Today, when grocery shopping, unless you're sticking to the produce aisle, it's nearly impossible to avoid processed foods, particularly if eating the standard American diet characterized not only by insufficient plant foods and too much meat, dairy, and eggs, but also lots of processed junk, and along with that, an increased exposure to food additives. For example, the artificial sweetener, sucralose sold as Splenda, can disrupt the human gut microbiome and induce glucose intolerance. In other words, it can make your blood sugars worse instead of better. It's relatively easy to avoid artificial sweeteners, but it may be more difficult to avoid ingestion of emulsifiers, because they're commonly added to so many foods. In fact, emulsifiers are the most widely used food additives, and most processed foods contain one or more of them. We now consume emulsifiers by the megaton every year, thanks to a multi-billion dollar industry. You'll commonly find emulsifiers in fatty dressings, fatty spreads, baked goods, mayonnaise, salad dressings, candy, and beverages. Why do we care? Like all authorized food additives, emulsifiers have been evaluated by risk assessors who consider them as safe. However, there are growing concerns among scientists about their potentially harmful effects on our intestinal barrier, in terms of causing a leaky gut, as well as their effects on our microbiome. Moreover, they could possibly increase the absorption of environmental toxins present in the food. We know that the consumption of ultra-processed foods, may be a contributor to weight gain, for example, healthier, longer-lived populations, don't just have low meat intake and high plant intake, but they're eating minimally processed foods. Maybe the emulsifiers found in processed foods could be playing a role based on a number of pre-clinical studies, but who cares if emulsifiers make rats gain weight? When you read emulsifiers can cause striking changes in the microbiota, they're not talking about within human beings. Mice are often used to study diet's impact on the microbiome, but we only share a few percent of bacterial genes in common. Even the gut flora of different mouse strains can be considerably different from each other. So, if you can't even extrapolate from one type of mouse to another, how are you supposed to translate results from mice to human beings? Remarkably, there's been little study of the potential harmful effects of ingested emulsifiers in us. For example, lecithin, perhaps best known as a key component of egg yolks, was found to be worse than polysorbate 80, in terms of allowing bacteria to leak through the gut wall into the bloodstream. But whether lecithin consumption in humans causes the same problem is yet to be determined. There's certainly a paucity of human trials on the effects of emulsifiers and processed foods, but we at least have data on human tissue, cells, and gut flora. Dietary emulsifiers directly alter the composition of the human microbiome, ex vivo, potentiating intestinal inflammation. Ex vivo means outside the body. Researchers inoculated an artificial gut with fresh human feces until they had a nice stable culture going and then added carboxymethyl cellulose, or polysorbate 80, and got a boost in pro-inflammatory potential starting within one day with the carboxymethyl cellulose and within the first week with polysorbate 80. This approach revealed that both emulsifiers acted directly upon human gut bugs to increase their pro-inflammatory potential. If you then test the effect of these emulsifiers on the protective mucus layer in petri dish cultures of human gut lining cells, you'll find that they can partially disrupt the protecting layer. The green standing is the mucus, and both emulsifiers cut down the levels. But both this study and the last used emulsifier concentrations that weren't far in excess of what people might typically get day to day. This is probably the study that raised the greatest potential concern. The researchers surgically obtained not just cells, but actual intestinal wall tissue and found that polysorbate 80 could double the invasion of E. coli through the intestinal lining tissue, whereas adding fiber, in this case fiber from plantains, could seal up the gut wall tissue twice as tight.


Ya viewers, welcome again to our program for the 40 days of prayer. This is Pastor Peter Nyaga right here from Nairobi Central as a church, I invite you to come along today that you may be blessed together with us. Now, if you are joining for the first time, this is a season of 40 days of prayer, we began from that or may, we are going all through to 11th of June. Why are we praying? We are praying because number one the church is in the season of elections and we are calling upon the Lord to give the church global church leadership that are going to be mission-oriented and move the church to the next level in terms of our purposes or in the mission context and number two we also praying for especially the countries of Ukraine and Russia because of the war that is taking place there that peace of God may prevail and people of God may have a good time to settle down and worship one more time but also we have a different challenges we are praying for revival and reformation the outpouring of the Holy Spirit and we are asking the Lord to come through in the situations of our life in various ways and so this is a time that God has prepared for you and for me that we may be blessed of him. Now today is day seven in our series of presentations and we are looking at a very special you know topic this moment that says you are the light you are the light and it based on the book of Matthew chapter five and verse number 14 down to 16 and I'll read before we start. You are the light of the world a city that is set on a hill cannot be hid neither do men light a candle and put it under a bushel but on a candlestick and if and it give a light and to all that are in the house verse 16 let your light so shine before men that they may see your good works and glorify your father which is in heaven very important text here before we expand on it let's have a wonder prayer British Father in Heaven we thank you for the privilege of this moment with you we invite you Lord to speak to us and speak through me this text Lord in the next few minutes may you make it sensible to us in a way that it can revive our spirits and revive our hearts and quicken our preparedness for the suni coming we pray in Jesus name amen you are the light you are the light is very important in fact where I'm studying I am in the presence of light you know because without this light maybe you may not be able to see me well the camera requires light for me you know to be very you know be able to be seen well and even for the better you know images coming through so light is very very important we we all know that we cannot be able to do much without light imagine a world where there's no light I'm sure wherever you are in one way or another there's some form of light if you're getting this message there's some form of light wherever you are because without light many things may not be done waking the morning and we expecting to see the light of the sun comes the night we have electricity and other form of light that we need to have that we can be able to be you know a productive and do a few things in the night of course we know we switch off light to go to sleep to rest because light keeps us active light keeps us active and so the bible Jesus comes and says you are the light now taking you back to the sort of creation when God came to create the bible text in the book of Genesis create a picture where the world was full of darkness then God came in and the first thing God did was to speak light the bible says and God said let there be light and there was light now God spoke light for light to be that it can begin is creation so light was very important right from the onset that God may be able to be in light as is created of course we know that God is not a human being was not dependent on the light but these are principle that light is important in our activities is important in our progress it is important in our lives now when Christ comes then in the book of Matthew the Beatitudes that series of Beatitudes ends and then of course it cannot end of course we know we know Beatitudes us blessed and blessed and blessed but it's in that context he says you are the light of the world and so Jesus recognizes that you are very important that the world needs you to operate the world needs you to operate the world needs your presence for it to be active the world needs you for it to be productive it says you are the light you see when we talk about spiritual light light we are talking about the ability for you to impact the world with the true knowledge opening their eyes the true knowledge true understanding of the way of God the purposes that God has for this for us in this life you see a people who live without the true knowledge of God are like a people living in darkness you see before Christ came when we fell into sin we were in darkness so Christ comes to bring light in fact he is the light and we reflect his light so when when we reflect his light then we become light now the people who see us and they see our humility our miknes our moral standing they appreciate who we are they admire who we are but what they don't understand perhaps is is that we are who we are because of the one who has covered us that is Christ the Son of Wretchedness so Jesus says you are the light of the world and the challenge here is that we need to pray that this light that we are may be visible may illuminate the world we may be causing a positive influence in people's lives you know Jesus is asking would it be appropriate for you to light your lamp and then put it under the busha he says no it will be of no use in other ones what spiritual gifts do you have what knowledge of God do you have don't keep it to yourself don't keep it to yourself it