Taking good health to heart

How appropriate that during the month we celebrate Valentine’s Day — an annual tradition related to sweeter matters of the heart — that we also acknowledge heart disease, a nefarious killer that affects hundreds of thousands of Americans as silently as Cupid’s arrow.  Heart disease is the leading cause of death in the United States and is a major cause of disability. February is American Heart Month, and it’s still early in the new year so there’s plenty of time in 2013 to adjust your lifestyle and make smarter choices that will prolong both the longevity and quality of your life.

The most common heart disease in the United States is coronary heart disease, which often appears as a heart attack. Each year, an estimated 785,000 Americans have a new coronary attack, and about 470,000 have a recurrent attack. About every 25 seconds, an American will have a coronary event, and although heart disease is sometimes thought of as a “man’s disease,” it is the leading cause of death for both women and men in the United States, with women accounting for nearly half of heart disease deaths.

There are many risk factors that contribute to heart disease, including high cholesterol, high blood pressure, obesity, diabetes, tobacco use, unhealthy diet, alcohol consumption, physical inactivity, and secondhand smoke. While some of these problems are due to heredity, there’s much we can do to improve our odds of remaining heart healthy and to control problems that we may have inherited.

Stay fit and active

While there are elements of our health we can’t control, there’s much we can do, and remaining active is a huge step toward improved wellness. If winter hiking and outdoor sports and activities don’t thrill you, consider all the interesting ways to stay fit indoors. Beyond exercising in a gym, fitness center or at home, you can play tennis, racquetball, basketball, volleyball or other team sports, skate or pursue highly beneficial personal activities like swimming, spinning, yoga, martial arts and forms like Tai Chi. These strengthen mind and body, help you establish a healthy routine, and are great stress reducers, as well.

Many people in today’s electronic age also turn to gaming systems that offer interactive “aerobic,” exercise and sports programs. While clearly a step above normal couch potato activities, don’t be lulled into believing that tennis, boxing, golf or bowling on your Wii or X-Box is going to keep you fit. Sports and exercise programs on these systems may help improve your balance, coordination and agility, but we need more vigorous aerobic activities and to remain active for far greater portions of the day.

That’s not to say you shouldn’t enjoy these programs. Game maker Nintendo, for example, never claimed that its popular Wii Fit program will help people lose weight — or even become healthier. The company says it merely hoped to create a game that combines entertainment and the ability to track progress with a healthy activity. Anything that encourages us to be more physically active is positive. For those who are already engaging in physical activity, it’s not a substitute, but can be a nice complement to a regular exercise program.

Overall, a healthy diet and lifestyle are the best weapons we have to fight heart disease. It is the overall pattern of the choices we make that count. Eating smart, exercise, sleeping well, and stress and weight reduction all play important roles.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Catering to our aches and pains: What painkiller is best, and when?

Whether you have a headache, fever, backache, arthritis or other pains and discomfort, over-the-counter pain relievers are our most commonly self- and physician-prescribed medicines of choice in America. There are dozens of pain-relief products. Most contain aspirin, ibuprofen, or acetaminophen. These three drugs, as well as naproxen, relieve pain and reduce fever. Aspirin, ibuprofen, and naproxen also relieve inflammation. They belong to a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs).  Here’s a brief guide to which non-prescription, over-the-counter pain relievers to use, and cautions to observe when using them.

Choosing the most appropriate non-prescription pain reliever

Aspirin is widely used for relieving pain and reducing fever in adults. It also relieves minor itching and reduces swelling and inflammation. Aspirin comes as adult-strength (325 mg) or low-dose (81 mg). In addition to relieving pain and inflammation, aspirin is effective against many other ailments. For example, aspirin in low regular low doses may help prevent heart attacks and strokes in certain people. Because of the danger of side effects and the interactions aspirin may have with other medicines, do not try these uses of aspirin without a doctor’s supervision.

