AARP Tele-Town Hall Informs Seniors What They Need to Know About COVID-19

Published in the Woonsocket Call on March 15, 2020

Twenty-four-hour programming on cable television, television networks, talk radio and newspapers report the spread of coronavirus (COVID-19) across the nation. According to the Centers for Disease Control and Prevention (CDC), just days ago there were about 700 confirmed and presumed U.S. cases from 38 jurisdictions, that’s 36 states and New York and D.C. There are more than 100,000 cases worldwide. CDC officials expect this count to go up. counts to go up.

At the AARP’s Coronavirus Information Tele-Town Hall event, held Tuesday, March 10, federal health experts gathered to the symptoms of COVID-19, how to protect yourself, and what it means for older adults and family caregivers. The event was moderated by AARP’s Vice President of Content Strategy and; Communications Bill Walsh and featured Admiral Brett P. Giroir, M.D., , Assistant Secretary for Health at the U.S. Department of Health and Human Services; Nancy Messonnier, M.D., and internist and Director of CDC’s National Center for Immunization and Respiratory Diseases; and Seema Verma, Administrator at the Centers for Medicare and; Medicaid Services.

The invited experts warned seniors to take heed. People age 60 and over are at high risk of catching COVID-19, it’s severity especially for those with underlying medical conditions.

Getting the Best Source of Medical Information

According to AARP’s Walsh, the Washington, DC-based nonprofit convened the tele-town hall about coronavirus in an effort to protect the public. “While we see an important role for AARP to play in providing consumer information and advocacy related to the virus, the public should be aware the best source of medical information is the Centers for Disease Control and Prevention,” he said.

At this briefing Messonnier noted that reports out of China that looked at more than 70,000 COVID-19 patients and found that about 80 percent who had the virus had a mild case and recovered. About 15 percent to 20 percent developed a serious illness.

The COVID-19 virus affects adults, especially seniors, says Messonnier. noting that people over age 60 are at a higher risk of becoming seriously ill from this virus, especially if they have underlying health conditions such as diabetes, heart disease.

Although younger people with underlying health problems are also at risk, the top official at CDC stressed that older people with health problems are the most vulnerable. She noted that her parents are in their 80s, and even though they don’t live in community reported to have the virus, she advised them to stay close to home.

CDC’s Messonnier suggested that seniors stock up on over-the-counter medications to treat fever, cough and other symptoms, as well as tissues, common medical supplies, and routine medications for blood pressure and diabetes.

Although there is no vaccine to prevent coronavirus and there are no specific medicines to treat it., there are many things you can do to prevent the illness, says Messonnier. She urged seniors to avoid contact with people who are sick. Keeping the COVID-19 virus at bay can be as simple as simply washing your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing, or having been in a public place, she said, urging seniors to wash your hands after touching surfaces in public places. If soap and water are not available, use a hand sanitizer that contains at least 60% alcohol [if you can find it].

Messonnier warns seniors to avoid touching high-touch surfaces in public places – like elevator buttons, door handles, handrails, handshaking with people, etc. Use a tissue or your sleeve to cover your hand or finger if you must touch something. It’s difficult for many but just avoid touching your face, nose, and eyes, she says.

Messonnier also suggested that seniors to clean and disinfect their homes to remove germs: practice routine cleaning of frequently touched surfaces (for example: tables, doorknobs, light switches, handles, desks, toilets, faucets, sinks & cell phone). Also, avoid crowds, especially in poorly ventilated spaces. Your risk of exposure to respiratory viruses like COVID-19 may increase in crowded, closed-in settings with little air circulation if there are people in the crowd who are sick.

Avoid all non-essential travel including plane trips, and especially avoid embarking on cruise ships, warns Messonnier.

Messonnier also called on people over age 6o to follow “social distancing strategies,” such as teleworking and avoiding crowds, especially in poorly ventilated spaces. This might mean that if your grandchild has a fever and runny nose, it may not be the right time to visit, she says.

“If COVID-19 begins spreading in your community, keep in touch family and friends by phone or email to let them know how you are doing,” recommends Messonnier. Consider ways of getting foods brought to your house through family, social, or commercial networks. Have at least three days of household items and groceries on hand so that you will be prepared to stay at home for an extended period of time, she adds.

And if you rely on a caregiver for routine help, make arrangements for backup care in case your primary caregiver becomes sick, suggests Messonnier.

Seema Verma, who oversees the Centers for Medicare & Medicaid Services, reported that major health insurers are now responding to the pandemic coronavirus outbreak by pledging to relax prescription refill limits on “maintenance medication” for Medicare Advantage and Part D beneficiaries.

Hot Off the Press…

“No matter what type of [Medicare] program you are in, you can get a coronavirus test with no cost sharing, Verma announced noting that she has gotten a commitment from insurance companies to also cover coronavirus tests with no cost-sharing.

Medicare now pays for telehealth services. “You can Skype with them. You can send them pictures, and all of those are covered services, so your doctor can bill for those particular services, says Verma.

If you have difficulty stocking up on your prescriptions at the pharmacy, consider refilling your medications with a mail-order service, recommends DHHS’s Giroir. Ask your physician to switch your prescription from a 30-day supply to a 90-day supply to “keep you out of the doctor’s office or a crowded grocery store or pharmacy,” he adds.

“This is not the time to panic. Stay informed, take it seriously because it can be a serious disease, stay up to date. We are committed to doing whatever we can to communicate,” says Giroir, noting that CDC’s website is a great source of information, but you want to know what is going on in your local community because that is where you get the most direct information about the risk.

For details, about COVID-19, go to https://www.cdc.gov/coronavirus/2019-nCoV/index.html. Also, go to https://health.ri.gov/diseases/ncov2019/.
Here’s a transcript of the event: https://www.aarp.org/health/conditions-treatments/info-2020/tele-town-hall-coronavirus.html.

