CHAPEL HILL, N.C. – The future of reproductive health in North Carolina is in the hands of the general public.

This month, the North Carolina Department of Health (DHHS) and Human Services proposed new regulations for abortion clinics and now the public has an opportunity to comment.

If 10 or more people object to the rules, the General Assembly will have to make the final determination.

Dr. David Grimes, a professor in the department of obstetrics and gynecology at the University of North Carolina, fears a possible abortion debate at the state level could be counterproductive to women's health.

"We need to hope that this does not become a political football now in the General Assembly, where politicians with no medical background try to tinker with the very fine product that's been developed," he stresses.

Grimes says the rules proposed by DHHS are reasonable guidelines to ensure that women who want to terminate a pregnancy can do so as safely as possible.

The rules require more post-operative care, a 24-hour number to call if complications arise and a defibrillator on-site in case of cardiac arrest.

The state was required to draft new rules by a bill signed into law last year.

As a result, several clinics that had provided abortion services closed, saying they were unable to meet the new law's requirement that abortion clinics meet some of the same standards as outpatient surgery centers.

Grimes says the current policy is prompting some women to make tough decisions.

"It's getting more and more difficult, and it's important to know that if women don't have access to safe, legal abortion, they'll do what they did before Roe v. Wade,” he points out. “They'll do dangerous self-abortion attempts, or resort to the back alley."

Supporters of the changes say they were necessary for the state to update its 20-year-old regulations regarding abortion.





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With the unofficial start to summer, pools around Ohio are opening this Memorial Day weekend, and when it comes to swim time, experts encourage parents to become "water watchers."

Drowning is the top unintentional cause of death for children ages one to four, and the second-leading cause among kids ages five to 14.

Dawne Gardner, senior injury prevention specialist for Cincinnati Children's Hospital Medical Center, pointed out 70% of drowning deaths occur between May and August. She said the most important pool safety measure is to ensure an adult is actively watching children at all times.

"If there are multiple adults around the pool, take 15-minute shifts so that adult knows: no phone, no book, no conversations; they are keeping an eye on all the children," Gardner recommended. "That is their time, and that is their only job while they're there."

With infants and toddlers, an adult should be in the water within arm's reach. Most drownings involving kids under age four happen at home pools, so experts encourage the use of alarms and secure pool fences to keep curious little ones away.

Gardner noted while a drowning is traumatic, it does not always look dramatic.

"Parents always think that there's a lot of splashing and yelling when a child is drowning, and that is not the case," Gardner explained. "It is not a loud event. It is very silent. It happens quickly."

Gardner also encouraged swimming lessons for children as soon as they are developmentally ready.

"Just so that they are comfortable around water, they respect the water, and they have those basic swimming skills," Gardner emphasized. "We would like for parents, or at least one of the adults around, to know CPR. It's just a great tool that could be helpful."

There has been a roughly 38% drop in drowning deaths over the past two decades, which experts attribute to greater awareness and education about prevention and water safety.

Reporting by Ohio News Connection in association with Media in the Public Interest and funded in part by the George Gund Foundation.

One of Connecticut's largest health systems launched a new resource in Hartford this month, aimed at helping patients access healthy and nutritious foods free of charge.

The Healthy Food Resource Center is located on Hartford Hospital's campus, and is open to patients with a doctor's referral. When they walk in, they'll find a refrigerator and freezer, along with fresh fruits and vegetables, many of which are locally sourced.

Dr. Jessica Mullins, director of gynecology at Hartford Hospital, said it's about treating "food as medicine," which can help patients address food insecurity.

"They can try these foods, they can try different ways to cook them, and really finding that it's delicious to them or make it in a way that incorporates it into their cultural backgrounds," Mullins outlined.

Mullins reported half of the patients she sees report being food insecure. Better nutrition is connected to improved infant, child and maternal health, stronger immune systems and lower risk of diabetes. A nutritionist is also on site to provide information based on recommendations from the doctor.

Greg Jones, vice president of community health and engagement at Hartford Hospital, said at the center, patients will find pineapple, kale, papayas, healthy grains, olive oil and much more. He said many food-insecure communities in Hartford and elsewhere are overexposed to highly processed food with a lot of salt, sweeteners, and saturated fat.

"By providing produce and fruits, we can help people understand the issues that they face around health," Jones emphasized. "They start to feel better, they start to be able to supplement their diet with some real food, and then they can start to see a large improvement."

An estimated 12% of Connecticut residents are food insecure, according to a 2019 report by Feeding America.

With a referral, patients will have access to the Center for six months. Hartford Healthcare will also keep track of the food patients take as part of their medical records, to see how it changes their health outcomes.

As Mental Health Awareness Month comes to a close, Arkansas health officials are reminding older adults of resources available, as the social isolation of the pandemic has hit them particularly hard.

One in four older adults nationwide reported anxiety and depression during the COVID-19 pandemic, according to a study.

Dr. Tammy Alexander, licensed psychologist and assistant director of the Arkansas Department of Human Services, Division of Aging, Adult, and Behavioral Health Services, said social distancing cut many older adults off from support networks, which exacerbated mental-health challenges.

"That connection helps with just regulating our mental health," Alexander explained. "Having that connection and being involved and feeling supported by our friends and family. So much of that in-person connection was cut off during COVID, that I think most people had some negative impacts."

The state Department of Human Services (DHS) supports 12 community mental-health centers able to serve people who are uninsured or underinsured. For people without insurance who need "light-touch" mental health counseling services, DHS supports therapeutic counseling in all 75 counties in the state.

Dr. Rhonda Randall, executive vice president and chief medical officer for UnitedHealthcare employer and individual, agreed it is important to look out for signs of mental-health challenges in loved ones. It may mean an uncharacteristic disinterest in activities they usually enjoy, a change in sleep patterns or mentioning feelings of hopelessness. She added it is important for people to seek help from a trusted health professional.

"Mental health is part of our health," Randall stated. "It's a conversation you should be having with your primary-care physician when you go get your annual checkups, especially if you already have an established relationship. And it can be a really good place to start, and also take into context your other medical conditions."

According to the 2021 America's Health Rankings Report from United Health Foundation, 23.5% of Arkansans reported being told by a doctor they had a depressive disorder.