Four Corners Healthy Living - Fall 2022

CONTENTS

LETTER FROM THE EDITOR

LIFE CHANGES

Coping

MOUNTAIN MUSINGS

What do you keep in mind when

through big life changes?

CONSUMER CARE

Stay stocked with essential items

TECH TOOLS

Caregiver support, resources

LIFE CYCLES

Building a foundation for family

FIT FIVE

for families to stay active

EXERCISE

for

HEALTHY ALTERNATIVES

RECIPES

Flavorful

GROWTH & DEVELOPMENT

Vaccinations

CHIEF EXECUTIVE OFFICER

Carrie Cass

DIRECTOR OF FINANCE Carrie Cass

MULTIMEDIA SALES DIRECTOR Jamie Opalenik

CREATIVE SERVICES MANAGER Tad Smith

DESIGN/ILLUSTRATION Wes Rowell

SPECIAL SECTIONS EDITOR Hunter Harrell

CONTRIBUTORS

Garett Dickinson Gracie Rowell

MARKETING COORDINATOR Megan Milstead

ADVERTISING Kelly Bulkley Joe Nelson Kelly Ozier Carter Reed Shell Simonson

Gayle Vitarius

Michele Wayne

PRODUCTION Ryan Brown

Ballantine Communications uses reasonable effort to include accurate and up-todate information for its special magazine publications. However, all information comes from a variety of sources and may change at any time for any reason. To verify specific information, refer to the organization or business noted. View online: www.durangoherald.com.

LETTER FROM THE EDITOR

Listen closely. The wind whistles in the trees. With every step, hear the crunch of leaves. Nights feel cozier next to the crackle of the fire in the wood stove. It's fall. And though it can be a short season, it is time to embrace the transformation.

The coming and going of seasons is similar to the phases we experience in life. And this issue of Four Corners Healthy Living is stocked with advice for reaching personal goals and maintaining a healthy lifestyle at various stages of life.

Flip to page 4 to read more about coping with change, whether we view it as positive or negative. Don't forget to check out what other residents had to say about dealing with change in their own lives on page 5.

Take inventory of the various health and safety products mentioned in the Consumer Care column. Review the listicle to be prepared for any illness or injury on page 6. Then find some useful resources and support services for caregivers of all kinds in the Tech Tools department on page 8.

Learn more about the benefits of family planning services, and how to build a solid financial foundation for a family on pages 10 and 11. Discover how introducing new activities into your routine can help families stay in shape on pages 12 and 13.

When it comes to healthy eating, this issue includes inspiration for simple snack substitutions, such as salty chips and sweet cookies on page 14. Don't miss the delicious dishes inspired by fall flavors represented in the Recipe section on page 16.

Finally, on page 18, readers can find some valuable information on the importance of vaccinations, including a chart to help parents determine when to have children vaccinated.

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COPING WITH THE ONLY CONSTANT

It’s an age-old saying that the only constant in life is change. Yet simply being aware of it doesn’t always help us navigate the feelings we experience when change enters our lives. Growing older, moving to another town, or the loss of a loved one can challenge our ability to stay connected and maintain personal wellbeing. We may even experience difficulties adapting to positive changes, like a promotion. So, given these challenges, what can we do to stay grounded, happy and successful in a tumultuous world?

Though change is unique, both to the situation and to the person experiencing it, there are common threads that tie the human experience together. Experts have studied the topic to find commonalities that can be turned into effective tools for adaptation. Though forms of change can be easier to manage, experiences such as the death of a loved one or the loss of an intimate relationship can be devastating.

Regina Curry, a licensed professional counselor and athletic wellness coach at Fort Lewis College, said the techniques for processing and adapting to change are “spectacularly simple but hard to enact.” One of the most important things is to keep in mind that “it’s accepting ourselves that’s difficult,” Curry said.

Curry said changes, even positive ones, can challenge an individual’s sense of stability and lead to unhealthy coping through control and perfectionism. When one can forgive themselves for things from the past and be more accepting of slow adaptation a new change, then we can look in the mirror and say “It’s OK, I’m OK,” Curry said.

