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36 Brunswick Avenue, Gardiner, ME 04345  making connections ~ improving lives
Worksite Wellness Newsletter of HCCA
Volume 2  Issue 5  Adult and Worksite Wellness
In This Issue
Worksite Wellness Presentation
March Health Observances
Wellness Team Corner
Board of Directors
Mary Frances Bartlett
Rebecca West Dick, Chair
Cindy T. Flye
Rob Gordon
Chuck Hays, Treasurer
Bill McKenna
William McPeck, Vice Chair
Kathi Wall
Jim Wood, Secretary

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Welcome to HCCA's March 2009 Worksite Wellness Newsletter  
 
Each month HCCA publishes an e-newsletter on Worksite Wellness and related topics.  The newsletter contains general wellness and community information as well as information specific to worksite wellness program development. 
 
You are invited to submit articles or ideas to awagner@mcd.org.  Articles of interest for April and May include ergonomics and correct posture, success stories of worksites going tobacco free, and community events during TV Turn Off Week and Alcohol Free Weekend. 
   
Visit the HCCA Worksite Wellness webpages at
 
To learn more about HCCA visit
www.healthycommunitiesme.org
 
Check out www.capital.villagesoup.com for more HCCA news.
 spring ahead
Daylight saving time begins March 8
Save the Date 
Worksite Wellness Meetings
 
You are invited to attend these free meetings.
  
April 1, 2009  8:30-10:00 am
Health Risk Assessments and Biometrics
Evergreen Inn & Suites
65 Whitten Road, Augusta, Maine  
Panelists will represent area organizations that offer health risk assessments and biometric screenings.  We will learn what they are, how they work and why they are important part of our worksite wellness programs.
 
June 3, 2009
Coaching 101
Panelists will represent a variety of coaching modalities-health, life and corporate.  Coaching is a great way to foster change, build confidence and resiliency.
 
For more information or to RSVP call Amy at 588-5019
Worksite Wellness Presentation March 5
 
WORKSITE WELLNESS IS TOPIC OF WINTHROP AREA CHAMBER OF COMMERCE MARCH 5 BREAKFAST MEETING 
 
Amy Wagner, Adult and Worksite Wellness Program Manager of Healthy Communities of the Capital Area, and Becky Dick, Executive Director of Healthy Futures, will make a presentation about worksite wellness using the Health and Productivity Model, "Healthy Maine Works!" and local options to improve employee health.
March Health Observances

heart health         National Colorectal Cancer Month

The month of March marks the continuation of a national effort to raise public awareness about colorectal cancer, cancer of the colon or rectum.  If everyone aged 50 years old or older were screened regularly, up to 60% of deaths from this cancer could be avoided.  Colorectal cancer is the second leading cancer killer of women and men. 
 
The most common symptom of colorectal cancer in the early and easily treated stage is no symptoms at all.  Screenings can actually prevent the cancer from occurring and 90% of cases are treatable when detected early.  Most colorectal cancers develop first as colorectal polyps, which are growths inside the colon or rectum.  Colorectal cancers can be prevented if the polyps are detected and removed before they become cancerous.
 
The Four Tests Recommended for Colorectal Cancer Screening:
 
* The fecal occult blood test (FOBT) which checks for hidden blood in stool samples.  This
       test should be done annually because it tests only for  blood or cancer cells in the
       fecal matter. This test finds cancer and is not considered a tool in preventing cancer.
 
* The flexible sigmoidoscopy.  Physicians use a flexible, lighted tube to visually inspect
        the interior walls of the rectum and part of the colon.  This screening will find pre-
        cancer and cancer, but does not remove tissue or polyps for closer inspection. 
 
* Colonoscopy.  Physicians use a flexible, lighted tube, which is longer than the
       sigmoidoscopy, to visually inspect the interior walls of the rectum and the entire
       colon.   During this procedure, samples of tissue or polyps may be collected for closer
       examination.  Colonoscopies can be used as screening tests or as follow up when
       results from another screening test are positive. 
 
* Double-contrast barium enema, comprises of a series of x-rays of the colon and rectum,
       which are taken after the patient is given an enema containing barium dye followed by
       and in injection of air into the lower bowel.  This test, like the sigmoidiscopy screens
       for pre-cancer and cancer of the rectum and only part of the colon, but does not
       remove tissue for closer inspection or polyps.
 
