Prosperity Through Unity Exceptional Care for Idahoans

August 2021 The IACP News, Vol. 5, No. 8 Is chiropractic care for children being sabotaged by its own research elite? Editor’s Note: The following editorial by Dr. Joyce MIller, DC, their children.6,7 The safety of this care has likewise been was first published in the Journal of Clinical Chiropractic well documented.8 There is also no question that research Pediatrics (JCCP), a peer-reviewed Journal for original and regarding the effectiveness of this care is limited, not scholarly manuscripts. Online at www.JCCPonline.com least because health care research into the pediatric patient is complex, costly and rare. These simple truths Children are a significant part of many chiropractor’s leave chiropractors in the arena of moderate demand and practices. There is even a scientific journal dedicated to insufficient evidence. It might be expected in this environment their practice. According to the International research,1 94% that experienced researchers, familiar with the professional of chiropractors treat children who comprise from 5-32% of issues, might use their expertise to provide more and better their practice. There were 103,469 chiropractors in the world research to support the needs of this unique, vulnerable and in 2017.2 If the average chiropractor treats 110 patients per needy patient group. Instead, it almost seems as there is an week, then 6-35 patients per week x 50 weeks of the year, impetus to attack the service provided and reiterate all of its the extrapolated number of children patients range from weaknesses, already well recorded. 30 million to 170 million/year world-wide, not insignificant numbers. In large outcome studies, parents report excellent A case in point is the recent publication of the article clinical outcomes,3,4 and high rates of parent satisfaction.3,4,5 produced by 50 researchers from 8 countries on a “jolly There is even some modest evidence of cost-effectiveness.3 meetup” (my term) called a “global summit” (their term) designed to critique non-MSK chiropractic research for It is clear that parents often seek chiropractic care for Continued on page 4 What chiropractors need to know about the Delta variant For the first time in more than a year, Americans are feeling strain that was first identified in the United Kingdom late last some hope—or at least cautious optimism—that the year, according to the World Health Organization (WHO) — pandemic could recede to the background. But experts want and that strain spreads about 50% faster than the version us to know that there is still a concern that new mutations of that first began infecting people in late 2019. the virus could bring it back, and it might be even stronger. “We should think about the Delta variant as the 2020 version A major concern right now is Delta, a highly contagious of Covid-19 on steroids,” Andy Slavitt, a former senior adviser SARS-CoV-2 virus strain, which was first identified in India in to President Joe Biden’s Covid Response Team said. December. It then swept rapidly through that country and Great Britain as well. The first Delta case in the United States Here’s what else doctors of chiropractic need to know about was diagnosed in March and it is now the dominant strain the variant, including why it’s spreading so quickly. in the U.S. The Delta strain was first identified in India in December 2020. The variant is spreading about 55% faster than the alpha Continued on page 6 August 2021 | The IACP News | Page 1 I A C P

The mission of the Idaho Association of Chiropractic Physicians (IACP) is to act as the unified voice, leader and stalwart supporter of the individual licensed doctors of chiropractic and supporting associates who provide exceptional health care and wellness to the patients and communities of Idaho. In supporting our Idaho chiropractic physicians, the IACP will work diligently to protect, enhance and build opportunities for the chiropractic industry and increase public access to chiropractic care.

2019-2020 IACP Board of Directors

Dr. Jeremai Hafer Dr. Thomas Bench Dr. Joan Burrow Dr. Scott Crawford President Vice President Secretary Treasurer

2019-2020 IACP Board of Directors

Dr. Corey Vollink Dr. Michael Henze Dr. Kimball Arritt Dr. George Fiegel Dr. Howard “Rusty” Dr. John Maltby II Dr. Grayson Blom District 1 District 2 District 3 District 4 Arrington District 6 District 7 District 5

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Page 2 | The IACP News | August 2021 In This Issue

Is chiropractic care for children being sabotaged by its own research elite? (Continued) Pages 4 - 6 Scientists quit journal board, protesting ‘grossly irresponsible’ study Page 7 What chiropractors need to know about the Delta variant (Continued) Page 8 The Delta variant: eight things doctors need to know about this COVID-19 strain Page 9 Do we really need to walk 10,000 steps? Pages 10 - 11 Life West research prioritizes Vitalism Pages 12 - 13 ChiroHealth USA: What is Value-Based Care? Pages 14 - 15 Upper Cervical 2021 Conference Page 16 September World Federation of Chiropractic virtual Biennial Congress Page 17 Join the Pack - Become a member of the IACP Page 17 The YouTubers who blew the whistle on an anti-vax plot Pages 18 - 19 Disinfo kills Page 19 Chiropractic News Pages 20 - 23 IACP Membership Application Page 25 Chiropractic College News Pags 26 - 28 2021 Annual Superconference on Chiropractic & Pediatrics Page 29 Classified Ads Page 30 The IACP Marketplace: Featured Businesses & Suppliers Page 31 Office poster notice Page 32 This month’s poster: Get the vaccine! Page 33 IACP News Display Advertising Rates and Sizes Page 34

This table of contents is linked for your convenience. Just click on the page you want.

August 2021 | The IACP News | Page 3 Is chiropractic care for children being sabotaged by its own research elite?

Continued from front page are musculoskeletalists. This is a term that I coined years pediatrics.9 Their inevitable conclusion was insufficient ago to help my students understand our entrée to the evidence. The summit authors actually stated that these human body. Chiropractic is a health profession concerned conclusions had been reported six times before, and thus, with the diagnosis, treatment and prevention of mechanical the outcome inevitable. They seemed to be setting up a disorders of the musculoskeletal system.2 There is an straw man in order to knock it down. One worders why it emphasis on manual therapy including spinal adjustment took a team of approximately 50 prominent researchers to and other joint and soft-tissue manual treatment. review and state the same conclusion that has been held for more than a decade. The evidence-base for chiropractic The process that the researchers chose was to lump all non- care for children is inconclusive and more evidence is MSK conditions together, a non-sensical thing to do from needed. In an article specifically discussing the lack of a clinical perspective. Some conditions (often mis-named evidence for non-MSK childhood conditions, I myself, a because no one knows the real etiology, such as infant chiropractor, along with Dr. Randy Ferrance, a Medical colic) can be seen as a soft tissue condition, or as a result of Director of Hospital Based Quality stated that specific lack autonomic dysregulation. When treated by chiropractors, it of evidence in 2010, understanding we were not the first or is treated through the MSK system. The same is true for the the last to make that statement.10 There simply and clearly other conditions reviewed. Much of the time, the treatment is insufficient evidence for non-MSK disorders (and one may was not intended to target the complaint (perhaps as well include MSK disorders) in the pediatric population. constipation or enuresis), but to normalize the human body That conclusion did not differ or advance or serve any around the complaint. Even the authors in question concede credible purpose that thinking and working students and that “Alleviating pain and discomfort originating from the clinicians have not stated multiple times before. Their goal musculoskeletal system can be an important contribution to seems to have been to destroy the clinical profession. It is the care of people with multiple co-morbidities.”9 There is not news that more research is needed. The same can be medical evidence that touch alleviates infant’s pain.13 Parents said for virtually all aspects of chiropractic care and in fact, do understand that chiropractors are musculoskeletalists. much of medical care. The British Medical Journal recently They do bring MSK conditions to chiropractors. They also reported that a mere 18% of medical decisions were based understand that chiropractors are doctors and when not on high quality evidence base.11 helped by medical doctors, they try the chiropractor. As a pediatrician once told me after presenting her neonate for In the real world of health care, workers must commit to treatment, “what you guys [chiropractors] do is so helpful giving the best and safest health care possible with an because it normalizes and creates comfort throughout the insufficient evidence base. Providing safe and effective body so that all the systems can improve function. In a baby, care in gray areas with insufficient evidence should be when one thing works better, (e.g., sleep) everything works applauded, not denigrated. And those with the connections better.” and expertise to do the high-quality research should perform the necessary research rather than simply review and find One must wonder why there was an expensive and wanting the past research. It is easy to complain and less concerted effort of knowledgeable colleagues of the easy to provide the research. profession to pointedly and in a repetitive move negate the work and efforts made by the profession to slowly advance Intriguingly, it had previously been suggested by one of the the knowledge base and evidence base for chiropractic care same prominent researchers that child health cannot be for the pediatric population. The need for further damnation ignored, that it may impact long-term quality of life and that of the professional work was not explained by the authors, chiropractors are well placed to assume the responsibility except that the previous times (and they named six) that for the MSK health of children.12 Although there are a wide this same research was done, it had, “not had an obvious range of childhood complaints presented to chiropractors, impact on health care and clinical policies.“ finding the MSK component has been the goal of chiropractors for time immemorial as the MSK system is the At best, the work was unnecessary as it has all been said point of entry for manual therapy. In short, chiropractors before; at worst, the work was meant to be divisive and

