My Communicator | Spring 2021

Vol. 29, No. 2 | Spring 2021

Behind the Scenes The hard work and dedication that goes into Meals on Wheels daily PAGE 13

AGEISM

Everyday Ageism and Health Ageism refers to discrimination, prejudice, and stereotyping based on age. Age-based discrimination in employment, housing, and health care can negatively affect older adults’ health and well-being.

Older adults may also experience ageism in their day-to-day lives through interpersonal interactions and exposure to ageist beliefs, assumptions, and stereotypes. These forms of everyday ageism may also be harmful to health. In December 2019, the University of Michigan National Poll on Healthy Aging asked a national sample of adults age 50–80 about their experiences with different forms of everyday ageism, positive views on aging, and health.

What is everyday ageism and how common is it?

Learn more on page 12.

This poll examined older adults’ experiences with nine forms of everyday ageism. These forms were categorized into three groups: (1) exposure to ageist messages, (2) ageism in interpersonal interactions, and (3) internalized ageism (personally held beliefs about aging and older people). Overall, 82% of older adults reported regularly experiencing at least one form of everyday ageism in their day-to-day lives. See AGEISM on page 4.

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SPRING CONTENT 01 Everyday Ageism and Health Ageism

06 Prediabetes: Your Chance to Prevent

Diabetes

Health & Wellness

08 Make Every Bite Count

Nutrition

10 It's Time for a Spring Home Safety Check Caregiving

11 Blacks are at Higher Risk for Alzheimer's,

but Why?

Health & Wellness

12 SourcePoint Launches Fundraising Drive to

Support Meals on Wheels

Community Support

13 Behind the Scenes of Meals on Wheels Volunteering

16 From the Source

SourcePoint News, Programs, and Resources

18 19

21 22 23

Coronavirus Section Older Adults' Perspectives on the Vaccine 8 Things to Know Before Your Second COVID Vaccine Improve Mask Protection A Light at the End of a Very Long Tunnel Helping Older Adults Register for the Vaccine

24 2021 Community Grants

Community Support

25 Logic Riddles | Sudoku

Fun & Games

26 Creative Writing: The Beauty of Trees Arts

28 Age-Friendly Delaware County Action Plan Age-Friendly

31 Recipes

Nutrition

SourcePoint Headquarters 800 Cheshire Road, Delaware South Office 1070 Polaris Parkway, #200, Columbus 740-363-6677 | MySourcePoint.org EIN 31-1354284

SourcePoint is the primary resource and starting point for professional expertise, services, and programs for Delaware County adults who want to thrive after 55. SourcePoint is a nonprofit 501(c)(3) organization. Services and programs are supported in part by the local senior services levy, corporate and private donations, sponsorships, grants, the Central Ohio Area Agency on Aging, and United Way of Delaware County.

2021 Board of Directors President: Richard Roell, ChFC, FFSI, RIA, MBA, Galena Vice President: Gretchen Roberts, MSN, NEA-BC, Powell Secretary: Alice Frazier, MD, Delaware Treasurer: Wren Kruse, JD, New Albany Adrienne Corbett, Delaware Becky Cornett, PhD, Delaware Carlos Crawford, MS, JD, Delaware Karen Crosman, Powell Jack Fette, Lewis Center Roger Lossing, CPA, JD, CFP, Lewis Center James Mendenhall, Powell Dennis Mowrey, Delaware Frank Pinciotti, Lewis Center Carolyn Slone, Delaware Jane Taylor, Dublin Michael Tucker, JD, Delaware Roger Van Sickle, Delaware Dennis Wall, Delaware The board typically meets the last Wednesday of each month at noon. Members of the public who wish to attend may call the executive director at 740-363-6677.

My Communicator is published quarterly and is made possible through advertisers, donors, and volunteers.

About 48,000 copies of each edition are printed and distributed throughout Delaware County. My Communicator is available at SourcePoint and more than 50 locations, such as libraries, senior living communities, health care facilities, and other nonprofit organizations. To find a nearby pickup site, contact SourcePoint at 740-363-6677. Read My Communicator online at MySourcePoint.org/publications.

To advertise or submit content for consideration, contact Alison Yeager, director of communications and development, at alison@MySourcePoint.org.

The appearance of advertising does not represent an endorsement by SourcePoint. We reserve the right to refuse any advertising.

Spring 2021

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Our Statement and Pledge Against Racism “I have the audacity to believe that peoples everywhere can have three meals a day for their bodies, education and culture for their minds, and dignity, equality, and freedom for their spirits.” –Martin Luther King, Jr. Across the country, our state, and here in Delaware County, Americans are speaking out against the systemic racism and injustice that culminated in the killing of George Floyd, as well as Ahmaud Arbery, Breonna Taylor, and too many others before him. Americans are acknowledging that prejudice and discrimination are as pervasive as ever and they are uniting together to fight for their constitutional rights for justice and true equality in their communities.

As an organization dedicated to serve all of Delaware County’s older residents, SourcePoint is committed to fight against racism as part of our work to help those residents live their best lives. Racism has a negative impact on the health and overall well-being of people of color, making it an important factor to be addressed in our work with our members and clients, as well as our work within the Delaware County community.

As an equal opportunity employer, we also are committed to creating a positive, inclusive workplace for our employees and volunteers. Therefore, as a united SourcePoint team, let us seek to create an equal society, understanding that this requires each of us to make unbiased choices and be antiracist in all aspects of our lives.

SourcePoint pledges to stand with our community to fight racism, embrace diversity, and stand against the legacy of systemic bias, racism, and unequal treatment of any person, no matter their race, ethnicity, religion, age, disability, nationality, sexual orientation, or gender identity. We will continue to listen, learn, and act in our workplace, in our training, and in our representation of and outreach to our community.

Racism is everyone’s problem and we all have a role in stopping it. “For it isn’t enough to talk about peace. One must believe in it. And it isn’t enough to believe in it. One must work at it.” Eleanor Roosevelt’s words ring true. Let us do the work necessary to unite our community and end racism.

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4

Ageism From page 1

Two in three older adults (65%) reported exposure to ageist messages in their day-to-day lives. This included often or sometimes hearing, seeing, or reading jokes about old age, aging, or older people (61%) or hearing, seeing, or reading things suggesting that older adults and aging are unattractive or undesirable (38%).

Nearly half of older adults (45%) reported experiencing ageism in their interpersonal interactions. Specific experiences included other people often or sometimes assuming that because of their age, they have difficulty using cell phones and computers (22%), hearing or seeing (17%), or remembering or understanding (17%). Some older adults also reported that others assume they do not do anything important or valuable (15%) or that they need help with tasks they can do on their own (15%).

In addition, 36% of adults age 50–80 endorsed at least one form of internalized ageism based on their agreement that feeling lonely (29%) or feeling depressed, sad, or worried (26%) are a normal part of getting older.

Two in five older adults (40%) reported often or sometimes experiencing three or more (out of nine) forms of everyday ageism. Experiencing three or more forms was more common among those age 65–80 as compared to those 50–64 (49% vs. 35%), women compared to men (43% vs.

38%), and those with annual household incomes below $60,000 compared to those with higher incomes (50% vs. 33%). Being retired and living in a rural area were also associated with experiencing more forms of ageism.

Spring 2021 Connections to everyday ageism

Older adults who spent more time watching television, browsing the internet, or reading magazines were more likely to report three or more forms of everyday ageism. Those who spent more than 4 hours per day viewing media were more likely to report three or more different forms of ageism than those spending 2–4 hours per day or those spending less than 2 hours per day viewing media (49% vs. 41% vs. 32%).

Adults age 50–80 who said they looked older than others their age were more likely to report three or more forms of everyday ageism than those who felt they looked either the same or younger than others their age (52% vs. 40%). One in three older adults (35%) agreed they invested time and effort to look younger than their age, with those reporting three or more forms of everyday ageism being more likely to indicate doing so (38% vs. 33%). Four in five (79%) agreed that they make sure to engage in activities they believe are important for their health, though this did not differ based on how much everyday ageism older adults reported.

Everyday ageism and health

Older adults who reported experiencing three or more forms of everyday ageism in their day-to-day lives had worse physical and mental health than those who reported fewer forms of ageism. For example, older adults who reported three or more forms of ageism were less likely to rate their overall physical health as excellent or very good compared to those reporting fewer forms (34% vs. 49%). Older adults who experienced more forms of ageism were also more likely to have a chronic health condition, such as diabetes or heart disease, than those reporting fewer forms (71% vs. 60%). Those who regularly experienced three or more forms of ageism were less likely than people who reported

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Spring 2021

fewer forms to rate their mental health as excellent or very good (61% vs. 80%) and more likely to report symptoms of depression (49% vs. 22%).

Positive views on aging

The majority of poll respondents agreed that they feel more comfortable being themselves as they have gotten older (88%) and that they have a strong sense of purpose (80%).

About two in three older adults said they agree that as they have gotten older, their feelings about aging have become more positive (67%) and that their life is better than they thought it would be (65%). Overall, the vast majority of older adults (94%) agreed with at least one of these four positive views on aging and 51% agreed with all four statements.

Older adults with positive views on aging reported experiencing fewer forms of everyday ageism and better physical and mental health. Those who agreed with all four positive views were more likely than those with fewer positive views to report being in excellent or very good physical health (55% vs. 30%). Similarly, older adults who agreed with all four positive views were more likely than those with fewer positive views to say their mental health was excellent or very good (84% vs. 60%).

Implications

According to this poll, the majority of adults age 50–80 regularly experienced at least one form of everyday ageism in their day-to-day lives, and two in five experienced three or more forms. Many older adults reported exposure to ageist messages. Changing the media’s portrayal of older adults could reduce this and potentially counteract the adverse effects of such messages. Older adults also reported ageism in their interpersonal interactions. While the statements and actions of others, such as providing unnecessary help, may be well-intentioned, they may not be harmless. Finally, some

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older adults themselves hold negative beliefs about aging and older people, which may partially explain why aging and aging-related changes are often feared and avoided rather than celebrated.

Older adults who regularly experienced more forms of everyday ageism were more likely to have worse physical and mental health. While the reasons why and how everyday ageism contributes to adverse health outcomes are not fully understood, the consistent relationships identified between experiences of everyday ageism and multiple indicators of poor health suggest that there is a relationship between these concepts.