Report on Falls, Injuries Released

PUblished in Woonsocket Call on October 20, 2019

Last Wednesday morning in Dirksen Senate Office Building 562, the U.S. Special Committee on Aging held a hearing to put a spotlight on the economic consequences on falls and to explore ways to prevent and reduce falls and related injuries. At the one hour and 55-minute hearing, titled “Falls Prevention: National, State, and Local Level Solutions to Better Support Seniors,” its annual report, Falls Prevention: Solutions to Better Support Seniors, was released.

According to the Senate Aging Committee, falls are the leading cause of both fatal and nonfatal injuries among older adults that incur $50 billion annually in total medical costs. That number is expected to double to $100 billion by 2030, and the majority of these costs are borne by Medicare and Medicaid.

“Falls are the leading cause of fatal and non-fatal injuries for older Americans, often leading to a downward spiral with serious consequences. In addition to the physical and emotional trauma of falls, the financial toll is staggering,” said Sen. Susan Collins (R-Maine), who chairs the Senate Aging Committee. “Now is the time, and now is our opportunity, to take action to prevent falls. Our bipartisan report includes key recommendations to take steps to reduce the risk of falls,” the Maine Senator noted in an Oct. 16 statement.

Pushing for Positive Change in Releasing Fall Report

“We must dispel our loved ones of the stigma associated with falling so that they can get the help they need to age in place – where they want to be – in their homes and communities,” said Sen. Robert P. Casey, Jr. (D-Pa.). “I am hopeful that our work over the past year will propel the research community to do more, get more dollars invested into supporting home modifications and encourage more older adults to be active,” said the Special Committee’s Ranking Member.

At the hearing, the Committee unveiled a comprehensive report that provides evidence-based recommendations on ways to reduce the risk of falling. The Committee received input from multiple federal agencies, including the Centers for Disease Control and Prevention, Centers for Medicare and Medicaid Services, and the Food and Drug Administration. In addition, approximately 200 respondents representing falls prevention advocates, hospitals, community organizations, home health agencies, and others shared their expertise on this issue.

The 34-page Aging Committee’s report made recommendations as how to raise awareness about falls-related risks, prevention and recovery at the national, state and local levels. It suggested ways of improving screening and referrals for those at risk of falling so that individuals receive the preventive care necessary to avoid a fall or recover after one. It noted ways of targeting modifiable risk factors, including increasing the availability of resources for home safety evaluations and modifications, so that older adults can remain in their homes and communities. Finally, it called for reducing polypharmacy so that health care providers and patients are aware of any potential side effects that could contribute to a fall.

Increasing Medicare Funding for Bone Density Testing

In an opening statement, Collins noted that falls are often times attributed to uneven sidewalks or icy stairs, medications, medical reasons or muscle strength. But one key cause of falling is osteoporosis, which can be especially dangerous for people who are completely unaware that they suffer from low bone density, she says.

According to Collins, although Medicare covers bone density testing, reimbursement rates have been slashed by 70 percent since 2006, resulting in 2.3 million fewer women being tested. “As a result, it is estimated that more than 40,000 additional hip fractures occur each year, which results in nearly 10,000 additional deaths,” she said, noting legislation, Increasing Access to Osteoporosis Testing Beneficiaries Act that she has introduced with Sen. Ben Cardin,” to reverse these harmful reimbursement cuts.

Casey stated, “I am particularly interested in sharing this report with the relevant agencies and learning how the recommendations will be implemented. Not just put in a report. Implemented,” adds Casey.

Peggy Haynes, MPA, Senior Director, of Portland-based Healthy Aging, MaineHealth that offers A Matter of Balance, an evidence-based falls prevention program, came to the Senate hearing to share details about its impact. “The health care community has a critical role to play in fall prevention – beginning with screening for falls, assessing fall risk factors, reviewing medications and referring to both medical and community-based fall prevention interventions. Our health system is focused on preventing falls in every care setting,” says Haynes.

“The need for a range of community-based options led MaineHealth to be a founding member of the Evidence Based Leadership Collaborative, promoting the increased delivery of multiple evidence-based programs that improve the health and well-being of diverse populations,” adds Haynes.

Haynes noted that older participants attend eight two-hour sessions to help them reduce their fear of falling, assisting them to set realistic goals for increasing their activity and changing their home environment to reduce fall risk factors. A Matter of Balance is offered in 46 states reaching nearly 100,000 seniors.

Virginia Demby, an 84-year-old visually-impaired retired nurse who is an advocate for Community and Older Adults, in Chester, Pennsylvania, came to the Senate hearing to support the importance of fall prevention programs. Despite living with low vision, Demby remains physically active by participating in exercises classes for older adults at the Center for the Blind and Visually Impaired in Chester. She is an advocate for older adults and now helps the local senior center wellness manager recruit more seniors to take falls prevention classes and find new places to offer the classes.

Kathleen A. Cameron, MPH, Senior Director, Center for Healthy Aging, of the Arlington, Virginia-based National Council on Aging, discussed the work of the National Falls Prevention Resource Center, which helps to support evidence-based falls prevention programs across the nation and highlighted policy solutions to reduce falls risk.

Finally, Elizabeth Thompson, chief executive officer, Arlington, Virginia-based National Osteoporosis Foundation, testified that bone loss and osteoporosis are fundamental underlying contributors to the worst consequences of falls among older Americans: broken and fractured bones. Osteoporotic fractures are responsible for more hospitalizations than heart attacks, strokes and breast cancer combined, she noted.

For details of the Senate Aging Committee report, go to http://www.aging.senate.gov/imo/media/doc/SCA_Falls_Report_2019.pdf.