Page 4 | The IACP News | August 2021 filled with condemnation and soul-destroying for the members of the “summit.”14 Their thoughtful discussion work of the practitioner. Even the authors agreed that the will give you the scientific realities behind the issues brought previous consensus in the profession was a lack of evidence up in the “Summiteers” original work. As always, don’t take for non-MSK treatment for children. It remains unclear why my word for what these articles state; read both of them the effort and expense were made to repeat what has been yourself and make your own conclusions. I am merely giving known all along: More and better research is needed! More you my opinion with this editorial and it is not the opinion of and better condemnation of the research that has been the other editors or the Journal itself. done and previously reviewed and found insufficient is not needed. With the difficulty and expense of RCTs, it is unlikely that we will be able to target all the specific sub-groups that present Further, one wonders how well these esteemed and for care in order to unequivocally declare effectiveness. This respected researchers understand their own field of study. doesn’t make chiropractic care for the problems of infants For example, they noted that there were no RCTs in the area and children any less needed. It doesn’t take away parental of chiropractic care for sub-optimal breastfeeding. Certainly, requests to obtain help with the routine problems of infants since they are all active in the arena of chiropractic research, and children. It simply means that we must perform high they would understand that babies with this condition quality risk/benefit analyses before taking the cases, rule out cannot be randomized to a non-treatment (control) group any potential pathology and enroll all cases into outcome because the life-long loss of the benefits of breastfeeding studies so that the parents can state any benefits (or not) would be too great. Thus, allocating newborns to a non- that accrue, along with satisfaction levels and opinions treatment arm of the trial would be totally unethical. This on cost-effectiveness (and continue to support high level comment made me wonder if they even understood some research as well). This is patient-centered care required by of the real issues that plague pediatric research. Were they all practitioners and collection of outcomes is known as Real even in the position to make such a comment? World Data, a practical method to develop research with external validity.15 Is it acceptable for the elite researchers in any profession to take a cheap shot at their colleagues? What are the One wonders why the researchers, instead of doing practical benefits? What are the risks? What were the costs? What work to support the profession, spent time and money re- are the real costs? A loss of reputation for those involved? A hashing work already widely accepted. Why not do something loss of reputation for the entire profession? with that investment to be helpful and give guidance on what can be done to assist professionals, parents and patients? After I began this editorial comment, I came upon an article Simple condemnation is undermining of the caring and that I recommend to all practitioners, written by dissenting concern of a real-world professional practice.

References: 1. Doyle, MF & Miller JE. Demographics profile of chiropractors who treat Children: A multinational survey. Journal of Manipu- lative and Physiological Therapeutics 2019 42(1). org/10.1016/j.jmpt.2018.03.007 2. The National Board of Chiropractic Examiners. The Job Analysis of Chiropractic in Canada. Practice Analysis of Chiropractic 2020. Retrieved September, 2021, from https://www.nbce.org/nbce-news/analysis-canada/ 3. Miller JE, Hanson HA, Hiew M, Lo Tiap Kwong DS, Mok Z, & Tee YH. Maternal Report of Outcomes of Chiropractic Care for Infants. J Manipulative Physiol Ther, 2019; 42(3), 167-176.https://doi.org/10.1016/j.jmpt.2018.10.005 4. Keating, GM. Do Children in Australia benefit from chiropractic care? (Order no. 28418243). PhD dissertation 2021. Available from ProQuest dissertations & Theses Global). 5. Navrud IM, Bjornli ME, Feier CH, Haugse T, Miller J. A survey of parent satisfaction with chiropractic care of the pediatric patient. Journal of Clinical Chiropractic Pediatrics 2014;14(3):1167-1171. 6. Black LI, Clarke TC, Barnes PM, Stussman BJ, & Nahin RL. Use of Complementary Health Approaches Among Children Aged 4–17 Years in the United States: National Health Interview Survey, 2007–2012. Natl Health Stat Report 2015., 10(78), 1-19. Retrieved March 12, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562218/pdf/nihms-720041.pdf 7. Zuzak TJ, Bonkováb,J, Caredduc D, Garamid M, Hadjipanayise A, Jazbec J, Merrick J, Miller J, et.al. Use of complementary and alternative medicine by children in Europe published data and expert perspectives. Complementary Therapies in Medicine 2013;21 Suppl 1:S34-47. Continued on next page

August 2021 | The IACP News | Page 5 Is chiropractic care for children being sabotaged by its own research elite?

Continued from front page 8. Todd AJ, Carroll MT, Robinson A, Mitcjell EKL. Adverse events due to chiropractic and other manual therapies for Infants and children: a review of the literature. J Manip Physiol Ther. 2015;38:699-712. 9. Cote P, Hartvigsen J, Axen I et al. The global summit on the efficacy and effectiveness of spinal manipulative therapy for the prevention and treatment of non-musculoskeletal disorders: a systematic review of the literature. Chiropractic and manual therapies 2021; 29(1):8. 10. Ferrance R and Miller J. Chiropractic diagnosis and management of non-musculoskeletal conditions of infants and children, Chiropractic and Osteopathy 2010; 18:14 11. Ebell MH, Sokol R, Lee A, Simons C, Early J. How good is the evidence to support primary care practice? BMJ Evidence Based Medicine 2017;22(3). 12. Hartvigsen J and Hestbaek L. Children and chiropractic care: a window of opportunity. J Manipulative Physiol Ther 2009, 32: 603-605 13. Honda N, Ohgi S, Wada N, Loo KK, Hagashimoto Y, & Fukuda K. Effect of therapeutic touch on brain activation of preterm infants in response to sensory punctate stimulus: A near-infrared spectropscopy-based study. ADC Fetal and Neonatal Edition 2013;98(3), F244-F249. 14. Goertz C. Hurwitz EL. Murphy BA. Couler ID. Extrapolating beyond the data in a systematic review of spinal manipulation for nonmusculoskeletal disorders: a fall from the summit. JMPT 2021; 44(4):271-279. 15. Katkade VB, Sanders KKN, & Sou KH. Real world data: An opportunity to supplement existing evidence for the use of long- established medicines in health care decision-making. Journal of Multidiscplinary Healthcare 2018;11: 295-304.

Read the JCCP Online

Articles in the current issue include: Editorial: Is chiropractic care for children being sabotaged by its own research elite? By Joyce Miller DC, Ph.D., Editor Parent reports of chiropractic care for children: A preliminary report from 22,043 parents in Australia By Dr Genevieve M Keating, PhD A chiropractor’s dream: the Teen Summit and the Green Hub Project for Teens By Tone Tellefsen Hughes, DC, BSc, FRCC (paeds), Birgitta Habersleben, Phd, MSc, Sharon Vallone, DC, FICCP, and; Lesley McCall, DipCHyp, NLP (Master Prac), HPD, MNCH, BSc. The importance of therapeutic presence for the pediatric chiropractor: “getting into right relationship” By Anne Matthews DC, Dip Biomech, FRCC Headaches in children: Part 1. The changing phenotypes of migraine headache in infants, children and adolescents By Sue A. Weber DC, MSc, FEAC, FRCC What role does the microbiome play in the immune function of the pregnant patient during the COVID-19 pandemic? Can probiotics help? By Susanne Williams-Frey, DC, MSc

Page 6 | The IACP News | August 2021 Scientists quit journal board, protesting ‘grossly irresponsible’ study claiming COVID-19 vaccines kill

Several respected virologists and vaccinologists have July 2, the journal officially retracted the paper. But, the resigned as editors of the journal Vaccines to protest its June damage had been done. The misrepresentations have been publication of a peer-reviewed article that misuses data to extensively tweeted by antivaccination activists. conclude that “for three deaths prevented by [COVID-19] vaccination, we have to accept two inflicted by vaccination.” None of the paper’s authors are trained in vaccinology, virology, or epidemiology. They are: Rainer Klement, a At least six scientists have resigned positions as associate or physicist who studies ketogenic diets in cancer treatment at section editors with Vaccines, including Florian Krammer, a the Leopoldina Hospital in Schweinfurt, Germany; Wouter virologist at the Icahn School of Medicine at Mount Sinai, Aukema, an independent data scientist in Hoenderloo, and Katie Ewer, an immunologist at the Jenner Institute Netherlands; and first author Harald Walach, a clinical at the University of Oxford who was on the team that psychologist and science historian by training who until 30 developed the Oxford-AstraZeneca COVID-19 vaccine. Their June was a health researcher at Poznan University of Medical resignations were first reported by Retraction Watch. Sciences in Poland. The university said in a statement that it severed its relationship with Walach on that date, adding: “The data has been misused because it makes the (incorrect) “We wish to emphasize most strongly that the Vaccines assumption that all deaths occurring post vaccination are article does not express the views of our university.” caused by vaccination,” Ewer wrote in an email. “[And] it is now being used by anti-vaxxers and COVID-19-deniers To draw their conclusions, the paper’s authors computed as evidence that COVID-19 vaccines are not safe. [This] is COVID-19 deaths prevented by vaccines by using data from a grossly irresponsible, particularly for a journal specialising study of 1.2 million Israelis, half of whom received the Pfizer- in vaccines.” BioNTech vaccine and half of whom did not. They estimated that 16,000 people needed to be vaccinated to prevent one The paper is a case of “garbage in, garbage out,” says COVID-19 death—a measure that is problematic, critics say, Helen Petousis-Harris, a vaccinologist who directs the because as a vaccine succeeds, the number of people that Vaccine Datalink and Research Group at the University of must be vaccinated to prevent a death grows ever-larger. To Auckland and who also resigned as a Vaccines editor after compute deaths “caused” by vaccine side effects, they used reading the paper. Diane Harper, an epidemiologist at the EU data on the number of vaccine doses delivered in the University of Michigan, Ann Arbor, who was founding editor- Netherlands and data from that country’s national database in-chief of Vaccines, also resigned, as did Paul Licciardi, an for adverse drug reaction reporting, which was more immunologist at Murdoch Children’s Research Institute voluminous than registry data from other EU countries. in Parkville, Australia, and Andrew Pekosz, a respiratory virologist at the Johns Hopkins University Bloomberg School However, the website of the Dutch registry clearly notes of Public Health. its reports do not imply causality. But the authors reported that, using it, they found “16 serious side effects per 100,000 The resignations began the day after the paper was vaccinations and the number of fatal side effects isat published. Fanny Fang, the journal’s managing editor, wrote 4.11/100,000 vaccinations. For three deaths prevented by to the editorial board members that Vaccines—a reputable vaccination we have to accept two inflicted by vaccination.” open-access journal launched in 2013 by Basel, Switzerland– based publisher MDPI—had opened an investigation into The day after the paper’s publication, Lareb’s head of science the paper. “We are treating this case with the utmost and research, Eugène van Puijenbroek, sent an email to seriousness and are committed to swiftly correcting the Vaccines’s editors, criticizing the paper and requesting a scientific record,” she wrote. correction or retraction. “A reported event that occurred after vaccination is … not necessarily being caused by the Later, Vaccines’s editors published an Expression of vaccination, although our data was presented as being Concern about the paper. “The major concern is the causally related by the authors,” van Puijenbroek wrote. misrepresentation of the COVID-19 vaccination efforts “Suggesting all reports with a fatal outcome to be causally and misrepresentation of the data,” they wrote. Then, on related is far from truth.”

