NCMGMA Salary & Benefits Survey Now Open

 

 

2024 NCMGMA Salary & Benefits Survey is Open
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Complete your survey by November 21st
This comprehensive study is designed to bring our members the information they need to see trends specific to the healthcare industry, and provide comparative information your organization can use to assist in making crucial business decisions.

REMEMBER! If you participated last year, you can copy last year's data into this year's survey, effectively reducing the time it takes to complete the survey.
Data collection is now open through Thursday, November 21st.
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Questions
If you have any questions about the 2024 Salary & Benefits Survey, please contact the NCMGMA offices at [email protected].

by Randy Aldridge

Gov. Roy Cooper's Latest on Helene as Others Finally Get Access to Hardest Hit Areas of WNC

Gov. Roy Cooper vowed Wednesday that the state government will continue to provide the resources Western North Carolina communities need to recover from Tropical Storm Helene. “This is a true all-hands-on-deck moment,” Cooper said. In a wide-ranging briefing, officials touched on a number of topics related to the Helene response. Notably, Cooper called out the effects of wide-reaching disinformation that has been spreading in Helene’s wake; FEMA Administrator Deanne Criswell vowed to keep significant assets in North Carolina even as the agency responds to Hurricane Milton’s impending landfall in Florida; and Cooper called for direct assistance for small businesses impacted by the storm.

Other State Leaders Flocking to WNC to Assess Damage, Response

Where once were surging floodwaters, now elected representatives from both the federal and state level are pouring into Western North Carolina and Haywood County, touring damaged areas, talking to local officials about needs and thanking first responders for their service to their communities.

North Carolina Gov. Roy Cooper, with FEMA Administrator Deanna Criswell in tow, continued his multi-day western swing on Oct. 4, making stops in Haywood and Jackson Counties. On Oct. 8, Sen. Thom Tillis visited the same complex Cooper had a few days before, saying he was pleased with the overall response by FEMA. Mark Pless, Haywood County’s Republican representative in the General Assembly, said that House Speaker Tim Moore, R-Cleveland, met with leaders in Canton on Oct. 4, delivering supplies and moving onto Clyde, Waynesville and the Crabtree Fire Department before joining the mayors of Hot Springs and Marshall in Madison County, which Pless also represents. Rep. Destin Hall, R-Caldwell, and Rep. Karl Gillespie, R-Macon, accompanied Pless to Marshall and Hot Springs again on Oct. 6.

 

by Randy Aldridge

NC Lawmakers Pass $273M Helene Relief Bill with Voting Changes to More Counties

I'm an image
Senate Leader Phil Berger, House Speaker Tim Moore and other legislators release initial disaster relief proposal. (Photo: NC Insider, Clifton Dowell)

Describe it as a down payment on aid and a way to help hard-hit counties

RALEIGH, N.C. (AP, Gary Robertson) — North Carolina legislators completed an initial $273 million relief package Wednesday to help spur recovery from Hurricane Helene, describing it as a down payment on aid and a way to help hard-hit counties gain more flexibility in holding elections already underway.

The legislation, which was approved unanimously in the House and Senate, comes less than two weeks after the catastrophic flooding from the storm’s historic rainfall in the North Carolina mountains.

Over half of the 238 confirmed Helene-related deaths in Southeastern states in Helene’s path occurred in North Carolina, a presidential battleground state where absentee voting has already begun.

Tens of thousands of electricity customers in the region remain without power and some people, including residents of Asheville, still lack running water. The voice of legislators from the ravaged region cracked with emotion when talking about the heavy blows dealt by Helene.

“I want to thank you for putting your first seeds into the ground,” said Sen. Ralph Hise, a Republican from Mitchell County, where he said the local water system is “unsalvageable” and otherwise would take years to replace. “We’ve never seen devastation like this before.”

Republican legislative leaders who helped craft the measure with input from Democratic Gov. Roy Cooper’s administration and election officials emphasized repeatedly that more legislation and funds would come soon. Lawmakers have also agreed to return Oct. 24 for more action, rather than wait until mid-November for an already scheduled session. They acknowledged the effort would take months and years to complete.

“The recovery that is going to have to be done is going to be something that is a Herculean task, but it is something that we will get done,” House Speaker Tim Moore said.

Nearly all the money in the bill — $250 million — is earmarked for state agencies to meet the federal government’s match for state and local disaster assistance programs. State government currently has $4.75 billion set aside in a “rainy-day” fund and $733 million in a disaster response reserve. Other pots of money could be tapped if needed.

The governor was expected to sign the legislation. “I appreciate the efforts of the legislature today to pass a bill to aid these communities,” Cooper said at a Helene recovery briefing at the state Emergency Operations Center in Raleigh.

The bill also includes specifics to ensure teachers and cafeteria workers in public schools closed in Helene’s aftermath get paid. Fees for people to replace lost driver’s licenses and identification cards are getting waived, as are some highway repair and open storm debris burn permitting requirements.

The bill also largely follows rule alterations for conducting elections and turning in ballots that were approved unanimously earlier this week by the State Board of Elections. But lawmakers decided to expand the alterations from 13 of the state’s 100 counties approved by the board to 25 counties — in keeping with the scope of the federal disaster declaration, Senate leader Phil Berger said.

The storm’s flooding has severely damaged some voting sites, making replacements necessary. Early in-person voting is held Oct. 17 through Nov. 2.

The legislation allows voters registered in the 25 counties, for example, to request an absentee ballot in person up until the day before Election Day. These voters also would have more ways to drop off those absentee ballots, including any open early voting site or county election office in any of the 100 counties, as well as at the State Board of Elections office in Raleigh. That goes beyond the additional options approved by the state board. Such ballots still must be turned in by 7:30 p.m. on Election Day to be counted.

Republican presidential candidate Donald Trump’s campaign sent out a news release late Tuesday suggesting 10 changes so displaced voters “don’t lose their right to participate in this important election.” Most of the ideas are contained in the legislation, although one appears absent.

Overall, the region affected by the election changes has historically favored Republican candidates, although Asheville and surrounding Buncombe County is considered a Democratic stronghold.

Sen. Paul Newton, a Cabarrus County Republican and Senate elections committee co-chairman, emphasized the changes in the bill were nearly all based on the board’s bipartisan order earlier in the week, and that many entities provided input to staff.

“We just saw the level of devastation and knew we had to make changes for anybody to have a chance of voting in these elections,” Newton said. “That would be true no matter whether it’s red or blue.”

In floor debate, Democratic and Republican mountain legislators described the destruction they’ve witnessed in their districts. They spoke gratefully about acts of heroism and assistance from outside the region, including convoys of supplies.

GOP Rep. Jennifer Balkcom, who with others helped open a Henderson County aid distribution warehouse, said mountain people are strong and resilient.

“But people are still needing help even though they don’t ask for it,” Balkcom said, adding the legislation is “a start to help get people what they need.”

by Randy Aldridge

Hurricane Helene Frequently Asked Questions

After Helene:  Answers to Some of Your Questions

Updated 10/16/24, 3:40 pm

The North Carolina Medical Society is continuing to update information for our members and people across North Carolina with the latest on Hurricane Helene disaster recovery continues.  Here is a list of Frequently Asked Questions.

  •  I need to let state agencies know the status of my practice.
    • Click here for the NCMS Impact Survey and the NCMB Practice Status Form.  Both MUST BE SUBMITTED AS SOON AS POSSIBLE.
    • If you know someone without internet access you can fill out the form for them or have them call the NCMS at 919-833-3836.
  • I need financial support.  What are my options?
  • I have an emergency or need rescue. What can I do?
    • Call 911 for any emergencies. While some 911 centers are down in western NC, their calls are being routed to other counties in central and eastern NC.
  • I have undocumented patients.  Can they stay in shelters?
    • If a person needs to stay in a shelter, get emergency supplies or needs other types of disaster relief, legal action will NOT be taken. If someone tries to enforce immigration law, report it: DHS.gov/file-civil-rights-complaint.
  • My bilingual staff can't work right now. How can I help my Spanish-speaking patients?
    • They can reach out to Línea de Salud NC, a free, Spanish-language Health Hotline, at 1-844-438-6827.
    • Mental health resources are also available.  Call the Disaster Distress Helpline at 1-800-985-5990. Press 2 to get help in Spanish.
  • I have questions about food, shelter, roadways, or need other general non-emergency information. Who can I call?
    • You may call 211 for any non-emergency related questions.
  • I cannot stay at home and need shelter. Where can I find out what to do?
    • Visit ReadyNC.Gov for sheltering information and follow your local government’s social media and website for more information.
  • My business or home is damaged.  Who can I email?
    • Residents with questions about the recovery process or Individual Assistance may email [email protected].
  • Who do I contact in my county for the latest information?
  • My practice is open, but we can't access medical records.
  • My patients need medicine.  Where are open pharmacies?
  • Who do I contact at Division of Emergency Management?
  • I have Blue Cross NC and need clarification on how it is handling Prior Authorization, telehealth, and appeals
  • I use the State Health Plan, but don't know how to get information.
  • When will I know what recovery programs are available?
    • This will be announced following the damage assessment process with local governments. Determinations are not a rapid process as the disaster assessments take time to ensure accuracy, which can benefit North Carolinians by activating further resources.
  • I need help with clean-up!
    • Yes, you can contact Crisis Clean Up at 910-218-1569 and they can potentially assist with connecting you with volunteer organizations in your area that can be a resource.
  • What roads are open and closed right now?
    • Visit DriveNC.Gov for the most up-to-date information on roadway conditions from the North Carolina Department of Transportation. You can also follow your local government’s social media pages or websites for updated information on roadway conditions.
  • The election is days away and I'm afraid I won't be able to vote.
  • I need to transfer a patient from Western NC hospitals impacted by Helene.
  • How do I access shelters that manage individuals requiring non-acute medical care by physicians, nurses, etc..
  • I have Medicare. Who do I contact for lost or damaged durable medical equipment, prosthetics, orthotics, and supplies?
    • Contact 1-800-MEDICARE (1-800-633-4227) for assistance.
  • How do I help my patients obtain and maintain access to critical life-saving services such as dialysis?
    • CMS activated the Kidney Community Emergency Response (KCER) program and working with End-Stage Renal Disease (ESRD) Network 6 (Georgia, North Carolina) and Network 7 (Florida), which is responsible under a contract with CMS for assessing the status of dialysis facilities in potentially impacted areas of the impacted states. Visit the Kidney Community Emergency Response (KCER) program website: kcercoalition.com/ Contact: The ESRD Network 6 (Georgia, North Carolina) toll-free hotline is 1-800- 524-7139 and ESRD Network 7 (Florida) toll-free hotline is 1-800-826-3773.
  • I'm a NC physician/PA. How do I get information about Limited Emergency License in North Carolina?
    • NCMEDBOARD.ORG
  • I'm an out-of-state physician/PA and do not currently have a license in North Carolina. How do I obtain a temporary licensure under the emergency policy?
  • I'm a physician/PA with a full North Carolina license. Am I able to volunteer without obtaining a volunteer license?
    • Physicians and physician assistants with a full North Carolina license are able to volunteer without obtaining a volunteer license. Note that PAs who provide volunteer medical services DO need a supervising physician per NC law.
  • I have patients who need help buying food. Who should they contact.
    • Visit this page here.
  • What should I know about Well and Septic Safety following Hurricane Helene?
    • Visit the page here.

 

The NCMS will continue to update this page as more information becomes available.

by Randy Aldridge

Critical Update from SBA on Helene Recovery Resources. Webinar 10/10/24

Webinar: SBA Resources for All Businesses Impacted by Helene

 A critical update with the U.S. Small Business Administration on Resources for Helene Recovery

Around 25% of businesses fail after a disaster. To ensure North Carolina businesses get the timely answers they need, the NC Chamber is hosting a complimentary webinar on Thursday, Oct. 10: “SBA Resources for All Businesses Impacted by Helene.” 

Every business (any size) within the declared areas, private nonprofit organization, or resident affected by Helene can apply online or at the opened Business Recovery Centers (BRCs) managed by SBA or Disaster Recovery Centers (DRCs) managed by FEMA. A full list of counties in the declared areas is at the bottom of this email.

It’s helpful to start this process immediately. You do not have to wait for insurance coverage determinations or claims denials to apply for SBA programs. The application filing deadline for physical damage is Wednesday, Nov. 27 and economic injury is Monday, June 30.

This programming is offered on a complimentary basis to all.  Please share it with anyone in your network who might benefit from SBA resources.

Counties Eligible for Relief

The disaster declaration covers Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Catawba, Clay, Cleveland, Gaston, Haywood, Henderson, Jackson, Lincoln, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania, Watauga, Wilkes, and Yancey counties and The Eastern Band of the Cherokee Indians in North Carolina which are eligible for both Physical and Economic Injury Disaster Loans from the SBA.

Small businesses and most private nonprofit organizations in the following adjacent counties are eligible to apply only for SBA Economic Injury Disaster Loans (EIDLs): Cherokee, Graham, Iredell, Mecklenburg, Surry, Swain and Yadkin in North Carolina; Rabun, Towns and Union in Georgia; Cherokee, Greenville, Oconee, Pickens, Spartanburg, and York in South Carolina; Carter, Cocke, Greene, Johnson, Sevier, and Unicoi in Tennessee; and Grayson in Virginia.

Agenda

Thursday, October 10
11:00 am Welcome and Introductions
11:05 am Presentation: Overview and Update
11:40 am Q&A

by Randy Aldridge

State Lawmakers Meeting Today to Pass a $273 Million Disaster Relief Bill for WNC

The current balance of the state’s rainy day fund is $4.75 billion

State lawmakers will meet in Raleigh Wednesday to pass a $273 million disaster relief bill to help western North Carolina communities devastated by Hurricane Helene last month.

The bill they’ll take up Wednesday is House Bill 149, an unrelated measure that was already in conference committee. They’ll strip out the contents and replace it with their relief package. Because H149 is a conference report, it will require only one vote in each chamber, and no amendments can be made to it. The state will get funding help from the federal government, but it also has plenty of money set aside to work with. According to the state controller’s office, the current balance of the state’s rainy day fund is $4.75 billion. The state also has $733 million in an emergency response and disaster reserve account, giving lawmakers nearly $5.5 billion in immediately available funding.

The state also has an array of other reserve funds totaling more than $3 billion. Those other reserve funds are earmarked for specific purposes, like Medicaid cost overruns or information technology, but are available if needed.

by Randy Aldridge

Urgent! NCMS and NCMB Impact Surveys Needed for Western North Carolina Practices

NCMS CEO Chip Baggett on the importance of completing these two surveys

The North Carolina Medical Society (NCMS) is working closely with the North Carolina Office of Emergency Services to assess the condition of medical practices in Western North Carolina. Two critical surveys are available on the NCMS website, and it’s essential that all healthcare facilities affected by Hurricane Helene complete them.

We understand that many offices are still without power, internet, or phone service. If you're receiving this message and can contact other physicians in the area, please help by ensuring they submit this important information.

The NCMS is the sole organization collecting this data, which will lead to faster and more efficient relief efforts for you, your colleagues, and your community.

You may fill out these forms as often as needed as your situation evolves.

Click here for access to the NCMS Practice Impact Survey.

Click here for access to the NCMB Practice Status Form.

BOTH SURVEYS MUST BE COMPLETED AND SUBMITTED SEPARATELY

by Randy Aldridge

Statewide Initiative to Promote Diabetes Prevention Efforts by Leveraging Physician Champions

A statewide effort to support diabetes prevention efforts with a physician champion initiative resulted in increased physician outreach, patient identification resources, and referrals to the National Diabetes Prevention Program, suggesting this work with physician champions can be further translated and applied to other states’ prevention efforts.

To increase referrals to the Centers for Disease Control and Prevention’s (CDC) evidence-based National Diabetes Prevention Program (DPP) in North Carolina, the American Medical Association (AMA) and the North Carolina Medical Society (NCMS) tried a novel tactic, a grassroots influence campaign driven by a team of hand-picked physician champions. A new study, “A Statewide Physician Champion Initiative to Prevent Diabetes: Lessons Learned from North Carolina,” details the successes and challenges of this effort as well as lessons learned.

The National DPP lifestyle change programs were developed by the CDC in partnership with public and private organizations to build a delivery system to target type 2 diabetes prevention in adults with prediabetes. The program is built on evidence-based research that clearly demonstrates that intensive lifestyle change focused on healthy eating, physical activity, and stress reduction is the most effective intervention for preventing the onset of diabetes.

The initiative- Diabetes Free NC, sought to enroll 5,000 patients in the National DPP between January 2020 and January 2023 and was successful thanks to the financial support provided by AMA and NCMS and close coordination between those organizations and the champions. The physician champions led efforts in educating other physicians in peer-to-peer settings to increase referrals to the program and dispatched within their communities to raise awareness about diabetes treatment and diagnosis.

The six physician champions selected for the initiative were all board-certified primary care physicians specializing in family medicine, internal medicine, or geriatrics who held current or previous leadership roles and had an existing relationship with NCMS. Champions were chosen not just for their clinical expertise but also for their ability to be leaders, advocates, coalition-builders, and presenters.

Once selected, champions went through orientation training and received quarterly coaching from AMA team members to review evidence and guidelines and receive feedback on key messages to use with a physician audience. An important aspect of the program was clearly defining the roles and responsibilities expected of the champions and remaining in constant contact with the support teams from AMA and NCMS.