Everyday ageism is prevalent. However, many older adults also hold positive perspectives about aging. Older adults who held more positive views on aging reported less everyday ageism and better physical and mental health. Emphasizing the benefits of aging and the many contributions of older adults in families, communities, and the media may promote more positive views on aging and help safeguard older adults from the negative consequences of ageism.

Ageism is a product of American culture that should be acknowledged, discussed, and addressed. Increased consideration of how negative stereotypes, prejudice, and discrimination toward older people affect responses to major public health crises like the COVID pandemic could present a key opportunity to challenge assumptions that contribute to ageism. Addressing everyday ageism may have far-reaching benefits for the health and well-being of older adults.

Source: National Poll on Healthy Aging, University of Michigan Institute for Healthcare Policy & Innovation. Read more at healthyagingpoll.org.

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Spring 2021

HEALTH & WELLNESS

Prediabetes: Your Chance to Prevent Diabetes Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Approximately 88 million American adults—more than 1 in 3—have prediabetes. Of those with prediabetes, more than 84% don’t know they have it. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke.

PREDIABETES

88

The good news is that if you have prediabetes, you can make lifestyle changes to prevent or delay serious health problems.

MILLION

What Causes Prediabetes?

Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into cells for use as energy. If you have prediabetes, the cells in your body don’t respond normally to insulin. Your pancreas makes more insulin to try to get cells to respond. Eventually your pancreas can’t keep up, and your blood sugar rises, setting the stage for prediabetes—and type 2 diabetes down the road.

1 3 IN

88 million American adults — more than 1 in 3 — have prediabetes

MORE THAN

TYPE 2 DIABETES

PREDIABETES

Signs & Symptoms You can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems show up. It’s important to talk to your doctor about getting your blood sugar tested if you have any of the risk factors for prediabetes, which include:

NORMAL

8 10

Prediabetes increases your risk of:

With prediabetes, your blood sugar levels are higher than normal but not high enough yet to be diagnosed as type 2 diabetes

TYPE 2 DIABETES

HEART DISEASE

STROKE

can cut your risk of getting type 2 diabetes in

EATING HEALTHY

Being overweight.

Being 45 years or older.

Having a parent, brother, or sister with type 2 diabetes.

Being physically active less than 3 times a week.

Ever having gestational diabetes or giving birth to a baby who weighed more than 9 pounds.

• Having polycystic ovary syndrome.

adults with prediabetes don’t know they have it

IN

If you have prediabetes, losing weight by:

• • • • •

COULD IT BE YOU?

&

BEING MORE ACTIVE

HA LF

If you ignore prediabetes, your risk for type 2 diabetes goes up — type 2 diabetes increases your risk for serious health complications:

Race and ethnicity are also a factor: African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans are at higher risk.

BLINDNESS

You can get a simple blood sugar test to find out if you have prediabetes. Ask your doctor if you should be tested.

KIDNEY FAILURE

HEART DISEASE

STROKE

LOSS OF TOES, FEET, OR LEGS

YOU CAN PREVENT TYPE 2 DIABETES FIND OUT IF YOU HAVE PREDIABETES —

JOIN A CDCRECOGNIZED

See your doctor to get your blood sugar tested

Preventing Type 2 Diabetes If you have prediabetes, losing a small amount of weight if you’re overweight and getting regular physical activity can lower your risk for developing type 2 diabetes. A small amount of weight loss means around 5% to 7% of your body weight, just 10 to 14 pounds for a 200-pound person. Regular physical activity means getting at least 150 minutes a week of brisk walking or a similar activity. That’s just 30 minutes a day, five days a week. The best time to prevent type 2 diabetes is now!

diabetes prevention program

eat healthy be more active lose weight

LEARN MORE FROM CDC AND TAKE THE PREDIABETES RISK TEST AT

www.cdc.gov/diabetes/basics/prediabetes.html

MySourcePoint.org CDC’s Division of Diabetes Translation works toward a world REFERENCE Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2020. Atlanta,

free of the devastation of diabetes.

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Prediabetes Risk Test 1. How old are you?

Write your score in the boxes below

Younger than 40 years (0 points) 40–49 years (1 point) 50–59 years (2 points) 60 years or older (3 points)

2. Are you a man or a woman?

Man (1 point)

Woman (0 points)

3. If you are a woman, have you ever been diagnosed with gestational diabetes?

Yes (1 point)

No (0 points)

4. Do you have a mother, father, sister, or brother with diabetes?

Yes (1 point)

No (0 points)

5. Have you ever been diagnosed with high blood pressure?

Yes (1 point)

No (0 points)

6. Are you physically active?

Yes (0 points)

No (1 point)

7. What is your weight category?

Height

Weight (lbs.)

4'10"

119-142

143-190

191+

4'11"

124-147

148-197

198+

5'0"

128-152

153-203

204+

5'1"

132-157

158-210

211+

5'2"

136-163

164-217

218+

5'3"

141-168

169-224

225+

5'4"

145-173

174-231

232+

5'5"

150-179

180-239

240+

5'6"

155-185

186-246

247+

5'7"

159-190

191-254

255+

5'8"

164-196

197-261

262+

5'9"

169-202

203-269

270+

5'10"

174-208

209-277

278+

5'11"

179-214

215-285

286+

6'0"

184-220

221-293

294+

6'1"

189-226

227-301

302+

6'2"

194-232

233-310

311+

6'3"

200-239

240-318

319+

6'4"

205-245

246-327

328+

1 Point

2 Points

3 Points

You weigh less than the 1 Point column (0 points)

(See chart at right)

Total score:

Adapted from Bang et al., Ann Intern Med 151:775-783, 2009. Original algorithm was validated without gestational diabetes as part of the model.

If you scored 5 or higher You are at increased risk for having prediabetes and are at high risk for type 2 diabetes. However, only your doctor can tell for sure if you have type 2 diabetes or prediabetes, a condition in which blood sugar levels are higher than normal but not high enough yet to be diagnosed as type 2 diabetes. Talk to your doctor to see if additional testing is needed.

If you are African American, Hispanic/Latino American, American Indian/Alaska Native, Asian American, or Pacific Islander, you are at higher risk for prediabetes and type 2 diabetes. Also, if you are Asian American, you are at increased risk for type 2 diabetes at a lower weight (about 15 pounds lower than weights in the 1 Point column). Talk to your doctor to see if you should have your blood sugar tested.

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You can reduce your risk for type 2 diabetes Find out how you can reverse prediabetes and prevent or delay type 2 diabetes a CDC-recognized lifestyleare change program If you scoredthrough a 5 or higher, free A1C clinics available at at https://www.cdc.gov/diabetes/prevention/lifestyle-program.

SourcePoint and Grace Clinic. Call 740-816-6955 to register.

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Risk Test provided by the American Diabetes Association and the Centers for Disease Control and Prevention.

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Spring 2021

NUTRITION

Make Every Bite Count USDA, HHS release new dietary guidelines for Americans, including focus on older adults The latest Dietary Guidelines for Americans (DGAs) recently released by the U.S. departments of Agriculture and Health and Human Services urge Americans to “make every bite count.” The DGAs are updated every five years and this latest edition highlights the importance of a healthy diet at every life stage. As a result, these DGAs for the first time include a chapter on nutrition for older adults. Let’s unpack some of the latest DGA recommendations for those ages 60 and older, and discuss an opportunity for policy advocacy.

Healthy Dietary Patterns

Health and well-being is a strategic priority for the American Society on Aging and healthy dietary patterns are the centerpiece of the DGAs. Older adults are encouraged to follow a balanced dietary pattern that includes vegetables, fruits, grains, dairy, protein foods, and oils. The pattern provides a variety of food and beverage options for older adults to customize their choices within each food group, based on lifestyle, traditions, culture, and other individual needs.

The DGAs note that an increasing number of Americans enter older age with excess body weight. Healthy aging is best supported by preventing additional weight gain and achieving a healthy weight by “following a healthy dietary pattern and adopting an active lifestyle.” It is never too late to make improvements!

Current Intakes

The DGAs find most Americans do not follow a healthy dietary pattern, although compared to other age groups older adults have the highest diet quality. Older adults can improve their diets by eating more vegetables, fruits, whole grains, and dairy, while ensuring adequate protein and eating foods with fewer added sugars, saturated fats, and sodium. The DGAs also recommend older adults choose nutrient-dense foods and watch portion sizes because calorie needs decline with age.

Special Considerations

The DGAs note a number of health and social changes that can affect older adults’ nutrition. “Compared to younger adults, older adults are at greater risk of chronic diseases, such as cardiovascular disease and cancer, as well as health conditions related to changes in bone and muscle mass, such as osteoporosis and sarcopenia.” Older adults often do not eat enough protein, which is important to prevent the loss of lean muscle mass that occurs naturally with age. Adequate vitamin B-12 and fluids were also identified as potential concerns. In addition, the DGAs recommend “to help older adults move toward a healthy dietary pattern and minimize risks associated with drinking, older adults can choose not to drink or drink in moderation.”

Supporting Healthy Eating

Costs, preferences, traditions, and access are all factors that

can affect healthy eating. For older adults, enjoyment of food, the ability to chew and swallow, and food safety are important considerations as well.

The DGAs highlight the government resources available to help support healthy eating for older adults: • Congregate Nutrition Services.

• Supplemental Nutrition Assistance Program (SNAP).

• Commodity Supplemental Food Program (CSFP).

• Home-Delivered Nutrition Services.

• Child and Adult Care Food Program (CACFP).

• Senior Farmers Market Nutrition Program (SFMNP).

• SNAP Education (SNAP-Ed).

A number of these programs have had increased attention and funding during the COVID-19 pandemic and continue to prove essential for older adults, particularly those who are challenged by social isolation and food insecurity.

Policy Opportunity

The DGAs also note that “older adults should follow a healthy dietary pattern because of the changing dietary needs and the heightened risk of malnutrition that occurs with age.”

The Defeat Malnutrition Today coalition has identified that up to one in two older adults is either at risk of becoming or is malnourished, and has outlined specific goals and strategies to help overcome malnutrition in a 2020 update. (Read more at defeatmalnutrition.today/blueprint.)

Read about SourcePoint's nutrition services at MySourcePoint.org/nutrition.

