Building a new emergency housing system that would accommodate the privacy needs of victims of domestic violence in Connecticut has been complicated, frustrating work. When a person who is homeless is seeking to be housed, their name, age, and other details are entered into something called the Homeless Management Information System, or HMIS. This data is then used to direct people toward appropriate housing, and it’s a big part of why Connecticut is on track to ending chronic homelessness—the most pernicious kind—by the end of the year. But the Violence Against Women Act, which was signed into law in 1994, contains some strict confidentiality restrictions to protect victims of domestic violence. When a woman—and it’s usually a woman—escapes domestic violence, her first concern is safety.
As a nation, we are fat and getting fatter—and that means something entirely different for men than it does for women. On the medical side, a recent study says that obesity is three times more deadly for men than it is for women. The study, published in the July edition of the British medical journal The Lancet included 3.9 million adults in Europe and North America. The adults were between the ages of 20 and 90, none of them smoked, and none had any known chronic disease. So here’s irony: Though obesity is far more dangerous for men, women suffer the most social pressure over it, from the dieting industry, from their employers, and even from medical professionals.
In the last few years, groups that previously hadn’t worked together are joining forces to combat human trafficking. Yes, human trafficking right here in Connecticut. Those entities include agencies such as the Department of Children and Families, which you might imagine would work against trafficking, as well as groups such as the Motor Transport Association of Connecticut and the Connecticut Lodging Association. Truck drivers and motel workers see trafficking firsthand, and they need training to recognize it and act appropriately. The National Human Trafficking Resource Center, an anti-trafficking hotline, has received some 730 calls since 2007 that referenced Connecticut.
Is this any way to fight an epidemic? The Zika virus, which if contracted during pregnancy can cause a serious birth defect of the brain, has been reported in at least 45 states, including Connecticut. There is no treatment for the infection, neither in patients who are pregnant and those who aren’t—though work continues on a vaccine. Of course, that work could go more quickly if there was adequate funding. Federal officials have known about the seriousness of the Zika virus for more than a year, yet important funding has been tied up in the worst kind of Washington impasse.
By 1900, there had already been some three-dozen deaths by motor vehicles. This was at a time when the top speed of the Columbia, made by Hartford-based Pope Manufacturing, was 13 miles an hour. Cars got faster, and ubiquitous. Just a half century later, the number of motor vehicle deaths had reached epidemic proportions, 53,000 and rising. All along, safety features were being added, from turn signals in the ‘20s to padded dashboards in the ‘40s.
Officials at St. Mary’s Hospital and Waterbury Hospital began negotiations in 2011 to merge and join a Texas-owned company. But the state Permanent Commission on the Status of Women—with MergerWatch, a hospital watchdog group—successfully argued against the merger by making the case that since the new hospital would honor Catholic religious directives, a significant portion of patients would be left vulnerable—because God help you if you are a woman and need emergency reproductive services at a Roman Catholic hospital. Medical professionals at Catholic-owned or -sponsored hospitals operate under directives—known officially as the Ethical and Religious Directives for Catholic Health Care Services. These directives come from the United States Conference of Catholic Bishops and take 43 pages (plus footnotes) to describe what constitutes appropriate Catholic health care.
The incidence of suicide in nearly all age groups has increased by 24 percent since 1999—and by 200 percent among girls between the ages of 10 and 14. Theories behind such astounding unprecedented increases, reported recently by the Centers for Disease Control and Prevention, vary. Some research says that among older Americans, the recent recession may have played a part, though the correlation is not a simple one. As for why so many more young girls are killing themselves, the answers there, too, are complicated. Girls between the ages of 10 and 14 showed the greatest rise in suicide of any age group since 1999, from 0.5 per 100,000 to 1.5 per 100,000 in 2014, according to last month’s CDC report.
Several times every month, protesters come to the New Haven Planned Parenthood of Southern New England office to hold signs and pray the rosary. Planned Parenthood serves about 64,000 Connecticut patients a year, though according to a recent annual report, abortions are only about six percent of its services. Most of the services revolve around providing contraceptive services and testing for sexually transmitted diseases. Last month, the federal Food and Drug Administration eased restrictions on the so-called abortion pill, also known as RU-486. The new rules allow women to use the drug later in their pregnancies with less visits to the doctor.
For more than 20 years, the Citadel of Love, a Pentecostal church, has anchored one of Hartford’s most economically-challenged neighborhoods in the city’s North End. In its outreach ministries, the church offers clothing giveaways and free meals. Under the leadership of Pastor Marichal Monts, a Hartford native who grew up just down the street, a church committee met recently to discuss some of the flock’s health challenges. Many of the members come from the area, where the U.S. Census says the median household income is just $20,434. (Compare that to the state’s median household income that hovers around $70,000.)
High on the list of health challenges discussed by the leaders was Type 2 diabetes, which was once called adult-onset diabetes.
As we open the book on 2016, here are a few things to watch for in the field of women’s health and well-being. In no particular order, from the Office of Healthcare Prognostication—a department I just made up—comes these predictions for the new year:
1 • The use of mobile health apps, or so-called “health wearables,” will increase, according to the American College of Sports Medicine’s 10th annual survey on fitness trends. Already, the adoption of smartphone health apps has doubled in the last two years, from 16 percent in 2013 to 32 percent of consumers saying they have at least one health app on their mobile device. 2 • Beyond measuring one’s fitness, health care in general will begin a “shift into the palms of consumers’ hands,” according to PwC’s 2015 Health Research Institute’s annual report. It’s happening already in primary care and the management of some chronic diseases, though programs such as Omada Health’s online program called Prevent are pushing into fields such as behavior modification.