Native Hawaiians flock to Las Vegas for affordable living

Associated Press

Native Hawaiians flock to Las Vegas for affordable living

Jennifer Sinco Kelleher – January 22, 2023

Doreen Hall Vann walks with son Zaiden after tryouts for a club baseball team Saturday, Jan. 21, 2023, in Las Vegas. In 2019 Vann moved from Hawaii to Las Vegas to be closer to her daughter in Seattle. (AP Photo/John Locher)
Doreen Hall Vann walks with son Zaiden after tryouts for a club baseball team Saturday, Jan. 21, 2023, in Las Vegas. In 2019 Vann moved from Hawaii to Las Vegas to be closer to her daughter in Seattle. (AP Photo/John Locher)
Doreen Hall Vann wathes her son Zaiden during tryouts for a club baseball team Saturday, Jan. 21, 2023, in Las Vegas. In 2019 Vann moved from Hawaii to Las Vegas to be closer to her daughter in Seattle. (AP Photo/John Locher)
Doreen Hall Vann wathes her son Zaiden during tryouts for a club baseball team Saturday, Jan. 21, 2023, in Las Vegas. In 2019 Vann moved from Hawaii to Las Vegas to be closer to her daughter in Seattle. (AP Photo/John Locher)

KAPOLEI, Hawaii (AP) — Kona Purdy never wanted to live anywhere but Hawaii. As a Native Hawaiian, he wanted his children to grow up like he did: rooted in their culture, and nourished by the mountains and ocean.

But raising a family in Hawaii meant squeezing nine people into a four-bedroom house — rented with extended family — in Waipahu, a Honolulu suburb. It felt cramped, but the Purdys accepted that this was the price to survive in their homeland.

“We stuffed ourselves into one room,” Purdy said of his four-member family’s living arrangements.

Their share of the monthly rent was $2,300. When rent increased, the Purdys realized that they could no longer afford to live in Hawaii.

“I was so busy working, trying to make ends meet,” he said. “We never took our kids out to the beach. We didn’t go hiking.”

It’s increasingly common for Hawaii residents to be priced out of the Aloha State, where the median price for a single-family home topped $900,000 during the pandemic. On Oahu, the most populous island and where Honolulu is, the median price is more than $1 million.

Many residents work in low-wage service jobs, and the financial strain is especially significant for Hawaii’s Indigenous people. A state analysis published last year showed that a single person working 40 hours a week would need to earn $18 an hour to pay for housing and other necessities in Hawaii, but the state minimum wage is currently $12 an hour.

Many, like the Purdys, have headed to Las Vegas.

According to 2021 population estimates from the U.S. Census Bureau, the biggest growth of Native Hawaiian and other Pacific Islander populations was in Clark County, Nevada, which includes Las Vegas, and Sacramento County, California. The biggest decline of Native Hawaiian residents was in Honolulu.

Hawaii residents are spending on average 42.06% of their income on rent, which is the highest of any state, according to a Forbes Home analysis. California ranks second, but at a much smaller proportion of income going toward rent: 28.47%.

Estimates from the American Community Survey showed that in 2011, there were about 296,400 Native Hawaiians in Hawaii and about 221,600 on the continental U.S. Just a decade later, those numbers flipped. In 2021, there were about 309,800 Native Hawaiians in Hawaii and about 370,000 in other states.

“There’s no Hawaii without Hawaiians,” said Honolulu City Council Chair Tommy Waters, who is Native Hawaiian. His five siblings have all moved to the continental U.S. “That’s just incredibly sad to me, that Hawaiians cannot afford to live in Hawaii.”

Las Vegas was desirable to the Purdys because it’s a popular vacation destination for Hawaii residents, which meant family would likely visit often. Also, the cost of living is significantly lower.

So in 2017, they uprooted their family and moved to Henderson, a Las Vegas suburb in Clark County, where they could afford to rent a two-bedroom apartment for $1,000 a month.

Far from Hawaii’s shores, they felt like “fish out of water,” Purdy said.

“So it’s real ‘eha,’” Purdy said, using the Hawaiian word for painful, “because you do get disconnected from the land, which we’re so connected to, being born and raised here.”

But even though they were nearly 3,000 miles from home, Hawaiian culture was all around them. Thanks to many other transplants, the Las Vegas area is full of restaurants catering to Hawaiian taste and cultural events expressing Hawaiian pride.

There’s even a real estate brokerage that helps families relocate from the islands — run by mostly former Hawaii residents.

“You go into any store in any part of the valley and you’ll find someone from Hawaii working there or shopping there,” Purdy said.

A three-bedroom home priced at $300,000 in a Las Vegas suburb would be $1.2 million in Honolulu, said Terry Nacion, a Native Hawaiian realtor. She left Hawaii for Las Vegas in 2003 because home ownership felt unattainable. “Back home, you either had to have your home passed down to you or you have to work four jobs,” she said.

A few months after they moved, about 20 other relatives, including Purdy’s mother, uncle and sister Lindsay Villarimo, followed them.

“Over time, it just became exhausting trying to make ends meet,” said Villarimo. “It’s heartbreaking that’s the choice we make. The majority of us, I think we just got priced out of home.” When Villarimo and her family decided to move to Nevada, her husband Henry had never even left Hawaii.

Las Vegas’ affordability was “liberating,” she said. With cheaper rent and groceries, and no state income tax, she could stretch her paycheck further.

“We were just living it up in the dollar store,” she said. In Hawaii, that type of store doesn’t exist.

For Hawaii residents, the draw to Las Vegas can all be traced back to a downtown hotel that opened in 1975, author Dennis M. Ogawa said.

The hotel originally catered to Californians, but he struggled to get business. Reminded of gambling’s popularity in Hawaii, it shifted focus to visitors from the islands. “Aloha Spoken Here” became the hotel’s slogan.

In 2019, Doreen Hall Vann decided to move to Las Vegas to be closer to her daughter, who had moved to Seattle for more job opportunities.

On Facebook, she gushed about how much cheaper everything was, from bread to rent. But she started to worry about staying connected to her culture while living far from home, especially because she uprooted her son, who was then 6 years old, from his Hawaiian language immersion school.

“It’s just like when you give birth and you cut your umbilical cord. For us Native Hawaiians, our ‘piko’ is the source of life,” Hall Vann said, using the Hawaiian word for navel or umbilical cord. “When we move off island … we are disconnected because we’re not on our land anymore.”

But in her new home, she found she had more time and less stress.

“I was so busy back home trying to make a living,” she said. “When I moved to Vegas, it really put a pause in my life and I could see things a lot clearer.”

That allowed her to get involved in the Las Vegas Hawaiian Civic Club, where she now teaches Hawaiian.

“We have our people, our home, our community is thriving,” she said.

In Las Vegas, Purdy’s children began to learn hula and the family enjoyed “hoolaulea,” cultural festivals that were bigger than celebrations back in Hawaii.

But in August 2021, exactly four years after leaving Hawaii, the Purdys moved back home.

Purdy said that his wife wanted to take care of her mother, who began showing signs of dementia. Their daughter also got accepted to Kamehameha Schools, a highly selective and relatively affordable private school system that gives admissions preference to students with Hawaiian ancestry.

The family moved to Kapolei, a Honolulu suburb not far from where they once lived, to share a five-bedroom house with their extended family. Now that the Purdys have three children, they rent two of the bedrooms.

Purdy is trying to find time to take his kids to hula lessons. Since moving back, the family has only been to the beach once.

“It’s a grind, it’s hard, it’s really expensive,” he said. “But I also feel like we’re exactly where we’re supposed to be right now.”

‘I had no choice’: For many homeless people, O’Hare has become a nighttime refuge

Chicago Tribune

‘I had no choice’: For many homeless people, O’Hare has become a nighttime refuge

Adriana Pérez, Chicago Tribune – January 22, 2023

Norbert Pikula, 77, had been sleeping on a friend’s sofa every night for the last six months. But when his friend was admitted to the hospital a few weeks ago, Pikula’s fragile world turned upside down and he had nowhere to sleep.

So now he uses his senior citizen CTA pass to ride to O’Hare International Airport and spend the night there. His situation mirrors that of countless other homeless people who sleep at the airport to stay warm and safe during the winter.

“I had no choice,” Pikula told the Tribune on Thursday. He was on his way to open a bank account after eating his usual weekday lunch at Providence Soup Kitchen in St. Stanislaus Kostka Catholic Church.

According to a report from the Chicago Coalition for the Homeless, an estimated 65,611 people experienced homelessness in Chicago in 2020, an estimate different from that offered by the U.S. Department of Housing and Urban Development because it takes into account people living doubled up or temporarily staying with others.

And while sheltering at the airport isn’t new, said Jessica Dubuar, director of health and specialty services of Haymarket Center, which has conducted outreach operations out of O’Hare to address homelessness in public transportation since 1990, the steadily increasing number of people doing it is.

