Lecture Series @ Osher Lifelong Learning Institute, Fall 2019



Fall 2019 Semester begins Tuesday, September 3rd!
Class time: 9:00 – 10:15 am
Register Online: http://www.olli.udel.edu/wilmington/registration/

September 3, 2019:
The PreDiabetic Discussion

September 10, 2019: Biosafety

September 17, 2019: Athersclerosis

September 24, 2019: Bone Health

October 1, 2019: Trends in Healthcare

October 8, 2019: Obstructive Sleep Apnea – Contemporary Surgical Management

October 15, 2019: Measles Update

October 22, 2019: Socioeconomic Variation and Cancer

October 29: Spleen 101

November 5: Hypertension / Kidney

November 12: About the Medical Society of Delaware

November 19: Respiratory Therapy

November 26: Thanksgiving Break, No Class

December 3: Neuro-Movement Disorder Case Studies

Surgeon General’s Message on the Current Measles Outbreaks

Dear Partners,

The Nation’s Doctor would like to share a very important message with you about the current measles outbreaks occurring throughout our country.

Measles is a highly-contagious respiratory disease caused by a virus. It spreads through the air through coughing and sneezing. Measles starts with a fever, runny nose, cough, red eyes, and sore throat, and is followed by a rash that spreads all over the body.

Measles is so contagious that if one person has it, 9 out of 10 people around that person will also become infected if they’re not yet vaccinated. You can get measles just by being in a room where a person with measles has been, even up to two hours after that person has left.  And what is even more worrisome is that an infected person can spread measles to others even before the infected person develops symptoms—from four days before they develop the measles rash through four days afterwards.

The good news is that measles can be prevented with the MMR (measles, mumps, and rubella) vaccine.

The MMR vaccine has an excellent safety record and is highly effective. It is one of the most effective vaccines we have in our country.

Surgeon General Adams hopes you will share his message with your networks. It’s up to us to protect the health of our communities.

For more information, please visit CDC.gov

Office of the Surgeon General

October Awareness

October is…

Down Syndrome Awareness Month – https://nationaltoday.com/down-syndrome-awareness-month/
National Breast Cancer Awareness Month – http://www.nationalbreastcancer.org/breast-cancer-awareness-month
National Dental Hygeine Month – http://www.adha.org/national-dental-hygiene-month
National Domestic Violence Awareness Month – https://nrcdv.org/dvam/home
National Healthy Lungs Month – https://www.healthstatus.com/health_blog/copd/healthy-lung-month/
National Liver Cancer Awareness Month – https://www.aacrfoundation.org/Pages/liver-cancer-awareness-month.aspx
National Medical Librarians Month – https://www.personalizedcause.com/health-awareness-cause-calendar/national-medical-librarians-month
National Physical Therapy Month – http://www.moveforwardpt.com/NPTM/Default.aspx
National Spinal Health Month – https://www.acatoday.org/Education-Events/National-Chiropractic-Health-Month
Rett Syndrome Awareness Month – https://www.rettsyndrome.org/make-a-difference/advocacy-awareness/state-proclamations
Sudden Infant Death Syndrome (SIDS) Awareness Month – https://www.nichd.nih.gov/news/resources/spotlight/Pages/102014-october-SIDS.aspx
Talk About Prescriptions Month – http://www.bemedwise.org/

The week of…

1 – 7: Mental Illness Awareness Week – https://www.nami.org/Get-Involved/Awareness-Events/Mental-Illness-Awareness-Week
6 – 12: Fire Prevention Week – https://www.nfpa.org/Public-Education/Campaigns/Fire-Prevention-Week
21 – 25: National Health Education Week – https://www.sophe.org/focus-areas/national-health-education-week/
20 – 26: National Health Care Quality Week – http://nahq.org/about/healthcare-quality-week
23 – 31: Red Ribbon Week (Drug Free America) – http://redribbon.org/theme/
20 – 26: National Respiratory Care Week – http://www.aarc.org/resources/programs-projects/respiratory-care-week/

