PFAS – Not just Forever, but Everywhere and Harmful – What to Know and Do

My last blogpost introduced the group of chemicals, polyfluoroalkyl substances or PFAS, also known as “forever” chemicals, and their risks to the environmental and public health. For this post, I want to stress the extent of our exposure to these chemicals and their impact to our health.

The fact that there are more than 4,500 PFAS compounds produced ought to tell us that they are found in a huge number of products. Also, the question of why do we need so many non-stick like chemicals  comes to mind. Most of us may only be familiar with only a few of products that contain PFAS — non-stick cookware, and stain resistant fabrics for clothing, carpet, and furniture. In reality the number of common everyday products containing PFAS number in the hundreds, and many of these will surprise you. For example, PFAS can be found in some: candy wrappers, cleaning products, cosmetics, dental floss, electronics and circuit boards, fire-fighting foams, food packaging, hydraulic fluid, inks, metal plating paints, pesticides, photographic processing paper, polishes, shampoo, surfactants, and other related products. With PFAS in so many products we use or are in contact with daily, it is no wonder that 98% of us have PFAS in our blood, and the extent that they are found in our water and the environment. So, including the descriptor “everywhere” in addition to “forever” is reasonable.

Being forever and everywhere alone is reason for alarm, but combining the growing understanding of the impacts to human health, greatly escalates the danger of this group of compounds. Research studies on PFAS and human health are relatively recent, but the variety of adverse health risks known to date are highly significant and should prompt immediate response. Studies have shown the health effects include increased risk of: asthma, diabetes, decreased birth weight, cancer (kidney, testicular), increased cholesterol, kidney and liver disease, decreased immune response, decreased fertility, obesity, thyroid disease, and reduced vaccine response. These health impacts are what we know now from studies that have only looked into a small portion of the PFAS compounds.

All this information on the persistent, ubiquitous, and harmful characteristics of PFAS compounds should be a wake up call for all of us — consumers, manufacturers, regulators, and policy makers. Fortunately, the level of concern and action is slowly increasing in society. EPA is investing many resources in new regulations and research, and some states are moving rapidly to set higher drinking water standards and bans of PFAS in some or all products. A few recent examples include:

  • California banned PFAS in paper products and requires cookware to disclose the presence of PFAS, and further they will ban PFAS in children’s clothing
  • Colorado banned use of fire-fighting foams with PFAS
  • New York state ban of PFAS in detergents and paper products in 2022 
  • Maine banned the intentional addition of PFAS in food packaging in 2019  and has banned added PFAs in all products, and will be phased in
  • Pennsylvania has limited two common PFAS compounds, PFOA and PFOS in drinking water to 14 and 18 parts per trillion.
  • Vermont will ban PFAS in food packaging, carpets, rugs and ski wax
  • Washington state prohibited PFAS in food packaging in 2022
To date 2,850 locations in all 50 states are known to have PFAS contamination (Check out Environmental Working Groups’ interactive map: https://www.ewg.org/interactive-maps/pfas_contamination/map/).

Unfortunately, there is still much to learn, and we can expect new research to expand our understanding of the risks and seriousness of this issue. What can we as consumers do now?

A couple of suggestions are:

Check out these other tips from Clean Water Fund.

Living Well

March is Living Well Month! The National Extension Association of Family and Consumer Sciences (NEAFCS) encourages families to live well through raising kids, eating right, and spending smart.

Physically, mentally, socially, and emotionally strong families provide strength for future
generations and Extension initiatives enable Maryland residents to build the knowledge and skill to lead full and productive lives.

The University of Maryland Extension Family & Consumer Sciences team provides comprehensive education for individuals in a variety of areas including nutrition, physical activity, mental health, chronic disease prevention and management, personal finance, and so much more.

Celebrate healthy living and the great work FCS professionals do to educate individuals, families, and communities in Maryland, and across the country, by engaging in one of the Living Well Month activities!