Sometimes, resistance to positive transitions can be confusing, and the root cause might not be easy to uncover. Curry encourages individuals to question assumptions and explore negative thoughts around outcomes. Curry said “most of what we fear doesn’t happen or we’ve already lived through it.”

then, the organization has expanded to nine grief specialists that serve the five counties of Southwest Colorado. Austin said the workload has increased fourfold since the pandemic. This is due in large part to an increase in unexpected deaths from COVID-19, drug overdoses and suicide.

Although the increase has a painfully deep effect on our communities, Austin sees hope as well. As the stigma surrounding mental health support subsides, people of all ages can benefit from an increased recognition of their struggles. Austin stressed that this is especially important for those who experience the death of a loved one, adding that children who experience the unexpected loss of a close family member are at a 75% higher risk of suicide in their lifetime.

However some changes, especially loss, have undeniable finality. So what can help us through life's more devastating developments, such as a terminal diagnosis or death? There are also losses that feel as final as a death. This could include the loss of an intimate relationship or of a beloved career.

Judy Austin, the Executive Director of the Grief Center of Southwest Colorado, and seasoned bereavement specialist, has been in the field of grief counseling since the early 2000s. In 2009, she founded the Grief Center, gaining 501c3 nonprofit status in 2015. Since

“Good support after a loss is preventative,” she said. This can be critical since a recent loss can bring up painful memories from past losses and trigger isolation and substance abuse, compounding the pain and even challenging one’s sense of identity. However, with proper support, those suffering can find healing and growth through the loss to still live a full and happy life. “We learn to hold the grief, love and joy together,” she said, describing what it looks like to move forward holistically.

Although change is inevitable, it does not have to be something we avoid or buckle under. It also doesn’t have to be something we experience alone. If you find yourself experiencing or approaching a life change that seems daunting or even insurmountable, resources in our community can provide the support needed to not only overcome the challenge of change, but to also learn how to heal and thrive with it.

WHAT

YOU KEEP IN MIND WHEN

CHANGES?

DEVON DAVALOS

“I always think of every ‘big life change’ like a leveling up moment for me, I just get stronger.”

REGINA CURRY

can handle this. Every change that has occurred before, whether brilliant or challenging, I’ve handled it. This is simply another opportunity.”

PETER BARNETT

“Many people are inherently good and happy to help you

BEN WHEATLEY

when

need it. Cats are also great

emotional

“No matter how hard I fought the doctor, I always ended up getting the shot.”

EVAN FRICKE

“The sun will rise.”

STEPHANIE ANTEZANA

“Nothing lasts forever. Remember that change presents us with an opportunity to grow.”

STAY STOCKED WITH ESSENTIAL ITEMS

Seasonal sniffles. Aches and pains. At times, the machine that is the body needs some TLC. When that time comes, be prepared for seasonal ailments and unexpected illness. A well-stocked first aid kit and medicine cabinet can help families readily respond to illness

ALLERGY MEDICATION

Though the cause for an allergic reaction can vary, antihistamines can help individuals treat symptoms of such reactions, like itching, rashes and swelling. Medications come in creams, liquids and pills. Look for non-drowsy options,

COLD, COUGH & THROATSOOTHING MEDICINE

The common cold can cause congestion and discomfort or sore throats and runny noses. Find relief with over-the-counter medication. But remember, cough and cold remedies can

CAREGIVER SUPPORT, RESOURCES

There comes a time in every human’s life when they will need a helping hand. The same story goes for those that often lend a hand. For people juggling a career with caregiving, day-to-day life can feel a little overwhelming. Most people in this situation dedicate an average 23.7 hours a week providing care to individuals that live outside their home, or nearly 37.4 hours to those that live with the caregiver. With the advancement of technology, caregivers can avoid burnout by accessing more resources to assist them with everything from appointment reminders to communication with family members and medical professionals.

CARING VILLAGE

You know what they say about caregiving in any form: It takes a village. Now, there is an app to embrace the collaboration of caregivers. Caring Village is a tool that helps coordinate care for the specific needs of a loved one. Users can do so much in one space, such as see medication lists, scheduled appointments and personalized todo lists. This app offers caregivers a simplistic way to stay in touch with other family members or health professionals when a loved one needs special attention. Often lauded as a helpful source for articles and information, online reviews claim the app is easy to use and free to download as well.