The day of…

Oct 2nd: National Child Health Day – https://nationaldaycalendar.com/national-child-health-day-first-monday-in-october/
Oct 10th: World Mental Health Day – http://www.who.int/mental_health/world-mental-health-day/en/
Oct 11th: National Depression Screening Day – https://mentalhealthscreening.org/programs/initiatives
Oct 13th: Metastatic Breast Cancer Awareness Day – http://www.mbcn.org/october-13-national-metastatic-breast-cancer-awareness-day/
Oct 15th: National Latinx AIDS Awareness Day – https://www.hiv.gov/events/awareness-days/latino
Oct 19th: National Mammography Day – http://www.speakersfornurses.com/breast-cancer-awareness-month.html
Oct 20th: World Osteoporosis Day – http://worldosteoporosisday.org/
Oct 22nd: International Stuttering Awareness Day – http://www.isastutter.org/what-we-do/isad
Oct 31st: Halloween

Innovative Discoveries Series

Opioid Overdose Education with Naloxone Take Home in the Emergency Department

The opioid epidemic has become the largest national health crisis of our lifetime.   There are an estimated 1.9 million people or more addicted to prescription opioids with 4.3 million people using this class of drug for non-medical reasons.  Heroin contributes to a large number of drug overdose deaths each year in the United States.  Those patients that are identified as having an opioid use disorder when presenting to the ED for care offer healthcare providers the opportunity to educate and initiate overdose prevention measures.

This presentation will discuss a study done regarding opioid overdose education and naloxone take home that was done in the Christiana emergency department that includes results, educational opportunities and planned path forward for patients with a substance use disorder that present to the emergency department.


Presented By:

Karen Toulson, DNP, RN, MBA, CEN, NE-BC

Director of Clinical Operations, Christiana Hospital Emergency Department
Nurse Leader, Christiana Care Health System


Free!  Lunch will be served!

This activity has been approved for AMA PRA Category 1 Credit.


Friday, October 11, 2019
Noon to 1 p.m.
In-person: Christiana Hospital, Room 1100
Online: Watch live at https://bluejeans.com/361095905
Or join meeting ID 361095905 on the BlueJeans app on your smartphone or tablet

This activity has been approved for AMA PRA Category 1 Credit.

Upcoming Lectures:

November 01: Disaster Epidemiology: Measuring the Health Impacts of Disasters

2019 Public Health Recognition

William J. Holloway Program honored for leadership in public health

For its history of service and innovation, Christiana Care’s William J. Holloway Community Program has won the Executive Director’s Public Health Recognition Award from the Delaware Academy of Medicine/Delaware Public Health Association. Susan Szabo, M.D., medical director of the program, and Arlene Bincsik, MS, RN, CCRC, ACRN, program director, accepted the award on the program’s … Continue reading

Images from the 89th Annual Meeting of the Academy/DPHA

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Trauma Informed Delaware

In October, 2018, Governor Carney signed Executive Order 24, making Delaware a trauma-informed state.  This order directs the Family Services Cabinet Council to develop tools for training state employees and community partners on the impact of exposure to adverse childhood experiences (ACEs), to promote ACE awareness, and to improve services and  interventions for children and families exposed to trauma. The Family Services Cabinet Council is leading efforts to ensure that Delaware becomes a trauma-informed state
by promoting a Trauma Awareness Month in Delaware.

Since that time, First Lady Tracey Quillen Carney has brought together a variety of partners to launch Trauma Informed Delaware (TID), a statewide public-private-nonprofit coalition. The goal is to coordinate a sustainable, community-based trauma awareness, prevention, and early intervention system that advances resilience through:
• Access to quality behavioral and integrated health care
• Strength-based services for youth and adults
• Education for providers and the community



WHAT: The Division of Public Health (DPH) is conducting activities statewide during Lyme Disease Awareness Week (May 19 – 25, 2019).  Media are invited to attend the following: 1) Presentation to seventh graders as part of the BLAST Lyme Disease Campaign coordinated through the Office of Infectious Disease Epidemiology. The …


DOVER (May 13, 2019) — Today, the Division of Public Health (DPH) launched a data portal allowing Delawareans to assess the overall health of their communities. The My Healthy Community data portal delivers neighborhood-focused population health, environmental and social determinant of health data to the public. The innovative technological showpiece, which was unveiled at the Rt. 9 Library and Innovation Center in New Castle, allows users to navigate the data at the smallest geographical area available, to understand and explore data about the factors that influence health.

