solutions september 2010
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A D V E N T I S T R I S K M A N A G E M E N T , I N C .
SOLUTIONS
www.adventistrisk.org
In July, with the 59th General ConferenceSession safely in the rear view mirror,I was happy to be traveling to
Vacationland in Northern New England.On this particularly special trip the entire
family, including our adult children, was onthe way to a family reunion. My grandparentslived in Camden, Maine for most of theirlives and my father was born there. We havespent many wonderful summers visiting thepicturesque town, where Mount Battie risesup above beautiful Camden Harbor.
We had picked up a camper trailer inMassachusetts and I was driving merrilyalong. Suddenly, a Volkswagen Beetle pulledout right in front of us and the driver was notbothering to accelerate! With a trailer in tow,
it was all I could manage to avoid an accident.Immediately, everyone's attention was focusedon my driving.
Daaadddddddd, you need to watch it!cried my son.
Well, how manyaccidents have
you been inwith me
driving? I smugly asked, secure in theknowledge that the answer was zero. HowI had forgotten that Mindy was also in theShe promptly added, Well, I have been."
My mind went back to a snowy da
in Indiana. I had just traveled for threehours in a blizzard to get home. Mindydesperately wanted to attend a youthprogram at Indiana Academy, which wasix miles from our home.
I tried to get out of it, but she persisteso I got in the car and set o on the journe"Tis cant be all that bad after what I havethrough," I thought to myself. Lulled intocomplacency, I wasn't paying as much atteas I should have been. Just a third of a mifrom home, we hit a patch of ice, spun aro
and slammed into a barbed wire fence o the side of the road. My daughters statembrought back the memory of painting up athose scratches on my Chevrolet. Ouch!"could have been much worse though!
Both of these experiences are examplewhy drivers should keep their guard up whtraveling. You never know what you mighencounter on the road!
Tere are other safety recommendatioin this issue ofSolutions. Read them, learn
what the authors have to say and then put
recommendations into practice.
Michael Jamieson, vice president and chie nancial of
Adventist Risk Management, prepared this article.
Inspiration
"By day the LORD
went ahead o them
in a pillar o cloud to
guide them on their
way and by night in
a pillar o fre to give
them light, so that
they could travel by
day or night."Exodus 13:21
Motivation
"The most important
trip you may take in
lie is meeting people
halway."Henry Boye
Page 2
Steering
Transporation
Programs
Page 4
Transportation
Safety Begins in the
Parking Lot
Page 7
Beans Protect
Against Canc
Page 6
Exercise Intensity
and Blood Sugar
Control?
Providing Solutions to Minimize RisksSEPTEMBER 2010 VOLUME 14 ISSUE 9
Dont Let Your Guard Down
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FEATURE
Certain responsibilities come along with owning a vehicle.Preventive maintenance measures, such as regular oilchanges and uid level checks, help keep the vehicle
running smoothly and safely. Te actual operation of the car isalso critical. Good defensive driving principles and adheringto the rules of the road help drivers and passengers arrive atintended destinations unharmed.
Unfortunately, due to expense, limited time to take thevehicle in for service, and other reasons, not everyone maintainstheir vehicles as they should. Not everyone has the best drivinghabits either. Some even become impatient and aggressive behindthe wheel, an extremely dangerous habit that exposes themselves
and others to injury or even death.When an organization owns vehicles, there is a crucial dutyto properly select and maintain those vehicles, and providequalied and safe drivers. Everything possible must be done toensure the safe transportation of Pathnders, students, campers,employees, volunteers and others. People and assets are put atrisk when an organization does not replace aging or hazardousvehicles, adequately maintain its eet, or do everything in itspower to select and train safe vehicle operators.