Although it seems familiar and safe, aspirin is a very powerful drug. Here are important precautions for aspirin use:

  • Keep all aspirin out of children’s reach. Aspirin increases the risk of Reye syndrome in children. Do not give aspirin to anyone younger than 20 unless your doctor tells you to do so.
  • Aspirin can irritate the stomach lining, causing bleeding or ulcers. If aspirin upsets your stomach, try a coated brand, such as Ecotrin. Talk with your doctor or pharmacist to find out what may work best for you.
  • Because aspirin can increase the risk of bleeding, it is not recommended for new injuries. Take other medicines such as ibuprofen or naproxen for the first two or three days after an injury. If you take a blood thinner (anticoagulant), such as warfarin, or if you have gout, talk to your doctor before you take aspirin.
  • High doses may result in aspirin poisoning (salicylism). To help prevent taking a high dose, follow what the label says or what your doctor told you. Stop taking aspirin and call a doctor if you experience ringing in the ears, nausea, dizziness, or rapid deep breathing.

Ibuprofen (the active ingredient in products such as Advil and Motrin) and naproxen (in products such as Aleve) are other NSAIDs. Like aspirin, these drugs relieve pain and reduce fever and inflammation. Also like aspirin, they can cause nausea, stomach irritation, and heartburn.

Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis. It is also used to reduce fever and to relieve minor aches and pain due to the common cold or flu. Ibuprofen works by blocking your body’s production of certain natural substances that cause inflammation. This helps to decrease swelling, pain, or fever.

NSAID precautions

Do not use an NSAID for longer than 10 days without talking to your doctor, and talk to your doctor before taking NSAIDs if you have

  • Ulcers or a history of bleeding in your stomach, or stomach pain, upset stomach, or heartburn that lasts or comes back
  • Anemia, bleeding or easy bruising
  • A habit of drinking more than three alcoholic drinks a day — this increases your risk of stomach bleeding
  • High blood pressure, kidney, liver, or heart disease.

Also talk with your doctor before taking NSAIDs if you use blood thinners, such as warfarin, heparin or aspirin, if you take medicine to treat mental health problems, to decrease swelling (water pills), or if you take medicine for arthritis or diabetes.

Acetaminophen (the active ingredient in products such as Tylenol) is an analgesic that reduces fever and relieves pain. It does not have the anti-inflammatory effect of NSAIDS, such as aspirin and ibuprofen, but it also does not cause stomach upset and other side effects. Acetaminophen is typically used for mild to moderate pain. Do not take acetaminophen if you have kidney or liver disease, or drink alcohol heavily (three or more drinks a day for men and two or more drinks a day for women).

Finally, note that when you buy pain relievers, keep in mind that generic products are chemically equivalent to more expensive brand-name products, and they usually work equally well. And if you are pregnant, always check with your doctor or pharmacist before taking a pain reliever.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Chocolate and wine for improved health? Sounds delicious!

It’s always a thrill when we learn that something we already love to eat and do actually is good for our health! While everyone doesn’t have a taste for chocolate, or may not be interested in drinking red wine, both of these universal favorites contain important sources of chemical elements that have been proven beneficial for our overall health and wellness. And with February being the month of Valentines, that’s particularly good news!

Research has shown that the intake of dark chocolate has demonstrated positive results in reducing blood clotting, improving the flow of blood to brain and heart and lowering of blood pressure. Cocoa, from which dark chocolate is prepared, is derived from cocoa beans. Cocoa beans contain a rich source of antioxidants also called flavonoids and polyphenols. The pungent taste of cocoa is attributed to these flavonoids. These help remove unhealthy free radicals — which can contribute to increased cholesterol — and increase the oxidation level in the blood cells.

Furthermore, a survey at Oxford University has proven that proportionate amounts of dark chocolate intake produces positive results in improving and maintaining cognitive abilities, thereby reducing the probability of getting Alzheimer’s disease.

Dark chocolate contains four times more antioxidants as that in tea, and dark chocolate, like red wine, contains phenols, which protect us against heart diseases. The phenols check fat-like substances in the blood from oxidizing and blocking arteries. Dark chocolate has the highest amount of antioxidants, whereas milk chocolates contain the least amount. The more cocoa present in your chocolate the better your chocolate becomes for your health.

