March 26, 2007 WIC Update

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SUBJECT 1: WIC 24 June Submission Deadline June 5, Noon
SUBJECT 2: Microcuvette Delivery
SUBJECT 3: National WIC Association Leadership Conference Highlights
SUBJECT 4: Manual Breast Pumps
SUBJECT 5: Mercury in Tuna - Reminder
SUBJECT 6: EnfaCare LIPIL Ready-To-Use (32 fl oz.)
SUBJECT 7: Save The Dates for the WIC Cultural Competency 201 Training Session
SUBJECT 8: Fruits and Veggies Educational Brochures
SUBJECT 9: Income Guidelines

  1. WIC 24 June Submission Deadline June 5, Noon: The Missouri WIC Program was notified that the state's SFY2007 end-of-year processing date, the absolute deadline for the processing for payment of WIC-24 Monthly Administrative Cost Report Invoices will be close-of-business Tuesday, June 5, 2007. Therefore, in order for the program to conduct the processing needed to create the Administrative Cost Report for payment, all WIC-24s to be paid in June must be received by the State WIC Office and entered by NOON, June 5, 2007.

    WIC-24 invoices received after the above deadline will continue to be reviewed and entered as received, but no payment should be expected until late July 2007 after the state's accounting system becomes available. If you have any questions regarding the deadline or processing requirements please contact Michael Murphy, Michael.Murphy@health.mo.gov or Jim Schindler, James.Schindler@health.mo.gov at the state WIC office.
  2. Microcuvette Delivery: Thank you for completing the Microcuvette survey so quickly. The Microcuvettes have been ordered from HemoCue and are expected to arrive in your agency the week of March 26th. Those who needed a supply of Microcuvettes should expect to receive a shipment the week of March 26th through 30th. Upon receiving your shipment of Microcuvettes from HemoCue, sign and date the packing slip. Fax this completed packing slip to Jeannie Phelps at 573-526-1470 by April 6, 2007. If the number of Microcuvettes listed on the packing slip does not agree with the boxes you received, please call Jeannie Phelps at 573-751-6204 or email Jeannie.Phelps@health.mo.gov. Some agencies appear to have sufficient supplies to last until we order again in the fall. If you need microcuvettes before then, call Jeannie Phelps.
  3. National WIC Association Leadership Conference Highlights: The NWA 2007 Leadership Conference March 3-6, 2007 speaker presentations are available on the NWA website at http://www.nwica.org/. Lyn Konstant and Phyllis Fuller from the State WIC office, Jim Wheaton and Brenda Brewer from Truman Medical Center attended. The conference was all very interesting, the one nutrition specific topic on overweight: Preventing Pediatric Overweight: A Review of Family, Legislative, & Health Care Actions was very thought provoking. The presenter was Debra Kibbe - a dynamic speaker.

    Bob Greenstein's economic presentation was very interesting. Look at page 2 of his presentation and see his graph: Tax Cuts are Largest Contribution to Re-emergence of Large Budget Deficits.

    Again we urge you to contact your District Congress Representative and/or Senator to discuss the importance of WIC and the continuation of financial support for what WIC provides to the under privileged women and children in our state and country.