Matching Vehicle with Need
Every organization has dierent, and often multiple,transportation needs. A church may need a small van or truck for
pickup or delivery of community service items or other uses. Itmay also desire a bus for transporting Pathnders. Some schoolsmay require buses and other vehicles, including vehicles
for maintenance and grounds. Camps will very often needand a variety of other camp vehicles.A number of factors must be considered when matchi
vehicle selection with need. Answers to the following queswill help dene types of vehicles needed and for what purp
y How will vehicles be used: maintenance, transportof individuals or groups?
y How many youth or adults will need transportatioy Will transportation be intrastate or interstate?y Do state, federal, or provincial laws govern usage?
(Requirements for use of a vehicle as a school bus aoften dictated by local, state, federal, or provincial
While those laws may not apply to religious or privschool in some jurisdictions, it might be prudent tadopt those standards when safety is the issue.)
y Should an organization lease, buy, or hire a transporservice? (Hiring a transportation service may bedetermined by a limited need for the transportationinability to provide qualied drivers, elimination of need for maintenance costs and recordkeeping.)
Te same safety principle that applies to tools can be ato selection and use of transportation. Just as a wrench is nhammer and should not be used as one, a pickup or atbeis not a bus and should not be used as a bus! If a large num
people need to be transported, small vans, turtle-tops or fubuses may be needed. Just hauling supplies? A pickup or osmall vehicle may be just the thing.
Te push for better safety with 15-passenger vans rstrong. Te National Highway rac Safety Administr(NHSA) over the last few years added ve majorrulemakings. One required lap and shoulder harnesses rear seating positions in vehicles weighing 10,000 pouless (2004), and another upgraded door locks, door recomponents and side impact protection (2007). wo additions were two new crash avoidance standards: tirpressure monitoring systems and electronic stability c
According to an NHSA report (15-Passenger Van SUpdate, April 2008), most of these safety improvemewere being phased in on vehicles, so the eects on stare too early to gauge.
However, early volunteer installation of electronstability control, along with educational and publicawareness, may be starting to reect decreased singlevehicle van rollover crashes and fewer deaths. Teinstability of the 15-passenger van was also magnie
Steering Transportation Programs
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when operators placed luggage on top and used the vehicle fortowing. Educational programs aimed at halting both practicesmay also be making an impact. Keep in mind, 15-passenger vansstill require a greater operator skill/experience level. Until theverdict comes in on the safety of the newer vehicles, small vans orturtle-top type buses are recommended.
Whatever the type of vehicle, do not overload. Do notexceed the allowable gross vehicle weight (GVW) and theallowable weight of tires. Te individual allowable weight of atire when multiplied times four should be equal to or preferablygreater than the GVW of the vehicle.
ire failure is frequently the cause of van and other vehicle
accidents. Inspect tire condition regularly. Look at the age of tires,as well. ires deteriorate with age, and the NHSA recommendschanging tires when they are more than six years old. Te lastfour-digit number in a series preceded by the letters DO on thetire sidewall indicates the week and year of manufacture.
Safety Behind the Wheel
A great deal of safety is factored into the person behindthe wheel. Te driver must not only be skilled in the handlingcharacteristics of the assigned vehicle, but will often be part ofthe supervision of riders. Where possible, it is recommendedthat another person in the vehicle provide the primary
supervision so the driver can focus on driving. Tat individualin partnership with the driver must ensure all riders understandthe rules they are subject to on the trip, such as the prohibitionof boisterous, distracting behavior, and leaving seats. Tey mustalso understand the vehicle is not moving until everyone isbuckled up.
It is the driver who generally must ensure that the vehiclehas had a pre-trip inspection, is not overloaded and seats onlythe number of occupants that there are seat belts for. Tis maysound simple enough, but far too often, vehicle accidents showmore individuals in the vehicles than the number for which theyare rated. Tey also show individuals in places not intended for
occupancy. Keep it simple: If there is a seat and a seat belt, putsomeone there. If there is not a seat and a seat belt, dont. Justto make it clear, since it is done at times, a persons lap does notqualify as a seat.
At the end of each trip the driver should properly documentand report any vehicle discrepancies observed. Unsafe conditionsmust be repaired before the vehicle goes back on the road.