Red wine, in moderation, has long been thought of as heart healthy. The alcohol and antioxidants found in red wine may help prevent heart disease by increasing levels of “good” cholesterol (HDL) and protecting against artery damage. Antioxidants such as flavonoids or a substance called resveratrol, a polyphenol (like those found in dark chocolate) that helps protect the lining of blood vessels in our heart, has heart-healthy benefits and can actually help boost HDL and prevent blood clots.

While the news about red wine might sound great if you enjoy a glass of red wine with your evening meal, doctors are wary of encouraging anyone to start drinking alcohol. That’s because too much alcohol can have many harmful effects on your body. Don’t exceed one drink a day for women; one to two drinks for men — and talk to your doctor first. Alcohol may cause problems for people taking aspirin and other medications, and too much alcohol actually hurts the heart.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Building your wellness roadmap takes time, planning, and commitment

As a small business leader, you are constantly analyzing your benefits programs, taking into account growing healthcare expenditures and the personal health and wellness of your employees. To address this, you may have already taken the first step by joining a wellness program such as CBIA Healthy Connections. The program was designed with this key tenet in mind: To reduce costs, employees need to become engaged in both their healthcare spending and in reducing their health risks.

But remember, while one obvious goal of any wellness program is to reduce costs, it is not the primary message. Wellness is about people and improving their quality of life. Successful programs place heavy emphasis on personal outcomes. Employees benefit from access to fitness facilities, and access to healthcare education and information on topics ranging from stress management and exercise to healthy cooking. Employees also benefit from smoking-cessation courses and materials, and through an understanding of their own personal responsibility in ensuring their health and wellness.

When you integrate wellness and intervention programs, you have the opportunity to educate employees about how the connections between their healthy behaviors and lifestyle choices relate to their premiums and other healthcare costs. And these efforts also are rewarded through improved teamwork, increased productivity, fewer sick days, and enhanced quality and service.

How to get started

It’s already February, and if you’re like most of us, January just flew by. Blink and it will be summer. So, if you’re thinking of implementing a more proactive health and wellness program in 2013, you have to dig in now by identifying initial action steps, setting goals, and implementing your program.

A critical first step is to take advantage of interactive, online health and wellness programs. You’re at an advantage here because as a member of CBIA Health Connections, your company can join CBIA Healthy Connections for free! This program was developed to enhance the health and productivity of employees and support a more complete system of care.

Pulling together members of your team to discuss and build a road map, or plan, is the next step. What do you want to achieve? What is reasonable, given time, costs, the business you’re in and your culture? Will you shoot for the “low-hanging fruit,” or try to implement a more comprehensive program?  Once you’ve had these discussions, and have determined what you can reasonably achieve, you have to establish a timetable and a communication plan for building consensus, promoting action steps, and rewarding successes.

The next step is encouraging your team to complete the free, in-depth health assessment offered through CBIA Healthy Connections. This online assessment yields revealing, yet actionable information for the individual, and can be used to help guide the employee to programs and actions that will address his or her health needs. There’s also a popular incentive:  Each employee who completes an assessment receives a $50 Amazon gift card, and your company is automatically entered into a raffle for a $500 gift card.

Quality educational courses and materials, accessible fitness activities and effective communication are all core components of a successful wellness program. Employers must make the connections between medical costs, health risks and personal responsibility. The more we understand that health risks, many of which are modifiable, drive health utilization and cost, the more effective we can be in helping our employees adjust their behaviors and attitudes toward wellness.

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If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Be aware of cervical cancer risks and precautions

While not as pervasive and common as it once was, cervical cancer remains a threat to many women of varying ages. The American Cancer Society’s most recent estimates for cervical cancer in the United States, based on 2012 statistics, indicate that about 12,170 new cases of invasive cervical cancer will be diagnosed in 2013, and approximately 4,220 women will die from cervical cancer.

Non-invasive cervical cancer occurs about four times more often than invasive cervical cancer, and there’s other good news to report: Cervical cancer was once one of the most common causes of cancer death for American women. Then, between 1955 and 1992, the cervical cancer death rate declined by almost 70 percent due, primarily, to the increased use of the Pap test. This screening procedure can find changes in the cervix before cancer develops. It can also find cervical cancer early — in its most curable stage.

