Let's Talk Health-Mariposa Community Health Center

  World AIDS Day is commemorated around the globe on December 1st. Through this event observers celebrate progress made in the battle against the epidemic and more importantly remind us of remaining challenges. The theme for World Aids Day 2021 observance is: “Ending the HIV Epidemic, Equitable Access, Everyone’s Voice”.

It is also an opportunity for people worldwide to unite in the fight against HIV, show their support for people living with HIV, and remember those who have died from an HIV-related illness. Started in 1988, World AIDS Day was the first-ever global health day.

Some important facts:

According to the Centers for Disease Control and Prevention, in 2019, 36,801 people received an HIV diagnosis in the United States. From 2015 to 2019, HIV diagnoses decreased 9% overall in the US. In that same year, the number of new HIV diagnosed cases were among the 25–34-year old’s in the US.

The number of people living with HIV globally in 2020 was 37,700,000. Newly infected people in 2020 were 1,500,000 and 680,000 people died from HIV related causes, that same year.

Although the world has made significant progress since the late 1990s, HIV remains a major global public health issue.

  Preventing pre-diabetes and diabetes is the focus of November 2021’s National Diabetes Month. 

Prediabetes is a serious health condition where your blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. According to the CDC, more than 1 in 3 U.S. adults have prediabetes—that’s 88 million people—but the majority of people don’t know they have it.

Type 2 diabetes, which is the most common type of diabetes occurswhen your blood glucose, ( blood sugar), is too high. Blood glucose is your main source of energy and comes mainly from the food you eat. Insulin, a hormone made by the pancreas, helps glucose get into your cells to be used for energy. In type 2 diabetes, your body doesn’t make enough insulin or doesn’t use insulin well. Too much glucose then stays in your blood, and not enough reaches your cells.

Type 2 diabetes can happen at any age, even during childhood. However, type 2 diabetes occurs most often in middle-aged and older people. You are more likely to develop type 2 diabetes if you are age 45 or older, have a family history of diabetes, or are overweight or obese. Diabetes is more common in people who are African American, Hispanic/Latino, American Indian, Asian American, or Pacific Islander. 

Physical inactivity and certain health problems such as high blood pressure affect your chances of developing type 2 diabetes. You are also more likely to develop type 2 diabetes if you have prediabetes or had gestational diabetes when you were pregnant.

Diabetes symptoms, which can develop slowly over many years, include:

· increased thirst and urination

· increased hunger

· feeling tired

· blurred vision

· numbness or tingling in the feet or hands

· sores that do not heal

· unexplained weight loss

The good news is that you can prevent getting type 2 diabetes by:

Losing weight if you are overweight and keeping it off. Just by losing 5 to 7 percent of your current weight you could prevent type 2 diabetes.

Moving more. Getting at least 30 minutes of physical activity, such as walking, at least 5 days a week. Start slowly and build up to your goal.

Eating healthy foods. Eating smaller portions to reduce the number of calories you eat each day will help to lose weight. Choosing foods with less fat is another way to reduce calories. Drink water instead of sweetened beverages.

Mariposa Community Health Services Department at Mariposa Community Health Center offers free Diabetes Prevention Classes and Diabetes Management classes. For more information, please contact 520 375-6050.

National Breast Cancer Awareness Month is an annual campaign to increase awareness of the disease. Breast Cancer is the most common cancer diagnosed in women in the United States, other than skin cancer. It is the second leading cause of cancer death in women, after lung cancer. There are over 3.1 million breast cancer survivors in the United States.  According to the National Breast Cancer Foundation, more than 200,000 women are diagnosed with breast cancer every year. More than 40,000 succumb to the disease every year. Remember, all women should perform a monthly breast self-exam to check for breast changes (it is simple to do)! 

While most people are aware of breast cancer, many forget to take the steps to have a plan to detect the disease in its early stages and encourage others to do the same. The breast cancer mortality rate in Santa Cruz County is higher than for Arizona. Nationally, breast cancer is diagnosed in later stages among Hispanic women than among all U.S. women. For more information, visit www.nbcam.org

What can you do? Get screened and talk to your doctor about which screening test are right for you if you are at a higher risk. Have a mammogram every year starting at age 40 if you are at average risk. Have a clinical breast exam at least every 3 years starting at age 20, and every year starting at age 40. 

You can schedule your breast screening appointment at Mariposa Community Health Center at (520) 281-1550. 