Follow the recommendations of the NEAFCS, or come up with some of your own goals to start Living Well!

New Year, New Couple Ritual

The New Year has everyone thinking of ways to improve something about their lives. While New Year’s Resolutions are often focused on creating new individual routines, such as regular diet or exercise, couples should remember that enhancing their relationship routines is a great way to improve both health and life satisfaction. So, how might couples take the first step in enhancing their relationship routines?

First, it is important to understand why couple routines and rituals are an important focus. Research shows that couples benefit from establishing and participating in regular activities that add meaning to their relationship. When couples fail to make intentional efforts to spend meaningful time together, they tend to drift toward isolation from one another. This slow drift apart can be hard to detect amidst the noise and distractions of modern, busy family life.  

Below we are sharing some ideas to add in some positive routines or traditions into your couple relationship during 2023. There is no need to try them all at once. Start with a practice that feels attainable to you, given your unique situation. 

Photos from RawPixel.com.

Actions to try out

Daily Routines: 

  • Kiss each other hello and good bye 
  • Spend some uninterrupted time chatting at the start or end of the day
  • Enjoy something relaxing together in the evening (e.g., a leisurely walk, tea, hot chocolate, snuggling under a comfy blanket) 

Weekly Routines:

  • Engage in a hobby together
  • Connect to the world as a couple via time in nature, community groups, or faith groups  
  • Go on a date

Annual Traditions:

  • Decide as a couple how you would like to celebrate important events such as anniversaries, birthdays, holidays

Another great way to kickstart the enhancement of your relationship is to participate in a Couples Retreat hosted by University of Maryland Extension. The retreat is focused on business-owning couples, especially in the agriculture industry. The retreat will cover information like the content in this blog, as well as a variety of other couples enhancement activities. Furthermore, we will provide information on business financial planning and succession/estate planning for business-owning couples. All couples are welcome to attend. Click here to find more information about cost and registration.

This post contributed by UME Faculty Specialist Alex Chan.

Open Enrollment for Health Insurance and Medicare Is Happening Now

Guest post by Maria Pippidis, Extension Educator, University of Delaware Cooperative Extension

Are you spending too much on health insurance? It’s time to do a health insurance check up! 

Open enrollment for the Health Insurance Marketplace (November 1, 2022, through January 15, 2023) for those under age 65 and Medicare (October 15 through December 7) for those over 65 is happening now. Even if you have health insurance already, comparison shopping can help you save money and get better coverage. It is important to compare not only the premium costs but also other out of pocket costs like deductibles, copayments and coinsurance in relation to how often you use health care services. There are also options for dental insurance. Think back about how you have used health care services in the past to help you do an estimate of how much these other out of pocket costs might affect the choice of plans you consider.

Remember, for health insurance marketplace plans, prevention services like annual check ups with your primary care provider or gynecologist are covered at no charge.

For those under age 65, use the healthcare.gov website to see options for you and your family or for covering employees if you are a small business. Depending on your income and the state you live in you will have a variety of health insurance policy options and tax credits or tax subsidies. Here are some examples for a family of 4 with 2 children under 18 years of age in Delaware:

  • If your income is below $38,295/year you may qualify for the Children’s Health Insurance Program (CHIP) or Medicaid. 
  • An income range between $38,295 and $69,375/year will provide coverage with tax credits on premiums and reduced deductibles, copayments, and coinsurance.
  • An income range between $69375 and $111,000 will provide coverage with reduced premiums.

This is just an example and the income ranges will be based on your family size and your state. By going to the website and adding your specific information, you’ll get a better sense of the costs and coverage. I personally have seen farm operators save thousands of dollars by exploring the marketplace for health insurance options. Even if you have off farm employment covering your whole family, it might be worth exploring the healthcare marketplace options for those not working off farm and your children.

You can explore options online or you can get help by talking to a health insurance navigator. The healthcare marketplace website in your state will provide information about who are certified providers that can assist you in better understanding your options. These individuals have been trained to provide information about the plans. Note that some insurance brokers have been certified as well; these individuals can inform you about the marketplace plans and other plans for insurance organizations which they represent. There are also navigators/assistors who work with non-profit, government or health care organizations who are certified.