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One of these strategies addresses the important gap in connecting nutrition and health care for older adults, noting that malnutrition care is not included in the Centers for Medicare & Medicaid Services (CMS) quality measures that help to assess health care value and effectiveness. This gap was similarly underscored in a recent Senate resolution that encouraged the “adoption of malnutrition electronic clinical quality measures.”

A Global Malnutrition Composite Score has been developed, consisting of four quality measures centered on the critical steps of malnutrition risk identification, diagnosis, and treatment for hospital patients. The Measures Application Partnership Hospital Workgroup is set to review this composite measure in early 2021, for its appropriate inclusion in the CMS Hospital Inpatient Quality Reporting Program. The National Quality Forum also is reviewing the measure to endorse its use.

Now is the time to advocate for endorsement of the Global Malnutrition Composite Score to help ensure nutrition is part of high-quality, safe, and coordinated health care for older adults and to better identify those who need help, support, and encouragement to achieve a healthy diet.

Source: American Society on Aging Generations Now. Read more at generations.asaging.org.

SUPPORT GROUPS Being a caregiver for a loved one takes time, effort, and hard work. And you don’t have to do it alone.

Join an online or in-person group! Both formats are now available, with in-person support groups following COVID-safety protocols.

Contact Caregiver Program Coordinator Jessica Adams at jadams@MySourcePoint.org or 740-203-2399 for more information or to register.

SourcePoint’s caregiver programs are funded in part by the Central Ohio Area Agency on Aging.

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614-276-1439

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Spring 2021

CAREGIVING

It’s Time for a Spring Home Safety Check Spring has arrived and for many of us, that means spring cleaning!

When caring for an individual with Alzheimer's disease at home, safety is an important concern. People living with Alzheimer’s can remain in their homes for a longer period of time if safety issues are addressed. The change of seasons—and the cleaning that it brings—is a great time to evaluate home safety using the tips below.

An individual with Alzheimer’s disease will typically experience visual changes so a great way to help them move safely through their home is to use contrasting colors on walls, trim, and floors to help the person anticipate staircases and room entrances. This technique is particularly helpful in the bathroom where there may be a lot of white fixtures, floors, and walls. Changes in levels of light can be disorienting to the person with dementia so to promote safety, keep the home well-lit with consistent lighting between rooms, put extra lights in stairways and bathrooms, use night lights, and diffuse glare by removing glass objects like mirrors and glass-top tables.

In addition to evaluating vision issues, you can reduce the risk of injury to the person with dementia during their activities of daily living.

Interventions like reducing food and water temperature to prevent burns, installing grab bars in the bathroom/shower, and monitoring the prescriptions and over-the-counter medications your person is taking can be very beneficial. You can also remove items that may cause a person to trip like unsecured floor rugs and furniture.

Take stock of and be aware of hazardous objects and substances in your home to prevent injuries, such as guns or harmful materials that could be eaten like household cleaners, bleach, and soap.

It is important to provide support and supervision for the use of lawn movers, grills, cigarettes, and alcohol. Regularly clean out the refrigerator of old or expired food. This is also a good time to check fire extinguishers and smoke detectors for functionality.

One of the most important pieces to home safety is being prepared for emergencies—you can do that by keeping a list of all emergency phone numbers and addresses and all prescriptions and medications taken by the person with Alzheimer’s either in your phone or on paper that is accessible. Consider taking these precautions to create a safe environment, which may prevent dangerous situations from occurring and help maximize the person’s independence for as long as possible.

Home Safety Tips Remove furniture from high traffic paths.

Remove throw rugs or use nonslip tape so rugs won’t slide.

Remove objects from the floor, and tape cords next to the wall.

Put a nonslip mat in your bathtub, and nonslip strips where floor levels change.

Add hand rails along staircases, and clear items from the steps.

Pamela Myers, MAOM, BSN, RN, is the program director at the Alzheimer’s Association Central Ohio Chapter.

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Spring 2021

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HEALTH & WELLNESS

Blacks are at Higher Risk for Alzheimer’s, but Why? Blacks are at higher risk for several health conditions in the U.S. This is true for heart disease, hypertension, type 2 diabetes, and stroke, which are often chronic diseases.

And it is also true for Alzheimer’s disease, in which blacks have two times higher incidence rates than whites.

So, why do these disparities exist, especially in Alzheimer’s disease, which isn’t typically considered a chronic disease but a progressive one, or one that worsens over time?

Some researchers attribute the gap to both societal and systemic factors related to inequities in education, socioeconomics, income, and health care access. Other factors, such as stress, diet, lifestyle, and genetics, may also contribute. However, there’s a less-explored question in Alzheimer’s that could contribute to this disparity: Is the underlying biology of the disease somehow different in blacks and non-Hispanic whites?

I am a basic science researcher who studies racial disparities in Alzheimer’s disease. I have begun to uncover that the biology underlying the disease may not be the same in African Americans and non-Hispanic whites.

My laboratory is working on several projects to better understand the biology of Alzheimer’s disease in African Americans and how it may be the same or different in nonHispanic whites. This work is necessary to help understand the root cause of this disparity. Even more important, this will help us to understand the disease for everyone.

I believe many factors contribute to health disparities in Alzheimer’s disease, and biology is one very worth exploring.

Even when considering clinical trials for Alzheimer’s disease, blacks represent fewer than 5% of participants, whereas they represent about 13% of the U.S. population. That makes it hard to know if and how these potential therapies may work for blacks and other underrepresented groups. This makes it important to understand the biology of the disparities because it could impact the development and effectiveness of potential therapies.

Searching for clues

Genetics may be one contributing factor to racial disparities in Alzheimer’s disease. In the general population, inherited forms of Alzheimer’s account for less than 5% of all cases.

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Among African Americans a few genes have been identified that are associated with higher risk of Alzheimer’s disease specific to this population. One is ABCA7. This gene has been demonstrated by several independent studies to lead to higher risk of disease in African Americans for developing Alzheimer’s disease.

The ABCA7 gene is involved in lipid transport, meaning is important for moving lipids, or fatty acids, in the blood and the brain.

However, we researchers do not yet exactly understand how this gene or others increases risk in African Americans.

It almost seems obvious that the higher incidences of disease, including in Alzheimer’s disease, experienced

by African Americans must be related. For example, hypertension increases risk for Alzheimer’s disease, and 40% of African American adults have hypertension. Could it be possible that there are similar biological factors driving these high incidences in both diseases?

We are beginning to answer this question with a $4.2 million award recently received from the National Institutes of Health. We will study proteins from the blood of Africans Americans with hypertension or with Alzheimer’s disease. By comparing our findings in these subpopulations, we will be able to determine if there are any similarities in the biology of both diseases. For a smaller number of participants, we will be able to study proteins in autopsied brains.

For example, in our own work and that of others, we are led to believe that differences in inflammation and lipid metabolism may be responsible for some of the disparities that exist in Alzheimer’s disease.

Could proteins in the brain be different?

In one preliminary study, we have compared several thousands of proteins—an analysis called proteomics— in three different autopsied brain regions from African Americans and non-Hispanic whites. We found many proteins that are related to having Alzheimer’s disease that are the same in both African Americans and non-Hispanic whites, but we were surprised to find that there were changes related to having Alzheimer’s disease that were unique to the African Americans. We have ongoing studies to replicate these findings. See ALZHEIMER'S on page 15.

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Spring 2021

COMMUNITY SUPPORT

SourcePoint Launches Fundraising Drive to Support Meals on Wheels SourcePoint is holding a fundraising campaign in support of the organization’s Meals on Wheels program. Each year, the nonprofit provides about 250,000 meals to older adults in Delaware County. To support the program and the growing need for home-delivered meals, SourcePoint is celebrating that “You Make It Happen!” through April 15.

For the past several years, SourcePoint has held a Boxed Lunch Fundraiser in support of Meals on Wheels. Because of the continued challenges surrounding the COVID-19 pandemic, the organization opted not to hold the traditional event in 2021.

Instead, SourcePoint invites its supporters to take part in a fundraising drive that coincides with Meals on Wheels America’s national campaign, March for Meals. “You Make It Happen!” thanks the organization’s clients, donors, volunteers,

and community partners for their continued support, and provides an opportunity to donate to Meals on Wheels.

SourcePoint’s Meals on Wheels program helps meet the nutritional needs of homebound older adults, combats social isolation, and addresses safety hazards.

“From a friendly ‘hello’ and safety check to a volunteer singing ‘Happy Birthday!’ to a client, the fact that SourcePoint delivers more than just a meal is the most beautiful and irreplaceable aspect of the program,” said Julie Zdanowicz, SourcePoint’s development officer.

To donate to SourcePoint’s Meals on Wheels program, go to MySourcePoint.org/give or call 740-363-6677.

Please support SourcePoint's Meals on Wheels today at MySourcePoint.org/give.

MySourcePoint.org

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VOLUNTEERING

Behind the Scenes of Meals on Wheels On a bone-chilling February morning, SourcePoint’s Meals on Wheels volunteers maneuver their vehicles into the drive-thru lane, lining up to have their trunks, hatches, and truck beds loaded with coolers before heading out on snowy delivery routes. While many volunteer activities are on hold during the pandemic, meal delivery has ramped up. As essential as the drivers are to this vital program, they are one part of the team that has carried homebound Delaware County seniors through the longest winter in recent memory.

Hours before the 10:30 a.m. assemblage of drivers, three volunteers cross the cold parking lot in the dim morning light. They are welcomed into SourcePoint’s warm and bustling kitchen by chefs and prep cooks who, at 7 a.m., are well into their daily meal preparations. The volunteer “packers” don aprons and hairnets and get to work lining up empty plastic trays on the Oliver—the assembly line conveyor that moves the trays along towards a sealing mechanism. There is an "I Love Lucy" vibe as they work side-by-side on the line.

The packers chat companionably from behind facemasks, something Lucy and Ethel never had to worry about. “Time goes fast,” said volunteer Becky Nitz.

“We all become really good friends.”

“We also get to know how much work the kitchen staff does,” said fellow packer Tracy Brannon. “They are helpful and educational.”

“You can tell they really care," Becky agreed. "They make sure the portions are right and the meal is made right.

They care about the volunteers and the people they serve.”

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Becky, Tracy, and a third packer, Lora George, pictured at right, fill each of the trays’ compartments with gingerglazed salmon, basmati rice, and curried vegetables. The menu reads as if from a Cameron Mitchell restaurant, not the kitchen of an aging services provider. “The food looks delicious,” said Becky. “Makes you hungry!”