August 2021 | The IACP News | Page 7 What chiropractors need to know about the Delta variant

Continued from front page “If you are unvaccinated, you are at great risk right now,” It rapidly became the dominant variant, overwhelming the Surgeon General Dr. Vivek Murthy said. “And you should take country’s health care system. It was identified in the United measures if you’re unvaccinated, like masking, distancing, Kingdom soon after. avoiding indoor gatherings.”

“This is the most contagious version of the virus we have More than 97% of people getting hospitalized with Covid-19 seen throughout the whole pandemic,” said Ashish Jha, now are unvaccinated, Walensky said last week. And 99.5% dean of the Brown University School of Public Health. “It’s of deaths are among the unvaccinated, US Surgeon General really very contagious.” Dr. Vivek Murthy said last week. Getting people vaccinated as quickly as possible, Murthy said, “is our fastest, most The first case in the United States was identified in March, effective way out of this pandemic.” and by early July, it made up more than half of cases tested in the country. It now makes up 83% of US cases, according In the U.S., there is a disproportionate number of to the US Centers for Disease Control and Prevention (CDC). unvaccinated people in Southern and Appalachian states including Alabama, Arkansas, Georgia, Mississippi, Missouri, “This is a dramatic increase, up from 50% for the week of and West Virginia, where vaccination rates are low. (In some July 3,” CDC Director Dr. Rochelle Walensky said during a of these states, the number of cases is on the rise even as recent Senate committee hearing . some other states are lifting restrictions because their cases are going down). The Delta variant has been found in all 50 US states. That’s behind a surge, mainly among unvaccinated people in the Kids and young people are a concern as well. “A recent study country -- the average of new daily cases this week is up from the United Kingdom showed that children and adults 55% from last week, with cases rising in 46 states as of under 50 were 2.5 times more likely to become infected Tuesday, according to data from Johns Hopkins University. with Delta,” says Dr. Yildirim. And so far, no vaccine has Hospitalizations are up 52% over the past 14 days. been approved for children 5 to 12 in the U.S., although the U.S. and a number of other countries have either How is the virus spreading so rapidly? One study suggests authorized vaccines for adolescents and young children or the Delta variant may transmit faster than other strains are considering them. because it makes more copies of itself inside our bodies at a faster rate. When scientists in China compared dozens of “As older age groups get vaccinated, those who are younger cases of delta to strains from early in the pandemic, they and unvaccinated will be at higher risk of getting COVID-19 found that patients with the Delta variant had viral loads with any variant,” says Dr. Yildirim. “But Delta seems to be that were 1,260 times higher. impacting younger age groups more than previous variants.”

“There’s so much more virus around, people who are In short, emerging data shows that the current vaccines infected have such high viral loads, but even short periods used in the United States are effective against variants, but of time -- five minutes, seven minutes, you don’t even enhanced vaccination efforts—globally—are imperative have to be within six feet,” Jha said. “For people who are to keep this the case, says Nathan Grubaugh, PhD, a Yale unvaccinated, they are getting infected with much, much School of Public Health epidemiologist. shorter exposure.” In the end, Grubaugh says that we have all the tools The vaccines available in the United States are proving to needed to stop the spread of variants. be effective against the Delta variant. Although there are breakthrough cases, people who are fully vaccinated rarely “We know what works. And we have the ultimate tool become very sick. now in vaccines. We know that they are very effective and safe and it’s now a lot easier for people get an But less than half of the US population is fully vaccinated, appointment,” Grubaugh says. “We need to aid the according to CDC data, and the CDC is warning of a world in suppressing transmission or else we will have “pandemic of the unvaccinated.” new variants here.”

Page 8 | The IACP News | August 2021 The Delta variant: eight things doctors need to know about this COVID-19 strain

A newer strain of COVID-19 is causing concern as cases are rising across the U.S. The Delta variant, which originated in India, began spreading more rapidly and making news around the middle of June. Now, health experts are warning of another surger of COVID-19. Here’s what health experts have learned about the Delta variant:

1. Delta variant is highly contagious. According to the CDC, the Delta variant accounted for more than 80% of new cases in the U.S. Health experts say it’s typical for a new strain of a virus to be more contagious because it often becomes much more efficient and easily transmitted.

2. Delta variant symptoms are the same. The symptoms of the Delta variant appear to be the same as the original version of COVID-19. However, physicians are seeing people getting sicker quicker, especially for younger people. Recent research found that the Delta variant grows more rapidly – and to much greater levels – in the respiratory tract. Typically, vaccinated people are either asymptomatic or have very mild symptoms if they contract the Delta variant. Their symptoms are more like those of a common cold, such as cough, fever or headache, with the addition of significant loss of smell.

3. Delta variant is affecting unvaccinated people more. Almost all of the patients hospitalized are Americans who have not received the COVID-19 vaccine. Nationally, 97% of patients hospitalized with COVID-19 are unvaccinated, as of July 22. Vaccines are highly effective at preventing COVID-19 infection and are also effective in fighting against the Delta variant.

4. Breakthrough cases for vaccinated people are rare, but do happen. When a vaccinated person tests positive for COVID-19, most either have no symptoms or have very mild symptoms, and it rarely results in hospitalization or death. Their symptoms are more like those of a common cold, such as cough, fever or headache, with the addition of significant loss of smell. As of July 22, there were 65,000 breakthrough cases (or people who are vaccinated but got COVID-19) among the 160 million people who are fully vaccinated. That’s 0.04% of vaccinated people reporting breakthrough cases. No vaccine is 100% effective. With the COVID-19 vaccines averaging about 90% efficacy, health experts expect about 10% of those vaccinated could be infected.

5. Delta variant could be catastrophic is some communities. In communities with lower vaccination rates, particularly rural areas with limited access to care, the Delta variant could be even more damaging. This is already being seen around the world in poorer countries where the COVID-19 vaccine isn’t as accessible. Health experts say the impact could be felt for decades to come.

6. Experts are recommending masks, even for the fully vaccinated. Many health experts across the country are wearing masks themselves even though they’re fully vaccinated against COVID-19. They’re also advising vaccinated people to avoid large gatherings and mask up indoors where the vaccination status of other people is unknown.

7. More COVID-19 variants are likely to come. The Delta variant is currently the most prominent strain of COVID-19, but the Lambda variant out of South America is also emerging. Health experts urge that if people want to get back to normal, a significant portion of the population needs to be vaccinated. As long as a chunk of people across the world are unvaccinated, new strains of the virus will continue to develop and cause problems.

August 2021 | The IACP News | Page 9 Do we really need to walk 10,000 steps?

It turns out that the advice that we take 10,000 steps a day is more a marketing ploy than based on science. Taking far fewer may have notable benefits.