“We saw over 600 unique individuals that we engaged with. We also had almost 14,000 encounters with them throughout the calendar year,” she said. Compared with previous years, that number illustrates an uptick: In 2021, there were 11,196 recorded encounters. In 2020 — the beginning of the pandemic — saw 12,270 encounters. In 2019, they recorded 9,975 encounters. In 2018, it was 8,132.

“This is not a new situation at the airport. It’s one that many organizations and city departments have been aware of and have been devoting resources to for 30 plus years,” Dubuar said. “As the years have gone on, we definitely see a pattern of the number of folks who are coming to the airport — I would even just call it a spike in the numbers of folks that we’re seeing at the airport when the weather turns cold.”

Advocates offer a couple of reasons for why more people are seeking shelter at O’Hare. Sarah Boone of the Chicago Housing Initiative who created a GoFundMe to help Pikula raise money, said there are three realities facing the homeless population right now: the number of beds in homeless shelters was decreased at the beginning of the COVID-19 pandemic and never restored, migrants who have recently arrived in Chicago are increasingly using homeless shelters as well, and homeless shelters across the city are overwhelmed.

And on the ground at O’Hare, workers offer another possible explanation. Jessy Pearl, a Transportation Security Administration agent who works at the airport, said she has noticed an uptick in the homeless population sheltering there since Delta Air Lines moved out of Terminal 2 and into Terminal 5.

“There’s more homeless people — more activity is concentrated at Terminal 2, since there’s less passenger traffic,” especially in the early afternoon, Pearl told the Tribune. “I’ve worked at the airport long enough to know that more homeless people have been around the CTA and arrivals area ever since the pandemic started. More so lately, since Delta moved to Terminal 5.”

According to a statement by the Chicago Department of Aviation (CDA), which manages O’Hare, the department is “aware of the increasing population of unsheltered individuals at O’Hare International Airport. It’s a common occurrence at this airport and airports nationwide when temperatures drop in the winter months. Airport leadership and staff on the ground continue collaboration with the Department of Family and Support Services (DFSS) and their delegate agencies to provide 24/7 outreach to unsheltered residents at O’Hare.

“Outreach professionals engage with individuals experiencing homelessness at O’Hare and conduct needs assessments. If the individual chooses to accept assistance, outreach professionals connect them with appropriate services and shelters, including necessary referrals and transportation. The CDA is committed to working with fellow city departments and community partners to support those in need and connect them with all available resources in Chicago.”

Pikula has been sleeping at the airport for the last two weeks or so, said Boone. And he’s been carrying around his belongings all day as he moves around the city. “I think it’s wearing on him,” she added.

Boone said she met Pikula at Holy Trinity Russian Orthodox Cathedral in Ukrainian Village where free food is offered on Saturdays. Her organization shows up to soup kitchens and places where there’s free food to connect homeless people with necessary services in the city and tend to their needs.

“I tried to get him to go to the hospital across the street, because you can go to the ER to call the shelters. And he didn’t want to do that because the wait is so long,” Boone said. “So we tried calling 311. And he kind of just said he’d prefer to be at the airport than at the shelters. So then I went home and I just thought about it. And I was like, we should do a GoFundMe. I’ve never done this before. But what if it works?”

With approximately 100 donations, the campaign had raised over $4,900 as of Friday afternoon out of a $9,800 goal.

Pikula said he is looking for a more permanent housing situation than couch surfing or spending nights at O’Hare. He’s hoping to find a studio or one-bedroom apartment in Wicker Park, Logan Square, Avondale or Garfield Park. That’s where his friends from the soup kitchens he visits live, so he wants to be close by.

A Polish American who grew up in Chicago, Pikula previously worked as a baker and security guard. He is on the waiting list for senior Chicago Housing Authority housing and subsidized Catholic Charities senior apartments. So far, he has had no luck finding a place to live.

During the pandemic, many homeless people turned to the CTA for shelter, and service providers set up at the Forest Park Blue Line station. But as the effects of the pandemic continue to limit housing, needs at the other end of the line also became evident.

Off the Blue Line O’Hare stop, to the left, a sign for the Haymarket Center O’Hare Outreach sticks out of the wall. A man was waiting to go in Thursday morning as he charged his cellphone.

The program assists homeless clients and passengers seeking shelter at the airport. It also approaches issues regarding alcohol and substance abuse, housing and income. Dubuar described what a client may find in the 24/7 office at O’Hare.

“We have a number of resources available on site from, food and coffee, water, hand sanitizer, masks … those things. We also have clothing available, hygiene products and a few other things,” she said. “What we’ll also do is invite people to come in and sit down and talk to us. And we do a small assessment with them, exploring all sorts of things from health care, mental health care, substance use, benefits and IDs and all of those things.”

The O’Hare Outreach program is funded by the Chicago Department of Aviation and carried out in cooperation with the Department of Family Support Services and a host of other community partners, such as shelter providers, substance use treatment providers and — importantly — housing programs.

“The complexity of the (needs of) folks we’re seeing has increased and, (in) the number of encounters, that’s really where you see that reflected,” Dubuar said. “This isn’t just a ‘somebody needs a sandwich today’ and that’s it, that’s all they needed. Because I think that we have folks, their needs are complex and navigating through these systems is hard and they need as much support as they can possibly get.”

While Dubuar couldn’t confirm whether there is a more concentrated homeless population in specific airport terminals, she said it’s possible that changes in the airport complex layout influence where homeless people spend their time.

“Individuals who come to the airport for shelter do learn the system and do see when there are construction projects or changes to how the space is being monitored with our partners from CPD and the Department of Aviation,” she said. “And so it is it is highly possible that there are going to be some folks who are visible because certain areas are under construction or maybe not being monitored as much as possible.”

On Friday morning, as the sun rose, a few scattered people in O’Hare’s Terminal 2 rustled in their sleep. They were slowly waking up. Some of them might have had canceled or delayed flights. Others, though, were homeless and had sought a warm place to spend the night.

A police officer approached a person who was lying by the windows in the arrivals area of Terminal 2. He asked if they were OK. “Just try not to fall sleep,” he said. “Stay awake.”

Pikula and other homeless people will likely keep searching for a more stable situation than sleeping at the airport every night. Even as they seek support services, though, continuing to sleep at the airport seems, in Pikula’s words, the only option in terms of surviving cold winter nights.

“I’ll be honest with you, my life has not been rosy,” Pikula said. “It’s been a fighting life.”

It’s hard to say how long it takes, on average, for a homeless person in Chicago to find stable housing, Dubuar said.

“As with most social services, benefits and resources, it’s about eligibility and availability,” she said. “Sometimes it’s a matter of the stars aligning.”

Chicago Tribune’s Rosemary Sobol contributed.

Military probing whether cancers linked to nuclear silo work

Associated Press

Military probing whether cancers linked to nuclear silo work

Tara Copp – January 22, 2023

FILE – An inert Minuteman III missile is seen in a training launch tube at Minot Air Force Base, N.D., June 25, 2014. Nine military officers who had worked decades ago at a nuclear missile base in Montana, home to a vast field of 150 Minuteman III intercontinental ballistic missile silos, have been diagnosed with blood cancer and there are “indications” the disease may be linked to their service, according to military briefing slides obtained by The Associated Press. One of the officers has died. (AP Photo/Charlie Riedel, File) (ASSOCIATED PRESS)

WASHINGTON (AP) — Nine military officers who had worked decades ago at a nuclear missile base in Montana have been diagnosed with blood cancer and there are “indications” the disease may be linked to their service, according to military briefing slides obtained by The Associated Press. One of the officers has died.

All of the officers, known as missileers, were assigned as many as 25 years ago to Malmstrom Air Force Base, home to a vast field of 150 Minuteman III intercontinental ballistic missile silos. The nine officers were diagnosed with non-Hodgkin lymphoma, according to a January briefing by U.S. Space Force Lt. Col. Daniel Sebeck.

Missileers ride caged elevators deep underground into a small operations bunker encased in a thick wall of concrete and steel. They remain there sometimes for days, ready to turn the launch keys if ordered to by the president.

“There are indications of a possible association between cancer and missile combat crew service at Malmstrom AFB,” Sebeck said in slides presented to his Space Force unit this month. The “disproportionate number of missileers presenting with cancer, specifically lymphoma” was concerning, he said.

Sebeck declined to comment when contacted by email by the AP on Saturday, saying the slides were “predecisional.” In the slides, he said the issue was important to the Space Force because as many as 455 former missileers are now serving as Space Force officers, including at least four of the nine identified in the slides.

In a statement to the AP, Air Force spokeswoman Ann Stefanek said that “senior leaders are aware of the concerns raised about the possible association of cancer related to missile combat crew members at Malmstrom AFB.”

Stefanek added: “The information in this briefing has been shared with the Department of the Air Force surgeon general and our medical professionals are working to gather data and understand more.”

Non-Hodgkin lymphoma, which according to the American Cancer Society affects an estimated 19 out of every 100,000 people in the U.S. annually, is a blood cancer that uses the body’s infection-fighting lymph system to spread.

