Monthly Archives: September 2019

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 2)

Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors.  Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. In our first section we summarized South Carolina findings on obesity, prediabetes, diabetes, hypertension, arthritis, heart disease, and stroke. Our next section will cover nutrition, physical activity, and cigarette smoking. Check out our previous posts:  overview of the reportSouth Carolina demographicsleading causes of death and hospitalizationcross-cutting, access to healthcare, and maternal and infant health.

Nutrition

A healthy diet is essential to reducing the risk of chronic diseases and other health conditions, including obesity, malnutrition, iron-deficiency anemia, and some cancers.

  • The percent of adults who consumed vegetables less than one time per day was higher in those with an annual household income of less than $15,000 (37.8%) compared to those with an annual household income of $50,000 or higher (16.1%).
  • Men (52.3%) in South Carolina had a higher prevalence of not eating fruits than women (42.5%) in 2015.
  • The prevalence of adults who consumed vegetables less than one time per day did not statistically change from 2011 to 2015.

Physical Activity

  • The rate of adults who met physical activity guidelines for both aerobic and muscle training increased from 18.9% in 2011 to 23.0% in 2016, and surpassed the Healthy People 2020 objective of 20.1%.
  • In 2015, 23.6% of South Carolina high school students met the federal physical activity guidelines for aerobic physical activity.
  • The prevalence among non-Hispanic White students who met the federal physical activity guidelines for aerobic physical activity was higher than non-Hispanic Black students.

SC Adult Cigarette Smoking_Assessment

  • Adult cigarette smoking decreased from 23.7% in 2011 to 20.6% in 2016 in South Carolina.
  • In 2015, 9.6% of high school students (grades 9-12) reported cigarette use on at least one day during the past 30 days.
  • The prevalence of adult women (50%) attempting to quit cigarette smoking within the past year was higher than adult men (41.0%).

SC Second handsmoke_assessment

  • In South Carolina in 2015, 22.4% of adults reported being exposed to secondhand smoke while at the workplace.
  • The five counties in South Carolina with the highest prevalence of secondhand smoke exposure while a work were: Colleton, Hampton, Bamberg, Clarendon, and Marlboro.
  • In 2015, the prevalence of adolescents who reported being exposed to secondhand smoke in homes or vehicles was 40.8%.

In our last section about South Carolina’s chronic diseases and risk factors, we will summarize information about all cancers. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 1)

Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors. Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. Check out our previous posts:  overview of the reportSouth Carolina demographicsleading causes of death and hospitalizationcross-cutting, access to healthcare, and maternal and infant health.

Key Findings

Obesity

  • South Carolina had the 12th highest adult obesity rate in the nation in 2016.
  • In 2016, the prevalence of obesity among non-Hispanic Blacks was 42.8% and was higher compared to non-Hispanic Whites (30.2%).
  • The prevalence of obesity was higher in adults with an annual household income less than $15,000 (40.8%) than among those with income $50,000 and higher (28.4%).

Prediabetes

Prediabetes, sometimes called “borderline diabetes” is a condition in which someone has a blood sugar (glucose) level above normal but not yet in the diabetes range. People with prediabetes are more likely to develop type 2 diabetes, heart disease, or experience a stroke. Without lifestyle changes to improve their health, 15% to 30% of people with prediabetes will develop type 2 diabetes within five years.

  • The prevalence of adults in South Carolina diagnosed with prediabetes increased from 6.7% in 2011 to 9.4% in 2016.
  • In 2016, the prevalence of prediabetes was higher in non-Hispanic Blacks (12.5%) compared to non-Hispanic Whites (8.5%).
  • The prevalence of prediabetes was higher in those with a disability (14.7%) than those without a disability (6.9%).

Diabetes

SC Adults with Diabetes_assessment

  • From 2011 to 2016, South Carolina adults with diabetes have remained higher than the median range of the United States.
  • The prevalence of diabetes was higher among adults aged 65 or older than among those under age 65.
  • In 2016, the prevalence of diabetes was higher in non-Hispanic Blacks (16.9%) than in non-Hispanic Whites (11.7%).

 

Hypertension

SC Adults with hypertension_assessment

Hypertension, commonly known as “high blood pressure,” is often called the silent killer because, apart from extreme cases, it has no symptoms. Nearly one in three United States adults have high blood pressure.

  • More than one-third (39.3%) of adults in South Carolina had hypertension in 2016.
  • Seventeen counties had a prevalence of hypertension higher than the state average at 38.7%.
  • In 2016, the prevalence of hypertension increased with age.

 

Arthritis

Arthritis is the term used to describe more than 100 diseases and conditions that affect joints, the tissues that surround the join, and other connective tissue.

