Diabetes discussed on Weekend Edition Saturday

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Of diabetes obesity and tobacco smoking are higher than the state average they're also high rates of premature deaths but when you talk to I was going others there's also hope these numbers that high rates of obesity diabetes poverty why right so there is a whole series of things that happened in a region like southeastern Kansas that has generational poverty that has gone back beyond grandparents and there are people who lived off the manufacturing there is a coal industry in southeastern Kansas and when that went away and new jobs came and they weren't always qualified to do those jobs the amount of poverty in southeastern Kansas which is common in a lot of rural areas is often because they haven't been able to adjust to the changing world around them but also because there hasn't been federal monies going into those places as well the hospitals themselves we're dependent on you know the number of patients they could take care of in the hospital mercy hospital closed the year before close to average nine patients a day so for the residents themselves they may work hard but if there's not jobs to support them they can't earning incomes you know you've been visiting for Scott I think you told me all over half a dozen times in the last year how has it changed without that health care without that hospital well the two leaders who were once very very angry and concerned are now beginning to accept that maybe they can live without a hospital here three to Baker the former president of the now closed hospital I don't think there is any of us who haven't gone through the stages of grief and that aren't still may be caught somewhere in one of those stages it's been almost a year right on a year and we don't like what happened but it's time to accept it and create something new and move on Sarah Jane travel has been reporting on the healthcare crisis in fort Scott Kansas she's a senior correspondent for Kaiser health news thank you for talking with us thank you and here is Pam Fessler has reported on efforts to fight poverty in the US for over a decade along the way she seen how sometimes a single person can have the most impact on a recent trip to Albany New York she met three men who grew up in poverty and are now trying to help others get out she has this reporter's notebook Paul Collins Hackett sits in Albany's youth opportunity office trying to guide a teenage boy through the ins and outs of getting the job the early you're on time if you're on time the late late nights when I show up he's like a Big Brother encouraging but direct when the young man tells Collins Hackett that he wants the job to help his mother so I can help her pay bills and stuff so we're not getting kicked out houses of the times and moving around a lot Collins Hackett leans in even closer I completely respect their struggle my father passed away when I was three and my mother's blood so I've always been super poor and having to help out with those and stuff like that so the fact that you have all those people that you're helping ages rises to the occasion brothers however I can help let me know please and so it goes in Albany's poorest neighborhoods where recent study found that teens face some of the toughest conditions in the country crime inadequate housing missing parents several people who grew up in similar circumstances are now working with the city and non profits to help these kids survive and hopefully thrive every government program you can think of Collins Hackett's boss Jonathan Jones credits his single mothers persistence for getting him where he is today the city's commissioner of recreation youth and work for services Jones says she pushed him to take advantage of every academic opportunity now on the wall of the office the Jones runs is a mural painted by one of the teens he mentored a seventeen year old gang member yeah this is him walking up the steps in order to be calm maybe or a person in a suit the mural shows a young man his pants hanging below his bottom leaving behind a gun a knife and a needle and heading up towards a man with his arm extended this is the things that he sees a success there are pictures of a house a car a diploma in symbols for peace of mind soul yeah nobody knows doesn't that bother him I ask no because I know I had and that he will forget this Jones says you have to do what you can and hope for the best research shows that there are many factors that can help break the cycle of poverty good schools access to healthcare safer neighborhoods but there's no magic bullet sometimes it's a combination of things or an encounter with the right person or experience I was really deep into violence you know that was my thing Justin Gaddy has an office a few blocks from Jones is he had very little supervision growing up and got so deep into gangs and guns that initially T. scenes he was convicted on federal racketeering charges he faces the possibility of life in prison when I actually got a sentence I didn't get the time I was supposed to get instead he got only six years that made me think some miles on my son just lucky break he needed to start thinking about turning his life around now years later he's an outreach worker trying to stop other teens from falling into gang life Mike Collins Hackett in Joe's Gaddy things it's crucial that the kids he deals with recognize that he knows exactly what they're up against but I went to the same day also look at me now I when I never thought I'd be where I'm at right now and and I got here by taking this route and I'm like and this is how we can help you which in his case is re directing them from the streets into sports jobs and other activities all three of these men know they can't help everyone but they realize from their own experiences that those they do reach might someday succeed and inspire somebody else Pam Fessler NPR news Albany New York decades of overfishing destroyed much of the fish stocks off America's west coast hardest hit were species known as ground fish that trawlers dragged up in their nets in the year two thousand large parts of the Pacific Ocean were declared disaster zones and close to trawlers devastating the industry now nearly two decades later fish stocks have rebounded and come new year's day thousands of square miles of ocean will reopen it's a success story being celebrated by both fishermen and environmentalists who work together to bring back the fish Brad Pettinger is a long time trawler captain who operates off the coast of Oregon he worked the SIS one rock fish soul and perch were abundant industry Bruce bringing up was of two two hundred two hundred forty million pounds of fish across the locks and that was dropped by a quarter in just a couple years after the government declared the area a disaster zone conservationists fishermen and fish processors worked through counsel to save the fish and the fishing industry initially the different groups were at loggerheads as Pettinger who served on the council but they worked out a plan fish quotas were cut dramatically trawlers went from pulling in nine million pounds of fish down to a hundred thousand pounds per year it put many out of business it was just a really is a bad bad environment don't know was making money it was a dark time would be for the best way to put it those fishermen who stayed in the game had to change how they finished their nets dragged in on wanted fish and sea life that had to be tossed overboard we have read the scores will be anywhere from twenty to forty percent a on the species and we know when one of them bottom trawlers modify their nets to allow small fish to escape they avoided rocky areas where fish breed areas that their nets could permanently damage and they stuck to quotas that are strictly monitored have observer or a camera on the vessel that insures that the all the Fisher California's don't discard happening that though the RBC and so really we get the science right early on chance Jed the regional director for the environmental defense fund's ocean program says as a result fish stocks rebounded decades earlier than expected he called the efforts a conservation home run according to judge it's the biggest environmental story that no one knows about and now you do.

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