The Mountain Spirit Wellness building in Waynesville’s Frog Level area offers a pair of services that have the same goal — restoring comfort to hurting muscles and joints — but use different methods to get there. Masseuse Lynda Saffell and reflexologist Linda Neff took a few minutes to explain the benefits of their work and how they differ from each other.

By Katie Reeder • SMN Intern

It’s a myth that yoga is reserved for only the most acrobatic of people. And that’s good news considering the amount of stress that is often part of everyday life, said Jay MacDonald, a registered yoga teacher out of Waynesville.

A little bit goes a long way. That’s a key philosophy at Blue Mountain Chiropractic Center in downtown Waynesville. Good health doesn’t have to be an uphill battle. Rather, it can be an easy stride with the right preventative measures in place, within your body and mind.

Sussy Huskey has learned that life can take you in many directions — some planned and others unexpected — but the important thing is to keep moving. 

It was a century ago that Beverly Kiohawiton Cook’s relative was taken from his family and shipped off to Carlisle Indian School in Pennsylvania. Those years at school, days of travel away from family and forbidden to use native dress and speech, were traumatic.

QUESTION: I have high blood pressure and have been told to cut down on salt and sodium. What should I be looking at on the label?

Answer:  One of the key recommendations of the 2010 Dietary Guidelines for Americans is: "Reduce daily sodium intake to less than 2,300milligrams (mg) and further reduce intake to 1,500 mg among persons who are 51 and older and those of any age who are African American or have hypertension, diabetes, or chronic kidney disease."

Green space and gardens dominate much of the Western North Carolina landscape, but what determines whether people here actually eat the fruits and veggies that abound? That’s what April Tallant, health professor at WCU, hopes to find out as she crunches the numbers from her latest research project. 

Some schools are thinking twice about the long standing practice of passing out fast-food coupons to children as rewards.

Public health officials have reported that a child in Macon County has contracted LaCrosse Viral Encephalitis, a potentially serious illness carried and transmitted by mosquitoes.

While other mosquito-borne diseases such as West Nile Virus are found across the state, LaCrosse is largely confined to Western North Carolina. The disease is rarely fatal, but a Transylvania County girl died as a result of infection in 2001. And in 2009, a child in Cherokee died, adding new emphasis to health officials’ efforts to warn people about the potential dangers of LaCrosse.

There were 13 confirmed and potential cases identified in WNC in 2010.

Cherokee, in particular the Big Cove community, and Black Mountain — for unknown reasons — are recognized in the medical community as hotspots for the illness, said Dr. Penny O’Neill, a pediatrician with Sylva Pediatric Associates. But, as the case in Macon County shows, the dangers exist anywhere in the region.

The big month for outbreaks is usually August, but with one in WNC already identified, “we’ll go from now until the first killing frost” with outbreaks of LaCrosse, O’Neill said.

Stan Polanski, physician’s assistant for Macon County Public Health, said the child with LaCrosse is recovering. The last diagnosed case in Macon County was more than five years ago, he said.

Regionally, about 20 cases are reported each year.

“For every case we confirm, there are probably 20 to 50 unrecognized cases,” Polanski said.

In Cherokee, public health officials have crafted a two-part response to the problem.

On one side, they’ve long been educating parents, kids and the community at large on how to prevent mosquito’s and eliminate standing water that serves as breeding grounds.

“We’ve done mitigation in the community with everything from actually going out and doing community assessments to emptying stale water containers,” said Vickie Bradley, deputy health officer for the Eastern Band of Cherokee Indians.

Last year, the tribe also started a program in concert with Cherokee Indian Hospital to support families that are struggling with the long-road to recovery from an encephalitis infection. Dr. Anna Eastman, a consultant from the United Kingdom where there is an established post-infection support program, has come to Cherokee to train tribal health workers.

The danger posed by encephalitis is greatest for babies, O’Neill said, because they can have potentially devastating neurological issues. The intensity of the illnesses seem to vary from year to year, she said, but emphasized there is one important step people can take: Use DEET.

O’Neill said parents often express concerns about the mosquito repellent, but “the danger from DEET is potential — the danger from encephalitis is real.”

The object, the pediatrician said, is to eliminate mosquito bites, not just reduce the number received.

By Quintin Ellison and Colby Dunn • Staff writers

LaCrosse Viral Encephalitis

Symptoms occur from a few days to a couple of weeks after being bitten by an infected mosquito. These symptoms include fever, headache, nausea and vomiting. In more severe cases, convulsions, tremors and coma can occur. Children under 16 years of age and the elderly are the most susceptible to the disease.

To reduce mosquito breeding areas:

• Remove any containers that can hold water.

• Keep gutters clean and in good repair.

• Repair leaky outdoor faucets and change the water in birdbaths and pet bowls at least twice a week.

• Use screened windows and doors and make sure screens fit tightly and are not torn.

• Keep tight-fitting screens or lids on rain barrels.

Western Carolina University, Wake Forest University and the Eastern Band of Cherokee Indians have reaffirmed their partnership to promote Native health initiatives.

Since 2006, the three institutions have collaborated to support the Culturally Based Native Health Program, or CBNHP. The CBNHP has two components: a graduate and undergraduate Native health certificate offered through WCU; and a Native youth-to-health careers initiative summer camp that takes place at Wake Forest.

“We are recommitting ourselves to initiatives we started four years ago,” said Lisa Lefler, a professor of medical anthropology and director of the WCU component of the program.

Principal Chief Michell Hicks of the EBCI, WCU Chancellor John Bardo and Provost Jill Tiefenthaler of Wake Forest formally updated the agreement at a meeting Nov. 16 on the WCU campus. Provisions of the new agreement include an extension of the terms through August 2015 and for Wake Forest to support qualified EBCI applicants. WCU agrees to “provide in-kind technological support and consultation to promote these collaborative efforts and support of American Indian students in education and career development.”

Bardo stressed the partnership’s strength and value. Tiefenthaler, citing the economy, said institutions are “in the age of partnerships.” Hicks said the tribe is interested in expanding the relationship to include other fields, such as architecture or accounting, for example.

The Native health certificate was developed with tribal community members and health professionals to provide a curriculum based on culture to inform providers about the unique nature of Indian health policy and the historical and cultural contexts of heath. This 12-hour, fully online program is one of the first in the nation to include a partnership with a Native community.

The second component of the CBNHP, the medical career counseling and technologies program, also called MedCat, responds to the universal need for more Native health care workers by recruiting high school students interested in medical careers and related technologies.

The CBNHP works in other ways to heighten awareness of Native health issues. A public lecture series featured its second speaker this fall semester, and a concert and free symposium in October raised raise awareness of the intersection of environmental, health and indigenous issues related to the destruction of mountain land.