A Cleveland man's crusade to help Ohio families better protect their loved ones in nursing-home care from abuse and neglect will soon come to fruition.

Esther's Law goes into effect March 23. It allows patients in Ohio long-term care facilities to install cameras or other electronic monitoring devices in their rooms.

Steve Piskor, founder of Elderly Nursing Home Abuse Advocates, explained the measure is named after his mother, whom he said suffered abuse at the hands of eight nursing-home workers in 2011.

"I would have never known that the abuse was going on if I didn't put a camera in," Piskor recounted. "One aide went to prison for 10 and a half years; one aide went to jail for six months; three aides were fired, and three aides were disciplined. And the nursing home was fined $357,000."

Since then, Piskor has been advocating to allow the use of cameras in nursing homes. Under Esther's Law, the resident or their guardian is responsible for the cost of the device, as well as installation, maintenance and removal. There were an estimated 15,000 reports of abuse, neglect or exploitation of adults over age 60 in Ohio between 2017 and 2018.

About one in ten caregivers handles those care-giving responsibilities long-distance.

Veronica McCreary-Hall, advocacy volunteer for AARP Ohio, said she drove more than 30 minutes, five to seven days a week, to visit her father in a nursing facility. She believes electronic monitoring would have brought her peace of mind.

"Every time I left, he would always look so sad and say, 'I hate to see you go,'" McCreary-Hall recalled. "It would have been absolutely wonderful for both of us to know that we could see each other, and that I knew exactly what was going on with him."

McCreary-Hall noted COVID-19 underscored the importance of the measure, when nursing-home facilities had to restrict visitations for months on end.

"People who are in facilities, a lot of them cannot advocate for themselves," McCreary-Hall pointed out. "Esther's Law will make so many people comfortable and feel safe, not only on the end of the facility, but also on the end of the loved one."

Piskor encouraged families to start the process of getting a camera installed now.

"Make sure you get a good camera," Piskor urged. "There's a good variety of cameras out there today. And nursing homes are required to let you use their public Wi-Fi, if they have it. And internet providers, they do offer free and low-cost Wi-Fi for people that are low-income and people that are on Medicaid."

Esther's law passed with unanimous support. Ten other states have similar laws, and Piskor said he hopes to see more. A ceremonial signing of the bill, scheduled for this week, was delayed due to the rise in COVID-19 cases.

Alzheimer's disease is one of the leading causes of death in North Dakota, prompting state officials to launch an online dashboard, where the public can learn more about the numbers and resources.

Data compiled from state vital records showed in 2020, more than 500 North Dakotans died from Alzheimer's, up about 100 from 2016.

Melissa Kainz, community clinical coordinator for the North Dakota Department of Health, said it is not surprising to see those numbers gradually increase with an aging population.

"People are living longer," Kainz pointed out. "With that longer life span, these rates are consistently found in the older population, and we just would like to have that awareness piece out there."

With the dashboard, she explained loved ones can sort through links to find out information ranging from getting a diagnosis to becoming a caregiver. The site also includes projections on future cases, giving policymakers a tool in decision-making surrounding public health.

Emerging research has probed methods of detecting the disease before symptoms start to show. In the meantime, Kainz noted they know quickly following up after the signs first appear is key.

"Research shows that the earlier people are diagnosed with Alzheimer's disease or dementia, the greater chance they have or the greater quality of life or living they have for a longer period of time," Kainz stressed.

Some common symptoms include increased memory loss and confusion, as well as an inability to learn new things. As for projections, the dashboard showed annual Medicare claims for the disease should rise from their current average of around 750 to nearly 1,000 by the year 2035.

May is Wildfire Awareness Month, and state officials are encouraging Coloradans to get up to speed on prevention and emergency-exit strategies if evacuation notices are issued.

Rocco Snart, the planning branch chief with the Colorado Division of Fire Prevention and Control, said it's never too early to prepare.

Make a list of all the things you need to take with you, including a week's worth of prescription medicines. Next, find a place you can go, and make plans to get there.

He said you don't want to be in a rush when you leave your house.

"You want to try to make that on your own terms, so that you can make sure that you've collected everything that you need," said Snart. "If you need a walker, and you need to get it in a vehicle, or if you need to arrange to get a ride to come and pick you up, the earlier you can work on those things, the better."

Snart said make sure your insurance policies and personal identification documents are up to date, and make copies for your emergency travel kit - which should also include N95 masks to protect yourself from smoke inhalation.

A complete checklist for disaster preparedness is available at Ready.gov.

The group Wildfire Partners works with Mile High Youth Corps in Denver to provide wildfire-mitigation services at no cost to older residents.

Snart said even small steps can help. Make sure trees and plants are well hydrated, and if you live near open spaces, reduce vegetation to create a buffer around your house.

"Make sure that any deck materials are taken care of and not splintered," said Snart. "I mean, a deck with splintered wood and wood that's breaking down looks like a campfire for embers, right?"

Climate change is projected to create longer wildfire seasons in years ahead, with fires becoming more frequent and intense. Snart said this new reality can lead to a sense of denial, but he encourages everyone to take time to be prepared.

"That's not going to happen in my neighborhood, that's not going to happen in my subdivision," said Snart. "And the reality of it is, it can happen anywhere. In the Front Range, in the mountains, wherever there is fuel and homes next to one another."

An official plan to expand broadband in Texas is due out June 15, after state officials traveled near and far to collect public comments on internet access and affordability.

Tim Morstad, associate state director for AARP Texas, said the pandemic highlighted equal access to high-speed internet is critical and no longer a "nice-to-have" luxury.

"We've got to get access to high-speed internet, and we've got to make sure it's affordable, and we've got to make sure people have the skills to utilize it," Morstad outlined. "I picture it as a three-legged stool to make sure that we can really unlock the potential for older Texans."

Texas lawmakers passed legislation last year to create the Texas Broadband Development Office. Currently, the state has access to $500 million in federal money through COVID-19-related grants with more money promised through the federal infrastructure law House Bill 3684 11/15/2021.

The geographic size of Texas is a challenge for connecting people to reliable internet, especially in rural areas, but Morstad expects Texans will appreciate the benefits when the work is finished.

"For older Texans, it has the ability to unlock things like telehealth," Morstad explained. "It will also allow older Texans to stay connected, whether that's with friends or families or caregivers."

Morstad added half of those who belong to AARP Texas are between the ages of 50 and 64 and still very active in the workplace. It means if they are looking for a job, they need affordable, high-speed internet to find out what's out there and how to apply.

"And some of them, you can work from home, but only if you're connected," Morstad pointed out. "So we really want to see high-speed internet pushed out there further across our state, so these opportunities are available to older Texans."

Later this year, the Texas broadband office expects to issue a map of the state, property by property, to show where expansion is needed.