For comparison, only about 3,300 troops are based at Malmstrom at a time, and only about 400 of those are assigned either as missileers or as support for those operators. It is one of three bases in the U.S. that operate a total of 400 siloed Minutemen III ICBMs, including fields at Minot Air Force Base in North Dakota and F.E. Warren Air Force Base in Wyoming.

The median age for adult non-Hodgkin lymphoma is 67, according to the National Institutes of Health. The former missileers affected are far younger. Officers are often in their 20s when they are assigned duty watch; the officer who died, who was not identified, was a Space Force officer assigned to Schreiver Space Force Base in Colorado with the rank of major, a rank typically achieved in a service member’s 30s. Two of the others are in the same Space Force unit with the rank of lieutenant colonel, which is typically reached in a service member’s early 40s.

It’s not the first time the military has been alerted to multiple cancer cases at Malmstrom. In 2001 the Air Force Institute for Operational Health investigated the base after 14 cancers of various types were reported among missileers who had served there, including two cases of non-Hodgkin lymphoma.

But the review found the base was environmentally safe and that “sometimes illnesses tend to occur by chance alone.” The report lamented that the list of those diagnosed had been collected because it “perpetuates the level of concern.”

The discovery of new cases comes as the U.S. government has shown more openness to acknowledging the environmental hazards, or toxic exposures, troops may face while serving.

In her statement to the AP, Air Force spokeswoman Stefanek said, “We are heartbroken for all who have lost loved ones or are currently facing cancer of any kind.”

It was not clear whether some of the nine officers identified in the January briefing slides, whose diagnoses occurred between 1997 and 2007, overlap some of the cases identified in the Air Force’s 2001 investigation. It’s also not known if there were similar reports of cancers at other nuclear silo bases or whether that is being investigated by the Air Force.

“Missileers have always been concerned about known hazards, such as exposure to chemicals, asbestos, polychlorinated biphenyls, lead and other hazardous material in the work environment,” Sebeck said in the January slides. “All missileers should be screened and tracked for the rest of their lives.”

Last year President Joe Biden signed the PACT Act, which greatly expanded the the types of illnesses and toxic exposures that would be considered presumptive — meaning a service member or veterans would not face an uphill battle to convince the government that the injury was tied to their military service in order to received covered care.

Doctors Say This One Habit Can Help You Sleep Better And Boost Your Energy

She Finds

Doctors Say This One Habit Can Help You Sleep Better And Boost Your Energy

Faith Geiger – January 22, 2023

woman waking up and stretching feeling energized
woman waking up and stretching feeling energized

Proper rest is so important for your overall health. From brain performance to mood and even gut health, sleep plays a role in so many vital components of wellness—which is why it’s so essential to ensure you’re getting the best, most restful sleep possible each night. And as it turns out, there may be one missing piece you’re overlooking if you’re struggling to fall asleep, stay asleep, and wake up feeling energized. Believe it or not, it has to do with your morning routine. 

That’s right: we spoke Dan Ford, sleep psychologist from The Better Sleep Clinic, to learn more about the best habits to improve sleep and energy throughout the day, and he told us that waking up at the same time each morning is crucial. Your wake-up time plays a key role in regulating your circadian rhythm and releasing important hormones for sleep. Learn more below!

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Wake up at the same time every day

When you think about good sleep habits, you may think primarily about what you do before you go to bed–i.e. shutting down electronics, unwinding, drinking a relaxing tea, etc. And while all of these things are definitely great habits to promote better sleep, Dr. Ford says that a good wakeup routine can also be a gamechanger. “While every second internet article recommends having a go to sleep routine, the irony is that the most important habit in all of sleep medicine is to get up at the same time every day and try not to vary this by more than 1 hour,” he says. Who knew?!

Dr. Ford tells us that waking up at the same time every day is beneficial for two reasons. “First, when you get up at the same time this helps to anchor your circadian rhythm or body clock,” he explains. This is the “master clock” in your brain that takes cues from the amount of light your body gets in order to regulate the clocks in your body. From there, your body uses these “clocks” to know when to release hormones, as well as when to carry out a number of other important processes. And it’s extremely important to your sleep cycle that you keep these clocks on track.  “When you shift your wake-up time, you change the light dark cycle signals to your body clock, throw it out of sync, and the result is similar to jet lag–symptoms of fatigue, nausea, lack of energy etc,” Dr. Ford says. That means that, believe it or not, sleeping in and waking up at a later time than your body is used to could actually cause you to have less energy throughout the day.

But it isn’t just your energy levels that a consistent wake-up time can improve. It can also help you get a better sleep at night. “The reason for this is that the length of time you are awake determines the build-up of the chemical adenosine in your body,” Dr. Ford goes on. “Adenosine build up influences how sleepy you feel and how deep you sleep at night.” And the longer you’re awake, the more adenosine you’re able to build up–and the easier it will be to fall asleep and stay asleep. Alternatively, if you sleep in to try to “catch up on sleep,” your day will be shorter than usual, and you’ll likely have trouble falling asleep–which means you’ll also have less energy in the morning. “Most adults will need around 16-17 hours of wakeful activity before they have sufficient adenosine build up to sleep for a solid 7 hours (the healthiest amount of sleep for an adult),” Dr. Ford notes.

So, as it turns out, a restful, energizing sleep is about more than going to bed at a decent time and having a good relaxation routine. Your morning can make a big difference, too. So be sure to set that alarm clock–and don’t hit the snooze button too many times!

Losing their religion: why US churches are on the decline

The Guardian

Losing their religion: why US churches are on the decline

Adam Gabbatt – January 22, 2023

<span>Photograph: Ed Jones/AFP/Getty Images</span>
Photograph: Ed Jones/AFP/Getty Images

Churches are closing at rapid numbers in the US, researchers say, as congregations dwindle across the country and a younger generation of Americans abandon Christianity altogether – even as faith continues to dominate American politics.

As the US adjusts to an increasingly non-religious population, thousands of churches are closing each year in the country – a figure that experts believe may have accelerated since the Covid-19 pandemic.

Related: Friend of Satan: how Lucien Greaves and his Satanic Temple are fighting the religious right

The situation means some hard decisions for pastors, who have to decide when a dwindling congregation is no longer sustainable. But it has also created a boom market for those wanting to buy churches, with former houses of worship now finding new life.

About 4,500 Protestant churches closed in 2019, the last year data is available, with about 3,000 new churches opening, according to Lifeway Research. It was the first time the number of churches in the US hadn’t grown since the evangelical firm started studying the topic. With the pandemic speeding up a broader trend of Americans turning away from Christianity, researchers say the closures will only have accelerated.

“The closures, even for a temporary period of time, impacted a lot of churches. People breaking that habit of attending church means a lot of churches had to work hard to get people back to attending again,” said Scott McConnell, executive director at Lifeway Research.

“In the last three years, all signs are pointing to a continued pace of closures probably similar to 2019 or possibly higher, as there’s been a really rapid rise in American individuals who say they’re not religious.”

Protestant pastors reported that typical church attendance is only 85% of pre-pandemic levels, McConnell said, while research by the Survey Center on American Life and the University of Chicago found that in spring 2022 67% of Americans reported attending church at least once a year, compared with 75% before the pandemic.

But while Covid-19 may have accelerated the decline, there is a broader, long-running trend of people moving away from religion. In 2017 Lifeway surveyed young adults aged between 18 and 22 who had attended church regularly, for at least a year during high school. The firm found that seven out of 10 had stopped attending church regularly.

The younger generation just doesn’t feel like they’re being accepted in a church environment or some of their choices aren’t being accepted

Scott McConnell, Lifeway Research

Some of the reasons were “logistical”, McConnell said, as people moved away for college or started jobs which made it difficult to attend church.

“But some of the other answers are not so much logistics. One of the top answers was church members seem to be judgmental or hypocritical,” McConnell said.

“And so the younger generation just doesn’t feel like they’re being accepted in a church environment or some of their choices aren’t being accepted by those at church.”

About a quarter of the young adults who dropped out of church said they disagreed with their church’s stance on political and social issues, McConnell said.

study by Pew Research found that the number of Americans who identified as Christian was 64% in 2020, with 30% of the US population being classed as “religiously unaffiliated”. About 6% of Americans identified with Judaism, Islam, Hinduism and Buddhism.

“Since the 1990s, large numbers of Americans have left Christianity to join the growing ranks of US adults who describe their religious identity as atheist, agnostic or ‘nothing in particular’,” Pew wrote.

“This accelerating trend is reshaping the US religious landscape.”

In 1972 92% of Americans said they were Christian, Pew reported, but by 2070 that number will drop to below 50% – and the number of “religiously unaffiliated” Americans – or ‘nones’ will probably outnumber those adhering to Christianity.

Stephen Bullivant, author of Nonverts: The Making of Ex-Christian America and professor of theology and the sociology of religion at St Mary’s University, said in the Christian world it had been a generational change.

While grandparents might have been regular churchgoers, their children would say they believe in God, but not go to church regularly. By the time millennials came round, they had little experience or relationship with churchgoing or religion.

