OPINION Saturday, December 5, 2020 East Oregonian A5 Holiday food dilemma — feeding body and soul JOHN WINTERS HEALTH CARE ESSENTIALS T he holidays are just around the corner, with the attendant obligation to overeat and ingest more sugar, salt and fat than we normally would. Special occasions call for special circumstances. Human culture has honored the impor- tance of food in celebrations and gatherings of all types for millennia. Food and joyful cele- brations are powerful bonds for families and friends. Guided by customs and availability, special foods enhance weddings, holidays and myriad social events. Food is fun, festive, sym- bolic — and necessary for survival, of course. Here are a few tips to get you through the end of 2020 and help you boost your health in positive ways in 2021. Diet and health Your diet is likely shaped by how much time, money or energy you are willing to invest. Speed, ease, economy, simplicity and your upbringing most likely affect your choices. I propose another criteria, one which only you can discern — what works for your body now? Food serves many needs but, primarily, food should be nutritious fuel your body can use. Unfortunately, many modern “foods” are linked with fatal diseases and are nutritionally barren. All foods contain some combination of fats, carbohydrates, proteins, vitamins, miner- als and other nutrients. These materials are used to build, repair and animate the body. Vibrant health requires more from food than merely a full stomach. Everything you put in your mouth affects your health, for better or worse. You have likely heard the phrase “food is medicine.” Yep. Your goal is to supply good nutrition in the safest form. Some guidelines There exist dizzying numbers of diets, each claiming phenomenal results. Most regimes are based in some science and can be helpful — to some people. But, one size does not fit all. The question is — what do you need? Many diets take a good idea and go to extremes, in my opinion, making them of questionable use for most of us. Here are some thoughts that keep coming up in my study of nutrition. Variety No single food offers everything your body needs, so consume a wide variety of foods. Leave the details to Mother Nature, unless you want to be an expert in nutrition. Brightly col- ored vegetables are rich in anti-oxidants, nuts and seeds have healthy fats, beans offer protein and fiber. Meat, poultry and seafood are rich in minerals and protein. Try new foods, avoid ruts. Quality This is important. Get the freshest, highest quality food you can. Nutritional value is deter- mined by how and where the food is grown, shipped and stored. Local is best. Modern farm- ing and food processing techniques are more efficient and profitable than the old ways — but never before have we endured so much chronic illness and obesity. That certainly gives one pause! Read labels A small investment of your time here will yield quite an education. Simple awareness can lead you to make important changes. In gen- eral, buy foods with the fewest ingredients and fewest long unpronounceable words. A loaf of bread can have six ingredients or 20. There are thousands of food additives used to make foods taste good, look good, increase storage and even feel good. More are added every year. Food chemists go to school for years to design foods that will be profitable and last lon- ger than they actually should, but these are not always healthy. Extra sugar, salt and fat, plus many artificial ingredients, are often employed. Do you really want all those extra ingredients in your food? Added ingredients serve dif- ferent functions. Some increase shelf life or safety, some attempt to replace what process- ing has removed, others are used to increase sales because they make the food more appeal- ing. Artificial flavors, colors and even vitamins are an attempt to create a product similar to the whole unprocessed version. For example, wheat. Plentiful in Eastern Oregon, it contains fiber, fats and more than 20 vitamins and minerals. Food processors make “enriched” white flour by removing the fiber, fat and most nutrients, then adding back a few synthetic vitamins. This flour acts like sugar in the body, causing weight gain and blood sugar spikes. Enriched white flour offers little nutri- tional value, but lots of calories and is com- monly used in packaged foods. Summary Author Michael Pollan puts it succinctly: “Eat food. Not too much. Mostly plants.” Foods and human beings have co-evolved for millen- nia. Human physiology is designed to use real food, not synthetic additives. New to the food chain, margarine used to be promoted as the heart-healthy alternative to butter. Margarine is made from man-made “trans” fats that are not found in nature. These funny fats foul up your machinery, often causing the very disease they claimed to prevent. The “Mediterranean Diet” is a good place to start. Include foods that you like, are fun and healthy. Don’t obsess over details. Listen to what your body tells you. Does a food help you feel light and energetic, or bloated, heavy and lethargic? You are genetically unique. While we have many similarities, no one is exactly like you. If you wish to enjoy the rich traditional holiday foods which make you feel loved and happy, do it with an attitude of gratitude know- ing that this is an exceptional time. That’s actu- ally better for your body than beating yourself up because you “cheated” on some sort of diet. It is what you do most days that matters. Get to know your food, buy local. Pick your battles; you can’t do it all. Above all, have some fun. And remember, moderation in all things — including moderation. ——— John Winters is a naturopathic physician, who recently retired after operating a practice in La Grande since 1992. It’s time to come to the aid of wildland firefighters HARRISON RAINE OTHER VIEWS B y mid-September, there was no one left to call. The West, with its thousands of federal, state and local fire engines and crews, had been tapped out. Wildfires across the West had consumed the labor of all available wildland firefighters, and though there