Fitness tracking devices often recommend we take 10,000 numbers in between hadn’t been studied. Even now they steps a day. But the goal of taking 10,000 steps, which many haven’t been comprehensively tested on the general adult of us believe is rooted in science, in fact was given birth in a population. New research from I-Min Lee, a professor of marketing department, and has no basis in science. medicine at Harvard Medical School, and her team focused on a group of more than 16,000 women in their seventies, According to Dr. I-Min Lee, a professor of epidemiology at comparing the numbers of steps taken each day with the the Harvard T.H. Chan School of Public Health and an expert likelihood of dying from any cause – known as all-cause on step counts and health, the 10,000-steps target became mortality. Each woman spent a week wearing a device popular in Japan in the 1960s. A clock maker, hoping to to measure movement during waking hours. Then the capitalize on interest in fitness after the 1964 Tokyo Olympic researchers waited. Her conclusion: Games, mass-produced a pedometer with a name that, when written in Japanese characters, resembled a walking “Among older women, as few as approximately 4400 steps/d man. It also translated as “10,000-steps meter,” creating a was significantly related to lower mortality rates compared walking aim that, through the decades, somehow became with approximately 2700 steps/d. With more steps per day, embedded in our global consciousness — and fitness mortality rates progressively decreased before leveling at trackers. approximately 7500 steps/d. Stepping intensity was not clearly related to lower mortality rates after accounting for But today’s best science suggests we do not need to take total steps per day.” 10,000 steps a day, which is about five miles, for the sake of our health or longevity. Studies have compared the health The study found that women in their 70s who managed as benefits of 5,000 versus 10,000 steps and, not surprisingly, few as 4,400 steps a day reduced their risk of premature the higher number is better. But until recently, all the death by about 40 percent, compared to women completing

Page 10 | The IACP News | August 2021 2,700 or fewer steps a day. The risks for early death continued United States and other governments use time, not steps, to drop among the women walking more than 5,000 steps as a recommendation, and suggest we exercise for at least a day, but benefits plateaued at about 7,500 daily steps. In 150 minutes a week, or a half-hour most days, in addition other words, older women who completed fewer than half to any moving around we do as part of our normal, daily of the mythic 10,000 daily steps tended to live substantially lives. Translated into step counts, Dr. Lee said, that total longer than those who covered even less ground. would work out to a little more than 16,000 steps a week of exercise for most people, or about 2,000 to 3,000 steps most A more expansive study, called Association of Daily Step days. (Two thousand steps equal approximately a mile.) If, Count and Step Intensity With Mortality Among US Adults, like many people, we currently take about 5,000 steps a day of almost 5,000 middle-aged men and women of various during the course of everyday activities like shopping and ethnicities likewise found that 10,000 steps a day are not housework, adding the extra 2,000 to 3,000 steps would a requirement for longevity. In that study, people who take us to a total of between 7,000 and 8,000 steps most walked for about 8,000 steps a day were half as likely to days, which, Dr. Lee said, seems to be the step-count sweet die prematurely from heart disease or any other cause as spot. those who accumulated 4,000 steps a day. The statistical benefits of additional steps were slight, meaning it did not hurt people to amass more daily steps, up to and beyond the 10,000-steps mark. But the extra steps did not provide much additional protection against dying young, either.

The study concluded: “Based on a representative sample of US adults, a greater number of daily steps was significantly associated with lower all-cause mortality. There was no significant association between step intensity and mortality after adjusting for total steps per day.”

Realistically, few of us reach that 10,000-step goal, anyway. According to recent estimates, published in Medicine & Science in Sports & Exercise, most adults in America, Canada and other Western nations average fewer than 5,000 steps a day. Not surprisingly, the study found, “men and women living in the United States took fewer steps per day than those living in Switzerland, Australia, and Japan. We conclude that low levels of ambulatory physical activity are contributing to the high prevalence of adult obesity in the United States.”

And if we do reach the 10,000-step target, our feat tends to be ephemeral. A famous study in Ghent, Belgium, provided local citizens in 2005 with pedometers and encouraged them to walk for at least 10,000 steps a day for a year. Of the 660 men and women who completed the study, about 8 percent reached the 10,000 step daily goal by the end. But in a follow-up study four years later, almost no one was still striding that much. Most had slipped back to their baseline, taking about the same number of steps now as at the study’s start.

The good news is that upping our current step counts by even a few thousand additional strides most days could be a reasonable, sufficient — and achievable — goal, Dr. Lee said. The formal physical activity guidelines issued by the

August 2021 | The IACP News | Page 11 Life West research prioritizes Vitalism

How do we know – with irrefutable research and hard data people receiving chiropractic care (wellness/maintenance – that someone who is living the chiropractic lifestyle is, in care) experience improved vitality and resilience,” she said. fact, healthier than the average person who is not receiving “Biomarkers that give us that information will allow us to chiropractic care? bring together our philosophy and our science.”

That is the question before a small, deeply dedicated group of So the Life West team is doing preliminary work “to get scientists led by Life West’s Director of Research, Dr. Monica the juggernaut rolling,” such as conducting early feasibility Smith. The research team includes Drs. Dale Johnson and studies to identify biomarkers that provide valid and reliable Chuck Henderson, who with Dr. Smith have over 50 years of measures of the progress of a patient toward optimal experience in chiropractic and clinical research. health and vitality. In the course of moving forward with these early “capacity building” feasibility studies, the “What we’re trying to capitalize on is current opportunity,” research department is also building a solid foundation Dr. Smith said in a recent interview. Technology that can and institutional capacity for carrying out a related capture important data has advanced, as well as the science responsibility: to ensure that the college’s growing cadre around objective measures of health, called biomarkers, that of clinical research scientists will conduct safe, ethical and may provide the data to show how chiropractic associates scientifically defensible clinical research that are fully in with health and vitality improvements over time. compliance with all regulation and laws at the local, state and federal levels. “One way to think about using any of this is to think about pre- and post- chiropractic intervention,” she said. “The science is deep and interesting,” said Dr. Johnson. If you measure before and after a regimen of chiropractic “Objective measures must be found to complement the care, what do the biomarkers look like? How long does it patient-reported subjective measures.” Life West’s goal is to take before you see a significant difference pre- and post- study the role of chiropractic care in achieving vitality and measurements? maintaining wellness in one’s life.

Dr. Smith said most of the information about biomarkers is Some of the measurements that can be taken include measuring health status in people with specific diseases. comparing certain attributes in different populations. For There isn’t a lot of available information about biomarker example, the portfolio of biomarkers for clinical research sensitivity and responsiveness in generally healthy at Life West includes telomeres, which is a part of the individuals. chromosome that indicates the rate, or pace, of cellular aging. Life West is developing a clinical epidemiology study “We need biomarkers that can tell us if otherwise healthy that will compare the telomeres of those who were raised

Page 12 | The IACP News | August 2021 in a chiropractic lifestyle with other groups of various Dr. Henderson said that current biomarkers tend to be populations. disease-focused, such as blood tests for PSA or HbA1C. “We are interested in biomarkers that are sensitive to changes on “This study design is looking at the group of interest, and the wellness side of the health spectrum,” he added. how does that group compare to a group that doesn’t have those characteristics, or generally compare to the overall Finding sensitive and valid measurement devices that are population,” Dr. Smith said. The comparison will look at responsive in both the disease and wellness regions of the age- and sex-matched controls in the general population health spectrum is necessary to explore the full scope of to see how healthy the chiropractic lifestyle is in terms of health benefits associated with chiropractic care. But that telomeres, which help determine the biological age of the doesn’t mean the team is limited by what’s available today, body as opposed to the chronological age. because technology is moving so quickly.

Other measurable attributes that the team is looking at “Often people think about what you can measure and not include sleep and heart rate variability (HRV). The team measure,” Dr. Henderson said. “Science is all about what you recently tested devices that track pulse rate and HRV during can measure. Philosophy is about things you can’t directly normal daily activities. They tested a 24-hour Holter® ECG measure. But there is, and always has been, an important paired with an Actiwatch® accelerometer device and are overlap. Science and philosophy are interdependent. And, researching sleep attributes such as sleep latency, duration things we can’t measure today, we will be able to measure of sleep and sleep efficiency, in combination with the tomorrow.” subject’s HRV.

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August 2021 | The IACP News | Page 13 What is Value-Based Care?

By Dr. Ray Foxworth, President of ChiroHealthUSA

Value-based care (VBC) is basically quality over quantity and is directly linked to Medicare and Medicaid. Under VBC, practices can gather financial incentivesthrough frameworks such as Advanced Alternative Payment Models (AAPMs), the Merit-Based Incentive Payment System (MIPS), and other programs implemented since 2012. How VBC’s Efficiency Further Lowers Costs

This is great news for chiropractic. According to Dr. Frank All dedicated healthcare providers prefer proactive Painter: treatment to reactive ones. VBC’s inherent drive toward efficiency sees practices equally focused on stopping “Studies show that chiropractic care not only reduces problems before they start, or at least treating them in their the immediate cost of an episode of care but reduces the earliest stages, as opposed to after they’ve taken hold. This recurrence of subsequent bouts of conditions such as low saves everyone time and money since conditions a less likely back pain. These musculoskeletal conditions are a heavy to become chronic thereby preventing prolonged suffering financial burden on society often requiring expensive tests and added expense. to pinpoint the exact diagnosis.” Practices enrolled in VBC programs can also become And he’s not the only one looking into the cost effectiveness better providers through shared data. Each facility’s data is of chiropractic care. In July 2021, the Clinical Compass also collected, analyzed, and used to alert them to positive and posted information on the cost effectiveness of chiropractic negative care outcomes under their current model. care on their website. This not only benefits the individual provider but can VBC came to the fore in 2008 when the Centers for Medicare be used to improve VBC for everyone in that program and Medicaid Services (CMS) began to emphasize a new, network. There’s also a strong collaborative aspect. Patients triple-tiered approach to medicine. may require care from multiple sources, all of which can coordinate through VBC programs to pool their efforts. The Three Aspects of Value-Based Care Collaborate with Us for Financial Wellbeing Better care for individuals. Better health for populations. Lower costs. These are the ongoing aims of VBC which has ChiroHealthUSA is dedicated to helping chiropractors grown exponentially. Almost every state had committed to strike the right balance between compassion and practice VBC (and its various branch programs) by 2019, while CMS preservation. We help optimize your office’s financial policies continued to advance nationwide adoption in 2020. which may be exposing you to potential complaints, audits, fines, and penalties. Contact us to learn about delivering What makes VBC “better” than the fee-for-service (FFS) simple, legal, and compliant discounts. model which emphasizes both higher care volume and spending? VBC makes healthcare providers look at efficiency and prevention on the same level as compensation. Every Dr. Ray Foxworth is a certified Medical Compliance Specialist practitioner wants a quick-as-possible recovery for patients, and President of ChiroHealthUSA. A practicing chiropractor, not drawn-out treatments that line the practice’s pockets. he remains “in the trenches” facing challenges with billing, coding, documentation and compliance. He has served as Healthcare providers looking for reimbursements through president of the Mississippi Chiropractic Association and is a multiple appointments, test requests, or prescriptions, will former Staff Chiropractor at the G.V. Sonny Montgomery VA find it harder to operate in a care landscape shifting toward Medical Cente. You can contact Dr. Foxworth at 1-888-719- care rewards based on proving that whatever a practice did, 9990, [email protected] or visit the ChiroHealthUSA it improved a patient’s condition. website at www.chirohealthusa.com.