  • The percentage of South Carolina adults who have been told they have arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia increased from 27.9% in 2011 to 30.1% in 2016. The median percentage of arthritis was 25.8% in the United States in 2016.
  • Over 57% of adults ages 65 years or older reported having arthritis in 2016.
  • The prevalence among disabled adults (56.2%) was three times higher than those adults who were not disabled (16.8%).

Heart Disease

About 610,000 Americans die each year from heart disease. Heart disease is the leading cause of death and disability in the United States.

SC heart disease deaths_assessment

  • South Carolina had a lower death rate compared to the United States (94.3 per 100,000) and met the Healthy People 2020 goal of 103.4 coronary heart disease deaths per 100,000 population in 2016.
  • Men (123.3 per 100,000) had a higher death rate than women (57.6 per 100,000) in 2016.
  • Non-Hispanic Blacks (96.0 per 100,000) experienced a higher death rate than non-Hispanic Whites (85.7 per 100,000).

 

Stroke

SC Stroke Deaths_assessment

Stroke was the fifth leading cause of death in the United States in 2016, and is a leading cause of serious, long-term disability in the United States. About 795,000 people in the United States have a stroke each year.

  • In 2016, South Carolina had the sixth highest stroke death rate in the nation and is part of the “Stroke Belt,” a group of Southeastern states with high death rates.
  • Stroke was the fifth leading cause of death in South Carolina, resulting in 2,627 deaths in 2016.
  • Stroke resulted in 16,484 hospitalizations in South Carolina in 2016, with charges of more than $952 million.

In our next section, we will summarize nutrition, physical activity, and cigarette smoking in South Carolina adults. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.

Avoid Floodwaters After the Storm

Floodwaters and Standing Water Can Be Hazardous

No matter how harmless it might appear, avoid wading or walking in floodwaters. All too often, danger lurks within and beneath floodwaters and standing water.

DHEC urges everyone to avoid area streams, rivers or the ocean for drinking, bathing or swimming due to the possibility of bacteria, waste water or other contaminants. Avoid wading through standing water due to the possibility of sharp objects, power lines or other hazardous debris that might be under the surface.

Follow these steps if you come into contact with floodwaters or standing waters:

  • Avoid or limit direct contact.
  • Wash your hands frequently with soap, especially before drinking and eating.
  • Do not allow children to play in flood water or play with toys contaminated with floodwater.
  • Report cuts or open wounds, and report all symptoms of illness. Keep vaccinations current.

Turn_Around

NEVER drive through flooded roadways or around barricades. Road beds may be washed out under floodwaters. DON’T underestimate the force and power of fast-moving water. Flooding is the leading cause of severe weather-related deaths in the U.S. Most of these deaths occur in motor vehicles when people attempt to drive through flooded roadways.

Six inches of fast-moving flood water can knock over an adult. And it only takes 12 to 18 inches of flowing water to carry away most vehicles including large SUVs. If you come to an area that is covered with water, you will likely not know the depth of the water or the condition of the ground under the water. Play it smart, play it safe. Turn Around Don’t Drown. [FEMA]

Get more information on avoiding contact with floodwaters from the Environmental Protection Agency’s website. Also, visit the Centers for Disease Control’s page on risks associated with floodwaters and standing water.

 

Food Safety During and After a Storm

USDA Offers Food Safety Tips for Areas Affected by Hurricane Dorian

When hurricanes such as Dorian have significant impact on a state or region, they present the possibility of power outages and flooding that can compromise the safety of stored food.

The U.S. Department of Agriculture’s (USDA) Food Safety and Inspection Service (FSIS) has issued food safety recommendations for those who may be impacted by Hurricane Dorian. FSIS recommends consumers take the following steps to reduce food waste and the risk of foodborne illness during this and other severe weather events.

Steps to follow in advance of losing power:

  • Keep appliance thermometers in both the refrigerator and the freezer to ensure temperatures remain food safe during a power outage. Safe temperatures are 40°F or lower in the refrigerator, 0°F or lower in the freezer.
  • Freeze water in one-quart plastic storage bags or small containers prior to a hurricane. These containers are small enough to fit around the food in the refrigerator and freezer to help keep food cold. Remember, water expands when it freezes, so don’t overfill the containers.
  • Freeze refrigerated items, such as leftovers, milk and fresh meat and poultry that you may not need immediately—this helps keep them at a safe temperature longer.
  • Know where you can get dry ice or block ice.
  • Have coolers on hand to keep refrigerator food cold if the power will be out for more than four hours.
  • Group foods together in the freezer—this ‘igloo’ effect helps the food stay cold longer.
  • Keep a few days’ worth of ready-to-eat foods that do not require cooking or cooling.