were fewer fires burning, those fires were larger and more difficult to contain. They consumed 13 million acres — an area almost the size of West Virginia. In the midst of the 2020 wildfire season, John Phipps, the U.S. Forest Service’s deputy chief, told Congress this “was an extraordinary year and it broke the system. The system was not designed to handle this.” Draining the national wildland firefighting pool was why my fire crew and I had to work longer and harder than usual on the Idaho-Or- egon border. We were fighting the Woodhead Fire, which had peaked at 85,000 acres and threatened to burn the developed areas around the towns of Cambridge and Council, Idaho. With only three crews to try to contain a fire that required probably 10 crews, it meant day and night shifts for 14 days. Each crew found itself with miles of fire line to construct and hold. With not enough person-power, we were always trying to do more with less, and it was no comfort to know that what we faced was not unique. Across the nation, the large fires meant working in hazardous conditions that called for far more workers than were available. For those of us on the line, it came down to little sleep and a heavy workload, combined with insufficient calories and emotional and physical exhaustion. Fighting wildfires week after week takes a toll on the body. Smoke contains carcinogens, and firefighters spend days exerting them- selves immersed in air thick with ash. We all figure that the long-term health effects cannot be good. One of my co-workers confessed that he goes to sleep “with pain in my knees and hands,” and added, “I wake up with pain in my lungs and head.” Over a six- to eight-month fire season, minor injuries can become chronic pain. Wildland firefighters are also vulnerable to suicide due to job-related stress and the lack of resources outside of the fire season. Long assignments put a strain on firefighters’ fami- lies and can damage relationships. A 2018 psy- chological study, conducted by Florida State University, reported that 55% of wildland fire- fighters experienced “clinically significant suicidal symptoms,” compared with 32% for structural firefighters. Wildland firefighters who work for federal agencies, such as the Forest Service or Bureau of Land Management, are classified as “range technicians” or “forestry technicians” — a title more suitable for golf course workers than peo- ple wearing heavy packs and working a fire line. Calling them “technicians” negates the skills, knowledge and experience necessary to work with wildfire. Most firefighters sign con- tracts as seasonal “1039s,” agreeing to work 1,039 base hours for $12-$16 an hour. This is one hour short of being defined as a tempo- rary worker who is eligible for benefits, such as retirement and year-round health care. Overtime work is what allows “technicians” to pay the bills, but once they reach 1,039 base hours some firefighters are laid off even while the fire season continues and their regions con- tinue to burn. There is a remedy in sight: the Wildland Firefighter Recognition Act, which formally identifies wildland firefighters as exactly that, tossing out the technician term and recognizing the “unusual physical hardship of the position.” Montana Republican Sen. Steve Daines introduced the bill last year, and recently, Cal- ifornia Republican Rep. Doug LaMalfa intro- duced the bill in the House. Co-sponsored by California Democratic Rep. Mark DeSaulnier, the bill currently sits with the House Oversight and Reform Committee. This is a nonpartisan bill that deserves support from every westerner. We all know fires will continue to burn throughout the West, but right now many of the men and women who fight those fires on our behalf are suffering from burnout. Addressing wildfires as a national priority starts with rec- ognition of the profession fighting them. ——— Harrison Raine is a contributor to Writers on the Range, writersontherange.org, a non- profit dedicated to spurring lively conversation about the West. He started fighting wildfires in 2016 and is a recent graduate of Colorado College. Horse meat should be Oregon must protect kids’ considered as food for the poor access to oral health services CARLISLE HARRISON OTHER VIEWS T o watch the nightly news showing long lines of drivers accepting food handouts because their families are hungry is depressing. To know the Bureau of Land Management (BLM) is spending $50 million of taxpayers’ money to feed 50,000 wild (feral) horses being held in corrals is disgusting. In addition to these animals, the BLM is allowing at least 60,000 more ani- mals to destroy the range because they are exceeding the Appropriate Management Level (AML) mandated by the Wild and Free Roaming Horse and Burro Act (WFRHBA). The AML has been established to be 26,700 animals. As a trained biologist, this destruction of the range bothers me, but this concern pales when compared to the empathy I have as a retired teacher who has witnessed the learning difficulties that children experi- ence because they lack protein in their diet. During the Great Depression, during World War II and during several special periods since the war, people have found this protein by eating horse meat. Now is one of those times. Many advanced countries around the world are aware of this and don’t have to be prompted to include horse meat in their diets. For years, I have advocated these sur- plus animals be fed to the poor. Everybody I have talked to seems to think this is a good idea. But contacting our elected officials has proven to be a waste of my effort and time. Their responses have ranged from they are putting more money into the budget to develop a program to control the animals’ fertility, step up adoption, and expand hold- ing facilities in other parts of the country. They further informed me it is against the law to slaughter horses because their meat is unhealthy because they get shots of med- icine. And then there was the one who said there are no meat inspectors to certify the meat. What a cop-out. A country that can build and send a rocket into space should be able to