Author Archive: Administrator
Nursing student: Haiti is ‘an experience I will never forget’
Local teams lift up hopeless of Haiti
Nursing foundation leader discusses health care challenges in Haiti
H.R.2248 — Don’t Let the Bed Bugs Bite Act of 2009 (Introduced in House – IH)
HR 2248 IH
H. R. 2248
To establish a grant program to assist States in inspecting hotel rooms for bed bugs, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
May 5, 2009
Mr. BUTTERFIELD (for himself, Mr. YOUNG of Alaska, Mr. CHANDLER, Mr. RUSH, Ms. MCCOLLUM, Ms. CORRINE BROWN of Florida, Mr. COHEN, Mr. MILLER of North Carolina, and Ms. EDDIE BERNICE JOHNSON of Texas) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Financial Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
To establish a grant program to assist States in inspecting hotel rooms for bed bugs, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the `Don’t Let the Bed Bugs Bite Act of 2009′.
SEC. 2. FINDINGS.
Congress finds that–
(1) on February 12, 2008, a thorough inspection of a hotel in Nashua, New Hampshire, found that 16 of 117 rooms were infested with bedbugs;
(2) cimex lectularius, commonly known as bed bugs, travel through the ventilation systems in multi-unit establishments causing exponential infestations;
(3) female bedbugs can lay up to 5 eggs in a day and 500 during a lifetime;
(4) bedbug populations in the United States have increased by 500 percent in the past few years;
(5) in 2004, New York City had 377 bedbug violations and from July to November of 2005, a 5-month span, there were 449 violations reported in the city, an alarming increase in infestations over a short period of time;
(6) in a study of 700 hotel rooms between 2002 and 2006, 25 percent of hotels were found to be in need of bedbug treatment;
(7) bed bugs possess all of the necessary prerequisites for being capable of passing diseases from one host to another; and
(8) research on the public health implications of bed bugs and their potential for spread of infectious disease is not current.
SEC. 3. BED BUG INSPECTION GRANT PROGRAM.
(a) Administration; Amount- The Secretary of Commerce, in cooperation with the Travel and Tourism Advisory Board, may provide grants to an eligible State to assist such State in carrying out the inspections described in subsection (c). The grants shall be in amounts determined by the Secretary, taking into consideration the relative needs of the State.
(b) Eligibility- A State is eligible for a grant under this Act if the State has established a program whereby–
(1) not fewer than 20 percent of rooms in lodging facilities in such State are inspected annually for cimex lectularius, commonly known as the bed bug; and
(2) inspections are conducted by individuals who meet the minimum competency standard or requirement for inspecting or treating rooms in lodging facilities for bed bugs, as adopted by the State agency charged with regulating pest management activities.
(c) Federal Share- The Federal share of funding for such a program shall not exceed 80 percent.
(d) Use of Grants- A State may use a grant received under this Act to–
(1) conduct inspections of lodging facilities for cimex lectularius, including transportation, lodging, and meal expenses for inspectors;
(2) train inspection personnel;
(3) contract with a commercial applicator, as defined in section 2(e) of the Federal Insecticide, Fungicide, and Rodenticide Act (7 U.S.C. 136(e)), to inspect and treat lodging facilities for cimex lectularius; and
(4) educate the proprietors and staff of lodging establishments about methods to prevent and eradicate cimex lectularius.
(e) Application- To receive a grant under this Act, an eligible State shall submit an application to the Secretary of Commerce in such form and containing such information as the Secretary shall determine.
(f) Definition of Lodging Facility- For purposes of this Act and the requirement under subsection (b) for State programs receiving funding under this Act, the term `lodging facility’ means any individual hotel, motel, or inn that makes available for commercial lodging more than 10 individual rooms.
(g) Authorization of Appropriations- There is authorized to be appropriated $50,000,000 for each of fiscal years 2010 through 2013 to the Secretary of Commerce for the grants authorized under this Act.
SEC. 4. ADDING BED BUG PREVENTION AND MANAGEMENT TO PUBLIC HOUSING AGENCY PLANS.
Paragraph (5) of section 5A(d) of the United States Housing Act of 1937 (42 U.S.C. 1437c-1(d)(5)) is amended by inserting `and bed bugs’ after `cockroaches’.
SEC. 5. BED BUG PREVENTION AND CONTROL UNDER THE PREVENTATIVE HEALTH AND HEALTH SERVICES BLOCK GRANT PROGRAM.
Section 1904(a)(1)(B) of the Public Health Service Act (42 U.S.C. 300w-3(a)(1)(B)) is amended by inserting `and bed bugs’ after `rodents’.
SEC. 6. CENTERS FOR DISEASE CONTROL AND PREVENTION INVESTIGATION AND REPORT.