In the Catholic church, in particular, the sexual abuse scandal may have driven away people who had only a tenuous connection to the faith.

“The other thing is the pandemic,” Bullivant said.

“A lot of people who were weakly attached, to suddenly have months of not going, they’re then thinking: ‘Well we don’t really need to go,’ or ‘We’ve found something else to do,’ or thinking: ‘It was hard enough dragging the kids along then, we really ought to start going again … next week.’”

Bullivant said most other countries saw a move away from religion earlier than the US, but the US had particular circumstances that slowed things down.

“Canada, Britain, France, Australia, New Zealand, the nones rise much earlier, the wake of the 1960s the baby boom generation, this kind of big, growing separation of kind of traditional Christian moral morality,” Bullivant said.

“What happens in America that I think dampens down the rise of the nones is the cold war. Because in America, unlike in Britain, there’s a very explicit kind of ‘Christian America’ versus godless communism framing, and to be non-religious is to be un-American.

“I think that dampens it down until you get the millennial generation for whom the cold war is just a vague memory from their early childhood.”

When people leave, congregations dwindle. And when that gets to a critical point, churches close. That has led to a flood of churches available for sale, and a range of opportunities for the once holy buildings.

Brian Dolehide, managing director of AD Advisors, a real estate company that specializes in church sales, said the last 10 years had seen a spike in sales. Frequently churches become housing or care homes, while some of the churches are bought by other churches wanting to expand.

But selling a church isn’t like selling a house or a business. Frequently the sellers want a buyer who plans to use the church for a good cause: Dolehide said he had recently sold a church in El Paso which is now used as housing for recent immigrants, and a convent in Pittsburgh which will be used as affordable housing.

“The faith-based transaction is so different in so many ways from the for-profit transaction. We’re not looking to profit from our transactions, we’re looking for the best use that reflects the last 50 years or 100 years use if possible.”

The closures aren’t spread evenly through the country.

In Texas, John Muzyka said there were fewer churches for sale than at any point in the last 15 years. He believes that is partly down to Texas’s response to the pandemic, where the governor allowed churches to open in May 2020, even when the number of new Covid cases was extremely high.

“I would say if a church stayed closed for more than a year, it was really hard to get those people to come back. When you were closed for three months, you were able to get over it,” Muzyka said.

That aside, closures are often due to a failure of churches to adapt.

“A church will go through a life cycle. At some point, maybe the congregation ages out, maybe they stop reaching young families.

“If the church ages and doesn’t reach young people, or the demographics change and they don’t figure out how to reach the new demographic, that church ends up closing.

“Yes, there’s financial pressures that will close a church, but oftentimes, it’s more that they didn’t figure out how to change when the community changed, or they didn’t have enough young people to continue the congregation for the next generation.”

‘So much pain’: KC-area woman who spent 322 days on a ventilator with COVID dies

The Kansas City Star

‘So much pain’: KC-area woman who spent 322 days on a ventilator with COVID dies

Lisa Gutierrez – January 19, 2023

COVID-19 began stealing Gwen Marie Starkey from her Missouri family nearly two years ago. It forced the retiree to spend 322 days, nearly all of 2021, hooked to an uncomfortable noisy ventilator.

But in the end, Starkey left this earth in peace, at home with family.

Starkey, 61, of Polo, north of Kansas City, died on Jan. 2, after contracting COVID-19 in February 2021. She leaves behind her husband, Troy Starkey, two daughters, four grandsons and three sisters.

Starkey caught COVID before vaccines were widely available.

“News I never wanted to share,” her daughter, April Shaver, told The Star after her mother died. “She passed on her own. She went on hospice by choice and passed in less than a week.

“It’s been terribly difficult but we had almost a year with her at home with us.”

Starkey had just retired after 30 years at the Ford Motor Co. Kansas City Assembly Plant in Claycomo when she and several relatives got infected during a family gathering a few days before the Super Bowl. She got the worst case.

“The next day our lives changed without us even knowing it,” said Shaver. “I even told her, ‘You died the day you got COVID because you have never been the same. I’ve been grieving you for two years.”

About a month after she was hospitalized, Starkey told her family on FaceTime that she didn’t work all those years at the Ford plant just to die in a bed with COVID.

Gwen Starkey spent her 60th birthday in a hospital bed. She spent nearly all of 2021 on a ventilator after getting COVID-19.
Gwen Starkey spent her 60th birthday in a hospital bed. She spent nearly all of 2021 on a ventilator after getting COVID-19.

Taking on the naysayers

In the first of several stories The Star wrote about Starkey’s battle, Shaver said it shocked her to see her mother — healthy, active, an avid gardener — felled so quickly.

She had never seen her mother so helpless, her hands so gray and lifeless. She watched her mother become “a body in a bed” as life moved on around her.

Starkey’s father died while she was on the ventilator. She celebrated her 60th birthday in the hospital.

Outside of Kindred Hospital Northland in the summer of 2021, April Shaver of Kansas City held her 2-year-old son, Malakai, up to the window during a visit to see her mother, Gwen Starkey.
Outside of Kindred Hospital Northland in the summer of 2021, April Shaver of Kansas City held her 2-year-old son, Malakai, up to the window during a visit to see her mother, Gwen Starkey.

Watching her mother suffer, Shaver lost patience with the naysayers. She became so angry at people who called COVID a hoax that she posted a photo of herself holding her mom’s hand in the hospital. She wrote on Facebook: “This. Is. Covid. Please stop trying to say it’s not real.”

It was rare for COVID patients to spend that long on a ventilator. Sharkey became national news in July 2021 when Shaver appeared on “Erin Burnett OutFront” on CNN to talk about her mother’s health.

Starkey’s illness became a frustrating series of strides and setbacks, of hope and helplessness. She had collapsed lungs. Her kidneys failed.

She couldn’t speak for months after doctors tunneled into her throat with a tracheotomy tube. Sick as she was, she rode in ambulances several times, moving from one facility to another as her health waxed and waned.

She was admitted to Liberty Hospital in February 2021, transferred to Saint Luke’s in Kansas City, moved to a transitional care hospital in the Northland, returned to Saint Luke’s when she faltered, returned to Kindred Hospital Northland and entered MidAmerica Rehabilitation Hospital in Johnson County last January.

She had just come off a ventilator then, earning a “Certificate of Ventilator Liberation” certificate.

She finally returned home to Polo last February but was never able to get out of bed again, Shaver said. She was hospitalized several times during her year at home.

Gwen Starkey of Polo, Missouri, spent the last year of her life at home with family members, including her 4-year-old grandson, Kai.
Gwen Starkey of Polo, Missouri, spent the last year of her life at home with family members, including her 4-year-old grandson, Kai.

‘Ready to go’

Having her at home wasn’t “your usual family time,” Shaver said. Mostly, her mom just wanted “uneventful” peace and quiet.

Starkey still had to endure dialysis, riding 40 minutes back and forth to nearby Richmond three times a week. Missing an appointment sometimes led to a short hospital stay. But some days it was just too much. She chose not to go because the trip alone exhausted her.

In early December, during one of her mother’s good spells, Shaver went to Texas and got a tattoo on her right forearm: a butterfly and flowers like the ones in her mom’s garden. “Before I left she was so full of life and I was so happy because I felt like she was bouncing back,” she said. “But when I came back it felt like she was declining again.”

The timeline of Starkey’s last days “was just so bizarre,” Shaver said.

The day after Christmas, Starkey decided she wanted hospice care. The next day, Shirkey Hospice and Palliative Care from Richmond arrived. Family members said goodbye.

“I had my breakdown, confessed all my childhood secrets to her,” Shaver said. “It was happy, sad, everything you’d expect a goodbye to be.”

But her mom had a dream that God told her: “It’s not your time.” So Starkey sent hospice away.

But on Dec. 30, Starkey went to yet another dialysis session and changed her mind. She was ready to go.

On New Year’s Eve, family members said goodbye again.

On New Year’s Day, Starkey was unresponsive.

On the night of Jan. 2, she died.

Gwen Starkey never fully recovered from COVID-19. She spent the last year at home in bed. This is one of the last photos of her with family members in December.
Gwen Starkey never fully recovered from COVID-19. She spent the last year at home in bed. This is one of the last photos of her with family members in December.

One regret?

“She was in so much pain. You could look at her and could just tell,” said Shaver. “When I had my heart-to-heart with her, I was sobbing, my dad was sobbing, my husband was sobbing. She was completely dry-eyed. She was ready to go. She was good with God.”

When Starkey first got sick, the family waited to take her to the hospital. Loved ones, and Starkey herself, were scared that if she was put on a ventilator she would die. They had heard horror stories about COVID patients dying on the machines.

No one wanted to take her to the hospital. She didn’t want to go either, said Shaver, who has had COVID three times. She is vaccinated and boosted.

“Had we known, we would have sent her to the hospital several days before,” Shaver told The Star.

