Meet the winners of this year’s Script Your Future Medication Adherence Team Challenge

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The 2020 Medication Adherence Team Challenge is part of the national Script Your Future public awareness campaign coordinated by NCL with support from its partners and the Challenge sponsors—the American Association of Colleges of Pharmacy (AACP), the National Association of Chain Drug Stores (NACDS) Foundation, the National Community Pharmacists Association (NCPA) and the American Pharmacists Association (APhA).

Medication non-adherence can lead to devastating health outcomes. Research shows that nearly one in five prescriptions go unfilled and half of all patients with chronic illnesses do not take their medication as prescribed. Improved medication adherence leads to better health outcomes and reduced total healthcare costs, and it was for these reasons that NCL launched the Script Your Future awareness campaign in 2011.

The Team Challenge was established to extend campaign messages into medical and other schools of health professions, and to nurture adherence-minded values in future generations of professionals entering the workplace. Each year, top performing teams are honored with a National Award for overall outstanding team achievement, or a Focused Award, which recognizes outstanding team achievement in the specific areas of health disparity/under-represented community outreach, media/communications outreach, or creative interprofessional team event. This year, we introduced a new focused award category, with the inclusion of a Technology Innovation Focused Award – a category that evaluates creative outreach with a focus on technology-based interventions.

In 2020, our Team Challenge student health professionals were met with unique challenges as they navigated the historic COVID-19 pandemic, which resulted in school closures, event cancelations, and a host of other obstacles. To adhere to social distancing guidelines, our dedicated teams pivoted their campaigns and made an impact in other ways. This year, the Team Challenge observed engagement from nearly 2,900 future healthcare professionals and volunteers, who all together hosted over 250 events in 14 states. Collectively, the teams directly counseled close to 12,000 patients and introduced Script Your Future messaging to over 430,000 consumers, nationwide.  Since the Team Challenge began in 2011, more than 21, 000 future healthcare professionals have directly counseled nearly 87,000 patients and nearly 26 million consumers.

The recognized schools, selected from dozens of applications and 82 participating educational institutions, are listed below.

National Award | University of the Sciences: Philadelphia College of Pharmacy, PA

University of the Sciences (USciences) interdisciplinary medication adherence outreach centered around individuals across all ages, from children to older adults. USciences’ team structure included students of pharmacy, occupational and physical therapies, medicine, and social work. Throughout the Team Challenge, USciences directly counseled 455 patients, reaching a total of 805 people. During their outreach, USciences introduced a new campaign theme – “A future of ______ begins with me”, to personalize medication adherence through each patient interaction. USciences’ campaign also placed a great emphasis on addressing racial disparities, reducing stigma surrounding mental health, and tangential issues like vaccine confidence and proper nutrition.

National Award Finalists

The following schools were named Finalists under the National Award category:
Pacific University School of Pharmacy, West Virginia University School of Pharmacy, Western University College of Pharmacy, Northeast Ohio Medical University (NEOMED), University of Charleston School of Pharmacy, Touro University College of Pharmacy, St. Louis College of Pharmacy.

Rookie Award | Howard University College of Pharmacy – Washington, DC

NCL is thrilled to announce that DC HBCU, Howard University College of Pharmacy, was the recipient of the 2020 Rookie Award. Howard University’s team included students of pharmacy, medicine, social work, and dentistry. Howard University’s target population included homeless or displaced minorities, children and parents, and adults with behavioral issues. The team tailored its disease focus to diabetes and heart disease, as they are chronic conditions that plague the region. Throughout the Challenge, Howard University directly counseled close to 400 patients and reached over 1,000 people with the help of 169 students and volunteers and distributed nearly 1,000 Script Your Future medication adherence resources.

Rookie Award Finalist: University of Arizona College of Pharmacy– AZ

The University of Arizona College of Pharmacy in Tucson, AZ also made a strong showing in the Team Challenge as a first-time competitor.

Focused Awards

Health Disparities Community Outreach Award | St. Louis College of Pharmacy – MO

Pharmacy students from St. Louis College of Pharmacy and nursing students from St. Louis University, joined forces to strategically and intentionally identify their target population – residents of a region of St. Louis known as the “Delmar Divide.” St. Louis College of Pharmacy chose this target population due to the stark disparities observed in the residents directly north and south of the Delmar Divide. For their outreach, St. Louis College of Pharmacy focused their interventions on communities north of the Delmar Divide, which predominantly consists of people of color of lower socioeconomic means. The team chose to focus on chronic conditions like diabetes and hypertension. Together, 60 students and volunteers directly counseled 350 patients and reached nearly 400 people. Through numerous events and newly fostered community partnerships, St. Louis College of Pharmacy disseminated nearly 400 Script Your Future medication adherence resources within the community.

