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Stage 2 Air Quality Index and alarming research studies from DRI, Renown Health and the Washoe County Health District leads to public health advisory- seek care if needed For people who suffer from asthma, wildfire smoke is more hazardous than other types of air pollution, according to a study from the Desert Research Institute (DRI), the Renown Institute for Health Innovation (Renown IHI) and the Washoe County Health District (WCHD). The study published in the journal Environmental Health examined associations between airborne particulate matter (PM) from sources such as wildfire, transportation and industry, and medical visits for asthma at Renown Health’s emergency departments and urgent care centers in Reno, Nev. during the six-year period from 2013-2018. In places like Reno, where wildfire events occur regularly during parts of the year and are expected to become more frequent in the future, an accurate understanding of the impacts of wildfire smoke on population health is critical. We have an exceptional process in place through our urgent care sites, Renown Medical Group offices and hospital emergency departments to screen, diagnose and treat members of our community who come to us for care related to asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, and other upper respiratory diseases that may be exacerbated by wildfire smoke. At the same time, we continue to develop and refine, in real-time, the data that supports our predictive analytic models. We are using every tool and resource-including scientific data and clinical reporting, to ensure that we are meeting both the health and healthcare needs of the people we serve. In the study, researchers found that air quality in the Reno area was affected by wildfire smoke on a total of 188 days during the study period. A total of 18,836 asthma-related emergency room and urgent care visits occurred over the same five-year period of time, indicating that the influences of wildfire smoke and other types of air pollution on this medical condition are important to understand. The Washoe County Health District – Air Quality Management Division (AQMD) has issued a Stage 2 Air Pollution Warning due to smoke from area wildfires. Air quality in the Reno-Sparks area is now “Very Unhealthy” with an Air Quality Index of 247. The Stage 2 warning means that all residents should stay indoors and reduce activity levels due to the susceptibility of increased health risks. To see current air quality in Reno-Sparks, click here. Brion Hill, MD who practices at the Renown Urgent Care - Los Altos location warns, “This is an important health advisory, exposure to elevated PM2.5 (fine particulate matter in smoke) concentrations can result in eye and throat irritation, headaches, nausea, shortness of breath, congestion, coughing, impaired lung function and chest pain. Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Dr. Hill. “If you do not have a health care provider, we have 11 conveniently located Renown Urgent Care offices with providers ready to see you 7 days a week." Dr. Joseph Grzymski, a research professor at Desert Research Institute, a corresponding author on the study and Chief Scientific Officer, Renown Health, says, “This air is very bad for your health. Given today’s Air Quality Index in Reno, being outside and breathing this air for a day equals about smoking half a package of cigarettes.” Additional Information: The full text of the article “Particulate matter and emergency visits for asthma: a time-series study of their association in the presence and absence of wildfire smoke in Reno, Nevada, 2013–2018,” is available from Environmental Health: https://ehjournal.biomedcentral.com/articles/10.1186/s12940-020-00646-2 To learn more about the Renown Institute for Health Innovation, please visit: https://www.dri.edu/renown-ihi/ Renown Urgent Care provides treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening, that require same-day medical attention and avoid the long wait times and high prices of the emergency room at 13 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk-in or book ahead online. The Washoe County Health District offers online health information on its Be Smoke Smart website, including fire information, daily air quality information, fire and smoke maps and how to protect yourself.     About the Desert Research Institute The Desert Research Institute (DRI) is a recognized world leader in basic and applied interdisciplinary research. Committed to scientific excellence and integrity, DRI faculty, students, and staff have developed scientific knowledge and innovative technologies in research projects around the globe. Since 1959, DRI’s research has advanced scientific knowledge, supported Nevada’s diversifying economy, provided science-based educational opportunities, and informed policymakers, business leaders, and community members. With campuses in Reno and Las Vegas, DRI serves as the non-profit research arm of the Nevada System of Higher Education. For more information, visit www.dri.edu. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improve the care and the health of our community. For more information, visit renown.org.