ECARE21

Tracking vital signs for loved ones is easier with eCare21. The app enables remote patient monitoring and provides caregivers with important readings, such as blood pressure, heart rate and glucose levels. It also monitors activity from compatible devices, such as a medical accessory or smart watch. Caregivers not only have the ability to track this information, they can also record and share with medical providers in real time. The eCare21 app is free to download and but provides more features for a paid subscriber.

BABY CONNECT

To be a parent is to usher a new generation into society. That’s no easy task. Baby Connect is an app that allows parents and childcare providers to document a child’s schedule. The app can help caregivers communicate about meal times, sleep routines and much more. The system allows caregivers to send notifications to others, alerting those who request the update. Baby Connect is perfect for caregivers or babysitters so children of all ages are perfect for this app. The mobile app is a one-time $4.99 fee to download, but after this, it is good to go!

FIRST AID

Designed as a resource for all the little bumps in the road, First Aid by American Red Cross offers quick advice and recommended solutions for caregivers when their loved ones experience emergencies. The tool includes step-by-step guides for frequently asked questions, and highlights what to do during natural disasters. This mobile app also allows caregivers to find local weather shelters in a pinch. First Aid by American Red Cross is a free mobile app that can be downloaded on any mobile platform.

BUILDING A FOUNDATION FOR A FAMILY

Benefits of family planning services for personal well-being

Is it a biological imperative or a desire for deeper purpose in life? There can be many reasons why individuals and couples make the choice to raise children. Some might dream of building a life filled with love, while others give into pressures from their parents or partners to carry on a family name or legacy. But before these individuals or couples decide to do the deed, health care experts say that they should first discuss how to establish a safe and supportive environment for their offspring. It is likely they will encounter unexpected obstacles along the way, so it really helps to have a plan.

What are family planning services?

In recent years, the term “family planning” is increasingly used as a catch-all phrase for access to reproductive and sexual health services. The purpose of providing family planning services is to allow individuals the freedom to choose whether or not to start a family, as well as determine the size of their family, spacing of the children and the timing of their births and pregnancies.

Places that offer family planning services also provide women with access to affordable contraceptives, including patches, pills, rings, injections, implants, IUDs, diaphragms and condoms. Some clinics may also offer other basic services, such as annual wellness exams, preconception counseling and education, pregnancy counseling and testing, STI screenings, physical exams and cancer screenings.

Exploring the benefits of family planning services

These health care providers that specialize in reproductive and sexual health services protect the health and well-being of entire communities. The education and services provided reduce the number of sexually transmitted diseases, as well as unintended pregnancies and abortions. Access to contraception and other family planning services regardless of income also removes barriers of inequity.

Prioritizing mental and physical health for families

To increase the confidence and support for expectant parents, family planning also encompasses counseling, education and workshops. Educating individuals about risk factors can help them eliminate potential

problems before they become pregnant. From learning about testing for chronic and genetic conditions to discussing how current medication and prescriptions affect a woman’s ability to conceive, experts can answer important questions.

Steps to successfully start family planning

ESTABLISH A BUDGET

It’s no secret that raising children requires financial resources. While gifts from baby showers for first-time parents can help with some of the big expenses, even the small expenses will add up quickly. To avoid surprises, price check items that you will need and create a saving and spending plan.

REVIEW HEALTH COVERAGE AND PARENTAL LEAVE POLICIES

Though health insurance can help cover some of the medical costs, make sure to understand what is and is not covered in a policy. Once the baby is born, don’t forget to update both health and life insurance coverage.

Additionally, remember to use resources, such as paid parental leave. Many employers will offer extra time off as a benefit for new parents. Talk with your human resources department to determine how much paid or unpaid leave is available.

CREATE AN ESTATE PLAN

When bringing new life into the world, it is much more important to think about what you might leave behind. In addition to resources such as life insurance policies, consider creating a will that clearly outlines how assets will be managed after death, and designate a caregiver for your child.