Page 14 | The IACP News | August 2021 August 2021 | The IACP News | Page 15 Page 16 | The IACP News | August 2021 Save the date: September World Federation of Chiropractic virtual Biennial Congress The World Federation of Chiropractic (WFC) has announced the academic program for its upcoming virtual Biennial Congress on Sept. 23-25, 2021, held virtually as a result of ongoing international travel restrictions caused by the COVID-19 pandemic.

As the nation emerges from the pandemic, we find ourselves in a new normal. What seems certain is that the delivery of advances in chiropractic. With contributors from around the healthcare has evolved, new methods will become accepted globe, the theme of “Chiropractic For A New Normal” will practices, and emerging evidence will drive methods showcase leading contemporary issues, with outstanding of learning, communication, and care delivery. Patient keynote speakers, stimulating panel discussions, ground- expectations will also have changed, and expectations of breaking research and inspirational subject specific content- evidence-based, people-centered, interprofessional and experts. collaborative practice will drive change in the environment of this new normal. Plenary sessions will cover themes of patient-centeredness, inter-professionalism, collaboration, futurism, and The WFC has partnered with Parker Seminars to host its adaptation to a new normal. Presenters have been drawn event using a state-of-the-art hosting platform. The entire from each of the WFC’s seven world regions and 19 countries three-day event will also be accessible on-demand to those are represented by the speaker faculty. registering for the congress. The Congress also constitutes the largest international This year marks the 30th anniversary of the WFC’s Biennial chiropractic scientific meeting, with researchers from around Congress. Since its inaugural meeting in Toronto back in the world presenting original and published abstracts. For 1991, chiropractic has advanced around the globe. This year, the first time, this Congress will also feature innovative digital the 16th Biennial Congress reflects an unprecedented time poster sessions. Complete with a virtual exhibition hall, in history, with COVID-19 acting as a catalyst for inspiration, the 2021 WFC Biennial Congress has something for every innovation and opportunity. chiropractor across the entire spectrum of the profession.

The 2021 Biennial Congress will showcase the leading global Click here for more information and to register.

“Join the Pack” Become a member of the IACP The IACP acts as a resource, representative and leading advocate for the chiropractic industry in Idaho. We cannot continue to properly serve the chiropractic profession without the commitment and support of exceptional industry leaders, such as yourself. The IACP Board and its members believe that membership in the Association is and should be mutually beneficial to both the Doctor and the IACP, which makes it a perfect cooperative relationship. As a member, you will have multiple opportunities to obtain learning and marketing opportunities, at a discounted wrate, through membership, as well as, have an opportunity to utilize the services of the IACP team and its Board. You will also have an opportunity to get involved in important issues, from the center, along with other industry leaders and spokespeople. At the same time, the Association continues to grow and provide broader services to the industry with your support. Join now and be a part of the “pack” that will lead us into the future!

August 2021 | The IACP News | Page 17 The YouTubers who blew the whistle on an anti-vax plot

A mysterious marketing agency secretly offered to pay social media stars to spread disinformation about Covid-19 vaccines. Their plan failed when the influencers went public about the attempt to recruit them.

“It started with an email” says Mirko Drotschmann, a “That’s a huge red flag” says Léo. Both Léo and Mirko German YouTuber and journalist. Mirko normally ignores were appalled by the false claims. They pretended to be offers from brands asking him to advertise their products to interested in order to try to find out more and were provided his more than 1.5 million subscribers. But the sponsorship with detailed instructions about what they should say in offer he received in May this year was unlike any other. their videos. In stilted English, the brief instructed them to “Act like you have the passion and interest in this topic.” It An influencer marketing agency called Fazze offered to pay told them not to mention the video had a sponsor — and him to promote what it said was leaked information that instead pretend they were spontaneously giving advice out suggested the death rate among people who had the Pfizer of concern for their viewers. vaccine was almost three times that of the AstraZeneca jab. Social media platforms have rules that ban not disclosing The information provided wasn’t true. that content is sponsored. In France and Germany it’s also illegal. It quickly became apparent to Mirko that he was being asked to spread disinformation to undermine public confidence in Fazze’s brief told influencers to share a story in French vaccines in the middle of a pandemic. newspaper Le Monde about a data leak from the European Medicines Agency. The story was genuine, but didn’t include “I was shocked,” says Mirko “then I was curious, what’s anything about vaccine deaths. But in this context it would behind all that?” give the false impression that the death rate statistics had come from the leak. In France, science YouTuber Léo Grasset received a similar offer. The agency offered him 2,000 euros if he would take The data the influencers were asked to share had actually part. Fazze said it was acting for a client who wished to been cobbled together from different sources and taken out remain anonymous. of context. It presented the numbers of people who had

Page 18 | The IACP News | August 2021 died in several countries some time after receiving different influencers in France and Germany have gone public Covid vaccines. But just because someone dies after having to reveal they also rejected Fazze’s attempts to recruit a vaccine doesn’t mean they died because they had the them. But German journalist, Daniel Laufer, has identified vaccine. They could have been killed in a car accident. two influencers who may have taken up the offer. Indian YouTuber Ashkar Techy usually makes jokey videos about In the countries the statistics were from, greater numbers cars and dating and Brazilian prankster Everson Zoio, has of people had received the Pfizer vaccine at that time, so a more than three million Instagram followers. higher number of people dying after having a Pfizer jab was to be expected. Each of them posted uncharacteristic videos in which they pushed the same message as the Fazze campaign and shared “If you don’t have any scientific training, you could just the fake news links from the agency’s brief. Both had also say, ‘oh, there are these numbers, they are really different. participated in previous Fazze promotions. So there must be a link.’ But you can make any spurious correlation as you want really,” Léo says. The BBC tried emailing the people who approached Mirko and Léo. The emails bounced back, not from Fazze, but from The influencers were also provided with a list of links to share the domain of a company called AdNow. Fazze is a part of — dubious articles which all used the same set of figures AdNow, which is a digital marketing company, registered in that supposedly showed the Pfzer vaccine was dangerous. both Russia and the UK.

When Léo and Mirko exposed the Fazze campaign on Twitter Both the French and German authorities have launched all the articles, except the Le Monde story, disappeared from investigations into Fazze’s approaches to influencers. But the web. By any measure the disinformation campaign was the identity of the agency’s mystery client remains unclear. bungled. There has been speculation about the Russian connections to this scandal and the interests of the Russian state in Since Léo and Mirko blew the whistle at least four other promoting its own vaccine - Sputnik V.

‘Disinfo kills’: protesters demand Facebook act to stop vaccine falsehoods Activists recently protested outside Facebook’s Washington headquarters to demand the company take stronger action against vaccine falsehoods spreading on its platform, covering the area in front of Facebook’s office with body bags that read “disinfo kills.” The day of protest, which comes as Covid cases surge in the US, has been organized by a group of scholars, advocates and activists calling themselves the “Real” Oversight Board. The group is urging Facebook’s shareholders to ban so-called misinformation “superspreaders” – the small number of accounts responsible for the majority of false and misleading content about the Covid-19 vaccines.

“People are making decisions based on the disinformation that’s being spread on Facebook,” said Shireen Mitchell, Member of the Real Facebook Oversight Board and founder of Stop Online Violence Against Women. “If Facebook is not going to take that down, or if all they’re going to do is put out disclaimers, then fundamentally Facebook is participating in these deaths as well.”

In coordination with the protest, the Real Oversight Board has released a new report analyzing the spread of anti-vaccine misinformation on Facebook during the company’s most recent financial quarter. The report and protest also come as Facebook announced its financial earnings for that same quarter, logging its fastest growth since 2016. The report references a March study from the Center for Countering Digital Hate (CCDH) that found a small group of accounts – known as the “dirty dozen” – is responsible for more than 73% of anti-vaccine content across social media platforms, including Facebook. That report recently drew attention from the White House, and Joe Biden has condemned Facebook and other tech companies for failing to take action.

