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  Community Health Project: Addressing Obesity during Covid-19

  Jaliyah Abdul-Haqq, Ezinne Anyanwu, Zaniyah Bailey, and LaChae Jones

  Obesity is commonly known to affect 27% of adults in the United States (Wadden et al., 2002). The medical condition is the result of not eating healthy, little to no exercise, genetics, medication and other factors (Cava et al., 2017). If adults that are obese do not treat the medical condition then there will be long term problems such as diabetes and cancer (Cava et al., 2017). “ In Seattle, a study of critically sick COVID-19 patients made comparative discoveries. This examination found that 85% of patients with obesity required mechanical ventilation, compared to 64% of patients without the condition. Additionally, 62% of the patients with obesity died of COVID-19, compared with 36% of those without obesity ” (Stefan et al., 2020). To combat that issue the purpose of our program is to provide a way to lose weight and become healthy while in a pandemic and staying safe at home.

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  COVID-19 Racial Disparities

  Christopher Brown, Hadara Sain, Karen Larios, and Nida Shah

  A pandemic has taken over the world. Many countries, including the U.S., have experienced a large mortality rate because COVID-19 is a danger to many people. The U.S. has experienced massive changes in society in order to protect people because everyone is at risk. However, COVID-19 poses a larger threat to minorities than most other people in the United States.

  Our community health project will provide solutions to both of these problems.

  First, our team will work with news stations to disseminate the statistics that minorities are more likely to catch and die from the virus. Once the problem is clear to minorities, they will look for solutions. Our team will then provide our “Virus Diet” which will decrease the likelihood of dying from the virus. The “Virus Diet” will provide the information that using things like alcohol, tobacco, and drugs are detrimental to your chances of beating the virus if you were to catch it. Then we will begin our “Stay Home, Stay Safe” program which will provide stay at home jobs to substitute service sector jobs in order to limit the risk of catching and spreading the virus.

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  Homeless Medical Assistance Program (HMAP)

  Alaya Chubb, Iris Reyes, Medisa Roghani, and Kristen Silas

  As stay-at-home orders sweep across the United States, not everyone can adhere. People affected by homelessness struggle to find a place to remain healthy and invulnerable to a rising pandemic. The District of Columbia’s homeless population rises to 6,500 people and poses the most risk for COVID-19 because of the lack of resources available in the city, preexisting health conditions, and substance dependency. Some homeless people with a respiratory condition face a greater likelihood of developing a severe reaction from COVID-19 (Vredevoe, 1992). Furthermore, the homeless population tends to face a mortality rate from five to ten times higher than the general public (Roncarti, 2018). In order to combat these possibilities, we propose a pilot program focusing on providing necessary assistance to vulnerable populations from the ages 35 to 65. Our program, Homeless Medical Assistance Program (HMAP), aims to reduce the number of COVID-19 cases by placing homeless individuals in stadiums with adequate distance, administering food without direct contact, and proving mental healthcare.

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  D.C.S.O Community Health Proposal Against COVID-19 - Public School System

  Dawit Teshome, Abenezer Abebe, Emy Nwadiaro, and Kenndi Curtis

  D.C. is a community with a rich culture that’s extremely sundry and diversified. When the COVID-19 epidemic hit, all of us were stopped in our tracks. It affected our everyday lives. However we never asked the question, is there an epidemic taking place right in our own community. Asthma influences almost 1 out of every 10 kids. It is a widely known and exceptionally treatable malady (McDade, 2014). To ensure that students with asthma get adequate care during the school year and to combate the threat of COVID-19 during the year, we propose the following:

  • To equip either classrooms or floors, especially for kids with asthma, with air purifiers that are going to circulate clean air so that they do not have any triggers like smells or mold

  • Plan to make a questionnaire that every student has to answer before entering the school in the morning to help know of COVID-19 exposure and students with asthma.

  • Train D.C. public schools teachers with C Diff cleaning procedures.

  • After school programming that provides students with masks, soap, and hand sanitizers to take home.

