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Issue No. 106
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February 2, 2016
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"It's Groundhog Day! It's just still once a year, isn't it?" - Phil Connors from the movie Groundhog Day
Weather forecasting - right too often for us to ignore and wrong too often for us to rely. So, as you are reading this, has the groundhog seen his shadow? Will there be six more weeks of winter or will spring come early this year? Your heart, your health - never to be ignored, irrespective of the weather.
February is National Heart Month. Statistics show that heart disease remains one of the most significant health concerns in the United States.
Staying current with healthcare trends is crucial. National Heart Month is a great time to brush up on heart disease knowledge and current information.
According to data from the Centers for Disease Control and Prevention, heart disease is the leading cause of death among American adults; one in every three deaths is from heart disease and stroke, which amounts to approximately 2,200 deaths per day. This statistic emphasizes the importance of raising awareness about heart disease trends and a need for adequate health care.
February is ALSO National Cancer Prevention Month.
Closely related to heart disease is the advice for cutting cancer risk - preventing other chronic diseases like heart disease and diabetes, as well as getting in shape.
Simple steps offer many different health benefits and National Heart Month/National Cancer Prevention Month is as good a time as any to start putting them into action!
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Fact Sheet from the Departments of the Treasury and HHS on Preparing
for Tax Season
As tax filing season begins, the U.S. Department of Health and Human Services and the Treasury Department are once again putting in place resources to help tax filers understand how health care intersects with their taxes. Reporting information about health coverage is still a new process, but it is becoming a routine part of tax season. In order to help address questions individuals may have about their responsibilities, the Administration is highlighting available resources and tools to help make the process as easy as possible.
Mark Mazur, Treasury Assistant Secretary for Tax Policy, and Kevin Counihan, CEO of the Health Insurance Marketplace, released the following statements today providing an overview of the consumer support and assistance the Administration will provide: Assistant Secretary for Tax Policy, Mark Mazur: "While this is only the second year that taxpayers need to report information about their health coverage when filing their income tax returns, we expect that these requirements will soon become a routine part of tax time. The vast majority of Americans simply need to check a box on their tax return to indicate they had health coverage all year. Others who chose not to purchase health insurance may have to pay a fee, or can claim an exemption if they qualify. We are working to ensure that consumers can easily access clear information on what the requirements mean for them as they prepare to file their taxes." CEO of the Health Insurance Marketplace, Kevin Counihan: "Because of the Health Insurance Marketplaces, millions of Americans have gotten the security that comes with having quality, affordable health insurance. With most of these consumers receiving tax credits to make their monthly premiums more affordable, it's important that we do everything we can to arm these consumers with the information they need to better understand their responsibilities when it comes to filing their taxes. With less than two weeks before the final January 31 deadline for 2016 coverage, it's also important that every uninsured American understands their options for finding affordable health coverage so they don't risk paying a penalty of $695 or more for not having coverage in 2016." Similar to last year, the vast majority of taxpayers just need to check a box to indicate they have coverage. While those who can afford to buy health insurance and choose not to may have to pay a fee, individuals who cannot afford coverage or meet other conditions can receive an exemption. Those with Marketplace coverage will receive a tax statement in the mail from the Marketplace called a Form 1095-A. Now that people know their final income for the year, they need to reconcile the difference between the amount of financial assistance they received during the year to help lower the cost of their premiums with the actual amount they should have received based on their 2015 earnings. Information included on their Form 1095-A will help them do this. Consumers who do not file a tax return to reconcile their financial assistance will not be eligible to receive financial help in future years. This year, many consumers with coverage from a non-Marketplace source will receive a new form in the mail called a Form 1095-B or a Form 1095-C, describing the coverage they had for the year. This form will be sent by their employer, insurance company, or the government program that provides their coverage, such as Medicare or Medicaid. Consumers do not need to attach this information to their tax return or wait to receive the form before filling their tax return. If consumers do receive one of these forms, they should keep it in a safe place with their other tax records. Tools are available for individuals who have questions about their tax filing responsibilities under the Affordable Care Act. General resources can be found at Most people use software to file their taxes, which is the easiest way to complete a tax return, as it guides taxpayers through the process and does all of the math. Resources are available to help file taxes, including free tax filing services for individuals who meet certain income requirements: There are also tools available through HealthCare.gov that help consumers understand if they qualify for an exemption and if they had coverage, how much in tax credits they may qualify for based on their income. - Exemption Tool: An online tool is available on HealthCare.gov to help consumers who did not have insurance last year understand if they might qualify for an exemption.
