What Coronavirus Means For Rural Hospital Capacity

Hospital capacity ( CMS Cost Reports (Data)

Lori Hays (Design) )

By now you’ve likely seen “the curve” on your social media platforms describing why social distancing and other coronavirus-stopping techniques are important for hospitals—but that fails to describe rural hospitals. Compared to their urban counterparts’ 21 intensive care unit (ICU) beds, rural hospitals have five ICU beds on average.

“I think the urban areas are going to be hit harder just because of the more populated areas,” says Shawn Buhrow, medical doctor, to AgriTalk host Chip Flory. “However, in the rural areas, like with any healthcare issues, they [sick people] are at risk just based on their inability to actually get to the health care facilities.”

Some rural residents have to drive an hour or more to their nearest hospital. If coronavirus (COVID-19) were to hit a rural community, beds at the local hospital could fill up quickly, meaning any additional patients would likely have to drive even farther for treatment. Containing this disease is key to decrease the risk of fatality.

“You know, when you compare [coronavirus] to H1N1, H1N1 mortality rate was 0.02% of individuals that were infected actually died,” Buhrow says. “But with this COVID-19, it’s estimated between 3% and 4%. So, it does have a higher mortality rate by quite a bit.”

rural area hospitals

However, proper hygiene and good habits will help curb this issue. The adage ‘an ounce of prevention is worth a pound of cure’ holds true in this situation.

“I think we don’t want to panic over this, but we also need to be vigilant,” Buhrow says. Things like washing your hands frequently, social distancing and generally staying healthy will be key.

COVID-19: 5 Things Your Farm Should Do Now

COVID-19: 5 Things Your Farm Should Do Now

As novel coronavirus (COVID-19) makes its way into the U.S., are you prepared for some of the more likely scenarios that could impact your operation?

“Coronaviruses are not new and are responsible for approximately 20% of common colds already, however due to this being a novel coronavirus, the population is very susceptible and transmission will therefore be widespread in the absence of a vaccine,” says Beau Peterson, general manager and director of research at Carthage Veterinary Service (CVS) in Carthage, Ill. “The biggest impact to us and our business will likely be measures put in place to slow or stop the spread of the virus in the U.S.”

Being prepared during a time like this is critical. CVS says their veterinary clinic will stay open one way or another.

“Testing for COVID19 in the U.S. is just now starting to ramp up. When you consider the number of cases of community transmission already identified, we feel it is highly likely that the virus is much more widespread than what is currently being reported,” Peterson says.

As the testing and identification accelerates, the control measures will follow suit. Here are five things to consider now as you put your plan together.

1.    Ensure people can work.

“One of the most impactful and likely scenarios we see playing out is a closure of schools and daycares in the communities where our business and our clients business operate,” he says. “This would put an incredible strain on families with children who would have to find alternative care options.”

CVS is preparing for multiple scenarios to help their employees continue to work despite potential school and daycare closures.

•    Work from home: Find solutions to allow office employees to work remotely if needed. Make sure adequate laptops are available, remote connections are accessible for home computers and systems that aren’t normally used remotely are configured for it.
•    Creative childcare options: Help employees secure safe alternative care for their children if they have no other options. For example, CVS has some buildings that could be used to allow the parents who can’t work from home to work here and watch their children.

“We are a community and we will take a community-based approach to this to help each other if the need arises,” Peterson adds.

2.    Prepare for supply chain disruptions.

Although disruptions haven’t occurred yet, many producers rely on China for some of the raw ingredients and finished goods used on farms.

“Shipping disruptions have occurred in China already so there is a potential hole coming, and if port activity is impacted in the U.S., specifically the West Coast where a lot of COVID19 has been identified already, those disruptions could become significant,” Peterson says.

CVS recommends adequately preparing to withstand a two- to three-month supply disruption. Take a look at your usage of critical items and ensure adequate inventory on farm.

Peterson says CVS is stocking up on diagnostic supplies at their internal diagnostic lab.

We see the potential for diagnostic supplies to come into short supply in the coming months as demand ramps up for human testing. We are talking with other public diagnostic labs as well to ensure lines of communication are open in case we need to work together in the event of disruptions,” he says.

3.    Monitor upcoming travel.

Carefully consider upcoming meetings that employees are scheduled to attend and make decisions about participation as necessary. In the past week, many international and domestic meetings have been canceled, postponed or moved to a web-based venue.

4.    Plan for interruptions to daily workflow.

Discuss and develop contingency plans for additional needs that would interrupt your daily workflow. This could include delivery of boar semen, shipment of diagnostic samples, product movement from warehouse locations, etc.

In a letter to U.S. government officials on Tuesday, the National Pork Producers Council (NPPC) asked the administration to develop support plans for hog farmers if labor-related bottlenecks in the supply chain prevent hogs from being marketed.

“The specter of market-ready hogs with nowhere to go is a nightmare for every pork producer in the nation. It would result in severe economic fallout in rural communities and a major animal welfare challenge,” said NPPC President Howard “A.V.” Roth, a hog farmer from Wauzeka, Wis.

5.    Protect yourself.

Use common sense and remain calm. Do what you can to protect yourself and stay healthy –the same things you do every year during flu season, Peterson advises.

Remind your employees to:
•    Wash their hands frequently.
•    Disinfect surfaces frequently.
•    Stay home if sick and to be fever-free for 24 hours before returning to work.