The death rate from cervical cancer continued to decline until 2003. Since then it has remained stable in white women, but has gone down in African American women. In the United States, Hispanic women are most likely to get cervical cancer, followed by African-Americans, Asians and Pacific Islanders, and whites. American Indians and Alaskan natives have the lowest risk of cervical cancer in this country.

Cervical cancer tends to occur in midlife. However, most cases are found in women younger than 50, though it rarely develops in women younger than 20. Many older women do not realize that the risk of developing cervical cancer is still present as they age. More than 20 percent of cases of cervical cancer are found in women over 65. However these cancers rarely occur in women who have been getting regular tests to screen for cervical cancer before they were 65.

Risk factors for cervical cancer

Several risk factors increase your chance of developing cervical cancer. Women without any of these risk factors rarely develop cervical cancer. In thinking about risk factors, it helps to focus on those you can change or avoid…like smoking or human papilloma virus (HPV) infection, rather than those you cannot (such as your age and family history). However, it is still important to know about risk factors that cannot be changed, because it’s even more important for women who have these factors to get regular Pap tests to detect cervical cancer early.

Cervical cancer risk factors include:

Smoking tobacco products: Women who smoke are about twice as likely as non-smokers to get cervical cancer. Smoking exposes the body to many cancer-causing chemicals that affect organs other than the lungs. These harmful substances are absorbed through the lungs and carried in the bloodstream throughout the body. Tobacco by-products have been found in the cervical mucus of women who smoke. Researchers believe that these substances damage the DNA of cervix cells and may contribute to the development of cervical cancer. Smoking also makes the immune system less effective in fighting HPV infections.

Cervical cancer may run in some families. If your mother or sister had cervical cancer, your chances of developing the disease are two to three times higher than if no one in the family had it. Researchers suspect that some instances of this familial tendency are caused by an inherited condition that makes some women less able to fight off HPV infection than others. In other instances, women from the same family as a patient already diagnosed may be more likely to have one or more of the other non-genetic risk factors

Oral contraceptives (birth control pills). There is evidence that taking oral contraceptives (OCs) for a long time increases the risk of cancer of the cervix. Research suggests that the risk of cervical cancer goes up the longer a woman takes OCs, but the risk goes back down again after the OCs are stopped. In one study, the risk of cervical cancer was doubled in women who took birth control pills longer than five years, but the risk returned to normal 10 years after they were stopped. The American Cancer Society believes that a woman and her doctor should discuss whether the benefits of using OCs outweigh the potential risks.

HPV infection. The most important risk factor for cervical cancer is infection by the human papilloma virus. HPV is a group of more than 100 related viruses, some of which cause a type of growth called a papilloma, which are more commonly known as warts. HPV can infect cells on the surface of the skin, genitals, anus, mouth and throat, but not the blood or most internal organs such as the heart or lungs. Different types of HPVs cause warts on different parts of the body. These may barely be visible or they may be several inches across. These are considered low-risk types of HPV because they are seldom linked to cancer.

Certain types of HPV are called high-risk types because they are strongly linked to cancers, including cancer of the cervix, vulva, and vagina in women, penile cancer in men, and anal and oral cancer in both men and women. In fact, doctors believe that a woman must be infected by HPV before she develops cervical cancer.  Infection with HPV is common, and in most people the body is able to clear the infection on its own. Sometimes, however, the infection does not go away and becomes chronic. Chronic infection, especially when it is caused by certain high-risk HPV types, can eventually cause certain cancers, such as cervical cancer.

Diet. Overweight women and women with diets low in fruits and vegetables may be at increased risk for cervical cancer.

Chlamydia infection. Chlamydia is a relatively common kind of bacteria that can infect the reproductive system. It is spread by sexual contact. Chlamydia infection can cause pelvic inflammation, leading to infertility. Some studies have seen a higher risk of cervical cancer in women whose blood test results show evidence of past or current chlamydia infection (compared with women who have normal test results). Infection with chlamydia often causes no symptoms in women. A woman may not know that she is infected at all unless she is tested for chlamydia when she gets her pelvic exam.