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  Teen Pregnancy Prevention: Nine Minutes to Avoid Nine Months

  Natalie Custodio, Ronaldo Gomez, Katherine Mejicanos-Portillo, and Jalen Templeman

  The United States is one of the most developed nations with one of the highest rates of teen pregnancy. Although there has been a reduction in teen pregnancy nationally, areas in DC such as Wards 5, 7 and 8 still have teen birth rates above the national rate. The objective for our project is to provide a targeted-intervention to decrease teen pregnancy rates by increasing awareness of safe sex practices, contraceptive methods and STIs/HIV. Our program will provide a 9-minute session on sexual health at chosen schools and youth organizations in Wards 5, 7 and 8 to target 11 to 19-year-old youths. Further, we plan to assess our plan by providing satisfaction surveys to participants at the end of each session. We will also encourage youths to follow us on Instagram to spread the word about sexual education. The project aims to be a safety net for those adolescents who have not been exposed to sexual health education. We will apply the Health Belief Model (HBM) to our program to ensure that we address perceived susceptibility, perceived severity and perception of barriers all with the goal of improving the self-efficacy of our participants. We hope to impact these communities to ultimately reduce the teen pregnancy rates, and improve sexual health education and access in adolescents in DC.

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  Better Bone Health: Health Community Clinic

  Naijah Hughes, Dakota Turnage, Kintara Williams, and Christopher Fangna

  Osteoporosis affects the quality of life, the ability to work, and basic activities of daily living. Osteoporosis is a disease marked by reduced bone strength leading to an increase in fractures. Every day, our body breaks down old bone and puts new bone in its place. As we get older, our bones break down more bone than they put back. If you do not take the steps to keep your bones healthy, you may lose too much bone and osteoporosis may develop. Men and women are both affected by osteoporosis. In the United States, an estimated 5.3 million people aged 50 years and older have osteoporosis. Most of these people are women, creating 4.5 million of the people in the United States and the other 0.8 million people are men. Over 34 million people have low bone mass, which puts them at an increased risk. There are many factors that contribute to osteoporosis and fractures. Nutrition and physical activity are important controllable risk factors that will help reduce the risk of the disease. Osteoporosis is largely preventable. An osteoporosis treatment program includes a focus on proper nutrition, exercise, safety issues, and lifestyle changes to prevent or slow further progress of osteoporosis and reduce the risk of future fractures.

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  HIV Intervention for the DC Community

  Evelyn Rosales, Elias Belhocine, Daniel Ndagha, and Tiana Young

  Before the 1980s, the world had little to no knowledge about HIV. Now there has been research conducted on HIV/AIDs that has helped people prevent and be aware of their status. However, there is still an increasing amount of HIV cases in adults (18-34), especially in DC communities. Such disparities in HIV cases occur based on people’s race, gender, sexual orientation, income and geographical location. The social determinants of health also play a role in these cases such as poverty, access to care, stigma and racism. Our program will tackle these issues by providing an emphasis on existing programs by making counseling, screening, condoms, and HIV tests accessible to everyone especially to residents in Wards 5, 7, and 8. This will all be done via various platforms like Instagram and Facebook. Also, using aesthetically pleasing pamphlets that will portray information on HIV and strategies to prevent any new HIV cases from arising.

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  Project Anacostia

  Lapoldeon Williams, Abenezer Lemma, Janae Thomas, and Kafoued Ouedraogo

  Objectives Project Anacostia aims to [1] help meet the Healthy People 2020 goal of reducing the disease burden of diabetes mellitus (DM) and improving the quality of life for all persons who have, or are at risk for, DM as outlined by the U.S. Department of Health and Human Services. [2] To increase community awareness of the social determinants of health related to obesity and diabetes. [3] Increase access to recreational facilities and healthy food options in Wards 7 &8 and [4] promote healthy lifestyle choices among youth in the Anacostia community.