Ensure that drivers are properly licensed and comply withall state, federal, and provincial laws for the class of vehicle
driven and that they meet age guidelines of the North Americ
Division Working Policy (21 years old, unless the conference
grants approval for drivers no younger than 19 years of age).
Motor vehicle records of each driver should also be obtained a
reviewed on a regular basis. Te standard in the Working Poli
establishes a limit of no more than two trac citations and no
at-fault accidents for drivers. Periodic defensive driver re-train
and hands-on observations of drivers will benet both the dri
and the organization overall.
Establish standards that prohibit cell phone use, texting a
other distracting tasks like eating and reading maps while driv
Drivers who need to make a call or check directions should p
into a parking lot when it is safe to do so. On long trips, drive
must also take ample breaks to prevent drowsiness.
Taking Care of What We Have
Just as buildings are cared for to keep them from
deteriorating, a eet of vehicles needs regular preventive
maintenance, whether it is one vehicle, ve, or more. Regular
scheduled maintenance is generally based on miles driven or a
specic time if the vehicle accrues low mileage over a long per
of time. All maintenance needs to be thoroughly documented
and kept on le. If a vehicle is involved in an accident, the veh
owner may need to prove the vehicle was well maintained.
How Does Your Program Stack Up?We have the ability and tools to steer our vehicle safety
program. We can guide them properly and benet from a
positive outcome or we can deal with the tragic results of not
keeping our program on a safe course down the road. ake th
time now to look at yours and make any necessary changes.
John Dougan, ARM, ALCM, Senior Risk Control Specialist or Adventist Risk
Management, Inc. prepared this article.
Stevens Seventh-day Adventist Church (Long Isla
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FOR E SI G HT
Begins in the Parking LotTransportation Safety
The phrase, Security begins in the parking lot ismentioned often on various Safety and Security webinarsand in the Christian Security Network e-Newsletter. Te
rst time I heard this it caught me by surprise. After reectingon the meaning, it made sense. Once a person with unsavoryintentions crosses the threshold it will be much harder toarrest the intentions of that person. Once a thief gets insidethe building, they will likely walk o with something. For bestresults incidents must be stopped as far away from the doorof the church, school or other facility as possible. Tese sameprinciples could easily apply to transportation safety.
Although there are external risks that we must preventoften risks are also generated from within the organization. Wecan be the risk as we walk out the door and get into our vehicle,
whether a rental car, a church-owned van or bus, or someonespersonal auto. oo much risk begins in the parking lot and it hasto be stopped.
Recently, I spent twoweeks in Haiti and witnessedmission groups doing thingsthat gave me serious pause.Although volunteers weredoing much good, they werealso involved in actionsthat were putting them atrisk. On three occasions Iobserved volunteer groupstraveling in the back ofopen pickup trucks overHaitian roads lled withpotholes, cracks from theearthquake, and detoursaround fallen bridges. Inone case teens were evenriding on a luggage rackover the pickup cab!
How can groupleaders leave their goodjudgment in the churchparking lot? In theUnited States andCanada we wouldimmediately stop or
avoid this kind of activity during a church outing. Why dbecome acceptable on an international mission trip, whereconditions are substandard, driving is chaotic, vehicles arepoorly maintained, and criminal activity abounds?
Statistics gathered from several years of study are nowpointing to a shocking trend and development. Te numbone risk and threat to humanitarian workers is not bulletsor kidnapping. It is road accidents. Roughly 50 percent ohumanitarian worker deaths happen on the road! I often most dangerous thing I do each day in my travels for ADRget into the vehicle!
As leaders who strive for safe and secure settings forministry and mission, we must do our homework and ndsafest mode of transportation in the areas we are visiting. Tinformation is often available at State Department website
We must also insist that groups leaving the parking lot usebelts, are aware of the risks, and are equipped with basic skminimize their risk, etc. We must especially insist on this and after they leave the borders. If the trends are not revein about a decade, trac deaths will be the number one caof death in many poor countries. Annual trac deaths wimore than many diseases we fear and consider killers: malB, HIV/AIDS, etc.
