HRSA Funding

The Health Resources and Services Administration recently invested $203 million in health centers and rural communities to help fight the overwhelming opioid epidemic. Bethel Family Clinic has received a portion of that funding and has recently hired substance abuse counselor, Dennis Raines. His position will offer alcohol and drug use assessments, Level I.0 outpatient services for substance abuse. He will also be providing alcohol/drug/bullying prevention and awareness presentations in village communities and in schools in the Yukon Kuskokwim delta region at no cost. Our hope is to combat the opiod epidemic through education, treatment and support.

Holiday Food Safety

Holiday Food Safety

Here come the holidays! Are you ready? Read on for important information on how to ensure that you serve safe and delicious food this holiday season.

Do not cross-contaminate
Cross-contamination occurs when the bacteria from one food product is spread to other food products. To prevent cross-contamination:

  • Prepare raw meat and poultry in separate areas from produce or cooked and ready-to-eat foods
  • Make sure you do not mix up your preparation equipment, such as using the same spoon to stir the pie filling and another dish
  • Clean and sanitize all counters, equipment, and utensils right away
  • Once you have used a towel to wipe up a food spill, you should not reuse it for any other purpose—put it in the laundry
  • Wash your hands thoroughly in between tasks

Store and thaw your food the right way

Follow these storage and freezing tips:

  • Do not buy a fresh turkey more than 2 days in advance of when you want to use it—this applies to all poultry
  • Keep a frozen turkey in its original wrapping, and thaw it in the refrigerator:
    • Figure that it will take 24 hours to thaw every 4 to 5 pounds of turkey
    • Keep thawed turkey in the refrigerator for up to 2 days
  • Thaw a frozen turkey by submerging it in cold water and changing the water every 30 minutes (good method if you do not have enough time to thaw in refrigerator):
    • Allow 30 minutes to defrost for 1 pound of turkey when using this method
    • Cook the bird immediately after thawing when using this method
  • Use the microwave to thaw small turkeys:
    • Refer to your instruction manual to determine how many minutes it will take to thaw based on pounds and which power level you use
    • Cook any food thawed in the microwave immediately
  • Adhere to “use-by” dates on the packaging of fully cooked hams
  • Store uncooked hams in the refrigerator for up to 7 days
  • Never thaw meat or poultry at room temperature

Know how to stuff your turkey

It is still OK to stuff your turkey, although many people have stopped doing so in recent years. The trick is to stuff loosely, rather than packing it.

Following this advice:

  • Mix your stuffing right before placing it in the turkey
  • Make sure your stuffing is moist
  • Cook the turkey immediately after stuffing
  • Consider preparing your stuffing in a separate casserole dish
  • Do not remove stuffing once the turkey is cooked—let the bird stand for 20 minutes before removing the stuffing and carving the turkey

Check those temperatures

It is important to use a thermometer to assure that the proper temperatures are reached:

  • Heat a whole turkey or game birds to 165° F throughout
  • Heat the stuffing to 165° F, whether you choose to cook it inside the bird or in a separate dish
  • Cook lamb to 145° F for medium rare, 160° F for medium, and 170° F for well done
  • Cook fresh pork to 145° F, including cook-before-eating ham
  • Heat fully cooked hams to 140° F
  • Cook venison to an internal temperature of 160° F
  • Note: The US Dept of Agriculture does not recommend cooking any meat or poultry at temperatures below 325° F
  • Remember that boned and rolled meats will take a longer time to cook than bone-in cuts
  • Hold all hot foods at temperatures above 140° F, and all cold foods at temperatures below 41° F
  • Heat cooked vegetables and fruit to a temperature of 140° F or higher

Store leftovers correctly

Leftovers are great, but remember to follow these safety tips to keep them safe:

  • Refrigerate turkey and the stuffing within 2 hours after removing from the oven:
    • Reheat to 165° F and serve again within 3 to 4 days, or
    • Freeze for later use
  • Store turkey and stuffing in separate containers
  • Use leftover gravy within 1 to 2 days, reheating it to a boil
  • Do not hold or leave cooked vegetables at room temperature

References and recommended readings
Countdown to the Thanksgiving holiday. US Dept of Agriculture, Food Safety and Inspection Service website. http://www.fsis.usda.gov/wps/portal/fsis/topics/food-safety-education/get-answers/food-safety-fact-sheets/seasonal-food-safety/countdown-to-the-thanksgiving-holiday/ct_index/. Updated August 7, 2013. Accessed September 25, 2014.

It’s turkey time: safely prepare your holiday meal. Centers for Disease Control and Prevention website. http://www.cdc.gov/Features/TurkeyTime/. Updated November 25, 2013. Accessed September 25, 2014.

Roasting those “other” holiday meats. US Dept of Agriculture, Food Safety and Inspection Service website. http://www.fsis.usda.gov/wps/portal/fsis/topics/food-safety-education/get-answers/food-safety-fact-sheets/seasonal-food-safety/roasting-those-other-holiday-meats/CT_Index. Updated August 7, 2013. Accessed September 25, 2014.

World AIDS Day

World AIDS Day

December 1st marks World AIDS Day. A day in which we stand in solidarity with people who have become infected with HIV, remember those who have died from AIDS-related illnesses, and recommit to realizing our collective goal of an AIDS-free generation.

