August is (coincidentally or not) the month of back-to-school festivities, as well as designated as National Wellness Month. With a fresh start of a school calendar, wellness is the focus in more ways than one. But, have we considered–outside of the education system–what wellness means? Ask an expert, and you may receive answers that apply physically, mentally, emotionally, spiritually, and more. This week, to honor this national month, I’ve invited a local health stakeholder to offer insight into health within the public sector.
Funneling from Senate Enrolled Act 4-2023 from the 2023 Indiana General Assembly, and through recommendations from the Governor’s Public Health Commission which examined public health delivery during the Covid-19 pandemic and has reshaped public health spending in Indiana, Health First Indiana was launched to provide local, boots-on-the-ground funding to support public health and provide proactive wellness strategies. A longtime LaGrange County local, Jackie Feller was hired as the LaGrange County Health First Indiana Coordinator, and I’ve invited her to be a guest columnist this week, sharing her insight with our “Coffee with the County” readers. Without further ado, Jackie Feller:
I am Jackie Feller and until last November, I dedicated my professional life to taking care of one person in their time of worst (medical) need. As a paramedic, I worked hard at preparing myself (and at times, others) to be calm in the storm of crisis–trying to delay death, take away pain, hold a hand, or just be a good listener. Whatever the patient needed.
When asked what I knew about public health at that time, the glaring honesty of my response was shocking–not a whole lot! You see, even though public health and medicine (or healthcare, think what I used to do) are essentially about helping people, the approach and intended outcomes are quite different. Healthcare is more curative and individualized, whereas public health is about promoting the health of our county through organized community partnerships.
So why should you be concerned with public health? Whether we realize it or not, we all play a significant role in what the health of our community is (or can be). That is why it is called public health–and what we do (or don’t do) to take care of ourselves is a piece of the bigger picture of our community.
There are other community factors that play a role in public health and those are known as social determinants of health (SDoH). I know I am starting to throw around some intimidating words and concepts, but just stay with me–it is easier than it initially sounds. Instead of SDoH, think of the factors that are essential conditions for good health. Where we live, learn, work, and play contributes to our health in many ways. A simple summary is “what surrounds us, shapes us.”
A place to live has a major role in health. When a large portion of your income goes toward the rent or mortgage, it is much harder to afford healthy food–so you buy cheaper, processed foods that increase your risk of obesity, which increases your risk of high blood pressure, which increases your risk of stroke…you see where I’m going. Another example would be the stability of income. When people have a stable income, they worry (stress) less about how the bills are going to be paid from month to month. Stress is extremely hard on your body and can contribute to high blood pressure, which can lead to…(we just went down that road, right?).
Good health care is a vital part of a healthy, thriving community. A lack of access to good care leads to people not seeing a doctor regularly, which delays the detection of problems, which leads to longer, more expensive treatments, which leads to people being off work, which leads to instability of income, which leads to worry over making the rent or mortgage–have I made the full circle yet?
I used those three examples because they are all real factors that we are living within LaGrange County right now. We all should be aware and ask what we can do to make positive changes. LaGrange County is a unique community. We need to find a solution together because “what surrounds us, shapes us.”
On behalf of the LaGrange County Chamber of Commerce, I’d like to thank Jackie for taking the time to provide feedback for this week’s edition and to ensure that LaGrange County businesses and residents are informed. Public health is a topic that affects all of us, and in order to enhance LaGrange County’s “public health landscape,” it will take all of us working together. Health First Indiana is a new program unfolding locally, and the commitment to a positive, local investment within Jackie’s leadership does not go unnoticed. We are better because of her efforts. Our hope is that you’ve learned something new about LaGrange County’s public health scene. Thank you, Jackie, for helping to make LaGrange County the place we all know and love!
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