Regardless of your age and degree of sexual activity, talk with your physician about your cervical health risk factors, or chances of contracting related factors. Regular testing and awareness are the most effective forms of prevention.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Wash those hands, get your flu shot, and be considerate!

Coughing, sneezing, runny noses…seems everyone around us has those symptoms, and they’re touching us or the things we’re touching, breathing the same air, cooking our meals or otherwise doing their best — however unintentionally — to share their joy. What’s a person to do to protect ourselves and our loved ones?

To start, wash your hands…often. That includes when you come home from anywhere, before you eat in a dining hall or restaurant, after you use a restroom, visit the supermarket, ride a bus or train, or touch an ATM. Hand washing is the simplest, most effective means of preventing the spread of germs. And when it isn’t easy to wash your hands, use a hand sanitizer. Also, don’t share toothbrushes, razors or other personal grooming products, and avoid sharing food, drinks or eating off of one another’s plates. It may be tempting, but it’s only tempting fate!

Next, learn to sneeze into your sleeve or a tissue so you don’t infect innocent passersby or fellow employees. Airborne pathogens spread highly contagious viral or bacterial infections, and incubation time — or the days it takes for germs to turn into something truly icky in your system — allows you to spread those germs to many other people before you even realize you’re infectious. Finally, when you know you’re sick, stay home!

What you need to know about the flu

Influenza — the flu — is not pretty. It’s far worse than a cold, includes body aches and fever, hangs around longer than a typical virus, is contagious, and takes you out of your game for a week or two.

Aside from the short-term misery and lost workdays, flu can have more serious implications. Most people who get the seasonal flu recover just fine. But the seasonal flu also hospitalizes 200,000 people in the United States alone each year. It kills between 3,000 and 49,000 people annually, depending on the variety of flu and length of the season. That’s close to the number of women killed by breast cancer each year, and more than twice the number of people killed by AIDS. And it’s particularly dangerous to children, seniors and adults with other chronic illnesses or autoimmune disorders.

Beyond hand washing, the best prevention is to get a flu shot. Contrary to urban legends, flu vaccines are very safe and can’t infect you with the flu. Injected flu vaccines only contain dead virus, and a dead virus can’t infect you. There is one type of live virus flu vaccine, the nasal vaccine, FluMist. But in this case, the virus is specially engineered to remove the parts of the virus that make people sick. The standard flu vaccine can be dangerous if you’re allergic to eggs, so you should always talk with your doctor before taking the vaccine.

Additionally, antibiotics won’t help you fight the flu, which is not caused by bacteria, but by a virus. Taking antibiotics unnecessarily weakens your body’s ability to fight bacterial illnesses, since many bacteria become resistant to antibiotics due to overuse and bad prescribing practices.

However, there are instances of flu complications that involve bacterial infection. The flu virus can weaken your body and allow bacterial invaders to infect you. Secondary bacterial infections due to the flu include bronchitis, ear infections, sinusitis, and most often, pneumonia. The flu doesn’t peak until February or March, and it hits all across the country, so if you haven’t had your flu shot there’s still plenty of time to protect yourself and your family.

So, dress warmly when it’s cold, eat healthy foods, avoid going places when you’re not feeling well, and wash your hands regularly. Winter can be a blast if you’re not spending it hacking and sneezing!

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Sure, it’s winter; now get outdoors and enjoy it!

There’s just so much television, video games, and movies we can stand. Fresh air and exercise are good for us, and so are the vitamins the sun provides. So while winter drives many people indoors to weather the deep freeze and shorter days, the season also abounds in natural beauty best appreciated while outside; walking or hiking, sledding, skiing, snowmobiling, ice skating, ice fishing, working in the yard, or whatever gets you outdoors. 

No matter your choice of recreational activity, consider making plans to get outside, but take appropriate measures to protect yourself. That includes dressing for the weather, making sure you’re properly hydrated, wearing sunscreen, knowing your limitations, and always respecting Mother Nature.

Dressing in layers and wearing the right types of materials are critical for keeping yourself warm in the cold weather. But when planning your outdoor wardrobe, moisture management is also an important consideration. To keep the body warm during high-energy activities, clothing should transport moisture away from the skin to the outer surface of the fabric where it can evaporate. Also, look for garments made from the new stretch fabrics for better fit and performance.

