPS expected growth rate of 21%, but actually trades much cheaper at 13x earnings, compared to AutoNation's 18x. It appears that the Gates trust was taking some profits in AutoNation, not a bad choice as the stock has slumped 15% since its 3Q earnings release, after being up as much as 30% on the year. Following the earnings miss, Deutsche Bank slapped a $27 price target on the company, compared to its $40+ current stock price. AutoNation has also been a popular investment for Gates' Cascade Investment. See all of Cascade's insider purchases here.
Procter & Gamble (NYSE: PG) was the only new position for the trust in 3Q, with a modest position of 113,000 shares that comes in as the 27th largest 13F position. Procter is looking to grow with product innovation and new market penetration, but expects relatively flat sales for the year. From a valuation standpoint we see no reason to rush into Procter, as the household product conglomerate trades at 19x earnings, which is in line with other major competitors Clorox and Colgate-Palmolive. Procter would also appear to have sub-par growth prospects given under 40% of sales are attributed to emerging markets.
Caterpillar (NYSE: CAT) was the final change in the Gates trust, an increase of only 1% in shares from 2Q, now making up the 4th largest holding in its 13F portfolio. The world's largest manufacturer of earth moving equipment trades at only 8x earnings and pays the highest dividend of the major players at a 2.5% yield. Revenues are expected to be up 12% in 2012 and then 3% in 2013, even amidst economic uncertainty, thanks in part to the replacement of aging equipment.
The trust's other major change involved no increase or decrease in share count, but a shifting thanks to stock price appreciation. McDonald's (NYSE: MCD) moved from the trust's third largest 13F position in 2Q to 2nd in 3Q, jumping Coca-Cola. McDonald's is one of the biggest fast food restaurant chains in the world, continuing to perform relatively well in a tough economic environment as consumers trade down. The fast food company is also looking to gain market share in other segments as it expands its menu and looks to infringe on other markets with smoothies and premium coffees. Compared to other major food chains, Yum Brands and Jack in the Box, McDonald's is on the low end of a P/E basis and pays the highest dividend by far, a 3.7% yield.
Worth noting is that Bill Gates is a big fan of trash, specifically the waste removal company Republic Services. Republic is the trust's 22nd largest holding, and is also a big investment for Gates's Cascade Investments. The Berkshire shares are an interesting investment, but concerns over Buffett's health and the firm's next big acquisition give us reason to stay on the sidelines for now. We agree with the trust that perhaps it would be useful to hold off on AutoNation, but disagree on pulling the trigger on Procter Gamble. McDonald's and CAT are both investments we would consider looking at given their geographical diversification, diverse customer base and solid dividend.
This article is written by Marshall Hargrave and edited by Jake Mann. They don't own shares in any of the stocks mentioned in this article. The Motley Fool owns shares of Berkshire Hathaway and McDonald's. Motley Fool newsletter services recommend Berkshire Hathaway, McDonald's, and The Procter & Gamble Company. Try any of our Foolish newsletter services free for 30 days. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy. Is this post wrong? Click here. Think you can do better? Join us and write your own!


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There is, it has to be said, plenty of boring Sauvignon Blanc about. The punters want clean and fresh and there are plenty of producers willing and able to supply that and no more. Can the variety amount to more? Yesterday a tasting of some random … [Read more...]
Saint Clair Pioneer Block 1 Sauvignon Blanc 2009
December 12, 2012 by 6 Comments


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Some photographers on the finish line thought the Francaise des Jeux rider streaking past was Maximilian Sciandri, the English-Italian team leader.
As he has done religiously every year since his victory in 1997, Guesdon made his way to the famous showers at Roubaix, where his name—like that of all other winners—is engraved on a gold plaque.
"I don't know," Guesdon said. "For now I am still a cyclist."


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Logging onto the Internet for the first time can be very confusing. There is a whole new vocabulary to learn and a new set of guidelines to follow.
If you don't follow these guidelines, you may find your email box filled with some very nasty messages called flames. The guidelines I'm speaking of are known as "netiquette" and are an important part of participating in the online community.
For starters, let's go over some basic email etiquette. Email messages are quick to bang out and send instantly with the click of a button. This makes them especially susceptible to bad grammar, lousy spelling and poor content. Remember, humor and sarcasm can easily get lost in a medium such as email and can result in some pretty rude messages being sent.