Tere are many good resources to inform and equip las they lead groups. Start with the highly recommended
Adventist Risk Management DVD, Safely Tere and BackTis should be required viewing for all short or long-termmission trips. Tis and other travel safety videos can be win the multimedia section of Adventist Risk Managemen
website at www.adventistrisk.org.Some other favorite resources include:
y MAKE ROADS SAFE- Te Campaign for Global RSafety - www.makeroadssafe.org
y Association for Safe International Road Trave
www.asirt.orgy Sara's Wish Foundation www.saraswish.orgy Travel.State.Gov:http://travel.state.gov/travel/cis_p
cis_pa_tw_1168.html
Ken Flemmer, Director or Agency Saety and Security or Adven
Development and Relie Agency (ADRA), prepared this article.
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ARM RESOURCES
SOLUTION S September 2010 Adventist Risk Management, Inc.
Risky Business By John J. Dougan, ARM, ALCM
Publisher
Adventist Risk Manageme
Executive Publisher
Arthur F. Blinci, ARM, eMBA
Editor
Paula L. Webber
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Solutions (ISSN 1528-7076published monthly by Adv
Risk Management, Inc.,
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phone: 301-680-6930;
fax: 301-680-6828; e-mail:
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by permission of Zonderva
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2010 Adventist Risk
Management, Inc.
After we go back and pick up Fred, you need to start
slowing down on those bumps!
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HEALTH ALERT!
Exercise Intensityand Blood SugarControl?
Researchers have known for a long time that exercise isvery helpful for controlling diabetes and its complications.Exercise helps lower blood sugar levels in the body similar
to the work of insulin. Insulin sensitivity is improved through
regular exercise. In turn, insulin can do its job better. Untilrecently it has been unknown which kind of exercise, moderate orhigh intensity, is most helpful in loweringhigh blood sugar.
o answer this question, researchersput a group of overweight diabetics, withhigh blood sugar levels, on three dierentintensity level exercise programs. Teirblood sugar levels were monitored toidentify which program was most eective.
Te rst day the participants did noactivity, ate standard control meals for
the day, and monitored their blood sugarlevels for 24 hours. Tis "no intensity"sedentary day became the standard tocompare moderate and high intensityactivities against.
Next, the study subjects rode a stationary bicycle at amoderate pace for an hour, and then monitored their blood sugarlevels for the next 24 hours. Between each exercise testing, theparticipants were allowed to rest for three days.
Finally, the group exercised at a high intensity on thestationary bicycle for 30 minutes and monitored blood sugarlevels. Although they exercised for dierent durations, both
exercise routines burned the same number of calories on a bicycleergometer because the intensity changed.
What Researchers Found
Both forms of exercise lowered blood sugar levelscompared to the sedentary day, but the moderate intensityactivity lowered blood sugar levels the most. Te moderateintensity exercise session lowered the prevalence of high bloodsugar levels during the 24-hour period by 50 percent compared
to no exercise. Te high intensity exercise session only lothe prevalence of high blood sugar during the 24-hour pby 19 percent, even though the same number of caloriesburned in both exercises.
Tis was a surprising but welcome nding. Te moderintensity exercise was more eective than high intensity actin reducing high blood sugar levels. Tese results are encoubecause most overweight diabetics don't like to exercise at hintensity levels. People who are sedentary and rst starting exercise program are more likely to continue with moderateexercise activities.
An earlier study published by these same authors founresistance training was also benecial in lowering fasting bl
sugar levels. In this case, one weight liftinexercise session lowered the prevalence ohigh blood sugar levels by about 40 perccompared to non-exercisers. Interestingly
weight training also proved to be more ein lowering the prevalence of high bloodthan high intensity aerobic activity.