Cotton is a poor choice for insulation, because it absorbs moisture and loses any insulating value when it gets wet. Instead, moisture-wicking synthetics, which move moisture away from the skin and stay light, are the best choice for active winter sports like skiing, snowboarding, hiking or climbing. Not only do synthetic fabrics wick moisture away from the skin, they dry quickly and help keep you warm in the process.

Your next layer should be a lightweight stretchy insulator, such as a breathable fleece sweater or vest. The final part of your cold-weather wear should be a lightweight and versatile shell jacket. Fabrics like three-layer Gore-Tex and Windstopper allow companies to create shells that are ultra lightweight while remaining waterproof, windproof, and breathable. For aerobic activities, a shell’s ventilating features are particularly important. Look for underarm zippers, venting pockets, and back flaps.

Always bring a hat and gloves, regardless of the weather or your activity level. Proper foot protection is critical, as well — you should be wearing insulated and water-proof shoes or boots, and synthetic socks that won’t absorb sweat. As with the rest of your clothing, synthetic materials work best for protecting you against the extremes. Look for fleece hats made with Windstopper fabric, gloves and mittens layered with Gore-Tex and fleece, and socks made of synthetic, moisture-wicking materials.

Bring an abundance of water or sports drinks when you recreate outdoors, and try to avoid caffeine or alcohol — both actually dry you out, instead of hydrating, and alcohol lowers your body temperature. Also, make sure you have a cell phone, that somebody knows where you are, and when you’ll be returning. And remember to wear sunscreen — the sun’s ultraviolet rays remain potent, even in the winter, and hydrating your skin with a UV-protective moisturizer will help protect you from wind and other elements.

Finally, remember to practice plain old common sense, and know your limitations. Many winter sports injuries happen at the end of the day, when people overexert themselves to finish that one last run or hike one more mile before the day’s end. A majority of these injuries can easily be prevented if participants prepare by keeping in good physical condition, stretch before you get started, stay alert and stop when you are tired or in pain.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

How does your company promote and encourage wellness?

Every month, this column encourages employers to help their employees embrace health and wellness opportunities through education, collaboration, and personal/team goal setting. Savvy employers promote these goals through open communication and support, establishing a vision for staff, and rewarding for improved healthy behaviors.

It’s a new year, a time that many people establish personal benchmarks for how they’d like to improve their health and wellness. It’s human nature to take a fresh look at ourselves and our lives, especially after the gluttony and chaos of another holiday season. We traditionally determine we’re going to do better, whether it’s weight loss, exercise, smoking cessation, stress reduction or by addressing the health side effects from not focusing on these important tasks — like high blood pressure, unhealthy cholesterol levels, raised blood sugar, lack of sleep, overtaxed joints…it’s a long list.

Some employers set company goals, sponsor team walks or charity-related events, reward for total weight lost, or the number of smokers who quit. Others help supplement the cost of fitness center memberships, sponsor on-site classes, encourage healthy potluck lunches and dinners, host health screenings, and more. There’s no perfect recipe for success — every step counts, and company efforts vary from culture to culture.

The best stories about health and wellness are your stories — the formal and informal ways you and your company promote, support, communicate and reward wellness efforts, small and not-so-small. Whether they involve one or many, we’re looking for examples of what you’re doing at your company, how you’re doing it, and who’s involved.

Improving individual and organizational health is incremental. While we love “big success stories,” we’re looking for best practices to share with other companies like yours. How do you communicate wellness objectives? What programs or efforts are taking place onsite during the day, or before or after hours? How are you setting goals, measuring and recognizing achievement? Who is involved? Regardless of your focus, we’d like to hear about it. Then, we can share your efforts with others also participating in CBIA’s Healthy Connections.

Someone from CBIA may contact you to ask about your efforts. We’ll take small steps and combine them into articles that demonstrate what’s going on among our member companies, or profile your company and program individually. If you want to contact us to tell us what you’re doing, please send us a note at michelle.molyneux@cbia.com.

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If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!