“The University of Michigan recommends the following: there are very bicycle-friendly communities. It is, however, very important that bicyclists (and motorists) understand the rules of the road and how to stay safe while biking in the city. With an abundance of restaurants and shops downtown and various city parks to explore. Did you know that city ordinances require motorists to stop for pedestrians who are at or in crosswalks?  Walk with a friend, use designated sidewalks or paths, cross at designated crosswalks and don’t just look at signs but use your eyes looking both ways also.As we make the switch from warm to hot weather, it’s important to take the time to review tips for staying safe in the heat.  This means wear sunscreen for skin protection, drink plenty of water, limit alcoholic beverages, dress in loose-fitting, lightweight and light-colored clothing, and limit exercise outdoors in extreme heat.Summertime is often paired with grilling outdoors so this means place grills a minimum of 36″ away from your home, deck railings, and out from under eaves and overhanging branches, set up your grill on a flat, stable surface to prevent tipping, operate your grill safely by checking for leaks and opening the lid before lighting, maintain your grill by cleaning and inspecting it regularly and always have a fire extinguisher nearby.  Of course don’t forget the supervision of children and pets in also establishing a safe zone of at least three feet around the grill, where children and pets are not allowed.”

Division of Public Safety and Security University of Michigan –  DPSS (https://news.dpss.umich.edu/2024/06/1391)

“May sound so basic but not always followed so as a reminder to let the public know the best way to prevent HIV is to understand how the virus is transmitted and take steps to reduce your risk. If you’re living with HIV, understanding these practices can help prevent transmission to others.

HIV can’t be transmitted through saliva or skin-to-skin contact, such as hugging or shaking hands. The virus can only be transmitted by exchanging certain bodily fluids, including genital secretions and blood.

As a result, transmission most frequently occurs during condomless sex or shared use of syringes and other drug injection equipment.

Adopting certain harm reduction strategies, including safer sex and safer substance use or better yet no substance use, can help reduce the risk of contracting or transmitting the virus.

Although you have up to 72 hours to begin PEP, the medication is less likely to be effective over time. Additional medication must also be taken consistently and correctly for 28 days.

If you don’t have a primary care doctor or another healthcare professional to reach out to, you may be able to get a prescription for PEP at your local: health department, sexual health clinic, urgent care center or emergency room.

Know approximately 1.2 million people in the United States have HIV, according to HIV.gov. Of those people, 13% do not know they have it.  In 2021, there were 1,086,806 people living with HIV in the U.S. In 2021, 36,126 people were newly diagnosed with HIV.“

healthline (https://www.healthline.com/health/hiv-aids/hiv-prevention/hiv-prevention?utm_source=google&utm_medium=cpc&utm_cmpid=20958361886&utm_adgid=156321296365&utm_adid=688286705703&utm_network=g&utm_device=c&utm_keyword=&utm_adpos=&utm_gclid=EAIaIQobChMI8fKFhNj0hgMV-2BHAR2JDwgDEAMYASAAEgL8BPD_BwE&gad_source=1&gclid=EAIaIQobChMI8fKFhNj0hgMV-2BHAR2JDwgDEAMYASAAEgL8BPD_BwE#takeaway)

“National HIV Testing Day (NHTD) encourages HIV testing as a critical tool to help end the HIV epidemic in the United States. Observed annually on June 27, the 2024 NHTD theme is Level Up Your Self-Love: Check Your Status, emphasizing self-compassion, self-respect, and self-love in honoring health needs by getting an HIV test. When someone knows their HIV status, they can choose options to stay healthy.

According to the Centers for Disease Control and Prevention (CDC), in 2022, an estimated 1.2 million people in the United States had HIV, but 13 percent of people with HIV did not know their HIV status. HIV testing is the pathway to engage people in care and help them stay healthy, regardless of the test result. People who have a positive HIV test can start antiretroviral therapy (ART) to stay healthy. People who have a negative HIV test can learn how to access HIV prevention options like pre-exposure prophylaxis (PrEP). CDC recommends that everyone aged 13–64 get tested for HIV at least once as part of routine health care. People with certain risk factors—such as having sex with someone who has HIV, sharing needles or drug injection equipment, or being treated for another sexually transmitted infection (STI)—should be tested for HIV at least once per year.”