Read More About Wildfire Smoke More Dangerous Than Other Air Pollution for People With Asthma

Renown Urgent Care team prepares you to stay safe this season and is available seven days a week at 11 locations across northern Nevada Millions of people across the West live in areas where air pollution can cause serious health problems. Local air quality can affect our daily lives. Like the weather, it can change from day to day. The Northern Sierra Air Quality Management District issued an Air Quality Health Advisory for Plumas County, to notify the public of the possibility of poor air quality conditions resulting from the Beckwourth Complex Fire in addition to other wildfires in northern California. In addition, there is the potential for wind shifts to carry smoke to other parts of Plumas County from the Beckwourth and several other regional wildfires.  Air quality is expected to vary greatly depending on fire behavior and weather conditions, with smoke settling in low areas at night and in the early mornings as long as these fires are active. The advisory mentions, “Exposure to elevated PM2.5 (fine particulate matter in smoke) concentrations can result in eye and throat irritation, headaches, nausea, shortness of breath, congestion, coughing, impaired lung function and chest pain, especially among sensitive individuals such as the elderly, children, people with asthma, people with heart or lung conditions, pregnant women and anyone who is exercising or working hard outdoors.” Kouros Farro, MD, a physician with Renown Urgent Care advises that there are people who are more likely to be affected when fine particle pollution reaches an unhealthy level. People who have asthma or other breathing conditions like chronic obstructive pulmonary disease (COPD). People who have heart disease or high blood pressure. Children and older adults. People of all ages who are doing extended or heavy, physical activity like playing sports or working outdoors. “Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Dr. Farro, who is board certified in family medicine and practices at Renown Urgent Care at 975 Ryland St in Reno. “If you do not have a health care provider, know we have a Renown Urgent Care office on almost every corner, with providers ready to see you.” Dr. Farro advises the following: Take it easy and listen to your body. Limit, change, or postpone your physical activity level. If possible, stay away from local sources of air pollution like busy roads and wood fires. If you have asthma or other breathing conditions like COPD make sure you have your relief/rescue inhaler with you. People with asthma should review and follow guidance in their written asthma action plan. Make an appointment to see your health provider to be sure you have an asthma action plan. “Even just one hour of smoke exposure can affect our lungs and hearts, and these consequences can reach people far beyond the direct area endangered by the fire. Children, older adults, pregnant women, people with preexisting cardiopulmonary disease, communities of color, economically disadvantaged communities, and people with preexisting chronic health conditions like asthma, diabetes, and obesity are all especially vulnerable to the air pollution that wildfires cause," says Dr. David Lemak, Division Chief of Urgent Care at Renown. Renown Urgent Care provides treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening, that require same-day medical attention and avoid the long wait times and high prices of the emergency room at 11 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk-in or book ahead online. You can get the latest fire and smoke information at the Washoe County Health District’s Be Smoke Smart webpage.  It includes information about air pollution levels and how to protect yourself from the smoke. An on-line subscription page allows you to sign up for EnviroFlash, notifying you about air quality.     About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.

Read More About Where There is Smoke; There May Be More Headaches, Nausea and Coughing