Steps to follow if the power goes out:

  • Keep the refrigerator and freezer doors closed as much as possible. A refrigerator will keep food cold for about four hours if the door is kept closed. A full freezer will hold its temperature for about 48 hours (24 hours if half-full).
  • Place meat and poultry to one side of the freezer or on a tray to prevent cross contamination of thawing juices.
  • Use dry or block ice to keep the refrigerator as cold as possible during an extended power outage. Fifty pounds of dry ice should keep a fully-stocked 18-cubic-feet freezer cold for two days.

Steps to follow after a weather emergency:

  • Check the temperature inside of your refrigerator and freezer. Discard any perishable food (such as meat, poultry, seafood, eggs or leftovers) that has been above 40°F for two hours or more.
  • Check each item separately. Throw out any food that has an unusual odor, color or texture or feels warm to the touch.
  • Check frozen food for ice crystals. The food in your freezer that partially or completely thawed may be safely refrozen if it still contains ice crystals or is 40°F or below.
  • Never taste a food to decide if it’s safe.
  • When in doubt, throw it out.

Food safety after a flood:

  • Do not eat any food that may have come into contact with flood water—this would include raw fruits and vegetables, cartons of milk or eggs.
  • Discard any food that is not in a waterproof container if there is any chance that it has come into contact with flood water. Food containers that are not waterproof include those packaged in plastic wrap or cardboard, or those with screw‐caps, snap lids, pull tops and crimped caps. Flood waters can enter into any of these containers and contaminate the food inside. Also, discard cardboard juice/milk/baby formula boxes and home-canned foods if they have come in contact with flood water, because they cannot be effectively cleaned and sanitized.
  • Inspect canned foods and discard any food in damaged cans. Can damage is shown by swelling, leakage, punctures, holes, fractures, extensive deep rusting or crushing/denting severe enough to prevent normal stacking or opening with a manual, wheel‐type can opener.

FSIS will provide relevant food safety information as the storm progresses on Twitter @USDAFoodSafety and Facebook.

FSIS’ YouTube video “Food Safety During Power Outages” has instructions for keeping frozen and refrigerated food safe. The publication “A Consumer’s Guide to Food Safety: Severe Storms and Hurricanes” can be downloaded and printed for reference during a power outage.

If you have questions about food safety during severe weather, or any other food safety topics, call the USDA Meat & Poultry Hotline at 1-888MPHotline or chat live with a food safety specialist at AskKaren.gov. These services are available in English and Spanish from 10 a.m. to 6 p.m. Eastern Time, Monday through Friday. Answers to frequently asked question can also be found 24/7 at AskKaren.gov.

Carbon Monoxide Safety During and After a Storm

Beware of Carbon Monoxide Poisoning During Power Outage

If your home experiences a power outage due to a hurricane, tornado or severe storm, be careful when using alternative power sources. Alternative power sources can cause dangerous carbon monoxide (CO) to build up and poison the people and animals inside.

Never run a generator inside a home, basement, garage, or other enclosed structure, even if the doors or windows are open.

CO is found in fumes produced by portable generators, stoves, lanterns, and gas ranges, or by burning charcoal and wood. CO from these sources can build up in enclosed or partially enclosed spaces. People and animals in these spaces can be poisoned and die from breathing CO.

CO poisoning is entirely preventable. The Centers for Disease Control and Prevention recommends steps you can take to help protect yourself and your household from carbon monoxide poisoning.

Change the batteries in your CO detector every six months and learn the warning signs and symptoms of CO poisoning. The most common symptoms of CO poisoning are:

  • Headache
  • Dizziness
  • Weakness
  • Nausea
  • Vomiting
  • Chest Pain
  • Confusion

People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever presenting symptoms.

CO poisoning prevention tips

  • Never run a generator, pressure washer, or any gasoline-powered engine inside a basement, garage, or other enclosed structure, even if the doors or windows are open.
  • Never use a charcoal grill, hibachi, lantern, or portable camping stove inside a home, tent, or camper.
  • Never run a motor vehicle, generator, pressure washer, or any gasoline-powered engine less than 20 feet from an open window, door, or vent where exhaust can vent into an enclosed area.
  • Never leave the motor running in a vehicle parked in an enclosed or partially enclosed space, such as a garage.
  • Keep vents and flues free of debris, especially if winds are high. Flying debris can block ventilation lines.
  • If CO poisoning is suspected, call 911 immediately.

For more information, please visit the CDC’s Carbon Monoxide Poisoning website and share these fact sheets on Carbon Monoxide and Generator Safety: English, Spanish.