HIVinfo.NIH.gov (https://hivinfo.nih.gov/understanding-hiv/hiv-aids-awareness-days/national-hiv-testing-day)

”Recent years have witnessed substantially increased research regarding sex differences in pain. The expansive body of literature in this area clearly suggests that men and women differ in their responses to pain, with increased pain sensitivity and risk for clinical pain commonly being observed among women. Also, differences in responsivity to pharmacological and non-pharmacological pain interventions have been observed; however, these effects are not always consistent and appear dependent on treatment type and characteristics of both the pain and the provider. Although the specific aetiological basis underlying these sex differences is unknown, it seems inevitable that multiple biological and psychosocial processes are contributing factors. For instance, emerging evidence suggests that genotype and endogenous opioid functioning play a causal role in these disparities, and considerable literature implicates sex hormones as factors influencing pain sensitivity. However, the specific modulatory effect of sex hormones on pain among men and women requires further exploration. Psychosocial processes such as pain coping and early-life exposure to stress may also explain sex differences in pain, in addition to stereotypical gender roles that may contribute to differences in pain expression.”

National Library of Medicine – NIH (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3690315/)

“CDC states the following:

• Sickle cell disease (SCD) is a group of inherited blood disorders. Abnormal hemoglobin is produced.
• Red blood cells become hard and sticky and get stuck in small blood vessels, resulting in pain and other serious complications.
• There are several types of SCD, some more severe than others.
• In the United States, SCD is often found at birth through routine newborn screening.

Sickle cell disease (SCD) affects about 100,000 people in the United States; more than 90% are non-Hispanic Black or African American, and an estimated 3%–9% are Hispanic or Latino.

The estimated life expectancy of those with SCD in the United States is more than 20 years shorter than the average expected.

Many people with SCD unfortunately do not receive the recommended healthcare screenings and treatments.”

Center for Disease Control and Prevention – CDC (https://www.cdc.gov/sickle-cell/data/index.html)

Having several health topics and one of those topics covers awareness on elder’s well being. Why some may even not realizing how significantly important this is to address in thinking should this even be addressed?

Obviously, YES is the answer to anyone in this world who thinks that question and here is the reason why. This was developed in 1963 for the purpose of professional development opportunities for community, hospital and residential services. Its focus is on those resources that are specifically concerned with older people’s mental health and wellbeing and those resources that are generally accessible on a statewide basis. The government even is involved that developed a program called a “Wellbeing in Later Life” with one major aspect on covering 1.)the understanding of anxiety and depression 2.) strategies to help manage core symptoms 3.)practical skills to practice each week to help recovery 4.) stories about how others have applied the skills to help them recover; which is one small area of what this covers with much more.

Regarding the global trend in particular on elders with health promoting their age it is predicted the amount of elders is considerably increasing from decades back.

With facts check this out:

The global population is ageing at a rapid rate. In 1950, just over five percent of the world’s population was 65 years or older. By 2006, that number had jumped to eight percent. By 2030, experts anticipate that older adults will comprise 13 percent of the total population—one in eight people will be 65 or older. While developing countries will experience the most rapid growth in ageing, with increases of up to 140 percent, developed countries will experience increases averaging 51 percent. (Women, who tend to outlive men, will comprise the bulk of the older adult population.) Simultaneously, overall population is declining in many countries due to low fertility rates, HIV/AIDS, and international migration. The United Nations estimates that the number of adults 60 years and older will outnumber children under the age of 15—an historical first—by 2045.

Not only is the world ageing, but it is also ageing differently. Life expectancy is increasing, with people 85 years and older—especially women—comprising the fa stest growing segment of the population in many countries. Notable exceptions include South Africa, where life expectancy dropped from 60 to 43 years in the last decade, primarily due to HIV/AIDS. Globally, more people are dying from non-communicable diseases and chronic, degenerative conditions than from infectious and parasitic diseases, a trend expected to grow in the next couple of decades. (Whether increased life expectancy will be associated with increases or decreases in disability status remains an open question.) At the same time, communicable diseases—especially HIV/AIDS—remain prevalent, particularly in low- and middle-income countries. In considering the benefits and consequences of population ageing, therefore, it is essential to consider not only longevity but also healthy life expectancy, or expected years of life free of illness, disease, and disability.

Looking at older adults (elders 65 and older)-Although older adults serve as essential resources to their communities, they face a great risk of marginalization. Older adults often experience both social de-evaluation and poverty upon leaving the labor market; financial market fluctuations contribute to income and social insecurity regardless of employment history, especially in countries with developing and transitioning economies. Groups particularly vulnerable to poverty and social devaluation in old age, due to cultural and institutional biases which affect people throughout the lifespan, include women, people with disabilities, people with a migration background, and people who do not belong to the majority racial or ethnic group of any given society. Moreover, older adults seeking support to maintain independence and quality of life frequently encounter either a lack of social services, especially in rural and remote areas, or services that are poor in quality or unresponsive to linguistic and cultural diversity.