is like keeping the lamp under the busha lift it up for people to see tell people of the goodness of Jesus tell people of the grace of God tell people of the love of God tell people of our impontant age to be connected with God in other ones be a disciple maker to be the light of the world it become a disciple maker move out of your comfort zone go and light up some corners of the world which are full of darkness people who have not come into the light of the knowledge of God it attacks you to go there to light up the world you are the light of the world allow me to read one korya uh from um a very uh you know from the book i mean from the book of thoughts from the mount no blessings page number 40 the author is my best you know my favorite author elenji white this woman has written deep messages filled with the spirit of God and i i love quoting from her uh and so if you are interacting with uh words or writings for the first time is a one of our books called the thoughts from the mount of blessings page number 40 no she writes and says this humanity has in itself no light apart from christ we are like and kindled taper but when we turn to one the son of righteousness when we come in touch with christ the old soul is a glow with the brightness of the divine presence christ followers are to be more than a light in the midst of men they are the light of the world angels of glory wait to communicate through you heavens light and power to souls that are ready to perish look at this that we are not we are not in the light but we are the light you see where i am i'm in the light uh there are lights that that that that that that that you know they are making sure that this this this image comes out well but the bible says we are not in the light the way i am in the light here but we are the light and number two very important here that the heavens the angels of heaven are waiting to communicate through you the heavens light and power heaven has given two things very important light and power the heavens shapes and transforms the world through two things light and power and then the quote here says the angels are waiting to communicate this light of god and the power of god upon our lives through you when you discover your identity that you are the light of the world so as we pray today we are seeking the lord to allow us to come into the understanding fully understanding of what it means for you to be the light of the world do people around you feel peace with you do people around you feel comfortable with you do do people around you feel at peace around you what does people at your home say about you you see to be the light of the world it'd be a peacemaker it'd be a person an infringed person specially and the angels are waiting that you may be such a person that they can use to communicate the love of god to communicate the knowledge of god to communicate the light of god to communicate the power of god to a decaying and perishing world and so we need to pray today that a god may help us to not just be in the light but be the light and people around us can be eliminated by the light that we give as we prepare many for eternity we have few prayer concerns today number one have you realized that angels are waiting to work through you to reach out to other people pray for that it's a prayer request that truly god may guide you to to understand fully how angels are waiting for you it's very amazing that angels are waiting for you that they may use they may reach out to the world through you number two think about your family your friends your neighbors your co-workers as god shown you or directed you to them or have you discovered or realized that actually god is waiting for you to reach out to them with the light of god there's a prayer request god help me to be the light in my family help me to be the light to my friends help me to be the light to my neighbors and my co-workers we're also going to pray for the seven names that we have already chosen we are praying for and if you're joining us for the first time just choose seven names that you pray for pray for god to help you to see the needs of the people you are praying for and for wisdom in how to help them and so come along with me today as we pray we also praying for advantage institutions wherever the different part of the world the medical institutions and various other institutions that we may they may be you know blessed of the lord as they prepare many uh in base ministry so come together with me today as you seek the lord in prayer gracious for the heaven we thank you so much how wonderful it is to know that we are not just in the light but we are the light lord we pray because you have asked us to allow this light to so shine that people may see it and glorify your name help us learn today that we may truly become this light that we may understand that we are this light and that we may seek to shine to everyone around us right from home at workplaces or neighbors and all that come into contact with us that we can be the light and they can look as and see and rejoice don't help us today we pray we also remember the various institutions in the advantage church that they truly can also become light as many young people go into these institutions to interact with the professors they may interact with the only two professor jesus christ they may receive obvious light they may become light and they may become reciprocal makers pray lord even for the seven people that you have chosen these for the days of prayer that you can reach out to them or remind us and help us to know that we are the light to these people as you continue the seven days of prayer lord we pray that you may revive us and reform us and order us in the patterns of heaven that we will glorify your name and the church in this part of the world and elsewhere may truly be the light of this world and many will be attracted to come to you bless us to the lord and work with us we pray in jesus name amen amen god bless you for following through these messages and thank you for those who are talking to me and telling me how you're getting blessed and the many people you're encouraging may we be a team as we journey along these for the days of prayer to meet tomorrow god be with you


So team keep it clean. This obviously has been a very very busy 72 hours Y'all know how a draft time goes because it's not just about guys that were drafted It was a bunch of undrafted free agents to in the Ravens They got busy there and they signed a bunch of guys and we'll start to cover those During the week, but hopefully can't make no promises. I'm not gonna make any promises But hopefully by the end of today today's the last day of the month By the end of today, we can get you caught up on everybody who the Ravens drafted So we'll see how that goes. But anyway, we talked about they flowers already who they drafted in the first round We talked about Trenton Simpson who they drafted in the third round So now we moving on to the fourth round pick that being Tavius Robinson outside linebacker From Ole Miss now I couldn't find much film on him But what I did see big-frame guy Very long long arms tall what they said he was six seven but I it's weird because he He's an outside linebacker, but I didn't see him rush from the outside But I did see him rush a little bit from the inside from what I saw He's better rushing from the outside, but he can do a little bit of both But outside is better. I'm always weird. It's like this this dude is tall super tall six seven But his spin move is really really fast. It's extremely fast, man But he has a press a plethora of moves in his arsenal. Now. I think this was a very important pick because while he's The Ravens lost a couple of outside linebackers this offseason One of them being Jason Pierre Paul and we know Jason Pierre Paul He didn't make his mark in a big way consistently because once they started getting guys healthy again Jason Pierre Paul was pretty much out of the mix, but they lost Jason Pierre Paul But they lost Justin Houston as well and while I don't I don't see Justin Houston in Tavius, I Think if for my player comp would actually be Jason Pierre Paul because again, he's long like him He's long the long arms. He's tall. That would be who I will compare him to and a hint a hint of Kaleis Campbell, I think just cuz of the height just cuz of the look in the long arms, man That's who he reminded me of but this is an important pick because This gives you more depth at at past rush and As we know, it's extremely important We always talk about every single year how the Baltimore Ravens they get tested at the cornerback position Every single year because they do but the depth gets tested like crazy. But last year The depth got tested like crazy at outside Cuz you know Tyus Bowser, he was coming back from his injury Justin Houston at one point He was out for a little bit Then Jason Pierre Paul came through obviously with David a job. Oh, he wasn't ready yet A doubt fair way was dealing with some stuff. It was just shaky all around and they had got rid of Daelyn Hayes and it was just rough at some points at past rush But this gives them a young guy Because again, I know Ravens they were relying on a lot of older guys and Justin Houston remember early in the season He was doing this thing remember they were like back-to-back games But he was like have at least like two sex or something like that. He was going crazy for a little bit But he just got tired. I think you got tired man. He's like I need some help give you some help. So this is the Ravens getting some help from a young guy So I'm looking forward to that now while I didn't see I wasn't able to find much film on him What I did see is something that the Ravens probably looked at as well and that was increased production and They're catching him at a good time while he's peeking Well, not necessarily peeking because he's of course gonna get better in the NFL But his he's trending upwards and that's always a good thing because when you look at his numbers His freshman year 2020 at Ole Miss He played in 10 games and he had a total of 18 tackles He had one and a half tackles for loss and he had one sack. It was like, alright, cool freshman year Alright first time playing on the team. I'm cool. No problem. Well, then the following year He played in nine games. So he played in less games. He had a total of 28 tackles He had four and a half tackles for a loss.  