“When it comes to Covid disinformation, the vast majority of content comes from an extremely small group of highly visible users, making it far easier to combat it than Facebook admits,” the board said, concluding that Facebook is “continuing to profit from hate and deadly disinformation”.

August 2021 | The IACP News | Page 19 Chiropractic News

Women Chiropractors to hold UNconvention It doesn’t matter if you’re a student, associate, or business owner, this event will feature a full day on Saturday with The Women Chiropractors association will be holding an the top Women In Chiropractic specializing in business, UNconvention, which is being billed as an unconventional money, marketing and staffing. There will also be strategic convention, October 15 to 17 in Florida. An unconventional planning and masterminding sessions, a hands-on adjusting convention should include an unconventional location. workshop, and sponsored events and sessions. To add fun, That’s why they chose the Wyndham Grand Hotel in self-care, and girl time to our already incredible weekend, beautiful, relaxing Clearwater Beach, Florida. They want to we have cocktail hours, fitness classes, pool time, AND encourage you to grow as a person as well as a chiropractor. MORE planned throughout our three days together. So join in, learn with us, and relax with us at this beautiful vacation destination. Click here for more information.

At this event, they want the focus to be on more than just ACA celebrates chiropractic. Here, they want to focus on you as a woman, National Chiropractic Health Month as well as you as a chiropractor. That’s what makes this an “unconventional” convention. Together we will discuss how The American Chiropractic Association and doctors of to become the best version of ourselves as women so we chiropractic nationwide will celebrate National Chiropractic can better be able to give the best version of care to others. Health Month (NCHM) 2021 this October with the theme Taking time to care for ourselves is so important, but in the “Keep Moving!” The campaign highlights how movement busyness of life, often feels a little unconventional. They contributes to both physical and mental health. want to change that and bring to you a convention that is all about YOU. Many have learned the hard way over the last year that lack of movement and physical activity can lead not only to weight gain but also achy joints and other musculoskeletal conditions. Movement is the answer: Finding ways to move our bodies more enhances not only our physical health and stamina but also our mental health and feelings of well- being.

Taking care of our health, staying active and keeping a positive outlook help us all to keep moving through challenging times. During NCHM 2021, chiropractors will share information on the benefits of movement, recommended physical activity levels, and advice on how people can incorporate more movement into their daily lives.

“The essential services of doctors of chiropractic have helped many to keep moving over the past year, and chiropractors continue to be a resource for patients who seek not only pain relief but also advice on enhancing their overall health and physical fitness,” said ACA President Michele Maiers, DC, MPH, PhD.

A “Keep Moving!” campaign toolkit, with resources and ideas on how to participate, will be available in September at www.acatoday.org/NCHM. Consumers can look for tips

Page 20 | The IACP News | August 2021 on how to “Keep Moving!” this October on ACA’s consumer health measures and the presence of immunity, acquired website, www.HandsDownBetter.org. either naturally or through vaccination.

CDC confirms Delta variant transmissibility As immunity to a particular pathogen builds up in a given population, a measure known as Re, or effective reproduction Among the well-known diseases, measles and chickenpox number, becomes more appropriate to use when estimating are two of the most infectious. But how does their the number of people who can be infected by an individual contagiousness compare to the Delta variant of SARS-CoV-2 at any specific time. that is now causing the majority of new COVID-19 cases in the U.S.? In the CDC document, the agency says that the Delta variant is more transmissible than the related coronaviruses that According to an internal Centers for Disease Control and cause MERS and SARS, Ebola, the common cold, seasonal flu, Prevention (CDC) document, the Delta variant appears to the 1918 Spanish flu and smallpox. In addition, the agency have an R0, or basic reproduction rate, of between around says that the variant is as transmissible as chickenpox. 5 and 9.5. CDC Director Dr. Rochelle Walensky confirmed the The R0 value of an infectious pathogen refers to its authenticity of the dthreat, saying: “I think people need to contagiousness and transmissibility. The number gives understand that we’re not crying wolf here. This is serious. an idea for how quickly a particular pathogen will spread It’s one of the most transmissible viruses we know about. through a given, susceptible population in which there is Measles, chickenpox, this—they’re all up there.” no immunity. Specifically, the number refers to the average number of people that will be infected by one sick person. Patient-Centered Outcomes Research Institute So, an R0 of 7, for example, means that, on average, one sick seeks comments on proposed national priorities person will infect seven other individuals. The Patient-Centered Outcomes Research Institute occupies The reproduction rate of an infectious pathogen can be a unique place in health care and health research. PCORI funds affected by various factors such as preventative public Continued on next page

Getting a COVID-19 vaccine is easy! • Find a COVID-19 Mobile Vaccination Clinic near you. The map will be updated regularly. • Use the Vaccine Finder to find more information about vaccine locations, the vaccine brands available, and walk-in or scheduling details. • If you have a cell phone, you can text your zip code to 438829 (GETVAX) to have vaccine locations in your area pushed to you. For Spanish, text your zip code to 822862 (VACUNA). You can also contact the national call center at 1-800-232-0233.

August 2021 | The IACP News | Page 21 Chiropractic News

Continued from last page ICA Upper Cervical Council conference August 13 - 14 patient-centered comparative clinical effectiveness research Mark your calendars. August 13 & 14, 2021 in Nashville, to assist patients, clinicians, purchasers, policymakers, and Tennessee the ICA Upper Cervical Council is holding their the broader healthcare community in making informed first conference in two years and cannot wait to see you health decisions. Guidance from a wide range of health there. If traveling is not an option for you, there will be a stakeholders ensures that the research and initiatives PCORI distance learning option– even for international doctors! Our funds are relevant and that our stakeholders are engaged lecturers will be covering advanced imaging, thermography, throughout the research lifecycle, from developing research difficult case management and several other topics with topics to ensuring the use and uptake of study findings. six paper presentations. The schedule supports 12 hours of CEs approved in over 40 states and in several Canadian PCORI’s congressional authorization requires identification provinces. Each course was specifically selected to enhance of National Priorities and establishment of a Research an Upper Cervical doctor’s knowledge in specific areas of Agenda outlining how PCORI will address each priority. practice. This conference begins on Friday afternoon at 1pm These documents guide our work. Hundreds of stakeholder and concludes on Saturday at 6pm. Friday night there is representatives, advisors, and experts are informing our an exclusive gathering for ICA Upper Cervical members & process, strategic approach, and various content elements, Saturday afternoon includes a sponsored lunch with council such as the proposed priorities. awards. Lots of excitement, fellowship and information any Upper Cervical Doctor would not want to miss! Click here for In June 2021, the PCORI Board of Governors voted to more information. release for public comment five proposed National Priorities for Health. PCORI will work toward these broad, ICA applauds JAMA stance on low back pain ambitious goals through our Research Agenda, stakeholder engagement, dissemination and implementation, and Last week, the Journal of the American Medical Association health communication. While our current National Priorities (JAMA) acknowledged that low back pain is one of the most and Research Agenda have guided PCORI for nearly 10 common reasons people seek care. They further reported years, these proposed priorities represent an ambitious new that the American College of Physicians advice that for acute approach to direct our work in the years ahead. and subacute low back pain, patients “should stay active as tolerated” and begin with nondrug treatments. After a 60-day public comment period from June 28to August 27, PCORI will revise the proposed National Priorities The listed options they recommend include spinal for Health and expects to finalize them in Fall 2021. The manipulation. The patient recommendation goes a step priorities will serve as the foundation for developing PCORI’s further and states that ‘patients with chronic low back pain, Research Agenda, which we intend to present for public priority should be given to nondrug treatments combined comment in Fall 2021. PCORI aims to fund comparative with exercise. The ‘therapies’ mentioned include spinal effectiveness research on both new and existing healthcare manipulation. While nondrug options for care were listed, approaches. This type of research compares two or more no specific professions were listed in the resource page. ways to prevent, diagnose, or treat a health condition. It can also compare ways to deliver health care. This research will The International Chiropractors Association (ICA) applauds help to close gaps in what is known, so that people have JAMA for helping advance the public awareness on the better information when making health decisions. Filling value of nondrug options for low back pain. This is an these gaps for both current and emerging approaches will integral action for the conventional medical community in improve health care, health outcomes, and health equity. overcoming their over reliance on prescribing pain medicine including opioids. The non-drug approach in particular Click here for more information and to provide comments. spinal manipulation, which chiropractors refer to as spinal