Participation of older adults in societal development enhances the well-being both of older adults and of communities as a whole and depends on multiple factors.

Accordingly, the rising proportion of older people is placing upward concerns & pressure on overall health care spending in the developed world, although other factors such as income growth and advances in the technological capabilities of medicine generally play a much larger role.

Relatively little is known about aging and health care costs in the developing world. Many developing nations are just now establishing baseline estimates of the prevalence and incidence of various diseases and conditions. Initial findings from the WHO SAGE project, which provides data on blood pressure among women in six developing countries, show an upward trend by age in the percentage of women with moderate or severe hypertension, although the patterns and age-specific levels of hypertension vary among the countries. If rising hypertension rates in those populations are not adequately addressed, the resulting high rates of cerebrovascular (CVA-stroke) and cardiovascular disease are likely to require costly medical treatments that might have been avoided with antihypertensive therapies costing just a few cents per day per patient. Early detection and effective management of risk factors such as hypertension—and other important conditions such as diabetes, which can greatly complicate the treatment of cardiovascular disease—in developing countries can be inexpensive and effective ways of controlling future health care costs.

In high-income countries, heart disease, stroke, and cancer have long been the leading contributors to the overall disease burden. The burden from these and other chronic and non-communicable diseases is increasing in middle- and low-income countries as well.

To gauge the economic impact of shifting disease profiles in developing countries, the World Health Organization (WHO) estimated the loss of economic output associated with chronic disease in 23 low- and middle-income nations, which together account for about 80 percent of the total chronic disease mortality in the developing world.

Largely because of global aging, the incidence of cancer is expected to accelerate in coming decades. The annual number of new cancer cases is projected to rise to 17 million by 2020, and reach 27 million by 2030. A growing proportion of the global total will be found in the less developed world, and by 2020, almost half of the world’s new cases will occur in Asia.

So regarding anyone who may have questioned today or at another time why is elder health important I think after reading this you would see why. The more unhealthy an elder person is in large populations the higher the population of unhealthy elders will be in society besides putting the cost of health living in communities higher. So if people stay healthy from childhood to geriatric age the less health problems we will have. National elder well being is a prime concern to be addressed and dealt with just like neonate, pediatric and adult to mid adult.  Every age in important and every age bracket has rights with vitally importance to address in there health!

“Much has changed in the United States over the past 100 years. Medicine has evolved as much as any field, with dramatic advances in diagnosis and treatment. Changing, too, is the American lifestyle, with its new emphasis on healthier diets and regular exercise and its declining dependence on tobacco. As a result of these developments, life expectancy is also changing, rising slowly but steadily year after year (see Table 1). One thing, though, has not changed — the gender gap. People of both sexes are living longer, but decade after decade, women continue to outpace men. In fact, the gap is wider now than it was a century ago.

The longevity gap is responsible for the striking demographic characteristics of older Americans. More than half of all women older than 65 are widows, and widows outnumber widowers by at least three to one. At age 65, for every 100 American women, there are only 77 men. At age 85, the disparity is even greater, with women outnumbering men by 2.6 to 1. And the longevity gap persists even into very old age, long after hormones have passed their peak; among centenarians, there are four females for every male.

The gender gap is not unique to America. In fact, every country with reliable health statistics reports that women live longer than men. The longevity gap is present both in industrialized societies and in developing countries. It’s a universal observation that suggests a basic difference between the health of men and women.”

Harvard Health Publishing – Harvard Medical School (https://www.health.harvard.edu/newsletter_article/mars-vs-venus-the-gender-gap-in-health)

More males than females are born in America each year. Still regarding health to both genders through research and just living the experience of being an RN over a quarter of a century in numerous fields (primarily of adults to geriatrics) it shows women are more healthier than men (even starting from infancy).

Out of the 15 leading causes of death, men lead women in all of them except Alzheimer’s disease, which many men don’t live long enough to develop in many cases.  Although the gender gap is closing, men still die five years earlier than their wives, on average.

Through WebMD experts have told them the reason for this is that they are partly biological, and men’s approach to their health plays a role too, of course. “Men put their health last,” says Demetrius Porche, DNS, RN, editor in chief of the American Journal of Men’s Health. “Most men’s thinking is, if they can live up to their roles in society, then they’re health.” Not always the case especially when age keeps creeping up on a male with his priorities of life changing with new love or even peeps that come on board in a man’s lifetime. In most cases living healthy normally happens when are age is younger but then due to work to families to expectations leaves little room for healthier habits in the week but even 30 minutes a day could make a tremendous change to all systems of the human body preventing certain diseases/illnesses, especially those due to poor diet, eating habits and overall health habits (Ex. as simple as getting 8 hours for sleep a day).

