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Nov04 CCB.P65 Commissioned Corps BULLETIN U.S. Department of Health and Human Services Vol. XVIII, No. 11 November 2004 Surgeon General's Column In October, Secretary Thompson and I this office. It identifies the relevant sci- health. With healthy nutrition, physical launched the first-ever Surgeon Gen- entific data, rigorously evaluates and activity every day, and regular medical eral’s Report on bone health and osteo- summarizes the evidence, and deter- check-ups and screenings, Americans of porosis. I want to ask each of you to use mines conclusions. It is a starting point all ages can have strong bones and live the information in the Report and in the for even more concentrated national ac- longer, healthier lives. And if it’s diag- corresponding public education mate- tion to understand, prevent, diagnose, nosed in time, osteoporosis can be treated rials to help improve the bone health and treat bone diseases. with new drugs that help prevent bone of all Americans. Please see http:// loss and rebuild bone before life-threat- www.hhs.gov/surgeongeneral/library/ Scope ening fractures occur. We need to com- bonehealth for a wealth of information. The risks associated with poor bone municate these facts to all Americans. Secretary Thompson and I were health are high. By 2020, half of all Improving Health Literacy joined at the launch by the editors of American citizens older than 50 will be the Report, Dr. Joan McGowan of the at risk for fractures from osteoporosis We need to close the gap between what National Institutes of Health’s Na- and low bone mass if no immediate ac- health professionals know about bone tion is taken by individuals at risk, tional Institute of Arthritis and Mus- health, and what most Americans under- health care professionals, health sys- culoskeletal and Skin Diseases, Dr. stand. I am working hard to improve tems, and policymakers. Ten million Lawrence Raisz of the University of Americans’ health literacy—the ability of Americans over the age of 50 have os- Connecticut Health Center, and CAPT an individual to access, understand, and teoporosis, the most common bone dis- Allan Noonan of the Office of the Sur- use health-related information and serv- ease, and another 34 million are at risk geon General. We are truly grateful for for developing osteoporosis. Each year, ices to make appropriate health decisions. their leadership. I also want to thank roughly 1.5 million people suffer a bone the hundreds of dedicated scientists, We have developed a companion piece fracture related to osteoporosis and ap- clinicians, advocates, and public health to the Report for non-scientists who may proximately 20 percent of senior citizens not be interested in reading the 400-page professionals who helped us gather and who suffer a hip fracture die within a analyze the best scientific data avail- year of the fracture. (Continued on page 2) able, and develop recommendations to promote better bone health. These numbers alone are enough to raise concern. But let’s also consider the IN THIS ISSUE . The following is an excerpt from the financial burden of bone disease. Caring remarks I gave at the launch. Moving Toward a New Automated for bone fractures from osteoporosis costs Commissioned Corps Personnel America at least $18 billion a year in and Payroll System .......................... 3 direct medical costs. LAUNCH OF “BONE HEALTH AND Corps Officers Attend MMCBC OSTEOPOROSIS: A REPORT OF THE Thirty years ago, when I was a young Course ................................................ 4 SURGEON GENERAL” medical student, we all believed that COSTEP Deadline Dates .................... 7 October 14, 2004, Hubert H. Humphrey weak bones and osteoporosis were a natu- TSP Open Season ................................. 7 Building, Washington, D.C. ral part of aging. Today we know that we can do a lot to prevent bone disease. Office of Force Readiness and Thank you for being here today to help Deployment ....................................... 8 us launch the first-ever Surgeon “Osteoporosis isn’t just your Corps Officers Deploy to Indian General’s Report on bone health and os- grandmother’s disease.” Country .............................................. 9 teoporosis. This report on bone health Corps Officers Deploy with U.S. and osteoporosis follows in the tradition The good news is that you are never Department of State ...................... 