Once the trays emerge from the sealer, each gets a hand-applied sticker indicating a “hot” meal. The trays are chilled overnight, then delivered piping hot the next day just in time for lunch.

“It’s hard work,” said Becky. “And it’s very rewarding. Not only rewarding, but fun.”

By 8 a.m., the nutrition staff are at their desks and on their phones and computers, mobilizing the forces for today’s efficient countywide meal delivery. A community member has gifted the department with a box of oversized cookies, a random act of kindness that elicits squeals of delight.

On the other side of the nutrition office’s glass walls, the kitchen staff is preparing the loading area, where a wall of ovens brings the refrigerated meals up to temperature.

Another volunteer, Dean Prall, pictured at right, arrives and has his temperature taken at the door.

He moves quickly to arrange the area where he will pack

the coolers with beverages and side items. The work is fast, but the count must be accurate, or a hungry senior’s lunch might be shorted. Once the filled coolers are organized on three-tiered racks under the names of each of the 34 meal routes, the volunteer moves on to his next task, sorting the delivery instructions onto clipboards for each of the meal drivers to take on their route.

Once again, the volunteer must work with both speed and accuracy to get the meal drivers on the road with the right paperwork.

“Keeps me busy,” said Dean. “I’ve always volunteered a lot, but most of the opportunities ended with the pandemic.” A veteran of the U.S. Army, Dean has been active in Honor Flight and USO, as well as serving on the City of Delaware Planning and Development Commission and volunteering at his son’s school. “My mom got Meals on Wheels before she passed away, so I thought I’d try this.”

See SCENES on page 14.

14

Scenes From page 13

Back in the kitchen, a fourth packer arrives to pack the specialty trays— carb-controlled, low-sodium, chopped, and pureed—as Becky, Tracy, and Lora prepare the Oliver with a line of trays that will hold the next day’s cold meals. These are delivered with the hot lunches and refrigerated until dinnertime. By the time they finish, 1,000 or more meal trays are packed, sealed, stickered, and in the cooler for the next day’s delivery.

By 10 a.m., a sense of controlled chaos takes over the loading area.

Heavy metal carts form an irregular line, snaking between the tall racks of coolers. Steaming trays emerge hot from the ovens and are quickly counted and packed with the continued theme of speed and accuracy. More volunteers, the “runners,” arrive. Two nutrition staff members bundle up and head outside to greet the line of volunteer drivers. One will sign them in on an iPad as the other directs the flow of traffic, simultaneously giving instructions and encouragement. Both will stomp their feet and wiggle their fingers to stay warm.

The pandemic necessitated a change in the way meal drivers are sent off on their routes. Gone are the days when drivers came in the building for a cup of coffee and friendly conversation before carting out their own coolers.

That gathering is clearly missed. This February morning, a few meal drivers line up early, stepping out of their parked vehicles for a socially distant “How’ve you been?” with their masks covering warm smiles and rosy noses.

Inside, the runners wait behind the metal carts now loaded with coolers.

A staticky voice from a walkie-talkie fills the interior space with, “Ashley’s on deck, Shawnee is in the hole,” like

Spring 2021 a coach queuing up the team’s batters. A blast of cold air hits the runners as each pushes a loaded cart through the doors and out to the corresponding vehicles. The drivers stick their heads out their car’s window or turn to speak through the open hatch to indicate their loading preferences. The runners close trunk lids and hatches with practiced gentleness and hand clipboards through the drivers’ windows. They return the empty carts to the line to be reloaded before the next wave of drivers.

Woven in between the work is the fun. “We love to watch the dynamics between the different generations of volunteers as they work and enjoy ‘safe’ lunch breaks together," said staff member Sonya Delaney.

The runners on this particular day are Kathy Heinz, a retiree, and Brody Brown, a student at Olentangy Berlin High School.

Kathy displays grandmotherly dismay at Brody’s lack of a coat, to which he responds with a classic teenage shrug. Inside, Dean and John Burrer, a staff van driver, banter about the upcoming OSU vs. Michigan game as John prepares to deliver meals to a remote part of the county.

The last of the meal drivers depart a little before 11 a.m. At their various stations, volunteers and staff share a collective sense of mission accomplished. The kitchen packers have finished up and can grab a lunch to take home or eat together at separate tables. The runners catch their breath and warm up with a hot meal. Some use this time to report down the hall for their bi-weekly COVID test—an

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essential but unwelcome mandate for SourcePoint's on-site staff and volunteers.

By noon, the kitchen is spotless and calm, with just staff remaining to plan and prep for future meals. The nutrition office has converted to an active call center as drivers report issues or clients call in with questions or menu changes. The runners wrap up their lunch and watch the door for returning drivers, then dash out to relieve them of empty coolers and clipboards. They pause next to rolled down windows, listening to the drivers’ concerns for the well-being of some of the older adults they served. The concerns are noted and shared with each client’s care consultant for further investigation.

An hour later, most drivers have made a triumphant return from their meal routes and are heading home. Before they leave, each are offered a take-home lunch to enjoy for themselves. The runners stack the empty coolers on racks, wipe everything down, and sign out. They wave goodbye to the staff with, “See you next week!”

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884 Stratford Road Delaware, Ohio 43015

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For more information on volunteering with SourcePoint, contact Jill Smith, volunteer recruiter, at 740-203-2368 or jill.smith@MySourcePoint.org.

Alzheimer's From page 11

This kind of result, though, raises a few major points. First, researchers can learn more about the biology of Alzheimer’s by ensuring diverse and especially disparate groups of subjects are included in their studies. Second, the disease may behave somewhat differently underneath the surface in different populations. This is critical in order to develop diagnostics or therapies that can be tailored accordingly.

Finally, more of these kinds of studies are necessary in order to get us closer to finding a cure for the disease.

Big “omics” studies, which can measure thousands of genes, proteins, lipids, and metabolites, when applied to racial disparities in Alzheimer’s, will give a wealth of information to help explain why these disparities exist. Other researchers are beginning to apply these kinds of techniques. Recently, researchers have confirmed the importance of inflammation in Alzheimer’s disease and note that specific inflammatory genes only show up in African Americans or non-Hispanic whites. Additionally, in the utility of amyloid and tau biomarkers for Alzheimer’s, recent work supports that race is an important factor in establishing these biomarkers.

Renã A.S. Robinson is an Associate Professor of Chemistry at Vanderbilt University. This article was originally published at theconversation.com.

MySourcePoint.org

Whether you’re at Ohio Living Sarah Moore for assisted living, long-term nursing care, or short-term rehabilitation, one thing remains the same — we don’t believe that you’re living in our facility. We believe that we’re working in your home.

So we do everything we can to make you feel at home whenever you’re on our campus, from comfortable furniture on our iconic front porch, to seeing your favorite foods on the menu, to staff members who feel like friends and treat you like family.

Call 740.362.9641 to schedule your tour today!

26 North Union Street Delaware, Ohio 43015 ohioliving.org

Assisted Living | Short-Term Rehabilitation Long-Term Nursing Care | Home Health & Hospice

16

Spring 2021

FROM THE SOURCE The latest news, programs, and resources available at SourcePoint.

Programs Continue to Expand

Medicare Toolkits

Select in-person fitness, arts, and social programs remain available at SourcePoint's enrichment center, with limited availability and class sizes. We encourage all guests to read our health and safety protocols at MySourcePoint.org/restart prior to any visit.

SourcePoint offers two free toolkits designed to provide unbiased insurance education and empower you to make sound decisions about Medicare.

There is also a wide variety of fitness, arts, social, and educational programs online, all accessible from the comfort of home!

Check out the Enhance Learning Package, which allows you to register for as many online educational programs as you wish for one low access fee. In April, we celebrate Earth Day with programs that focus on how we can make a positive difference in the environment and lessen our footprint for future generations. Class topics include global warming, recycling, Alum Creek, conservation, and the art of nature.

April is also Stress Awareness Month and features programs on memory and stress, methods of coping, and emotional wellness.

You can find in-person and online program information at MySourcePoint.org/EC. Register online or with customer service.

When to Enroll in Medicare Decision Tree | September 2020

UNDER 65 AND DISABL

TURNIN G 65

Are you on Medica

re?

YES

Will you continue

NO

How to Save Mone y on Medicare Have Part A, need Part B due to spouse retirement , job or insurance loss?

YES

Have you been on SSA disability for 24+ months?

NO

YES

Enroll in Part B at SSA.gov or over the phone●

NO

You will automatically be enrolled in Parts A & B

working?

YES

NO

Will you maintain employer coverage?

YES

Educational Tool kit

Enroll in Parts A & B at SSA.gov or over the phone

NO

No need to enroll as long as your or your spouse’s coverage is active

Not eligible

September 2020

65+ Are you still working

?

YES

Enroll in Parts A & B at SSA.gov or over the phone

does your employer have?

<20

>20

We hope you find

Lost job/asked to retire early/ losing coverage or spouse coverage?

NO

How many employees

Enroll in Parts A & B at SSA.gov or over the phone

Free download at

START HERE: Are you...

ED

YES

NO

helpful, and if you

Terminate Medicare

coverage

Are you enrolled in Medicare?

YES

Part A Part B

No need to enroll as long as your plan is considered group health coverage, confirm with HR

this decision tree

Previously retired and on Medicare, but going back to work?

NO

Enroll in Part B at SSA.gov or over the phone

No change needed

● = CMS-L564 Request For Employment Info ◊ = CMS-1763 Request

For Termination See next page for important rules to remember.

have any additional questions, your SourcePoin Visit us online at MySource t insurance

Point.org/insuranc

e or call 740-363-6677.

specialists are always

here to help!

MySourcePoint.org/insurance Seeking In-Home Providers SourcePoint's in-home care services help older adults in Delaware County remain living safely in their own homes. Services include emergency response systems, homemaker services, home modification and accessibility, home repair, Meals on Wheels, personal care, and respite care. These services are offered by professionals vetted through SourcePoint’s provider approval process.

Scholarship Funds Available

Applications to become a SourcePoint provider will be available at MySourcePoint.org/providers beginning June 1. Applications are due July 16, for a contract period from Jan. 1, 2022 through Dec. 31, 2023.

There is no annual fee for Delaware County residents ages 55 and older to join the enrichment center. A free community pass provides access to the center, as well as numerous free programs. Select programs require a fee.

