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Telehealth may help rural Americans keep the weight off

(HealthDay)—Although many people can lose weight, few maintain the loss. Could individual telephone support be the key to keeping extra pounds at bay?

New research suggests that telehealth after weight loss may be just the support that people in rural areas need to maintain their weight loss long-term. At the 12-month point in the study, people who had individual telephone counseling had maintained an average of 100% of their weight loss.

Other studies have found that it is not uncommon for dieters to regain up to half the weight they lost within a year.

“We tend to think of problems like overweight and obesity as acute care problems—people think you treat it and it’s done. But for continued success, you have to work on it always, and it’s hard to do this on your own,” said the study’s senior author, Michael Perri. “You really do need support and someone who is on your side, but also someone who can challenge you.”

But distances can be a real barrier to care for people who live in rural areas, said Perri, dean of the University of Florida College of Public Health and Health Professions, in Gainesville.

The COVID-19 pandemic has helped remove that barrier through increased access to telehealth—care delivered remotely by telephone or internet.

So researchers designed their study using telehealth—either individually or by group—to see if consistent remote counseling made a difference in weight maintenance.

The study started with a face-to-face weight loss program including more than 500 adults from 14 counties in Florida. Their average weight loss was just over 18 pounds. The participants met at U.S. Department of Agriculture (USDA) cooperative extension offices.

“The USDA cooperative extension service has offices in almost every county in the U.S.: They were originally set up to help farmers, but their

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Chromated Arsenicals (CCA) | Ingredients Used in Pesticide Products

Chromated arsenicals, which includes chromated copper arsenate (CCA), is a group of pesticides containing chromium, copper, and/or arsenic that protect wood against termites, fungi and other pests that can degrade or threaten the integrity of wood products. Chromated arsenicals-treated wood is used to produce commercial wood shake, shingles, permanent foundation support beams and other wood products permitted by approved labeling. EPA is currently reevaluating all chromated arsenicals as part of the Registration Review program (see Docket Number EPA-HQ-OPP-2015-0349 at

Basic Information

  • Chromated arsenicals has been used as a wood preservative pesticide since the 1940s.
  • Chromated arsenicals pesticides are applied using specialized high-pressure equipment in wood treatment facilities by certified pesticide applicators only.
  • Prior to 2004, wood treated with chromated arsenicals was used in residential structures such as decks and playsets.
    • In December 2003, chromated arsenicals manufacturers voluntarily discontinued manufacturing chromated arsenicals-treated wood products for homeowner uses.
    • However, EPA has not banned chromated arsenicals and does not require the removal of existing structures made with wood treated with chromated arsenicals or the surrounding soil.
    • If you have an older deck or other structure made with chromated arsenicals-treated wood, applying a penetrating protective coating (such as oil- or water-based stains) on a regular basis may reduce the leaching of chemicals.
  • Alternatives to chromated arsenicals-treated wood include the following:
    • Wood treated with other preservatives approved by EPA;
    • Wood-alternative and composite materials; and
    • Species of wood that are resistant to pests.

Disposing of Items Treated with Chromated Arsenicals Safely

  • Although chromated arsenicals pesticide products are not available to homeowners, individuals may encounter wood treated with chromated arsenicals in a residential setting (e.g., existing treated structures).
    • Reuse of chromated arsenicals-treated wood is not subject to regulation by EPA under pesticide laws. 
    • If homeowners need to dispose of chromated arsenicals-treated wood, it can usually