The champion’s responsibilities included supporting diabetes prevention awareness efforts and disseminating clinical content. They served as ambassadors for the program in their health care organizations and community while attending events and conferences where they could speak to peers and decision-makers. Champions participated in events such as a panel discussion at the virtual CPP Annual Meeting/Lifestyle Medicine Summit, and East Carolina University Family Medicine Grand Rounds and gave a presentation at the North Carolina Ophthalmology Annual Meeting. Champions were encouraged to leverage any opportunity to connect with and educate other physicians and community leaders. They established relationships with church leaders and YMCA coaches, conducted physician-led educational sessions in a community dinner series, and partnered with the local YMCA and health clinics to hold a diabetes prevention event that included blood glucose testing with referrals to the YMCA diabetes program for those who qualified, and a healthy cooking class sponsored by a local nonprofit organization. Champions kept in regular contact with AMA and NCMS leadership to share updates on their activity and progress.

Champions leveraged social media and gave interviews for articles from AMA news, NCMS Morning Rounds and some local newspapers in Fayetteville, NC, which were then highlighted in email campaigns directed at primary care physicians. All champions promoted the removal of barriers to care and encouraged more funding opportunities to increase physician engagement in diabetes prevention efforts.

Successes reported by the physician champions include increased awareness of prediabetes through outreach and clinical education. It also enabled collaborations with community-based organizations, adopting shared learnings and best practices, and availability of statewide referral platforms that aided champions in engaging peers. Overall, there was an increase in prediabetes identification and management, which led to increased referrals to the National DPP. Program success would not have been possible without leveraging the NCMS member network to build a grassroots awareness campaign, which was then supported by the AMA.

The approach and strategies outlined in “A Statewide Physician Champion Initiative to Prevent Diabetes: Lessons Learned from North Carolina” can be used to promote other public health initiatives as it has proven to be very effective in raising awareness and increasing treatment uptake. This effort proved effective, so much so that the AMA is using a similar strategy to promote its state-based efforts to increase prevalence and coverage of Self Measured Blood Pressure programs.

Acknowledgments:

I would like to gratefully acknowledge all the co-authors of this study, colleagues at NCMS, and the physician champions who participated in this initiative with their respective organizations. A special thanks to Valerie Lapointe for her assistance with the blog post.

Author Profile

Tamkeen Khan
Dr. Tamkeen Khan is a Senior Economist for the American Medical Association's 'Improving Health Outcomes' strategic focus area. Dr. Khan's research focuses on the economics of chronic disease and her work helps establish a strong evidence base for cardiovascular disease prevention.  Dr. Khan holds PhD in Economics from the University of Illinois at Chicago.

by Randy Aldridge

Hurricane Helene: Fact vs. Rumor

 

 

There are many false reports and misinformation being shared on social media about the response to Hurricane Helene

The NC Department of Public Safety has issued the following report after countless false reports and misinformation has spread across the state:

The public should get information about storm response and impacts from trusted sources like the State Emergency Response Team, National Weather Service, and other federal, state, county and local government sites. Be aware that Artificial Intelligence or AI-generated images are being circulated on social media that do not depict conditions on the ground.

Do your part to the stop the spread of rumors by doing three easy things:

  • Find trusted sources of information.
  • Share information from trusted sources.
  • Discourage others from sharing information from unverified sources and question where information is coming from.

 

 

Stop the Spread of Misinformation

QUESTION: I saw a rumor shared on social media about Hurricane Helene response. Should I share it?

FACT: False information is being widely shared on social media channels, including AI-generated content and images. Nefarious actors and those with ill intent may be taking advantage of this situation by spreading false information. The public is encouraged to find trusted sources of information; share information from those trusted sources; and to discourage others from sharing information from unverified sources.

 

RUMOR:  The state and federal government are doing nothing to respond to the ongoing disaster in Western North Carolina.

FACT: The NC State Emergency Response Team, which includes local, state, federal and military partners, along with power and cell phone agencies, private businesses and volunteer organizations, is working around the clock to save lives and provide humanitarian relief to Western North Carolina residents. This is a coordinated effort aimed at saving lives and to speed recovery for residents, businesses and municipalities in the impacted areas.

 

RUMOR: Checkpoints are being established and donations and volunteers are being turned away from Western North Carolina.

FACT: Roadways in Western North Carolina are still dangerous and impassible in many places. A recent landslide shows the potential for more serious incidents. In some areas, traffic is being rerouted to maintain availability of roadways for emergency response, coordinated disaster relief efforts and local traffic.

 

RUMOR: The state is discouraging donations in the wake of Hurricane Helene. Physical donations are being confiscated by state and federal officials.

FACT: The state is encouraging financial donations to the North Carolina Disaster Relief Fund at www.nc.gov/donate, or to a NC Volunteer Organization Active in Disaster. A list of these organizations can be found at www.ncvoad.org/members. The state is working with these organizations to stand up logistical operations to coordinate the collection and distribution of countless physical donations from across the state and country. Donations are not being confiscated by state and federal officials.

 

RUMOR: The state and federal government are discouraging volunteerism in Western North Carolina.

FACT: Coordinated volunteer disaster relief efforts are needed in Western North Carolina. We strongly encourage neighbors to continue helping neighbors in impacted areas. Those wishing to volunteer should register at www.nc.gov/volunteer in order to be connected with a NC Volunteer Organization Active in Helene response. Please do not self-deploy to Western North Carolina unless you are working with an organization already providing services on the ground.

 

RUMOR: The FAA is restricting access to the airspace for Helene rescue and recovery operations.

FACT: The FAA is not restricting access for recovery operations. The FAA is coordinating closely with state and local officials to make sure everyone is operating safely in very crowded and congested airspace. Learn more.

 

RUMOR: FEMA is operating and controlling airports in western North Carolina.

FACT: FEMA is not controlling any airports in western North Carolina. Airport Managers and Airport Sponsors are the legal entities in charge of operating airports, even in Helene response. FEMA staff may be present at airports as they deploy supplies and stage for Helene response. Airports are critical for accessing impacted NC communities for response and recovery efforts for partners including FEMA.

There are many false reports and misinformation being shared on social media about the response to Hurricane Helene. Additional reliable information regarding Helene can be found at www.ncdps.gov/helene.

En español haga clic aqui 

by Randy Aldridge

Two American Scientists Win Nobel Prize for Discovery of microRNA

2024 Nobel Prize winners Gary Ruvkun and Victor Ambors (photo: AP Photo/Steven Senne)

 

STOCKHOLM (AP, Daniel Niemann, Mike Corder, Maria Cheng) — Two scientists won the Nobel Prize in physiology or medicine on Monday for their discovery of microRNA, tiny bits of genetic material that serve as on and off switches inside cells that help control what the cells do and when they do it.

If scientists can better understand how they work and how to manipulate them, it could one day lead to powerful treatments for diseases like cancer.

The work by Americans Victor Ambros and Gary Ruvkun is “proving to be fundamentally important for how organisms develop and function,” according to a panel that awarded the prize in Stockholm.

Ambros and Ruvkun were initially interested in genes that control the timing of different genetic developments, ensuring that cell types develop at the right time.

Their discovery ultimately “revealed a new dimension to gene regulation, essential for all complex life forms,” the panel said.

What is the Nobel Prize for?

RNA is best known for carrying instructions for how to make proteins from DNA in the nucleus of the cell to tiny cellular factories that actually build the proteins. MicroRNA does not make proteins, but helps to control what cells are doing, including switching on and off critical genes that make proteins.

Last year’s Nobel for medicine went to scientists who discovered how to manipulate one of those types of RNA, known as messenger RNA or mRNA, now used to make vaccines for COVID-19.

Ambros’ and Ruvkun’s revolutionary discovery was initially made in worms; they set out to identify why some kinds of cells didn’t develop in two mutant strains of worms commonly used as a research model in science.

“Their groundbreaking discovery revealed a completely new principle of gene regulation that turned out to be essential for multicellular organisms, including humans,” according to the citation explaining the importance of their work.

That mechanism has been at work for hundreds of millions of years and has enabled evolution of complex organisms, it said.

Ambros, currently a professor of natural science at the University of Massachusetts Medical School, performed the research at Harvard University. Ruvkun’s research was performed at Massachusetts General Hospital and Harvard Medical School, where he’s a professor of genetics.

Why does microRNA matter?

The study of microRNA has opened up approaches to treating diseases like cancer because it helps regulate how genes work in our cells, said Dr. Claire Fletcher, a lecturer in molecular oncology at Imperial College London.

Fletcher said there were two main areas where microRNA could be helpful: in developing drugs to treat diseases and in serving as possible indicators of diseases, by tracking microRNA levels in the body.

“If we take the example of cancer, we’ll have a particular gene working overtime, it might be mutated and working in overdrive,” said Fletcher. She said scientists might one day be able to use microRNA to stop such effects.

Eric Miska, a geneticist at Cambridge University, said the discovery by Ambros and Ruvkun came as a complete surprise, overturning what scientists had long understood about how cells work.

Their discovery of microRNA shocked many scientists, Miska said, explaining that such small bits of genetic material had never been seen before. The tiny fragments of RNA — the human genome has at least 800 — were later found to play critical roles in how our bodies develop.

Miska said there is ongoing work on the role of microRNA in infectious diseases like hepatitis and that it might also be helpful in treating neurological diseases.

Fletcher said the most advanced studies to date are reviewing how microRNA approaches might help treat skin cancer, but no drugs have yet been approved. She predicted that might happen in the coming years, adding that most treatments at the moment target cell proteins.

“If we can intervene at the microRNA level, it opens up a whole new way of us developing medicines,” she said.

How did Gary Ruvkun and Victor Ambros react?

The phone call from the Nobel panel is often a surprise, but there are certain signs that recipients and their families pick up on.

“Well, when a phone rings at 4:30 in the morning. ... It never happens here,” Ruvkun said.

“Natasha actually answered it,” Ruvkun added, referring to his wife. “And she goes: ‘He has a Swedish accent.’”

It took a little longer to rouse Ambros.

“Somebody called my son, who called my wife as my phone was downstairs,” he said.

Ruvkun knew immediately the impact the award would have on his life.

“Well, I just kept repeating in my mind, this changes everything because you know, the Nobel is just mythic in how it transforms the life of people who are selected,” Ruvkun said. “The Nobel Prize is a recognition that’s sort of 100 times as much press and celebration as any other award. So, it’s not part of a continuum. It’s a quantum leap.”

Going to pick up his award in December will be the third time he has been to a Nobel Prize ceremony in Stockholm after attending to watch his mentor Robert Horvitz receive the 2002 award and then his buddy Jack Szostak, who won in 2009.

“There’s a trip coming up. It will be the third, possibly the best,” Ruvkun said.

Ambros said he didn’t expect the award as he felt that the Nobel committee has already singled out RNA in the 2006 prize that went to his friends Andrew Fire and Craig Mello.

“It represents the recognition of how wonderful and unexpected discoveries come from a curiosity in basic science financed by taxpayer money. It’s a vitally important, probably the most important message, that this investment really pays off,” he said.

Last year, the Nobel Prize in physiology or medicine went to Hungarian-American Katalin Karikó and American Drew Weissman for discoveries that enabled the creation of mRNA vaccines against COVID-19 that were critical in slowing the pandemic.

The prize carries a cash award of 11 million Swedish kronor ($1 million) from a bequest left by the prize’s creator, Swedish inventor Alfred Nobel.

Nobel announcements continue with the physics prize on Tuesday, chemistry on Wednesday and literature on Thursday. The Nobel Peace Prize will be announced Friday and the Nobel Memorial Prize in Economic Sciences on Oct. 14.

by Randy Aldridge

Bipartisan State Board Unanimously Approves Measures to Help WNC Voters

Long list of measures aim to help Helene victims vote in 2024 election

The bipartisan State Board of Elections on Monday unanimously approved a long list of emergency measures to help Helene victims vote in the 2024 election and ensure election officials can provide accessible, safe, and secure voting options for residents of Western North Carolina. Read the final, signed resolution (PDF).

The 5-0 vote of Democrats and Republicans on the State Board came after extensive planning by the State Board in coordination with county election officials, public safety and emergency management officials, and the U.S. Postal Service. Watch recording of the State Board meeting (MP4).

The measures will apply to the following 13 counties, where infrastructure, accessibility to voting sites, and postal services remain severely disrupted after Helene:

  1. Ashe
  2. Avery
  3. Buncombe
  4. Haywood
  5. Henderson
  6. Madison
  7. McDowell
  8. Mitchell
  9. Polk
  10. Rutherford
  11. Transylvania
  12. Watauga
  13. Yancey

The provisions are also designed to help North Carolina voters living temporarily elsewhere inside or outside of the state or in disaster shelters to be able to vote. They also allow county boards of elections in the 13 counties the flexibility to modify early voting and Election Day voting sites and recruit additional poll workers to best accommodate their voters based on local conditions. And they allow election officials to continue to work with federal and state partners to provide election-related aid to the disaster counties, including temporary voting facilities and restrooms, generators, and other needs.

The emergency measures also include ways to get information about voting to voters housed in shelters and to western North Carolina in general. They were carefully crafted to avoid any detrimental effect on the integrity of the election or the security of ballots.

“These measures were put in place to ensure the victims of Helene can vote in the upcoming election and provide election officials in the hardest hit areas the tools they need to conduct a secure election under extraordinarily difficult conditions,” said Karen Brinson Bell, executive director of the North Carolina State Board of Elections. “Just like the people of western North Carolina, election officials are resilient. We are determined to get the job done for our neighbors and friends in western North Carolina.”

Measures approved by the State Board do all the following and more in the 13 counties:

  • In-person voting:
    • Facilitate in-person early voting by allowing county boards of elections to modify their approved early voting sites, days, and hours through a bipartisan, majority vote.
    • Allow county boards to modify Election Day polling places by bipartisan, majority vote. This provision also allows county boards of elections, with the approval of the State Board executive director, to open a polling place in another county, provided that materials, tabulators and voting processes are kept separate for each precinct’s voters at that location.
    • Allow county boards — by bipartisan, majority vote — to set up their board of elections office to permit any voter in the county to vote at that site, in the event voters are unable to get to their Election Day precinct voting site or are unsure of their voting location. Some county offices may also serve as an early voting site, which allows any voter of the county to vote during the early voting period.
  • Absentee voting:
    • Allow voters to request and receive an absentee ballot in person at their county board of elections office up until Nov. 4 — the day before the election. As always, the voter or voter’s near relative or legal guardian is required to complete an absentee request form with the required personal information for the voter, and that information must be verified by the county board as with any absentee request.
    • Allow voters to drop off completed absentee ballots at Election Day polling places operated by the voters’ county board by 7:30 p.m. on Election Day.
    • Allow voters or their near relatives or legal guardians to hand-deliver completed absentee ballots to another county board of elections in North Carolina or the State Board of Elections office, as long as the ballot is received by 7:30 p.m. on Election Day. The county or State Board then would ensure that those ballots are delivered to each voter’s county board of elections by Nov. 14 — the day before county canvass — to be counted. A log and chain of custody will be maintained to secure these ballots.
  • Poll worker recruitment and assignment:
    • Allow county boards – by bipartisan, majority vote – to appoint election officials who are registered to vote in other N.C. counties, to appoint emergency Election Day assistants and assign them to a precinct, and to reassign poll workers to different locations than their original assignment to ensure sufficient knowledge and expertise at each voting site.
  • Multipartisan Assistance Teams (MATs):
    • Allow county boards — by bipartisan, majority vote — to schedule Multipartisan Assistance Teams to assist with absentee ballot requests and absentee voting at disaster shelters and other places where disaster relief is provided to the public. These teams may receive and deliver to county boards completed absentee ballot envelopes for voters.
  • Coordination with emergency officials:
    • Ensure the State Board continues its ongoing coordination with the N.C. Division of Emergency Management to provide election-related aid to the disaster counties, including temporary voting facilities, generators, temporary restrooms, and other needs.

State law (Emergency powers (N.C.G.S. § 163-27.1)) authorizes the State Board to exercise emergency powers to conduct an election where the normal schedule is disrupted by a natural disaster.

In approving the resolution, the State Board found that Tropical Storm Helene created an unprecedented natural disaster for Western North Carolina that disrupted and continues to disrupt the schedule of the general election. The storm has taken many lives, severely damaged public and private property, and caused significant and lasting disruptions to essential utility services and systems, including power, internet, cell service, water, and transportation.

For comprehensive information on Voting After Helene, go to ncsbe.gov/Helene.

 

 

by Randy Aldridge

CDC: Health Officials To Begin Screening Some Travelers for Marburg Virus

 

No confirmed cases of Marburg virus disease outside of Rawanda yet

The CDC announced Monday that health officials will soon start screening travelers from Rwanda to the US for Marburg virus. There are no confirmed cases of Marburg virus disease — a rare but deadly hemorrhagic disease similar to Ebola — outside of Rwanda, and officials have said that the current risk to the US is low. However, the Department of Health and Human Services said the CDC will begin public health entry screening next week in an effort to reduce the risk of the importation and spread of cases. As of Monday, there have been 56 confirmed cases of Marburg in Rwanda, with 36 people in isolation and treatment, and 12 deaths, according to the Ministry of Health. Many of the cases are in health care workers, the CDC says.