All interested providers, as well as any current providers who plan to submit a renewal application should read the Conditions of Participation and Service Specifications, which can be found on that same web page.

For qualifying individuals, scholarship awards help with program fees, and applying is simple! For more information, visit the customer service desk at SourcePoint or call 740-363-6677.

All new applicants are required to speak with the provider relations specialist, Nancy Gernstetter, prior to submitting an application. Call 740-203-2438 or email ngernstetter@MySourcePoint.org.

Find visitor guidelines and COVID-related updates at MySourcePoint.org/restart.

Questions? Call us at 740-363-6677, Monday through Friday, 8 a.m. to 5 p.m.

MySourcePoint.org

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Farmers Market Vouchers Available May 21 Did you know there are over 140 different farmers markets in the state of Ohio?

2020 left each market reeling with decisions about how to adapt to be safe in light of the COVID-19 pandemic.

Fortunately, most were able to continue their seasonal operations with a few changes in place, such as setting up hand-washing stations and establishing one-way foot-traffic patterns. Some markets went to drive-thru models while others, such as the Delaware Farmers Market, moved to new locations to allow for social distancing between vendors and customers.

Like the markets, SourcePoint also had to be creative in adapting our farmers market voucher program, and many of these changes will remain in place for 2021. Because there is still so much uncertainty about hosting in-person events, we will again distribute farmers market vouchers in a drive-thru at 800 Cheshire Road in Delaware.

Vouchers will be distributed on a first-come, first-served basis on Friday, May 21 from 2 to 6 p.m., and Saturday, May 22 from 9 a.m. to noon. Applications will be mailed in May to last year’s voucher recipients to complete prior to arrival.

FARMERS MARKET VOUCHER PROGRAM

Applications will also be available at MySourcePoint.org/ farmers-market and hard copies will be available to fill out on-site at the distribution for anyone who did not complete it prior. There will be no walk-in hours to receive vouchers and mailed-in applications will not be accepted.

SourcePoint’s farmers market voucher program will provide 1,150 individuals with $60 in vouchers to be spent on local produce, herbs, live produce-bearing plants, and honey. In order to receive vouchers, you must be a Delaware County resident ages 55 or older, below 200% federal poverty level.

SourcePoint partners with vendors at farmers markets, as well as local independent produce growers. An ongoing list of participating vendors will be kept up-to-date at MySourcePoint.org/farmers-market beginning in May. New vendors interested in joining the program may check the same web page for information and application materials.

For the latest information about this program, call our new farmers market voucher program hotline at 740-936-7117.

Lia Crosby is the nutrition services coordinator at SourcePoint.

Read more at MySourcePoint.org/nutrition.

ELIGIBLE FOODS

DO I QUALIFY?

Vegetables

Qualifying participants are:

Asparagus Beans Beets Broccoli Brussels Sp. Cabbage Carrots Cauliflower Celery Corn Cucumbers

Fruits

Apples Apricots Blackberries Blueberries Cantaloupe

Eggplant Greens Kale Kohlrabi Leeks Lettuce Okra Onions Parsnips Peas Peppers

Potatoes Pumpkins Radishes Rhubarb Rutabaga Spinach Squash Swiss Chard Tomatoes Turnips Zucchini

Cherries Grapes Melons Peaches Pears

Plums Raspberries Strawberries Watermelon

Miscellaneous

Herbs Honey Live vegetable or herb plants

MySourcePoint.org

• A Delaware County resident.

• Age 55 or older.

• Below 200% federal poverty level.

For example, a single individual with an annual income of $25,760 or less, or a two-person household with an annual income of $34,840 or less.

• Not a resident of a nursing home or facility where meals are provided.

Participants receive $60 in vouchers while supplies last.

DISTRIBUTION Applications are accepted on distribution days while supplies last. (No mail-in applications are accepted.)

800 Cheshire Road, Delaware: • Friday, May 21, 2-6 p.m.

• Saturday, May 22, 9 a.m.-noon.

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Older Adults' Perspectives on the Vaccine Over half of older adults say they’ll get a COVID-19 vaccine, but many want to wait Vaccines can prevent or reduce the severity of many diseases and are important for people of all ages, including older adults. In October 2020, the University of Michigan National Poll on Healthy Aging asked a national sample of adults age 50–80 about their interest in and opinions on the flu vaccine and a future COVID-19 vaccine.

About two in three older adults (63%) indicated they received a flu shot last flu season. Seven in ten either received one since August 2020 (34%) or intended to get one this flu season (38%). Nearly half of adults age 50–80 (49%) believed that getting a flu vaccine is more important this year compared to other years, 44% said it is just as important, and 7% said it was less important.

When asked how likely they would be to get a COVID-19 vaccine when available and if no cost to them, 58% of older adults indicated they would be likely to get a COVID-19 vaccine (33% very likely, 25% somewhat likely), 28% said they were unlikely (11% somewhat unlikely, 17% very unlikely), and 14% were unsure or did not know.

Interest in getting a COVID-19 vaccine was more common among those age 65–80 compared with those 50–64 (63% vs.

54%), men compared with women (64% vs. 52%), and whites compared with Hispanics and Blacks (63% vs. 51% vs. 40%).

Individuals who lived with others, had higher household

incomes, or had more education were also more likely to report they would get a COVID vaccine.

Half of adults age 50–80 (52%) said they personally knew someone who had COVID-19, and 2% reported having had it themselves. One in five older adults (19%) indicated they personally knew someone who died from COVID-19. The likelihood of getting a COVID-19 vaccine did not differ based on whether respondents knew someone who had COVID-19 or who died from it.

In deciding whether to get a COVID-19 vaccine, older adults rated the following as very important: how well it works (80%), their own research (56%), and if it was recommended by their doctor (52%), public health officials (42%), or family and friends (13%). Cost was rated as very important by 30% of older adults.

One in five older adults (20%) indicated they want to get a COVID-19 vaccine as soon as possible. Nearly half (46%) said they want to wait to get a COVID-19 vaccine until others have received it, 20% were unsure about getting it, and 14% did not want to get it.

Those more likely to say they want to get a COVID-19 vaccine as soon as possible included individuals age 65–80 (24%, compared with 17% of those 50–64), men (25%, compared

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19

CORONAVIRUS SECTION with 15% of women), and whites (24%, compared with 14% of Hispanics and 7% of Blacks). Those with underlying conditions, higher household incomes, or more education were also more likely to want to get vaccinated as soon as possible.

Three in five older adults (61%) strongly agreed that people who are high risk should be given priority to get a COVID-19 vaccine. Nearly half (46%) strongly agreed that they are worried about the safety of a vaccine that is developed quickly. About one in four said they would be willing to be in a clinical trial to test a COVID-19 vaccine (9% strongly agree, 15% somewhat agree).

Implications

Public health experts agree that getting a flu vaccine is especially important this year, and that a safe and effective COVID-19 vaccine will be essential to ending the pandemic.

This poll found that nearly three in five adults age 50–80 were likely to get a COVID-19 vaccine. However, almost half

said they want to wait until others have received it, and a similar percentage was worried about the safety of a vaccine that is developed quickly.

In addition to its effectiveness, more than half of older adults said their own research and their doctor’s recommendation would be very important factors in determining whether to receive a COVID-19 vaccine. To optimize vaccination among older adults, it will be critically important for health care providers, vaccine manufacturers, policymakers, and the media to share accurate, easily understandable information about the effectiveness, safety, and out-of-pocket costs of a COVID-19 vaccine when it becomes available.

Source: National Poll on Healthy Aging, University of Michigan Institute for Healthcare Policy & Innovation. Read more at healthyagingpoll.org.

8 Things to Know Before Your Second COVID Vaccine If you've already received your first dose of a two-dose COVID-19 vaccine, congratulations—you're well on your way to being protected from the coronavirus. But to be fully immunized, it's critical to get that second shot.

Across the country, some people are running into snafus as they try to get their second dose. Winter storms shut down clinics in some areas, while others closed because they temporarily ran out of vaccine. There are also scattered reports of scheduling glitches.

If you've had an appointment canceled, don't wait for someone to call you—be proactive about rescheduling your second shot, advises William Schaffner, M.D., an infectious diseases specialist at Vanderbilt University Medical Center in Nashville, Tennessee, and medical director of the National Foundation for Infectious Diseases.

"We have told everyone these vaccines are 95% effective,” he says of the two-dose Moderna and Pfizer-BioNTech vaccines in use in the U.S. “But they're only 95% effective if you indeed get that second dose."

Here are a few more things to know about the second dose:

1. Your side effects will likely be stronger.

Many people who had little to no reaction to the first vaccine

MySourcePoint.org

dose are reporting that the second one packs a punch— surprising even those who study vaccines for a living.

Greg Poland, M.D., an infectious disease expert at the Mayo Clinic in Rochester, Minnesota, and director of Mayo's vaccine research group, had only mild symptoms after his first dose. But the second one left him shaking—literally— with chills and a temperature of 101.

"I took one Tylenol and went to bed and woke up the next morning 90% improved, and by midday I was back to normal,” Poland says. “This is not an indication of something going wrong; it is an indication of a vigorous immune response.”

There is no live virus in the vaccine, so you can't get COVID-19 from being vaccinated.

Participants in clinical trials of both vaccines had experiences similar to Poland's. In Pfizer's clinical trial, for instance, 31% of participants ages 18 to 55 reported a fever after the second dose, compared to only 8% after the first one.

Fatigue, chills, headache, and muscle/joint pain were also more common after the second injection for both vaccines.

The good news is, older adults were less likely to experience vaccine reactions, the data shows.

See VACCINE on page 20.

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Spring 2021

CORONAVIRUS SECTION

Vaccine From page 19

Among those age 55 and up in the Pfizer trial 22% experienced fever after the second dose, and 3% had a temperature after the first dose.

Schaffner recommends not making any big plans for the day after your scheduled vaccine appointment.

2. You should avoid taking pain relievers before your shot.

If you've been hearing stories about second-dose side effects, you may be tempted to take a pain reliever before your appointment.

That's not a good idea, according to the U.S. Centers for Disease Control and Prevention (CDC), unless you've been advised to do so by your doctor. Pain relievers taken preemptively ahead of a shot could dampen the effectiveness of the vaccine, Poland and Schaffner say.