No insurance? No problem! Our Well Women Health Check Program can help if you are uninsured or underinsured, a woman ages 40-64, and live in Santa Cruz County. Call us for more information at (520) 375-6050 or stop by at second floor of the Mariposa Sierra Building.

DON’T TAKE A CHANCE!

Get screened and encourage the women in your life to get screened!!

Did you know that in Santa Cruz County, there are approximately 2,700 people struggling with a substance use disorder or addiction? Or that an estimated 80% of those with a substance use disorder do not receive a diagnosis or treatment?  

The Santa Cruz County Overcoming Substance Addiction (SOSA) Consortium is working to address this need for substance use disorder prevention, treatment, recovery, and workforce development. The S.O.S.A. Consortium began in 2019 with the support of a Health Resources Services Administration Rural Communities Opioid Response Planning Grant. Our goal is to collaborate across sectors to increase the availability of and access to culturally and linguistically appropriate services to help people prevent, treat, and recover from substance use disorder, specifically opioid use disorder. 

Mariposa Community Health Center leads the S.O.S.A. Consortium efforts along with project leads in each of the four target areas: Circles of Peace for prevention, Community Health Associates for treatment, Pinal Hispanic Council and Helping Ourselves Pursue Enrichment, (HOPE) Inc for recovery, and Southeast Arizona Area Health Education Center (SEAHEC) for workforce development. The consortium also includes participation from Nogales, Rio Rico, and Tubac Fire & Emergency Medical Services (EMS), Santa Cruz County Sheriff’s Department, Nogales Police Department, Holy Cross Hospital, Santa Cruz County Attorney’s Office, Mariposa’s clinical pharmacist team, Community Medical Services (CMS), Sonora Prevention Works, Arizona Complete Health, Arizona Department of Health Services, PEPP, Inc/Amado Youth Coalition, along with primary care providers, other nonprofit organizations, behavioral health providers, local court system, school partners, and partners from the University of Arizona. 

In the two years since the S.O.S.A. Consortium has formed, we have made important strides towards our goal. Collectively, the S.O.S.A. Consortium partners have trained more than 500 community members, which include youth, faith-based community, and health professionals in stigma reduction, substance/opioid misuse, and Naloxone overdose reversal treatment.  Collectively we have increased the availability, access, and distribution of Naloxone, the life-saving medication that can reverse the effects of an opioid overdose.  We have also implemented an innovative collaboration between EMS, peer support specialists, and medication assisted treatment providers to connect people to treatment services.  We have strengthened our collaboration with the criminal justice system, and distributed over 500 bags filled with SUD information, Deterra kits to safely dispose of prescription medicines, and Naloxone overdose reversal treatments.  We have improved the coordination of care between primary care and behavioral health providers, with an emphasis that patients with infectious drug-use diagnoses are referred to appropriate treatment.       

The SOSA Consortium meets monthly and has continued to work for our community throughout the COVID-19 pandemic.  Unfortunately, the stress and isolation of the pandemic has increased the need for substance use disorder services, and sometimes has prevented people from seeking services. Our work is more important than ever. 

There is a lot of work to be done surrounding the issues of substance use disorder/opioid use disorder and behavioral health.  We are looking forward to continuing to implement system changes in the areas of prevention, treatment, and recovery with all our partners. 

August 31 was International Overdose Awareness Day.  We remembered those that have been affected by addiction, particularly those who have suffered an overdose on August 31st at a community and resource fair at Pierson field.  

September is National Recovery Month which is a national observance to educate our communities that substance use treatment and mental health services allows those with mental and substance use disorders to live healthy and fulfilling lives.  Let’s take this time to celebrate the success made by those in recovery.

If you or someone you know is suffering from addiction, help is available!  

For more help or more information contact:  

Mariposa Community Health Center (520) 281-1550

Circles of Peace (520) 281-0579

Community Health Associates (520) 394-7400

Pinal Hispanic Council (520) 287-0015

  World Breastfeeding Week was started by The World Alliance for Breastfeeding Action in 1992 to generate public awareness and support for breastfeeding. World Breastfeeding week is officially celebrated on 1-7 August every year worldwide. The World Alliance for Breastfeeding Action is responsible for the Baby Friendly hospital initiative and so much more. As part of the campaign to achieve their goals and get more information about breastfeeding out to the world, WABA began to think about creating a day to dedicate to the celebration of all things breastfeeding. The idea of a day grew and lead to what we now know as World Breastfeeding Week. Each year, WABA designs a new theme and slogan to represent World Breastfeeding Week. The theme is meant to emphasize and bring awareness to a particular aspect of breastfeeding while building upon the topics of the past. This Year will focus on how breastfeeding contributes to the survival, health and wellbeing of all, and the imperative to protect breastfeeding worldwide. 