He played a one-less game So that's a significant improvement and it took you less time to do better So that's a beautiful thing But then he followed that up the following year in 2022 Played in more games played in 13 games. So the most games that he had played in he had 43 total tackles So another significant improvement has seven tackles for a loss. So another significant improvement But this time he had six sacks. So another significant improvement. So every year His numbers just continue to increase. So that shows a couple of things that shows more opportunity That shows that you not only were given more opportunity But you deserve more opportunity because you made the most of that opportunity and it shows production That's what it's about production Not just potential but production So he's showing both of those things now We know with the Baltimore Ravens, it wouldn't be expected right now Especially has a fourth round pick that he would get a ton of opportunity right away We wouldn't expect that because there's gonna be guys that are in front of him and then there's always a possibility Excuse me that the Ravens bring in some veterans to at the position. So we'll see how it goes But it is nice to know that Throughout his collegiate career. He just kept improving and that's important to see from somebody that they just continually Keep improving. So I'm excited to see what he brings me I'm excited to see how the Ravens use him because he's he can be a tricky one man But that it should be fun to see him out there Gonna be watching him heavy in the preseason because that's when he's gonna get a lot of opportunity And that could really pave his way on a team how he does in the preseason because you know Ravens They ain't gonna play a ton of starters for a super long time in the preseason So a lot of the rookies and undrafted guys, they gonna get their shot there So anyway, we'll see how it goes. But anyway, welcome to the squad. Welcome to the Baltimore Ravens And I hope everything goes really well team keeping clean. I love y'all. I appreciate y'all I will see you all later on today. We out


So this is going to be a demonstration of the posterior chest wall seen from the front. We have completely opened up the thorax. We have removed the two lungs and we are seeing the chest wall from the anterior aspect. We are looking at the interior of the chest wall. So this is a supine cadaver. This is the left side. This is the right side. I am narrating from the right side and the camera person is also on the right side. Now I will draw your attention to the other aspects of the neurovascular structures. So we will start from here. Accompanying this nerve, we can see this vein here, which I have lifted up. And just under the vein, we can see this structure here. This is the artery. Let's come to one space below. Again, we can see a vein here. We can see an artery here and then we can see the nerve here. Let's come to one more space. This is the vein. This is the artery and this is the nerve. And the same thing is seen here also, a vein, an artery and a nerve. So running in each intercostal space, accompanying the nerve, we have posterior intercostal vein, the posterior intercostal artery and the intercostal nerve. And these three structures, vein, artery, nerve, they run in the costal groove in relation to the lower border of the rib above. And as they are running, they all give a collateral branch. And we can see the collateral branch, which runs in relation to the upper border of the rib below. So the vein gives the collateral branch, the artery gives a collateral branch and the nerve gives a collateral branch. We can see the collateral branches here also, vein, artery, nerve. We can see the collateral branches here also. We can see the vein, artery and nerve. The collateral branches have got opposite relationship. They run in relation to the upper border of the rib below and the relationship is vein artery nerve from below up and this artery comes out from the posterior intercostal artery veins. On the right side they drain into the aegis vein which we have not dissected out and on the left side they drain into the hemi aegis accessory hemi aegis veins except the first one which drains into the brachial cephalic vein. So that brings me to a very important clinical correlation pertaining to the arterial supply. In the condition known as quactation of aorta there is a narrowing, a congenital narrowing of the arch of the aorta which is shown by my finger here. As a result of which there is no blood supply to the distal part of the aorta and concomitantly there is no blood supply to the posterior intercostal arteries. In such a situation the blood flow is reversed in the intercostal spaces. I have brought back the arteries just while here. We notice this internal thoracic artery on both the sides running on either side of the sternum. The internal thoracic arteries give rise to the two anterior intercostal arteries in each space which run and they anastomous with the posterior intercostal artery and its collateral branch normally but in quactation of aorta most of the blood comes through the internal thoracic artery and the blood flows through the anterior intercostal arteries to the posterior intercostal arteries and back to the aorta. So therefore the blood flow in the intercostal arteries gets reversed up to the ninth space. Tenth, eleventh space do not have any anterior intercostal arteries. So therefore there is no reversal of flow in the tenth and eleventh space. This reversal of flow also results in two other conditions one the internal thoracic arteries get considerably dilated and the anterior and the posterior intercostal arteries also get considerably dilated as a result of which they produce notching of the inferior margin of the ribs. That is visible in X-ray and it is called notching of the ribs which is an important sign of coactation of the aorta. This is the X-ray from the Cleveland Clinic to show notching of the ribs and the number three sign of coactation. That is the clinical significance of these intercostal arteries. That is all for now. Thank you very much for watching Dr. Sanjay Sanyal signing out David Ho is the camera person. If you have any questions or comments please put them in the comment section below. Have a nice day.


briefly give you a little, because I like to do the heart class warm intro, and I like Kelly do her professional intro. So Jessica Redamon has been on the Wellness Council of Wisconsin for the last eight years. But for the last six years and eight months, we're counting on LinkedIn, by the way. She has been the executive director. But I like to go a little bit more into depth. She's actually married.  And I'm just going to relay a little story here quickly that she asked her children recently, what do mommy and daddy do for a living?  So, well, daddy makes money. What's the answer? Well, yes, daddy does make money. And then what does mommy do?  My quote, I've got it here. She works a lot. She does work a lot. It's nice that she recognizes that all women work a lot. So also in her pre-time, Jessica does a lot of biking. So we would like to invite her back to try some of our biking trails her one time. She doesn't have the pleasure of doing that yet. So when you get a chance to speak or act with her presentation, please invite her back to come biking with us. At this time, I'd like to invite Kelly Bell from Prevea Up. And she's going to do a little deeper introduction. Kelly? Oh, you guys can catch. Of course, Kelly. This morning is just another brief introduction, but I wanted to tell you a little bit about the Shabongan County Activity and Nutrition Coalition and how we kind of got to work site wellness and also to the goal of becoming a well county. So a little bit of history I'm going to share with you before Jessica comes out to talk about winning work site wellness practices. I guess, first of all, the room has heard of Healthy Shabongan 2020. Praise be to God. And the Shabongan County Activity and Nutrition Coalition. OK, a little fewer. OK. We also call ourselves the Dan, a little bit easier than Shabongan County Activity and Nutrition Coalition. So you'll hear me refer to it as Dan. And then also, just curious as to how many folks in the room either are currently or have participated in work site wellness programs at work. The number of you. OK. So to begin, again, the introduction to the scan committee by work site wellness and then the overview of what my outline is today. OK. You can use my two sheets as well. The scan committee is a Healthy Shabongan County 2020 committee. It was established in May of 2003 as a result of receiving a maternal and child health grant from the state of Wisconsin. The purpose of the grant was to promote public health nutrition leadership by forming nutrition coalitions that would focus on child obesity. As obesity is a multifactorial problem, the coalition has to utilize the socio-ecological model to evoke behavior change in areas of nutrition and physical activity among individuals, families, and our Greater Shabongan County. So scan has evolved a little bit since its inception. But what I'm telling you now is our current mission statement. And that is to reduce the incidence of obesity and improve the health of children, families, and communities through education and promotion of healthy food choices, nutrition, and increased physical activity. So you'll see our little apple jump roping. So we really are the branch of Healthy 2020 that focuses on the nutrition and activity. There's some other great committees working on mental health and alcoholic tobacco as well. So we're the activity nutrition branch. So you will see it's just our website, which, by the way, the Healthy Shabongan 2020 website has recently been updated to really fantastic resources out here. I invite you to take a look at it if you haven't had a chance. But just wanted to tell you a little bit about the current goals of the Scan Committee. And really, again, to promote the healthy lifestyle for all age groups, serve as a community resource to increase community exposure, education, for local events.  