However, it's OK to take acetaminophen (Tylenol) or a nonsteroidal anti-inflammatory drug like Advil or Motrin after your shot to treat side effects, such as pain, fever, or headache.

3. The timing between doses doesn't need to be exact.

The second dose of the Pfizer shot is supposed to be given 21 days after the first; for Moderna, the recommended interval between doses is 28 days.

However, if you can't get an appointment on the exact day— or if you have to miss your scheduled appointment for some reason—the CDC does allow some wiggle room. Although the agency recommends trying to stick to the suggested interval, it says the second dose can be given up to six weeks after the first.

realize the other type of vaccine is offered at a location that's more convenient. But the CDC recommends against it: The Moderna and Pfizer vaccines “are not interchangeable with each other or with other COVID-19 vaccine products,” the CDC says. “The safety and efficacy of a mixed-product series have not been evaluated.”

The CDC does allow the mixing of Pfizer and Moderna shots in “exceptional situations,” such as when the vaccine used for someone's first dose is no longer available due to a supply shortage, or if it's unclear which vaccine they got for their first dose.

5. A rash at the injection site isn't a reason to skip your second dose.

If you experienced a rash at the injection site three to 10 days after getting your first shot, that doesn't preclude you from getting your second shot, the CDC says, although it recommends getting it in the other arm.

A small number of people have developed such rashes, sometimes called “COVID arm,” after vaccination. Doctors say it's likely a mild allergic reaction that can be treated with an over-the-counter antihistamine, such as Benadryl.

In guidance released Feb. 10, the CDC says the reaction is not believed to represent a risk for a more severe allergic reaction when you get your second dose.

6. You should temporarily avoid all other vaccines.

It might be time for your shingles or Tdap vaccine, but you should hold off if you are between COVID-19 vaccine doses.

Because there's no data on the safety and efficacy of COVID vaccines administered at the same time as other vaccines, the CDC recommends avoiding other immunizations in the two weeks before and after both doses. Holding off also helps prevent confusion about the cause of a reaction if you experience one.

If your appointment is scheduled earlier than the recommended date, ask for a later appointment, Schaffner advises.

Reliable Resources “Your immune response will work perfectly well if you take more Delaware Public Health District time,” he says. “But if you do it delawarehealth.org/covid-19 too early, the second dose may General Line: 740-368-1700, Monday–Friday, not invoke an optimal response.”

8 a.m.–5 p.m.

4. Your second dose should be from the same manufacturer as your first.

Doctors are already hearing from patients asking if they can get their second dose from a different manufacturer, often because they

After-Hours Emergency Line: 740-815-6518

Ohio Dept. of Health coronavirus.ohio.gov COVID Call Line: 1-833-427-5634, 9 a.m.–8 p.m.

Centers for Disease Control and Prevention cdc.gov/coronavirus

The CDC does allow exceptions in circumstances where avoiding the vaccine would put you at risk, such as a tetanus shot after a wound or a hepatitis shot during an outbreak.

7. Full immunity is not immediate.

It takes two weeks after your second dose for your body to build full protection to the virus. After that, you should have almost zero chance of

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CORONAVIRUS SECTION

CORONAVIRUS

developing severe disease if you are exposed to someone with COVID-19, Schaffner says. The CDC also says you no longer have to quarantine if you're exposed to someone with COVID-19—as long as you meet these criteria: you don't have symptoms and it hasn't been more than three months since your second vaccine dose.

One possible exception is immunocompromised people, Schaffner says. They will get some level of immunity, he says, “but they may not reach the 95% because their immune system is already somewhat compromised, no matter how strong these vaccines are.”

8. You still need to wear a mask.

Experts are divided about whether it's OK to hug your grandchild or gather socially with other vaccinated people after you're fully immunized.

DO:

Choose a mask with a nose wire, a metal strip along the top of the mask. Nose wires prevent air from leaking out of the top of the mask. Bend the nose wire over your nose to fit close to your face.

Check that it fits snugly over your nose, mouth, and chin.

Check for gaps by cupping your hands around the outside edges of the mask. Make sure no air is flowing from the area near your eyes or from the sides of the mask. If the mask has a good fit, you will feel warm air come through the front of the mask and may be able to see the mask material move in and out with each breath.

In addition, it's possible that you could still carry the virus and silently transmit it to others who haven't been vaccinated, even if you don't develop symptoms.

Source: Michelle Crouch at AARP. Read more at aarp.org.

Correct and consistent mask use is a critical step everyone can take to prevent getting and spreading COVID-19. Masks work best when everyone wears them, but not all masks provide the same protection. When choosing a mask, look at how well it fits, how well it filters the air, and how many layers it has.

Use a mask fitter or brace over a disposable or cloth mask to prevent air from leaking around the edges.

But they agree you should continue to wear a mask and practice social distancing in public. For one thing, there's a small chance you could get sick even after you've been vaccinated.

And there's one more reason.

Until the country reaches herd immunity—the point when a significant portion of the population becomes immune to a disease—it's important for everyone to wear a mask to stop the spread of the virus, Schaffner says. “If we have some people walking around maskless and others not, people left and right are just going to discard their masks,” he says. “We are not ready yet for that for society. Let's all stick to masks a little longer until we get the all clear.”

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Add layers of material.

Use a cloth mask that has multiple layers of fabric, or wear one disposable mask underneath a cloth mask.

The second mask should push the edges of the inner mask against your face.

Make sure you can see and breathe easily.

Do NOT:

Combine two disposable masks. Disposable masks are not designed to fit tightly and wearing more than one will not improve fit.

Combine a KN95 mask with any other mask. Only use one KN95 mask at a time.

Source: National Center for Immunization and Respiratory Diseases.

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Spring 2021

CORONAVIRUS SECTION

A Light at the End of a Very Long Tunnel This has been a challenging time. As we think back on the last year or so of the COVID-19 pandemic, we have been tested like no other time in health care.

OhioHealth Grady Memorial Hospital has a unique view of this pandemic.

So many of the men and women who come to work each day live in this community. So not only are they taking care of patients, they are taking care of neighbors and family. Our teams took this challenge on and worked together to support the community, to support each other. But we have seen tragedy and loss. And experiences like those weigh on your heart.

The vaccine offers a glimpse of hope.

We are aligned with Governor Mike DeWine, with OhioHealth system leadership, and with so many of you when it comes to the vaccine. Step one for us was to make sure our associates got the vaccine. We had a great plan in place, working under the guidance set forth by the Ohio Department of Health. This gives us a glimpse of hope, a light to show us the way, a way to know that we are moving forward.

I may be in a leadership position at OhioHealth, but I’m human. I’ve seen what this disease is, and what it can do, and it’s scary. So, prior to receiving my COVID-19 vaccine, I listened to the experts, I talked to our OhioHealth leaders in this field, I trusted science and the process of getting this vaccine here. Because I was

informed, I didn’t hesitate when it was my turn. I rolled up my sleeve and felt this moment of hope, pride, and so much more. We are making history with this vaccine, and it gives me faith that we will get through this, together.

Well beyond my own experience, I get the chance to watch the men and women on our Grady Memorial team save lives each day. They are beyond amazing! So, when I get to watch them get the vaccine, and get messages telling me how happy they are to get it, it’s special. There have been so many ups and downs throughout this journey.

Keeping morale up during a global pandemic is a daily, sometimes hourly, challenge. Our people are fatigued, they are hurting. This vaccine is the lift they need, at the time they needed it most. We know COVID is not going away soon, but thanks to this vaccine,

a caring group at Grady will have one more layer of protection to fight for this Delaware County community. A community they love so much.

We want you to get the vaccine. We have a team of brilliant people working to get this to the Delaware County community.

There is a lot of information out there, right at your fingertips. Unfortunately, there is also a lot of misinformation.

I ask each of you to do your research, learn what you can about this disease, and the vaccine. Trust your health care providers, trust science, ask questions, and share your experiences. We are 100% here to serve, and I know it’s hard to wait for something you want now. Be patient, and you will have the chance to be vaccinated, I just know that.

These have been dark days, however this community is resilient. There is light, there is hope.

We are vaccinating in Delaware County. I ask each of our patients to check their MyChart to get on the list to get their vaccine. We can’t wait until we can get back to where we want to be, and it’s my belief that this vaccine is the way it happens.

Kanesha Moss is OhioHealth Grady Memorial Hospital's chief nursing officer.

MySourcePoint.org

Spring 2021

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CORONAVIRUS SECTION CORONAVIRUS

Helping Older Adults Register for the Vaccine At SourcePoint, our dedicated staff, hundreds of volunteers, and trusted service providers continue to find new ways to provide essential services to older adults in Delaware County. We are working with the Delaware Public Health District to assist older adults with vaccine registration and share facts about the vaccine and its efficacy.

As of March 11, Ohioans ages 50 and older are eligible to get the COVID-19 vaccine. In Delaware County, there are several providers with which you can register for the vaccine. However, the registration method most often recommended is online.

As an organization that serves older adults, we know many may not have access to a computer or internet service. While some vaccine providers accept registration by phone, that process can be stressful, which only worsens when there are wait lists because of the limited supply. That is why I implore you to help your older loved ones register for their vaccine.

It is vital that we stay connected with the older residents in our community and combat isolation. Older adults are more likely to face a loss of social connection through the passing of loved ones, retirement, and decreased mobility. And according to the National Poll on Healthy Aging, loneliness doubled for older adults in the first months of COVID-19.

Socialization provides numerous benefits to our health and well-being, and physical distancing should not equate to social isolation. While we should all continue to practice safe behaviors, including wearing masks, washing hands, staying physically distanced, and staying home when sick, we should also stay connected.

As the pandemic continues, it is critical to pay attention to how well we as a community support the social and emotional needs of older adults. If we continue to work together, care for one another, we can get through anything.

Fara Waugh, LISW-S, is SourcePoint's executive director.

Stay Connected First and foremost, check on those close to you regularly. Social distancing doesn’t mean isolating emotionally from those who need us the most. Give your neighbor a call.

Send that text to your aunt. Ask grandpa if he needs you to pick up his prescription medication or if he just wants to chat. Send a friend a handwritten note or card. Help your mother order groceries online and offer to pick them up for her.

Teach older adults to use online social platforms.