- Premium Tax Credit Tool: Use a tool to get information you may need to determine your 2015 premium tax credit.
To reach consumers with the information they need to prepare for this tax season, the Administration will employ a variety outreach strategies. Outreach and consumer education efforts will include: - Direct outreach to Marketplace consumers. Through email, phone, and text messages the Administration will reach out to those who got coverage through the Health Insurance Marketplace with personalized information that is most relevant to their tax status. We will provide targeted messaging to consumers who benefited from advance premium tax credits to make sure they understand their responsibility to file their taxes and reconcile their tax credits.
- Community-based outreach and in-person assistance. Working with community organizations on the ground, nonprofit organizations, Marketplace navigators and other in-person assisters, we will provide guidance and resources to consumers looking for answers.
Partnerships with top tax preparers. The Administration will continue to work with top tax preparers to provide consumers with the information they need to prepare for tax season.
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Your Varied Diet
Isn't Really So Varied
"All over the world, we now eat the same few foods, hurting biodiversity and ourselves", says
Simran Sethi Dallas Morning News
Embedded in every conversation about feeding people, conserving natural resources and ensuring a healthy diet is the threat of the loss of agricultural biodiversity - the reduction of the diversity in everything that makes food and agriculture possible, from the microorganisms, plants and animals we consume to the inputs and broad range of environmental, socioeconomic and cultural issues that inform what and how we eat. This shift is the direct result of our relationship with the world around us.
I know it feels counterintuitive to contemplate loss, particularly against the backdrop of floor-to-ceiling aisles in supersize supermarkets. In Winston-Salem, N.C., at a Wal-Mart - the No. 1 grocery chain in America - I counted 153 flavors of ice cream and eight brands of yogurt. But then I looked further. The choices are superficial - primarily in flavor and secondarily in brand, most of which are owned by the same company. In addition, more than 90 percent of every container of yogurt, milk and ice cream is made with milk from one breed of cow, the Holstein-Friesian, known as the highest-producing dairy animal in the world.
Bananas - America's most popular fruit - carried only a single descriptor: "banana." Although no variety was listed, I knew it was the threatened Cavendish. There are more than 1,000 varieties of bananas grown in the world; however, the one that ends up on supermarket shelves isn't the one that has the best texture or taste but is one that transports easily and, so far, has managed to beat back disease.
I saw six kinds of apples, including Granny Smith, Gala, Fuji and the mealiest, most inappropriately named apple: Red Delicious, one bred for beauty, not taste. Apples were among the first fruits to be cultivated. The original was likely small and tart, closer to what we think of as a crab apple. But, through breeding, we slowly transformed its texture, taste, color, size and sweetness. There are now 7,500 varieties of apples grown all over the world, less than 100 of which are grown commercially in the United States. In fact, nearly every historic fruit and vegetable variety once found in the United States has disappeared.
For millennia, we've made decisions about what to grow or not grow - and what to eat or not eat. That's what agriculture is: a series of decisions we, and our ancestors, have made about what we want our food and food system to look and taste like. But our ability to make these decisions - and indulge in our pleasures - is being compromised in ways that are unprecedented. When I first learned of this, I was incredulous. I had spent my life obsessed with food - and it was disappearing? Why hadn't I heard about this? How was this possible? The answer lies in the fact that many of these changes have happened slowly, over time. These losses in food are buried in the soil, tucked in beehives and hidden in cattle feedlots. They start with microorganisms invisible to the naked eye and echo through every link in our food chain - from soil to seed to pollinator, from plant to fish to animal - compromising the very ecosystems that make much of our food possible. While some places in the world are experiencing an increase of diversity in certain parts of their diets, the general trend is the same one we see in phones and fashion: standardization. Every place looks and tastes more similar - and the country that sets this trend is America. The refined carbohydrates, animal proteins, and added fats and sugars that make up the majority of our diets have also become the template diet for the world. Reduced agrobiodiversity is dangerous: Putting all our eggs in one basket increases risk.