Mariposa Community Health Center will host their annual World Breastfeeding Week Celebration on August 4th, 2021, from 10:00am-12:00pm. This will be the first in Person celebration since 2019. Pregnant and Breastfeeding mothers can come and celebrate their accomplishments with breastfeeding and hear testimonial from previously breastfeeding mothers and learn more about its benefits. Some Benefits include Ideal Nutrition; Breast milk contains everything baby needs for the first 6 months of life, in all the right proportions. Antibodies, reduces the risks of infections, SIDS, diabetes, and childhood leukemia. 

The WIC Program includes a Breastfeeding Peer Counselor Program, which helps support mothers during pregnancy and breastfeeding. WIC formed a Breastfeeding Support Group called “Milky Mamas” this group is currently meeting the 4th Thursday of the Month via Zoom at 4pm. This Group includes pregnant and breastfeeding moms that need support from peers that have similar concerns and talk about “mom life”. 

Mariposa WIC is working on restarting the Breastfeeding Circle Committee, which is a committee that collaborates with other community agencies and members to increase breastfeeding rates and duration in the community.

For more information, please contact Andrea Tapia, WIC Breastfeeding Coordinator at (520) 287-4994.

  Summer is here and most of us want to spend it outside. We want to barbecue, go on hikes, spend time in a pool and we especially want to go to the beach. These are all fun activities that we can do with our family and friends. Taking some simple safety precautions, however, can reduce our skin cancer risk.  

Skin cancer is caused by too much exposure to ultraviolet (UV) light. UV rays are invisible, and they come from the sun, tanning beds, and sunlamps. They burn the skin and can damage skin cells. 

This summer remember to stay safe by:

· Staying in the shade (under an umbrella or tree) as much as possible especially during 9:00am to 3:00pm (standard time). 

· Using sunscreen or protective clothing. Both mineral and chemical sunscreens with an SPF of 15 or higher. 

· Wearing long sleeved shirts and pants when possible as these provide protection from the harmful UV Rays. If you are at the beach, try wearing a t-shirt or beach cover up for extra protection. 

· Wearing a hat that covers your face, ears, and the back of your neck. Darker hats may offer more protection against UV Rays. 

· Protecting your eyes and the skin around them from UV rays with sunglasses. Wearing sunglasses also reduces the risk of cataracts. For maximum protection look for sunglasses that block both UVA and UVB rays. Most sunglasses sold in the US do meet this standard. 

 June is Cataract Awareness Month

If you notice your vision is becoming more clouded, blurred or dim it might be time to get an eye exam to determine if you have cataracts developing over the lens of your eye. Cataracts generally take time to develop but if left untreated they can cover your entire eye lens and affect your vision. 

Other signs and symptoms of cataracts are:

• Increasing difficulty with vision at night
• Sensitivity to light and glare
• Need for brighter light for reading and other activities
• Seeing "halos" around lights
• Frequent changes in eyeglass or contact lens prescription
• Fading or yellowing of colors
• Double vision in a single eye

Causes

Cataracts develop as we age or an injury changes the tissue that makes up your eye's lens. Cataracts can also be caused by other eye conditions, past eye surgery or diabetes. Long-term use of steroid medications can also cause cataracts to develop.

How cataracts form

A cataract forms over the lens which is positioned behind the iris (colored part of the eye). As you age, the lens becomes more inflexible, less transparent and thicker. Aging and medical conditions cause the tissue in the lens to breakdown and clump together. This causes a clouding within certain areas of the lens. Over time, this clouding becomes thicker and denser and eventually can cover the entire lens.

Risk factors

Some risk factors are:

Age

Diabetes 

Too much sun exposure

Smoking

Obesity

Hypertension

Excessive alcohol consumption

Prevention

Although there are not proven ways to prevent cataracts, doctors recommend getting regular eye exams, quit smoking, eat plenty of fruits and vegetables, reduce excessive alcohol consumption and wear sunglasses regularly.

For more information: https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790

May is Mental Health Awareness

You’re Not Alone!

May is Mental Health Awareness Month! During this month, organizations and individuals come together to talk openly about mental health, how it affects the community, and reduce stigma around the topic. We have invited our Teen Health Facilitators, Luis Longorio and Juan Mezquita, to team up with mental health training instructors Arely Zavala and Alexa Lopez and share important information about mental health this month.