Social media platforms like Facebook and Instagram can help us feel more involved in the lives of our loved ones. Video conferencing platforms like Zoom and FaceTime are also great resources for physically distanced face-to-face conversation. Many organizations—including SourcePoint—offer a variety of online programs in which adults can engage in fitness, arts, and education classes.

Encourage family members to maintain a healthy lifestyle. Our physical and mental health is important to maintain, especially during a pandemic. We should continue to eat a healthy diet, get plenty of sleep, exercise, and attend any routine medical appointments. Many health care providers offer telehealth options, too, including mental health counseling.

It is often the smallest acts of kindness that have the biggest impact. Check in with your older loved ones today!

Delaware County Vaccine Providers Delaware Public Health District: delawarehealth.org/covid-19vaccine

Kroger Pharmacy: kroger.com/rx/guest/get-vaccinated

Discount Drug Mart: clinic.discount-drugmart.com/covid

OhioHealth: ohiohealth.com/covid-19/covid-19-vaccinations

Giant Eagle Pharmacy: gianteagle.com/covidvaccine

Walgreens Pharmacy: walgreens.com/findcare/vaccination/covid-19

MySourcePoint.org

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Spring 2021

COMMUNITY SUPPORT

2021 Community Grants SourcePoint’s board of directors approved $645,670 in grant funding for 22 aging services programs in Delaware County.

SourcePoint provides funding annually to other nonprofit organizations as an efficient way to address the needs of the community’s older population. As Delaware County’s most comprehensive aging services provider, SourcePoint’s grants foster a collaborative system of care for local seniors and family caregivers.

Each year, SourcePoint reviews grant applications and selects those organizations that fill service gaps in the community, providing needed services to older adults. Those awarded grants for 2021 include the following:

SENIOR COMPANIONS The Senior Companion Program is in need of volunteers to assist older adults, maintain independent living, provide friendship and socialization activities. Volunteers must be at least 55 years old, have reliable transportation and an annual income of no more than $25,760.

Volunteers are paid a tax-free stipend for their time.

• The Alzheimer’s Association.

• Cancer Support Community.

• Catholic Social Services.

• Central Ohio Area Agency on Aging.

• Central Ohio Symphony.

STAY ACTIVE & HEALTHY WHILE HELPING OTHERS If interested, please contact Suzanne Pingry, Connections Volunteer Center Director at (740) 363.5000 or spingry@helplinedelmor.org

• Common Ground Free Store.

• Delaware County Transit.

“Services funded in part by SourcePoint: Thrive After 55.”

• Delaware Speech and Hearing Center.

• Grace Clinic.

• HelpLine of Delaware and Morrow Counties.

• Humane Society of Delaware County.

• Lutheran Social Services.

• Main Street Delaware.

• National Alliance on Mental Illness Delaware and Morrow Counties.

• The OhioHealth Foundation.

• Ohio Wesleyan University's Lifelong Learning Institute.

• People In Need.

• United Church Homes.

• VOICEcorps Reading Service.

• Zion African American Methodist Episcopal Church.

Redefining 55+ Living

For more details on the programs supported by SourcePoint's grant funding, go to MySourcePoint.org/news.

Live in a neighborhood, belong to a community.

MySourcePoint.org

Spring 2021

25

FUN & GAMES

Logic Riddles Solve these logic riddles to stimulate your brain. They require logical thinking and may involve math.

Sudoku EASY

1. You are all alone in a dark room with a match and matchbox. Nearby you have 3 objects: a candle, an oil lamp, and a log of firewood. Which thing do you light first?

2. A hat and scarf cost a total of $1.10. The hat costs $1.00 more than the scarf. How much does the scarf cost?

3. How can you add eight 4s together so that the total adds up to 500?

4. Which word is least like the others? Third, fourth, fifth, sixth, seventh, eighth, ninth?

5. If you buy a rooster for the purpose of laying eggs and you hope to have two eggs every day for your breakfast, how many eggs can you expect to have after 13 days?

6. If 66 = 2, 999 = 3, 8=2, 0=1, 9696=4, 8123=2, 98=3, and 88=4, then what does 816982 equal?

7. There are 2 ants in front of 2 other ants, 2 ants behind 2 ants, and 2 ants next to 2 ants. How many total ants are there?

HARD

8. You are participating in the swimming finals at the Olympics. In the final few seconds of the race you narrowly pass the swimmer who was in third place. What place did you get?

9. A taxi driver is going the wrong way down a one way street. He passes five policemen along the way, none of which stops him. Why not?

10. People always cover me in dirt and step on me as they run past me, yet often people come running back to me when they are in trouble. What am I? 11. Round and round I go, never stopping, in a continuous flow. I hang out with numbers each and every day and nothing ever gets in my way. What am I? 12. What can you put between a 5 and a 6 so that the result is greater than a five, but less than a six?

See Logic Riddles Answers on page 27.

MySourcePoint.org

See Sudoku Solutions on page 27.

26

Spring 2021

ARTS

Creative Writing: The Beauty of Trees The following pieces were shared in one of SourcePoint's online creative writing classes. Writers were given a prompt to reflect on trees and let their creativity take hold.

A Very Special Tree

Ruby

Several decades ago a tiny weeping willow tree named Willy took root at a curve in the grass where a driveway would soon be created, leading to the spot where a new home was about to be constructed. Willy was happily oblivious of his surroundings as he was nourished by sunshine and rain. However, he shuddered in fright each time a huge, noisy mower encircled him, but fortunately, he remained unscathed.

by Connie Hill Ruby is a Ruby Falls Redbud and she is just a baby.

Her limbs are scrawny, her trunk is maybe three inches round, and she is tied with a frayed rope to a stake in the ground.

Ruby is a couple of inches taller than I am, which, in the tree world, is not tall at all. I have fretted over her since June when I had her planted next to my porch. I watered and worried. Too much water? Too little worry?

I had no way of knowing because she didn’t come with any instructions. But she did come with a few leaves attached to her pencil-thin branches and they stayed attached throughout the summer. I was encouraged when they lost their greenness and then, right on schedule, dropped to the ground in the fall. “So far so good,” I thought.

But right before Christmas a neighbor told me that my little Ruby reminded her of Charlie Brown’s Christmas tree. I had to look it up. Charlie Brown’s tree is a pathetic twig with a red Christmas ball tied to one of its tiny, twiggy arms. The weight of that single ornament bent the entire tree to the ground. I hated to admit it, but there was a resemblance.

I could have attached a red ornament to Ruby and underscored the similarity, but I just couldn’t do it. Unlike Charlie Brown and his friends, whose tree is frozen in time, I have hopes for Ruby. I hope when spring comes—and it will—that Ruby will have branches that grow and buds that blossom. And green leaves everywhere. I don’t want to project too much onto Ruby, but I have a lot of hope for a lot of things right now: that the pandemic subsides and our country heals from the terrible wounds it has suffered. I have faith that Ruby is stronger than she looks. So are we.

by Donald E. Pearse, Sr.

As the days passed by, he shook in fear as a large scoop rumbled within feet and began to dig a basement. Hundreds of thorn trees were gathered and burned to clean the lot. Willy gasped for air until finally the smoke cleared.

When the hole was finished for the basement of the new home, a truckload of cement blocks arrived for the basement walls, and a cement truck arrived to pour the footer for the foundation. Before long a crew of block layers arrived and began to create the basement walls.

Willy shuddered in freight when a huge bulldozer arrived to scrape a driveway in the soil, and several trucks noisily unloaded tons of gravel in the new driveway. The bulldozer chugged away as it spread the gravel and packed it down.

At last it rumbled up on the truck from which it arrived, and with a puff of smoke it was driven away. Willy felt safe at last.

One day a huge truck arrived and with screeching and thumping it slid a gigantic bundle of wood to the ground, which was needed to frame the new house. Willy was growing taller, but he still had to strain to observe all these happenings.

It was beginning to have a chill in the air, and Willy shivered in the wind as the framers arrived to build the walls on the house. He was glad the driveway was finished so the trucks wouldn’t be driving through the grass where he lived.

Eventually the framers left, and Willy exhaled a big sigh of relief. However, the very next day a convoy of trucks began arriving, filling the driveway. There were electricians, plumbers, furnace installers, insulation experts, drywall installers, stone masons for the front of the house, and roofers to install shingles. Willy couldn’t believe how many things were happening at once.

MySourcePoint.org

Spring 2021

27

Weeks later, the trucks had all departed, and Willy again breathed a big sigh of relief. His joy was short-lived when one day two huge trucks arrived carrying a gigantic scoop and another bulldozer. They went into the backyard and began digging a hole in the ground. It was ten feet deep and about one-fourth acre in size. When this noisy equipment finally left, the hole began filling with water and ended up being a lovely pond.

At last the parade of trucks ended, and Willy grew to be as tall as the two-story house. His dangling, leaf-covered stems swayed gently in the breeze, and provided a nice shady spot underneath where one could sit and enjoy looking at the pond and the new house. He was so lovely that one day a car stopped and asked the homeowner if a new bride and groom could have their picture taken in front of it, which made Willy ever so happy.

Decades later, Willy was still proudly standing. He waved at all the cars going by on the highway with his long stringy stems covered with leaves. He was indeed a very special tree!

Who says that trees do not know what is going on around them, and that they don’t have feelings just like you and me?

In a Forest on the North Shore of Minnesota

by Judy Titus

Needing solitude and escape from the world of the pandemic, I go to the forest. What I find there is so much more than expected. After a short walk I enter a clearing hemmed about by majestic old trees. Their massive trunks are rough-chiseled columns topped by intertwining branches.

The canopy arches far above my head forming a domed ceiling. It is painted with fiery red, golden yellow, and brassy orange, the most vibrant of autumn colors.

I stand among waist-high ferns, their delicate fronds strung with glistening beads of life-giving moisture. The earth beneath my feet is soft loam, centuries of fallen leaves have made it so. The sweet aroma of fertile soil permeates the air like incense.

I feel as if I've entered a cathedral, one dedicated to the miracle of creation. Here the world of man fades away. Even the sounds of the forest recede. In their place comes deep silence, as palpable as a physical presence.

In this cathedral of nature time is suspended. I have no past, no future. I have only this present moment and I exist only within its boundaries. There-in, I find peace.

If you're a Delaware County adult age 55 or better, and are interested in flexing your creative writing muscles, go to MySourcePoint.org/EC to join us. Membership is free!

Logic Riddles Answers 1. The match.