This increase in sameness is what conservationist Colin Khoury and co-authors of the most comprehensive study to date on the diversity (and lack thereof) of our food supply call our "global standard diet." The researchers analyzed 50 years of data on major crops eaten by 98 percent of the population. They found diets around the world have expanded in terms of amount, calories, fat and protein, with the greatest number of our calories now coming from energy-dense foods such as wheat and potatoes. In areas facing food insecurity, this is a very good thing.
The researchers also learned that agrobiodiversity within our dietary staples hasincreased. Another good thing. In Vietnam, 80 percent of calories from plants used to come from rice; now corn, sugar and wheat have risen in importance, and calories from rice have dropped to 65 percent. In Colombia, palm oil used to be nonexistent. Now nearly half of Colombians' plant-based fat comes from palm, and the country is the third-largest producer of palm oil in the world.
But this availability obscures the more challenging truth that Khoury and his colleagues discovered: Globally, foods have become more alike and less diverse. As the amount of food around the world has shrunk to just a handful of crops, regional and local crops have become scarce or disappeared altogether. Wheat, rice and corn, plus palm oil and soybeans, are what we all eat now - the same type and the same amount.
Yes, this increase in carbs, fats and proteins has helped feed hungry people, but on a global scale it's also increased our chances of becoming what author Raj Patel calls " stuffed and starved." The world overconsumes energy-dense foods but eats fewer foods rich in micronutrients (the small but essential amounts of vitamins and minerals we need for healthy metabolism, growth and physical development). While 795 million people go hungry, more than 2 billion people are overweight or obese. Both groups suffer from micronutrient malnutrition.
The global standard diet is changing the biodiversity of nearly every ecosystem, including the 100 trillion bacteria that live in our guts, part of what's known as ourmicrobiome. The foods and drinks we consume add to or, increasingly, detract from the diversity of our intestinal flora and haveimplications for how healthy or unhealthy we are over the long term.
The factors that contribute to this change are complex and interconnected, but the main reason for this shift is that we've replaced the diversity of foods we used to eat with monodiets of megacrops, funneling our resources and energy into the cultivation of megafields of cereals, soy and palm oil. As farmers from all over the world move toward growing genetically uniform, high-yielding crops, local varieties have dwindled or disappeared altogether. This is why we are now facing one of the most radical shifts we have ever seen in what and how we eat - and in what we'll have the ability to eat in the future.
According to the Food and Agriculture Organization of the United Nations, 95 percent of the world's calories now come from 30 species. Of 30,000 edible plant species, we cultivate about 150. And of the more than 30 birds and mammals we've domesticated for food, only 14 animals provide 90 percent of the food we get from livestock. The loss is staggering: Three-fourths of the world's food comes from just 12 plants and five animal species.
While these numbers are rough estimates, they speak to a startling trend: We rely on fewer species and varieties for food and drink - a treacherous way to sustain what we need to survive. It's dangerous for the same reason investment experts tell us to diversify our financial holdings: Putting all our eggs in one basket, either figuratively or literally, increases risk.
A reduction in agrobiodiversity places us in an increasingly vulnerable position, where warming temperatures or a single pest or disease could severely compromise what we grow, raise and eat. This was, in part, the cause of the Irish potato famine of the 1840s, when one-third of the population was dependent on potatoes for food and one-eighth of the population - about 1 million people - died when a disease known as potato blight ravaged the crop. It also contributed to Southern corn leaf blight, which wiped out one-fourth of American corn in 1970. And now it exacerbates the proliferation of wheat rust, known as the "polio of agriculture," which is threatening 90 percent of African wheat.