2021 Birth Trends

The report shows a 1% increase in births from 2020, with 3,659,289 births recorded in 2021.

The general fertility rate in 2021 was 56.6 births per 1,000 women ages 15–44, also up 1% from 2020.

In contrast, the number of births and general fertility rate both declined 4% from 2019 to 2020.

Birth rates declined for women in the age groups between 15 and 24 years, rose for women in the age groups between 25 and 49 years, and were unchanged for adolescents aged 10-14 in 2021.

The birth rate for teenagers ages 15–19 declined by 6% in 2021 to 14.4 births per 1,000 females.

The cesarean delivery rate increased to 32.1% in 2021. The low-risk cesarean delivery rate increased to 26.3%.

The pre-term birth rate rose 4% in 2021 to 10.48%—the highest rate reported since at least 2007.

WAYS FOR FAMILIES TO STAY ACTIVE

As the days grow shorter and the summer season wanes, it can be more difficult to incorporate daily exercise into your schedule without a regular routine. However, adding just 20 to 30 minutes of exercise can improve both physical and mental health. Not only does daily movement help individuals stay active, but it can also improve energy levels, mood and sleep cycles. That’s why it is crucial to make time for physical activity at every age.

Yet, only 25% of children get the recommended 60 minutes of physical activity per day according to the American Academy of Pediatrics. However, teaching children to engage in physical activity at an earlier age can help them establish healthy habits as they develop. Regular physical movement can lower stress levels and increase focus as well. Here are five ideas that can inspire families to help children feel excited about exercise.

PLAY BALL

Sports practices, games and competitions may keep children excited to exercise and socialize with friends. However, Emphasize a fun activity with a focus on movement that produces shortness of breath, body warmth and sweat. These are indicators that the heart rate is really pumping. If children don’t participate in organized sport, consider setting up an obstacle course or going to a gym where children can learn to use fitness equipment and attend classes geared toward their age group.

ON TWO WHEELS

Inflate those tires and fasten the helmet. A family bike ride is a great way to get outside, move muscles and build endurance. Cycling increases balance, flexibility and stamina. It also improves joint mobility and posture. Choose the terrain based on the age of the youngest or oldest rider, and let them set the pace for the group. Fortunately, there are so many wonderful trails in the Four Corners that are more level, easy-to-navigate paths for the very young or the elderly.

OR TWO FEET

Walking is one of the most underrated forms of exercise. Though it seems obvious, walking is an easy way to incorporate more physical activity into a routine at any age. With young children, it’s best to start with short walks around the neighborhood, then incorporate longer trips before taking to the trails. When running errands or taking children to school, substitute car trips with walks instead. To keep children engaged in being outdoors in adverse weather, consider framing walks as a time for exploration, and include attractions along the way, such as historic places, local parks or remarkable ancient ruins.

MINDFUL MOVEMENT

Taking time in the morning or evening to clear the mind and release muscle tension through stretching can help establish more balance in day-to-day life – mentally and physically. Yoga is one activity that has numerous benefits for the body and mind. Best of all, yoga poses are adaptable for all ages. By combining breathing techniques and movement, individuals can really improve balance, coordination, focus and memory.

Try attending local classes as a family before or after school starts, or download an app for fitting in guided movement at home.

JUST DANCE

And what comes next? Hey, bust a move. Dancing is easy to do indoors or outdoors, and it encourages creativity and movement. The activity helps people develop a variety of skills, and improves flexibility, coordination and posture. It even increases stamina and range of motion. Though classes can help people of all ages hone skills and learn new moves, there are no rules when it comes to dancing. You can do it at any place, any time. (Remember flash mobs? An era to be remembered.) Simply crank the volume, turn up the tempo and increase the heart rate.

FITNESS TIPS FOR NEW PARENTS

Being a parent requires an ability to adapt to change. Newborns require around-the-clock care that often translates into little free time for their parents. When parents get opportunities to step away, exercise may be the furthest thing from their minds. But health experts at the Mayo Clinic claim exercise helps to tame stress, keep the mind sharp and boost the immune system. Staying fit and healthy with a new baby in the house may be easier when parents embrace certain strategies.