Communication and Media Outreach Award | Lake Erie College of Osteopathic Medicine School of Pharmacy (LECOM) – PA & FL

To illustrate the diversity of their team, LECOM pharmacy and medical students from campuses based in PA and FL produced a public service announcement (PSA) spoken in eight languages, to help amplify the value of medication adherence to numerous populations. The PSA garnered over 2,800 views. LECOM employed social media platforms like Facebook, Instagram, Twitter, and LECOM’s Pulse Newsletter, to help disseminate Script Your Future medication adherence messaging. LECOM students also wrote an original book to present heart health information to the children entitled “Mr. Pumper and the Heart Valves”, which was read to third grade elementary students. Throughout the Challenge, 293 students and volunteers directly counseled over 500 patients, reaching over 1,200 patients, and disseminated over 730 Script Your Future resources in their community.

Creative Inter-Professional Team Event Award | University of Pittsburgh School of Pharmacy – PA

The University of Pittsburgh School of Pharmacy partnered with the Schools of medicine, dentistry, social work, nursing, dietetics, and rehabilitation sciences, to organize a team of over 300 students and volunteers to execute their medication adherence outreach. University of Pittsburgh harnessed the interdisciplinary nature of their team to build a campaign serving older adults in their community, from a holistic treatment perspective. The team addressed issues like hypertension, social isolation, and food insecurity. Throughout the Challenge, University of Pittsburgh directly counseled over 130 patients and reached over 2,200 patients.

Technology Innovation Award| Western University College of Pharmacy – CA

Western University College of Pharmacy made an impressive debut for the inaugural inclusion of the Technology Innovation Award. To foster medication adherence, the team created a dedicated website that directed patients to resources relating to disease areas like COPD, pneumonia, heart failure, and diabetes. The website was geared towards patients recently discharged following a hospital stay and contained features like medication and post-discharge appointment reminders and medication adherence-related infographics in multiple languages.

Advocating for emergency air transport coverage

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This spring, NCL sent a letter to the CEOs of Cigna, Aetna, and UnitedHealth Group, urging them to enter into productive negotiations with air medical service providers to ensure coverage of emergency air medical transportation. The ask came as the COVID-19 pandemic spread across the country, making air medical services even more essential, particularly in rural America.

“We are increasingly concerned about emergency air medical access during this crisis, and believe this life-saving care should be covered by every insurance plan,” said NCL Associate Director of Health Policy Nissa Shaffi.

“We are asking that insurers review the robustness of their coverage policies and immediately enter into network negotiations with air medical providers so that this critical service is covered, and patients are never left with a bill they cannot pay.”

At-home vision assessments no replacement for in-office visits

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With COVID-19 keeping many of us at home, companies claiming to offer at-home vision tests are ramping up their marketing, despite the fact that there is no U.S. Food and Drug Administration-approved at-home device that people can use to self-conduct a vision assessment, let alone a full eye examination. These devices aren’t even proven to provide an accurate vision prescription. NCL has long recommended an annual, in-person eye exam as part of consumers’ annual health and wellness routines.

“Consumers need to be wary of products that mistakenly claim that their at-home devices can provide an eye exam or a vision prescription and should instead consult their eye doctors who are available to help provide safe solutions,” said NCL Associate Director of Health Policy Nissa Shaffi.

Sorting through bogus health claims

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Across the United States, people are rising to the historic health needs and challenges posed by coronavirus, with healthcare workers on the frontlines risking their lives, and businesses pivoting to manufacture much-needed medical and protective supplies.

But deep concerns about the health implications—what happens to people who contract the disease from a health and financial perspective—are top of mind for many of us. And a cynical minority has seized on the crisis to employ unscrupulous, and frankly dangerous, marketing tactics to promote bogus products claiming to protect users against the coronavirus or provide relief for those infected—as well as peddling downright phony coronavirus testing products.

“These false claims touting unproven medical benefits are nothing more than craven attempts to take advantage of fearful consumers,” said NCL Executive Director Sally Greenberg.

“Moreover, they spread misinformation among consumers anxiously seeking ways to stay safe and healthy amidst the coronavirus crisis.”