Take your time with your message and if you are trying to be funny or sarcastic, use a "smiley" or "emoticon." These are little faces created with the characters on the keyboard, and when looked at with your head tilted to the left, look like little facial expressions.
For example, :) is your basic smiley, :( is the same guy only in a bad mood, this emoticon is a wink ;) and this :'( emoticon is crying.
Emoticons can be used to put the emotion back into a message that's become sterile and mechanical. Using an emoticon can be essential to let your email recipient know when you are just kidding.
If you have a word processor or email client with a spell checker, use it when you compose your message. Also, watch out for the "caps lock" button on your keyboard. TYPING IN ALL CAPITAL LETTERS IS CONSIDERED SHOUTING AND SHOULD BE AVOIDED!
I've heard the argument that typing in all caps makes it easier to read, but if you have trouble seeing when you are typing your message, there are other ways to increase the font size. Learn how to increase your font size and don't rely on caps lock, it can really get on peoples' nerves.
Remember email has flaws. Avoid foul language and "private" or "confidential" messages. Email routers aren't perfect and your message may be accidentally sent to Mrs. Smith's first-grade discovery class. Never send anything you'd be embarrassed for your mom to see (a deleted message can have copies archived all over the place).
If you send an email message that can get you in trouble, Murphy's Law will kick in and you will (usually long after you thought the message in question was "deleted") be embarrassed.
These guidelines apply not only to email but even more so to message boards and blogs. Message boards are an area where netiquette is of the utmost importance. They are online bulletin boards that are read every day by countless people all over the world and if you post a bad message to one of these boards, you may find yourself the center of a "flame war" and your email box will be flooded with hundreds of nasty responses.
Use common sense when posting messages to message boards or blogs. If you have a gut feeling that maybe you shouldn't post a message, don't. Once you post a message you usually can't take it back and you may offend thousands.
Other pitfalls to avoid in the message boards are the "trolls." These insidious little messages are designed to generate outrage and flames. Again, you'll recognize them when you see them. Don't respond. That will only encourage them. Remember these words of wisdom: don't feed the trolls.
And lastly, don't fall for any of the countless get rich schemes on the 'net. They're there and you'll know them when you see them. Trust me, there is no money waiting in Nigeria, you didn't win some foreign lottery and you'll do nothing but annoy people if you forward that chain letter. If it sounds too good to be true then it's probably a scam.
Take time to find out the rules of the road before you try to communicate with the masses. Usually checking the FAQ (frequently asked questions) before posting messages can help prevent your email box from overflowing with flames.
All of these suggestions also apply to instant messenger programs and texting, as well. It is easy to forget about manners and grammar when sending text messages and sure, it may be "just an instant message" but remember, there is someone on the other end. Be nice!
Sean McCarthy fixes computers. He can be reached at (772) 408-0680 or email@example.com (no hyphens).
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Citizens Advisory Board Urges UA to Stop the Shepherd Bend Mine August 18, 2014 Birmingham, AL – Representing all 99 of the city's neighborhood associations, Birmingham's Citizens Advisory Board unanimously passed a Resolution urging The University of Alabama System Trustees (UA) to stop the proposed Shepherd Bend Mine from […]READ MORE
Team USA Kayaker Bennett Smith Donates Public Service Announcement for Black Warrior Riverkeeper Contact: Tracy Smith, email@example.com, 205-999-1845 Birmingham, Alabama – Summer is a great time to remind everyone about the importance of keeping our rivers clean. Not only do countless citizens paddle, fish and swim in area waters but […]READ MORE
New Black Warrior Riverkeeper Newsletter Dear Black Warrior Riverkeeper supporters, Please click here to read our new newsletter! And please forward it to anyone who may be interested in our work. Our members who have recently donated or volunteered receive newsletters in print via U.S. mail. If you are […]READ MORE
SweetWater and BWRk Renew "Save Our Water" Program in Tuscaloosa Brewery's annual campaign raises thousands for Waterkeepers across the South Tuscaloosa – In over 20 Tuscaloosa businesses between July 4 and Labor Day, SweetWater Brewing Company will raise money and awareness for Black Warrior Riverkeeper, a nonprofit clean water advocacy […]READ MORE
The proposed Shepherd Bend Mine is a unique threat to tap water for the Birmingham area. It would discharge wastewater across the river from an intake providing water to 200,000 people. Please urge the University of Alabama System not to lease or sell land or minerals for this coal mine.READ MORE
Black Warrior Riverkeeper's mission is to protect and restore the Black Warrior River and its tributaries. We are a citizen-based nonprofit organization dedicated to improving water quality, habitat, recreation, and public health throughout our patrol area, the Black Warrior River watershed. This vital river basin is entirely contained within Alabama, America's #1 state for freshwater biodiversity. Patrolling waterways, educating the public, and holding polluters accountable has made us an important proponent of clean water throughout the basin. Our staff identifies pollution problems and works on fixing them while increasing public awareness. Black Warrior Riverkeeper is a proud member of Waterkeeper Alliance. Please contact us to report pollution and to inquire about volunteer projects, donations, educational presentations, or public events. Please visit our pages on Guidestar, Facebook, and Twitter as well.