 

by Randy Aldridge

NCIR Unavailable Monday from 9 - 11pm

 

Due to maintenance, the North Carolina Immunization Registry (NCIR) will be unavailable from 9:00PM - 11:00PM on Monday, October 7, 2024.

  • Please use your contingency policy to document any doses administered during this time, so you are able to enter them into the NCIR at a later time.
  • If needed, in the NCIR menu under Reports, there is a "new client form" available for both Adults and Children that can be printed out and/or saved prior to downtime and used for documenting administered doses.
  • Documents will be shared on LHD call
  • Printed copies are distributed with vaccine orders that are delivered, not shipped

Note, Some LHD are not yet able to access the internet or NCIR. This message is for those who are using NCIR.

by Randy Aldridge

Helene Relief Efforts Stats-to-Date

As relief efforts continue in Western North Carolina there is a lot of misinformation and untrue statistics being disseminated. Here are some facts you should know.

  • 1,440+ air rescues to date
  • 515 emergency personnel with 95 fire engines
  • 717 EMS personal with 350 ambulances
  • 1475 state activated National Guard
  • 400 active-duty soldiers in region
  • 500 active-duty soldiers enroute to support
  • 50 rotary wing assets (21 from EMAC)
  • 22 shelters operational with 915 occupants & 102 pets
  • FEMA Assistance:
    • 83,000 registered
    • $27m in disbursements to date

(updated 10/05/24)

by Randy Aldridge

Small Business Administration Opens Three Centers to Help Western NC

SBA Opens Three Centers in Aftermath of Helene

WASHINGTON – Low-interest disaster loans from the U.S. Small Business Administration (SBA) are available to businesses and residents in North Carolina following the announcement of a Presidential disaster declaration for Tropical Storm Helene that began on Sept. 25.

“SBA’s mission-driven team stands ready to help small businesses and residents in North Carolina impacted by this disaster in every way possible under President Biden’s disaster declaration for certain affected areas,” said SBA Administrator Isabel Casillas Guzman. “We’re committed to providing federal disaster loans swiftly and efficiently, with a customer-centric approach to help businesses and communities recover and rebuild.”

The disaster declaration covers Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Catawba, Clay, Cleveland, Gaston, Haywood, Henderson, Jackson, Lincoln, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania, Watauga, Wilkes and Yancey counties and The Eastern Band of the Cherokee Indians in North Carolina which are eligible for both Physical and Economic Injury Disaster Loans from the SBA. Small businesses and most private nonprofit organizations in the following adjacent counties are eligible to apply only for SBA Economic Injury Disaster Loans (EIDLs): Cherokee, Graham, Iredell, Mecklenburg, Surry, Swain and Yadkin in North Carolina; Rabun, Towns and Union in Georgia; Cherokee, Greenville, Oconee, Pickens, Spartanburg and York in South Carolina; Carter, Cocke, Greene, Johnson, Sevier, and Unicoi in Tennessee; and Grayson in Virginia.

LOCATIONS

  • Asheville Business Recovery Center
    Asheville Chamber of Commerce
    36 Montford Ave.
    Asheville, NC 2881
    M-F - 9am - 6pm
    Sat.-  9am - 3pm
    Sun. - Closed
  • Boone Business Recovery Center
    Appalachian Enterprise Center
    130 Poplar Grove Connector
    Boone, NC 288607
    M-F - 8am - 6pm
    Sat. - 9am - 3pm
    Sun. - Closed
  • Charlotte Disaster Loan Outreach Center
    US Small Business Administration District Office
    6302 Fairview Rd., STE 300
    Charlotte, NC 28210
    M-F - 8am - 5pm
    Sat. - Closed
    Sun. - Closed
    Walk-ins are welcome, but you can schedule an appointment at https://lnkd.in/gCk4SN64 .

Disaster survivors should not wait to settle with their insurance company before applying for a disaster loan. If a survivor does not know how much of their loss will be covered by insurance or other sources, SBA can make a low-interest disaster loan for the total loss up to its loan limits, provided the borrower agrees to use insurance proceeds to reduce or repay the loan.

Businesses and private nonprofit organizations of any size may borrow up to $2 million to repair or replace disaster-damaged or destroyed real estate, machinery and equipment, inventory, and other business assets.

For small businesses, small agricultural cooperatives, small businesses engaged in aquaculture and most private nonprofit organizations, the SBA offers Economic Injury Disaster Loans (EIDLs) to help meet working capital needs caused by the disaster. Economic Injury Disaster Loan assistance is available regardless of whether the business suffered any physical property damage.

Disaster loans up to $500,000 are available to homeowners to repair or replace disaster-damaged or destroyed real estate. Homeowners and renters are eligible for up to $100,000 to repair or replace disaster-damaged or destroyed personal property.

Interest rates are as low as 4% for businesses, 3.25% for nonprofit organizations, and 2.813% for homeowners and renters, with terms up to 30 years. Interest does not begin to accrue, and monthly payments are not due, until 12 months from the date of the initial disbursement. Loan amounts and terms are set by the SBA and are based on each applicant’s financial condition.

Building back smarter and stronger can be an effective recovery tool for future disasters. Applicants may be eligible for a loan amount increase of up to 20% of their physical damages, as verified by the SBA for mitigation purposes. Eligible mitigation improvements may include a safe room or storm shelter, sump pump, French drain or retaining wall to help protect property and occupants from future disasters.

“SBA’s disaster loan program offers an important advantage–the chance to incorporate measures that can reduce the risk of future damage,” said Francisco Sánchez, Jr., associate administrator for the Office of Disaster Recovery and Resilience at the Small Business Administration. “Work with contractors and mitigation professionals to strengthen your property and take advantage of the opportunity to request additional SBA disaster loan funds for these proactive improvements.”

With the changes to FEMA’s Sequence of Delivery, survivors are now encouraged to simultaneously apply for FEMA grants and SBA low-interest disaster loan assistance to fully recover.  FEMA grants are intended to cover necessary expenses and serious needs not paid by insurance or other sources. The SBA disaster loan program is designed for your long-term recovery, to make you whole and get you back to your pre-disaster condition.  Do not wait on the decision for a FEMA grant; apply online and receive additional disaster assistance information at sba.gov/disaster.

Applicants may also call the SBA’s Customer Service Center at (800) 659-2955 or send an email to [email protected] for more information on SBA disaster assistance. For people who are deaf, hard of hearing, or have a speech disability, please dial 7-1-1 to access telecommunications relay services.

The filing deadline to return applications for physical property damage is Nov. 27, 2024. The deadline to return economic injury applications is June 30, 2025.

 

 

 

by Randy Aldridge

NC HealthConnex Helps You Find Clinical Information for Displaced Patients

The NC HealthConnex team is committed to supporting those most in need in western North Carolina impacted by Hurricane Helene. The NC HealthConnex Clinical Portal is a web-based application that allows providers to access critical clinical information such as medical history, medications and treatment plans for displaced patients.

Here are some steps you need to gain access based on your current participation status with the NC HIEA.

If you currently have a Full Participation Agreement:

  • A Full Participation Agreement and login credentials are required to utilize this service.
  • Current participants can request credentials by contacting the NC HealthConnex Help Desk at [email protected]. For after hours or weekend support, please call 919-531-2700 for immediate assistance.
  • Providers with credentials can access the portal from any web browser by visiting https://portal.nchealthconnex.net.
  • After searching for a patient, you will need to click “Declare Patient Relationship” to look up patients with whom you do not have a previous treatment relationship. This action will attest that you have a reason to be accessing this patient’s information.
  • To get started using the NC HealthConnex Clinical Portal, please see this Quick Start Reference Guide or view this demonstration video.

If you have a Submission Only Participation Agreement:

  • You will need a Full Participation Agreement in order to gain access to the NC HealthConnex Clinical Portal. A Submission Only agreement is not sufficient.
  • In order to switch to a Full Participation Agreement, please contact the NC HIEA Provider Relations team via email at [email protected] or via phone at 919-754-6912.
  • In order to facilitate timely patient care, the provider relations team is prepared to expedite requests for affected providers.

If you do not have an agreement on file with the NC HIEA:

  • The NC HIEA can expedite enrollment for new providers in the western part of the state and can provide training on the use of systems, etc. Please contact the NC HIEA Provider Relations team via email at [email protected] or via phone at 919-754-6912.

If you are a user of the NC HealthConnex Clinical Portal and experience any issues over the weekend, you will need to call the Help Desk at 919-531-2700.

 

 

by Randy Aldridge

NCMS Working to Help You Rebuild. Please Answer a Few Questions about Helene's Impact to Your Practice

Hurricane Helene left a path of destruction across Western North Carolina and now many physicians are without the means to continue their work of healing.  The North Carolina Medical Society is collecting information on the impacts of the storm so we can assess where to allocate resources.

Please take a moment and answer a few questions for us about how you are doing and what you need.

by Randy Aldridge

Over 150,000 Customers Remain Without Power in Western NC

Contractors for Duke Energy rebuild destroyed electrical lines in Asheville, North Carolina, on October 4. (photo: Jeff Amy/AP)

 

Over a week after Hurricane Helene tore through western North Carolina, over 150,000 customers remain without power as authorities also work to find missing people, restore water and continue recovery efforts in the devastated region.

In Buncombe County, which includes Asheville and Black Mountain, nearly 43% of customers are still in the dark, along with almost 57% of customers in nearby Henderson County, according to Poweroutage.com.

The small counties of Mitchell, Yancey and Avery, heavily impacted by Helene, also show high percentages of outages, with 64%, 57% and 45% of customers without power, respectively.

To donate to Hurricane Helene Relief click here.

by Randy Aldridge

Message from Office of Chief Medical Examiner

 

The North Carolina Medical Examiner System and Office of the Chief Medical Examiner are engaged with North Carolina Emergency Management to provide identification and care of persons who perished from Hurricane Helene. We are also working diligently on all other medical examiner cases that arise during this time.

If you are seeking the location of a person missing as a result of Hurricane Helene, we cannot provide you any information.

We cannot accept any information about missing persons or who you are looking for. The following options may help:
  • Telephone
    • Call NC211 (1-888-892-1162). To report a missing person or request a welfare check, press 1 once you are connected to reach an operator.
  • Internet
    • Visit www.nc211.org to submit a request for a person to be included in the search and rescue efforts coordinated by United Way – North Carolina.
If we make identification of a person who has died, notifications will be made to next-of-kin by local law enforcement or other official, not by this office.

by Randy Aldridge

Important Information for People Enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Impacted by Hurricane Helene

There are more than 250,000 people participating in the WIC program statewide

NCDHHS -- There is widespread damage and devastation following Hurricane Helene, and many participants of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) are impacted. There are more than 250,000 people participating in the WIC program statewide. WIC provides access to healthy food, breastfeeding support, nutrition education and referrals for health care and community services.

Families participating in WIC who may have relocated to a new area can go to any NC WIC agency to have a new eWIC card issued, or to request replacement of breastfeeding supplies, breast pumps, and food purchased with current WIC benefits and lost due to Hurricane Helene.  A list of WIC agency closures related to Hurricane Helene can be found on the NC WIC landing page under Special Weather Announcement.

To Replace Your WIC Card: 

  • If your WIC card is lost, stolen or damaged, call eWIC Customer Service at 1-844-230-0813. WIC cards will be replaced by regular mail. You should receive your replacement card in five to seven days.
  • Or visit any local WIC clinic to have your WIC card replaced.

To Check Your WIC Benefit Balance, Purchase History, and Account Information:

  • Call eWIC Customer Service toll-free 24/7 at: 1-844-230-0813 OR
  • Check your account at www.ebtEDGE.com OR
  • Use the FIS ebtEDGE App

To Transfer WIC Benefits from Another State to NC:

  • If your family was participating in WIC outside of NC and has relocated to NC as a result of Hurricane Helene, please visit any NC WIC agency to transfer benefits through a Verification of Certification.

Other things you can do at www.ebtEDGE.com or on the ebtEDGE App: 

  • Set, change or unlock your PIN
  • View transaction history
  • View future benefits
  • Order a replacement card
  • Recover password or username
  • View a store location where WIC benefits can be used

The North Carolina WIC Program is available statewide through local health departments, community and rural health centers, and community action agencies that provide WIC Program services. To apply for the WIC program, participants must meet eligibility requirements and meet with a nutritionist or other health professional. If you have any questions, you can contact your local WIC clinic or visit our website at www.ncdhhs.gov/ncwic/eWIC. We also have a dedicated page of resources for people impacted by Hurricane Helene at www.ncdhhs.gov.

 

by Randy Aldridge

Replacement Benefits Available for Food and Nutrition Services Recipients Impacted by Hurricane Helene

 

 

Replacement Benefits Available for Food and Nutrition Services Recipients Impacted by Hurricane Helene

 

People in 23 Western North Carolina counties impacted by Hurricane Helene who are enrolled in Food and Nutrition Services now have access to replacement benefits on their Electronic Benefit Transfer (EBT) cards. The United States Department of Agriculture approved North Carolina to allow current FNS participants in the 23 counties to receive 70% of their total monthly September benefit back on their EBT card. The benefit replacement is automatic and does not require action from the FNS participant. This impacts more than 200,000 people in North Carolina and more than $24 million in replacement benefits.

“We’ve worked quickly with the federal government to have $24 million in SNAP benefits restored to 200,000 individuals’ EBT cards, in light of the fact that due to power outages and worse, many families have lost their food,” said NC Health and Human Services Secretary Kody H. Kinsley. “We will creatively use every tool we have to support folks impacted by Hurricane Helene now and for the long-haul.”

The approval is for FNS recipients in the following counties: Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Cleveland, Gaston, Haywood, Henderson, Jackson, Lincoln, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania, Watauga, Wilkes, and Yancey counties.  The replacement benefits were automatically credited to impacted FNS recipients Electronic Benefits Transfer (EBT) cards Sunday morning and are available now.

There are three ways to check your FNS balance 24 hours a day, seven days a week:

  • Visit www.ebtedge.com. Click on More Information under EBT Cardholder. You will be prompted to login and/or register your account.
  • Download the ebtEDGE mobile app. The app is available as a free download on the Apple Store and Google Play.
  • Call 1-888-622-7328 and follow the prompts to activate your PIN.

NCDHHS recently received approval for FNS participants to temporarily use their benefits to purchase hot food, including food prepared for immediate consumption, from authorized Electronic Benefits Transfer (EBT) retailers using their EBT card. FNS participants statewide will be able to purchase hot food through Nov. 3, 2024, and do not have to apply for the benefit.

Additionally, NCDHHS is actively working with USDA to receive federal authority to operate a Disaster Supplemental Nutrition Assistance Program. D-SNAP allows more people impacted by Hurricane Helene to qualify for food assistance benefits who are not already FNS recipients. More information will be communicated once NCDHHS has approval to implement the D-SNAP program.

NCDHHS recommends people using EBT cards check their balances regularly for unauthorized charges and take the following actions to keep their EBT card and account secure:

  • You can check your balance and/or replace a lost or stolen EBT card by visiting www.ebtedge.com, using the EBT Edge mobile app or contacting the North Carolina EBT Call Center at 1-888-622-7328.
  • Block out-of-state and online purchases using the EBT Edge website or mobile app.
  • If you suspect card skimming, freeze your EBT card when not shopping so fraudulent purchases cannot be made using your card.
  • Select a “difficult” PIN (i.e., not 1234 or 1111) for the EBT card and change the PIN regularly.

For information about the FNS program, visit www.ncdhhs.gov/fns or visit epass.nc.gov.

For information regarding Hurricane Helene and additional resources and flexibilities in place, please go to www.ncdps.gov/Helene and www.ncdhhs.gov/helene.

by Randy Aldridge

North Carolinians Enrolled in Food and Nutrition Services Can Use Benefits to Buy Hot Food Following Hurricane Helene

Change Remains in Effect Until November 3, 2024

People and families in North Carolina who are enrolled in the Food and Nutrition Services (FNS) program can use their benefits to purchase hot food. This temporary flexibility applies to all 100 counties in North Carolina and the nearly 700,000 households enrolled in the FNS program. The North Carolina Department of Health and Human Services is working closely with the U.S. Department of Agriculture to ensure people impacted by Hurricane Helene receive assistance as soon as possible.

"For people and families in North Carolina whose lives have been turned upside down by Hurricane Helene, a hot meal can provide a small comfort and sense of normalcy to their day," said Governor Roy Cooper. "This flexibility helps us make sure everyone has access to basic necessities while we continue to work to restore services to impacted communities."

"This benefit will support families who are reeling from the effects of Hurricane Helene with hot food they can purchase with their EBT card," said NC Health and Human Services Secretary Kody H. Kinsley. "We are 100% committed to the health and wellbeing of our friends, family, and fellow North Carolinians in every corner of western North Carolina — now and for the long haul."

North Carolinians in the FNS program can purchase hot food, including food prepared for immediate consumption, from authorized Electronic Benefits Transfer (EBT) retailers using their EBT card starting today. All authorized EBT vendors in the state have been notified about this change, which will remain in effect until Nov. 3, 2024.

This will ensure families who are not able to prepare food at home due to displacement or power outages still have access to warm meals. Customers do not have to apply for this benefit but should inquire first with the store to see if they can process hot food purchases with their FNS benefits. It is important to note this is for authorized retailers like gas stations or deli departments, not restaurants or other non-EBT authorized retailers. A map of retailers that accept EBT is available here.