It's why plant geneticists are working around the clock to develop a new type of banana to replace the Cavendish, a variety that was introduced when the soil fungus Fusarium oxysporum, in the 1950s, wiped out the Gros Michel - the banana that used to be the one on store shelves. Those Cavendishes are now succumbing to Tropical Race 4, a strain of the same fungus that decimated the Gros Michel.
No matter where you live, you have the memory of something you used to eat that is no longer a part of your diet - something your grandmother used to make, something a small shop used to carry. Something you have lost. This extinction is a process; it happens one meal at a time.
Fortunately, a lot of these changes have occurred in the past few decades, which means they can change again. That is, of course, as long as we sustain the diversity found in the wild, on farms and in stored collections that contain the traits we might need now or in the future: immunity to a disease, greater adaptation to a changing climate, the possibility of higher yields or greater nutritional value - and delicious taste.
But in order to support this diversity and facilitate change, we have to start thinking differently about the food in our fields and on our plates, and be more discriminating about its sources.
"How do we buck the system just a little bit?" Khoury asks. "Think of oil. We're definitely eating more of it: soybean oil, then palm oil - much more than other oils around the world. Although it isn't immediately obvious that eating olive oil would be radical, in the big picture that's exactly what it is. Eating olive oil is now a radical act. Eating anything that's not rice, wheat, corn, soy or palm oil is radical."
The revolution starts here, on our plates, by looking at the pillars of our own diets and by making simple changes. The way to take back this power for ourselves is to understand why we eat what we eat. And to understand what we're losing - so we know what to reclaim.
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Health News
that may affect you
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8 Drugs Doctors Wouldn't Take
Courtesy NBCnews.com
 Advair, Avandia, Celebrex, Nexium - just a few names of which you are likely familiar. Names associated with assisting health issues, but what exactly is known about these and other familiar drugs.
With 3,480 pages of fine print, the Physicians' Desk Reference (a.k.a. PDR) is not a quick read. That's because it contains every iota of information on more than 4,000 prescription medications. Heck, the PDR is medication - a humongous sleeping pill.
Doctors count on this compendium to help them make smart prescribing decisions - in other words, to choose drugs that will solve their patients' medical problems without creating new ones. Unfortunately, it seems some doctors rarely pull the PDR off the shelf. Or if they do crack it open, they don't stay versed on emerging research that may suddenly make a once-trusted treatment one to avoid. Worst case: You swallow something that has no business being inside your body.
Of course, plenty of M.D.'s do know which prescription and over-the-counter drugs are duds, dangers, or both. So we asked them, "Which medications would you skip?" Their list is your second opinion. If you're on any of these meds, talk to your doctor. Maybe he or she will finally open that big red book with all the dust on it.
Advair
It's asthma medicine that could make your asthma deadly. Advair contains the long-acting beta-agonist (LABA) salmeterol. A 2006 analysis of 19 trials, published in the Annals of Internal Medicine, found that regular use of LABAs can increase the severity of an asthma attack. Because salmeterol is more widely prescribed than other LABAs, the danger is greater - the researchers estimate that salmeterol may contribute to as many as 5,000 asthma-related deaths in the United States each year.
Avandia
Diabetes is destructive enough on its own, but if you try to control it with rosiglitazone - better known by the brand name Avandia - you could be headed for a heart attack. Last September, a Journal of the American Medical Association (JAMA) study found that people who took rosiglitazone for at least a year increased their risk of heart failure or a heart attack by 109 percent and 42 percent, respectively, compared with those who took other oral diabetes medications or a placebo.
The reason? While there have been some reports that Avandia use may cause dangerous fluid retention or raise artery-clogging LDL cholesterol, no one is sure if these are the culprits. That's because the results of similar large studies have been mixed. So the FDA has asked GlaxoSmithKline, the maker of Avandia, to conduct a new long-term study assessing users' heart risks. There's only one problem: The study isn't expected to start until later this year.