Men go to the doctor less than women and are more likely to have a serious condition when they do go, research shows. “As long as they’re working and feeling productive, most men aren’t considering the risks to their health,” says Porche. Like a lot of men say “I don’t have to time to think about it.”.   But even if you’re feeling healthy, a little planning can help you stay that way. One is through preventions measures before secondary have to start, meaning ending line your now with a disease or illness, that may have been prevented completely if you lived a healthier life. One way of preventing disease and illness is good eating or diet, with balancing out the 4 food groups (to get all nutrients from minerals to vitamins to enzymes to proteins and more). The top threats to men’s health aren’t secrets: they are commonly known and often preventable.

WebMD consulted the experts that came up with for you this list of the top health threats to men, and how to avoid them.

— “Heart disease and stroke are the first and second leading causes of death worldwide, in both men and women,” says Darwin Labarthe, MD, MPH, PhD, director of the Division for Heart Disease and Stroke Prevention at the CDC. “It’s a huge global public health problem, and in the U.S. we have some of the highest rates.” In cardiovascular disease, cholesterol plaques gradually block the arteries in the heart and brain. If a plaque becomes unstable, a blood clot forms, blocking the artery and causing a heart attack or stroke.

One in five men and women will die from cardiovascular disease, according to Labarthe.  For unclear reasons, though, men’s arteries develop atherosclerosis earlier than women’s. “Men’s average age for death from cardiovascular disease is under 65,” he says; women catch up about six years later.

Even in adolescence, girls’ arteries look healthier than boys’. Experts believe women’s naturally higher levels of good cholesterol (HDL) are partly responsible. Men have to work harder to reduce their risk for heart disease and stroke. How do you go about this? Take a guess. Yes, again through your diet, eating, the 4 food groups in your diet, activity or exercise (at least 30 minutes a day or 1 hour every other day) and practicing daily good health habits.

—Lung cancer is a terrible disease: ugly, aggressive, and almost always metastatic (spreads somewhere in the body). Lung cancer spreads early, usually before it grows large enough to cause symptoms or even show up on an X-ray. By the time it’s found, lung cancer is often advanced and difficult to cure. Less than half of men are alive a year later. So … are you still SMOKING?

Tobacco smoke causes 90% of all lung cancers. Thanks to falling smoking rates in the U.S., fewer men than ever are dying of lung cancer. But lung cancer is still the leading cancer killer in men: Again due to many still practicing poor habits which could have prevented many of the lung cancer cases. Anyone who QUITS smoking at any age reduces the risk for lung cancer. Few preventive measures are as effective as stopping smoking and nothing is as challenging, like any addiction (whether mental or physical)

–Prostate Cancer: A Leading Cancer for Men

This is one health problem men can lay full claim to — after all, women don’t have prostates. A walnut-sized gland behind the penis that secretes fluids important for ejaculation, the prostate is prone to problems as men age.

Prostate cancer is the most common cancer in men other than skin cancer. Close to 200,000 men will develop prostate cancer this year in the U.S.

But while one in six men will be diagnosed with prostate cancer in his lifetime, only one in 35 will die from it. “Many prostate cancers are slow-growing and unlikely to spread, while others are aggressive,” says Djenaba Joseph, MD, medical officer for cancer prevention at the CDC. “The problem is, we don’t have effective tests for identifying which cancers are more dangerous.”

Screening for prostate cancer requires a digital rectal exam (the infamous gloved finger) and a blood test for prostate specific antigen (PSA).

But in fact, “Screening has never definitively been shown to reduce the chances of dying from prostate cancer,” according to Joseph. That’s because screening finds many cancers that would never be fatal, even if undetected. Testing then leads to aggressive treatment of relatively harmless cancers, which causes problems like impotence and incontinence.

Should you get screened for prostate cancer? Some experts say yes, but “the best solution is to see your doctor regularly and talk about your overall risk,” says Joseph. “All men should understand the risks and benefits of each approach, whichever you choose.”

–Depression and Suicide: Men Are at Risk 

Depression isn’t just a bad mood, a rough patch, or the blues. It’s an emotional disturbance that affects your whole body and overall health. In effect, depression proves the mind-body connection. Brain chemicals and stress hormones are out of balance. Sleep, appetite, and energy level are disturbed. Research even suggests men with depression are more likely to develop heart disease.