The Black Warrior River drains parts of 17 Alabama counties. The area the river drains, its watershed, covers 6,276 square miles in Alabama and measures roughly 300 miles from top to bottom. The Black Warrior River watershed is home to over one million residents and contains 16,145.89 miles of mapped streams. Its headwaters consist of the Sipsey, Mulberry, and Locust Forks. Once these rivers merge west of Birmingham, the Black Warrior River proper forms the border of Jefferson and Walker counties. Near Tuscaloosa, the river flows out of the rocky Cumberland Plateau and enters the sandy East Gulf Coastal Plain, forming the border of Greene and Hale counties in the Black Belt. At Demopolis the Black Warrior flows into the Tombigbee River towards Mobile Bay. In 2013 the Black Warrior joined the top 10 list of America's Most Endangered Rivers.


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7 Dividend Stocks You Can't Ignore Right Now
Cardinal Health
Pharmaceutical and medical device distributor Cardinal Health (CAH) essentially acts as a middleman between big pharma and the pharmacies and hospitals that provide drugs to patients. That's great business if you can get it -- but it also comes with little in the way of an economic moat. If either side of the deal (pharmaceuticals, medical supply makers, or major pharmacies) decide that profitability looks too attractive for firms like CAH, they can always opt to fulfill that role in-house. That's a risk investors should be aware of.
Cardinal's biggest advantage lies in its scale. Because Cardinal is combining the distribution efforts of some of the biggest players in the industry, the company can cut costs more than any single name could likely do on its own. That keeps CAH relevant, but it also keeps margins paper-thin.Financially, Cardinal is in very good shape, with a small net-cash position and extremely consistent sales numbers. The firm's 10.5% dividend hike on Wednesday ratchets its quarterly payout to 24 cents per share, a 2.19% yield. If you had to pick a single health care name to buy today, I'd recommend buying Johnson & Johnson over Cardinal Health. Cardinal was one of 8 UBS Stock Picks for 2012.
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Penn Lake Vacation Rentals with Air Conditioning(3)
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Highly Recommend this Home
This home is actually nicer and bigger inside than it looks in the pictures. Very well stocked and Very accommodating and informative owners. Unbelievable view from the porch and the kitchen. Relaxing sunroom and hammock outside. Easy to get to the home. And there are no "community" fees which is definitely a plus. Easy fishing too. Not too many "keeper" fish but a lot of bites. Definitely have a fishing license though because the game board comes around to check and apparently there is a $200 fee if you don't have a fishing license. We had a great time!!! Would go back to this home in a heart beat.
Penn Lake - literally on the lakefront
Our family had a wonderful time at Donna and Bob's rental home. The house was nicely appointed, clean, and very very comfortable. The kitchen and dining areas served us well. The beds were also quite comfortable. Beyond this, the lake and beach were truly amazing - well suited for family swimming as well as open water triathalon training. We also had several kayaks/paddleboats at our disposal. Quiet, friendly area. Town/supermarket/restaurant about 10 min. away. Hickory State park/Boulder field 15 min. from the home. Would certainly do again in the future.


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almost crashing your car while*
(Source: the-personal-quotes, via neelysworld-deactivated20140321)
I like yellow. My middle name is Rae. Think of it as a ray of sunshine. I am a college graduate with a BA in Psychology and concentrations in philosophy and studio art, and I tend to mess everything up. I am not perfect. Once we're friends, you can't get rid of me. Sorry.
