Simple Precautions Can Prevent Hearing Loss Although summer is a time for fun with friends and for family cel­ ebrations, many summertime activ­ ities can endanger your hearing health. The A m erican Speech- L anguage-H earing A ssociation (ASH A) warns that even a one-time exposure to extremely loud noises, such as lawn movers, fireworks, rock concerts, power boating, and other loud recreational activitiescan permanently damage hearing. "Noise-induced hearing loss is usually gradual and painless, but unfortunately, perm anent, "said Larry Higdon, ASHA’s vice presi­ dent for professional practices in audiology. “ Even a one-time exposure to extremely loud noise, like a fire­ cracker for example, can cause per­ manent hearing loss.” Knowing what noises can cause damage is important. Prolonged or repeated exposure to any noise above 85 decibels can cause hear­ ing loss. Most lawn movers, motor­ cycles, chainsaws, and powerboats produce noise at or above 85 deci­ bels. Personal stereos may account for the highest sources o f noise-in­ duced hearing loss—sound from per­ sonal stereos has been measured at levels as high as 110 decibels. Per­ manent hearing loss can occur from exposure to impulse noise at or above 140 decibels, this includes some rock concerts and firecrackers. To protect vour hearing this summer, ASHA recommends the following tips: • Wear hearing protectors such as ear plugs during fireworks and when attending concerts. Using cotton in your ears does not block sound. • Turn down the volume on stere­ os and personal listening systems. • Use hearing protection when engaging in noise-producing activi­ ties, such as lawn mowing, power boating, using power tools, or other loud household appliances. • Limit the length oftinie ofexpo­ sure to loud noise during your sum­ mer festivities. Twenty-eight million Americans have a hearing loss, according to ASHA. Nearly half are the result o f damage from excessive noise. Indi­ viduals with a hearing loss, or who suspect they might have a hearing loss, should consult a certified au­ diologist. Audiologists are hearing health care professionals who spe­ cialize in preventing, identifying, and assessing hearing disorders as well as providing audiologic treat­ ment including hearing aids and other assistive listening devices. For a free brochure about noise and hearing loss or for referral to a certified audiologist in your area, call ASH A ’s Helpline at 1-800- 638-8255 or write to ASHA, Infor­ mation Resource Center, 10801 Rockville Pike, Rockville, Mary­ land 20852. ASHA is the national profession­ al, scientific, and credentialing asso­ ciation for more that 82,000 audiol­ ogists, speech-language pathologists, and speech language and hearing scientists. Speech-language patholo­ gists are the professional who identi­ fy, assess, and treat speech and lan­ guage problems including swallow­ ing disorders. Oregon Health D ivision O btains Federal Exemption Oregon Health Division’s public lealth laboratory- has become the sec- )nd state in the nation to receive a Till exemption from federal clinical aboratory licensing regulations, \udrene Horton, Laboratory Licens- ng Program Manager, announced oday. "This exemption means that is o f June 13, Oregon laboratories vi11 benefit from local control, lower ees, and less red tape,” she said. The exemption is an example o f uccessfu I government stream lining, ccording to Horton. Since 1970, Jregon's public health laboratory has liscensed clinical laboratories under state law. The passage o f the Clinical Laboratory Improvement Amend- inent (CLIA) in 1988 allowed for “state exempt" status if a state had a program that met CLIA regulations and was approved by the Health Care Financing Administration (HCFA). “This exempt status change will be mostly transparent to laboratories because the requirements are essen- tially the same. However, the labs will benefit because they will only see one set ofpaperwork, regulations and fees,” Horton stated. The Health Division's laboratory licensing program has already begin working with laboratories across the state to achieve a smooth transition Washington became the first state tc achieve CLIA exemption in Octo- ber, 1993, and New York achieved a partial exemption in August, 1995. “Oregon must maintain equiva- lent regulations, licensure and com- parable biennial inspections o f mod- erate and high com plexity labs HCFA will monitor the state pro- gram on a routine basis,” Horton said. Help, Hope Mental Illness When I was growing up, people w eren't m entally ill. They were "crazy", nuts," or "off their rocker." One way in which today is better than "the good old days" is that we have a more enlighteneded attitude about mental health. We realize that mental illnesses are among the most com ­ mon health problems. Approximately one in five American adults suffer from a diagnosable mental illness in any six month period - that's almost 57 million Americans a year. These illnesses strike individuals old and young. White and African- American, rich and poor, school drop­ outs and college graduates. They can a ile d the person's ability to think clearly, act appropriately and relate to others and reduce the chances for a happy, productive life. A mental illness isa medical prob­ lem -m uch like diabetes or heart dis­ ease. And, like physical illness, men­ tal disorders can be treated. Today, scientists know that many people suffering from mental illnesses have imbalances in the way their brain metabolizes certain