The results can be tragic. Women attempt suicide more often, but men are more successful at completing it. Suicide is the eighth leading cause of death among all men; for young men it’s higher.

–Diabetes: The Silent Health Threat for Men

Diabetes usually begins silently, without symptoms. Over years, blood sugar levels creep higher, eventually spilling into the urine. The resulting frequent urination and thirst are what finally bring many men to the doctor.

The high sugar of diabetes is anything but sweet. Excess glucose acts like a slow poison on blood vessels and nerves everywhere in the body. Heart attacks, strokes, blindness, kidney failure, and amputations are the fallout for thousands of men.

Boys born in 2000 have an alarming one-in-three chance of developing diabetes in their lifetimes. Overweight and obesity are likely feeding the diabetes epidemic. “The combination of diabetes and obesity may be erasing some of the reductions in heart disease risk we’ve had over the last few decades,” warns Labarthe.

Exercise, combined with a healthy diet, can prevent type 2 diabetes. Moderate weight loss — for those who are overweight — and 30 minutes a day of physical activity reduced the chance of diabetes by more than 50% in men at high risk in one major study.

—Erectile Dysfunction: A Common Health Problem in Men                          

Erectile dysfunction may not be life threatening, but it’s still signals an important health problem. Two-thirds of men older than 70 and up to 39% of 40-year-old men have problems with erectile dysfunction. Men with ED report less enjoyment in life and are more likely to be depressed.

Erectile dysfunction is most often caused by atherosclerosis — the same process that causes heart attacks and strokes. In fact, having ED frequently means that blood vessels throughout the body are in less-than-perfect health. Doctors consider erectile dysfunction an early warning sign for cardiovascular disease.

You’ve probably heard more about the numerous effective treatments for ED than you ever cared to just by watching the evening news. Treatments make a fulfilling sex life possible despite ED, but they don’t cure the condition. If you have erectile dysfunction, see your doctor, and ask if more than your sex life is at risk.

So what’s the key to decreasing these diseases or illnesses in men live a healthier life so men in America can decrease the chances of developing these diseases or if with one of these diagnoses already it will surely help decrease the impact of the disease or illness compared to living an unhealthy life.   

Various lifestyle factors have been associated with increasing the risk of stroke. These include lack of exercise, alcohol, diet, obesity, smoking, drug use, and stress. Guidelines endorsed by the Centers for Disease Control and Prevention and the National Institutes of Health recommend that Americans should exercise for at least 30 minutes of moderately intense physical activity on most, and preferably all, days of the week. Recent epidemiologic studies have shown a U-shaped curve for alcohol consumption and coronary heart disease mortality, with low-to-moderate alcohol consumption associated with lower overall mortality. High daily dietary intake of fat is associated with obesity and may act as an independent risk factor or may affect other stroke risk factors such as hypertension, diabetes, hyperlipidemia, and cardiac disease. Homocysteine is another important dietary component associated with stroke risk, while other dietary stroke risk factors are thought to be mediated through the daily intake of several vitamins and antioxidants. Smoking, especially current smoking, is a crucial and extremely modifiable independent determinant of stroke. Despite the obstacles to the modification of lifestyle factors, health professionals should be encouraged to continue to identify such factors and help improve our ability to prevent stroke, decrease cancers caused by smoking, decrease coronary artery disease which decreases your chance with Obesity, ED, stroke, & hypertension and more.  

Learn healthy habits or healthier habits, broaden your knowledge on the 4 food groups in what is lean or leaner or leanest with each group, increase your activity 30 minutes a day and learn what a healthy diet actually is.  There are many books out in the world for giving guidance like through Dr. Wayne Scott Anderson’s book “Dr. A’s habits of health” for example and even if you need to lose weight the book can show you the way to do it healthy. It’s not a diet for 3 months or even 6 months to a year but it is learning how to get to your body mass index in the ideal weight range for your height and you decide how low you want to go.  There are many books out in the world that do this or even access through the internet.  Just research if you need it and want it.

Join many others trying to get America healthier and in time decrease our population in diseases or illnesses primarily impacted by health habits, diet, and weight. Wouldn’t you and the future want to get better in mind and body to impact our health care system that includes our insurance and most importantly lives of citizens in the USA in how they live (which would be more active).  It just takes discipline and the drive to want to stay healthy or get in a better state of heath.   We can do this without changing your environment upside down and killing cattle, or living on insects but you could eat healthier foods like not fast food and lean meats with definitely vegetables, fruit and low fat foods.  You can treat yourself now and than.  Hope I have helped someone out there in broadening your knowledge regarding how to keep or reach a healthier life.