North Carolina has been approved for a waiver that provides additional time for FNS participants residing in the affected disaster areas to report a food loss as a result of Hurricane Helene to their local Department of Social Services office due to displacement, transportation issues or other storm-related hardships through October 26, 2024.

NCDHHS has also applied for a waiver to automatically replace a portion of FNS benefits for individuals and families in the western North Carolina who have lost food purchased with their September FNS benefits. Once NCDHHS receives approval, the department will send out a notification with more details.

Additionally, NCDHHS is actively working with USDA to receive federal authority to operate a Disaster Supplemental Nutrition Assistance Program. D-SNAP allows more people impacted by Hurricane Helene to qualify for food assistance benefits who are not already FNS recipients. More information will be communicated once the department has approval to implement the D-SNAP program.

For information about the FNS program, visit www.ncdhhs.gov/fns or visit epass.nc.gov.

For information regarding Hurricane Helene and additional resources and flexibilities in place, please go to www.ncdps.gov/Helene and www.ncdhhs.gov/helene.

There is no right or wrong way to feel in response to the trauma of a hurricane. If you have been impacted by the storm and need someone to talk to, call or text the Disaster Distress Helpline at 1-800-985-5990. Help is also available to anyone, anytime in English or Spanish through a call, text or chat to 988. Learn more at 988Lifeline.org.

 

 

by Randy Aldridge

Hurricane Helene by the Numbers

Hurricane Helene Already Ranked in Top 10 Deadliest Hurricanes

(USA Today) -- Helene hit Western North Carolina on the morning of Friday, Sept. 27, dumping inches of rain on communities that had already seen multiple inches of rain that week. By the time it reached the Carolinas, Helene was a tropical storm but less than 12 hours earlier it made landfall as a catastrophic Category 4 hurricane near Perry, Florida, on Thursday, Sept. 26 around 11 p.m. ET.

As it made its way inland, the storm caused millions to lose power, hundreds of homes and scores of roads were damaged or destroyed and has now left a rising death toll.

How many people have died because of Helene?

As of Thursday, Oct. 3, more than 200 people have died due to Hurricane Helene.
In North Carolina, 115 people have died. In addition, South Carolina has reported 41 fatalities, Georgia 33, Florida 19, Tennessee 11 and Virginia two for a total of 214.
Hundreds are still missing in Western North Carolina.

How much rain fell in Western North Carolina due to Tropical Storm Helene?

While Helene dumped rain on the western portion of the Carolinas, the area had already been drenched the week before by storms. Here's how many inches of rain communities saw between Tuesday, Sept. 24 and Saturday, Sept. 28, according to the National Weather Service.

  • Busick in Yancey County had the most recorded rain in the period of time at 30.78 inches
  • Spruce Pine: 24.12 inches
  • Hendersonville: 21.96 inches
  • Mountain Home: 17.09 inches
  • Candler: 16.18 inches
  • Tryon: 15.78 inches
  • Grandfather Mountain: 15.42 inches
  • Highlands: 14.86 inches
  • Banner Elk: 14.85 inches
  • Mills River: 13.26 inches
  • Swannanoa: 13.21 inches

How high were wind gusts in Asheville, Western North Carolina from Helene?

Mt. Mitchell in Yancey County, which is around 35 miles from Black Mountain and is the highest peak in the United States east of the Mississippi River, had some of the highest gusts for wind in the Carolinas, hitting 106 mph at one point. Here are the top wind gusts in Western North Carolina, the Foothills and into the Piedmont, according to the National Weather Service.

  • Frying Pan Mountain, just outside of Waynesville, saw wind gusts of 78 mph.
  • Charlotte saw wind gusts of 66 mph
  • Kings Mountain saw wind gusts of 56 mph
  • Rutherford County, home to Lake Lure and Chimney Rock, saw gusts of 55 mph
  • Spruce Pine saw wind gusts as high as 50 mph
  • Asheville saw wind gusts of 46 mph

What did the rivers in Western NC crest at during Helene?

Rivers across the region still remain swollen a week after Helene first hit down on the region. On Sept. 27, rivers burst from their banks surpassing major flood stages by more than 10 feet in some areas. Rivers overtook communities across Western North Carolina, almost swallowing whole communities leaving nothing behind but mud and debris.

At its peak, the French Broad River in Fletcher crested at 30.31 feet on Sept. 27 as Helene moved through the area, according to the North Carolina State Climate Office out of North Carolina State University. In Asheville, the French Broad hit 24.67 feet, 1.5 feet above its previous highest crest. Further downstream at Blantyre, the river surpassed its 1916 crest of 27.1 feet to hit 27.38 feet before the gauge stopped reporting on Friday afternoon.

The Swannanoa River at Biltmore crested at 26.1 feet, more than five feet above what it did at its maximum in 1916 and slightly above the apparent 26-foot crest in April 1791, noted the climate office.

How many National Guard members are deployed in Western North Carolina, Asheville?

National Guard members across 16 states in the U.S. have been activated to provide assistance to areas impacted the most by Hurricane Helene. In North Carolina, the National Guard has over 1,100 soldiers and airmen on active duty and is making use of nearly 400 vehicles, including 26 aircraft, according to the U.S. Department of Defense.

President Joe Biden, who visited the area on Wednesday, announced that he has dispatched 1,000 troops to reinforce the North Carolina National Guard with relief efforts. 

All together around 6,700 guardsmen are providing support to these different communities, according to the U.S. Department of Defense.

 

Deadliest hurricanes in the United States

The recent death toll attributed to Hurricane Helene makes it the fifth deadliest hurricane to make landfall in the U.S. mainland since 1950 and the deadliest since Katrina in 2005, according to reports from USA TODAY. Here's a look at some of the deadliest hurricanes to have hit the U.S.

The 10 deadliest hurricanes, based on National Hurricane Center information, are listed below by their rank, name, year and number of deaths.

  1. Katrina, 2005: 1,392
  2. Audrey, 1957: 416
  3. Camille, 1969: 256
  4. Sandy, 2012: 219
  5. Helene (preliminary), 2024: 214
  6. Diane, 1955: 184
  7. Ian, 2022: 156
  8. Agnes, 1972: 122
  9. Harvey, 2017: 103
  10. Hazel, 1954: 95

by Randy Aldridge

Vice President Kamala Harris Visits Western NC in Helene Aftermath

(Photo: AP/Chris Carlson)

Harris Pledges Ongoing Federal Support

Democratic presidential nominee Kamala Harris pledged ongoing federal support and praised the work of strangers helping strangers as she visited North Carolina on Saturday in the aftermath of Hurricane Helene, her second trip in four days to the disaster zone.

Harris opened her visit by attending a briefing with state and local officials, where she thanked “those who are in the room and those who are out there right now working around the clock.”

She promised federal assistance would continue to flow and added praise for the “strangers who are helping each other out, giving people shelter and food and friendship and fellowship.”

Harris met with North Carolina Gov. Roy Cooper (D), Federal Emergency Management Agency (FEMA) Administrator Deanne Criswell, Charlotte Mayor Vi Lyles (D) and Asheville Mayor Esther Manheimer (D). Democratic gubernatorial candidate Josh Stein was also present for Harris’s visit.

“The work that’s happening here that is so positively impacting so many people is really an example of the best we can do when we bring resources together at the federal, state and local level, and tap into the kind of collegiality that produces results,” Harris said during a briefing with local officials on the response to the storm.

Harris announced the Biden administration had added Mecklenburg County, the second-most populous county in North Carolina, to a major disaster declaration following the hurricane. The move will free up additional resources to help residents get assistance with home repairs, purchasing generators and more.

The vice president praised local officials and residents for “helping each other out, giving people assistance in every way that they need, including shelter, food and friendship and fellowship.”

“I think that these moments of crisis bring out some of the best of who we could be and who we are,” she said.

Cooper said during Saturday’s briefing that at least 68 people died as a result of the storm. The total death toll from Helene, which ripped through Florida, Georgia, South Carolina and North Carolina, has surpassed 200.

(article includes information from the Associated Press and The Hill)

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by Randy Aldridge

Statement from Baxter International on IV Fluids

 

Baxter International Facility Sustains Critical Damage From Hurricane Helene

Statement from Baxter International:

As we have previously shared, Baxter International's manufacturing facility located in Marion, NC sustained critical damage from Hurricane Helene and is currently closed for production. As Baxter supplies approximately 60% of IV solutions used in North America, DUHS and hospitals across the U.S. are anticipating significant shortages of Baxter IV fluids.

Clinical and administrative leaders across the health system are working to develop a comprehensive conservation strategy. In an effort to ensure the continuity of patient care is maintained, we have consolidated our inventory of IV fluid for normal saline and lactated ringers to a central distribution point.

Important Points to Note for Duke University Hospital:

  • If a patient is hemodynamically decompensating and there is a clinical emergency (including sepsis), proceed as you would normally do in ordering IV fluids to resuscitate the patient. The IV fluid supply will come from your clinical units’ supply and be replenished by restocking from the central distribution room. When a patient has stabilized, please follow previously distributed guidelines on appropriate use of IV fluids.
  • If a patient does not have a clinical emergency and you are considering ordering IV fluids (bolus or continuous infusion) then you must contact your responsible covering attending for approval of that fluid order and this approval must be documented in a progress note. There will be an auditing process to confirm compliance with this process.
  • Every team must review daily (starting today) their list of ongoing continuous IV fluids to confirm clinical need. We highly encourage all clinicians to add IV Fluids column to their patient lists.
  • To order IV fluids, call the Fluid Distribution Center at 919-681-6851. Once confirmed, the fluids will be delivered to you.

As a reminder, the following clinical practices should be implemented immediately:

Maintenance Fluid

  • When appropriate, limit maintenance fluids to a specific total volume or time frame.
  • Consider oral hydration strategies when possible. We are increasing availability of electrolyte PO fluids in partnership with Food Services (ex. Gatorade and Pedialyte).
  • Frequently review and consider elimination of continuous intravenous fluids (IVFs) for patients who are not NPO (or able to take an oral diet).

Procedural/OR

  • Consider opportunities to reduce sterile fluid use (intravenous and irrigation) in procedural cases when appropriate.

Nursing Processes

  • Extend use of IV and flush bags from 24 to 96 hours when changing tubing.
  • Use small-volume bags for low infusion rates.
    • Do not use 1L bags when a 100ml bag will do.
    • Prime A lines with 500mL bags instead of 1L bags, changed every 4 days
  • Eliminate use of Keep Vein Open (KVO) protocols.
  • Limit quantities of IV bags placed in warmers to avoid early expiration.
  • Verify ongoing fluid needs with providers before a new IV fluid bag is spiked.
  • Finish IV bags from the OR or procedure area when going to unit from surgery rather than switching over to a new bag immediately.

Clinical Practice

  • Do not empirically start IVF unless clear indications.

Our incident command center remains active and available to assist with any needs. Hours are from 7 a.m. – 7 p.m. To contact the command center, call 919- 684-2222.

We will continue to provide updates as conditions unfold. Our Supply Chain colleagues are working diligently to ensure we are able continue providing quality care to those who need us. Thank you all for your partnership and collaboration, and for your dedication to provide remarkable care to our patients, their loved ones, and each other.

 

 

by Randy Aldridge

Vice President Kamala Harris to Visit NC After Helene Saturday

(photo: AP Photo/Carolyn Kaster)

Vice President Kamala Harris in NC on Saturday to see Hurricane Helene Damage

(WRAL Staff) -- Vice President Kamala Harris will travel to North Carolina to survey the impacts of Hurricane Helene on Saturday, her office announced.

While in town, Harris will also be briefed on continued recovery efforts that are occurring in communities across the state and provide updates on federal actions that are being taken to support emergency response and recovery efforts in North Carolina and other states throughout the southeast.

It has not been announced what cities Harris will visit while in our state.

Hurricane Helene is now blamed for the deaths of 200 people across the south, and North Carolina has experienced a significant number of power outages, with nearly 245,000 outages reported Friday morning.

As of Thursday, North Carolina data shows at least 105 of those deaths were in North Carolina, including 72 people killed in Buncombe County alone. The ages range from 4 to 89.

 

by Randy Aldridge

NC Rep. David Rouzer gives update on Hurricane Helene

Congressman David Rouzer addresses Hurricane Helene relief efforts

Statement from Congressman David Rouzer:

 

The North Carolina Medical Society is also accepting donations to our NCMS Foundation Disaster Relief Fund.  Click here for your tax-deducible donation.

 

 

by Randy Aldridge

Western North Carolina Medical Society Announces Emergency Medical Needs Fund

 

 

Urgent Appeal: Help WCMS Support Emergency Medical Needs in the Aftermath of Hurricane Helene

In the wake of Hurricane Helene, Western North Carolina is facing unprecedented challenges, and the need for immediate support has never been more critical. Hurricane Helene caused catastrophic damage to Western North Carolina. For many, access to essential healthcare is now a life-threatening challenge.
The Western Carolina Medical Society (WCMS) has launched an Emergency Medical Needs Fund to provide immediate relief and life-saving care to those affected. WCMS Is a regional nonprofit committed to improving healthcare access through WNC. Medical professionals are working tirelessly on the frontlines, but we need your help to ensure that we have the resources to meet the overwhelming need.
Your donation will help us:
1. Provide emergency medical supplies and medications
2. Assist uninsured and underinsured patients in accessing necessary treatments
3. Provide Durable Medical Equipment (wheelchairs, walkers, oxygen, blood sugar monitoring devices, etc) to those in need
4. Address social determinants of health (food insecurity, shelter, basic needs)
Every dollar counts. Your generosity will directly impact the health and recovery of those in our community who need it most. Together, we can bring hope, healing, and critical medical care to those affected by this disaster.
Please donate today.

The North Carolina Medical Society is also accepting donations for relief to the people of Western North Carolina.  Click here to give your tax-deductible donation.  

 

by Randy Aldridge

NCMS Member Dr. Christine Knettel Travels to Western NC to Help After Helene

NCMS wants to hear your story of helping after Helene

Within hours of the arrival of Hurricane Helene in Western North Carolina, NCMS Board of Directors member Dr. Charul Haugan was coordinating volunteers to fly to the area. Her sister, Dr. Christine Knettel was among six other ED physicians and PAs to help patients in those vital first hours.
Haugan coordinated efforts through UNC Health and Day One Relief with assistance from NCMS/NCMB providing emergency volunteer licensing clarity .  ED docs and PAs from UNC Health sites assisted at the 6 impacted UNC EDs,
Per Haugan, they showed up to "aid their fellow emergency medicine colleagues, some of whom are caring for patients while their own families were missing or deceased."
She adds, "It is truly amazing what can be accomplished when passionate and dedicated people rally around a cause, break down barriers, and collaborate effectively. We are still early in this disaster relief game, and the work ahead will have many challenges."

 

 

NCMS wants to hear your stories too!  Please reach out to Randy Aldridge at [email protected] to share how you are helping the needy in North Carolina following Helene.

 

by Randy Aldridge

Hurricane Helene Resources: Open Pharmacies in Western NC

 

UNC Health System Pharmacy has verified the following pharmacies are open and serving customers

List last updated 10/3/2024

Sona Pharmacy in Arden

  • 106 Long Shoals Rd., Arden, NC 28704
  • 828-707-9700
  • Hours:
    • M-F: 8 a.m. - 8 p.m.
    • Sat: 9 a.m. - 6 p.m.
    • Sun: 11 a.m. - 6 p.m.

Publix at Hendersonville Road

  • 1830 Hendersonville Road, Asheville, NC 28803
  • 828-274-6293
  • Hours:
    • Monday- Friday, 9 a.m. - 9 p.m.
    • Saturday, 9 a.m.- 7 p.m.
    • Sunday, 11 a.m.- 6 p.m.

 

Sona Pharmacy in Asheville

  • 805 Fairview Rd., Asheville, NC 28803
  • 828-298-3636
  • Hours
    • M-F: 8 a.m. - 8 p.m.
    • Sat: 9 a.m. - 6 p.m.
    • Sun: 11 a.m. - 6 p.m.

Warrensville Drug Store

  • 5121 NC-88, Warrensville, NC 28693
  • (336) 384-3900
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
    • Sat: 9 a.m. - noon
    • Sun: Closed

 

Walmart Pharmacy at Ashe County

  • 1489 Mt. Jefferson Road West, Jefferson, NC 28694
  • 336-246-3119
  • Hours: Monday- Friday, 9 a.m.- 7 p.m.
    Saturday, 9 a.m. - 6 p.m.; Sunday, 11 a.m.- 5 p.m.

Walgreen's Pharmacy at Blowing Rock Blvd

  • 440 Blowing Rock Blvd, Lenoir, NC 28645
  • 828-991-0277
  • Hours:
    • M-F: 8 a.m. - 8 p.m.
    • S-S: 10 a.m. - 6 p.m.
    • Closed for lunch: 1:30 - 2 p.m.

 

CVS Pharmacy at Blowing Rock Blvd

  • 875 Blowing Rock Blvd, Lenoir, NC 28645
  • 828-754-2421
  • Hours:
    • M-F 8 a.m. - 8 p.m.
    • S-S 10 a.m. - 6 p.m.
    • Closed for lunch: 1:30 - 2 p.m.

 

Walmart Pharmacy at Blowing Rock Blvd

  • 935 Blowing Rock Blvd, Lenoir, NC 28645
  • 828-754-2184
  • Hours
    • M-Sa: 9 a.m.  - 7 p.m.
    • Sun: 10 a.m. - 6 p.m.