• FLEXIBILITY IS KEY. New parents strive to maintain schedules, but newborns and infants don’t always comply. Therefore, committing to a workout at a specific time each day or even a specific duration can be foolish. It’s better to take what you can get when you can get it. Don’t get hung up on following a specific regimen right now.

• EXERCISE IN BURSTS. Rather than devoting a set amount of time to a workout,

fit in exercise when you have a minute. Run up and down the stairs while the baby is napping. Or do some bicep curls while preparing a bottle.

• TAKE A “BABY-AND-ME” CLASS. Gyms and fitness organizations often offer classes for new parents that build workouts around movements that can be done with baby in hand or in tow. Another option is finding a workout group that incorporates kids and strollers. Seek out these programs for innovative ways to get exercise and spend time with your child and other parents.

• ASK FOR TIME OFF. Spouses can divide baby duties so that each gets equal time away to devote to personal needs. Factor exercise into some of the plan, even if you can carve out only a few minutes. Another tip is to multitask. Consider buying a stationary bicycle to use while watching a favorite television show.

• GO SWIMMING. Swimming works many muscles of the body, and the buoyancy of the water relieves pressure on joints and other areas of the body. When baby is old enough, you can even enjoy time in the pool together.

• PRIORITIZE SLEEP. Do not com promise sleep for exercise, which can adversely affect your overall health. Sleep is essential for human development, says The Sleep Foundation. During sleep, the brain experiences intense activity, building the foundations for how people learn and grow, including the development of our behavior, emotions and immune systems. Adequate sleep is vital for new parents to maintain their health and the health of their babies.

As infants grow, parents will find they have more time to devote to exercise. Until then, new parents can be flexible and make time for exercise when their schedule allows.

SIMPLE SNACK SUBSTITUTIONS

With the school year in full swing, organizing meals around activities is a complicated task for many families. Whether packing a lunch bag for the office or a cooler of treats for trailhead tailgating, consider replacing popular grab-and-go goods with healthier alternatives.

Though most ingredients found in prepackaged products are safe to consume in moderation, remember that making an effort to remove processed foods from your diet can reduce the risk of heart disease, diabetes, obesity and certain cancers in the long run.

Consider stocking the pantry with these substitutions for popular snack items. Whether preparing for a busy day of activities or a family movie night, these are sure to please.

CHIPS

Baked pretzels and veggie chips are a great alternative to fried potato chips and other crispy snacks. Chips made from vegetables can boost daily veggie intake and satisfy a salty craving. Homemade chips are not only free of preservatives, they are also easy to make at home. Simply take thin slices of vegetables, and bake them into a crispy bite-size snack.

CANDY, COOKIES & CAKES

Despite what you may have heard, Twinkies do have an expiration date. However, storebought snack products like these are loaded with preservatives and other ingredients that make them a poor choice for health. Replace pantry staples like candy, snack cakes and cookies with items like graham crackers and granola bars. Consider healthier breads or muffins rather than cakes. To conquer

cravings, make baked goods at home with hidden veggies or healthy substitutions.

FRUIT ROLLS & GUMMIES

Fruit is naturally sweet, and filled with fiber, minerals and vitamins. Fruit leather is a chewy treat that can be beneficial for onthe-go snacking. Instead of purchasing from brands with added sugars and preservatives, make delicious fruit rolls at home. Dried fruit is a great alternative to gummies made with added sugar and gelatin. However, it is both calorie-dense and filled with natural sugars and nutrients, so be mindful of portions.

PROTEIN PACKS

Don’t pay more money for portioning and preservatives. Though convenient, storebought snack packs such as these are high in sodium and trans fats, which can lead to high cholesterol. Instead, create a healthy grazing box at home. Buy a box of crackers, add fresh deli meat (avoid processed lunch meats), such as ham, turkey or pepperoni, and top with cheese slices. Purchasing items in bulk can also cut down on costs.