Who is at Risk?
* Men and women age 50 and older
* People who use tobacco, are obese and are sedentary
* People with a personal or family history of colorectal cancer or benign (not cancerous)  
       colorectal polyps
* People with a personal or family history of inflammatory bowel disease, such as long-
       standing ulcerative colitis or Crohn's disease
* People with a family history of inherited colorectal cancer
 
Symptoms of Colorectal Cancer Include:
*  Rectal bleeding or blood in or on the stool 
*  Change in bowel habits or stools that are narrower than usual 
*  Stomach discomfort (bloating, fullness or cramps)
*  Diarrhea, constipation or feeling that the bowel does not empty completely
*  Weight loss for no apparent reason
*  Constant fatigue
*  Vomiting

In Maine, annually nearly 900 people are diagnosed with colorectal cancer, and 300 die of the disease.  Maine has the 16th highest colon cancer death rate in the United States. 
 
Additional Resources:  
*  SCREEN ME! Stop Colorectal Cancer Before it Starts, An initiative of the Maine CDC 
         Maine DHHS, call 1-877-320-6800 or visit www.mainepublichealth.gov
*  American Cancer Society, call 1-800-227-2345 or visit www.cancer.org
*  Colon Cancer Alliance, call 1-877-422-2030
*  Prevent Cancer Foundation  www.preventcancer.org/colorectal3c.aspx?id=1036
*  Send an e-health card to remind friends, family and co-workers to get tested

 
 
food         National Nutrition Month
 
Each March we celebrate National Nutrition Month, a celebration created by the American Dietetic Association.  The campaign focuses on the importance of making informed food choices and developing sound eating and physical activity habits in the hope of achieving optimum health for both today and tomorrow.
 
Worksites Can Celebrate:
*   Organize a "healthy recipe" contest among employees
*   Organize a "healthy recipe" swap among employees
*   Distribute Hannaford Stars Program educational materials including store coupons
*   Create a bulletin board using nutrition brochures, nutrition fact sheets, recipes and
        MyPyramid handouts (see links below for free downloads and printable resources)
*   Sponsor a healthy food drive and deliver the food to a homeless shelter or food pantry
*   Sponsor a walk/run event and donate the proceeds to a homeless shelter or food pantry
*   Take the "Eat the Rainbow Challenge"
*   Create a "Nutrition Quiz" bulletin board,
*   Sponsor a pentathlon with the entry fee being five healthy food items.  Contestants will
        complete five activities and the food proceeds donated to a homeless shelter for food
        pantry
 
Additional Resources:
Sponsor: American Dietetic Association   www.eatright.org
Maine Nutrition Network www.maine-nutrition.org
American Institute for Cancer Research
 21st Annual American Diabetes Alert
                                                   Day March 24
 
Sound the alert - Tuesday, March 24, 2009. - Are you or a loved one at risk for diabetes?
American Diabetes Alert Day is a one-day, "wake-up" call to inform the American public about the seriousness of diabetes. The American Diabetes Association encourages people to take the Diabetes Risk Test and find out if they, or their loved ones, are at risk for developing type 2 diabetes. Diabetes Alert Day is observed on the fourth Tuesday of every March.

Why is Diabetes Alert Day Important?
*   23.6 million children and adults in the U.S. have diabetes 
*   Nearly one-quarter of those do not know they have diabetes 
*   One in five Americans is at risk for developing type 2 diabetes 
 
Diabetes Risk Test
Could You Have Diabetes and Not Know It?
Take the Test, Know your Score
 
Write in the points next to each statement that is true to you, statements that are not true for you receive zero points.  Then add your total score.
 
1.  I am a woman who has had a baby weighing more than 9 pounds at birth  Yes  1 ___
2.  I have a sister or brother with diabetes                                                    Yes  1 ___
3.  I have a parent with diabetes                                                                  Yes  1 ___
4.  My weight is equal to or above that listed in the chart                               Yes  5 ___
5.  I am under 65 years of age and I get little or no exercise                          Yes  5 ___     
6.  I am between 45 and 64 years of age                                                      Yes  5 ___
7.  I am 65 years old or older                                                                       Yes  9 ___
                                                                                                         
                                                                                                           Total  _______
 
Scoring 10 or more points - You are at high risk of having diabetes.  Only your health care provider can check to see if you have diabetes.  See yours soon and find out for sure.
 
Scoring 3-9 points - You are probably at low risk of having diabetes now.  But don't just forget about it.  Keep your risk low by losing weight if you are overweight, being active most days and eating low fat meals that are high in fruits and vegetables and whole grains.
 