Patients who qualify for a “Food is Medicine Prescription” can receive a bag of food for themselves and each member of their family every week through this free assistance program. Renown Health is proud to offer supplementary food to patients in need through its food pantry. Established nearly a year ago, patients who identify as food- insecure are working with Renown’s community health workers to receive fresh produce, canned goods, non-perishable items and other pantry staples to help nourish themselves and their family at no cost. Thanks to the support of the Northern Nevada Food Bank and other local community partners, Renown’s food pantry is helping meet the food needs of homeless and low-income individuals in our community. “Patients’ responses to our food pantry has been amazing,” said Renown community health worker Seth Rubin. “They are extremely grateful when we give them a bag of food. Their eyes light up knowing that they will have enough food to eat for the week without having to worry about finding a source of food for their family.” To make this assistance program possible, Renown’s food pantry receives food deliveries every Wednesday from the Northern Nevada Food Bank. The Food Bank meets Renown’s team of community health workers, along with churches and other medical organizations, with a semi- truck loaded with a variety of foods. After receiving a pallet with their food order, Renown’s community health team collects an assortment of fresh produce, donated from local grocery stores and other community organizations. After that, the food is unloaded into Renown’s food pantry located inside The Healthcare Center. Renown’s community health workers serve patients in the hospital and emergency rooms, as well as individuals who receive care in The Healthcare Center, which provides affordable access to care for anyone in our community. After expressing a need for food assistance, patients are offered a Food is Medicine Prescription. Through this prescription, they can go to a participating food pantry once a week to receive one bag of food per person in their household. Pantry Continues Amidst Pandemic Since the beginning of the COVID-19 pandemic, Renown’s community health workers have worked remotely, but that hasn’t stopped them from reaching out to patients who benefit from this program. “We’re currently coordinating outpatient deliveries to our patients,” said Rubin. “Every Tuesday and Thursday, we deliver a bag of food to the patient’s house. It has been a great way to continue providing healthy food to our patients while continuing to provide safe care to the patients we see in person at our clinic. Despite our operations being a little different, our patients’ feelings of gratitude and relief remains the same. This is extremely rewarding work and we are proud to continue serving our community throughout these challenging times.” Renown’s food pantry is currently available to patients of The Healthcare Center. Renown is working to get more refrigeration, shelving and staffing to expand the service to more Renown Medical Group patients. Renown patients who qualify for a Food is Medicine Prescription, yet aren’t patients of The Healthcare Center, are encouraged to visit these participating food pantries once a week. The Healthcare Center accepts all Medicaid plans in addition to other healthcare plans. To learn more, visit Renown’s website. For b-roll on this story, please click here.     About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org