come up with a way to get the precious protein found in these animals into the diets of the poor. These ani- mals receive no shots and would qualify as organic. I know the “Greatest Generation” I grew up emulating would have found a way. I do have a plan I feel could make this hap- pen, and it appears to me to be able to pay for itself. This would involve a fleet of mobile slaughter units. I have been told these units cost about $100,000, the price of feeding 100 horses for a year. These units can butcher about seven horses per day. That would be a savings of about $7,000, which would cer- tainly pay for all labor and operating costs. From these seven animals one might expect about 2,000 pounds of high-protein ground meat. The value of this meat in the diets of children would be priceless. With 50,000 horses in corrals and another 60,000 exceeding the AML, it would prob- ably take five years for a fleet of 20 mobile units to get the job done. After the initial five years, there would probably still be enough excess horses to keep two units taking care of the annual excesses. Each of these units would cause to be employed three or four full-time work- ers. The need for refrigeration units might be met by military surplus. The contract- ing of a rendering company to remove the offal and other waste products must be con- sidered. The training of a BLM employee to be a meat inspector could come from the ranks of employees presently hired to feed the animals. Some organization like Feeding America could be in charge of distributing the meat to the poor. To get program com- mitment it might require the BLM to grant the owner of the mobile unit an interest-free loan with a clause the final five years of pay- ments would be forgiven after they worked five years. As I see it, the big problem will be finding enough votes in Congress who feel the lives of children are more valuable than the lives of horses to make this happen. Finding alter- natives for the hay farmers might be prob- lematic, but knowing farmers, I am sure they share my empathy for the poor and they will find a way. ——— Carlisle Harrison lives in Hermiston and is a retired educator. DR. MANU CHAUDHRY OTHER VIEWS I n Oregon, we believe that every child deserves the chance to succeed. Through legislation like Cover All Kids — our policymakers have shown bipartisan support for the well-being of our children, regardless of where they come from or their household income. When it comes to oral health, though, we still have a long way to go. A recent report released by the Oregon Health Authority along with data from Capitol Dental Care demonstrate that investments in preventive oral health are paying off for our children. However, we know that families are fac- ing significantly higher barriers to access- ing oral health care, because of COVID-19 safety protocols. School-based dental pro- grams that have served for years as a safety net for children who cannot access care through other means are at risk due to the need for remote learning. The Pediatric Oral Health Coalition, which was convened by the Oregon Com- munity Foundation in 2018, recently hosted two virtual community listening sessions to hear directly from parents and caregiv- ers. Multiple people cited continued diffi- culty in finding dentists who take patients on the Oregon Health Plan. Many, regardless of coverage, weren’t sure whether their dentists were open or if it was safe to seek dental care, due to COVID-19. Several others noted that school-based programs were a major source of regular care and screenings for their kids; they were concerned COVID-19 was going to take away this needed service. “There are lots of kids that [school] really is the only way they get some of those screenings,” shared a par- ent from Joseph in Eastern Oregon. “If that’s not happening at school, where is it happen- ing? Or will it happen at all? That is kind of frightening for people.” With declining state revenues expected in the future, our state leaders have tough choices to make. Oregon’s children are counting on them to protect their health. Nearly half of the kids in our state will have a cavity by age 9, and about 40% of those cavities will go untreated. Cavities are preventable, but untreated cavities cause pain and heightened risk for serious issues down the road, like heart dis- ease, diabetes and respiratory infections. Dental pain is also a leading cause of absen- teeism. When children struggle to eat, sleep and learn, their development and academic achievement are at risk. We know that relatively modest invest- ments in preventive oral health can have lifelong impacts for our children. At Cap- itol Dental, children who receive sealants are able to reduce their risk of cavities by 43%— and we can improve those outcomes even further with other preventive mea- sures, such as fluoride varnishes and regular checkups. Over the last several years, Oregon has made progress by focusing on preventive oral health for children and bridging access gaps by bringing the care into schools. According to the 2019 CCO Metrics Per- formance Report that the Oregon Health Authority released in September, children across all age groups on the Oregon Health Plan had accessed critical preventive oral health services at a higher rate than in 2018. Statewide, we saw a 6-10 percentage point increase in children who received dental sealants. Preventive care reduces health and aca- demic disparities. However, accessing pre- ventive services is particularly difficult for families who lack reliable dental coverage, who are in the working class, who are fami- lies of color, or who live in rural areas. Such pre-existing barriers to care are only getting worse due to the pandemic. We know that parents, DCOs, and dental providers are motivated to keep all Oregon children safe and healthy. We’re calling on our state leaders to do more to support them. ——— Dr. Manu Chaudhry is president and den- tal director at Capitol Dental Care, which has served Oregon Health Plan members statewide since 1994. Capitol Dental Care is a member of the Pediatric Oral Health Coalition.