Starkey’s husband of more than 25 years spent the last two years as her caretaker, at her bedside in all those hospital rooms, at her side at home. Shaver worries that he needs looking after now. “He went from being needed all day to sitting in a room that’s quiet and empty,” she said.

Her mom requested a party after she was gone. The family plans to have one in the summer.

“The last thing she said to me, Shaver said, was, ‘Everything is going to be OK.”

From Gwen Starkey’s funeral. She was an avid gardener and her daughter, April Shaver, got a tattoo of flowers in her mother’s memory.
From Gwen Starkey’s funeral. She was an avid gardener and her daughter, April Shaver, got a tattoo of flowers in her mother’s memory.

Skipped Showers, Paper Plates: An Arizona Suburb’s Water Is Cut Off

The New York Times

Skipped Showers, Paper Plates: An Arizona Suburb’s Water Is Cut Off

Jack Healy – January 16, 2023

A water hauler sets up hoses to fill the tank at a home that is listed for sale in the Rio Verde Foothills outside of Scottsdale, Arizona, on Sunday, Jan. 8, 2023. (Erin Schaff/The New York Times)
A water hauler sets up hoses to fill the tank at a home that is listed for sale in the Rio Verde Foothills outside of Scottsdale, Arizona, on Sunday, Jan. 8, 2023. (Erin Schaff/The New York Times)

RIO VERDE, Ariz. — Joe McCue thought he had found a desert paradise when he bought one of the new stucco houses sprouting in the granite foothills of Rio Verde, Arizona. There were good schools, mountain views and cactus-spangled hiking trails out the back door.

Then the water got cut off.

Earlier this month, the community’s longtime water supplier, the neighboring city of Scottsdale, turned off the tap for Rio Verde Foothills, blaming a grinding drought that is threatening the future of the West. Scottsdale said it had to focus on conserving water for its own residents, and could no longer sell water to roughly 500 to 700 homes — or around 1,000 people. That meant the unincorporated swath of $500,000 stucco houses, mansions and horse ranches outside Scottsdale’s borders would have to fend for itself and buy water from other suppliers — if homeowners could find them, and afford to pay much higher prices.

Almost overnight, the Rio Verde Foothills turned into a worst-case scenario of a hotter, drier climate, showing what happens when unregulated growth collides with shrinking water supplies.

For residents who put their savings into newly built homes that promised desert sunsets, peace and quiet (but relegated the water situation to the fine print), the turmoil is also deeply personal. The water disruption has unraveled their routines and put their financial futures in doubt.

“Is it just a campground now?” McCue, 36, asked one recent morning, after he and his father installed gutters and rain barrels for a new drinking-water filtration system.

“We’re really hoping we don’t go dry by summer,” he said. “Then we’ll be in a really bad spot.”

In a scramble to conserve, people are flushing their toilets with rainwater and lugging laundry to friends’ homes. They are eating off paper plates, skipping showers and fretting about whether they have staked their fates on what could become a desiccated ghost suburb.

Some say they know how it might look to outsiders. Yes, they bought homes in the Sonoran desert. But they ask, are they such outliers? Arizona does not want for emerald-green fairways, irrigated lawns or water parks.

“I’m surrounded by plush golf courses, one of the largest fountains in the world,” said Tony Johnson, 45, referring to the 500-foot water feature in the neighboring town of Fountain Hills.

Johnson’s family built a house in Rio Verde two years ago, and landscaped the yard with rocks, not thirsty greenery. “We’re not putting in a pool, we’re not putting in grass,” he said. “We’re not trying to bring the Midwest here.”

The heavy rain and snow battering California and other parts of the Mountain West over the past two weeks is helping to refill some reservoirs and soak dried-out soil. But water experts say that one streak of wet weather will not undo a 20-year drought that has practically emptied Lake Mead, the country’s largest reservoir, and has strained the overburdened Colorado River, which supplies about 35% of Arizona’s water. The rest comes from the state’s own rivers or from aquifers in the ground.

Last week, Arizona learned that its water shortages could be even worse than many residents realized. As one of her first actions after taking office, Gov. Katie Hobbs unsealed a report showing that the fast-growing West Valley of Phoenix does not have enough groundwater to support tens of thousands of homes planned for the area; their development is now in question.

Water experts say Rio Verde Foothills’ situation is unusually dire, but it offers a glimpse of the bitter fights and hard choices facing 40 million people across the West who rely on the Colorado River for the means to take showers, irrigate crops, or run data centers and fracking rigs.

“It’s a cautionary tale for homebuyers,” said Sarah Porter, director of the Kyl Center for Water Policy at Arizona State University. “We can’t just protect every single person who buys a parcel and builds a home. There isn’t enough money or water.”

Porter said a number of other unincorporated areas in Arizona rely on water service from larger nearby cities like Prescott or Flagstaff. They could find themselves in Rio Verde’s straits if the drought persists and the cities start taking drastic conservation measures.

There are no sewers or water mains serving the Rio Verde Foothills, so for decades, homes there that did not have their own wells got water delivered by tanker trucks. (The homes that do have wells are not directly affected by the cutoff.)

The trucks would fill up with Scottsdale water at a pipe 15 minutes’ drive from the Rio Verde Foothills, and then deliver water directly to people’s front doors. Or rather, to 5,000-gallon storage tanks buried in their yards — enough water to last an average family about a month. When the tanks ran low, homeowners would call or send an electronic signal to the water haulers for another delivery.

It was a tenuous arrangement in the middle of the desert, but homeowners said the water always arrived, and had come to feel almost as reliable as a utility hookup.

Now, though, the water trucks can’t refill close by in Scottsdale, and are having to crisscross the Phoenix metro area in search of supplies, filling up in cities a two-hour round trip from Rio Verde. That has meant more driving, more waiting and more money. An average family’s water bill has jumped to $660 a month from $220, and it is unclear how long the water trucks will be able to keep drawing tens of thousands of gallons from those backup sources.

Heavier water users like Cody Reim, who moved into a starter house in Rio Verde two years ago, are being hit even harder. He said his water bills could now exceed $1,000 a month — more than his mortgage payment. Reim and his wife have four young children, which in normal times meant a lot of dishwashing, countless toilet flushes and dozens of laundry cycles to clean soiled cloth diapers.

Reim, who works for his family’s sheet-metal business, is planning to become his own water hauler, lashing large containers to his pickup and setting out to fill them up. He guesses that fetching water will take him 10 hours every week, but he said he would do anything to stay in Rio Verde. He loves the dark skies and the baying coyotes at night, and how his children can run up and down a dirt road that with views of the Four Peaks Wilderness.

“Even if this place went negative and I’d have to pay somebody to take it, I’d still be here,” he said of his house. “There’s no other option.”

Cities across the Southwest have spent years trying to cut down on water consumption, recharge aquifers and find new ways to reuse water to cope with the drought.

Experts say that most Arizona residents do not have to worry about losing their drinking water any time soon, though deeper cuts loom for agricultural users, who use about 70% of Arizona’s water supply. Phoenix and surrounding cities have imposed few water restrictions on residents.

Rio Verde Foothills once felt like a remote community far from the urban centers of Scottsdale or Phoenix, residents said, a quilt of ranches and self-built houses scattered among mesquite and palo verde trees.

But over the past few years, there has been a frenzy of home construction in the area, fueled by cheap land prices and developers who took advantage of a loophole in Arizona’s groundwater laws to construct homes without any fixed water supply.

To prevent unsustainable development in a desert state, Arizona passed a law in 1980 requiring subdivisions with six or more lots to show proof that they have a 100-year water supply.

But developers in Rio Verde Foothills have been sidestepping the rule by carving larger parcels into sections with four or five houses each, creating the impression of a miniature suburbia, but one that did not need to legally prove it had water.

“It’s a slipped-through-the-cracks community,” said Porter, with the Kyl Center for Water Policy.

Thomas Galvin, a county supervisor who represents the area, says there’s not much the county can do if builders split their parcels into five lots or less to get around the water supply requirement. “Our hands are tied,” he said.

People in Rio Verde Foothills are bitterly divided over how to resolve their water woes.

When some proposed forming their own self-funded water provider, other residents revolted, saying the idea would foist an expensive, freedom-stealing new arm of government on them. The idea collapsed. Other solutions, like allowing a larger water utility to serve the area, could be years off.

On Thursday, a group of residents sued Scottsdale in an effort to get the water turned back on. They argued the city violated an Arizona law that restricts cities from cutting off utility services to customers outside their borders. Scottsdale did not respond to the lawsuit.

Rose Carroll, 66, who is a plaintiff in the suit, said she would support any idea that would keep her from having to kill her donkeys.

She moved to Rio Verde Foothills two years ago, and runs a small ranch for two dozen rescued donkeys who had been abandoned, left in kill pens or doused with acid. The donkeys spend their days in a corral on her seven-acre property, eating hay and drinking a total of 300 gallons of water every day.

Carroll collected rainwater after a recent winter storm, enough for a few weeks’ worth of toilet flushes. The new cost to get water delivered to the ranch could reach an unaffordable $1,800 a month, she said, so she is putting some of the donkeys up for adoption and said she might have to euthanize others if she does not have enough water to keep them alive.

