ild Watch
BY MARIAN WRIGHT RDELMAN
THAN A MEDICAL CHALLENGE
fighting for her life, and is only 2V4 years old. She
--nia, but still has trouble gaining weight. She
a day and taken liquid food supplements
She acquired the virus tram her parents, both of whom have histories of
drug and have tested positive for HIV. Danielle is one of an
2,000 children (younger than 12) suffering from AIDS. Women and
children are the fastest growing population infected with AIDS. What is
rfartnng is the disproportionate number of black children afflicted with the
disease. They account for 52 percent of reported pediatric AIDS cases.
Although the effects of HIV are hard to predict, Danielle receives good
quality medical treatment, thanks to a unique clinic.
The Immunology Family Clinic at Children’s Hospital of
Philadelphia treats HIV-infected children and addresses the whole family’s
health and service needs. Every family is assigned a case worker, who
their care. With help from the family’s case worker, Danielle’s
parents can arrange for drug rehabilitation for themselves, food supplements
for their daughter through the Women, Infants and Children and other pro
grams, a home aide from a local AIDS support group to take care of Danielle,
and transportation to and from their next appointment—all during the same
visit.
There’s a growing recognition that one-stop family care similar to that
at (SlOP'is crittcalWfMdmSaSected by HIV. Since the majority of such
families are pdor, and many are headed by only one parent, all the daily
(-Haiionfl— frying any family with chronically ill children are multiplied. In
addition, since transmission from parents is the most common way children
acquire HTV. parents mav he too sick themselves to care for their children,
or several children may be ill at Hie same time.
Despite all the obstacles, many families manage on their own to get the
care and services their children need. “The strength these families have to
overcome many, many barriers to get care for their children continues to
, me,” says CHOP social worker Vicki Ellis., Even so, comprehensive,
' <»nAr»«wi»t«H services help make sure that the care is consistent. In Danielle’s
mm says Ellis, “I think the child probably would not have gotten to medical
appointments, except maybe in acute emergencies. The family has too many
other issues to deal with.”
ultimately, coordinated services for families affected by the disease is
only part of a full response to pediatric AIDS. There is a host of other urgent
issues to deal with: HIV prevention.pediatric AIDS research, gaps in health
insuraneecoverage, public ignorance and discrimination against people with
HIV. and the need for specialized foster care and family preservation.
No one knows better than the families themselves how much remains to
done. Ask anyone who works with them. “What do they wish for?” says Ellis.
“People to understand HIV, people to allow them to talk about it like cancer,
! or heart disease or any other serious illness. They want people to understand
that everyone’s at risk. They want greater access to care. They want a cure.”
To learn more about coordinated, comprehensive services for children
and families with HIV, contact the Association for the Care of Children’s
Health, 7*10 Woodmont Avenue, Suite 300, Bethesda. Md. 2Q814. (301) 654-0540.
1
saves time and money spent paying
pensions and annuities: direct deposit.
With direct deposit, those who pay
out pensions and annuities save
money. Those who receive them save
time. Both have greater safety *
Those benefits are all the result of
Direct Deposit of pensions and annu
ities, something nearly one out of
every eight American companies al
ready offers, and many more are con
sidering. With Direct Deposit, pen
sion and annuity payments go right
into the recipient's bank account.
Most companies save 50 cents or
more on every pension and annuity
payment sent out through Direct De
posit-money saved by streamlining
payment operations through reduced
administrative, banking, mailing and
check processing costs. That could
save a company thousands—some
times hundreds of thousands—of dol
lars over the course of a year!
At the same time, Direct Deposit
offers retired employees a safe, con
venient, reliable way to receive pay
ment—no worries about checks get
ting lost or stolen and no extra trips
to the bank, because the money's al
ready there.
If your company offers Direct De
posit of payroll, and processes retire
Direct Deposit of pensions and
annuities can aave companies
thouaands of dollars a year—and
bring peace of mind to many re
tirees.
ment benefits through its payroll de
partment, you’re already on-line to
start offering Direct Deposit for pen
sions and annuities. If retirement pay
ments are disbursed through another
department in your company, imple
menting a Direct Deposit program for
pensions and annuities is still easy.
Just as with payroll, local financial
institutions can help you set up your
program for Direct Deposit of pen
sions and annuities.
You can learn more about Direct
Deposit and what it can do for you b\
sending 50? to: Dept.. 432X, Con
sumcr Information Center, Pueblo
Co 81009.
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Helpful Hints On House Hunting
Are you a wall knocker? That’s
something like a tire kicker, except
instead of trying to buy a sound
car, you’re searching for a quality
house. Fortunately, there are a lot
of easier ways to know if the house
you’re considering is of good qual
ity. Here, from the experts at Moen,
manufacturer of faucet systems
known for quality and engineer
ing, are some of the things you
should watch for:
•When checking the basement,
look for stains on the walls and
floors. If the basement is newly
painted, sniff along the walls for
moist odors.
•Watch for large cracks, a quar
ter of an inch wide or more. Fine
cracks are usually the result of nor
mal settlement, but bigger ones
mean trouble.
• Check for slopes in floors, slant
ing walls or sagging rooflines, un
even door frames, bad cracks in the
plaster, windows out of plumb. In a
newly built house a twisted frame
may show up only in a small slant
here and there, but it means costly
repairs over time.
•Check the attic. Here’s where
the thickness of insulation shows.
If there’s three inches or less, your
heating and cooling systems won’t
do the job they should, so you’ll
probably want to add more.
• Turn on the faucets to check the
pressure, and look for rust in the
water. Also check the quality of the
faucet systems. If a contractor is
paying attention to quality, it will
show in the bathrooms and kitchen
accessories. Finding a Concentrix
faucet system, for example, is a good
sign other fixtures in the house will
Before buying your house, take a look at the faucets and check the
pressure. Low pressure or rusty pipes could be costly to fix.
be reliable and stylish.
•Check the heating system. If
the pipes and boilers look old, they
are, and may need replacing soon.
The average life of a hot-air fur
nace is twenty years; a cast-iron
boiler, forty to fifty years; a steel
boiler, fifteen to twenty years.
•Check the drainage. All grades
must slope away from the house, or
you’re inviting a water problem.
Your own inspection can root
out the obvious bad guys, but it’s no
substitute for a final inspection by
an engineer before you sign the
contract.
I-AC IS FROM THE
NATIONAL INSTITUTES
OF HEALTH:
Medicine
for the
Public
Early Treatment
Prolong* Life fbr
People with HIV
People infected with the Human
Immunodeficiency Virus (HIV) who
receive early treatment can greatly
• 'prove the quality and length of
ir lives, experts agree. They can
uelay the onset of AIDS and may do
well long after those who ignored
their health have serious illnesses
or early death. When people first
acquire HIV, they often feel heal* uy
and are unaware that they have
been infected until they have a
blood test.
When patients are first diagnosed
with HIV, doctors begin monitoring
their ability to ward off infections.
If HIV patients who have not de
veloped symptoms begin taking
anti-retroviral drugs such as
azidothymidine (AZT) when their
white blood cell count drops, they
can delay the onset of AIDS compli
cations. HIV-infected people also
need counseling and information so
they can take precautions against
spreading the virus.
For a list of Medicine for the
Public booklets, fact sheets and vid
eotapes, write: Clinical Center Com
munications, National Institutes of
Health, Building 10, Room IC255,
Bethesda. MD 20893.
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