My senior prophecy was to burn down a library. They fired me, and believe me, I definitely thought about it. Who knows what the future holds. I drink, I smoke and I like my drugs. Spontaneity, I live off of. I daydream.
If I could bottle the smell of a musty basement, and smell it all day, I would.
I cannot wait to travel one day. Hopefully sooner rather than later. I vote a bike adventure when it get warms next summer.
I have much life left, or so I hope. If depressed hippies exist, I am one, or that punk kid who gets looked at on the street. But surprise, I'm also very friendly, talk to me.
There's an indication of contentment and I'm really happy about that. Maybe even hopeful for once.
almost crashing your car while*
(Source: the-personal-quotes, via neelysworld-deactivated20140321)


text: The WIAA conducted regional track and field meets across the state Monday afternoon, the first step toward the state meet at UW-LaCrosse next month. The Green Bay Preble boys piled up 199 points in capturing their 22nd consecutive regional championship, made better yet by hosting the meet on the newly dedicated Jack Drankoff track at Gauthier Family Stadium. Senior Jake Wallenfang dominated the meet by recording first place finishes in four events. He won both the 100 and 200 meter dashes and anchored the winning 400 meter relay team. In between the preliminary heat and final races, Wallenfang worked his way to the pole vault pit. Already holding the school record in that event, Wallenfang soared to a leap of 16 feet, becomming just the fourth high school athlete ever to go that high. The last time it happened was 29 years ago. Wallenfang went six inches higher than he had ever gone before. The recognized state meet record is 15-8.


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By Leslie St. Louis, Spartan Elite Athlete
My feet and body are a symphony. My mind is clear and focused. The blue skies, the warm sun, the Colorado mountains embrace me as I crunch through brush, cactus and sage. I spy an orange arrow pointing into a ravine. I hustle down, see a stream, leap, feel the cool splash, the squish of mud, the jagged firmness of a river rock. I surge forward, grasping grass, weeds, bushes. I claw, use my legs, push up and out and am back to running.
The rhythm returns.
There's another competitor ahead, and at least three more obstacles. What I can't see is the finish line, but I can hear it. I know my husband and two daughters are there. I feel peace. For a brief moment, the Old Leslie butts in and whines "Can you really do this?" But it's too late because I am strong and in synch. That doubting voice becomes a dimming hum, fading and floating away into the horizon. I surge forward even faster to a new confident beat. I am sure. I do believe. I am on a mission. I am Spartan.
The Colorado Military Sprint marks the one year anniversary of my first-ever Spartan Race (I came in third!) and the beginning of a life change. In the few years prior, I had quit my job as a teacher, had two girls 18 months apart and became a stay at home mom. On one hand, I was overjoyed with this new phase of my life, but on the other I was completely overwhelmed and exhausted. If you have young children, you probably know that feeling of being soooo busy, but not really getting anything "done." Depressed and 15 pounds overweight, I had signed up for Spartan as a stepping stone to weight loss.
Amid the process of training, I rediscovered my passion for trail running and started working on my strength. My friends and I brainstormed workout ideas, integrating our little ones or switching off.
By the time I stepped up to the start line in Fort Carson, I had already forgotten about my initial goal of losing weight (that had happened along the way), and was more interested in putting all my new muscles to work!
The Colorado race, led to the Utah race, which eventually led to traveling the country, including scaling the mountains of Vermont (for 10 hours!) and swimming in the picturesque (frigid) lakes of SoCal. Through Spartan, I found "permission" to be competitive, and all within a very open and accepting community of inspiring and friendly athletes.
Every time I step up to the start line of a Spartan Race, I am a bit scared and nervous because I know that in the process of getting to the finish, I will feel exhaustion, fear, pain, uncertainty, surprise, exhilaration….I will be vulnerable and then build myself back up again. The secret of Spartan is that when you rebuild, you can construct any version of yourself and most likely it will be a stronger, more confident one than you ever imagined. This becomes a part of your everyday life too, and I think I am a better wife and mother because of it. In my best races, I am creating mental and physical symphonies: I am Spartan.