In an op-ed in The Hill published in May, Greenberg noted that a number of CBD manufacturers and stores are falsely promoting unproven medical benefits of CBD products.

A CBD store in Portland, OR, for example, was recently ordered by the office of the state’s attorney general to take down signs claiming that its products could boost immunity against COVID-19.

“False claims such as this are particularly dangerous as consumers anxiously attempt to stay safe and healthy amidst the coronavirus crisis,” said Greenberg. “The need for science-backed treatments is significant and we must ensure products are tested and regulated for safety.”

Contrary to claims being made by CBD marketers that products containing cannabidiol can help those suffering from coronavirus, recent studies have actually found potential harmful side effects of cannabis products on infected coronavirus patients. Aurelius Data cautions the public against the potential harmful side effects that can come from consuming cannabis products with Tetrahydrocannabinol (THC) if a patient is infected with COVID-19. And studies have shown that many unregulated CBD products have been found to contain THC, though the labels may not disclose this.

“In these uncertain times, we urge consumers to continue to take precautions,” said Greenberg. “We urge everyone to follow CDC guidelines for COVID-19, practice safe social distancing, and at the same time avoid THC products and all untested, unregulated CBD products to help keep your family, friends, and communities safe.”

The overlooked epidemic: COVID-19 and its relationship to opioids

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By NCL Health Policy intern Talia Zitner

The coronavirus pandemic isn’t the only major public health crisis plaguing America. As the country struggles to contain COVID-19, the pandemic has seen a corollary rise in incidents of opioid usage and overdose. A major disruption in the way people suffering from opioid addiction receive treatment may ultimately prove critical to understanding how the opioid epidemic is directly affected by the coronavirus.

When lawmakers passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act in March, opioid treatment centers were not eligible to receive any of the $50 billion in funding that was allocated for Medicare providers. As a result, these essential centers—often under-supported and understaffed—saw their workforce getting ill or leaving to care for loved ones. Additionally, job loss and illness have left those already at risk of opioid addiction more vulnerable to relapse and death.

A key problem is the patient’s ability to get a prescription for addiction-managing drugs. Many centers rightly offer only one pill a day to their patients, but as the pandemic has forced the need for physical distancing and lack of physical contact, it has become increasingly difficult for people to get their medication. Long lines and hours-long wait times dissuade patients from getting their daily dosage. Few patients qualify for more than one dose per day, and few doctors are authorized to prescribe larger amounts of opioid managing medication.

Sadly, the coronavirus pandemic has overshadowed the opioid epidemic that continues to haunt millions of Americans. During this difficult time, the government should focus on the risk of opioid abuse and overdose and put more money into treatment programs and centers. Without support, more people will succumb to opioid addiction, lack of access to treatment, and death, further burdening the health care system.

Talia is a Washington, DC native and a rising sophomore at Wesleyan University, where she is studying English. Beyond health policy, Talia’s interests are in journalism, law, and social justice.

Measures restaurants are taking during the pandemic to reopen

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By Nailah John, Linda Golodner Food Safety and Nutrition Fellow

As restaurants open across America, we all want to know what the ideal measures are to keep consumers safe. A few days ago, I went to a french restaurant in Old Town, Alexandria for brunch with my family. We weren’t allowed inside, but a hostess stood at the door with the names of customers waiting to be seated. We all practiced social distancing, every customer wore masks, and every restaurant staff member wore gloves.

We were eventually seated on the patio—six-feet apart—and a mobile menu was circulated to avoid person-to-person contact. My brunch experience during COVID-19 is similar to what states around the country are requiring as restaurants reopen.

According to Eater, all 44 states have allowed restaurants to reopen in some capacity. In each state, varying degrees of social distancing measures remain in place for businesses that want to reopen.

Forbes highlights what health experts say about reopening while also maintaining a safe environment for staff and patrons, including:

  • Implement shifts for employees and stick to them. This helps to make exposure clear and limited in case a staff member test positive for COVID-19;
  • place hand sanitizer on each table, at all entrances and exits, and in bathrooms;
  • regular disinfection of high touch surfaces is needed;
  • provide disposable menus or an online menu, touchless ordering through a mobile, app, text, or phone call;
  • and require all customers and employees to wear masks while waiting to be seated and when going to the restroom.