So certainly something that we could all refer to either at work or at home. Many of us families in the winter time had to get cooped up, but with that winter activity list, there's a lot of really great resources. Another goal of the committee is to promote and encourage participation in the employee health and fitness day. This is an annual inter-company activity challenge that actually precedes the Scan Committee. Back in 1992 was the first time the county had competed. There was a little break for a while, but since 2006, companies have been competing. Last year, on May 21st, 28th, Cheboyte County businesses competed, reaching 17,000 employees, and then groups were awarded based on the size of the company, so small, medium, large, jumbo, and mega-sized employers, so less than 50 all the way up to 1,000 plus. So as a committee, we really enjoyed seeing the enthusiasm and excitement around the employee health and fitness day. Recognized that worksite wellness really is a great way to reach folks, for us to be able to reach out to folks in the community, most of us are spending about a third in our lives that work for half of our waking hours. So this is something, again, as the Scan Committee is looking at reducing obesity, the CDC has reported the obesity trend throughout the United States here since 2011. You'll see, I don't know if you can see the numbers on the bottom, but you'll see that the light green, green are the better averages, meaning there are fewer states with the prevalence of obesity. The yellow is about mid-range, 25 to 30, and then orange and red are above between 30 and 35, and above 35% of people self-reporting on their statistics. So you'll see as we move on from 2011 to 12 to 13, we're seeing a lot. Fewer of the green, a little more yellow, a little more orange and red, so the trend is not going in the direction we would hope. Of course, this is just one factor of good health that we look at, but I think it's impactful. So in May of 2012, with the help of the shaboying chamber, we put out a survey and the purpose is to identify wellness activities that are currently underway by a variety of employers in shaboying County and to identify their needs for the future. We did have 116 respondents, just one contact for company. We did have a lot of the respondents about 75% were fewer than 50 employees, so small businesses, one person, two person businesses, you are included and there's a lot of options available for you as well. Additionally, we had a number for a range of industries represented from services to healthcare, manufacturing, retail, finance, hospitality, transportation, agriculture, mining, construction, forestry, wholesale and other. So some of the things we were able to find out are what are some of the barriers preventing companies from having worksite wellness programs? You can see here, the large percent don't have time or staff to dedicate. They have lack of funding and lack of employee interest or motivation. We asked them what tools or resources would be helpful. Many of them said they'd like a person to talk to for ideas and advice, sample education materials, a summary of how to get started, how to evaluate a wellness program. Additional things we asked for additional input other than the questions that were listed. Folks asked us to provide more awareness to organize events to promote health, increase activity, nutrition efforts by low income, under employed and elderly. So many, many more great suggestions with the worksite wellness as a focus for us moving forward. And so what happened is this gang committee created a subcommittee who's been focused on worksite wellness. And if you are here from the committee, I'm going to introduce you and ask you to stand, please. So myself, of course, Kelly Bell of Praveya Health. We have Amy Gacke, who is there. She's with Shibuya County. Bob Fierche, who is not here today, but she is a community advocate and also a member of the committee. Donna Wendland, who's not here today, but I saw my firm. There you are. I see that's the thing. YMCA. Also, Jerry Drykosen with the school district. There's Julie Meyer with Hub International. Kevin Diary from Aurora. Sherry Samuel first from Starr Gantung. There's Sherry. And then Jean Pinner, who is also not here today with Shibuya County. So these folks are committed to bringing you all resources for worksite wellness. So, and thinking about how we couldn't bring you the best resources, we took a look at what's already available. The Wisconsin Department of Health Services has a great worksite wellness template on their website. We invited them to come a couple of years ago to talk about their resources. And then last year, invited the Wellness Council of Wisconsin to come and tell us about the resources that they have available. So, WellCoA is the Wellness Council of America. It's a nationwide organization that focuses on being the premier leader of worksite health and wellness. The Wellness Council of Wisconsin is a really great supporter and local advocate for everything that WellCoA offers. So we're very lucky to have the Wellness Council here in Wisconsin. So as a committee, we realize all the great things that WellCoA are doing. And we recognize that we would like to become a Well County. So what does it mean to become a Well County? It means we need 20 employers who employ at least 20% of our population to be identified as Well Workplaces. And Jessica's gonna tell you about what it means to become a Well Workplace. But let me tell you, Sheboygan, I believe we are ready for this. We saw that we had 17,000 people participating in last year's 2014 Employee Health and Fitness Day. In January, we took a look at our workforce. We had 62,400 people in Sheboygan County. 20% would be 12,480 individuals participating in worksite wellness. So I think we're ready. We just need to be recognized for some great things we're already doing. And I think kind of spread the excitement and hopefully new organizations can also take advantage of the worksite wellness. So I knew I was gonna talk a little longer. But we wanted to talk a little bit about, again, why worksite wellness, but we really truly believe there are organizational and community rewards. Creates, we'd love to be able to create a culture of healthy living here in Sheboygan County. Support individual rewards, as I'm gonna talk about in just a moment.  We have cost savings on medical plans, aids and recruitment and retention. And of course we believe that will all lead to economic growth. Evidence that that has done so. Again, the Well City Initiative is nationwide through WellCoA. Currently there's only 13 communities who have been designated as Well Cities. We are going for the Well County designation. However, Wisconsin is a leader in this initiative. You'll see of the 13, the city of Milwaukee, Racine, Fox Cities and Oshkosh have all been designated with final act and lacrosse in process. And hopefully next year you'll see Sheboygan here. Why worksite wellness? We talked about the individual rewards. You'll see on the tables here we have something that came out of the Wellness Council of Wisconsin Conference last fall. And it's really being able to identify why would someone want to participate in worksite wellness. And I believe that if we can really engage individuals on individual levels, they're gonna be more likely to provide a good example for folks that are around them and within the workplace and in their families and with their friends. For me, I would invite you to also consider what you would like to live well. For me, I have two little girls that I want to be a good example for. I want them to know what making healthy choices looks like. But some great thoughts that came out of that, folks who they had a long bucket list or they wanted to have an active retirement. There's lots of reasons why we should all choose to live well you may not ever be a marathon runner or a vegan or I don't ever plan to be either of those. There are some steps we can all take, some small steps to better help. I just want to again, invite you to make a difference, become familiar with the website at Healthy Shiboyne in 2020. We will have our third annual worksite wellness workshop on April 30th at the UW Shiboyne campus. Please visit the resource tables here today as well on your way out. Again, Employee Health and Fitness Day is coming up on May 20th. We invite you to participate in that as well. And then ask that you promote the Shiboyne County initiative in your organization, Business Circle. You do have cards here as well. So if you wanted to ask questions for the speaker or for the scan committee or anything throughout, please feel free and we'll collect them. I'm going to do your quick introduction. Jessica Radwin is the executive director of the Lotus Council of Wisconsin, a statewide non-profit organization whose vision is to improve health and empower business. With a clear spanning 15 years, Jessica applies for industry expertise as a health care consultant and corporate wellness strategist. In addition, as a wellness leader in Wisconsin, Jessica serves as a member of multiple statewide coalitions to advance worksite wellness along with addressing risk factors such as obesity. Jessica holds a bachelor's of science in community health education, a certified health education specialist designation and a Wisconsin resident's life and assets