  Methods Our intervention is comprised of three progressive steps, which will be implemented as a revitalization of the Anacostia Recreation Center. The first phase is an information session to educate community members on the goals, importance and proposed impact of this project, as well as provide didactic information on the pathophysiology, epidemiology and consequences of obesity and diabetes in their communities. The second phase is to increase healthy food access by creating a community garden containing organically grown fruits and vegetables. Lastly, we will implement a calisthenics park which would serve to encourage and enable community members to participate in bodyweight exercises . Proposed Impact In the short term, we propose that this intervention would serve to improve local health literacy, increase community awareness on obesity and diabetes pathophysiology and the social determinants underlying these diseases, increase the consumption of fruits and vegetables sourced from the organic gardens and finally, increase levels of physical activity and exercise among Anacostia youth. In the long term, we anticipate that this intervention will lead to decreased BMI’s (Body Mass Index) of participating adolescents and communities at large.

  Discussion Through addressing food access, health literacy and built environment, our intervention aims to minimize the disease burden of obesity and diabetes in the Anacostia community. Targeting the stark disparities in health status at the level of social determinants offers a sustainable and impactful avenue through which the many other underserved, underrepresented communities nation-wide may improve their health status and develop into thriving populations.

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  Reducing Mental Illness in DC Adolescents

  Chidi Anita, Cindy Kabore, Ezechinyere Njoku, and Sabrina Sanabria-Lawrence

  DC high school students and adolescents from ages 12 to 17 suffer more from mental illnesses than adults and children ages 12 and under (Putzer, 2016). The prevalence of depression in high school adolescents in DC is above the (nationwide) baseline (Putzer, 2016). The rate of suicide attempts in teenagers in the DC Metropolitan area is 13.4%, which is a decrease from 2015, but still higher than the baseline by 3.0% (Putzer, 2016). Similarly, the rate of major depressive episodes (MDEs) in teens local to DC is 7.4%, which continues to be higher than the baseline by 0.9% (Putzer, 2016). The DC Healthy People target for adolescent suicide rates is 5.0%, and the target rate for MDE’s is 5.8% (Putzer, 2016).

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  Everything 4 Youth

  Betelhem Assefa, Eliah Blakeney, Selam Bulti, and Mercedes Butler

  The importance of positive role models cannot be emphasized enough. Seeing people from similar circumstances excel and help you make smart choices can be a powerful tool in improving your life. Mentorship, especially in marginalized communities, can help young people stay in school, avoid risky behavior and give them the tools to deal with the struggles they face.

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  DC Teen Health Program (DC THP)

  Djibril Fall, Matthew Holt, Ryneisha McKenzie, and Zari Ventura

  Target Population: African-American adolescents aged 13-20 residing in Wards 7 and 8 of Washington, DC. ● Health Issue: Lack of access to health care such as, health literacy, transportation, and available health resources. The health disparity/issue that we are targeting is the lack of access to health care within Wards 7 & 8 that is specifically aimed at African American adolescents between the ages of 13-20 years of age. The lack of access to health care in these wards is important because it increases the risk of youth having long term health issues such as asthma or obesity, which can lead to hypertension and diabetes. This is imperative because the future of our youth is determined by their ability to see a provider and obtain the necessary preventive care. This health disparity affects many in the community because the majority of them are impacted with higher rates of death and more emergency department visits that could have been prevented with more access to healthcare providers. In order to effectively increase access to health care in Wards 7 & 8, we have created an interactive program that targets areas with little transportation, fewer clinics and creates a very accessible service.

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  Triple Threat: Free, Fit and Fun. Fighting Against Diabetes

  Elizabeth Lozano, Demia Clark, Emiyah Cofield, and Natai Jinfessa

  Diabetes affects 9.3% (29 million) of the entire U.S. population and is the 6th leading cause of death (CDC, 2014, Marcus, 2016). Type two diabetes is a form of diabetes which occurs as a result of the body decreasing insulin production or the body’s resistance to insulin action. 95% of the individuals diagnosed with diabetes have type two diabetes (Santos, 2017). Obesity, the condition of carrying extra fat in the body, is linked to type two diabetes. Data shows that 9 in 10 Americans living with type 2 diabetes have obesity (ASMBS, 2013). Additionally, 27% of the adults (86 million) in the United States are affected by prediabetes (Healthy People, 2017).