For those who are 65 and older, use the medicare.gov website to see which Medicare Advantage Plans or Medicare Supplemental (Medigap) plans are available in your area. You can comparison shop these plans very easily on the website. My advice is to ignore the TV commercials and the junk mail regarding Medicare plans. Rather use your State Health Insurance Assistance Program. You can find your local contact by visiting this website https://www.shiphelp.org/ and searching by your state. This program can assist you by setting up a free counseling session with a trained volunteer at a convenient site near you. Their goal is to empower people with Medicare to better understand their options and enable them to make the best health insurance decisions for themselves. The counselors can help you better understand your options to help you make the best decision for you related to Medicare, Medicaid, Medigap (Medicare supplement insurance), Medicare Part D, long-term care insurance and other types of health insurance. There is no charge for the service.  

Though it takes a bit of time, invest in yourself  because no matter what age you are, reviewing your health insurance coverage is one of the best ways to stay financially and physically healthy in the coming year.

Walks Through the Neighborhood

Walktober is just around the corner; Governor Hogan’s month-long celebration of Maryland’s official exercise — walking.

When I was a kid, my mom used to take me on walks through our neighborhood, to the library, the ice cream shop, or the public pool, and sometimes just around the block. As a parent, I wanted to recreate that experience for my own kids.

When they were little, it was easy to get them to go for walks with me, but as they’ve grown, the call of electronics is like a siren song to my pubescent boys. So I’ve tried to get a little creative in encouraging them to go for walks with me. Wanting something that involved their phones, I found Pokemon GO, a game app based on the popular television shows and movies.

The point of the game is to walk around and catch the Pokemon characters on your phone as you encounter them, battle opponents at virtual gyms, and collect items necessary for in-game play. The best part is that kids must walk around to play the game; some goals can only be accomplished by walking certain distances.

So while I’m cognizant of how much screen time my kids are getting, sharing these walks where we hunt down Pokemon and battle rivals together is quality time I wouldn’t trade for anything.

Pokemon GO, developed by Niantic, is downloadable on iPhone and Android. The app is free, although it does offer in-app purchases, not necessary for game play. To learn more about Pokemon Go, go to https://pokemongolive.com/en/. To learn more about how to participate in Walktober, go to https://extension.umd.edu/resource/walktober.

Just Keep Swimming (Safely)

In the heat of summer, there is nothing more refreshing than heading to a pool, beach, or some other cool place for a swim. As a kid, I loved going to my grandmother’s house to play in the pool with my cousins. We would hold diving contests, play games of “Sharks and Minnows,” and enjoy the occasional popsicle as well. My husband and I recently moved into our new house, which has a pool, and it has brought back many of these fun memories. But, it also got me thinking about making sure that people enjoy my pool safely. So, today I thought I would offer some tips around making sure we can all be safe and have fun at the pool!

Having fun in the sun means being prepared for everything the sun brings with it! The warmth from the sun can turn dangerous without the right protection. There are a variety of options you can consider, although the most popular and common one is probably sunscreen. The most important thing when using sunscreen is to make sure you are following instructions for the sunscreen you are using. It will tell you how to apply it and how often you’ll need to reapply to make sure it is protecting you and your family.

But you should also consider sun protection options like protective clothing, umbrellas, or going inside. If you have children who make the putting on sunscreen a difficult process, protective clothing might be a great option. My husband recently bought two shirts that protect against the sun and he found it much easier than trying to remember to reapply after swimming. Although it isn’t always an option, if you are able, going inside during the hottest part of the day can also be very helpful. Anything to avoid a sunburn, right?

Children sitting by the pool. Images by rawpixel.com.