YOGURT

Adults and children alike turn to yogurt cups for an easy breakfast or quick snack onthe-go. But some yogurt brands, especially those marketed toward children, are filled with artificial coloring agents, sweeteners, preservatives and other additives. Choose plain or vanilla flavored Greek yogurt and add real fruit for a healthier option.

RECIPES FARE INSPIRED BY FALL FLAVORS

BREAKFAST

PUMPKIN BREAD

3 tablespoons coconut oil

1 egg

2 teaspoons vanilla extract

½ cup maple syrup

1 cup pumpkin puree

1.5 cups oat flour

1 tablespoon cinnamon

1 teaspoon ginger

½ teaspoon nutmeg

¼ teaspoon cloves

1 ½ teaspoons baking powder

1 teaspoon baking soda

Grease a loaf pan and preheat the oven to 350 degrees. In a large mixing bowl, combine oil, egg, vanilla extract, maple syrup and pumpkin puree. Stir in flour, spices, baking powder and baking soda. Pour batter into a loaf pan and bake for 40-45 minutes.

LUNCH APPLE SPINACH SALAD

8 cups baby spinach

1 medium green apple, diced

1 medium red apple, diced

½ cup toasted walnuts

2 ounces crumbled feta cheese

3 tablespoons olive oil

1 tablespoon red wine vinegar or apple cider vinegar

Toss the spinach, apples, walnuts, and cheese together. Lightly drizzle olive oil and vinegar over the top and serve.

SNACK CARROT CAKE COOKIES

½ cup unsalted butter

1 cup light brown sugar

1 large egg

1 teaspoon vanilla extract

1½ cups rolled oats

1 cup whole wheat flour

½ teaspoon baking powder

1 ½ teaspoons ground cinnamon ½ teaspoon ground allspice ¾ teaspoon ground nutmeg

⅛ teaspoon salt

1 cup grated carrot

½ cup chopped walnuts ½ cup raisins

DINNER

VEGGIE SOUP

2 garlic cloves, chopped

1 large onion, chopped

1 zucchini, chopped

2 celery stalks, chopped

2 medium carrots, chopped

3 cups butternut squash

1 can diced tomatoes (can substitute with 4-6 freshchopped tomatoes)

1 teaspoon dried parsley

1 teaspoon dried oregano

1 teaspoon dried basil

Salt and pepper to taste

Preheat the oven to 350 degrees. Next, add softened butter and sugar in a mixing bowl and cream together. Add the egg and vanilla extract, then mix until combined. Lightly blend oats in food processor to break down size. In a large bowl, add flour, oats, baking powder, spices and salt. Slowly add dry ingredients to wet ingredients and mix into dough. Gently fold in grated carrots, walnuts and raisins. Use a tablespoon to scoop dough on a cookie sheet covered in parchment paper, and bake for 12-14 minutes.

In a large soup pot, heat olive oil over medium heat and add onions. Saute for two minutes, then add butternut squash and carrots. After about five minutes, add stock celery, zucchini and tomatoes, then stir. Add dried spices, then chopped garlic cloves. Bring to a soft boil, then reduce to a simmer for 20 minutes. Stir and serve hot. Freeze jars of soup for up to three months.

VACCINATIONS PREVENT DEADLY DISEASE

Serious diseases threaten public health.

According to the Center for Disease Control and Prevention (CDC), vaccines are a tool that reduce diseases that once harmed or killed infants, children and adults. They help the body create antibodies that fight infection. Vaccines prevent serious complications that come with some illnesses and strengthen the immune system.

Some believe vaccines are primarily for children. However, the Centers for Disease Control and Prevention notes that the protection provided by some childhood vaccines can wear off. In addition, some people may be at risk for certain vaccinepreventable diseases due to existing health conditions and age. As a result, it’s important for adults to make sure their vaccines are up-to-date.

Routine childhood vaccinations ensure that the population remains healthy and protected against serious diseases, like polio, measles and whooping cough. Now that in-person activities and in-person learning have resumed, health professionals urge parents to make sure children are up to date on routinely recommended vaccines.

Today’s vaccines use approximately 305 antigens to protect against 14 diseases by the age of two. Since protection can fade with time, multiple doses may be recommended. For example, adults should receive a tetanus booster every 10 years to protect against wound infections.