and health insurance fixes. Great. Well, thank you for inviting me to your first Friday forum. I have a lot to cover in a very short time. So I've been asked today to talk to you a little bit about who the Wellness Council of Wisconsin is. Some of the resources that we have available, are we okay? Some of the resources we have available throughout this conversation today, and I hope it is a conversation because I really want you to participate and ask questions. I'm gonna share some best practices. And then in addition to that, I'm going to talk a little bit about what Kelly did a great job in pre-tensing is that well-county initiative. So strap in and let's go, right? So here. So as Kelly said, our vision for our organization is to improve health and empower business. And this is our 30th year as an organization. We were established in 1985 as a non-profit membership organization. We have over 600 members throughout the state of Wisconsin today. We started with nine founding members back in 1985. And as Kelly has mentioned to you, we are the local affiliate of the national organization, WOLCOA, Wellness Council of America. They are based out of Omaha, Nebraska. So one of the great things that we have the benefit of as our members have access to all of WOLCOA's information, tools, and resources. And that's one of the things that I'm gonna ask to talk to you about today. But before I go, our value proposition for our members and statewide, we don't just help our members, we like to help the entire state, is really to help you as a wellness practitioner or representative of your organization to learn, connect, and grow. To help your employees get healthy. And then it's your turn to take this information back to your work site to help your employees learn, connect, and grow. I like to put this picture up because sometimes we'll get questions and of course this is what I do for a living. So inside I'm laughing, right? But people say, well, is this something that's really catching on? Is work site wellness really out there? And here's a picture that I'd like to show you. So this year is our, again, for 30 year organization, it's our 25th annual work site wellness conference. It's a statewide conference and we have five to 600 people attending on an annual basis. So I don't know about you, but I think something's going on in the state of Wisconsin with work site wellness. What do you think? I think so.  How many of you in this room are currently members of the wellness council with that? I know we have quite a few. One of the things when we're members of organizations, we get so busy that we forget what's out there. So this is a great reminder for those of you that aren't members, I have some great things that you can access too as well. But very pragmatically, our organization offers a wealth of resources. Actually, if you tested me, I probably could only tell you about a quarter of all the resources that are out there. I have my favorite. So there's so much out there. But some things that you can use immediately, we have newsletters, we have surveys, we have samples, we have interest surveys, we have checklists. And then from a best practice perspective, we constantly are putting out expert interviews and case studies. What's happening nationwide? And what's happening locally? So if you wanna learn about what XYZ company is doing out there as it relates to incentives or culture or engagement, all those key words that we hear about, this is the place to go. And if you have questions about those, you just contact our office and I can probably send you in a matter of 30 minutes about 10 articles related specifically to whatever topic that you're looking at. It could be homeless teams, no matter what it is. There's a wealth of tools and resources that are available to you. One of the great things for those organizations that are not members is you can take a test drive. We have a five day trial out there, we can get out there, you can download and save anything that you want and you'll never know about it. The other thing is, I go into these presentations at associations and chamber events and someone gets in there and talks about all these great services that they have and then they say, by the way, you have to buy our membership to access our tools and resources. One of the things that WELCO has known for as well as us is we give away so many free resources. Sometimes our resources that are for our members don't tell anybody this. Go out on free resources first for a short period of time before they go into the members only website.  I'll talk about the checklist a little bit towards the end. So one of the things I know in this room, we don't really need to make the case, but I do want to spend a little time talking to you about our employees that are at our organization. I'm gonna get on my soapbox a little bit because I am standing on a box up here, but ultimately, I stand up here and Kelly did a great job of this, telling you why WorkSites, well this is so important. We could give obesity statistics to our employees, but what happens when we do that at our WorkSites? We say 75% of the population, we're in jeopardy of 75% of the population becoming obese in the next five years. We give some people permission or tell them it's okay to be in the norm, right? I would rather be in the 25% that's not, but if we walk around and tell all these people, all these statistics, they're gonna say, well that's okay, that's okay because I'm with everybody else. So let's take a look at this, this is kind of fun. This is what I would like to say a day of life in one of our employees. So an American commuter spends 38 hours a day stuck in 38 hours, oh my gosh, a year, stuck in traffic. Sheboygan might be a little bit different than Milwaukee, but I can relate to that. The average number of Americans killed annually by gunny machines falling on 13, I can't make this up, right, I can't make this up. And 4 p.m., three quarters of Americans have no idea what they'll have for dinner and I'm in the industry and I get at 3.52 a text from my husband every day, what's for dinner? And I say, I don't know, what are you making? So what happens when we don't know what we're having for dinner with an eight-year-old and a five-year-old at home? We all know what happens, right? So every single hour in television watched after the age of 25 reduces the viewer's life expectancy by 21.8 minutes. Here he is, isn't it? By comparison, smoking a single cigarette reduces life expectancy by about 11 minutes. So we get why they say, sitting is the new smoking, right? That would support that. So then when we're outside of work and all of us go on vacation, more than half, 52% of us US employees say they're planning to work during their summer vacations this year. So what do you guys think about that? Scary, isn't it? A day in the life of our employees. So this might be hard for you to see in the back, but this is myself here and Lisa Thierman. She's our member service manager in our office. And I wanted to talk to you a little bit, okay? We saw that lifestyle, what our employees are faced up against in the workplace. Now I want to talk about what we as employers have done to make our employees more productive, right? Because that's what it's all about, right? Our employees help us make money at our work site. And a little bit about environmental engineering. So you can see here, I don't have great posture, if you can see this, I'm kind of bent over, I'm sitting down. And then here I've rolled over to the other side of my desk and I'm filing something, but I'm still sitting down. About two weeks ago, our organization had standing desks installed for two of our employees, four or three person organization. Who do you think didn't get the standing desk? Yeah, so she has, we all work big fits in the office. She has noticed, now this is an uncontrolled experiment. In the last two weeks, on average, a 2,000 step increase by just standing at her desk. And we all were just in awe of that. Do you believe that? It's amazing. But what she said is, she will walk over the three steps to the printer. She will walk over to file something. Whereas what am I doing here? I'm rolling, I'm rolling. And we, as employers, have created this for our employees, right? I don't know if we can blame the manufacturers who create our office furniture, but we have done this. We have helped our employees have this lifestyle when they're at work. That's better than statistics, isn't it? Better than statistics. So, why, what is this all about? Making the case, like it or not, employers are in the healthcare business. Lifestyle is both our culprit and our cure. And this last bullet here, employer is not focusing on lifestyle. They are not managing the major contributor to the healthcare cause. And I think we're all in this room here today and we believe that. Ultimately, I put two pictures on here. This one on the bottom is a magazine from 1964. It's called The Look. And it's difficult for you to see these headlines. But what's interesting is these headlines really are not that different from the headlines that we have today. It says, why are our medical bills so safe? Do you really want a family doctor? Why don't pre-plated plans cover you? So if we looked at those today, we're finding that the changes that we're making for our medical plans are just not working. So that is why we're here to talk about work site wellness. So we've done the co-pay increases. We've changed our networks. We've increased our deductibles. We've even added on-site clinics to our organizations. What I wanna tell you is we need to define our work site wellness programs in this manner to make sure that we're getting the results that we want. So here's the definition. So now we're gonna transition from, some of those resources out there, to talk a little bit about the well workplace process. So it's organized, it's carefully planned and properly implemented. And I'm gonna give you the framework today of what