                                                 At-Risk Weight Chart
 
                Height              Weight                    Height              Weight
                 4' 10"               129                          4' 11"               133
                 5' 0"                 138                          5' 1"                 143
                 5' 2"                 147                          5' 3"                 152
                 5' 4"                 157                          5' 5"                 162
                 5' 6"                 167                          5' 7"                 172
                 5' 8"                 177                          5' 9"                 182
                 5' 10"               188                          5' 11"                193
                 6' 0"                 199                          6' 1"                  204
                 6' 2"                 210                          6' 3"                  216
                 6' 4"                 221
                       
 
Other March Health Observances
   National Poison Prevention Month
   Workplace Eye Health and Safety Month
   National Sleep Awareness Week - 2-6
   Kick Butts Day - 31
 
April Health Observances
     National Alcohol Awareness Month
     National Cancer Control Month
     Alcohol-Free Weekend 3,4 & 5
     National Alcohol Screening Day
     National TV-Turnoff Week 20-26
     National Humor Month
 
Wellness Team Corner
zebra"It is not the strongest of the species that survives, nor the most intelligent, but the ones most responsive to change." Charles Darwin
 
In the past month I attended trainings on Resiliency and Heartmath while re-visiting two books Emotional Intelligence by Daniel Goldman and From Chaos to Coherence (The Power to Change Performance) by Bruce Cryer.  Relevant topics for our times, since there are not many days that are free of stressful news regarding the economy, jobs and other related issues.  As wellness team members we can help our fellow co-workers respond to change as a time of opportunity, with enthusiasm, creativity and determination rather than with fear, resistance and negativity. 
 
Resiliency is the ability to perform well under pressure and respond with flexibility and the ability to adapt to changing circumstances gracefully.  Resiliency is a key skill of emotional intelligence and theme for organizations that promote Inner Quality Management® (IQM) using biomedical research and practical tools for humanizing business, empowering people and organizations that respond gracefully to change, crisis and challenge.

Heartmath is from the Institute of HeartMath Research Center, a recognized global leader in emotional physiology and stress-management research. HeartMath is engaged in basic psychophysiology, neurocardiology and biophysics research, as well as clinical, workplace and organizational intervention and treatment outcome studies in collaboration with numerous universities, research centers and healthcare-system partners.
 
As wellness teams we cannot ignore the effects stress has on our co-workers and our company's bottom line.  Stress, depression and anxiety are major causes of presenteeism, absenteeism, turnover and injuries.  Each symptom is documented by Dr. Ron Goetze, Director of the Cornell University Institute for Health and Productivity Studies (IHPS) and Dee W. Edington PhD, Director, Univ. of Michigan Health Mgmt Research Center to consume at least 2 hours of the work day.  These conditions also decrease the body's immune system and cause distractions that can lead to accidents.  Areas to focus on include communications, benefits, policies, environments and culture. 
 
Many of the activities will need strong management support to be successful in creating and maintaining a resilient, healthy workforce that is energetic, enthusiastic, flexible and focused.  Two key components are communication and autonomy; no one likes surprises, especially the kind that leave us feeling like we have no control.  Communication plans should include regular communication from the management team.  One tactic is town meeting style meetings that allow for two way communication another is to actively engage staff to find ways to reduce costs, increase revenues, streamline processes and ways to support each other.  Healthy communication strategies foster healthy work environments and work cultures.
                             
Another area is benefit plan design; this is a great time to promote the benefits available to help combat stress and other life challenges.  Many employers offer EAP's/ employee assistance programs and coaching services which are generally under-utilized, enclose program brochures in paychecks, explain the program benefits in newsletter articles or on bulletin boards.  Highlight other benefits like tobacco cessation supports, the Maine Tobacco Helpline, substance abuse treatment supports, support groups or help lines and other resources in the community that meet employee needs.
 
Activities that help foster healthy life skills, build supportive work cultures and environments while strengthening relationships include creating fun gatherings or contests, offering chair massage, group stretch breaks, contests that promote physical activity, and promote volunteer opportunities in the community.  Laughter, physical activity, human connectiveness, and gratitude are stress antidotes since all release anti-stress hormones in the body.
 
Three advisements are one try to refrain from comparing the present with the past too often and two, reframe the current situation as an opportunity for positive change and offer hope.  Many organizations have seen their share ups and downs and we have weathered many economic down turns, spending too much time and energy in the past leaves little room to find opportunities for the future.  Three, now is not the time to cut short the investments made to help contain health risk costs, this send the message that wellness only matters when times are good, when containment measures are removed future costs tend to mushroom.
 
Another interesting book on stress is Why Zebras Don't Get Ulcers by Robert M. Sapolsky.
Thank you for your commitment to the health and wellbeing of our community. Please contact us if we can be of assistance in supporting your southern Kennebec communities' quality of life.
 
Sincerely,
 
Joanne Joy, Director
&
Amy Wagner, Adult and Worksite Wellness Initiatives Program Manager
Nationally Certified Worksite Wellness Program Consultant 

Healthy Communities of the Capital Area
 
awagner@mcd.org ~ 207.588.5019