JSI is committed to the fight against HIV both in the U.S. and internationally. We collaborate to scale up innovative prevention, treatment, and care strategies, and integrate them into existing systems. In the U.S., we work with our federal and state partners to support the coordination, evaluation, and improvement of HIV services so as to achieve the goals of the National HIV/AIDS Strategy. Internationally, we partner with governments, communities, and local partners to support progress toward achieving the UNAIDS 90-90-90goals. In all our HIV work, JSI is committed to the active participation of those living with and at risk for HIV.

With more than three decades of work in HIV, JSI and our partners engage to:

  • Reduce new HIV infections
  • Increase access to continuous treatment services
  • Improve the quality of life for people living with HIV
  • Address stigma and discrimination
  • Reduce health inequities
  • Build the capacity of organizations to deliver cost-effective and coordinated HIV care services

Although great strides have been made in responding to HIV, it still poses a risk to public health. JSI remains dedicated to engaging partners to maximize our impact and improve access to comprehensive HIV services. Our staff are committed to providing evidence-based, context-specific solutions that respond to locally-identified needs.

Learn more about some of our worldwide HIV initiatives:

AIDSFree aims to improve the quality and effectiveness of high-impact, evidence-based HIV & AIDS interventions. It provides innovative knowledge management, technical leadership, program sustainability, strategic planning, and program implementation to USAID missions, host-country governments, and HIV implementers.

HIV.gov helps to advance the national response in the United States to people at risk for, or living with, HIV—especially those from communities of color and other vulnerable populations. Through the program, we model and promote the innovative use of digital communication tools and technologies and provide technical assistance to our partners and stakeholders to support public health outreach and messaging.
Advancing Partners & Communities works to increase the quality of HIV services, reduce stigma and discrimination, improve access to voluntary counseling and HIV testing, increase access to services that prevent mother-to-child transmission of HIV, and mitigate the impact of HIV & AIDS on adults and children.

World Education’s Bantwana Initiative works to improve the wellbeing of vulnerable children and their families affected by HIV & AIDS and poverty. By working at the grassroots, Bantwana creates stronger, more effective community responses.

CBA@JSI strengthens the capacity of community-based organizations in the U.S. to improve HIV-prevention services in their communities through on-site and online technical assistance and training.
  DREAMS Innovation Challenge aims to dramatically reduce new HIV infections among adolescent girls and young women in 10 sub-Saharan African countries through innovations that strengthen communities, keep girls in school, link men to services, provide access to pre-exposure prophylaxis, build bridges to employment, and apply data to increase impact.
What Works in Youth HIV Resource Center advances best practices to improve the health and well-being of America’s adolescents by providing innovative and practical content that enables youth-serving providers and peer leaders feel empowered to meet the needs of youth at highest risk for HIV.

AIDS Education Training Centers (AETC) Evaluation Implementation Project

In partnership with the Boston University Center for Innovation in Social Work and Health, JSI assesses process and outcome measures at the national and regional levels across the four AETC programmatic subcomponents:

  • Practice Transformation Project
  • HIV-Focused Interprofessional Education Project
  • Minority AIDS Initiative Activities
  • Core Technical Assitance and Training.

Boston Public Health Commission Quality Management

Through this project, JSI to provides ongoing services to Ryan White Part A funded HIV/AIDS Service Providers. This includes conducting clinical chart reviews and analysis of quality performance indicators across 10 sites, and reporting on trends in care quality, health disparities, and sub-population experiences.

Building Ryan White HIV/AIDS Program Recipient Capacity to Enroll People Living with HIV in Health Care Access

Through this training and technical assistance project, JSI builds on the work of two HRSA-funded initiatives: Affordable Care Enrollment (ACE) TA Center and In It Together: National Health Literacy Project for Black MSM.

  • The ACE TA Center supports Ryan White HIV/AIDS Program (RWHAP) recipients and sub-recipients to engage, enroll, and retain clients in health coverage; builds the capacity of RWHAP clients and PLWH to stay enrolled and use health coverage; and supports RHWAP recipients and sub-recipients to assess and build clients’ health literacy, thereby improving their capacity to use the health care system.
  • In It Together: National Health Literacy Project for Black MSM promotes health literacy as a component of culturally appropriate health care service delivery.

Strengthening Ethiopia’s Urban Health Program (SEUHP)

To improve the health status of the urban population in Ethiopia, SEUHP is reducing HIV/tuberculosis-related maternal, neonatal, and child mortality, and the incidence of communicable and noncommunicable diseases.

USAID Zambia DISCOVER-Health

Through an outreach-based service delivery model, the USAID DISCOVER-Health project serves Zambia’s HIV community by providing greater access to HIV testing and counseling, antiretroviral therapy (ART), prevention of mother-to-child transmission (PMTCT), voluntary medical male circumcision (VMMC), and other services to key populations.

USAID Zambia SAFE

In Zambia, through the SAFE project, JSI is working to reduce HIV mortality, morbidity, and transmission, while improving nutrition outcomes and family planning integration in three Zambian provinces: Central, Copperbelt, and North-Western.

USAID Ghana Strengthening the Care Continuum

This project is improving referral linkages and supporting key population-friendly clinical services to provide comprehensive, quality HIV services. The project is also working to reduce stigma faced by key populations and people living with HIV in Ghana.