that looks like. It addresses both what the organization needs and what the employees want. That's really, really important to that engagement perspective. It's not activity centered, right? It's not just about doing things because it sounds like a good thing. We're joining them because we know it's gonna affect the organization and impact the employees. It's results oriented. And it includes a number of common elements that are inherent in every successful work site wellness program. And I'm gonna get to that right now. So here, for small businesses, we've designed our national organization, WellCoA Wellness Health America, has studied businesses for over 30 years and they've identified those common elements that are inherent in every organization that their program is generating outcomes. That means it works. It's giving them the outcomes that that business wants. So here's 10 steps that a small business can do. I'm not gonna go through these because essentially they do mirror the seven step process for large businesses. But what I wanna say about this is we've seen in a trend that many small businesses will start here. And it's based on the amount of resources, time and money that they have available. But ultimately they will transition over to the seven step process, which is right here. So capturing senior level support, creating cohesive wellness teams, collecting data, crafting and operating plans, choosing appropriate interventions, creating supportive environments and carefully evaluating outcomes.  But I wanna share with you the power of this process. So some of you, where's Jerry in the room? I'm giving you another chance at this, Jerry. Oh no. So this is something fun and I wanna share it with you. So does everybody have a pen? If you have a pen, grab it. We're gonna walk through this. This is something you can do at the dinner table tonight with the rest of your family. Okay, so pick a number between two and nine and write it down. Multiply, go down a little bit. Multiply your number by nine and write it down. Add those two digits together. So six plus three, for example. And then subtract five from your number and once again, write it down. So match your number to the corresponding letter of the alphabet. So for example, if it's four, it's D. Think of a country in Europe that starts with this letter. I'll give you an extra second on this one. Think of an animal that begins with the last letter of your country's name. This is not a psychology experiment either. So think of a color that begins with the last letter of your animal's name. Okay, Jerry got it. Do you wanna tell him? What's the answer? Orange, kangaroo, and Denmark. So how many of you got an orange, kangaroo, and Denmark? Wow, but I think this is probably been the most I've ever had in a group. I think there is actually one other alternative that you can get. I haven't figured out what it is. I haven't taken the time. But ultimately, this is pretty cool, right? This was kind of a great, great teaser for the day. And a ring, too. And a ring, okay. Oh, and that's hard. Okay, an orange, a ring, no. Oh, sorry, no. We'll read this bad. But this, what I wanted to show with this is this is the power of the process. We all, pretty much all of us, came to the same conclusion, right? Because we followed this process. For work site wellness, the process is the seven Cs. And the success, our orange, Denmark, and kangaroo, is outcomes, right? Because that's why we're doing work site wellness programs, is to have outcomes. Whatever outcomes mean to your organization, it could be some of these things, right? So you see here the title of this slide says the benefits of work site health promotion. Now, the graph below it isn't exactly the slide that I would normally put under the benefits of work site health promotion. But what this slide represents is a study that we did read about a 50% response rate of all of our members last year. And this is the question that was asked is what motivates you to offer work site wellness in your organization? But what I found is the answers were similar. But let's take a look at this a little bit closer. And I know in this area, what's driving work site wellness promotion is really healthcare costs. But statewide, we're actually seeing employee health as a motivator for wellness programs. So then we jump down to healthcare costs. But what's interesting is we see employee morale, work life, company image as some of the top motivators for work site wellness programs. Isn't that interesting? About what our employees think about when they come to work, right? We want to make it more than them valuing their job and their paycheck, right? We want to make it a place that they're happy and they're healthy and they come to work and they do a good job. So I found this really interesting. Then the other piece I want to point out here that's a little bit on the lower end is the recruitment and the retention rate. And this is something that we've seen more and more with employers why they're even starting work site wellness programs is how do we keep the good employees at our organization and how do we attract new employees? What I found interesting, I went on a number of websites, some of these might look familiar to you and I found from their career section, this information at Johnsonville, we believe in protecting and encouraging our members' health and fitness through the promotion of our wellness culture. I didn't take this from their operating plan. I took this as I was going to their website to look for a job. So we can see that people are using corporate wellness as a way to attract employees. We accept gentle, it's more than just a paycheck, health and investment. We invest in our employees to help them stay healthy and achieve work-life balance. Employee health and wellness through wellness programs, education, counseling and assessment, employee health and wellness services strive for a high level of health and wellness among employees. So my challenge would be to go back to your organization and find out are you linking the health of your employees to your strategic imperatives at your organization? Is that displayed publicly? Is your CEO talking about it? Is your president talking about it? Is it part of your recruitment package as you're looking to bring employees at your work site? What's interesting, and this probably happens with a lot of businesses, ultimately is your training employees, aren't you? Do you train employees back and forth? So as business presidents and CEOs who are probably asking yourself do you want the healthy employees at our organization, right? Because they're gonna be more productive, they're gonna cause those left and healthier costs. So wouldn't it be great if all of our organizations were healthy and we all passed healthy employees back and forth and we'll talk about that right now. So this is the power as we transition out of the well workplace process. This is the well city, well county USA initiative. This is really a powerful process where we ultimately can work together as an entire business community. So our organization over 30 years has been working with one employer at a time to help them through that well workplace process. Well COA back in the 90s developed this program called well city, well county, well region, well state, whatever you wanna call it to help us as a business community, help employees work through this process together. Because collectively we know we can be more successful if we do this together. So our goal is to work with business and community leaders like yourself to make your workforce one of the healthiest in America. And you see here the benefits of a well county initiative near that of the benefits of a wellness program. So I wanted to talk a little bit about the requirements of a well county initiative. One of the things is we do require that we work with a task force within that business community. Because how would it look if I walked in, Ms. Jessica, and said I wanna start this program in your community but yet I've never even been on the bike trails in your community. You're gonna laugh at me, right? You're gonna say, well you don't know anything about who we are, what we do, and our culture. But what I do know about is worksite wellness. And I do know what others within the state are doing. And that's the assistance that our organization can bring here. But ultimately this initiative is led by a business task force within your community. We have a bunch of different requirements here where in order for the program to be sustainable we ask that task force to go through a pre-application process. So we say, is your community really ready for this? Once they make it through that pre-application process then we say, okay, now you write a strategic plan, okay? Because wellness is business, right? We need to treat it as such. So there's a strategic plan. And along with that is that 2020 rule that Kelly talked about. At that point in time we require 20% 20 employers representing a minimum of 20% of the workforce to have signed on to the initiative. That means that during this, then the initiative lasts for 36 months, that during that time these employers commit to adopting the well workplace process that seven bench framework we just went through and then applying for a well workplace award. At the end of that 36 month time period if every organization has gone through that or that minimum of 20 employers representing 20% of the workforce we then can call your community one of the healthiest in America, a well county USA project. So I went through that pretty fast but I see a lot of shaking of the head here. One thing I wanna make sure that I get to is tell you about some of the other initiatives. So as Kelly said, these are our active initiatives right now. Milwaukee and Racine are in their second round. So they're going through their, actually Milwaukee's in their sixth year of the project so they've certainly found value to that. And Fox Cities and Oshkosh are re-upping their second round. So they've both all been designated. Bob and Lack is into their 16th month of the initiative and we have La Crosse signing on shortly here in the next month or so. So this is a case study from Racine from employers that have been through the process and I bolded some of the words that I want you to pay attention to. So 100% of the employers that went through the initiative were proud to be part of the well city USA achievement. Not to say that there wasn't work that went into that certainly, but they were proud in that process. 