Another important aspect of staying safe at the pool is following any posted rules or clearly explaining your family’s own pool rules. For example, many pools have a no running rule, which can be difficult for kids to understand. Talking about this rule ahead of time might help. You could even do a science experiment to show kids different surfaces and how they change when they are wet. Having kids participate and understand what it means for something to be slippery and dangerous might help them understand why that rule applies at the pool. Discussing rules like this ahead of time can be a good way to make sure everyone is on the same page. For example, you might have a rule that your kids can only be in certain parts of the pool. You can talk to young kids ahead of time and explain how the depth can change in some pools and that it isn’t safe for them to be in deeper areas. Explaining why the rule exists might make the kids more likely to follow it.

As a parent, there are many other things you can do to ensure pool safety. The US Consumer Product Safety Commission has a website dedicated to sharing this information. You can go to https://www.poolsafely.gov/parents/ to check it out. It shares information about making sure kids have appropriate supervision, teaching kids to swim, and installing protective barriers and other equipment. Be sure to check out the information and resources on the website to see if there is anything that will be helpful for you and your family.

Enjoy some safe and fun pool time this summer!

What Is Therapy?

Have you ever found yourself struggling to complete tasks on the farm, coping with grief/loss/illness, managing anxiety around unpredictable weather events, or even maintaining relationships with family members? You may, at times, have tried managing these struggles
by yourself, and that can be extremely exhausting. If you feel like you need a boost in your overall well-being and mental health, then psychotherapy may be a great option for you. Psychotherapy, also known as talk therapy, is a method of helping people with mental illness and emotional challenges (psychiatry.org, 2022). With some time, psychotherapy can help people eliminate or control troubling thoughts/feelings/behaviors so that they can function better and manage the stressors that life brings.

Research shows that about 75% of people who enter psychotherapy see benefits and an increase in their overall well-being and mental health (apa.org, 2022). Going to therapy can be a huge leap and involves a lot of courage, but the benefits are so worth it.

While most therapy can come in the forms of individual sessions, couple and family therapy is also an option. If you are having relationship difficulties with your partner, experiencing stress when trying to parent your children, or just want an overall healthier family, these options may be the best for you. In couple and family therapy, you may be in the room with your partner and the therapist, or even your family and the therapist. Your therapeutic journey can be unique to
you has the potential to be curated towards your needs.

What to expect from therapy?

Prior to entering the therapy space, you will most likely complete an intake which oftentimes involves demographic information as well as questions around your mental health. Once you complete an intake, you will set up your first appointment. After gaining the courage to enter the therapy space for your first session, the work begins. In the first session, the therapist will get to know you, and you will get to know your therapist. You will have the opportunity to share your life story, as well as the current challenges you are faced with in your life. If things are not working in the therapy space, or if you are not comfortable talking about certain topics, feel free to let your therapist know. They are there to help you and want you to be as comfortable as possible.

Steps to set up your first appointment

  1. Go to https://go.umd.edu/farmtherapy to complete an intake for 6 free therapy
    sessions. This intake is a google form that asks you for demographic questions, as well
    as questions about your mental health. Make sure to list on the end some dates and
    times you are available to talk with someone on our team to set up your first
    appointment. All of your information on the intake will remain confidential and will
    be deleted once you are paired with a therapist. If you have any questions regarding
    your intake, feel free to email mdfrsan@umd.edu.
  2. Once you have completed the intake, one of our team members will contact you on a
    date and time you had listed, and verify the information listed on your intake.
    Depending on your session preference (virtual or in-person), our team will pair you
    with a therapy clinic closest to you.
  3. Once you are paired with a therapy clinic, our team will reach out to them, and with
    your consent, will give them your information so they can contact you.
  4. Once in contact with the therapy clinic, they will assist you in setting up your first
    appointment, and the appointment will most likely happen on a weekly basis. After
    the 6 free sessions are up, you may continue sessions but at a price set by the provider
    and your insurance if you are insured. The provider will assist you in this process so
    therapy will not become a financial burden.

This blog submitted by Nick Warnick, FCS intern.