Though vaccines may have side effects, their safety is a high priority. Common side effects include fatigue, fever and body aches as well as redness, swelling and tenderness at the injection site. Experts carefully review safety data before recommending any vaccine to an individual.

VACCINE-PREVENTABLE DISEASES & RECOMMENDED VACCINATION SCHEDULE

DISEASE VACCINE

Hepatitis B HepB vaccine protects against hepatitis B

Rotavirus RV vaccine protects against rotavirus

Diphtheria DTaP* vaccine protects against diphtheria

Pertussis DTaP* vaccine protects against pertussis (whooping cough)

Tetanus DTaP* vaccine protects against tetanus

1ST DOSE 2ND DOSE 3RD DOSE 4TH DOSE 5TH DOSE

Birth 1-2 months 6-15 months

2 months 4 months

2 months 4 months 6 months 15 months 4-6 years

Pregnancy: 1 dose during 2736 weeks

Pregnancy: 1 dose during 2736 weeks

11-12 years booster every 10 years

11-12 years booster every 10 years

Haemophilus influenzae type b (Hib)

Hib vaccine protects against Haemophilus influenzae type b

Polio IPV vaccine protects against polio

Pneumococcal PCV13 vaccine protects against pneumococcus

2 months 4 months 12-15 months

2 months 4 months 6-18 months after 4 years

2 months 4 months 6 months 12-15 months

Influenza (Flu) Flu vaccineprotects against influenza 6-12 months annual booster recommended

Hepatitis A HepA vaccine protects against hepatitis A 12-15 months before 23 months

Chickenpox Varicella vaccineprotects against chickenpox 12-15 months 4-6 years

Measles MMR** vaccine protects against measles 12-15 months 4-6 years

Mumps MMR**vaccine protects against mumps 12-15 months 4-6 years

Rubella MMR** vaccine protects against rubella 12-15 months 4-6 years

HEALTH CARE PROVIDERS, RESOURCES

A BETTER HEARING AID CENTER PAGE 20

1185 S. Camino del Rio #170 (970) 422-4027

AESTHETICS & WELLNESS OF DURANGO PAGE 03

3057 Main Ave. (970) 799-3610

AWARE CARE

813 Main Ave. (970) 335-9548

PAGE 09

DURANGO PSYCHIC

640 Main Ave. (970) 426-8265

JACK'S MEAT MARKET

300 S. Camino del Rio (970) 247-1988

JAY SHORT INSURANCE

2855 Main Ave. Suite A102 (970) 382-8147

BASIN HOME HEALTH PAGE 03

200 N. Orchard Ave. (505) 325-8231

COMFORT KEEPERS

691 County Road 233, A6 (970) 344-9717

DURANGO DERMATOLOGY

523 S. Camino del Rio (970) 247-1970

PAGE 09

JOHNSON PHYSICAL THERAPY

1280 N. Mildred Road #2 (970) 564-0311

PAGE 05

NATURE'S OASIS NATURAL FOODS MARKET PAGE 17

300 S. Camino del Rio (970) 247-1988

PAGE 17

RIVERGATE PHARMACY

575 Rivergate Lane #111 (970) 375-7711

PAGE 09

PAGE 07

SAN JUAN ONCOLOGY

1305 Escalante Drive, Durango 2325 E. 30th St., Farmington (505) 564-6850

PAGE 19

Dee

Julie

Kari Cockrill

Thomas Ramage

Julia Liska

PAGE 07

JOLIE NUTRITION & FITNESS PAGE 19

1305 Escalante Drive Suite 202 (218) 235-9404

MADISON HOUSE

120 S. Madison St. (970) 565-2047

PAGE 07

PAGE 05

SOUTHWEST HEALTH SYSTEM PAGE 15

1311 N. Mildred Road, Cortez (970) 565-6666

VISITING ANGELS

610 East Eighth Ave. (970) 247-2292

Students 30 days

PAGE 15

Escalante Dr, Ste 202

Above Sunnyside Farms Market in Purple Cliffs Wellness Center.