10 of Reports from my 16 predecessors in too old or too young to improve your bone Commissioned Corps Published as part of the Commissioned Corps Personnel Manual for Public Health Service Commissioned Director, OCCO Corps officers. Forward news of Service-wide or special interest to Office of Commissioned Corps Operations, CAPT Denise S. Canton BULLETIN 1101 Wootton Parkway, Suite 100, Rockville, MD 20852, Phone: 240-453-6084, E-mail: [email protected]. Editor, Mrs. Virginia Kapusnick Page 2 Commissioned Corps Bulletin Vol. XVIII, No. 11 November 2004 Surgeon General's Column (Continued from page 1) full Report. This little magazine is a multiple fractures, or patients who take We are asking everyone to join to- plain-language guide to help people un- medications or have a disease that can gether to promote bone health by in- derstand what the report says and what lead to bone loss. Health care profes- creasing awareness, promoting lifestyle it means to them. We call it the People’s sionals should recommend bone density changes, and defining and implement- Piece. It answers the most commonly tests for women over the age of 65 and ing treatment options for people of all asked questions about how to develop for any man or woman who suffers even ages. Everyone has a role to play in im- and maintain healthy bones. The a minor fracture after the age of 50. proving bone health. Let’s get started People’s Piece is available via a toll free by taking action today in homes, health number (1-866-718-BONE) and on our However, individuals and health care care settings, and communities across Web site at www.surgeongeneral.gov. professionals acting alone will not our Nation. Remember, you are never make a long-term, sustainable differ- too old or too young to improve your Recommendations ence. A coordinated public health ap- bone health. proach that brings together public- and If we can spread three simple recom- private-sector stakeholders is the most VADM Richard H. Carmona mendations about bone health, we can promising strategy. Surgeon General save lives, reduce suffering, and avoid billions of dollars in future health care costs. PHS Officers Attend American Red Cross Emergency • First, get the recommended amounts of calcium and vitamin D. High levels Response Course of calcium can be found in milk, leafy green vegetables, soybeans, yogurt, The Fort Defiance Indian Hospital The 45-hour course provided eight of- and cheese. Vitamin D is produced in sponsored an American Red Cross (ARC) ficers with ARC Emergency Response the skin by exposure to the sun and is Emergency Response Course in Septem- and CPR/AED – Professional Rescuer found in fortified milk and other foods. ber 2004. Public Health Service Commis- cards, and Emergency Oxygen Admin- For individuals who are not getting sioned Corps officers delighted their in- istration and Bloodborne Pathogens enough calcium and vitamin D in structor, Mr. Jim Stephens of First2Aid, cards from the American Safety and their diet, supplements may be help- with a 100 percent pass rate. Health Institute. ful. The average adult under age 50 needs about 1,000 mg of calcium per day and 200 International Units of Vitamin D. • Second, maintain a healthy weight and be physically active. That means at least 30 minutes a day for adults and 60 minutes a day for children, including weight-bearing activities to improve strength and balance. • Third, take steps to minimize the risk of falls. Remove items that might cause tripping, improve light- ing, and get regular exercise to im- prove balance and coordination. Vision tests and other medical as- sessments are also important to make sure that impaired vision doesn’t lead to falls. In the Report we also call upon health care professionals to help Ameri- cans maintain healthy bones by look- ing for ‘red flags’ that may indicate that (Pictured left to right) LT Ricardo Varela; CDR Tom Plummer; LCDR Mike Faz; LCDR Ricardo someone is at risk. These include people Murga; LCDR David Tibbs; LTJG Darlene Stephens; CDR Siona Willie; LT Malini Krishnan; who are under age 50 who have had Mr. Jim Stephens (Instructor, first2aid.com). November 2004 Vol. XVIII, No. 11 Commissioned Corps Bulletin Page 3 Moving Toward a New Automated Commissioned Corps Personnel and Payroll System Submitted by CAPT Barry Bragin, USPHS (Ret.) This is the first in a series of articles and Human Services’ civilian personnel • The system will be implemented some designed to keep active-duty officers, re- processing for over 20 years as well as time in 2005. tirees, and annuitants aware of upcom- personnel and payroll systems employed • It will be fully Web-based and avail- ing IT changes planned for Public by the U.S. Coast Guard. able through the existing Commis- Health Service Commissioned Corps sioned Corps Management Informa- payroll processing. However, the time has come for a change. Not only is there considerable tion System home page. Over a quarter century ago, officers risk relying on such antiquated hardware • There will be a self-service module and civilians working for what was then technology, the human resources that that will allow recipients significant called CPOD (Commissioned Personnel have been maintaining the software and control of the distribution of their Operations Division) designed and running the production processes are ei- gross pay (W-4, State tax, allotments, implemented the Government’s first au- ther retired or contemplating retirement.
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