She said she got a call a few days ago, asking her to take in two more abandoned donkeys, but had to say no.

“I didn’t have the water,” she said.

Health Experts Break Down the Science That Has Politicians Debating a Gas Oven Ban

Good Housekeeping

Health Experts Break Down the Science That Has Politicians Debating a Gas Oven Ban

Zee Krstic – January 16, 2023

gas stove top burner fueled by methane gas
Can Gas Ovens Really Make You Sick?Valerii Vtoryhin – Getty Images
  • New research published in 2022 has linked gas stove pollution to negative health effects, prompting federal regulators to consider potential legislation.
  • Health experts say that gas stoves may pose an elevated risk to respiratory health due to a byproduct of burning methane gas in kitchens, known as nitrogen dioxide.
  • A leading environmental pollutant, nitrogen dioxide has been linked to increased asthma and lung disease for decades — but scientists are now looking at how gas stoves may contribute to the issue.
  • Our experts in the Good Housekeeping Institute share ways you can reduce any potential health risks associated with gas ovens without purchasing a new stove.

Recent headlines about the potential for an outright ban of gas ovens and stoves in the U.S. may have you concerned that federal regulators are coming for your oven.

But despite sparking a political debate among lawmakers on Capitol Hill, White House officials said Wednesday that new legislation concerning gas stoves and ovens won’t be officially considered any time soon, CNN reports. In short, open gas flames in home kitchens won’t be banned outright — and that it’s unlikely any potential future regulations would affect someone who already owns a gas stove top.

But concern remains over new research regarding the potential drawbacks of using gas burners at home, with some experts arguing that it’s just the latest study to back up years of evidence suggesting gas stoves may worsen respiratory health over time — and potentially trigger asthma.

In a December 2022 report published in the International Journal of Environmental Research and Public Health, the use of gas stoves in home kitchens was linked to an increased risk of asthma among children, in particular.

The evidence presented by researchers estimated that nearly 13% of childhood asthma cases in the U.S. may be traced back to exposure to chemical byproducts of burning gas. This purported link was prefaced by a similar report released by the American Medical Association in late 2022 that formally recognized “the association between the use of gas stoves, indoor nitrogen dioxide levels and asthma.”

These recent developments — as well as additional data from the 1990s to as recent as 2014 — prompted the U.S. Consumer Product Safety Commission (CPSC) to announce it would consider new forms of regulation on gas stoves.

Lawmakers are currently debating whether or not regulation should be implemented that could require gas stoves to be sold with a hood that vents to the outdoors among other proposals, per Bloomberg, but others in the healthcare field are seizing the moment to educate American families about ways to improve their kitchen hygiene.

If you’re among the more than 40 million American households currently using gas ovens in their kitchens, according to the U.S. Energy Information Association, there are several ways you can improve indoor air quality that doesn’t include quitting your stove altogether.

Many risks can be reduced by better ventilation in your kitchen, explains Nicole Papantoniou, the Good Housekeeping InstituteKitchen Appliances & Innovation Lab Director. That all starts with the hooded vent above your oven, which should be turned on well before you begin cooking — and regularly cleaned to avoid poor circulation.

Read on for more tips and to learn about the potential risks associated with gas ovens, plus what you can do right now to reduce them while cooking at home.

Why are experts worried about gas stove tops?

Believe it or not, there are many ways in which health experts say cooking at home may lead to poor air quality issues, which can impact your health over time. But a gas burner may indirectly pose more of a threat than an electric stove top, due to the byproducts that are released into the air as methane gas burns while you cook; namely, nitrogen dioxide, which has been linked to respiratory issues as well as cardiovascular risks, explains Huawei Dong, M.D., pulmonology and critical care medicine professor at the University of California, Irvine’s School of Medicine and pulmonologist at UCI Health.

“When we breathe that in, it causes irritation and local inflammation into the bronchial tubes and the airways,” Dr. Dong says, which you may not even notice if you’ve never experienced prior respiratory issues like asthma. “One of the key things that happens in asthma patients, whether you’re a child or an adult, is that the airways become inflamed and they become narrower, causing things like wheezing and shortness of breath.”

It’s important to note that nitrogen dioxide is produced whenever fossil fuels are burned, which means the overwhelming majority of this particular pollutant comes from vehicles and nearby power plants, adds Dr. Dong. And while there are established guidelines released by officials at the Environmental Protection Agency (EPA) that dictate appropriate levels of nitrogen dioxide, especially as it relates to vehicle emissions and other factors, there aren’t guidelines for indoor settings just yet.

In fact, researchers have established that gas stove tops produce considerable nitrogen dioxide when they’re in use. A Stanford University study published in early 2022 suggests that the amount of nitrogen dioxide emitted from gas stoves and ovens exceeded EPA standards within minutes. But since there isn’t any regulation for indoor appliances just yet, this is where CPSC officials want to step in.

How can gas stove tops impact your health?

Gas ovens aren’t likely to be the sole reason that you develop a respiratory issue, including asthma — Dr. Dong tells Good Housekeeping that most asthma cases, including those in children, are considered “multifactorial” by doctors who treat them.

After all, genetics often play a heavy hand in how likely it is for someone to develop asthma or other breathing difficulties. But available research on nitrogen dioxide and other commonplace air pollutants indicates that there is a link between poor respiratory health and increased exposure, and the December 2022 report only further suggests that impactful exposure may be occurring indoors more frequently than we realize.

“Some of the risk for asthma certainly may come down to what we’re exposed to in the home, as well as where we live and the outdoor environments we spend time in due to air pollution,” she says. “We’ve known that for decades in seeing the development of worse asthma and lung disease — but, most of that effect is cumulative over time.”

Translation: Sitting beside an open gas burner in your kitchen for a few minutes won’t significantly increase your asthma risk, even for children and their developing lungs and immune systems. What healthcare experts are more concerned about is the exposure effect over the course of months and years — and how gas ovens may exacerbate breathing issues for someone who is already asthmatic or seriously hampered by their respiratory health. This is when Dr. Dong says more immediate, short-term symptoms are noticeable (and the need for prevention is key).

Despite the recent research, the need for more evidence on how nitrogen dioxide triggers respiratory issues indoors is needed, as there is some conflicting research on the childhood asthma link that CPSC officials referred to earlier this year. A 2013 Lancet Respiratory Medicine study that touts data collected from 500,000 children globally indicates that researchers couldn’t determine “an association” between gas stoves and self-reported asthma diagnosis or symptoms.

In the end, future regulation on gas stoves may simply focus on the sale and manufacturing of gas ovens; back in October, a peer-reviewed study published in Environmental Science and Technology illustrated that some gas stoves may leak methane gas and benzene, another pollutant, even when not in use. New manufacturing regulations may prevent this from happening, as well as encourage the use of properly installed vents that effectively remove airborne pollutants from kitchens entirely.

Are gas stoves unsafe?

CPSC officials have clarified that a ban on gas stoves and ovens isn’t on the table currently — and you shouldn’t feel the need to rip out your gas stove ASAP over air quality concerns, as both Good Housekeeping Institute pros and healthcare officials agree that there are many ways to reduce any inherent respiratory risks.

Raj Dasgupta, M.D., a pulmonary critical care specialist at the University of Southern California’s Keck School of Medicine, tells Good Housekeeping that nitrogen dioxide build-up can largely be dissipated through the use of an exhaust hood, or range hood, in addition to odors, smoke and grease. Additionally, opening windows for fresh air can better assist range hoods that don’t vent directly to the outdoors.

Of course, not every kitchen has a hooded vent over a gas stove top, which is the best way to ensure air pollutants don’t hang around your kitchen. If your space is only equipped with a vented fan, opening windows and providing fresh air supply is even more important, Dr. Dasgupta says.

You may also want to consider investing in an air purifier. “There aren’t a lot of downsides to having an air purifier in your home, aside from the financial investment — they help remove various contaminants from the air in your kitchen, namely smoke and odors,” he adds, as well as dust, pollen and pet dander, all of which may contribute to asthmatic risk and on-set symptoms over time as well.

Regular maintenance of your gas oven and stovetop is also crucial to ensure that air pollution remains as minimal as possible while you cook. Our experts in the Good Housekeeping Institute‘s Kitchen Appliances & Innovation Lab recommend doing the following:

  1. Turn vents or fans on before you start cooking. It takes time for high-speed fan settings to kick in, and smoke and other pollutants in the air simply hang suspended if air flow isn’t strong enough. Putting your vent or fan on before you begin cooking ensures this won’t happen
  2. Keep your gas burner clean. Grease, splatter and other kitchen residue can easily build up over the gas burners on your stove top, which may delay or prevent the complete ignition of a burner, which could contribute to potential gas leakage over time, according to Papantoniou. Keeping your burners clean can help prevent this from happening.
  3. Replace fan filters and have vents serviced regularly. You can do this with the help of your oven’s manufacturer. Replacing filters regularly ensures grease and other airborne pollutants are captured effectively, leaving less work for any air purifiers you have elsewhere in your home. And if it’s possible, work with a professional

If you’re able, consider investing in a vent hood that has an optimized capture efficiency range — even if that means replacing an outdated model, advises Dan DiClerico, the Good Housekeeping Institute‘s home improvement and outdoor director. “It should be within the 70 to 80% range, and is usually included as a spec on many newer models, though manufacturers aren’t required to list it,” he adds.