“This is another example of how we are making data more transparent, accessible, and easy to understand,” said Governor John Carney. “Sharing community-level statistics and data allows Delawareans to understand what is occurring in their neighborhoods, make informed decisions about their health, and take steps to continue improving our quality of life.”

Delaware residents are able to explore a variety of data indicators in the following categories: community characteristics, the environment, chronic disease, and mental health and substance use. Air quality data, asthma incidence data, public and private drinking water results, and drug overdose and death data are currently available. Over the next several months, additional categories and data indicators are expected to be added including community safety, maternal and child health, healthy lifestyles, health services utilization, infectious diseases, education, socioeconomic influencers, lead poisoning, suicide and homicide, and populations vulnerable to climate change.

“Our health and the environment in which we live are inherently connected,” said DHSS Secretary Dr. Kara Odom Walker. “The portal will allow communities, governments and stakeholders to better understand the issues that impact our health, determine priorities and track progress. Communities can use the data to initiate community-based approaches, support and facilitate discussions that describe and define population health priorities, and educate residents about their community’s health and the environment in which they live.”

Residents can search health indicators by street address, ZIP code, census tract, neighborhood, town/city, county and state. In addition, they can compare their community’s health measures with other Delaware communities, their county, and the state as a whole, as well as view data trends over time. To ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA), not all data can be made available at the community level therefore, the system is designed to provide data for the smallest geographic area possible.

“Access to data is a key factor in making progress toward a stronger and healthier Delaware. The ability to easily access such crucial information like substance use and overdose data by ZIP code enables Delawareans to compare it to larger areas and examine trends,” said Lt. Governor Bethany Hall-Long. Drug overdose deaths, non-fatal drug overdoses, and youth use of prescription pain medicines are available through My Healthy Community. Also for the first time, Emergency Department non-fatal drug overdose data from DPH, and Prescription Monitoring Program (PMP) data will be available thanks to a partnership with the Division of Professional Regulation.

“Addiction, air quality, chronic disease and drinking water quality impact every one of us,” said DPH Director Dr. Karyl Rattay. “When communities become aware of the level at which these issues are occurring in their neighborhoods, it can spur action that can improve the quality of life for current and future generations.”

“People want to know detailed information about the health of their communities,” said Rysheema Dixon, Wilmington City Council Member At-Large. “Providing this data with a neighborhood lens is going to open Delawareans’ eyes to how healthy – or unhealthy – their communities really are.”

My Healthy Community has been years in the making through a partnership among several DPH programs, the Department of Natural Resources and Environmental Control (DNREC), the Division of Substance Use and Mental Health (DSAMH), and the Delaware Health Care Commission (HCC). $138,500 in seed funding for this project was provided by DNREC in 2016, $79,000 for the initial research phase, and $59,500 for construction of the of the data portal’s framework with supplemental funding from DPH through Centers for Disease Control and Prevention (CDC) grant funds ($30,000 for development). DPH’s contractor for this project was Green River of Brattleboro, Vermont.

“Health and environmental agencies have a long history of separately tracking trends, when, in fact, environmental conditions and health outcomes are often closely related,” said DNREC Secretary Shawn M. Garvin. “This public-access portal brings health and environmental data together and puts this information at the fingertips of all Delawareans, including healthcare and environmental professionals.”

Additional funding was provided by DSAMH for substance use disorder (SUD) data and from the HCC to build in additional health indicators starting this summer, that will also serve to highlight Delaware’s progress in meeting health care benchmarks (obesity, tobacco use, preventable Emergency Department visits, etc.) as part of DHSS’s ongoing efforts to bring transparency to health care spending and to set targets for improving the health of Delawareans. Future funding has been secured from DNREC for data on vulnerable populations and climate change, and from DPH through CDC grants for violent death data and internal sharing of timely SUD data.

My Healthy Community encompasses the Delaware Environmental Public Health Tracking Network (EPHTN), and benefits from participation in an Environmental Public Health Tracking Peer-to-Peer Fellowship program through the Association of State and Territorial Health Officials (ASTHO), with the Kentucky Department of Health as Delaware’s EPHTN mentor.

Access the My Healthy Community data portal at MyHealthyCommunity.dhss.delaware.gov. Comments can be submitted via an online feedback form.