Boone Drug & Healthcare at Deerfield

  • 345 Deerfield Rd, Boone, NC 28607
  • (828) 264-3055
  • Hours:
    • M-F: 8 a.m. - 8 p.m.
      Sat: 9 a.m. - 6 p.m.
      Sun: 12:30 a.m. - 6 p.m.

 

Boone Drug at Greenway

  • 579 Greenway Road Suite 100 Boone, North Carolina 28607
  • (828) 355-3350
  • Hours:
    • M-F: 8:30a.m. - 6 p.m.
    • Sat: 9a.m. - 1 p.m.
    • Sun: Closed

 

Boone Drug at King Street

  • 202 W King St, Boone, NC 28607
  • (828) 264-8929
  • Hours
    • M-F: 9 a.m. - 5 p.m.
      Sat: Closed
      Sun: Closed

 

Boone Drug at New Market

  • 245 New Market Centre, Boone, NC 28607
  • (828) 264-9144
  • Hours:
    • M-F: 9 a.m. - 7 p.m.
    • Sat: 9 a.m. - 4 p.m.
    • Sun: Closed

Avery Pharmacy & Health Care

  • 436 Hospital Dr, Linville, NC 28646
  • (828) 737-7476
  • Hours:
    • M-F: 9 a.m. - 5 p.m.
    • Sat: 9 a.m. - 1 p.m.
    • Sun: Closed

CVS Pharmacy at Hendersonville Road

  • 3450 Hendersonville Rd, Fletcher NC 28732
  • 828-684-2331
  • Hours:
    • M-F: 9 a.m. - 5 p.m.

Walmart Pharmacy at Granite Falls

  • 4780 Hickory Blvd, Granite Falls, NC 28630
  • 828-396-3685
  • Hours:
    • M-F: 9 a.m. - 7 p.m.
    • Sat: 9 a.m. - 6 p.m.
    • Sun: 11 a.m. - 5 p.m.

 

Granite Drug Center

  • 21 Falls Ave, Granite Falls, NC 28630
  • 828-396-2144
  • Hours:
    • M-F: 9 a.m.- 6 p.m.
    • Sat: 9 a.m.- 2 p.m.

Publix at South Market Village

  • 635 Greenville Hwy, Hendersonville, NC 28792
  • (828) 694-4440
  • Hours:
    • M-F: 9 a.m. - 8 p.m.

 

Sam's Club Pharmacy in Hendersonville

  • 300 Highlands Square Dr. Hendersonville, NC 28792
  • (828) 698-6282
  • Hours
    • M-F: 10 a.m. - 8 p.m.
    • Sat: 9 a.m. - 8 p.m.
    • Sun: 10 a.m. - 6 p.m.

 

Whitley Drugs Hendersonville Pharmacy

  • 814 Greenville Hwy, Hendersonville, NC 28792
  • (828) 692-4236
  • Hours:
    • M-F: 9 a.m.  - 7 p.m.
    • Sat: 9 a.m.  - 1 p.m.
    • Sun: Closed

 

Walmart Pharmacy at Hendersonville Supercenter

  • 250 Highlands Square Drive, Hendersonville, NC 28792
  • 828-696-8285
  • Hours:
    • Daily, 6 a.m. - 11 p.m.

 

Blue Ridge Health Pharmacy

  • 2579 Chimney Rock Road, Hendersonville, NC
  • 828-692-3106
  • Hours:
    • Monday- Thursday, 8:30 a.m. - 5:30 p.m.
    • Friday, 8 a.m. - 5 p.m.
    • Closed for lunch 12:30 - 1:30 p.m.
    • Closed Saturday and Sunday.

 

Pardee Rx - Fleming

  • 1027 Fleming St., Hendersonville, NC 28791
  • 828-435-8142
  • Hours:
    • Tuesday - Friday, 9 a.m.  - 6 p.m.

 

Shelton Compounding Pharmacy

  • 2315 Asheville Hwy, Hendersonville, NC 28791
  • 828-692-6554
  • Hours:
    • M-F: 9 a.m.  - 5:30 p.m.

 

Ingle's Pharmacy at Spartanburg Hwy

  • 625 Spartanburg Hwy, Hendersonville, NC 28792
  • 828-694-3746
  • *Cash only, no new pts
  • Hours:
    • M-F: 9 a.m. - 5 p.m.

Ingle's Pharmacy at Howard Gap

  • 3643 Howard Gap Rd, Hendersonville, NC 28792
  • 828-698-2592
  • *Cash only, no new pts
  • Hours:
    • M-F: 9 a.m. - 5 p.m.

Publix at Hickory

  • 36 29th Avenue NE, Hickory, NC, 28601
  • 828-322-4383
  • Hours: Monday- Friday, 9 a.m.- 9 p.m.
  • Saturday, 9 a.m. - 7 p.m.; Sunday, 11 a.m.- 6 p.m.

East Burke Pharmacy

  • 300 Old State Hwy 10 W, Hildebrand, NC 28637
  • (828) 397-3420
  • Hours:
    • M-F:  8:30 a.m.- 6 p.m.
    • Sat: 8:30 a.m. - 1 p.m.
    • Sun: Closed

 

CVS Pharmacy at Hudson

  • 3369 Hickory Blvd, Hudson, NC 28638
  • 828-396-4256
  • Hours:
    • M-F 9 a.m. - 7 p.m.
    • S-S 10 a.m.  - 6 p.m.
    • Closed for lunch: 1:30 - 2 p.m.

 

Walmart Pharmacy at Hudson

  • 2794 Hickory Blvd, Hudson, NC 28638
  • 828-572-6020
  • Hours:
    • M-F: 9 a.m- 9 p.m.
    • Sat: 9 a.m - 7 p.m.
    • Sun: 10 a.m - 6 p.m.

Regency Village Harris Teeter Pharmacy

  • 7715 Regency Park Dr, Huntersville, NC, 28078
  • (704) 892-3924
  • Hours:
    • M-F: 9 a.m. - 7 p.m. (Closed for lunch: 2 - 2:30 p.m.)

Community Pharmacy at Caldwell Hospital

  • 321 Mulberry St. SW, Lenoir, NC 28645
  • (828) 757-5162
  • Hours:
    • Every Day 7 a.m. - 10 p.m.

 

Medical Arts Pharmacy of Lenoir

  • 328 Mulberry St SW, Lenoir, NC 28645
  • (828) 758-2356
  • Hours:
    • M-F: 9 a.m. - 5 p.m.
    • Sat: 9 a.m. - 1 p.m.
    • Sun: Closed

 

Foothill's Pharmacy at Cross Roads

  • 202 Harper Ave STE A, Lenoir, NC 28645
  • 828-754-6453
  • Hours:
    • M-F: 9 a.m. - 5:30 p.m.
    • Sat: 9 a.m.  - 1 p.m.

 

Cajah's Mountain Pharmacy

  • 2006 Connelly Springs Rd, Lenoir, NC 28645
  • (828) 726-8632
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
    • Sat: 9 a.m. - 1 p.m.

Drexel Discount Drug

  • 2728 Hwy 70 E, Morganton NC, 28655
  • (828) 433-6777
  • Hours:
    • M-F: 9 a.m. - 6 p.m.

 

Walgreens Pharmacy at Fleming Drive

  • 101 E Fleming Dr, Morganton, NC, 28655
  • (828) 437-2110
  • Hours:
    • M-F: 8 a.m. - 8 p.m.

 

Jay's Hometown Pharmacy

  • 612 S Sterling Street, Morganton, NC
  • (828) 438-1866
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
      Sat: 9 a.m. - 1 p.m.
      Sun: Closed

 

Jones Drugs

  • 208 Avery Avenue, Morganton, NC
  • (828) 437-1565
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
    • Sat: 9 a.m.  - 1 p.m.
    • Sun: Closed

 

Morganton Drug

  • 500 S Sterling St, Morganton, NC
  • (828) 433-6353
  • Hours:
    • M-F: 9 a.m. - 5:30 p.m.
    • Sat: 9 a.m. - 12:30 p.m.
    • Sun: Closed

 

Table Rock Pharmacy

  • 200 W Fleming Drive, Morganton, NC
  • (828) 438-9355
  • Hours:
    • M-F: 8:30 a.m. - 6 p.m.
      Sat: 9 a.m. - 1 p.m.
      Sun: Closed

 

Walmart Pharmacy at Morganton Heights

  • 120 Morganton Heights Blvd.  Morganton, NC
  • (828) 433-8086
  • Hours:
    • M-F: 8 a.m. - 7 p.m.
    • Sat: 9 a.m. - 7 p.m.
    • Sun: 10 a.m. - 6 p.m.

Mountain City Pharmacy

  • 1641 S Shady St, Mountain City, TN 37683
  • (423) 727-0038
  • Hours:
    • M-F: 8 a.m.  - 7 p.m.
    • Sat: 9 a.m.  - 6 p.m.
    • Sun: 12:30 - 6 p.m.

Halsey Drug Company

  • 55 South Main Street, Sparta, NC 28675
  • (336) 372-5599
  • Hours:
    • M-F: 8 a.m.- 6 p.m.
      Sat: 8:30 a.m. - 1 p.m.
      Sun: Closed

 

by Randy Aldridge

Western NC Assistance for Patient Prescriptions, Vaccines, and Payer Resources

 

NC AHEC Releases Information on Prescriptions for Physicians in Western NC

Chris Weathington of NC AHEC has released the following information about prescriptions for you and your patients:

Assistance for Your Patients

Several emergency measures have been taken to help patients cope with the aftermath of the storm. The NC Board of Pharmacy have activated Board Rule .1815, which authorizes pharmacists to provide one-time emergency refill of up to a 90-day supply when the pharmacist is unable to obtain refill authorization from the prescriber due to a prescriber’s inability to provide medical services to the patient. This authority was specifically created for emergencies like this one. In addition, if you are trying to send your patient to a pharmacy to pick up needed medication and supplies, the Board of Pharmacy is developing a list of open pharmacies in the impacted area. You can find that list here

Vaccines for Children

If you have lost vaccine stock due to power outages in your practice, for the Vaccines for Children program, you should reach out directly to the VFC Storage and Handling Hotline at 877-873-6247. They can assist with determining viability, wasting doses, and next steps on placing replacement orders. We are in the process of working on solutions for private stock vaccines.

Payer Resources for Practices

NC Medicaid has updated its Medicaid Temporary Flexibilities Due to Hurricane Helene. You can find that information here. This includes information about the expanded ability for hospital swing beds, disaster relief applications available for health care providers, and more.

In addition, please note that many payers across the state have implemented additional flexibilities for practices in the impacted area, including in some instances waiving prior authorizations and allowing early refills, among other things.

UNC Health has released the following list of pharmacies that are open and serving customers:

Last Update: Oct. 3, 12:30 a.m.

Sona Pharmacy in Arden

  • 106 Long Shoals Rd., Arden, NC 28704
  • 828-707-9700
  • Hours:
    • M-F: 8 a.m. - 8 p.m.
    • Sat: 9 a.m. - 6 p.m.
    • Sun: 11 a.m. - 6 p.m.

Publix at Hendersonville Road

  • 1830 Hendersonville Road, Asheville, NC 28803
  • 828-274-6293
  • Hours:
    • Monday- Friday, 9 a.m. - 9 p.m.
    • Saturday, 9 a.m.- 7 p.m.
    • Sunday, 11 a.m.- 6 p.m.

 

Sona Pharmacy in Asheville

  • 805 Fairview Rd., Asheville, NC 28803
  • 828-298-3636
  • Hours
    • M-F: 8 a.m. - 8 p.m.
    • Sat: 9 a.m. - 6 p.m.
    • Sun: 11 a.m. - 6 p.m.

Warrensville Drug Store

  • 5121 NC-88, Warrensville, NC 28693
  • (336) 384-3900
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
    • Sat: 9 a.m. - noon
    • Sun: Closed

 

Walmart Pharmacy at Ashe County

  • 1489 Mt. Jefferson Road West, Jefferson, NC 28694
  • 336-246-3119
  • Hours: Monday- Friday, 9 a.m.- 7 p.m.
    Saturday, 9 a.m. - 6 p.m.; Sunday, 11 a.m.- 5 p.m.

Walgreen's Pharmacy at Blowing Rock Blvd

  • 440 Blowing Rock Blvd, Lenoir, NC 28645
  • 828-991-0277
  • Hours:
    • M-F: 8 a.m. - 8 p.m.
    • S-S: 10 a.m. - 6 p.m.
    • Closed for lunch: 1:30 - 2 p.m.

 

CVS Pharmacy at Blowing Rock Blvd

  • 875 Blowing Rock Blvd, Lenoir, NC 28645
  • 828-754-2421
  • Hours:
    • M-F 8 a.m. - 8 p.m.
    • S-S 10 a.m. - 6 p.m.
    • Closed for lunch: 1:30 - 2 p.m.

 

Walmart Pharmacy at Blowing Rock Blvd

  • 935 Blowing Rock Blvd, Lenoir, NC 28645
  • 828-754-2184
  • Hours
    • M-Sa: 9 a.m.  - 7 p.m.
    • Sun: 10 a.m. - 6 p.m.

Boone Drug & Healthcare at Deerfield

  • 345 Deerfield Rd, Boone, NC 28607
  • (828) 264-3055
  • Hours:
    • M-F: 8 a.m. - 8 p.m.
      Sat: 9 a.m. - 6 p.m.
      Sun: 12:30 a.m. - 6 p.m.

 

Boone Drug at Greenway

  • 579 Greenway Road Suite 100 Boone, North Carolina 28607
  • (828) 355-3350
  • Hours:
    • M-F: 8:30a.m. - 6 p.m.
    • Sat: 9a.m. - 1 p.m.
    • Sun: Closed

 

Boone Drug at King Street

  • 202 W King St, Boone, NC 28607
  • (828) 264-8929
  • Hours
    • M-F: 9 a.m. - 5 p.m.
      Sat: Closed
      Sun: Closed

 

Boone Drug at New Market

  • 245 New Market Centre, Boone, NC 28607
  • (828) 264-9144
  • Hours:
    • M-F: 9 a.m. - 7 p.m.
    • Sat: 9 a.m. - 4 p.m.
    • Sun: Closed

Avery Pharmacy & Health Care

  • 436 Hospital Dr, Linville, NC 28646
  • (828) 737-7476
  • Hours:
    • M-F: 9 a.m. - 5 p.m.
    • Sat: 9 a.m. - 1 p.m.
    • Sun: Closed

CVS Pharmacy at Hendersonville Road

  • 3450 Hendersonville Rd, Fletcher NC 28732
  • 828-684-2331
  • Hours:
    • M-F: 9 a.m. - 5 p.m.

Walmart Pharmacy at Granite Falls

  • 4780 Hickory Blvd, Granite Falls, NC 28630
  • 828-396-3685
  • Hours:
    • M-F: 9 a.m. - 7 p.m.
    • Sat: 9 a.m. - 6 p.m.
    • Sun: 11 a.m. - 5 p.m.

 

Granite Drug Center

  • 21 Falls Ave, Granite Falls, NC 28630
  • 828-396-2144
  • Hours:
    • M-F: 9 a.m.- 6 p.m.
    • Sat: 9 a.m.- 2 p.m.

Publix at South Market Village

  • 635 Greenville Hwy, Hendersonville, NC 28792
  • (828) 694-4440
  • Hours:
    • M-F: 9 a.m. - 8 p.m.

 

Sam's Club Pharmacy in Hendersonville

  • 300 Highlands Square Dr. Hendersonville, NC 28792
  • (828) 698-6282
  • Hours
    • M-F: 10 a.m. - 8 p.m.
    • Sat: 9 a.m. - 8 p.m.
    • Sun: 10 a.m. - 6 p.m.

 

Whitley Drugs Hendersonville Pharmacy

  • 814 Greenville Hwy, Hendersonville, NC 28792
  • (828) 692-4236
  • Hours:
    • M-F: 9 a.m.  - 7 p.m.
    • Sat: 9 a.m.  - 1 p.m.
    • Sun: Closed

 

Walmart Pharmacy at Hendersonville Supercenter

  • 250 Highlands Square Drive, Hendersonville, NC 28792
  • 828-696-8285
  • Hours:
    • Daily, 6 a.m. - 11 p.m.

 

Blue Ridge Health Pharmacy

  • 2579 Chimney Rock Road, Hendersonville, NC
  • 828-692-3106
  • Hours:
    • Monday- Thursday, 8:30 a.m. - 5:30 p.m.
    • Friday, 8 a.m. - 5 p.m.
    • Closed for lunch 12:30 - 1:30 p.m.
    • Closed Saturday and Sunday.

 

Pardee Rx - Fleming

  • 1027 Fleming St., Hendersonville, NC 28791
  • 828-435-8142
  • Hours:
    • Tuesday - Friday, 9 a.m.  - 6 p.m.

 

Shelton Compounding Pharmacy

  • 2315 Asheville Hwy, Hendersonville, NC 28791
  • 828-692-6554
  • Hours:
    • M-F: 9 a.m.  - 5:30 p.m.

 

Ingle's Pharmacy at Spartanburg Hwy

  • 625 Spartanburg Hwy, Hendersonville, NC 28792
  • 828-694-3746
  • *Cash only, no new pts
  • Hours:
    • M-F: 9 a.m. - 5 p.m.