Tags: Film the Athlete, Fort Carson, Leslie St. Louis, Spartan Military Sprint


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The mission of the March of Dimes is to improve the health of babies by preventing birth defects, premature birth, and infant mortality. March of Dimes was founded by our 32nd President, Franklin D. Roosevelt, in the fight against polio. After the discovery of the polio vaccine, March of Dimes focused their efforts to improve the health of babies and has been successful with the help and enthusiasm of many grassroots volunteers.
Since 1978, Key Clubs have hosted fundraising and awareness programs to support the March of Dimes, raising over $116,000 through fundraisers in 2011 alone! Key Club members, like you, can support the March of Dimes each semester: in the fall, raise awareness by hosting programs throughout November for Prematurity Awareness Month and in the spring, raise funds by participating in March for Babies, the March of Dimes largest annual fundraiser.
Did you know 1 in 8 babies are born prematurely? More than half a million babies are born prematurely in the United States each year. Premature birth is the #1 cause of death during the first month of life. Even babies born just a few weeks too soon can face serious health challenges and are at risk for lifelong disabilities, such as cerebral palsy, lung problems, and vision and hearing loss. November is when the March of Dimes focuses everyone's attention on the impact premature birth has on babies and families.
Throughout November, Key Club members can support the March of Dimes mission by educating peers on the importance of healthy lifestyles through the use of our teen2teen interactive program. You can also contact your local office to see what volunteer needs the local Neonatal Intensive Care Unit at the hospital might have, such as making scrapbook pages or hosting a dinner for parents. Make it a priority to spread awareness the whole month by dedicating your Facebook statuses to facts about the March of Dimes & the serious problem of preterm birth; and you can tweet about it too!
And on Global Prematurity Day, November 17, you can do a range of activities to spread awareness about the global problem of preterm birth! Your club can host an event at your school to educate others and you can dedicate a day to wear purple, the March of Dimes color.
An excellent way to support the March of Dimes is by participating in our largest annual fundraiser, March for Babies. Sign up at marchforbabies.org/kiwanis to join or start a new Key Club team! Choose "Key Club" as your division, and if you can't locate your team on that page, simply enter your high school name with "Key Club" included as your team name in the bottom in the "Enter as much as you know" box. You can find the date and location of your March for Babies at that site also!
There are tons of fun ways to get involved with March for Babies. Your club can host coin collections, dances, and in-school challenges to raise funds. Then join with your community in March for Babies to walk to give every baby a healthy start. For more ideas, check out the 2012 March for Babies Youth Toolkit.
You can also utilize the March for Babies Facebook App and iPhone App (found in the iTunes App Store). Once you register online, we give you all the fundraising tools you need! And keep up with the latest tools on the March for Babies blog.
To contact your local March of Dimes office for supplies and support, visit marchofdimes.com/contactus.html and select your location.
For more information on how to participate in March of Dimes, please visit marchofdimesyouth.com. To receive daily updates and resources, become a fan of us on Facebook at facebook.com/marchofdimesyouth and follow us on Twitter at twitter.com/teamyouth.
Kiwanis Key Club
© 2010 Kiwanis International
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Airsoft Megastore's GameUp AEG-essentials package for metal gearbox AK74 AEG is designed to help you get the MOST out of your Airsoft AEG. We bundle all of your most basic AEG necessities into one custom package, which offers a discount on TOP of our already-lowest prices on accessories to help you save big! Don't hassle with cross-matching accessories for your AK74 ever again. With our GameUp essentials package, you have EVERYTHING you need to start playing right out of the box. It's simple: just pick your AEG, find the corresponding GameUp essentials package, and you're good to go. You get convenience, [additional] cost-savings, and the peace of mind that these accessories WILL work with your AEG. This custom GameUp package includes:- TWO (2x) 460-round high capacity AK74 magazines ($27.90). The general rule of thumb for most players is to carry at least 2-3 mags for their primary weapon (AEG) with them at all times, both indoors and outdoors. We satisfy that basic need here with 2 high-capacity magazines.