Mental Health is just as important as physical health because it is an individual’s state of wellbeing surrounding their thoughts, emotions, and behaviors. When someone is not mentally well, their physical health, relationships, everyday routines, and environments are negatively affected. It is important to take care of our mental health during all stages of our lives, especially during difficult times like living through a global pandemic. 

The truth of the matter is that people suffer from mental health issues more often than we realize. According to the CDC, an estimated 50% of all Americans are diagnosed with a mental illness or disorder at some point in their lifetime, with many of these issues arising during the teen years. Factors that can negatively affect someone’s mental health include stress, isolation, and relationship problems. There are also trauma, tragedies, financial struggles, and even the COVID19 pandemic that can take a significant toll on a person’s mental wellbeing. 

A person’s experiences can influence their understanding of mental health. When these topics are taboo, it can be especially difficult to reach out and take the first step towards recovery. There could be misconceptions, stigma, embarrassment, or fear preventing them from accessing care or getting support from friends and family. An estimated 26 million people in the United States who have a mental health condition are going untreated. 

However, our mental health should not be stigmatized, since we live with it every day and mental health conditions are very common. With the right help and support you can work to improve your mental wellbeing. When we foster openness and understanding, it is easier for an individual to seek help. There are different ways to start taking care of your mental health. You can talk to your healthcare provider or seek help from a mental health professional. 

If you want to learn more about mental health issues you can take the free classes, Ending the Silence and Youth Mental Health First Aid, offered by Mariposa Community Health Center’s Community Health Services Department Platicamos Salud. Ending the Silence is a 1-hour presentation for both youth and adults that can help you start the conversation about mental health. This provides you with information on what you can do to help yourself and others who are experiencing a mental health condition. Youth Mental Health First Aid is a more in-depth class for adults that teaches them how to best support youth and connect them with help when needed. Both programs help you identify warning signs and give you ways to offer support to those who need it. For Ending the Silence contact Arely Zavala at azavala@mariposachc.netor 520.375.6050 ext.1363. For Youth Mental Health First Aid contact Alexa Lopez at ajlopez@mariposachc.netor 520.375.6050 ext. 1353. We can’t become a mental health professional overnight, but we can learn how to be a bridge to help for the people we care about.

Another way you can maintain your mental wellbeing at home is practicing positive coping skills. Coping skills are positive habits that help you release stress and deal with your emotions in a healthy way. There’s no one-size-fits all method to cope, but here are some examples:

· Exercising

· Practice art

· Sports

· Reading

· Listening to music

· Breathing or mindfulness exercises

· Practicing self-care

· Talking to your friends and family

You can try these examples out and see what works best for you! The most important thing is taking that initial step to improve your mental health and have that conversation with your loved ones to reduce the stigma. You can reach out to Mariposa Community Health Center at (520) 281-1550 to see what resources are available to you.

Nation Suicide Prevention Lifeline: 1.800.273.8255

Confidential 24/7 Local Crisis Line: 1.866.495.6735

April is Sexual Assault Awareness Month

Sexual Assault Awareness Month calls attention to the fact that sexual violence is widespread and impacts every person in the community. One of the biggest barriers to preventing sexual violence is understanding sexual violence. Often, victims of sexual violence are left feeling isolated and ashamed without the support they need to begin to heal. Understanding the facts and dispelling the myths about sexual violence is crucial to holding offenders accountable and ensuring that victims are treated with respect and receive the support they need. 

There are several myths related to sexual violence such as that sexual assault is provoked by the victim’s actions, behaviors, or by the way they dress. When in fact sexual assault is NEVER the victim’s fault. Sexual assault is a violent attack on an individual, not a spontaneous crime of sexual passion.  For a victim, it is a humiliating and degrading act. No one “asks for” or deserves this type of attack. 

Another myth is that sexual assaults only occur in dark alleys and isolated areas. In fact, a sexual assault can happen anywhere and at any time. The majority of assaults occur in places ordinarily thought to be safe, such as homes, cars and offices. 

Many people believe that Sexual assault results from an uncontrollable impulsive sexual urge. This is not true, in fact sexual assault is motivated by hostility, power and control. Sexual assaults are not motivated by sexual desire. Humans are capable of controlling how they choose to act on or express sexual urges. 

Many people also believe that people who commit sexual assaults are obviously creepy, abnormal perverts, or people who could be easily identified and avoided. This is also, not true, in fact sexual offenders are “ordinary” and “normal” individuals who come from all educational, occupational, racial, and cultural backgrounds. You cannot pick a sex offender out of a crowd. This myth demonstrates our cultural tendency to blame victims – it is not the case that victims are assaulted because they failed to spot an obvious perpetrator. 