Ingle's Pharmacy at Howard Gap

  • 3643 Howard Gap Rd, Hendersonville, NC 28792
  • 828-698-2592
  • *Cash only, no new pts
  • Hours:
    • M-F: 9 a.m. - 5 p.m.

Publix at Hickory

  • 36 29th Avenue NE, Hickory, NC, 28601
  • 828-322-4383
  • Hours: Monday- Friday, 9 a.m.- 9 p.m.
  • Saturday, 9 a.m. - 7 p.m.; Sunday, 11 a.m.- 6 p.m.

East Burke Pharmacy

  • 300 Old State Hwy 10 W, Hildebrand, NC 28637
  • (828) 397-3420
  • Hours:
    • M-F:  8:30 a.m.- 6 p.m.
    • Sat: 8:30 a.m. - 1 p.m.
    • Sun: Closed

 

CVS Pharmacy at Hudson

  • 3369 Hickory Blvd, Hudson, NC 28638
  • 828-396-4256
  • Hours:
    • M-F 9 a.m. - 7 p.m.
    • S-S 10 a.m.  - 6 p.m.
    • Closed for lunch: 1:30 - 2 p.m.

 

Walmart Pharmacy at Hudson

  • 2794 Hickory Blvd, Hudson, NC 28638
  • 828-572-6020
  • Hours:
    • M-F: 9 a.m- 9 p.m.
    • Sat: 9 a.m - 7 p.m.
    • Sun: 10 a.m - 6 p.m.

Regency Village Harris Teeter Pharmacy

  • 7715 Regency Park Dr, Huntersville, NC, 28078
  • (704) 892-3924
  • Hours:
    • M-F: 9 a.m. - 7 p.m. (Closed for lunch: 2 - 2:30 p.m.)

Community Pharmacy at Caldwell Hospital

  • 321 Mulberry St. SW, Lenoir, NC 28645
  • (828) 757-5162
  • Hours:
    • Every Day 7 a.m. - 10 p.m.

 

Medical Arts Pharmacy of Lenoir

  • 328 Mulberry St SW, Lenoir, NC 28645
  • (828) 758-2356
  • Hours:
    • M-F: 9 a.m. - 5 p.m.
    • Sat: 9 a.m. - 1 p.m.
    • Sun: Closed

 

Foothill's Pharmacy at Cross Roads

  • 202 Harper Ave STE A, Lenoir, NC 28645
  • 828-754-6453
  • Hours:
    • M-F: 9 a.m. - 5:30 p.m.
    • Sat: 9 a.m.  - 1 p.m.

 

Cajah's Mountain Pharmacy

  • 2006 Connelly Springs Rd, Lenoir, NC 28645
  • (828) 726-8632
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
    • Sat: 9 a.m. - 1 p.m.

Drexel Discount Drug

  • 2728 Hwy 70 E, Morganton NC, 28655
  • (828) 433-6777
  • Hours:
    • M-F: 9 a.m. - 6 p.m.

 

Walgreens Pharmacy at Fleming Drive

  • 101 E Fleming Dr, Morganton, NC, 28655
  • (828) 437-2110
  • Hours:
    • M-F: 8 a.m. - 8 p.m.

 

Jay's Hometown Pharmacy

  • 612 S Sterling Street, Morganton, NC
  • (828) 438-1866
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
      Sat: 9 a.m. - 1 p.m.
      Sun: Closed

 

Jones Drugs

  • 208 Avery Avenue, Morganton, NC
  • (828) 437-1565
  • Hours:
    • M-F: 9 a.m. - 6 p.m.
    • Sat: 9 a.m.  - 1 p.m.
    • Sun: Closed

 

Morganton Drug

  • 500 S Sterling St, Morganton, NC
  • (828) 433-6353
  • Hours:
    • M-F: 9 a.m. - 5:30 p.m.
    • Sat: 9 a.m. - 12:30 p.m.
    • Sun: Closed

 

Table Rock Pharmacy

  • 200 W Fleming Drive, Morganton, NC
  • (828) 438-9355
  • Hours:
    • M-F: 8:30 a.m. - 6 p.m.
      Sat: 9 a.m. - 1 p.m.
      Sun: Closed

 

Walmart Pharmacy at Morganton Heights

  • 120 Morganton Heights Blvd.  Morganton, NC
  • (828) 433-8086
  • Hours:
    • M-F: 8 a.m. - 7 p.m.
    • Sat: 9 a.m. - 7 p.m.
    • Sun: 10 a.m. - 6 p.m.

Mountain City Pharmacy

  • 1641 S Shady St, Mountain City, TN 37683
  • (423) 727-0038
  • Hours:
    • M-F: 8 a.m.  - 7 p.m.
    • Sat: 9 a.m.  - 6 p.m.
    • Sun: 12:30 - 6 p.m.

Halsey Drug Company

  • 55 South Main Street, Sparta, NC 28675
  • (336) 372-5599
  • Hours:
    • M-F: 8 a.m.- 6 p.m.
      Sat: 8:30 a.m. - 1 p.m.
      Sun: Closed

 

by Randy Aldridge

Don't Have Flood Insurance? You May be Eligible for Federal Disaster Aid

(Photo: Asheville Citizen Times)

Flood insurance is rare in Western North Carolina

(Axios, Zachery Eanes) -- Just 0.5% of homes in the Western North Carolina counties hit hardest by Hurricane Helene were covered by the National Flood Insurance Program, according to an analysis by Reuters.

  • In comparison, more than 40% of homes in Dare County, on the Outer Banks, had flood insurance policies.

Why it matters: A lack of flood insurance will make it more expensive and complicated for many residents of the mountains to recover from the devastation that Helene's massive rainfalls brought.

State of play: Experts say that the FEMA's existing flood maps, which show where people are required to buy flood insurance, underestimate the risks that storms like Helene can bring.

  • FEMA's maps, for instance, do not take into account intense rainfall events or sea level rise that is becoming more common due to climate change, according to N.C. State researcher Georgina Sanchez.
  • Jeremy Porter, head of climate implications research at the First Street Foundation, told the Washington Post they also don't take into account flooding from smaller water sources, like creeks and streams.
  • That leads to many people not on the coast or directly next to a river to be excluded in flood maps, even if the risk could be growing, Reuters said.

 

Of note: People who have been affected by Helene without flood insurance can apply for up to $30,000 in federal disaster aid, Reuters noted. That, however, is just a fraction of the $250,000 worth of coverage available in the federal flood insurance program.

Click here for more on Federal Disaster Aid

 

 

 

by Randy Aldridge

FEMA Activates Transitional Sheltering Assistance for Those Displaced by Helene

Sheltering Assistance Allows for Temporary Hotel Stays

FEMA has activated Transitional Sheltering Assistance (TSA) for North Carolinians displaced by Tropical Storm Helene in Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Catawba, Clay, Cleveland, Gaston, Haywood, Henderson, Jackson, Lincoln, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania, Watauga, Wilkes and Yancey counties and for the Eastern Band of Cherokee Indians.

Residents in these counties who have applied for disaster assistance may be eligible to stay temporarily in a hotel or motel paid for by FEMA while they work on their long-term housing plan. People do not need to request this assistance. FEMA will notify them of their eligibility through an automated phone call, text message, and/or email, depending upon the method of communication they selected at the time of application for disaster assistance.

Individuals and households may be eligible if they cannot return to their disaster-damaged home and their housing needs cannot be met by insurance, shelters or rental assistance provided by FEMA or another agency.

Under the TSA program, FEMA pays the cost of room, taxes and non-refundable pet fees directly to participating hotels and motels. Pet fees will only be paid up to the approved limit of assistance for individual rooms. Survivors are responsible for all other costs, including laundry, restaurant/room service, parking, telephone, or movie rental.

Eligible survivors may stay in participating TSA hotels in Georgia, Kentucky, North Carolina, South Carolina, Tennessee, Virginia and West Virginia. To locate participating hotels, visit femaemergencyhotels.com/ and enter your FEMA registration number, obtained when you applied for FEMA assistance.

An initial eligibility review will be conducted 60-days after the check-in date. When eligibility ends, survivors will be notified by FEMA seven days prior to checkout date.

TSA participants may also be eligible for other federal financial help, including Displacement Assistance, Rental Assistance, Home Repair Assistance and other aspects of the Individual Assistance program.

To apply for assistance, homeowners and renters can:

  • Go online to DisasterAssistance.gov.
  • Download the FEMA App for mobile devices
  • Call the FEMA helpline at 800-621-3362. Lines are open every day and help is available in most languages. If you use a relay service, such as Video Relay Service (VRS), captioned telephone or other service, give FEMA your number for that service.

For the latest information on North Carolina’s’ recovery from Hurricane Helene visit fema.gov/disaster/4827. Follow FEMA on X at x.com/femaregion4 or on Facebook at facebook.com/fema.

To view an accessible video about how to apply visit: Three Ways to Register for FEMA Disaster Assistance - YouTube.

For North Carolinians seeking general information, please visit ncdps.gov/helene.

 

 

 

 

by Randy Aldridge

Cancel Your Plans if You Want to See Fall Folliage in NC

 

 

(Photo: Important_Ad5014)

Governor Cooper Says Tourists Not Wanted in Western NC Right Now

 

(Asheville Citizen Times, Will Hofmann) -- As peak leaf season approaches in the mountains, N.C. Gov. Roy Cooper told the Asheville Citizen Times that tourists are not wanted in Western North Carolina in the fallout of the historic, devastating floods that have been confirmed to have taken 97 lives in the state and devastated the region's infrastructure.

Cooper said he only wants people who are dedicated to response efforts coming to the region.

"Whenever you come to Western North Carolina you get emergency notifications that we don't want you here unless you are directly helping with the response," Cooper told the Citizen Times on Oct. 3.

"So we're continuing to ask people not to come. And that's tough for an area that was about to enter its peak season for tourism economy. But I've talked with people in the Chamber of Commerce, they understand that meeting people's immediate needs, saving lives, is first," he continued.

Visit North Carolina, the state's official destination marketing organization, has continued to issue a travel advisory warning to all who intend to visit the region typically known for its strong tourism industry as the leaves turn in the fall. Currently, the message is: Do not travel to the region as cities and towns continue to battle power and water outages.

"State and local officials strongly advise all motorists avoid travel in Western North Carolina due to the continued challenges and risks from riverine flooding, landslides, slope failures, road closures and downed trees," the Visit North Carolina advisory, updated Oct. 3, read. "Power and cell phone service outages are also widespread as are shortages of water, food and gas."

Cooper said the goal is to continue to expand rescue and recovery efforts, which would be hindered and strained by the additional resources and road space required to maintain tourists.

"We want to keep those roads open for utility trucks, for rescue personnel, for medical people, for supplies, for fuel – all of this transportation that is 10 times more than you would normally need roads just to bring in basic necessities for people who don't have them now," Cooper said.

Explore Asheville and the Buncombe County Tourism Development Authority have also put out information regarding resources being provided by the industry at this time. The authority issued an update on the status of the local tourism industry.

"People have always been drawn to Asheville and the mountains of Western North Carolina. We know many people around the country care deeply and want to support our community. It’s not just about what’s happening now, but about planning for the months and years ahead," the BCTDA and Explore Asheville said in a statement to the Citizen Times on Oct. 3.

"Right now, the focus is on taking care of area residents and workers and servicing the many first responders who have answered the call from all over the country — helping those impacted and addressing the economic and emotional toll at hand," the statement said.

The city of Asheville, along with a swath of other cities and towns across WNC, are facing crises after the floods caused by Tropical Storm Helene. Water is out for most of the city, and is not expected to return for weeks. Cell service continues to be spotty, if not unreliable. Whole districts of the town, like the River Arts District — a beloved tourism district near the French Broad — remain in ruins.

Through the storm, VisitNC has been working to address visitor displacement throughout the region, fielding 7,300 calls about the topic, according to the advisory. Many regional attractions are currently closed. The entire Blue Ridge Parkway in North Carolina is closed. The Biltmore is closed. The WNC Nature Center is closed. The Omni Grove Park Inn is closed.

While the leaf season had been expected to be vibrant and bring in thousands to the region, boosting local business, this fall is likely going to hurt as businesses attempt to recover. [Source]

 

 

 

 

 

by Randy Aldridge

Loss of Life Hits Grim Milestone Following Helene

(photo: Reddit, Important_Ad5014)

County Death Toll Update for Western NC

(USA Today, Jacob Wilt) -- The loss of life caused by Hurricane Helene passed a grim milestone Wednesday. Deaths caused by the hurricane nationwide surpassed 160 people, making Helene the second deadliest hurricane in the U.S. this century. That number was surpassed only by Katrina in 2005, which killed 1,392 people.

In North Carolina, officials say 73 people are confirmed dead thus far, with that number expected to rise as rescue crews search for missing persons. The vast majority of those deaths occurred in Buncombe County.

Here's the North Carolina death toll by county as of Thursday morning on Oct. 3. All data is provided by the North Carolina Department of Health and Human Services, unless otherwise noted.

  • Yancey: Nine
  • Henderson: Six
  • Avery: Three
  • Madison: Three
  • Cleveland: Two
  • Rutherford: Two
  • Watauga: Two
  • Burke: One
  • Catawba: One
  • Gaston: One
  • Macon: One
  • Mecklenburg: One
  • Polk: One
  • Yadkin: One

The NCDHHS confirmed a range of causes of death due to Helene's excessive wind and rainfall. The following are the most common causes of death:

  • Unknown circumstances: 17
  • Drowning: 15
  • Landslide: Ten
  • Wind/tree trauma: Five
  • Motor vehicle drownings: Four
  • Blunt force injuries: Four
  • Motor vehicle crash: Three
  • Other: Two

 

by Randy Aldridge

NC Justice Center Releases New Information on Tenants Rights After Natural Disaster

Refreshed information includes FEMA benefits for immigrants

Kate Woomer-Deters of the NC Justice Center has updated the information on Tenants Rights and it includes FEMA Benefits for Immigrants and Tenants in English and Spanish at this website: https://www.ncjustice.org/publications/resources-for-natural-disasters/

These materials answer such questions as:

  • Can I cancel my lease or stop paying rent if I am a tenant and my home is damaged by a natural disaster?
  • Is my landlord responsible for reimbursing me for personal property damaged in a disaster?
  • If I am an immigrant or members of my family are immigrants, can we qualify for monetary assistance from FEMA?
  • Is it safe to share my personal information with FEMA if I am an immigrant?
  • What sort of benefits does FEMA provide to tenants, homeowners and those in “rent to own” contracts?

Other resources:  Resources for Natural Disasters – North Carolina Justice Center (ncjustice.org)

 

 

 

by Randy Aldridge

'The Nation Has Your Back,' President Biden Makes Pledge to NC

(photo: USA Today)

 

"The nation has your back" promises President Joe Biden
Visits hard-hit North Carolina after Hurricane Helene

(USA Today, John Bacon, Beth Warre, Jorge L. Oritz) -- President Joe Biden traveled to the Carolinas on a Wednesday tour to survey devastation from Hurricane Helene as residents across much of the Southeast press on with the arduous task of rebuilding their shattered communities, homes and lives.

Biden visited Greenville, South Carolina, and later got an aerial view of the extensive damage in Asheville, North Carolina. Vice President Kamala Harris also made a trip to a highly impacted state, meeting with local officials and first responders in Augusta, Georgia.

"I'm here to say the United States – the nation – has your back,'' Biden said at an emergency command center in Raleigh alongside North Carolina Gov. Roy Cooper. "We're not leaving until you're back on your feet completely."

 

by Randy Aldridge

NCDHHS Releases Printable Resource Lists for Your Patients

NCDHHS Releases Printable Resource Lists for Your Patients

 

The North Carolina Department of Health and Human Services has released two printable versions of Hurricane Helene Resources for you to distribute to your patients and people in the community.  Please feel free to share.

 

 

 

 

 

by Randy Aldridge

President Joe Biden to Visit Storm Ravaged North Carolina Today

Biden Landing in Raleigh to Avoid Complicating Recovery Efforts in Asheville

President Joe Biden will survey Western North Carolina today before landing at Raleigh-Durham International Airport at approximately 3:45.  He will receive an Operational Briefing at the Raleigh Emergency Operations Center at 4:15 and remain in North Carolina until almost 7:00pm.

Per the New York Times, President Biden will get an aerial view of the destruction wrought by Hurricane Helene across the mountains of western North Carolina, where many residents are isolated by muddy debris and washed-out roads.

Six days after Helene made landfall on Florida’s Gulf Coast, the extent of the damage across the Southeast is still coming to light. Broken water systems, downed power lines and poor cellphone service are complicating rescue and recovery efforts.

“There’s so much, so much, that has to be done, beyond what we’re even thinking about now,” Mr. Biden said in a call this week to the mayor of Asheville, N.C. She shared a portion of the call on social media ahead of the president’s trip.

Mr. Biden plans to visit the emergency operations center in Raleigh, the state’s capital, and fly over the damaged region to avoid disrupting emergency efforts. He will also meet with emergency workers in South Carolina, and said he planned visits to other states, as well.

As of noon Wednesday, the death toll from Helene in North Carolina had risen to 90 people, a number expected to still climb.

The NCMS is coordinating volunteer efforts and taking tax deductible donations.  Click here for how you can help.