chemicals. Too much or too little of these chemicals may result in depression . anxiety or other disorders. This knowledge has allowed pharmaceutical company researchers todevelop medicines that can alter the way the brain produces, stores and releases these chemicals. thus alleviating thc symptomsof some mental illnesses. Due to medical progress, about 90 percent ot the people with mental illnesses today will improve or re­ cover. II you or someone you know has a mental disorder, the important thing is to get help One of the most common mental illnesses is depres­ sion. Here is a brief summary of its symptoms and treatment Everybody's unhappy sometimes, but major depression is more than a case of "the blues.” It's a "whole- body" illness with long-lasting, dis­ abling symptoms, such as: • Persistent sad, anxious or “em p­ ty “feeling and periods o f crying • Loss o f interest in things that were once enjoyable • Decreased energy and/or fatigue • Insomnia, or sleeping too much • Changes in appetite and weight • Decreased ability to concentrate and remember • Hopelessness and thoughts o f sui­ cide II you experience these symptoms- or observe them in a loved one contact a doctor right way Reports indicate that 15 percent of people with severe depression eventually take their own lives, so don't wait. Effective treatments are available. They include many forms of psycho­ therapy (talk therapy) and a variety of non-habit forming antidcprcssam medicines. The exact way these med­ icines work differs, but most antide­ pressant medicines alter the metabo­ lism of brain chemicals. They allevi­ ate many depressive symptoms, in­ cluding loss of appetite and sleep problems, and tend to have minimal side effects. Pharmaceutical companies current­ ly have 64 medicines in testing for mental illnesses, including 13 for de­ pression, to learn more about mental illnesses . current treatments and new medicines on the horizon, Send for a tree booklet, "New Hope for Depres­ sion and Other Mental II Inesscs." Write to PhRMA, 11(X) 15th Street, N.W. Washington D.C. 2005. Additional brochures on depression are available form the National Institute of Mental Health. Call 1-800 421-4211. Travel Hints and Wellness Advice is available in a free brochure from the Blue Cross and Blue Shield Association titled. Spectators’ Wellness Guide to the Games. Created to help the estimated two million Olympic G am es' spectators have a safe and memorable stay while cheering for their favorite athletes in Atlanta, The brochure outlines basic health information for the smart traveler. Conference Creating Minority Health Partnerships Partnerships lor Health Com- munities. Breaking Barriers, Build- ing Bridges ' is the theme of the 1996 Minority Health Conference. sponsored by the Oregon Health Dlvlslon I he contcicnce will be held July 8 and 9 at the Oregon Convention in Portland. I his is the sixth o f a series o f yearly conferences that focus on mi- nority. I he overall goal of our of- fice is to improve the health status of minoritycommunities,” saysSuganya Sockalingam. Director of the Office of Multicultural Health at the Health Division. These annual conferenc- eshave provided a forum where com- munities o f color can present and The conferences have also offeree good opportunities for cross-cul tural networking, coalition buildinj and problem solving.” Keynoter for the first day is Cher yl Boyce. Executive Director o f the O hio C om m ission on Minority Health, who will speak on “Creat ing Community Partnerships foi discuss then unique health issues H ca llh v Ethnic C o m m u n iti« ” Medical Milestones N ew A d v a n c e s In L im b T rea tm en t (NAPS)—What it would be like to be excluded from sports because one of your legs is shorter than the other or because you are bowlegged? Try to imagine not being able to reach shelves in a supermarket or the teller counter at the bank because you are only 3-feet-4 inches tall. The bad news is, kids will be kids. The good news is, it's covered. Well, with Kaiser Perinanente, you have one less thing to worry about. I lull s because at Kaiser, you never even have to file a claim. Just bring them in to vour neighborhood Kaiser For most of us, these are reali­ ties we will never have to face. Unfortunately, until recently, help for those who do suffer these con­ ditions was difficult to find. Using a surgical-quality, com­ puter-controlled erector set, ortho­ pedic surgeons are able to fix bone deformities and a variety of limb problem s and can even help patients reach a more functional height. The newly-opened California Center for Reconstructive Ortho­ pedics in Pasadena, California, combines leading edge technology and a specialized technique to treat limbs damaged or deformed by dis­ ease, accidents or birth defects in children and adults. Doctors have found th at any segment of a limb can be length­ ened with a procedure that begins with a surgical cutting of bone. Titanium pins, which are attached to a steel frame assembled around the limb, are then inserted into the bone. Following surgery, tiny motors are attached to the frame and programmed by a computer to gradually pull the bones apart. New bone tissue forms in the gap between the bones. For more information call Cali­ fornia Center for Reconstructive Orthopedics at (800) 240-8081. The w h o le s e c re t o f th e study o f N a tu re lies in le a rn in g to use o n e 's eyes. —George Sand left before they start dr K A ISER P E R M A N E N T E Different from the ground up