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Note from the Commissioner: Signing Off for a few Weeks

For the next several weeks, I am signing off from my weekly newsletter note in order to spend time with my family and my newborn son, Elias “Eli” Wen Walker. I am extremely excited to be a mother and am proud of the work we do at BCHD to help childrenexpecting mothers, families and communities in our great city.

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City launches texting app to alert about 'bad batches' of drugs (WBAL TV)

The Baltimore City Health Department has launched a texting app to inform people when there's a cluster of overdoses in their neighborhood due to bad batches of drugs.

To sign up for alerts, text "JOIN" to 952-BB-ALERT.

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opioids

Note from the Commissioner: Innovative Efforts in Baltimore to Combat the Opioid Epidemic

This week, leaders, healthcare professionals, and other frontline workers from across the U.S.

Baltimore launches 'bad batch' text-alert system for overdoses (Baltimore Sun)

With the help of student computer programmers, Baltimore health officials have launched a text-messaging service to warn residents when deadly batches of drugs are in their neighborhood.

“People are using fentanyl without realizing it,” said Dr. Leana Wen, Baltimore’s health commissioner. “Fentanyl is getting mixed in with heroin, cocaine, prescription drugs. They’re overdosing and dying without realizing what they’re taking.”

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Why the Trump administration is cutting teen pregnancy prevention funding (CNN)

Most teenagers feel uncomfortable talking about sex, but not 16-year-old Bryanna Ely.

As a youth leader for the Buffalo, New York-based teen pregnancy prevention program HOPE Buffalo, Ely talks to not only other teens but also adults. She explains how they can help teens when it comes to their emotional, physical and sexual health, abstinence and birth control.
"It's definitely made me more comfortable around health providers, because I was very nervous and not willing to talk about it, but then once I joined HOPE Buffalo, it's an easy subject to talk about. Well, not that easy, but it's easy enough to talk about that I don't feel so uncomfortable," said Ely, who will be entering her junior year in high school this month.
 
While volunteering with HOPE Buffalo at a local community center, Ely said, she remembered meeting another teenage girl, sharing sexual health information with her and feeling like she made a difference. "She took in all the information, and she said she would not get pregnant until she was 28 or 30," Ely said. "I joined HOPE Buffalo because I wanted to make a change in my community and make sure that these teenagers who didn't have a voice had a voice." Yet federal funding for such teen pregnancy prevention programs in the United States is now on the chopping block.
 

Read the entire story. 

Cities Enlist ‘Doulas’ To Reduce Infant Mortality (Huffington Post)

This city has opened a new front in its effort to give black newborns the same chance of surviving infancy as white babies: training “doulas” to assist expectant mothers during pregnancy, delivery and afterward. The doula initiative is the latest salvo in the Baltimore City Health Department’s 7-year-old program to combat high infant mortality rates among black newborns.

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Federal funding cut to teen pregnancy prevention programs will hurt Baltimore, health commissioner says (BaltimoreSun)

The Trump administration’s decision to cut short a grant program that would have spent $214 million to support teen pregnancy prevention programs will have far-reaching consequences in cities across the United States, including Baltimore. After the program ends next June, the city will lose the equivalent of $3.5 million in funding for a variety of programs aimed at curtailing unintended teen pregnancies. Another $880,000 grant funds research at Johns Hopkins’ Bloomberg School of Public Health to evaluate a program to reduce sexually transmitted infections and pregnancy among American Indian teens, City Health Commissioner Leana Wen called the decision shocking and “unprecedented.” “We have not ever received a cut to an existing program without explanation, and when the funds were readily available,” she said.

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An Assault on Efforts to Prevent Teenage Pregnancy (NyTimes)

With flimsy justification, and in small type buried in routine documents, the Trump administration has informed 81 local governments and health groups that it will end grants they have received to run teen pregnancy prevention programs, two years before the grants are scheduled to end. The decision is unsettling even by the disquieting standards of this anti-science administration.

The rate at which teenagers have babies in the United States fell by nearly 50 percent between 2007 and 2015, though it is still higher than in other industrialized countries. A lot of the credit for the decline belongs to health and education officials who have been coming up with new approaches to educate young people about sex and get them to make better decisions. One such effort was the Teen Pregnancy Prevention Program, created by Congress and implemented by the Obama administration in 2010. It provides five-year grants, in annual distributions, to cities, counties and health organizations to operate and evaluate public health programs aimed at teenagers. Funding for a second round of grants began in 2015, but it will now expire in 2018 instead of 2020.

The department that runs the program, Health and Human Services, made no effort initially to explain its decision, which was tucked into a routine grant letter earlier this summer. The decision came before Congress has even voted on appropriations for the next fiscal year, which begins in October. By cutting the grants short, the department is depriving recipients of about $200 million.

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Note from the Commissioner: We need to Save Teen Pregnancy Prevention Programs

While the Affordable Care Act repeal conversations in Congress are on hold, there have been significant funding cuts that threaten the most vulnerable residents in Baltimore and across the U.S.

In July, BCHD received notice from the U.S. Department of Health and Human Services that a grant to provide comprehensive teen pregnancy prevention services will be terminated two years early, resulting in a reduction of $3.5 million for funding in Baltimore City.

Abrupt Trump cuts to teen pregnancy program surprise groups (The Hill)

The Trump administration has abruptly cut short grant programs aimed at ending teen pregnancy, leaving the institutions that receive the funds scrambling for answers. 

An office within the Department of Health and Human Services (HHS) notified 81 institutions across the U.S. that the five-year grants they were awarded would end two years sooner than planned.

The Teen Pregnancy Prevention (TPP) program, a national program created in 2010 under former President Barack Obama, funds organizations working to reduce and prevent teen pregnancy, with a focus on reaching populations with the greatest need.

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