- TWO (2x) Bags of 4,000rd GoldenBall ProSlick Elite Competition Grade BBs - 8,000 ROUNDS TOTAL ($23.90). Shooting high-quality BBs out of your metal gearbox AEG is a MUST. Without good BBs that have good spherical consistency, adequate density, and a polished, seamless exterior, you run the risk of damaging your internals and in most cases, voiding your gun's warranty. This is 8,000 rounds of the finest 0.20g BBs on the market today, good enough to get you through your first game or two (depending on how much you shoot/how long you play). GoldenBall ProSlick BBs consistently outperform the competition by offering superior flight stability, accuracy, and increased power (higher FPS) for your AEG.- ONE (1x) DBoys Tactical 470rd XL Speedloader ($7.95). Load your magazines quickly and efficiently with a handy speedloader.- ONE (1x) Airsoft Megastore Armory OpSpec Tactical Bungee Sling Black ($24.95). Lugging around your Airsoft rifle while trying to maintain focus on the game is no easy feat. The Airsoft Megastore Armory Single Point tactical sling is designed to relieve the stress of holding your rifle while improving your range of motion, which is otherwise limited if you are constantly holding your weapon with both hands. It's an essential piece of gear that EVERY Airsoft player should own.Suggested retail price: $115.00Price if purchased separately at Airsoft Megastore: $73.70Discounted package price: $59.95, a 48% savings over retail!Check compatibility:This package's contents are compatible with all metal gearbox AK74 Airsoft AEGs (automatic electric gun). This includes metal gearbox AEGs from: Dboys/Kalash, JG, Echo 1, Kalashnikov/Cybergun, CYMA, Classic Army, VFC and Tokyo Marui.
"Will this amazing package work with the 365 FPS DE AK47 RIS Fully Automatic Electric AEG Rifle - NEW 2010 MODEL? Please write a review to tell me the answer as soon as possible! Thank You! Also if this package doesn't work with the AK47 then please make a starter package for all AK47's! Thanks Again!
found this review helpful.
"as the guy above i ahve the de ak47 aeg and i want to no if i works with that gun because i would love to get this!!!!!!!"
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All airsoft guns sold by Airsoft Megastore include the federally mandated blaze orange tip measuring at least 6mm.


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Etnies Marana Skate Shoes
Item # 230285
Buy 1 Get 1 50% off
Stash Points: 5,999
What is this?This is the number of points you get in The Zumiez Stash for purchasing this item. Stash points are redeemable for exclusive rewards only available to Zumiez Stash members. To redeem your points check out the rewards catalog on thestash.zumiez.com.
A molded rubber toe cap improves durability and flick with a lightweight STI Evolution Foam midsole for comfortable impact protection that won't pack out.
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Coleman A. Young Municipal Center
2 Woodward Ave.
Suite 1200
Detroit, MI 48226
General Number: (313) 224-2900
General Fax: (313) 224-2021
TTY: 311 or (313) 224-INFO (4636)
I.T.S. web team implemented a customized Fire Training web system that allows students and firefighters of the Fire department Regional Training Center the ability to view class history, print certificates and register for upcoming classes. Check out the available courses at Fire Department Regional Training Center
The ITS Department, and the 8th floor Data Center, are moving! The new location will be on the 4th floor of the still under construction Public Safety Headquarters (PSHQ) buildings. As part of the move, the City's technology infrastructure will get a hardware make over. Most, if not all computing services will be temporarily relocated to the Lyndon Public Safety Data Center until the permanent location at PSHQ is ready.
2004-2014© City of Detroit ITS/Communications and Creative Services Division
For information about the City of Detroit's Web site, email the Web editor
All material is the property of the City of Detroit and may only be used with permission. Privacy Policy/Disclaimer | Site Map


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I can't believe I have not done today's app before. Netflix is the standard for streaming movies, and with apps available for Android, Windows Phone and iOS, it is a must have for any Netflix user. Netflix has recently made some controversial changes to it's price structure, but if you still have streaming get this app now.
Netflix is available on so many devices, I was constantly surprise by the list – available here. Game consoles, phones, HDTVs, Blu-ray Players, Home theater systems. I expected my car by the time I was done going through them.
With the Netflix apps you can watch as often as you want, resume watching where you left off on another device, browse movies and manage your queue.
Netflix for iOS is available in the App Store and has 3.5 stars from 113,752 ratings. Netflix for Android is available in the Android Market where it has a 4.3 stars from 75,600 ratings.
For more of my App's of the Week, search kcalfm.com for the keyword Razz.
September 18, 2011 at 8:43 am | KCAL Crew, KCAL Rocks, Lifestyle, Technology | No comment