It is also common to believe that men cannot be victims of sexual violence. In fact, men can be and are victims of sexual violence. Approximately 1 in 6 men will be victims of sexual violence at some point in their lifetime. Being a victim of sexual violence does not make a man less “manly” and does not have implications for his sexual orientation. Some people also believe that women cannot be sex offenders. The fact is an overwhelming majority of sex offenders are male, but it is possible for women to be perpetrators of rape and sexual violence, even against men. 

It is important to promote awareness in our community about Sexual Assault, and how this is a real issue. We know young people experience heightened rates of sexual violence, and youth ages 12-17 are 2.5 times as likely to be victims of rape or sexual assault. Rape, sexual assault, and sexual harassment harm our community and statistics show 1-5 women and 1 in 71 men will be raped at some point in their lives. Unfortunately, we also know that people in the LGTBQ+ community experience sexual assault at a rate that is comparable or higher than the sexual assault rate for heterosexual individuals. Let’s join communities across the country in taking action to prevent sexual violence in Santa Cruz County. 

Mariposa Community Health Center offers advocacy, support, education, and resources for individuals in domestic violence, dating violence, sexual violence, and stalking situations. Services are free of cost, available throughout Santa Cruz County, and you do not have to be a patient of Mariposa Community Health Center to receive assistance.  Together, we can raise the community awareness about Sexual Assault, not just in April, but each day of the year is an opportunity to create a change and impact someone’s life. Feel free to contact Community Health Services (Platicamos Salud) for more information at (520) 375-6050. 

Nogales “Little” Mercado Celebrates National Nutrition Month

The Nogales “Little” Mercado is a collaboration of community partners connecting local food producers with Nogales shoppers. We are celebrating National Nutrition Month by improving the health and well-being of the Nogales community, economy, and environment. We are following CDC guidelines to serve you safely during COVID-19, including requiring masks to be worn properly at all times and enforcing social distancing. 

Our main goal is to provide a downtown location for residents to purchase locally-grown, healthy foods as well as create a socially- vibrant, healthy environment where all can learn, share and enjoy the community. National Nutrition Month reminds us to celebrate our culture and health through food. By increasing access to local produce in Downtown Nogales, the Nogales “Little” Mercado is helping to bring healthy choices to your table. We are here to share recipes and meal ideas, so you can feel confident trying something new, or preparing your favorite vegetable in a new and healthy way.

Our volunteer-led community garden provides fresh lettuce, cooking greens like bok choy and chard, sweet carrots, and more! Thanks to our longtime volunteer, Juanita Gonzales, we have lovingly-grown, delicious vegetables and fruit all year-round. 

We accept SNAP/EBT

We strive to make our product affordable for families on a budget. When customers use their SNAP/EBT Card at our farmer's market, every dollar they spend is matched with an extra dollar to spend on more Arizona-grown fruits and vegetables, with no daily limit. Known as Double Up Food Bucks, this federally- funded effort doubles the value of your SNAP benefits at participating farmers markets. 

More ways to eat local

The Nogales "Little" Mercado Farmer's Market is part of the Cosechando Bienestar (Harvesting Wellbeing) initiative. Our mission is to renew food traditions in Nogales so that locally-grown food is enjoyed by all for better health. We have partnered with Nogales Community Development, SEEDS Youth Group, and the Iskashitaa Refugee Network in Tucson to grow and glean more food locally and get it to residents who need it most. 

Donate your extra fruit!

Cosechando Bienestar participants identify fruit trees and other food resources in public and private properties. We work with owners to harvest excess fruit that is otherwise going to waste. We redistribute the fruit through the Nogales "Little" Mercado Farmer's Market’s cooperative table, La Mesa Cooperativa. Anyone with extra produce from their backyard can donate or resell with us and keep local food out of the landfill. 

Grow your own!

Cosechando Bienestar also aims to be a resource for both new and experienced backyard gardeners. From chiltepins to tomatoes, cilantro, and zucchini, our climate is excellent for growing your own nutritious food. Kids love to get their hands dirty, and are more likely to eat veggies they’ve helped grow. Watch our social media for upcoming virtual gardening workshop information. 

Follow us on Facebook https://www.facebook.com/NogalesMercado, check out our website and sign up for our weekly e newsletter at www.nogalesmercado.com, call Erika M. Burgos 520.375.6050 x1302 or Santos Yescas 520.397.9219, or email emunozburgos@mariposachc.net