 

by Randy Aldridge

NC Death Toll Rises to 90. Make a Tax Deductible Donation to Help Through NCMS

(photo: WRAL)

“One of the worst storms in modern history for parts of NC” – Gov. Roy Cooper

Hurricane Helene and its remnants continue to roll across the United States, leaving a wide swath of destruction and death.  In the Southeast alone, at least 55 people are dead in five states, communities are leveled, power is out for millions, and many remain stranded by floodwaters.  The NC Department of Transportation said Saturday in post on X that “all roads in Western NC should be considered closed.”  So far, Buncombe County as received over 5,500 911 calls and conducted more than 130 swift water rescues.  Officials are warning residents to stay away from water because of downed power lines and sewage contamination.

Per Cooper’s office, search and rescue operations remain underway as over 700,000 people across the state remain without power. More than 2 feet of rain fell in the state’s mountainous region from Wednesday morning to Friday morning, with Busick recording a total of 29.58 inches in just 48 hours. According to the Associated Press, floodwaters pushed by the remnants of Hurricane Helene left Asheville largely cut off Saturday by damaged roads and a lack of power and cellphone service, About 20 miles southwest of Asheville, overwhelming, torrential rainfall was pushing the Lake Lure Dam into “imminent failure,” according to the National Weather Service, but Rutherford County officials said early Saturday the dam is no longer at risk. Engineers controlled the flow rate, according to Rutherford County Emergency Management, but the town is still experiencing cell and internet service issues along with roadways blocked by trees and fallen power lines.

The North Carolina Medical Society is mobilizing efforts to help

  • If you are in Western North Carolina and have been impacted by Hurricane Helene, the NC Department of Public Safety has set up a web page to answer your questions on everything from open shelters, closed roads, welfare checks for family, friends, and coworkers, and what you need to do next.  Click here for the latest from NCDPS.
  • FEMA and other federal agencies are closely working with governments and communities to respond to Hurricane Helene. Follow directions from local officials to stay safe, as rainfall and flooding continue through multiple states.  Click here for the latest from FEMA.
  • If you are interested in volunteering, the NCMS is helping facilitate volunteers to help.  If you are a member who wants to help, please let us know by e-mail to Rokita Pitts at [email protected].
  • Donate to the NCMS Foundation’s Disaster Relief Fund, which will provide grants to healthcare practices damaged or destroyed by Helene.  This is a tax deductible donation.

As the floodwaters subside, the North Carolina Medical Society will continue to monitor our members and the healthcare community of North Carolina for additional needs and relief efforts.  Please continue to check our website for more information as it becomes available.

by Randy Aldridge

NC Department of Public Safety Issues List of FAQs for Hurricane Helene

 

The North Carolina Department of Public Safety continues to update information for people across North Carolina with the latest on Hurricane Helene disaster recovery.  Included is an extensive list of Frequently Asked Questions.

Here is a partial list of topics:

  • I have an emergency or need rescue. What can I do?
    • Call 911 for any emergencies. While some 911 centers are down in western NC, their calls are being routed to other counties in central and eastern NC.
  • I have questions about food, shelter, roadways, or need other general non-emergency information. Who can I call?
    • You may call 211 for any non-emergency related questions.
  • I have a loved one in Western NC who I cannot contact. How can I get a welfare check?
    • You can call 211 to report a missing person or to request a welfare check. Please note that 211 is not an emergency processing resource and any emergencies should be routed to 911.
  • Can I get around in Western NC? What are road conditions?
    • If you do not need to travel for an emergency reason, stay off the roadways. You can see the current roadway conditions by visiting DriveNC.Gov.
  • I cannot stay at home and need shelter. Where can I find out what to do?
    • Visit ReadyNC.Gov for sheltering information and follow your local government’s social media and website for more information.
  • My home or community has damage.  What is next?
    • Damage assessments will be scheduled with impacted communities and counties where damage to homes, structures, and public infrastructure. This begins after any flood waters have receded and active response to life-safety hazards are completed.
  • How does my local government know what to do in a disaster recovery situation?
    • Meetings are promptly scheduled with local jurisdictions by state officials to outline the recovery process and to plan for debris management operations as soon as emergency response efforts are completed.
  • What is damage assessment and why is it important to recovery?
    • The results of the damage assessments will lead to what disaster recovery avenues are eligible as outlined in state and federal law. Each state and federal disaster program are structured so that certain thresholds have to be met to determine eligibility. Damage assessments determine if those thresholds are met and what the extent on the damages are from the disaster.

For more questions and answers click here.

by Randy Aldridge

Helene Latest and Resources For You and Your Patients

The Death Toll Continues to Rise, NC Has Largest Number of Deaths

(CNN) -- The death toll from Helene has risen to at least 166 people across six states, according to CNN’s tally, after four more deaths were announced in Henderson County, North Carolina.

Helene is the second-deadliest hurricane to strike the US mainland in the past 50 years, following Hurricane Katrina, which killed at least 1,833 people in 2005.

Here’s the breakdown of deaths from Helene by state:

  • North Carolina: 77
  • South Carolina: 36
  • Georgia: 25
  • Florida: 17
  • Tennessee: 9
  • Virginia: 2

Power Outages Continue to Hamper Communications in NC

It been five days since Helene roared through parts of the Southeast and mid-Atlantic and more than 1.3 million homes and businesses in the deadly storm’s path are still without power.

A majority of these outages are in the western Carolinas where Helene caused “unprecedented destruction,” according to the region’s power provider Duke Energy.

“Major portions of the power grid… were simply wiped away,” the utility wrote in a Monday statement.

It’s going to be a long road to recovery. About half of the power outages caused by Helene in upstate South Carolina and the mountains of North Carolina, will require “a significant repair or complete rebuild of the electricity infrastructure that powers this region,” a Duke Energy statement said Tuesday.

Hundreds of thousands of people are also still without power in Georgia and outages linger in Florida, Virginia and West Virginia.

Here’s where the outages stand as of 8 a.m.:

  • South Carolina: 493,000+
  • Georgia: 373,000+
  • North Carolina: 347,000+
  • Virginia: 44,000+
  • Florida: 40,000+
  • West Virginia: 10,000+

 

How Should You Talk to Your Children and Young Patients About What is Happening

Elizabeth Hudgins, Executive Director of the North Carolina Pediatric Society shares some helpful websites with advice for young people:

AAP Parenting Resources – Information providers can share with families

AAP Provider Resources

More from NCMS:

 

 

by Randy Aldridge

Hurricane Helene and How You Can Help. A Message from CEO Chip Baggett

 

 

A Message from NCMS CEO Chip Baggett

Who would have ever thought the perfect storm would hit our mountains? Western North Carolina is reeling from the aftermath of Hurricane Helene. Infrastructure is in shambles. Entire towns have been destroyed. Our physician and PA colleagues are dealing with yet another unprecedented crisis, while many are also dealing with significant damage to their own homes. NCMS has sprung into action doing what we do best; convening, coordinating, and supporting our physicians and PAs in their role as the backbone of our communities.  

What is needed right away? 

First, we appreciate the immediate response from those of you willing to help in the impacted areas. As NCMS physicians or PAs, you can engage in these activities through two coordinated paths with the Office of Emergency Management. 

  • Option 1 is working through your hospital if you are an employed physician or PA. Hospital- to-Hospital Credentialing is the most direct way for you to be deployed to an impacted facility to provide force multiplication or relief for frontline teams. The hospitals are coordinating directly on needs and assignments with the Office of Emergency Management. 
  • Option 2 is for North Carolina licensed physicians and PAs who would like to serve. NCMS can facilitate that process for you by emailing Rokita Pitts at [email protected] .  She will respond to you with specific instructions on how to get in the queue with Emergency Management, assist you with managing expectations, and provide a point of contact if you have any questions or are not hearing back from the State. 
  • A final option is for out-of-state physicians and PAs who want to help but are not licensed in NC. They will first need to apply for a Limited Volunteer License through the NC Medical Board. After receiving approval from the NC Medical Board, they can then complete this document to express interest and request assignment through NC Emergency Management. 

Recovery is a long road. 

The level of destruction is not yet fully realized, but the NCMS Foundation has already activated its NCMS Disaster Relief Fund. This fund is dedicated to helping community practices recover and remain in place for their communities.  We provided direct funding assistance during Hurricane Florence, the COVID-19 Pandemic, and other episodic disasters. We are currently setting up a process for requests that will be published soon. We are actively seeking additional funding for what expect to be significant needs across WNC.  Donate today by clicking here.  

Finally, NCMS is providing ongoing coordination with our County and Specialty Society partners to assure that we are all informed and coordinated in our response to this disaster. NCMS staff are taking part in daily briefings with the State Operations Center. Volunteer leaders are stepping up to engage in recruitment and fundraising.

We are strongest when we work together in organized medicine.  Thank you for trusting us to work along side you through this challenge. NCMS will be with you every step of the way. 

Sincerely,

Chip

by Randy Aldridge

If Disaster Strikes! What to do if you are Impacted by a Hurricane or Tropical Storm

Is Your Practice Ready to Face a Hurricane?

North Carolina is in the middle of Hurricane Season and the path of hurricane Helene has portions of the state facing strong winds, heavy rains, possible tornadoes, and potential flooding.  A disaster can overwhelm an office practice, causing physical damage such as shattered windows, flood debris, power outages, disrupted telephone service, computer and technology system outages, unsafe drinking water, patient record destruction, medication exposure to temperature and humidity extremes, contaminated instruments and supplies, and building structure failure.

Clinicians may be forced to relocate their practices quickly―sometimes permanently―or move scheduled procedures to different facilities. For public safety, practices may be forced to close for days or even weeks. These disruptions can be catastrophic to the delivery of essential healthcare services to patients and, potentially, to the long-term financial well-being of the office and the individual providers.

If Disaster Strikes

Communication

  • Stay current on emergency directives from state and local governmental disaster relief and recovery entities. Consider registering for text message, social media, and email alerts.
  • Contact staff immediately to determine return-to-work time frames as permitted.
  • Implement virtual staff briefings at the beginning and end of each day.
  • Create temporary telephone, fax, and answering services if necessary.
  • Notify external vendors and business associates about your practice interruption and targeted resumption of operation.
  • Establish patient telephone triage. (Find more information in our article “Telephone Triage and Medical Advice Protocols.”)
  • Establish telehealth services as capabilities permit. (For more information, see our article “Top Seven Tips for Telehealth.”)
  • Implement temporary controls to ensure HIPAA compliance.

Patient records

  • Determine and document the extent of damage to, or loss of, electronic and paper patient records and filing systems.
  • Attempt to restore all damaged charts and relevant business records, and document inventory findings.
  • Check the websites of your state licensing board and federal agencies, such as HHS and CMS, for specific guidance pertaining to lost or damaged records.
  • Reconstruct lost charts at the next patient encounter and include a notation that the record is a re-creation.
  • Date and initial all late entries and duplicate information in context of recovery efforts.
  • Document all efforts to restore and protect existing records.
  • Contact your insurance carrier for restorative services and/or claim procedures.
  • Reestablish a filing system and temporary storage if necessary.
  • Obtain legal guidance for patient notification during recovery efforts.
  • Guidelines for maintaining HIPAA compliance. The U.S. Department of Health and Human Services (HHS) provides protected health information guidance for planning and response to emergency situations (see Emergency Situations: Preparedness, Planning, and Response). Although the HIPAA Privacy Rule is not suspended during a natural disaster or other type of emergency, the HHS Secretary may waive certain provisions of the Privacy Rule (see “Is the Privacy Rule suspended during a national or public health emergency?”). The Office of Civil Rights may also issue notifications of temporary enforcement discretion. (For example, see the HHS notifications related to HIPAA and COVID-19.)
  • Copies of certificates of insurance for your professional malpractice coverage and all product lines (such as general liability, cybersecurity, and employment practices) or instructions for contacting your agents or insurers directly to obtain proof of coverage and policy terms. These documents will be necessary if you are forced to temporarily relocate your practice or convert your delivery of care to a virtual format.

Computers and systems

  • Contact computer service vendors to ensure the integrity and recovery of your systems.
  • Inventory and document damage to hardware and software.
  • Verify insurance coverage for repair or replacement costs and losses.
  • Evaluate applicable warranties and consider contracting with an information technology restoration service.
  • Reestablish filing systems and internal programs.
  • Ensure data backup and periodically test compliance.

Office building

  • Notify the building owner and your property insurance company regarding damage.
  • Review inspection reports for identified damage and the schedule for repairs, and determine what impact the findings have on practice operations.
  • Take appropriate measures regarding mold growth and removal if the building has suffered water or flood damage.
  • Flush hot and cold water lines for 10 minutes if the building has been vacant for a week or more.
  • Create an inventory of all equipment and medications that may have been exposed to water, extremes in temperature, or other contaminants. Repair, replace, or discard damaged items appropriately.

Practice and rehearse the plan’s protocols at least twice a year with all professional, administrative, and clerical staff, and participate in a community-based drill, if available. Address any areas that need improvement. An effective disaster preparedness plan will help ensure patient and staff safety and keep your practice focused on delivering care during an emergency.

The North Carolina Department of Public Safety has prepared a NC Hurricane Guide.  It has tips for you and your family in the event of imminent tropical impacts.  Here is a guide for you to use at home:  

NCDPS North Carolina Hurricane Guide

 

NCDHHS has also put together a list of resources so you can be best prepared for the Atlantic Hurricane Season: 

NCDHHS Disaster Preparation and Recovery Guide

 

To track any tropical disturbance, the NOAA National Hurricane Center has a website to keep you up to date:

National Hurricane Center Tracking Center

by Randy Aldridge

Biden-Harris Administration Announces Nearly $9 Million Investment in Rural Health Care in North Carolina

9/23/24: Notice from U.S. Department of Health and Human Services, Health Resources and Services Administration

 

New funding will launch substance use disorder treatment services in rural communities. 

Today, the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), announced nearly $9 million to support health care services in rural North Carolina. The funding will launch new opioid treatment and recovery services in rural communities. HRSA Administrator Carole Johnson announced the awards at an event in Wilson, North Carolina.

The Biden-Harris Administration has taken numerous actions to support rural communities’ health including by investing in training physicians in rural communities, providing loan repayment to primary care providers in return for practicing in high need rural areas, and supporting health care delivery through rural community health centers.

Today, the Administration is taking another series of vital steps to strengthen health care services in rural communities, with an emphasis on key priorities like behavioral health and expanding access to services.

“The Biden-Harris Administration believes health care should be available to everyone regardless of where they live. That’s why we are investing heavily in rural communities, which have historically lacked resources and access to health services” said HHS Secretary Xavier Becerra. “The awards announced today support rural hospitals and address acute challenges related to substance use and maternal health.”

“At the Health Resources and Services Administration, we know that where you live should not determine your access to or the quality of the care that you receive,” said HRSA Administrator Carole Johnson. “And, we are taking action to deliver for rural families by supporting high-quality substance use disorder treatment and by helping rural hospitals continue to serve their communities.”

Many rural communities face challenges accessing essential health care services. Smaller populations, longer travel distances, and other barriers can make health care services difficult for rural residents to access and hard for facilities like rural hospitals to remain viable.

Today’s announcement includes the following HRSA investments:

  • Launching and expanding substance use disorder treatment, recovery, and social support services in rural communities: HRSA is awarding nearly $9 million over four years to three organizations to create new or expand existing access points for treatment and recovery services, support the behavioral health workforce, and collaborate with social services to ensure coordinated care and sustainable impact in rural communities.
    Name City State Fiscal Year 2024 Award Amount Total Funding (Years 1-4)
    Wilson County Substance Abuse Coalition Wilson NC $749,389 $2,999,536
    United Way of Rutherford County, Inc. Forest City NC $750,000 $3,000,000
    Integrated Care of Greater Hickory Inc. Hickory NC $750,000 $3,000,000

For more information on HRSA’s rural health grants and programs, visit https://www.hrsa.gov/rural-health.

by Randy Aldridge

Experts Are Keeping a Close Eye on a New Covid Variant

What to know about XEC.

(KatieCouricMedia, Rachel Uda) -- Yet another strain of Covid-19 has emerged — and experts believe it may soon become the dominant version of the virus here in the U.S. Here’s what you need to know about XEC, its potential to drive a winter wave, and how you can stock up on free coronavirus tests.

What is the XEC variant?

The summer may have belonged to the so-called FLiRT variants, but experts think that XEC is poised to take over. The subvariant is a recombinant or hybrid of two earlier forms of the virus — KS.1.1 and KP.3.3 — which both belong to the Omicron family.

XEC was first detected in June in Berlin, and has since spread throughout Germany, France, Denmark, and Netherlands, according to a data scientist who’s been tracking the variant’s spread. And although it appears to be moving quickly across Europe, the World Health Organization hasn’t yet classified it as a variant.

Where has XEC spread?

Currently, XEC has been detected in at least 25 states, according to data from global virus database GISAID. Those states are: Arizona, California, Colorado, Delaware, Florida, Hawaii, Illinois, Iowa, Maryland, Massachusetts, Michigan, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, South Dakota, Texas, Utah, Virginia, and Washington.

But the number of domestic XEC cases is still quite low — so low it hasn’t even been added to the Centers for Disease Control and Prevention’s Covid-19 tracker. (In order for it to be included, a lineage must make up at least 1 percent of cases nationally.) Currently, the strain causing most Covid cases in the U.S. is KP.3.1.1, which some scientists have called “DeFLuQE.”

Why are experts watching XEC?