Celebrex
Once nicknamed "super aspirin," Celebrex is now better known for its side effects than for its pain-relieving prowess. The drug has been linked to increased risks of stomach bleeding, kidney trouble, and liver damage. But according to a 2005 New England Journal of Medicine study, the biggest threat is to your heart: People taking 200 mg of Celebrex twice a day more than doubled their risk of dying of cardiovascular disease. Those on 400 mg twice a day more than tripled their risk, compared with people taking a placebo.
And yet Celebrex, a COX-2 inhibitor, is still available, even though two other drugs of that class, Bextra and Vioxx, were pulled off the market due to a similar risk of heart damage. The caveat to the consumer? In 2004, the FDA advised doctors to consider alternatives to Celebrex.
Ketek
Most bacteria in the lungs and sinuses don't stand a chance against Ketek, but you might not either. This antibiotic, which has traditionally been prescribed for respiratory-tract infections, carries a higher risk of severe liver side effects than similar antibiotics do. "Ketek can cause heart-rhythm problems, can lead to liver disease, and could interact poorly with other medications you may be taking," says Dr. Rodgers. "Unfortunately, it's still available, and although many doctors are aware of the risks, some may still prescribe it without caution." In February 2007, the FDA limited the usage of Ketek to the treatment of pneumonia.
Prilosec and Nexium
Heartburn can be uncomfortable, but heart attacks can be fatal, which is why the FDA has investigated a suspected link between cardiac trouble and the acid-reflux remedies Prilosec and Nexium. In December 2007, the agency concluded that there was no "likely" connection. Translation: The scientific jury is still out. In the meantime, there are other reasons to be concerned. Because Prilosec and Nexium are proton-pump inhibitors, they are both incredibly effective at stopping acid production in the stomach - perhaps too effective.
A lack of acid may raise your risk of pneumonia, because the same stuff that makes your chest feel as if it's burning also kills incoming bacteria and viruses. You may also have an elevated risk of bone loss - in the less acidic environment, certain forms of calcium may not be absorbed effectively during digestion. "The risk of a fracture has been estimated to be over 40 percent higher in patients who use these drugs long-term, and the risk clearly increases with duration of therapy," says Dr. Rodgers.
Visine Original
What possible harm to your peepers could come from these seemingly innocuous eyedrops? "Visine gets the red out, but it does so by shrinking blood vessels, just like Afrin shrinks the vessels in your nose," says Thomas Steinemann, M.D., a spokesman for the American Academy of Ophthalmology. Overuse of the active ingredient tetrahydrozoline can perpetuate the vessel dilating-and-constricting cycle and may cause even more redness.
Pseudoephedrine
Forget that this decongestant can be turned into methamphetamine. People with heart disease or hypertension should watch out for any legitimate drug that contains pseudoephedrine. See, pseudoephedrine doesn't just constrict the blood vessels in your nose and sinuses; it can also raise blood pressure and heart rate, setting the stage for vascular catastrophe. Over the years, pseudoephedrine has been linked to heart attacks and strokes. "Pseudoephedrine can also worsen symptoms of benign prostate disease and glaucoma," says Dr. Rodgers.
Read more and find out what YOUR STRATEGIES should be if you take any one of these drugs.
To read featured health news
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Surviving the Super
Bowl Spread
Super Bowl Sunday is this weekend! Possibly, your new year resolution could be at risk - with the amount of calories consumed in a short span of time. BUT, we are not here to discourage. Enjoy the company of friends and enjoy fun food. The wagon will be there on Monday - just climb back on! Read more below on how to Survive the Super Bowl Spread!
Courtesy WebMD
On Super Bowl Sunday, millions of Americans will be devouring pizza and gorging on potato chips while watching elite, finely tuned athletes perform from one edge of the big-screen TV to the other. While those pro football players will be burning thousands of calories from the opening kickoff to the final whistle, Joe Sixpacks from sea to shining sea will be loading up their plates and stretching their stomachs with enough calories to leave most bathroom scales screaming for mercy. There may be a few dozen talented athletes providing the entertainment at the Super Bowl, but as dietitian Susan Kleiner, PhD, RD, says, "The biggest exercise on Super Bowl Sunday is from hand to mouth." And at a time when nearly 65% of men and women in the U.S. are overweight or obese, the biggest football game of the year will provide them with yet another opportunity to overindulge.