And here are other measures that restaurant industry experts recommend:

  • Implement available screening measures for employees before they start their shift, check their temperatures. If someone has a fever, send them home.
  • Train and communicate new protocols with your employees, it’s important they are briefed on new protocols or there would be a bit of chaos.
  • Buffets and salad bars should use sneeze guards- glass or plastic barriers that shield food- and utensils should be changed and washed frequently.
  • Install plexiglass dividers between booths and hostess stands.
  • Customers should make reservations as many restaurants have stopped serving walk-in customers.
  • Avoid reusable condiments on tables or self-serve stations and instead switch to single-serve packets for items like ketchup.

Restaurants are reopening and we are all eager to head out and socialize with friends and family, but it is paramount that we all adhere to safety protocols put in place by trusted experts to continue to not risk exposure to COVID-19. Please consumers, wear your mask, wash your hands, practice six-foot social distancing, and sanitize your hands. With your efforts, we can help to flatten the curve.

Price gouging and usury and fraud, oh my!

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Ben Wiseman, director of the Office of Consumer Protection at the Office….

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It’s time for U.S. tobacco companies to protect all child tobacco workers

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Reid Maki is the director of child labor advocacy at the National Consumers League and he coordinates the Child Labor Coalition.

In 2014, under pressure from advocacy groups like the Child Labor Coalition and Human Rights Watch (HRW), several tobacco companies operating in the United States announced they would only buy tobacco from growers who agree not to hire children under 16 to work in contact with tobacco plants.

The child rights and human rights groups had been pushing for a ban on all children—aged 17 and below—from harvesting tobacco because of health problems related to nicotine exposure. These negative health impacts were well-documented in Tobacco’s Hidden Children, a report from HRW published in May 2014.

“Children interviewed by Human Rights Watch in North Carolina, Kentucky, Tennessee, and Virginia frequently described feeling seriously, acutely sick, while working in tobacco farming,” noted HRW. “For example, Carla P., 16, works for hire on tobacco farms in Kentucky with her parents and her younger sister. She told Human Rights Watch she got sick while pulling the
tops off tobacco plants: ‘I didn’t feel well, but I still kept working. I started throwing up. I was throwing up for like 10 minutes, just what I ate. I took a break for a few hours, and then I went back to work.’

Another child worker interviewed by HRW, Emilio R., a 16-year-old seasonal worker in eastern North Carolina, said he had headaches that sometimes lasted up to two days while working in tobacco: “With the headaches, it was hard to do anything at all. I didn’t want to move my head.”

Some children describe the flu-like symptoms of nicotine poisoning as “feeling like I was going to die.”

HRW researchers found that “many of the symptoms reported by child tobacco workers are consistent with acute nicotine poisoning, known as Green Tobacco Sickness, an occupational health risk specific to tobacco farming that occurs when workers absorb nicotine through their skin while having prolonged contact with tobacco plants.” Dizziness, headaches, nausea, and vomiting are the most common symptoms of acute nicotine poisoning. Three-quarters of the children interviewed by HRW in the report noted the onset of health symptoms when they began tobacco work, and many of those symptoms correlated with nicotine absorption.

U.S. child labor law is of no help in dealing with this problem. American law has exemptions for agriculture that allow children who are only 12 to work unlimited hours on farms as long as they are not missing school.

In 2014, the tobacco companies agreeing to protect the youngest child workers seemed like an important step forward. But six years later, we have concerns that the voluntary ban is not working.

Farmworker communities have proven particularly vulnerable to COVID-19. With schools closed for the summer and many parents sick, we fear that the number of children from desperately poor farmworker families who seek jobs on tobacco farms may increase.

Over the last six years, partner organizations in North Carolina have told us that younger children are still working in tobacco fields.

A recent health impacts study on child farmworkers in North Carolina (“Latinx child farmworkers in North Carolina: Study design and participant baseline characteristics” in the American Journal of Industrial Medicine, November 28, 2018) by researchers at Wake Forest School of Medicine reported data that suggests children under 16 continue to work in tobacco
fields.

In 2017, the first year Wake Forest researchers interviewed farmworker children—and three years after the tobacco companies’ voluntary age restriction, researchers interviewed 202 children and found 116 had worked tobacco in the week before the interview.

Yes, it’s just one study. But in the absence of federal and state data—which is notoriously poor when it comes to counting child farmworkers—it suggests that, in North Carolina, one of the four prime tobacco-growing states, nearly half of child tobacco workers are under 16. It confirms what we had been hearing anecdotally from farmworker groups in North Carolina: the
tobacco companies’ policy isn’t working.