Read More About Renown Health Food Pantry Is Nourishing Patients at No Cost

Passionate about food and coffee? Interested in serving patients and health care heroes? Courteous and diplomatic? Have a high school diploma? Read on to discover the career for you. When you think about the word LOVE, do you think about delicious FOOD or a mug of hot COFFEE? When you talk with friends, do your conversations start and end discussing a new recipe, a new restaurant or TV food show?  Do you get great satisfaction from preparing a great meal? Do you dream about being able to make a steaming hot latte with almond milk in minutes? Are you a nurturer who envisions creating and delivering a hot, delicious, nutritious meal to someone recovering from a surgical procedure or recovering from an illness? Would you enjoy making a special celebration meal for a family who has just delivered a baby, a cake for a wedding at a patient’s bedside, or for a family reunited with papa after receiving good news about his cancer recovery?  Are you looking for some career options to keep you connected to great food and coffee? Renown Health is now offering a number of career options that encourage you to satisfy your love for food; earn money, paid vacation/sick time, great health benefits; have a regular schedule; advance your career and earn a college or university degree at the same time.  There are some outstanding benefits to working in food-related careers at the region’s top employer and the region’s largest non-for-profit, charitable organization. Renown employees work every day to make a genuine difference in the lives of others, and we are looking for you to join us.  Many food services professionals started their careers in entry-level positions and worked their way up. Other benefits to working at Renown include transferable career skills, free or discounted food and the opportunity to give back and serve your community.  Whether you are just starting your career or looking for a new challenge, you are sure to find something that is perfect for you. Many positions require only a high school diploma or a GED. Start exploring today with our list of nine terrific food and beverage-related careers available today at Renown Health and apply online at renown.org.  1) Be a Barista at Starbucks; Renown Regional Medical Center, full/part time, all shifts If you love talking to people, have a good sense of humor and like to move fast, then this job is a great fit for you. You will meet people from every field and make friends with many of them. You will learn to be an expert in handcrafting delicious, perfect beverages—while proudly wearing the green Starbuck’s apron. You will be a part of the first Starbuck’s in the area to operate 24 hours a day, 7 days a week. Average Starbucks barista hourly pay is at the national average of approximately $12.32. In addition, you will receive paid training, tips, a full Renown Health medical, retirement, paid vacation/sick time benefit package and access to internally posted positions. You will need a high school diploma or GED; however, experience is not necessary for this entry-level position. Starbuck’s employees can drink as many lattes as they want—as most beverages are free for employees during work breaks! 2) Chef It Up as a Hospital Cook & Cook Lead; Renown Regional Medical Center, Renown Rehabilitation Hospital, full/part time, all shifts.  If you love preparing nutritious, appetizing food for others, understand the importance of individual requirements for medical and cultural diets, this may be the perfect job for you. Most people landing a job as a Cook in a hospital have five or more years of experience working in a restaurant but do not have a college degree, yet they are able to earn an average salary range: $26,860 – $61,870. Benefits include a predictable schedule, which may mean more time with your family and at home. You will also receive vacation and sick days, and health, vision and dental benefits. In addition, you would be fueling physicians, nurses and others to get through a long workday, making a genuine difference in the lives of others and having a positive impact on society.  3) Special Delivery! Food Servers; Renown Regional Medical Center, full/part time, all shifts. If you love assembling and serving meals to patients, this is the job for you. You will setup, prepare and clean up for patient meal service and may serve as the link between Nutrition Services and patients. You may also transport food carts to the patient room floors and help with kitchen general cleaning and sanitation. 4) Show Your Creative Side as a Food Prep Artist; Lead Sandwich Artist; Renown Regional Medical Center, full/part-time, all shifts In this role, you will make and serve salads, desserts, and sandwiches with fresh ingredients and promptly serve them to hungry and happy customers. Lead Sandwich artists are in demand at the Subway restaurant located within Renown Regional Medical Center.  5) Making it Just for You! Nutrition Representative; Renown Regional Medical Center; per diem, all shifts In this role, you will meet with patients, help them review their meal options, and ensure their special and customized meal is delivered to their room. As a customer service agent, you will answer the phone for food orders, enters the meal choices into the computer system and understand menus, diet restrictions, recipes and food inventory.  6) Cashing In as a Food Services Cashier; Renown Regional Medical Center; full/part-time, all shifts 7) Food as Medicine as a Clinical Dietitian; Renown Regional Medical Center; part time, days Patients recovering from illness need to fuel their bodies with the most nutritious foods. In this role, you will provide nutrition education and counseling, clinical nutrition assessments, planning and evaluation of infants, children, adolescents, adults and geriatric patients, and work to meet the patient's physical, cognitive and psychosocial needs through proper nutrition and education.  8) The Answer is YES! Manager of Hospitality; Renown South Meadows Medical Center; full time As our manager, you would deliver exceptional customer service in all aspects of food and environmental services. You would get to build, hire, train and lead an engaged team and provide the highest quality service to meet the needs of patients, employees, visitors, and physicians. 9) Customer Service Fanatic? Retail Food and Beverage Supervisor; Starbucks You would be very popular-leading the operations of Starbucks and Subway franchises at Renown Regional Medical Center. You would ensure lead and empower and train your team to be the best- and be sure you budget is balanced and the customer service is exceptional.  At Renown Health, we share a boundless vision that inspires us to learn, grow and exceed expectations for patients, their families and one another. A career with us offers you: • An uplifting and progressive environment focused on community health and wellness initiatives. • A culture that values your contributions and supports your personal and professional development. • Affiliations with the University of Nevada, Reno, Desert Research Institute and other organizations that help spur innovation and opportunity. To apply for these career opportunities and others, please visit us online at https://careers.renown.org/  About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

Read More About Food is Love! Nine Career Options at Renown to Satisfy Coffee Enthusiasts & Foodies