Page 22 | The IACP News | August 2021 adjustments focuses on understanding and addressing the orthodic for cervical traction (used frequently by doctors root causes of pain, rather than simply suppressing the of chiropractic with post graduate training in Chiropractic symptom of pain through drugs. Research evidence validates Applied Sciences and Chiropractic Biophysics.) that when consumers first avenue of care is chiropractic, the likelihood they will end up with an opioid prescription The research team identified a reduced cervical lordosis and is reduced by half. anterior head translation is associated with differences in neural activity at several regions (cortical and subcortical) Upon reviewing the JAMA Patient Page, ICA Board Chair, Dr. of the somatosensory system. Restoration of the cervical Selina Sigafoose Jackson stated, “Every day world-wide ICA sagittal alignment, in terms of increased cervical lordosis and Doctors of Chiropractic see patients who enter their offices reduced anterior head translation, has a direct influence on with varying levels of low back pain. Our chiropractors the central conduction time. Clinical interventions directed use their extensive training and experience to remove at improving central processing through restoring the normal the subluxation through the chiropractic adjustment. By sagittal alignment could be added to clinical interventions removing the interference of the subluxation, the body’s own targeting specific spinal disorders. Importantly, this study innate ability is increased and able to create an environment adds to the literature supporting subluxation detection and within to heal and ultimately experience less pain. This is correction using Xray mensuration analysis. why the ICA focuses forward every day to build a stronger tomorrow for chiropractic and chiropractors worldwide.” ICA Philosophy Council’s 2021 Conference: Fortify, October 8 & 9, 2021 Dr. Harrison, DC, publishes in Nature Scientific Reports The International Chiropractors Association (ICA) is pleased to formally announce the ICA Philosophy Council’s 2021 The International Chiropractors Association (ICA) Conference: Fortify. The event is scheduled for October 8 congratulates Dr. Deed Harrison, ICA’s most recent & 9, 2021 at the DoubleTree by Hilton Hotel Bloomington – Chiropractor of the Year for publishing the findings of Minneapolis South in Minneapolis, Minnesota a placebo controlled, randomized controlled trial study in the prestigious Nature Scientific Reports. The paper This year’s theme is Fortify. The continuing education entitled “Demonstration of central conduction time and sessions will focus in part on the role of chiropractic neuroplastic changes after cervical lordosis rehabilitation in philosophy is fortifying one’s practice as well as fortifying asymptomatic subjects: a randomized, placebo-controlled the profession. trial”[1] was published this week and is available through Open Access at https://www.nature.com/articles/s41598- Fortify is set to start Friday, October 8 with our annual abstract 021-94548-z.pdf presentations. The deadline for abstract submissions is July 31. The research team was led by Professor Ibrahim M. Moustafa and included Professors Aliaa A. Diab and Fatma Hegazy, and Current ICA Philosophy Council Chair, Dr. Joseph Stevens Dr. Deed E. Harrison. Their research focused on disorders stated, “We are so excited to see old and new friends and of the cervical spine, which are known to be among the colleagues, in person, at Fortify, our annual conference! We greatest contributors to spine pain, disability, and work will be diving into how Chiropractic’s Philosophy can fortify loss worldwide. As these experts noted, “there are wide you and your practice to withstand the changing world variations in assessment methods and treatment approaches around us. I look forward to seeing you there.” for patients presenting with cervical spine disorders. Problematically, most treatments for neck disorders have This is a great two-day event, with up to 8 hours of Continuing limited efficacy and this is particularly evident after long- Education available for PACE states. term, post-therapeutic follow-up.” The team noted the general agreement on the need for conservative treatment The ICA Council on Chiropractic Philosophy seeks to advance approaches for cervical spine abnormalities and determined excellence in patient care with the congruent application to conduct research needed to fill the evidence gaps. The of Chiropractic philosophy, science, and art as it relates to researchers observed that “Cervical spine alignment has the detection and correction of the vertebral subluxation been shown to be significantly related to patient outcomes complex. and conducted a placebo-controlled, randomized controlled trial at Cairo University utilizing the Denneroll cervical Click here for more information on speakers and scheduling.

August 2021 | The IACP News | Page 23 Soar with us

This monthly newsletter will get information about your products or services directly into the hands of the Idaho chiropractic community. There is no faster, less expensive way to reach this exclusive market. Advertising rates on the last page of this issue, or email Steve at [email protected] for details and discounts.

Page 24 | The IACP News | August 2021 August 2021 | The IACP News | Page 25 Chiropractic College News

Key leadership change at Palmer West the Journal of Manipulative and Physiological Therapeutics, After nearly 40 years of service to Palmer College, William Explore, the International (Bill) Meeker, D.C., M.P.H., president of Palmer’s West Journal of Therapeutic Massage campus in San Jose, California, has announced his retirement and Bodywork, and others. from the College. His last day will be June 30, 2021. In his 38 years in the profession, “I know the Palmer College community joins me in Dr. Meeker has authored more congratulating Bill on his nearly four decades of impactful than 60 peer-reviewed papers, service to Palmer and the chiropractic profession,” says books and book chapters, and Dennis Marchiori, D.C., Ph.D., Palmer College chancellor and has made more than 100 scientific and policy presentations CEO. to multidisciplinary audiences around the world. He was named a Fellow in the Palmer Academy of Chiropractic in Meeker received his B.A. in political science from Wabash 1995. College in 1973, his Doctor of Chiropractic degree from Palmer West in 1982, and his Master of Public Health from A successor senior campus administrator will be announced San Jose State University in 1988. prior to Dr. Meeker’s departure.

After serving 12 years as the vice president for research CUKC Board of Trustees appoints new members at Palmer College and as director of the Palmer Center for Chiropractic Research, at Palmer’s main campus in Mark A. Alford Sr., Christy Hartner, AAP, CTP, B.S., and Col. Davenport, Iowa, he was appointed president of Palmer (Ret) Willard B. Snyder, J.D., were appointed to the Cleveland West, in 2007. University-Kansas City (CUKC) Board of Trustees at its June 9, 2021 annual meeting. “I’m very proud to have been a member of Palmer’s academic community for my entire professional career,” says Meeker. The Board of Trustees is the governing body with complete “My association with Palmer has energized my passions responsibility for the oversight of the University and all its and provided me many pathways to serve the chiropractic interests, including students, faculty, staff and alumni. The profession. Board of Trustees appoints alumni and CUKC supporters who are entrepreneurs, business leaders, academicians, and “Particularly important to me was being given the scholars to provide expertise in developing the University’s opportunity to establish and lead the Palmer Center for strategic plan. Chiropractic Research, and thereby enhance its significant role in the development of the science of chiropractic.” Mark A. Alford Sr., Christy Hartner, AAP, CTP, B.S., and Col. (Ret) Willard B. Snyder, J.D., are serving the first of three During his tenure at Palmer College, he has served as a member three-year terms. Officers of the Board are Jeffrey Spencer, of the National Advisory Council of the National Center for D.C., chair; Joseph Bowles, D.C., vice chair, and Timothy E. Complementary and Alternative Medicine (NCCAM) at the Meng, D.C., secretary. National Institutes of Health, and the Governing Council of the American Public Health Association. Currently, he serves Other Board members are Ernst Anrig, D.C., Peggy Brown- on the boards of the Foundation for Chiropractic Progress, Grantham, D.C., Carolyn C. Cox, Ph.D., MCHES, FAWHP, World Spine Care, and the Academy of Integrative Health FASHA, Carl J. DiCapo, B.S., James Flanagan, CPA, The and Medicine, for which he is the chair. He formerly served Honorable Anna Ho, B.S., J.D., Darwin Pennye, B.S., and the vice-chair of the Association of Chiropractic Colleges. Terry R. Yochum, D.C., DACBR. James C. Anderson, D.C., is Chairman Emeritus, and Ray Hawk, D.C., is Community Dr. Meeker serves on the editorial boards of the Spine Journal, Liaison.

Page 26 | The IACP News | August 2021 CUKC offers Student Mission Trips in 2022 grief and trauma, but more than anything we have felt isolated and alone throughout our campuses. The ABCA Vacationing on a Caribbean island is about as ideal as it gets. National Conference provided the two things we all needed, Or is it? Ask any Cleveland University-Kansas City (CUKC) community and healing. mission trip participant, and you’ll hear how a vacation doesn’t compare to a mission trip, which revitalizes and Every year the national conference leaves us with a burning energizes entire communities. fire and motivation to continue on, because that is what it will take for us to become doctors and make real change According to Dr. Jeffrey Baier, CUKC director of clinical in our communities. This year we received lectures from education, mission trips impact those who choose toget Dr. Terry Yochum and Dr. Elise Hewitt, UWS alumna (DC involved. class of 1988). We had breakout sessions with the student members where we discussed and brainstormed different “These week-long mission trips offer our students volunteer opportunities to bring diversity to our campuses and the opportunities that provide experience interacting with profession as a whole. During the Harvey-Lillard Scholarship underserved populations,” Baier said. “Each trip transforms I was nominated and announced as the new Western a trimester break into a meaningful and memorable Region Student Representative, making it the second year a experience for our future healthcare professionals.” member from the UWS chapter held this position.

CUKC is offering student mission trips in 2022 to the We danced, we ate, we learned from amazing doctors – Dominican Republic, the second largest and most diverse we left with our spirits lifted and focused on our purpose. Caribbean country. Two trips have been scheduled for April Collectively, we were all seen and heard. I left feeling 23-30 and Aug. 20-27 in conjunction with the Christian proud of our UWS SABCA members and the organization Chiropractic Association. as a whole for their continued efforts and resilience. I am a proud member of the Student American Black Chiropractic Any CUKC student may apply for and serve on a mission trip. Association and will continue to stand up for those who are Chiropractic students in trimesters seven and above may not heard. provide hands-on patient care under the supervision of a licensed practitioner. Click here for more information.