Children in the United States are not allowed to perform work that has been labeled hazardous by the U.S. Department of Labor. You must be 18 to do dangerous work in all sectors except agriculture. This is an exemption that needs to end. Tobacco has not been labeled as dangerous work, even though everyone agrees that it is. That’s why the tobacco companies in
2014 said young children should not do it.

Children who are under 18 cannot buy cigarettes in a store, yet they are permitted to work 10 or 12 hour days in tobacco fields in stifling heat, breathing nicotine though the air, and absorbing it through their skin. Many children are so desperate to avoid contact with the plants that they work in black garbage backs with holes cut out for their arms and legs.

Efforts to pass federal legislation, the Children Don’t Belong on Tobacco Farms Act, could fix this problem with a total ban on child labor in U.S. tobacco. Unfortunately, versions of the bill, in both the U.S. House and Senate, are not expected to pass any time soon. Child farmworkers, often poor and Latino, are often at the end of congressional priority lists.

American tobacco companies have had six years to try a piecemeal approach that is not working. We need tobacco companies to step up and do the right thing by banning child work in tobacco.

Tips to reduce food waste during the pandemic and beyond

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By Nailah John, Linda Golodner Food Safety and Nutrition Fellow

The food waste epidemic in America has increased with each generation. Food has become cheaper than ever and we throw out millions of tons of food, while 37.2 million Americans are food insecure, according to the United States Department of Agriculture (USDA).

The National Consumers League (NCL) has been an early leader in calling attention to this problem. In 2016, NCL and the Keystone Policy Center hosted a Food Waste Summit, which focused on Food Waste Landscape and how it impacts the consumer. The USDA estimates that we waste 30-40 percent of our food supply. In 2015, the USDA joined the U.S. Environment Protection Agency to set a goal to cut America’s food waste by 50 percent by the year 2030.

NCL helped to launch Further with Food: Center for Food Loss and Waste Solutions in 2017. NCL, along with 12 organizations, joined this online hub to exchange information and solutions towards the national goal of cutting food waste. The initiative focuses on best practices for preventing food loss and waste; providing educational materials; research results and information on existing government, business, and community.

Sadly, during the pandemic, some farmers have resorted to dumping milk and plowing crops under because schools, restaurants, and universities that usually purchase large quantities of food are closed. Dana Gunders, executive Director of ReFED- Rethink Food Waste, recently noted that “people are throwing out less food in their homes, but more food is going to waste throughout the supply chain.” Gunders was recently interviewed on NPR about COVID-19 and food waste.

Gunders offered a number of tips regarding food waste:

  • Consumers are making fewer trips to grocery stores during the pandemic, which makes it easy to adopt better practices that help reduce waste at home. Consumers are planning meals and thinking through what they want to eat and need to buy. Those who meal plan waste less food.
  • Households should do a better job storing food, which helps to reduce food waste. Putting items in correct packages, storing them properly, and freezing what you are not ready to use extends the life of many items. Fresh herbs and asparagus do great in a jar of water in the fridge, and avocados can be stored in the refrigerator once ripe. Fruit does best in a crisper drawer set to “low” or slightly cracked open.
  • “Use by” dates indicate the ideal time to consume the product, but as Dana says, “if you see the words ‘best by’ or ‘best if used by,’ those are foods you can eat well past the date as long as they look fine, taste fine, and smell fine.”

Civil Eats, a daily news source for critical thought about the American food system with a focus on sustainable agriculture, also highlights recommendations for reducing food waste:

  • Revive older food. Soak wilting veggies in ice water to re-crisp them. Un-stale bread, crackers, tortilla chips by toasting them in the oven for 1-2 minutes
  • Instead of throwing away leftovers, think about using them in a new recipe. For example, use your over-ripe bananas to make a tasty banana muffin, banana fritters, or smoothies with milk, ice, or other fruit.

The USDA recommends consumers consider donating food they can’t use to hunger relief organizations, shelters, etc. so that it can be used to feed people in need. And food that is inedible can be recycled into other products such as compost, worm castings, bioenergy, animal feed, bio plastics, and clothing.

USDA and EPA created the food recovery hierarchy (at right) to show the most effective ways to address food waste.

Food waste is always a challenge, but during Covid-19, we can employ some useful strategies. With so many Americans food insecure and people around the world facing dangerous food scarcity, it’s incumbent on all of us to treasure the food our farmers grow, honor it, and use it to feed our families.