The bottom line:

It’s unclear when and if federal consumer safety regulators will introduce new rules for oven and stove manufacturers. Americans should rest easy knowing that there won’t be any changes required for those who currently use gas ranges in their home — though, research is clear that these types of ovens likely pose an additional health risk compared to electric models.

Focusing on improving the ventilation in your kitchen is key if you’re worried that cooking is adding to poor air quality at home. Simply working to open as many windows or doors as you can while cooking can offset poor air quality, and is essential for anyone who is already facing established respiratory issues. And taking the time to have any hooded range vent or kitchen fan regularly serviced by HVAC professionals may reduce the risk of suspended smoke, odor and other pollutants above your stove top.

Additionally, air purifiers can work to combat pollutants in your kitchen as well as other airborne factors in your home contributing to respiratory irritation. Experts say dust, pollen, pet dander and odors are often targeted by air purifiers, but the best air purifiers also work to reduce volatile nitrogen dioxide released into kitchens over time.

The key to a longer, healthier life is dealing with inflammation – here’s how to do it

The Telegraph

The key to a longer, healthier life is dealing with inflammation – here’s how to do it

Miranda Levy – January 16, 2023

Inflammatory diseases
Inflammatory diseases

In the past few years, a new buzzword has entered conversations about illness and disease. Doctors are increasingly talking about “inflammation” – a term which describes the automatic response – or flaring up – of the body when it tries to fight infections, toxins and trauma.

Until recently, “inflammation” has generally been used to describe something you can see: the redness of a stubbed toe, or the “-itis” of a swollen pair of tonsils or appendix. Then there are the auto-immune conditions such as inflammatory bowel disease. But now attention is being given to “hidden” inflammation, a chronic, insidious lifelong process that could be responsible for common conditions from heart disease to cancer and Type 2 diabetes, and even depression and dementia.

Dr Shilpa Ravella is a transplant gastroenterologist, assistant professor of medicine at Columbia University Medical Centre and the author of a new book: A Silent Fire: The Story of Inflammation, Diet and Disease.

“We used to largely talk about inflammation as a consequence, not as a root cause, of a disease,” she says. “But in the past couple of decades, there is increasing evidence that inflammation itself can cause or is associated with higher rates of chronic illness. Inflammation affects ageing, the germs in our gut and the function of our intestines.”

In the short term, inflammation is a normal healthy response to invaders. When your body encounters an offending agent – such as viruses, bacteria or toxic chemicals – it activates the immune system. Your immune system sends out its first responders: inflammatory cells and cytokines (substances that stimulate more inflammatory cells) to neutralise the intruders or to start healing injured tissue. In acute inflammation, the body jumps to immediate attention – for example, healing a cut. But with chronic inflammation, your body continues sending inflammatory cells even when there is no outside danger.

We are used to seeing “acute inflammation” on a daily basis, for example when we hit our knee against a table and it reddens and heats. “This is a manifestation of inflammatory changes occurring on a microscopic level, owing to increased blood flow and the dilation of blood vessels,” says Ravella. “Scientists have long known that, while being of benefit to a host organism, inflammation can also cause tissue damage.” But hidden inflammation is not always visible to the naked eye. It happens deep in the body – in our gut, our pancreas, our blood vessels.

As we age, our immune response becomes less well regulated and chronic inflammation can persist for months or years, with the immune system engaging in prolonged “friendly fire” damaging the body over time. Right now, patients walking into their GP’s office are unlikely to be routinely tested for hidden inflammation (although a cardiac clinic may test for an inflammatory marker called high-sensitivity C-reactive protein – or CRP – which is produced by the liver).

“But testing for inflammation ‘proxies’ can be telling,” says Ravella. “For example, fat around the belly – which is a marker for the highly inflammatory visceral fat that wraps around inner abdominal organs – or high blood sugars, are signs of hidden inflammation.”

Ravella is particularly concerned with what she terms the “skyrocketing” of conditions such as obesity, Type 2 diabetes, allergies and cancer – which she terms “inflammatory diseases”. Repeated studies over the past 20 years, including two in the influential New England Journal of Medicine, have shown a firm link between inflammation and cardiovascular disease, as chronic inflammation plays a role in atherosclerosis, or “hardening” of the arteries. Similarly, research suggests that chronic inflammation may play a part in DNA damage and gene alterations associated with several types of cancer.

“We now know that many of our chronic conditions are – at least in part – inflammatory disorders. By preventing or treating the inflammation, we may be able to decrease the risk of future disease,” says Ravella. “For example, half of people with heart disease do not have high blood cholesterol levels, which is a common risk factor for developing heart disease. But studies have shown that when we treat low-level inflammation, you can lower the risk of a future heart attack or stroke.”

Inflammatory diseases are the most common cause of sickness and death in the world today, says Ravella. “Genetics play a part in these conditions (in some more than others) but they can’t be the only cause. Research is increasingly showing that many inflammatory diseases are largely lifestyle disorders.”

Of course, we can’t change our genes, but we can change our lifestyle. Read on, for simple anti-inflammatory lifestyle tweaks that could add years to your life.

Unsurprisingly, diet is key

“So much of the anti-inflammatory approach involves your diet, which in turn affects the gut microbiome – the helpful germs inside our intestines,” says Ravella. “Fibre is anti-inflammatory and vital for the health of your gut germs,” she says. “Few of us get enough fibre.”

UK research backs up her assertion: according to a 2022 report from Action on Fibre, only 9 per cent of UK adults meet the recommended amount. In 2015, the government increased the dietary recommendation from 24g to 30g per day and since then there has been very little change in the UK population intake.

Much of Ravella’s book devotes itself to the benefits of the Mediterranean diet, which is based on high fibre and anti-inflammatory plant-based foods, where the main source of fat is olive oil, and red meat and sweets are treats, eaten only occasionally.

Perhaps the biggest advert for the Mediterranean diet is the man who “discovered” and promoted it: physiologist Ancel Keys died in 2004, just shy of his 101st birthday.

Variety matters

“One of the biggest misconceptions is that an anti-inflammatory diet excludes different food groups. It’s actually very inclusive,” says Ravella.

According to Action on Fibre: “Over the years government policy has focused on reducing the amount of calories, salt and sugar we consume, but there has been little focus on increasing foods and nutrients we need more of.” Maybe it’s time to take note.

Ravella counsels patients to fill their plates with as diverse an array of plants as possible. “This includes foods we have been conditioned to avoid: whole grains – even beans and those containing gluten – are anti-inflammatory foods,” she says.
Cruciferous vegetables, such as broccoli, cauliflower and kale, are especially healthy because they contain molecules called isothiocynates, which remove toxins, prevent DNA damage, and kill cancer cells.

“They offer powerful protection against chronic inflammatory diseases,” says Ravella. She also recommends the soluble fibre found in bananas, oatmeal and beans. “Gut bacteria love these foods. They ferment soluble fibre to make short-chain fatty acids which lower inflammation in the intestines and throughout the body,” she says.

Repeated research, including a 2019 study in Clinical Nutrition, has shown that foods which are high in polyphenols – colourful berries, citrus fruits, whole grains and nuts – combat cancer-inducing free radicals and regulate inflammatory markers including CRP. Mushrooms are a natural source of vitamin D, known for helping the body absorb calcium and support the immune system. Onions and garlic also stimulate immunity and support gut bacteria.

Foods to avoid

“The immune system responds to the Western diet, loaded with modern animal fare, sugar, salt, refined carbohydrates and processed foods, as it would a noxious germ,” says Dr Ravella. “Studies in both animals and humans show that this diet can directly activate the immune system, stressing cells in our body and prompting immune cells to produce an overload of inflammatory molecules, and fewer anti-inflammatory ones.”

So foods to swerve: high-sugar breakfast cereals, crisps and other salty foods, processed meats including bacon and sausages, fizzy drinks, anything including corn syrup and excess saturated fats.

Do I really have to give up meat altogether?

“Modern animal foods are not the same quality as those eaten by our ancestors,” says Ravella. “For example, antelope flesh, which anthropologists suggest is similar to Paleolithic meat, is leaner and higher in omega-3 fats than modern meat. Meanwhile, there is increasing evidence that animal protein is harmful for the body, leading to an excess of toxic substances such as hydrogen sulphide in the gut, which is tied to diseases like inflammatory bowel disease, and even cancer.

“People sometimes claim that a low-carb diet high in modern animal foods helps them to lose weight, but the inflammation created by these foods can be silent and insidious, so the cost of routinely consuming these foods is not always initially apparent.”