100% said it was a valuable framework for creating a comprehensive wellness program. And 94% either strongly agreed or agreed that it added motivation and accountability to their program. 100% said that they will re-engage their leadership to continue on into the initiative. So something good is going on, right? And one of the things that I love about this project is once again, you as employers could do this all by yourself, but the project really allows you to come together on a regular basis so you can go through it together. You can share what's working, share what isn't working, share resources, share programs even, and then it really catapults your program forward. Milwaukee, you can see here that they've had positive shifts in all their risk statuses. They've increased their longevity for their programs. We have return on investment, how we carbon products, which is a mid-sized company, estimates an ROI of $1.60 saving healthcare per dollar spent. And again, this was back in 2010, so they've seen even more dramatic increases from that. PNH mining or Joy Global added a stretching program into their organization and they saw improvements and reduced loss time by 100% from 2009 to 2010. So those are just some of the results that some of our employers experience. So let's just move into some best practices really quickly here. One of the things that my title I said, if you build it, right, they will come. And that's what this is all about. We know that if you just build a program, it's not just gonna happen, right? We have to put that process in place and find out what our employees want ultimately. So again, just to remind you what the seven C's are, I'm gonna go through a couple of these slides for you. So I think the premise of that seven step process is really about collecting that data, that health risk assessment, finding out from our employees what their risks are, okay? Maybe the biometrics tell us their risks that they don't even know. Their interest survey is asking employees what they value about themselves. What do they want from the WorkSite Wellness program? And then your culture audit. Does the organization, and this is important, does your organization administer a health culture audit? Why is this so important? Out of all this data, I would promise you that the culture audit is probably one of the most significant pieces that if you're not doing today, you will find more about your organization through this health culture audit than you might even through your health risk assessment if you've been doing those for a while. So let's define that real quickly here.  It comes down to a common way of thinking and acting, right? That's your culture. And it's just the way we get things done. What's difficult about culture is we can't measure it. We don't know what it is. But if someone walked into your WorkSite, they certainly probably could tell you what their culture is. So for example, if we saw when we walked into an organization to eat or be eaten, what do you think the culture might be there? A little bit, a little competitive, right? Or we walked into an organization and then they had ping-pong tables and they were all dressed in jeans. You would understand their culture, right? Do you understand how your culture at your organization affects the behaviors that your employees have? That's your biggest question. I could tell you stories and stories and stories about how health culture can actually damage, but ultimately, these are some statistics that we have. We know that the culture within your organization, remember, we talked about climate, values, norms, and beliefs, they also dictate behaviors. We saw before that environmental engineering, is it a culture for people to get away from their desk and go for a walk? Or does that appear that people are not working at your organization? Okay, so those are just some examples, but here we have some statistics from the 2004 Health Minds Study where they show a strong culture and a weak culture and then relate that to having an annual physical last year. And a strong culture of 72% of people had a physical in a weak culture, 64%. They exercised at least three times per week. 62% exercised in a strong culture, 49% exercised in a weak culture. I don't know what more else I can say about how much your culture impacts that. Zappos here, we know that Zappos has a happiness, wellness officer at their organization and they take wellness very seriously. You can see here at the bottom that they have six less sick days per year, say that 10 times fast, six less sick days per year. We would all take that, wouldn't we, at our organization. Health culture is something that I can talk about all day and we can have a lot of fun with and maybe we can come back and do that at another time. This I think many of you have seen, but a lot of you haven't as well. I'm not gonna play it today, but I encourage you to get out there. So we talk about how culture and environment impact the choices our employees are making. This is a great video that you can go out on YouTube and see. When they started the video, they showed that this is a subway and people on a regular basis chose what? You can see the escalator. They chose the escalator and overnight, they put a piano, a working piano on the stairs and they saw in one day it increased the 66% usage of the stairs. So again, it's that environmentally engineering. We always had a presentation the other day and the organization had a long standing program and he stood in front of a group of people and said the hardest thing that our organization had to do with our worksite wellness program was get rid of the candy dish.  We're asking them to help drive down our healthcare costs. We wanted to better utilize the emergency room, be good consumers of their healthcare, but yet our culture is that we're dictating that people are there five hours after the doors close at our organization. So I have two quick questions. Where do you get a staircase like that and what would you put out in place of the candy dish? Roots. Roots. So when customers come into my office, I give them candy because everybody loves candy. Right. Yeah, absolutely. Or even dark chocolate, little bits of dark chocolate. If you feel that's something that you can't take away, you don't turn it around to a more helpful opportunity for them. You know, these changes that we're asking them to make are very, very uncomfortable. So you have to look at the culture within your organization as well and decide how quickly you want to do that. If that's something that's really predominant at your organization, maybe don't take it away right away. Get them involved. Have them help you make decisions on what would be better alternatives for them than having the candy dish. So there's all those little things that you can do. We have wonderful trails. We promote. We ask people to get up. One of the polls that I want to share with you that one of the statistics I wanted to share with you was that the environmental engineering slide with our staff and the work station, we did a poll of our members last year. 83% of our companies either have or considering or allow their employees by request to have a standing work station. So that's not just something that our organization does. 83% of companies are considering having that at their organizations. We've seen organizations with treadmills as well. So before I leave, I do want to just encourage you. One of the things when we talk about engagement and engagement is a huge buzz word. And again, we could talk for six hours on engagement alone. But I do want to encourage you to think about the power of making wellness personal. Many of our organizations have, this is something that we launched at our conference last year. There's LiveWell campaign.  And it provides all the tools and resources. And as Kelly mentioned, you have many of them at your table. But it's about, again, asking your employees why do they want to live well? When we offer some of our programs at our organizations, when I was a wellness practitioner in the field, I remember putting a flyer out that said, hard health, come learn about your LDL and HDL. Do you think that's something that would appeal to you? Not today, right? It's not something that would appeal to us. So we have to ask our employees, why would they want to live well? Sometimes it's amazing what we find out. At our conference, we had a photographer there who was taking pictures. And one of the young women in the crowd said, she lives well because she is recovering from eating disorder.  