CUKC students, faculty members, and alumni interested in W.D Harper Award for learning more about the mission trips are encouraged to 2021 presented to Dr. Monte Blue visit cleveland.edu/mission-trips/ and contact Dr. Baier at [email protected]. On July 17th, 2021, at TCC’s Donor Luncheon, Dr. Monte Blue was awarded the W.D Harper Award for 2021. President 2021 ABCA Conference student experience Dr. Stephen A Foster and Vice President Dr. Sandra Hughes presented the award on behalf of the Texas Chiropractic The 21st American Black Chiropractic Association (ABCA) College Board of Regents. National Conference came at the perfect time. The past year has been devastating for the entire world. In addition Texas Chiropractic College gives the W.D Harper award out to experiencing a global pandemic, us students of color each year to a candidate who has contributed significantly to have had to maneuver through our schoolwork and patient the institution, provided excellent service to the organization, care with grace while we witnessed murder and injustice and overall has gone above and beyond. The award is named around us. We have been angry, we have been filled with after Dr. William D Harper, the college’s president from 1965 to 1976. Dr. Harper earned his chiropractic degree at TCC in 1942, was part of TCC faculty for 15 years, and was the first president of TCC after the institution relocated from San Antonio to Pasadena.

Standing in front of the audience at TCC’s 2021 Donor Luncheon, Dr. Blue commented, “I’m really thankful for this recognition…. it is a great honor, and to all of those who Continued on next page

August 2021 | The IACP News | Page 27 Chiropractic College News

Continued from last page continues as a community of practice to help alumni of the program embody the skills as they go forward. helped make this possible, I want to thank you very much from the bottom of my heart.” Founded in 1974, Life University is a health sciences institution most known for its Doctor of Chiropractic (D.C.) Dr. Monte Blue joined TCC’s Board of Regents in 2008 after program, the largest single-campus chiropractic program serving 25 years as the President of San Jacinto College in the world. LIFE also offers 14 undergraduate degrees, as Central Campus. Then, in 2013, he took on the role of well as a pre-chiropractic, degree-seeking pathway. Three Chairman of the Board. In the past, Dr. Blue served as graduate degrees are available, encompassing areas of sport president of the LaPorte-Bayshore Chamber of Commerce, health science, clinical nutrition and positive psychology. the Southmore Medical Center, and the LaPorte Rotary. Some degree programs are offered to distance learners He also served on the boards of the San Jacinto YMCA and through the College of Online Education. Economic Alliance Houston Port Region. A message from Northeast College India recommends Life University training President Dr. Michael Mestan

A self-directed learning (SDL) version of Compassionate I am honored to share with you that New York Chiropractic Integrity Training (CIT), developed by the Life University College is now Northeast College of Health Sciences. (LIFE) Center for Compassion, Integrity and Secular Ethics (CCISE), has been recommended for all university students This is a momentous event in the history of our College, and in India by its Ministry of Education, according to CCISE one that has long been considered. In service to the NYCC Associate Director Dr. Michael Karlin. BLUEprint Strategic Plan 2018-2021, in late 2018 and early 2019, the College conducted significant research on how The recommendation was made by Rajnish Jain, Secretary our institutional name might best reflect the collaborative, of the University Grants Commission (UGC) of India’s diverse, interprofessional education our College provides Ministry of Education, Dr. Karlin said. The UGC is responsible students. After receiving input from many stakeholders, for setting standards for and overseeing all institutions of including faculty, staff, students and alumni, in June 2019 the higher education in India. CIT-SDL was developed through College’s Board of Trustees voted unanimously for a name a partnership between CCISE and UNESCO’s Mahatma change. Though the process was put on a short hold due Gandhi Institute for Education of Peace and Sustainable to the COVID-19 pandemic, the College was then granted Development (UNESCO-MGIEP). authorization by New York State in June 2021 to henceforth be known as Northeast College of Health Sciences. Over the Jain noted in his letter to all Indian university vice chancellors past 102 years, our College’s proud legacy of chiropractic and college principals, “Looking at the objectives of this excellence has remained steadfast, even as we have evolved course, the Vice Chancellors of all Universities and Principals into three different campus homes and three different of all colleges are requested in making the details of the organizational names. Now, as Northeast College continues course available to their students, as developing emotional to embrace change and provide space for new collaborations intelligence skills is critical to leading more fulfilling and and opportunities, we look eagerly toward our future as a successful lives.” distinguished college of health sciences with a renowned chiropractic program always at its core. CIT aims to cultivate compassion, integrity and wisdom in both individuals and communities to engender a flourishing These are exciting times for Northeast, and I hope, like me, world practicing common humanity and interdependence. you are proud to be part of an institution in the midst of real, CIT begins with a multi-part integrative training program meaningful transformation. I am grateful that our whole that teaches self-compassion, compassion for others and community is moving forward together as we continue on how to effectively create more compassionate societies. CIT this path of healthcare education excellence.

Page 28 | The IACP News | August 2021 August 2021 | The IACP News | Page 29 Idaho chiropractors, do you have something to sell, share, or advertise with your fellow practitioners? List it as an IACP classified ad. These ads will be listed online and included in the IACP newsletter for two months. Email your ad to:[email protected]

Full Time Associate Wanted: Full time associate position available in Nampa. Competitive salary, paid vacation, paid holidays, and matching 401K. Contact Josh. Email: [email protected]. Phone: 208-318-4762

Associate Doctor Wanted: Are you ready to make an IMPACT? Our team is expanding, and Summit Spine & Sport Chiropractic is excited to be making an impact in the lives and the health of the Rexburg and Idaho Falls communities. Our clinics are located in tight-knit communities that are safe, friendly, and you won’t findmore beautiful surroundings! Not only will you join a well ran systems driven practice, but you will have a team assisting you that is on board with the purpose of changing the health of our communities with Chiropractic! We are excited for you to join our team! Interested? Contact Dr. Kimball Arritt - [email protected]

For Sale: Chiropractic Office in Blackfoot Idaho. This well-established medically integrated office is a must for all in the health industry. The practice collected $345,262.00. $80,000 worth of equipment included, over 3,000 patient files, fully staffed and the potential to continue regenerative medicine. This is a dream for anyone looking to purchase a practice, a total “Turn-Key”. This practice has been appraised at $285K, but asking a reduced price of $169,000 OBO. Blackfoot Idaho is located in south east Idaho just off I-15. It is a small tight-knit community with low cost of living and a sportsman’s paradise. Blackfoot has a 17.6% lower cost of living than the rest of the United States. The median home price is $169,000. Please call 435-764-1775 with inquiries.

Associate Doctor to Owner: Jon R. Gray Chiropractic is looking to hire/train an associate. Teaching Business Principles such as: • How to Hire and Train Staff • Insurance Billing and Coding • Patient Education • Marketing New Patients • Treatment Schedules. Contact by email: [email protected], 208-870-2054 (Dr. Gray), [email protected], 208-870-2732 (Heather).

Page 30 | The IACP News | August 2021 IACP Marketplace

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Get your display advertisement into the IACP Marketplace and save BIG! Less than a dollar a day gets your ad going — $29 a month. Email Steve today at: [email protected] August 2021 | The IACP News | Page 31 Office Posters We have created a FREE printable PDF of the Gain better health through improved ergonomics poster on the following page, and the following posters are available online:

Get the vaccine! Ways to keep moving with join pain Basic Coronavirus protective measures The drug-free approach to pain reduction Get up and move! STRETCHING for better joint health Easy exercises to keep your neck healthy Were you pain free this morning when you got out of bed? Tips for safe stretches Don’t let pain keep you from enjoying life Walking touted as “wonder drug” 7 simple steps to a longer, healthier life

Please feel free to print out and use any or all of the flyers. Or, make them available as handouts to your patients. They are available on the website, www.IACPnews.com in an easy to print format. Each has the following tagline:

This healthy living information is provided by your Doctor of Chiropractic and the Idaho Association of Chiropractic Physicians (IACP) .

Page 32 | The IACP News | August 2021 Right now in the USA 97% of all COVID hospitalizations and 99% of COVID deaths are among the unvaccinated. Spread the word: Getting all Americans vaccinated is the only way to end the pandemic and get our schools open and our citizens back to work. For your sake, for the sake of your family, friends and community, get the vaccine.

This healthy living information is provided by your Doctor of Chiropractic and the Idaho Association of Chiropractic Physicians (IACP) .

August 2021 | The IACP News | Page 33 The Idaho Association of Chiropractic Physicians The IACP News Display Advertising Policy, Rates and Information

The Idaho Association of Chiropractic Physician’s IACP News is a full-color digital newsletter, published monthly and distributed to member doctors of chiropractic across Idaho as well as out-of-state members and student members. Format: The IACP News is produced in a state-of-the-art digital format. It can be opened and viewed online from both the IACP website at https://iacp.wildapricot.org/ and also from the publication site: www.IACPnews.com. The publication site has both current and back issues ofThe IACP News. Questions about the digital format, the website, or display advertising should be directed to C&S Publishing at [email protected]. Classified Ads:IACP accepts classified ads. They are published without cost for IACP members, but can also be purchased for $100 by non-members. For additional information about placing a classifed ad, contact Caroline Merritt, IACP Executive Director at (208) 515-6263 or [email protected].

Ad Sizes and Rates: IACP reserves the right to determine position and placement of all advertising. Special positioning may be purchased for an additional 20% if space is available. Inside Cover and Back Cover are charged additional 20% for special positioning. 15% off these rates for IACP Members.

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The IACP News is produced for the IACP by C&S Publishing Phone: 916-729-5432 • Email: [email protected] Page 34 | The IACP News | August 2021