  4. Manual Breast Pumps: The state WIC office would like to thank all the local agencies for completing the electric breast pump survey. This survey has enabled the state to have a better understanding of what the agencies are providing WIC participants and will help with allocating funds for future electric breast pump purchases. The state WIC office also understands the need to continue providing to the local agencies Harmony manual breast pumps, Lactina Select electric breast pumps and double pumping kits. Currently there is a supply of Harmony manual breast pumps available to local WIC agencies. If your agency is in need of manual breast pumps, please contact Kathy Mertzlufft by email at Kathy.Mertzlufft@health.mo.gov or by telephone at 573-526-4792 by COB Wednesday, April 11, 2007 with your request. Kathy will send out the manual breast pumps until the supply is gone.
  5. Mercury in Tuna - Reminder: Periodically we send you information about mercury in tuna. As you know, WIC provides up to 26 ounces of tuna per month in our Enhanced Breastfeeding food package. Missouri WIC does not allow albacore tuna. The EPA/FDA released a joint advisory in 2004 on commercial fish. You can find this advice on the EPA website at: http://water.epa.gov/scitech/swguidance/fishshellfish/outreach/factsheet.cfm. One key bullet point in their advisory is: "Checking local advisories about the safety of fish caught by family and friends in your local lakes, rivers, and coastal areas. If no advice is available, eat up to 6 ounces (one average meal) per week of fish you catch from local waters, but don't consume any other fish during that week." You can check Missouri's local advisory information. This gives "A Guide to Eating Fish in Missouri", which includes the body of water and it's contaminant.

    DHSS has a supplement to the 2007 Fish Advisory that has a section on commercial fish. You can find that supplement on the website. SupplementalMercuryAdvisoryInfo.pdf. FDA/EPA have more information, which is provided in links within the supplement.

  6. EnfaCare LIPIL® in ready-to-use (R-T-U) form (32 fl oz. can) will be available in Missouri mid April. This formula is designed for premature infants who have left the hospital but still require the extra calories, nutrients, and minerals. EnfaCare LIPIL (R-T-U) will be included in the revised Missouri WIC Approved Formulas and Medical Food List (July 2007 version). Food packages will be developed. In the meantime, please issue food instruments (checks) using a SF ____ food package when you receive requests from physicians. If you have any questions, please contact Takako Tagami at Takako.Tagami@health.mo.gov.

    PRODUCT INFORMATION
    Description: EnfaCare® LIPIL® R-T-U
    Size: 32 fl oz.
    Maximum Quantity: 25 cans/Month

  7. Save the Date: The 2007 WIC Cultural Competency 201 Training Session: “What WIC Nutrition Staff Need To Know” has been tentatively scheduled at the following six locations for July:


    Monday, July 16, 2007 - Jefferson City
    Tuesday, July 17, 2007 - Macon
    Thursday, July 19, 2007 - Springfield
    Tuesday, July 24, 2007 - St. Charles
    Thursday, July 26, 2007 - Poplar Bluff
    Tuesday, July 31, 2007 - Independence

    The purpose of the training is to increase multi cultural knowledge, which is one of the competency areas for WIC nutrition assessment in VENA. Training topics may include the following: cultural characteristics, cultural beliefs and values; health beliefs and practices; eating habits and eating patterns; food choices/preferences and food preparation methods; communication patterns; religious beliefs, and family perspectives; and nutrition counseling tips. The registration brochure with details about time and location of the training will be sent to all local WIC providers by May 16, 2007. If you have suggestions or questions, please contact Takako Tagami at Takako.Tagami@health.mo.gov.

  8. Fruit and Veggie Educational Brochures: The Centers for Disease Control and Prevention (CDC) has issued three new consumer tip sheets to help in our efforts to promote fruits and vegetables. Please respond to Takako Tagami at Takako.Tagami@health.mo.gov with your input if you would like them printed. Attached are the following:

    - Encourage Kids to Eat More Fruits & Veggies
    - Eat More Fruits and Veggies (addresses time and money barriers)
    - True or False? Test your fruit and veggie IQ.

  9. Income Guidelines: The Income Guidelines for April 1, 2007 - March 31, 2008 are attached. Please use the attached Income Guidelines beginning April 1, 2007. If you have any questions, please contact Glenn Studebaker, glenn.studebaker@health.mo.gov or 1-800-392-8209. We will be printing and laminating these for your use and we will mail them to you once the laminated copies become available.

Attachments:
Kids Tip Sheet Fruit and Veggies.pdf
Time and money - fruits and veggies.pdf
True and False - fruits and veggies.pdf
Income Guidelines 4-1-07 thru 3-31-08.doc