A poor diet can still lead to visceral fat and hidden inflammation, even in the absence of visible belly fat.

In the early 1970s, Ancel Keys – he of the Mediterranean diet fame – observed a group of super-fit Finnish loggers who lived on a diet of red meat, butter and eggs, and were dropping dead of heart attacks at the highest known rate in the world.

Ravella’s message here is clear: cut back on the animal foods in your diet. In particular, minimise or avoid red and processed meats.

“If you choose to include animal foods in your diet, maximise your fibre intake first, and then choose high-quality fermented dairy, eggs, seafood and lean poultry in small proportions that align with traditional dietary patterns – like the Mediterranean diet.”

A Silent Fire: The Story of Inflammation, Diet and Disease by Shilpa Ravella, is available at Penguin.

Why nurses say they are striking and quitting in droves

The Washington Post

Why nurses say they are striking and quitting in droves

Lauren Kaori Gurley, The Washington Post – January 15, 2023

This flu season, Benny Matthew – a nurse at the Montefiore Medical Center emergency room in the Bronx – has often been responsible for 15 to 20 patients at a time.

By 3 p.m. most days, the emergency room is often exploding with patients, Matthew said. Hospital gurneys stand inches apart. When beds run out, patients squeeze into tightly packed chairs. When the chairs run out, patients must stand. Wait times to see a doctor can be up to six hours. At the same time, the hospital is advertising more than 700 nursing positions.

“We go home feeling like failures,” Matthew said. “There are times when you can’t sleep because you’re thinking: ‘Did I do anything wrong today?'”

Matthew is one of more than 7,000 union nurses who went on strike in New York City last week, protesting staffing levels, which led to two of the city’s largest nonprofit hospital systems to agree to strengthen staffing ratios at some hospitals. On Thursday, hundreds of health-care workers from around the country protested understaffing at HCA Healthcare, the nation’s largest hospital system. That included one worker from El Paso who recently admitted herself into her own emergency room for dehydration and exhaustion after working four 12-hour days in a row, her union said.

These tensions have continued to play out over the past month, as nurses have also protested, gone on strike or threatened strikes in California, Oregon, Michigan and Minnesota.

Understaffing concerns have been at the heart of labor disputes in myriad industries in recent months, including an averted national rail strike threat, but perhaps nowhere have these tensions been more pronounced than in health care and nursing. Nurses led a quarter of the top 20 major work stoppages tracked by the Bureau of Labor Statistics in 2022.

While understaffing has plagued some hospitals and medical centers nationwide for years, the pandemic added new layers of stress, as nurses worked through consecutive coronavirus outbreaks that killed and disabled thousands of health-care workers. The upswing of flu and respiratory diseases in the past several months has only worsened the situation.

With no end in sight, legions of nurses have left the field, retired early or switched jobs. Some 100,000 nurses left the industry between 2020 and 2021, according to an industry trade-journal estimate. Although there were 4.4 million registered nurses with active licenses as of 2021, according to the National Council of State Boards of Nursing, only 3 million people were employed as nurses, according to the Department of Labor.

Those who have remained have faced increasingly heavy workloads. They also gained more leverage in the tight labor market, leading nurses to organize new unions and even walk away from jobs to join the ranks of traveling nurses who parachute in from out of town to fill staffing gaps and tend to be paid more.

“The issue is that we are understaffed, not only in my facility, but really across the nation,” said Cathy Kennedy, president of the California Nurses Association, which represents 100,000 nurses in the state. “We are seeing an upsurge of nurses that are saying, ‘We’ve had enough. We want to organize. We really want our hospital to hear what we have to say.'”

The New York-based hospital company Montefiore did not respond to a request for comment about staffing levels. But the company touted the agreement reached by negotiators and the hospital late Wednesday that ended the strike, with some big concessions for nurses. The agreement includes a 19.1 percent raise over three years, 170 new nursing positions and emergency-room staffing ratios based on the severity of patient needs.

Harlow Sumerford, a spokesperson for HCA Healthcare, said Thursday’s protest was “an expected tactic as we are set to begin our regular cycle of bargaining with the labor union in the next few weeks.” He noted that the hospital system staffs its “teams appropriately and in compliance with state regulations.”

In the years leading into the pandemic, there were roughly enough new nurses entering the pipeline to replace the ones that retired, according to a 2022 McKinsey & Co report titled “Assessing the lingering impact of COVID-19 on the nursing workforce.” But covid changed everything. “Over the past two years, McKinsey found that nurses consistently, and increasingly, report planning to leave the workforce at higher rates compared with the past decade,” the report found, a trend that continued even as covid cases fell.

From coast to coast, mounting nursing shortages have triggered a widespread set of issues for nurses and patients, according to conversations with nine nurses. Nurses say there have been significant declines in patient care, including delayed cancer treatments and critical checkups for expecting mothers. Medications are administered late or missed altogether. The shortage has also taken a toll on nurses’ mental and physical health, as they are forced to skip meal and rest breaks and get little recovery time between shifts.

Organized strikes, and even the threat of strikes, have succeeded in pushing some hospitals to agree to address some staffing concerns. This winter nurses have won guarantees of investment in new hires, a bigger role in shaping nurse-to-patient ratios, and strong wage gains that could help with retention.

In Kalamazoo, Mich., 300 nurses – as part of the Michigan Nurses Association – won a 20 percent raise in the first year of their contract, after threatening to strike at Ascension Borgess hospital over staffing levels in December. Night nurse Lori Batzloff said the pay increase should help retain nurses. But she is concerned about her hospital’s ability to weather another covid outbreak.

Last September, in Minnesota, 15,000 nurses went on strike for three days over understaffing concerns, in the largest-ever private nurses’ strike. When hospitals still refused to concede to their demands, the nurses threatened to walk out a second time, for three weeks in December. With days to go before the strike deadline, more than a dozen hospitals, for the first time, agreed to give nurses a say in staffing levels, averting the strike.

“I think the hospitals looked around and understood that they couldn’t withstand, frankly, a 15,000-member three-week strike in Minnesota,” said Chris Rubesch, vice president of the Minnesota nurses union. “That would be crippling.”

A Twin Cities Hospital group spokesman said in a press statement when the deal was struck that the new agreement shows that hospitals and labor can work together to “develop staffing language the meets the unique needs” of hospitals, nurses and patients.

For other health-care workers who typically earn less than nurses – such as health-care technicians, dietitians and nursing assistants – the impacts of understaffing are just as bad.

“There is no morale left,” said Gregorio Oropeza, an admitting representative who registers patients at Cedars-Sinai Hospital in Marina del Rey, Calif. Oropeza has colleagues who have had to drop out of the workforce after suffering severe symptoms from covid. “Everyone is there because they need a paycheck. They’re terrified of getting sick, but it is a job and they have to uphold a household.”

Oropeza and 400 of his colleagues went on a five-day strike with SEIU-United Healthcare Workers West in December over understaffing and pay concerns, but union contract negotiations have continue to stall.

Marni Usheroff, a spokesperson for Cedars-Sinai Marina del Rey, said the hospital recognizes that its employees are its “most important asset” and that during contract negotiations, the hospital has shown its “commitment to maintain staffing levels that provide important support for our health care workers.”

During the coronavirus pandemic, nurses have been organizing and winning union elections, even as unionization rates in the United States have declined.

“I remember in the middle of the pandemic, predicting that once the dust settles, there could be an explosion of new organizing and strikes to accomplish safe staffing levels,” said Sal Rosselli, president of the National Union of Healthcare Workers, which represents 15,000 health-care employees in California. “And that’s what’s happening now.”

While some nurses are organizing, many have dropped out of the field entirely or plan to leave the industry. A 2022 survey by the staffing agency ShiftMed found that two-thirds of nurses say they are inclined to leave the profession within the next two years.

Some nurses have quit their full-time jobs to take on highly lucrative contract work, traveling to other parts of the country and temporarily filling in at short-staffed hospitals. The option has become popular among younger nurses, in particular many who are looking to pay off student loans. Demand for travel nurses is roughly double what it was at the start of the pandemic, although it has tempered since the height of outbreak, according to April Hansen, an executive at Aya Healthcare, the country’s largest travel-nurse agency.

Nurses unions say hospitals are to blame for nursing shortage problems, noting that health-care companies made a deliberate choice not to devote resources to hiring more nurses. Many hospitals profited during the pandemic, receiving millions in covid-related aid, rewarding investors with generous stock buybacks and paying executives seven-figure salaries. In the Bronx, the CEO of Montefiore, Philip Ozuah, took home $7.4 million in 2020.

“I feel that hospital administrators are hypocrites,” said Zulma Gutierrez, 42, an intensive care unit nurse at Montefiore who went on strike this week. “They’re going home making millions and we’re going home with guilt.”

But a growing and aging population, combined with the continued waves of covid, mean demand for nurses will continue to soar in the coming years. By 2025, the United States is projected to be between 200,000 and 450,000 nurses short, according to the McKinsey report.