The Bottom Line
All physical activity is benecial in loblood sugar levels and improving health
consequences, but moderate activities, subrisk walking or moderate cycling, and wtraining are most eective. If your goal islower blood sugar levels, moderate activi
be more helpful.Does this principle still apply if you are not a diabetic?
all means! Regular moderate and intense physical activity wprevent the development of diabetes by keeping blood sugalower, weight under control, and enhancing insulin resistanTis means that if you don't like jogging or other intense acmoderate activities are still very helpful.
Anytime you help prevent high blood sugar, you als
the risk of heart disease and cancer. In diabetics, lowerinblood sugar also helps prevent blindness, kidney disease,infections. For good health, aim for at least 30-60 minuof moderate physical activity or 20-30 minutes of vigoroactivity most days of the week. Also include weight trainleast twice per week.
Jina Kim, MPH, Wellness Coordinator or Adventist Risk Management, Inc. p
this article.
Health Tip of the Month
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Brought to you by:
www.advent ist r i sk .org/Wel lness
Beans Protect Against Cancer
The lowly bean is nally getting some recognition.
Studies show that beans help protect against cancer,
especially polyp formation in the bowel which leads to
bowel cancer, the second leading cause of death from cancer inthe United States.
A study conducted among African-American men and
women showed that those who ate the most legumes had one-
fth the bowel polyps (early signs of cancer) than of those not
eating legumes (relative risk 0.19). Te authors of the study
encouraged a greater consumption of all legumes, especially
kidney beans, split peas, garbanzos, and lentils.
Another study, named the Polyp Prevention rial, foundthat those eating the most legumes (highest quartile of bean
intake) had only one-third (relative risk 0.35) the rate of
advanced polyp reoccurrence compared to those eating the
fewest legumes (bottom quartile).
Te Nurses' Health Study found both legumes and fruit
to be protective against bowel polyps. Women eating ve or
more servings of fruit daily had 40 percent fewer polyps than
those eating only one serving of fruit daily. Women eating fouror more servings of legumes weekly had 35 percent fewer bowel
polyps compared to women eating only one serving per week.
Te website www.MyPyramid.govrecommends that aAmericans eat more legumes, at least three servings weeklyOne serving per day provides the best protection. You canadd a variety of legumes to your diet including split peasoup, chili beans, garbanzos, lentils, navy beans, hummus,and soybeans. Tey are good for the health of your boweland are a good protein alternate to meat, which increases trisk of colon cancer.
Don Hall, DrPH, CHES
Journal o National Black Nurses Association. 17(2):6-12.
Journal o Nutrition. 136(7):1896-1903.
Cancer Research. 66(7):3942-3953.
TRY THIS RECIPE OUT!
Louisiana Greens and "Sausage"
A spicy dish with great avor and texture, this
greens mixture contains a delicious potlikker,
which is the vitamin- and mineral-rich broth
that comes from cooking down the greens.
Ingredients (Serves 6)
y 2 teaspoons olive oil
y teaspoon crushed red pepper
y 4 cloves garlic, minced
y 1 medium-sized onion, coarsely chopped
y 1 14-ounce package bulk-style soy
sausage
y 16 ounces mixed greens, such as mustard,
collard, turnip and spinach
y 2 tablespoons red wine vinegar
y 1/3 cup white wine or vegetable stock
y 2 cups vegetarian chicken stock, boiling
y cup tomato sauce
y tablespoons dried thyme
Instructions
y Heat oil and crushed pepper over
medium-high heat in a very large
saucepan or stockpot for 1 minute. Add
garlic and onions. Cook for 2 minutes,
and add soy sausage, stirring and
breaking apart with a large spoon. Coo
mixture for 7 minutes, stirring frequent
until browned. Add greens, reduce
heat to medium-low and cook mixture,
covered, stirring occasionally, for 5
minutes, or until greens cook down. Ad
vinegar, wine, stock and tomato sauce.
Reduce heat to low.
y Cover, and cook for 15 minutes. Add
thyme, and cook 5 minutes longer, or un
greens are tender, stirring occasionally.
Recipe from Vegetarian Times, Issue: June 1, 2004 p
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