Helping Patients Enroll in PG&E Medical Baseline Program

If extreme weather and fire danger conditions threaten a portion of the electric system serving a community, PG&E will turn off power to prevent fires, which is referred to as Public Safety Power Shutoff (PSPS).  PSPS will be implemented during weather conditions that increase risk of fire, including hot and dry conditions with high winds.  This could negatively impact patients who are dependent on power for life-support equipment, such as those with oxygen, implanted cardiac devices, ventilators, parenteral therapy, home dialysis or refrigerated medication.  This also impacts patients on power-dependent mobility equipment and patients who are likely to have negative medical consequences of excessive heat or cold weather.

Napa County has experienced three PSPS events, and in all three events, it was observed that the PG&E Medical Baseline Program is underutilized.  Persons enrolled in the medical baseline program will have extra outreach conducted by PG&E during a PSPS.  Emergency preparedness efforts are underway to encourage residents to obtain a backup generator, to have a relocation plan and to sign up for the PG&E Medical Baseline Program.

If you have a patient on power-dependent treatment or durable medical equipment, encourage them to sign up for the program.  Additionally, you may see more patients that request a physician's signature on the PG&E Medical Baseline application as outreach efforts continue.  Patients can qualify even if they are not on life-support equipment.  Medical conditions, in which heating or cooling is medically necessary to prevent deterioration of the patient's medical condition, also qualifies patients for the program.

For more information, refer to the PG&E Medical Baseline Website.
PG&E Medical Baseline Form
World Hepatitis Day is on July 28, 2019. The World Health Organization (WHO) data show an estimated 325 million people worldwide are living with chronic hepatitis B or chronic hepatitis C. Viral hepatitis caused more than one million deaths each year, a number comparable to deaths caused by tuberculosis and HIV combined. While deaths from tuberculosis and HIV have been declining, deaths from hepatitis are increasing. About 300 million people are unaware they have Hepatitis B. The Division of Viral Hepatitis at CDC has four strategic initiatives to eliminate viral hepatitis in the US and worldwide, and healthcare providers play a key role in implementing these strategies:
  1. Assure vulnerable populations are vaccinated against Hepatitis A and Hepatitis B to prevent viral hepatitis  (hyperlinks lead to vaccine recommendations)
  2. Assure early detection and response to stop transmission of hepatitis B and hepatitis C (hyperlinks lead to screening recommendations)
  3. Assure persons living with hepatitis B and hepatitis C are identified and linked to recommended care and treatment services
  4. Act globally to prevent, detect, and control viral hepatitis
Hepatitis Risk Assessment
Breastfeeding as Healing:  Adversity and the Path to Resilience

The Napa Valley Breastfeeding Coalition invites you to join them for a day with Kathleen Kendall-Tackett, PhD, IBCLC, FAPA focused on the topic of maternal mental health and breastfeeding. Dr. Kendall-Tackett is an award-winning health psychologist and international board certified lactation consultant specializing in women's health research, including breastfeeding, depression, trauma and health psychology.  She will discuss the influences of adverse childhood experiences (ACEs), intimate partner violence, birth trauma, and maternal depression on breastfeeding and breastfeeding’s healing impact on women experiencing these factors. You will also learn how these issues might affect breastfeeding, and what mothers and practitioners can do to help. 

Date and Time: Friday, September 20, 8:00 am to 4:30 pm
Location: Yountville Community Center, 6516 Washington St.
Event Flyer is available here, please register by September 15
Register here
Message from Dr. Karen Relucio, Health Officer

I hope you are having a fun and safe summer!  July brings us World Hepatitis Day, which reminds healthcare providers to vaccinate patients against Hepatitis A and B, and to assure early diagnosis and referral for treatment of Hepatitis B and C.  Additionally, it will be important as a community to prepare ourselves and our patients during fire season for the PG&E PSPS, which is anticipated to occur more frequently.  Patients with underlying medical conditions who are dependent on power for life-support, for mobility, or to maintain their health will be impacted the most.  In September, the Napa Valley Breastfeeding Coalition will be holding a conference featuring Dr. Kathleen Kendall-Tackett.
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NCHO · 2751 Napa Valley Corporate Drive · Building B · Napa, Ca 94558 · USA

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