2. $0.05 (not $0.10) 3. 444 + 44 + 4 + 4 + 4 = 500 4. Third, it is the only one not ending in “th.”

5. Zero, roosters don’t lay eggs.

6. Six, each circle is equal to one. For example, 6 has one circle, 8 has two circles in it.

7. Four ants, standing in a square formation.

8. Third.

9. Because the taxi driver was walking.

10. A baseball base.

11. The hands of a clock.

12. A point or period (5.6)

MySourcePoint.org

Sudoku Solutions EASY

HARD

28

Spring 2021

ACTION PLAN

Small Steps. Big Impact.

Housing

Transportation

Goal: Ensure older adults have access to affordable, accessible, and safe housing options.

Goal: Assure older adults have access to affordable, safe transportation that gets them where they need to go.

Support, Health & Safety Services Goal: Ensure older adults are able to access and afford community support, health, and safety services.

Mission

Age-Friendly Delaware County will collaborate to innovate and improve key elements of livability that support healthy aging in our community.

Outdoor Spaces & Buildings Goal: Provide safe, accessible places for people to gather and engage.

Community Engagement Goal: Ensure older adults can continue to work, volunteer, and be actively engaged in community life.

Communication & Information Goal: Recognize older adults communicate in various ways and ensure they are connected within the community.

Vision

Delaware County is an active, safe, healthy, and connected community for all ages and abilities.

MySourcePoint.org/age-friendly MySourcePoint.org

Spring 2021

29

Housing

Transportation

Outdoor Spaces & Buildings

Strategies:

Strategies:

Strategies:

1. Create a directory of legal and financial housing resources and terms.

1. Update the Mobility Manager website.

1. Pilot an Age-Friendly Business program.

2. Provide ongoing safety education and training for alternative transportation options.

2. Pilot a Dementia-Friendly Business program.

2. Promote awareness, education, and expansion of Nesterly.

3. Expand home safety checks.

3. Promote awareness of the SourcePoint bus.

4. Engage in collaborative discussions with community stakeholders relating to affordable and accessible housing.

3. Incorporate age-friendly benches with handrails.

4. Promote Delaware County trails and parks.

5. Identify and expand awareness of age-friendly parking options.

6. Promote the safety and walkability of outdoor spaces.

Support, Health & Safety Services

Community Engagement

Communication & Information

Strategies:

Strategies:

Strategies:

1. Educate the community about falls prevention.

1. Promote positive aging.

1. Increase age-friendly awareness initiative.

2. Help prevent senior scams, fraud, and abuse.

3. Create a safety awareness toolkit.

4. Increase awareness of mental health resources.

2. Engage community in intergenerational opportunities.

3. Provide volunteer opportunities to local 55+ living communities.

2. Create an accessible-media toolkit.

3. Learn to better communicate with all Delaware County communities.

4. Expand audio reading services for low-vision community members.

5. Fight food insecurity.

6. Coordinate services for those on an affordable housing waitlist.

7. Expand local clinic hours for underinsured individuals.

Learn more and get involved at MySourcePoint.org/age-friendly.

MySourcePoint.org/age-friendly MySourcePoint.org

30

Spring 2021 United States Department of Agriculture

l

all et’s

EAT HEALTHY. BE HEALTHY. SAVE. The Dietary Guidelines for Americans can help.

We’re in the red.

117 MILLION

BILLIONS

U.S. adults have 1+ chronic diseases.1

$147B Obesity

Spent in medical cost of dietrelated chronic diseases.2

$245B Type 2 Diabetes

8 in 10

Americans think advice about what to eat is conflicting.3

$316B Heart Disease

Healthy eating can help... but first, we need to do it.

U.S. Scores Over Time

100

U.S. Scores by Age Group

59

80

60

56

40

57

59

60

59

60

53

53

58

66

The Healthy Eating Index Score shows that Americans do not align their eating choices with the Dietary Guidelines.

20 0

(on a scale from 0-100)

2005-2006 2007-2008 2009-2010 2011-2012 2013-2014

Ages 2-5 Ages 6-11

Ages 12-17 Ages 18-64 Ages 65+

What’s the return on our investment?

Each step closer to eating a diet that aligns with the DIETARY GUIDELINES reduces risk of: 4

If we invest $10/person each year toward improving nutrition, increasing physical activity, and preventing tobacco use —

$16B Heart Disease

Type 2 Diabetes

That’s a 5.6x return for every $1 invested!

THAT COULD SAVE THE UNITED STATES

$16,000,000,000 annually within five years! 5

Cancer

3 reasons why the Dietary Guidelines matter.

“

PRACTICAL TOOL

DATA-DRIVEN

FOR ALL AGES

[USDA and HHS] took the science and brought it into the real world of how we eat... the Academy encourages everyone to follow the Dietary Guidelines recommendations because as dietitians we stand by sciencebased recommendations and realize that healthy eating is one of the most powerful tools we have to reduce the onset of disease.

With confusing and often-conflicting information in the media, it is more important than ever that Americans have a clear source of science-based information about diet. We would like to see the 2020 Dietary Guidelines continue to provide Americans with sciencebased guidelines...

Pediatricians routinely look to the Dietary Guidelines to provide advice to our patients... We look forward to the inclusion of science-based Dietary Guidelines for children birth to 24 months in the 2020 Dietary Guidelines for Americans... Early nutrition sets the course for preventing many diseases, even those that would occur in adulthood...

“

ACADEMY of NUTRITION & DIETETICS

AMERICAN COLLEGE of CARDIOLOGY

“

AMERICAN ACADEMY of PEDIATRICS

Released jointly by USDA and HHS every 5 years, the Dietary Guidelines for Americans is the cornerstone for Federal nutrition programs and a go-to resource for health professionals nationwide.

For more information, go to www.DietaryGuidelines.gov. www.cnpp.usda.gov/dietary-guidelines-infographic-references USDA is an equal opportunity provider and employer.

Center for Nutrition Policy and Promotion September 2017 Revised February 2018

MySourcePoint.org

Spring 2021 RECIPES

Picnic Chicken Salad Onion and pickle relish spice up a traditional chicken salad. Make sandwiches or use in a pasta salad by adding 2 cups cooked pasta.

INGREDIENTS 2 1/2 cups chicken breast (cooked, diced) 1/2 cup celery (chopped) 1/4 cup onion (chopped) 3 packages pickle relish (2/3 tablespoon) 1/2 cup mayonnaise (light) DIRECTIONS 1. Combine all ingredients.

2. Refrigerate until ready to serve.

3. Use within 1-2 days. Chicken salad does not freeze well.

NUTRITIONAL DATA: Serving size: 1/6. Per serving: 150 calories, 7 grams fat, 1 gram saturated fat, 58 mg cholesterol, 497 mg sodium, 5 grams carbohydrates, 0 grams dietary fiber, 3 grams sugar, 17 grams protein

Veggie Chow Mein This noodle dish combines the crunch of fresh veggies with the flavors of onion, garlic, and soy sauce to create a delicious and easy stir fry. Make it a family favorite using your favorite veggies.

INGREDIENTS 6 ounces rice noodles (or thin flat egg noodles) 4 teaspoons oil 1 onion (medium, finely chopped) 2 garlic clove (finely chopped) 1 cup carrot (grated) 2 teaspoons chicken bouillon 1 teaspoon hot pepper sauce 1 cup broccoli (cut into small pieces) 1 cup celery (chopped) 1 cup bell pepper (green or red, finely chopped) 4 teaspoons soy sauce

MySourcePoint.org

31 DIRECTIONS 1. Prepare noodles according to package directions. Drain and set aside.

2. Saute onion and garlic with oil in frying pan for 1 minute over medium/high heat.

3. Add carrot, chicken bouillon, and pepper sauce. Stir.

4. Add broccoli, celery, and bell pepper and continue to stir.

5. Reduce heat to low and add noodles and soy sauce. Mix well over low heat for 3 to 5 minutes.

6. Add salt and pepper to taste.

NUTRITIONAL DATA: Serving size: 1/6. Per serving: 163 calories, 4 grams fat, 0 grams saturated fat, 0 mg cholesterol, 399 mg sodium, 30 grams carbohydrates, 3 grams dietary fiber, 3 grams sugar, 2 grams protein

Peach Apple Crisp This delicious dessert is the perfect ending to any meal.

This recipe is simple to prepare and the dish is satisfying to taste.

INGREDIENTS 1 can peaches, in light syrup, drained, sliced (15 ounce) 2 apples, tart, peeled, sliced (medium) 1/2 teaspoon vanilla 1/4 teaspoon cinnamon (ground) 3/4 cup flour 1/4 cup brown sugar (packed) 3 tablespoons margarine (chilled) DIRECTIONS 1. Preheat oven to 350 degrees. Lightly grease 9x9x2 inch casserole dish.

2. Combine peaches, apples, vanilla, and cinnamon in a bowl. Toss well and spread evenly in greased casserole dish.

3. Combine flour and sugar in small bowl. Cut in margarine with two knives until the mixture resembles coarse meal.

4. Sprinkle flour mixture evenly over fruit.

5. Bake until lightly browned and bubbly, about 20 minutes.

NUTRITIONAL DATA: Serving size: 1/8. Per serving: 149 calories, 4 grams fat, 1 gram saturated fat, 0 mg cholesterol, 40 mg sodium, 27 grams carbohydrates, 2 grams dietary fiber, 16 grams sugar, 2 grams protein

Panic Disorder PTSD Mood Disorders ADHD Dissociative Identity Disorder

1 in 3 people report symptoms of Anxiety and Depression.

You Are Not Alone.

Do you feel helpless because your adult child or spouse is str uggling with depression, anxiety or other mental conditions?

Call 740-815-1767

Family suppor t groups focused on people 55 and over ever y month:

www.NotAloneOhio.org

1st & 3rd Thursday 10:00 AM 1st Thursday 6:30 PM Due to COVID-19 support groups are online. We are tech friendly and will help you connect.

Other groups available at

Funding provided by:

Depression Dissociative Identity Disorder Anxiety Mood Disorders Anxiety

Depression Bipolar Disorder Anxiety OCD Depression Schizophrenia Anxiety Panic Disorder Depression PTSD Anxiety

Anxiety Bipolar Disorder Depression OCD Anxiety Schizophrenia Depression Panic Disorder Anxiety PTSD Depression