The Centers for Disease Control and Prevention shall investigate the public health implications of bed bugs on lodging and housing. The investigation shall specifically consider the impacts on mental health of bed bugs, their potential for spreading infectious disease, and contributing to other diseases such as asthma. The Centers for Disease Control and Prevention shall report their findings and recommend any potential solutions to Congress not later than December 31, 2010.
SEC. 7. REPORT TO CONGRESS.
The Secretary of Commerce shall transmit a report to Congress not later than 3 years after the issuance of the first grant authorized by section 3 of this Act, which shall contain an assessment of the effectiveness of the bed bug inspection grant program.
Consejos para Tomar sus Medicamentos de Forma Segura: Tips for Taking Medicines Safely
This AHRQ Podcast advises Spanish speakers to tell their health care providers about all the medications they’re taking, including herbal supplements, so they can avoid dangerous interactions. Listen to the Podcast at: http://healthcare411.ahrq.gov/radiocastseg.aspx?id=1123&type=seg.
For other Spanish language Podcasts and consumer information, go to: http://www.ahrq.gov/consumer/espanoix.htm.
Located in the town of Jimani, Dominican Republic a few days after the January 2010 earthquake. Viewer discretion is advised.
What if you could TRIPLE your reading speed in under 60 minutes?
That was the question Michael Masterman asked me to consider — when he sent me a review copy of his new speed reading audio course three months ago. And you won’t be surprised to hear that I didn’t believe it!
Now, I’ve always avoided learning how to speed read.
Why? Because I always believed it’d take hours of training to really “work properly.” And I’d heard a couple of horror stories too. (One very well-known six-CD course essentially suggests listening to fast music while reading. Now that’s incredibly draining – and not exactly suited to a slow-paced romance!)
Michael promised I would literally triple my reading speed in well under an hour (without fast music or other gimmicks!) — and said that his audio course included tests to prove it. He also said I’d be able to maintain that super-fast reading speed, even weeks later.
I took the course. It worked. And I’m STILL reading at lightening speeds!
That’s exactly why I wanted to write and tell you about Michael’s “Speed Reading Secret” course today!
But don’t listen to me chat about it. If you want to blast through e-mail messages, Web pages, revision, books or reports (and pick up an amazing new vocabulary along the way), then check out his site.
The course includes tests, so you can literally see just how well you’ve improved. And if you don’t improve enough, claim your money back through his guarantee!
Michael predicts the average American could save one day a week following his advice. I think he’s probably right.
Telephone nursing interventions can be very effective in providing diabetes education and improving diabetes-related outcomes. In the primary care setting, telephone care nurses could be able to regularly report problems to the patient’s health care provider and work closely with them to make changes in diabetes management plans. Nurse counseling can improve diabetes symptoms, glycemic control, self-management behaviors, and use of guideline-recommended diabetes services. Telephone nursing care is most effective if it is integrated as part of the role of a clinic-based registered nurse. This would increase the likelihood that the patient’s primary care provider would seriously consider integrating the advice of the clinic-based registered nurse. Primary care nurses could schedule calls to select patients and counsel them on exercise, diet, weight control, how to calculate body mass index, how to use fingerstick glucometers, and how to follow up on glucose results. Education is one of the most important tools for diabetes prevention, and support for the patient who is struggling to make the necessary changes in his/her lifestyle is critical. A telephone health program is one way to establish contact, encourage, educate, and monitor progress of a large group of patients.
A randomized controlled trial was performed to see whether a Pro-Active Call Center using trained nonmedical personnel who were supported by a diabetes nurse could effectively improve glycemic control in type 2 diabetes. A total of 591 individuals were divided into an usual care group and an intervention (call center) group. The personnel in the call center focused on patient education (lifestyle and medication adherence), metabolic management, and referrals. The frequency of the calls depended on the HbA1C level, and each call lasted 20 minutes. Satisfaction was assessed at baseline and at the end of the study using the Diabetes Satisfaction and Treatment Questionnaire. Patients who received diabetes counseling reported high levels of satisfaction and over 90% agreed that the “telecarer approach” was acceptable. Participants reported personalized service, increased well-being; and help with problem-solving. These results suggest that by focusing on the concerns of patients, individualized problem-solving, and continuity of care, health care providers can contribute to a successful patient-centered approach to diabetes management (Long, Gambling, Young et al, 2005). Care coordination enhanced by technology reduces hospital admissions, inpatient bed days of care, emergency department visits, and prescriptions, as well as results in higher patient and provider satisfaction. A chronically ill patient’s self-management goals or financial pressures may not be evident to their health care provider. By allowing nurses and patients to communicate without a formal office visit, telephone care can address disease management problems in a more timely way and allow communication when patients are in their homes or workplace.
Long, A., Gambling, T., Young, R., Taylor, J., Mason, J. (2005). Acceptability and Satisfaction with a Telecarer Approach to the Management of Type 2 Diabetes. Diabetes Care, 28(2), 283-289