Do we know that about our employees? We probably don't know what's going on with our employees. So they say, I want to lose 10 pounds to be at my daughter's wedding or I want to dance a lot with my grandchildren. Those are the things that get your employees excited, not heart health 101, right? So how we can talk forever, couldn't we? But I'm going to get the chain quick soon. So at this time, I'll just mention to you, we do have a checklist. You can go on our website and take that and we'll contact you and say, hey, let's talk a little bit more about your work site wellness program. This is a listing of all those 80 companies for our current World Workplace Award winners with our organization and anybody have any questions? I wasn't trying to give you the chance. I was trying to encourage you to ask questions. So does anybody have any questions? I think she's perfect also, but you know, that's the point. Can you go through the checklist a little bit, Jessica, since that's their first step? Sure, absolutely. So the checklist is a hundred and question and it's sectioned off by the seven benchmarks. So we'll ask you questions about senior level support, your wellness team, and then you will get a miracle score for each of those benchmarks. And that really serves as an opportunity for us to talk about how you're doing within each of those benchmarks. What's interesting is sometimes we encourage you to have maybe your wellness team take it or some senior leadership take it because oftentimes we'll find that the answers vary pretty significantly. So sometimes we'll see that the CEO thinks that they have tremendous senior level support but the wellness team might not. So that's a great opportunity to have discussion on why is that, and then come together and address those particular problems. So I have a question regarding Wisconsin's alcohol. So the CDC identified Wisconsin as the number one binge drinking state in the country and pretty much held that reputation for many years. And you go out to the stores and you see shirts drink Wisconsinably as this encouraging our reputation to drink a lot. Of course in my courtroom I see a lot of alcohol violation and so people, especially in Jordan County where again we've been identified by the state of Wisconsin as being one of the top drinking high percentage of drinkers in the state. This is an issue I think and that culture, I've heard a presentation by the University of Wisconsin Madison a few years ago, they put together a study and came down with the reason that we're doing this is basically because it's in our culture. And so how our businesses, of course, they're so affected by people coming home over or unable to work, do you address that somehow or I'm just curious. Yeah, you know what, each individual organization based on their risk that's identified through that data will hopefully address what those risks are. So health risk assessment, depending on the health risk assessment that an organization does, we usually ask how often they drink those types of questions. So as an organization I think many of us have identified that that is a concern and usually are just using from my experience their EAP to address that from an intervention perspective. I can't say that we've had many organizations where I've seen a specific intervention on alcohol usage. Yeah, and I'm talking more about like you've talked about the company's culture, what is the message the company is giving their employees about maybe alcohol or is their messaging, I don't even know. Every time there's a party, okay, let's somebody's retiring, let's go to the bar and have a drink. Right, instead of having non-alcohol based, does alcohol have to be involved in everything we do here? Right. And you know, some of that comes down to, I know there's probably this claim around all of those that says this is not a company sponsored as that, but who's gonna be that first person to say, hey, let's go to the park and have a picnic and do something healthy. I just wanna add something to that.  I don't know, I don't feel comfortable. I'm only here for a very, very time. I'm not having a drink and then leaving. So it's gonna take a long time for that culture to change, it's gonna change. And I would just add to that, you know, we do see a lot of business that we do, wow, we are always almost always above the national norms and the typical kind of companies with the amount of drinking that we're doing. You know, we've had, and even in those meetings, sometimes there's a giggle about it and things like that because it's been accepted in our culture. But I would look to what the Publish Aborgans 2020 Committee, the Alcohol and Drug Committee or what was meant to help group see what resources that they may have available for the employees here. I know you've heard too much from me as it is already, but I did wanna give you some hope. And the hope is that our family for many years has always been water drinkers, we don't even drink soda, at our house we don't drink wine, we don't drink anything, just because I have health issues to do with all the rest of that stuff. But we have three teenagers who are all in high school now and this year for the first time, we decided we'd host the theater cast party, oh dear goodness, 100 teenagers coming down to our house. And our kids were like, are we getting soda? I said absolutely not, we have water. We have bottles of water, I will put up bottles of water. You know what, nobody questioned it. Everybody grabbed bottles of water, they were so excited they wanted to go back for more water. Nobody questioned it. I think we have the basis for starting that movement and the kids were totally cool with it. Not one kid got up in life, they all stayed. So I think we've got the chance. If we're at this program, is it usually required additional staff, some sort of, do they usually assign this to somebody within the company? It depends. We know that we have some statistics and some of these polls that I've mentioned, there's a handout at the purveyor table in the back. But we know that employers are spending about 25% of their time working on a worksite wellness program. I would say that there needs to be more time spent on that. And then there's also a recommendation, we have some recommendations that I can share with you about number of FTEs and the number of staff that you can commit. But most of the time, it does get lumped into the HR department, and then an individual is assigned within the HR department to carry out that task. I would say the majority of Wisconsin programs are run like that. We feel otherwise, but maybe we'll change that. Yeah, if you had listed projects, there's like six cities in Wisconsin right now, and they have projects that last for about three years. Could you give us a couple examples of what those projects look like? Every project is really different because it's based on what the community needs. The Fox Cities project, for example, really focused on pulling in the school districts. The Fox Cities project had 16 different cities that encompassed that project. And one of their main messaging was what the messages are happening in the work site are the same messages that are happening in the schools, and then the families are coming home and eating dinner together and talking about those messages. So they worked really hard within that community to make sure that would happen. They also had some really unique projects that they had. An adopted employer project, or excuse me, adopt a student project where they encourage students within those school districts to put forth grant ideas for wellness within their classrooms or their school. And there was some amazing things that happened. There were pedometer programs, there were the football chairs that were being introduced in the classroom, and these were $100, $200, $300 grants that were given by businesses in that community to those employees. We're not talking significant dollars, but it really allowed the children in those communities to understand what was going on. Milwaukee is a different project in itself. They actually have a paid staff person that is leading that project. They have over 68 employers that have committed at some time or another to that project and actually extend outside the combined, the combined of the city project. That's really been an amazing initiative because of the magnitude of it. We're seeing, we've always been right on the cusp of about 22 employers. At one time I think we were up at 24 employers that committed, it's a smaller community with smaller work sites. So that one has operated a little bit different. As far as the budget that that project has had, I don't think we've ever seen their bank account go over $1,500. So they've been really been able to do some magnificent things on a shoestring budget to support that initiative. There's a lot more that goes into the Sheboygan County, or for example, Sheboygan County initiative. The business task force would develop that strategic plan. We would figure out ways to get together on a bi-monthly, quarterly basis to really help the employers work through the process. They become members of our organization, so we support them through the technical support there. So there's a lot of support with each of those projects. Great question. Okay, all right. Well, thank you very much for your time today. That was wonderful. Thank you so much, Jessica. We'd like to give you about 10 minutes to be able to go back and check out all the resources that have been so graciously provided to you today down at the back table. So please make sure you stop by that resource table and take advantage of all the information that's been left out for you. Just a couple of reminders. February 18th is our focal point. It is the five-star services conversation that's gonna be happening. February 26th for you. We are having the Chamber gala. I hope you all have your tickets already. So it's gonna be a wonderful night. And then the last, the next first right of form is going to be March 6th, where we're gonna be talking about the new school report card and how it relates to addressing skills gap in business. So the last thing I wanna leave on your table today is if you haven't had a chance to go to any of the boss, which is the business or business success strategy table for business owners or to the success round tables for sales or HR. Those are going on at the beginning, starting next week, right John? We have a couple of those coming out. So we invite you all to come and try out the success strategy table. They are a wonderful way of getting, to sit down with each other and gather information. So once again, Jessica, thank you so much. Kelly, thank you again. A round of applause please. I hope you have a delightful weekend drive safely and make sure you check out our resource tables.