Even though it’s not widespread at the moment, scientists have been watching XEC because of its quick rise in Germany. “We often use what happens in Europe as a good indication of what might happen here,” epidemiologist Joëlla W. Adams tells USA Today.

Eric Topol, MD, director of the Scripps Research Translational Institute in La Jolla, tells the Los Angeles Times that he believes “XEC is definitely taking charge.”

“That does appear to be the next variant,” he says. “But it’s months off from getting into high levels.”

However, other experts seem skeptical, and think another strain — one more closely related to KP.3.1.1 that’s spread widely through some countries — is a more likely successor, CBS reports.

Will the vaccines be effective against XEC?

The updated vaccines released earlier this month were designed to protect against the KP.2 strain, which is part of the FLiRT family. That means the shot should be highly effective against the most common strains now — like KP.3.1.1 — but probably less so against XEC, Dr. Topol says.

He tells the Los Angeles Times that the difference between what the new shot is formulated for and XEC is “pretty substantial…and we’ll see how it plays out.”

Still, any booster will help bolster your immunity, he says. And the CDC told CBS that it anticipates the vaccines “will continue to work against all circulating variants.”

How to get free Covid tests

Whether it’s XEC or some other version of Covid, CDC modelers believe the U.S. will experience an uptick this winter, with cases peaking in mid-January. Fortunately, you should soon be able to order free Covid-19 tests. A spokesperson for the U.S. Health and Human Services agency told the Associated Press that Americans will be able to request four free nasal swab tests this month by visiting COVIDTests.gov. However, the online portal is not yet up and running and the agency did not say exactly when ordering will begin.

 

by Randy Aldridge

FDA Approves Nasal Flu Vaccine for At-Home Use

A hand holds a nasal sprayer in their hand against a black background.

The FluMist vaccine will remain available from prescribers as an in-office treatment. (photo: AstraZeneca)

 

The F.D.A. authorized AstraZeneca’s treatment to be given outside a health care setting, although it will still need a prescription.

(New York Times, Christina Jewett) --  The Food and Drug Administration on Friday authorized at-home use of FluMist, opening the door for needle-shy people to have easy access to a nasal spray vaccine that is potentially lifesaving.

The approval will allow, for the first time, an alternative to the annual flu shot that parents and caregivers can give to children and that adults can use on their own outside of a health-care setting. It would still require a prescription and is expected to be available from an online pharmacy next fall.

AstraZeneca, which makes the treatment, said it would start a FluMist Home website, where people can fill out a questionnaire that will be reviewed by a pharmacist before the treatment is shipped to a person’s home. The mist will remain available from prescribers as an in-office treatment. The current out-of-pocket cost for a dose is about $35 to $45, but may be less depending on insurance coverage.

“Today’s approval of the first influenza vaccine for self- or caregiver-administration provides a new option for receiving a safe and effective seasonal influenza vaccine potentially with greater convenience, flexibility and accessibility for individuals and families,” said Dr. Peter Marks, director of the F.D.A.’s vaccine center, which authorized the at-home option.

The agency required the company to study whether its instructions were clear and whether at-home administration was feasible. The agency concluded that it was, but advised caregivers to give the spray to those who are 2 to 17 years old.

The flu takes a steep toll that varies greatly from year to year, according to an F.D.A. summary of data from the Centers for Disease Control and Prevention. From 2010 through 2023, hospitalizations have ranged from 100,000 to 700,000 each year, and from about 4,900 to 51,000 people have died.

FluMist was first approved by the F.D.A. in 2003 for people ages 5 to 49; since 2007, it has been authorized for people as young as 2 years old. The spray contains a weakened form of live flu virus that is applied inside the nose.

According to the C.D.C., the nasal spray has largely been found to be as effective as the shot, except for children in 2009, a year of particularly high levels of flu cases. Since then, the formula of the spray has changed, according to the agency, which said studies outside the United States found it to have similar efficacy to the shot.

Dr. Abraar Karan, a Stanford infectious disease doctor, said he saw a lot of flu patients in urgent care. He added that many said they had meant to get a vaccine, but found that the major challenge was basic logistics: making an appointment, missing work and building in time to feel tired or achy after receiving the vaccine.

He said the new approval would ideally go a long way toward preventing more flu cases.

“A lot of it is actually just reducing those logistical barriers,” Dr. Karan said. “And so an at-home platform, I think, will increase uptake, and that will increase uptake quickly, which is really the key before the season starts picking up.”

by Randy Aldridge

Lower Cape Fear LifeCare Opening First Free-standing Palliative Medical Clinic in Southeastern NC

Lower Cape Fear LifeCare Will Open Doors in Wilmington on October 1

 

Lower Cape Fear LifeCare is opening the first free-standing palliative medicine clinic in southeastern North Carolina. LifeCare Center for Palliative Medicine will provide expert support for people with serious illness and be located at 2250 Shipyard Blvd., Wilmington, NC in Barclay Common dining, shopping and office complex at the intersection of Independence and Shipyard Blvd. The clinic will open its doors to patients on Oct. 1, 2024, and will serve patients from local healthcare providers including Novant Health Zimmer Cancer Institute, Novant Health physician clinics as well as patients from other area physicians.

Palliative medicine is specialized medical care for people living with serious illnesses. The goal is to provide patients with relief from the symptoms and the stress of illnesses such as heart disease, COPD, cancer, renal and liver disease, dementia, Parkinson’s, and ALS. Palliative medicine can be provided together with curative treatment for a serious illness.

"As oncologists, we work hand in hand with our palliative care colleagues who provide expertise on pain and symptom management and add an extra layer of support for people living with cancer," Dr. Lindsey Buckingham, a gynecologic oncologist with Novant Health Zimmer Cancer Institute, said. "Both patients and families benefit from the involvement of both oncology and palliative care."

Palliative medicine improves quality of life for patients and their families by managing the pain, symptoms and stresses of the illness while receiving ongoing curative treatments. It also supports and improves coordination of care by working in partnership with a patient’s current doctor. It assists patients and their loved ones with discussions about goals of care and provides information and support on advance care planning. A palliative medicine team works with patients to help with physical and psychosocial needs such as pain, nausea, vomiting, breathing difficulties, fatigue, confusion, and depression.

“We’re proud and delighted to offer our community the first free-standing palliative medicine clinic in southeastern North Carolina,” Gwen Whitley, president and CEO said. “This is truly a significant step in providing life impacting care to people and families living with serious illnesses. We are thankful to be able to make this move with the support of Novant Health, who previously housed the clinic in its Zimmer Cancer Institute. Having outgrown that space and with the increasing demand for such care from other local providers for their patients, we are opening this dedicated space to serve those in our region. We look forward to providing palliative medicine in the clinic as well as appointments through telehealth, in private homes, assisted and skilled nursing facilities, and by continuing our in-patient palliative care partnerships with regional hospitals.”

Lower Cape Fear LifeCare has been providing palliative medicine to people in our region for more than three decades. It is the longest operating nonprofit hospice care provider in southeastern North Carolina and the second largest hospice provider in the state. Each year it provides more than one million dollars in care and services to people in the communities it serves.

Lower Cape Fear LifeCare is a nonprofit organization dedicated to providing access to the highest quality LifeCare, education, and supportive services to our patients, their families, and the communities we serve. For more information, visit lifecare.org.

 

by Randy Aldridge

New Report: US Spends Most, but Ranks Last in Health Compared to Other High-Income Nations

Australia Has Highest Overall Score

(CBS Health Watch, Sara Moniuszko) -- Americans, despite spending the most on healthcare, are the sickest and die the youngest compared with nine other high-income nations, according to a new report.

The report, released Thursday by independent research group The Commonwealth Fund, found the United States has the worst-performing health care system overall despite spending the most of any nation in the study.

Using data from World Health Organization and more since the onset of the pandemic in 2020, the study looked at five key health care measures, including health equity, access to care, care process, administrative efficiency and health outcomes.

Here's how the countries ranked based on overall score:

1. Australia
2. Netherlands
3. United Kingdom
4. New Zealand
5. France
6. Sweden
7. Canada
8. Switzerland
9. Germany
10. United States

 

"Differences in overall performance between most countries are relatively small, but the only clear outlier is the U.S., where health system performance is dramatically lower," the report states.

In addition to ranking last overall, the U.S. also ranked lowest for specific health measures including access to care to health outcomes. Australia and the Netherlands, the two countries with the highest overall rankings, also have the lowest health care spending while the U.S. spends the most among the group.

"When it comes to life expectancy and avoidable deaths, the U.S. comes in last," the report's news release noted.

But, all countries have strengths and weaknesses despite their overall rankings.

"No country is at the top or bottom on all areas of performance. Even the top-ranked country — Australia — does less well, for example, on measures of access to care and care process. And even the U.S., with the lowest-ranked health system, ranks second in the care process domain," the report states.

 

 

by Randy Aldridge

US Overdose Deaths Plummet, UNC Dr. Analyzes Data

NPR:  Data Shows Overdose Deaths Nationwide are Falling for First Time in Decades

(NPR, Brian Mann) -- For the first time in decades, public health data shows a sudden and hopeful drop in drug overdose deaths across the U.S.

"This is exciting," said Dr. Nora Volkow, head of the National Institute On Drug Abuse [NIDA], the federal laboratory charged with studying addiction. "This looks real. This looks very, very real."

National surveys compiled by the Centers for Disease Control and Prevention already show an unprecedented decline in drug deaths of roughly 10.6 percent. That's a huge reversal from recent years when fatal overdoses regularly increased by double-digit percentages.

Some researchers believe the data will show an even larger decline in drug deaths when federal surveys are updated to reflect improvements being seen at the state level, especially in the eastern U.S.

"In the states that have the most rapid data collection systems, we’re seeing declines of twenty percent, thirty percent," said Dr. Nabarun Dasgupta, an expert on street drugs at the University of North Carolina.

According to Dasgupta's analysis, which has sparked discussion among addiction and drug policy experts, the drop in state-level mortality numbers corresponds with similar steep declines in emergency room visits linked to overdoses.

Dr. Nabarun Dasgupta, a researcher at the University of North Carolina, is an expert on the U.S. street drug supply. He believes data shows a sudden drop in drug overdose deaths nationwide that could already by saving
Dr. Nabarun Dasgupta, a researcher at the University of North Carolina, is an expert on the U.S. street drug supply. He believes data shows a sudden drop in drug overdose deaths nationwide that could already by saving "roughly 20,000 lives" per year. (photo: Pearson Ripley)

Dasgupta was one of the first researchers to detect the trend. He believes the national decline in street drug deaths is now at least 15 percent and could mean as many as 20,000 fewer fatalities per year.

"Today, I have so much hope"

After years of wrenching drug deaths that seemed all but unstoppable, some researchers, front-line addiction workers, members of law enforcement, and people using street drugs voiced caution about the apparent trend.

Roughly 100,000 deaths are still occurring per year. Street drug cocktails including fentanyl, methamphetamines, xylazine and other synthetic chemicals are more poisonous than ever.

"I think we have to be careful when we get optimistic and see a slight drop in overdose deaths," said Dan Salter, who heads a federal drug interdiction program in the Atlanta-Carolinas region. "The last thing we want to do is spike the ball."

But most public health experts and some people living with addiction told NPR they believe catastrophic increases in drug deaths, which began in 2019, have ended, at least for now. Many said a widespread, meaningful shift appears underway.

"Some of us have learned to deal with the overdoses a lot better," said Kevin Donaldson, who uses fentanyl and xylazine on the street in Burlington, Vermont.

Kevin Donaldson, who lives with addiction, shown on a street corner in Burlington, Vermont, on September 16, 2024. He said members of his community have learned better ways to look out for each other as illicit drugs have grown more toxic.
Kevin Donaldson, who lives with addiction, shown on a street corner in Burlington, Vermont, on September 16, 2024. He said members of his community have learned better ways to look out for each other as illicit drugs have grown more toxic. (Photo: Carol Guzy for NPR)

According to Donaldson, many people using fentanyl now carry naloxone, a medication that reverses most opioid overdoses. He said his friends also use street drugs with others nearby, ready to offer aid and support when overdoses occur.

He believes these changes - a response to the increasingly toxic street drug supply - mean more people like himself are surviving.

Gupta called for more funding for addiction treatment and healthcare services, especially in Black and Native American communities where overdose deaths remain catastrophically high.

"There is no way we're going to beat this epidemic by not focusing on communities that are often marginalized, underserved and communities of color," Gupta said.

But even some researchers who support wider public health and harm reduction programs said it's unlikely those efforts alone are causing such a sudden decline in drug deaths.

"We don't have anything that would predict this magnitude of effect this quickly," said Dasgupta, the researcher at North Carolina University, who described the reversal as hopeful and also mysterious.

Addiction experts pointed to a number of possible factors, other than public health strategies, that could be contributing to the drop in fatal overdoses, including the changing make-up of the street drug supply.

Drug use remains dangerous and debilitating for many people in the U.S. A person in addiction pleaded for help on a street corner in Burlington, Vermont.
Drug use remains dangerous and debilitating for many people in the U.S. A person in addiction pleaded for help on a street corner in Burlington, Vermont. (Carol Guzy for NPR)

Fentanyl may be harder to find and less pure in some areas because of law enforcement efforts targeting Mexican drug cartels.

The chemical xylazine is also being mixed with fentanyl by drug gangs. While toxic in humans, causing lesions and other serious long-term health problems, xylazine may delay the onset of withdrawal symptoms in some users. Dasgupta said it's possible that means people are taking fewer potentially lethal doses of fentanyl per day.

Other experts pointed to the end of the COVID pandemic, combined with the high number of people who have already died from drug overdoses, as possible causes of the abrupt change.

Dr. Daniel Ciccarone, a physician and addiction researcher at the University of California San Francisco, said a debate is already underway over what triggered the improvement and what might happen next.

"This is where we're all going to differ. Everyone is going to come out and claim that what they did is what caused the decline," he said.

But Ciccarone agreed that for now, the improvements appear real: "What makes it fascinating is the speed at which it's happening."

"Overdose deaths in Ohio are down 31 percent"

Indeed, in many states in the eastern and central U.S. where improvements are largest, the sudden drop in drug deaths stunned some observers who lived through the darkest days of the fentanyl overdose crisis.

"This year overdose deaths [in Ohio] are down 31 percent," said Dennis Couchon, a harm reduction activist. "The deaths were just plummeting. The data has never moved like this."

"While the mortality data for 2024 is incomplete and subject to change, Ohio is now in the ninth consecutive month of a historic and unexpected drop in overdose deaths," said the organization Harm Reduction Ohio in a statement.

Missouri is seeing a similar trend that appears to be accelerating. After dropping by 10 percent last year, preliminary data shows drug deaths in the state have now fallen roughly 34 percent in the second quarter of 2024.

"It absolutely seems things are going in the right direction, and it's something we should feel pleased about," said Dr. Rachel Winograd, director of addiction science at the University of Missouri St. Louis, who also noted that drug deaths remain too high.

"It feels wonderful and great," said Dr. Mark Levine, head of the Vermont Health Department. "We need encouraging data like this and it will help sustain all of us who are actively involved in trying to have an impact here."

Levine, too, said there's still "plenty of work left to do."

Some survivors of the overdose crisis said while the situation on the streets remains grim for many people, they believe the public health response is keeping more people alive.

Eric Breeyear, who lives in a recovery shelter called Good Samaritan Haven in Barre, Vermont, said he was given naloxone repeatedly after experiencing fentanyl overdoses.

Eric Breeyear, 41 years old, has been in recovery from opioid addiction for roughly a year. He embraces executive director Julie Bond who runs the Good Samaritan Haven, a shelter that offers addiction programs in Barre and Berlin, Vermont.
Eric Breeyear, 41 years old, has been in recovery from opioid addiction for roughly a year. He embraces executive director Julie Bond who runs the Good Samaritan Haven, a shelter that offers addiction programs in Barre and Berlin, Vermont. (Carol Guzy for NPR)

In recovery for roughly a year, Breeyear takes a prescription medication called suboxone to reduce opioid-fentanyl cravings.

He told NPR there is "probably a 100 percent chance" he would have died without the medical help that is now far more widely available.

"I'm happy people's lives are being saved, but on every street I see somebody in the middle of an overdose that could potentially be fatal," Breeyear said.

He said being revived after repeated overdoses isn't enough. He wants more done to help people in severe addiction heal and enter recovery, as he has done.

Data from Vermont's Health Department shows overdose deaths have dropped roughly 22 percent in 2024. That means more survivors like Eric Breeyear, who has used heroin and fentanyl for years. He lives now in a room at the sober house of Good Samaritan Haven in Barre, Vermont.
Data from Vermont's Health Department shows overdose deaths have dropped roughly 22 percent in 2024. That means more survivors like Eric Breeyear, who has used heroin and fentanyl for years. He lives now in a room at the sober house of Good Samaritan Haven in Barre, Vermont. (Carol Guzy for NPR)

Dasgupta, the researcher at the University of North Carolina, agreed more needs to be done to help people in addiction recover when they're ready.

But he said keeping more people alive is a crucial first step that seemed impossible only a year ago.

"A fifteen or twenty percent [drop in deaths] is a really big number, an enormous impact," he said, calling for more research to determine how to keep the trend going.

"If interventions are what's driving this decline, then let's double down on those interventions."

ADDITIONAL READING

Are Overdoses Down and Why?

Questions About Opioid Settlement

CDC Guidelines for Prescribing Opioids

 

by Randy Aldridge