According to the National Restaurant Association, more than one-quarter of all Americans who watch the game will be picking up takeout food or having it delivered. Many more will be turning their own kitchens into small factories that produce tempting, king-size platters of chicken wings, juicy hamburgers, and nachos dripping with cheese.
At last year's Super Bowl, if you had consumed an average serving of each of the snack foods and beverages advertised during the game itself, you would have ingested at least 925 calories from first quarter to last (nearly half the calories of a full day) as well as 38 grams of fat and 890 milligrams of sodium -- from chips to beer to candy bars. First, Do No Harm
Even if you're watching your weight and corralling your cholesterol, can you have your cake and eat it, too, on Super Bowl Sunday? Just maybe. A single day of splurging isn't necessarily going to derail all the New Year's resolutions you've made for your diet.
"Of course, we've just finished Thanksgiving, Christmas, and New Year's, so think about how long it's been since the last splurge," advises Ruth Kava, PhD, RD, director of nutrition at the American Council on Science and Health. "But for someone whose weight is at a healthy level and who generally eats a balanced diet with moderate calories, fat, and sweets, and plenty of fruits and vegetables, then splurging one day a year or even a few days a year is probably not going to do any harm. Just try to eat very lightly on the following day or two."
Nevertheless, a number of recent studies have shown that even one high-fat meal can cause at least temporary upheaval within your cardiovascular system. In 2002, researchers at Columbia University and Osaka City University in Japan published a study in which they gave 15 healthy young men a single high-fat meal composed of a colossal 1,200 calories, 100 grams of fat, and 6 milligrams of cholesterol. Five hours after they consumed the high-fat meal, their levels of triglycerides (a blood fat) increased an average of 140 points, compared with an increase of 10 points in men who ate a low-fat meal. At the same time, the capacity of the blood vessels to expand or dilate (an indicator of blood vessel health) declined 18% in the high-fat group.
"We know that a single high-fat meal does raise triglyceride levels," says Kleiner, author of Power Eating. But the effect is short-term. "Even just a day or so later, the triglyceride level will return to what it was." Super Bowl munchers may need to show a little more care if they already have a chronic illness or if they're pregnant. "Diabetics taking insulin should watch what they eat all the time," says Kava. That may mean staying away from refined carbohydrates -- for example, avoiding soft drinks and sweetened fruit drinks, and choosing diet sodas and sparkling water instead.
Damage Control
Most experts say that on balance, a healthy person who succumbs to the seduction of beer, burgers, and chips on Super Bowl Sunday will barely cause a blip on their personal health-status screen. But for people who are insistent upon absolutely no backsliding in their commitment to scaling down their waistline and controlling their cholesterol, there's a game plan for them to follow, even while watching the biggest football game of the year.
To read featured health news
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weighing in...
TACT/TABA Staff Employs Health, Fitness as Part of Beginning 2016 
The TACT/TABA staff has completed one month of the Health and Fitness Challenge!
Healthy eating habits, added activity and diligence have yielded lower numbers on the scale and the measuring tape as pounds and inches continue decreasing. Staff members have set goals for weightloss, goals for healthier eating and goals that challenge their endurance levels and are seeing body composition changes as they focus more on the measure of progress.
A lifestyle of fitness and health is an every day journey. If you continue to watch your calorie intake and exercise, the scale will eventually show you've lost weight. The process, as some are finding, may take a little longer if you're adding muscle as you lose. Ultimately, if you feel healthier, look leaner and have grown stronger, it doesn't matter what the scale says!
Are you on a journey of fitness and health, looking to make a lifestyle change? Are you on the sidelines looking to get in the game? The TACT staff hopes they are serving to inspire you! Go ahead - get in the game! Get healthy!
To read this featured health news, be watching our Facebook Page each Friday!
Be inspired, join the action!
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2016 is HERE, picking up where 2015 left off with a reformed healthcare system that is providing much needed assurance to many, lacking Americans.
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Next Issue: February 16, 2016
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