“The most important thing we can all do is stay informed and have a plan,” Peterson adds. “The producers we serve can’t take time off from caring for their animals, and we are committed to having plans in place that allow us to continue to support them.”

Readers Share How FFA Changed Their Lives

Another successful FFA Week has come and gone. Social media was buzzing with stories, memories and highlights from current and past FFA members last week about what membership in this organization has meant to people all over the country.

FFA plays an important role in agriculture, says Charlene Finck, Farm Journal Division President of Producer Media and trustee of the National FFA Foundation.

“It’s a catalyst to educate, engage and inspire students as leaders to pursue ag-related careers that advance the awareness and understanding of ag’s importance here and abroad—as a key contributor to sustainability and the quality of our lives,” Finck says.

Farm Journal editors joined in on the fun and shared 12 Reasons We Need FFA More Than Ever, but we’re excited to report back what our readers had to say about FFA has changed their lives. Here’s a few.

1.    FFA jackets don’t go in yard sales – they hang in your closet forever.

“My FFA experience shaped my entire life, as a man, as a teacher and as a mentor. I have been greatly blessed to have had the opportunity to impact young lives. I truly believe that the FFA jacket is worn over a member’s shoulder, but more importantly over their heart. For that reason, we seldom see an FFA jacket for sale at a yard sale, but more often it lives in the back of a closet and holds years of FFA memories. I have three in my closet in my 73rd year of life. My son has two. My office wall is covered with life’s memories – most are FFA, including an Honorary American Degree, education awards and people of my memories.” – John, former Michigan FFA member, state officer and advisor

2.    FFA becomes a family passion.

“I was the chapter president, raised mostly steers and was on the livestock judging team. We shared a bus with another chapter to go to a state judging competition. I met a guy at lunch, among hundreds, from our bus, we sat together and talked on the way back. He was there for the tractor driving competition and got 2nd place. I was 16 and he was 18. I invited him to my first steer show of the season, so most of the steers were still semi-wild. Mine got spooked and ran him over, ruining his clothes and boots. But he hung in there. Six months after we met, we got engaged. We got married two years later and have been married 42 years now. We had two daughters, both went through FFA and 4-H. Now I have a 7-year-old grandson that is in our AZ FFA PALS (5-8) group. We have three generations of FFA’ers in our family, that started by my husband and I meeting at a state FFA function!” – Lynn, former Arizona FFA member

3.    FFA opens your eyes to true leadership.

“The best experience I have earned through FFA, was learning how to be a leader without a title. I ran for chapter president my senior year. I had a great interview and everyone knew I had a burning passion for it. But the selection committee knew I was more than just an officer, and I needed some humbling. It was decided that I would not return as an officer. I was devastated. That mindset quickly changed when my advisor said something that I will never forget. ‘The best leaders are the ones without a title.’ I have tried my best to live by that my senior year, whether it was teaching young students about CDEs and SAEs or showing fellow members how to present themselves in a professional way. I did a lot of growing my senior year and it is all thanks to my advisor. FFA taught me how to lead but more importantly how to be a part of a team.” – Mikaela, current Ohio FFA member

4.    FFA teaches you to try again tomorrow.

“My first creed speaking contest was the most terrifying moment of my life standing at the podium before a crowd of maybe 15-20 peers and other ag teachers. I remember being frozen solid and I could not get a single word out. I had to walk off stage. My advisor, Mr. Brock, met me at the foot of the steps and shook my hand and said, “Next time, don’t worry about today.” That event and support changed my life. Over the balance of my high school tenure, my abilities and skills continued to develop and my successes today I attribute directly to the experiences and lessons I learned while serving in the FFA.” – Stephen, former Arkansas FFA member, officer and advisor

5.    FFA inspires new dreams.

“My favorite memory in the FFA is my first time at Tennessee FFA State Convention. I remember walking in the convention hall and being so overwhelmed by the people and excitement that room held. I remember watching opening ceremonies and being so inspired to be a state officer. I remember not wanting to leave because I wanted to hear more and more stories about these people’s lives and how FFA had changed theirs.” – Paige, current Tennessee FFA member

6.    FFA creates opportunities to give back.

“When I think about my favorite FFA memory I think of River Day. River Day is a day where our teacher takes a few students to help out the local River Wranglers to help them teach local elementary school students about our watershed. I really enjoyed River Day because I love to hang out with little kids. We helped them make water cycle bracelets, we took them on a walk and helped them place towns and locations on a giant river map. The kids had so much fun and we talked and hung out all day. Later in the school year, the elementary students sent us a letter. I love reading my letter and knowing I helped the kids learn new things.” – Evelyn, current Nevada FFA member

Lift Limits on Saturated Fats in Health Guidelines, Urge Scientists

|  By: Jim Dickrell

The United States Department of Agriculture and the U.S. Department of Health and Human Services are being urged to lift limits on saturated fats in their upcoming 2020-2025 Dietary Guidelines for Americans.

The request comes from 10 top nutrition scientists from the United States, Canada and Denmark. Three of these scientists include former members of the Dietary Guidelines Advisory Committee.

“We conclude there is no strong scientific evidence that the current population-wide upper limits on commonly consumed saturated fats in the United States will prevent cardiovascular disease or reduce mortality,” say the scientists. “A continued limit on these fats is therefore not justified.”

They also note that there is evidence that saturated-fat intake may be associated with a lower risk of experiencing a stroke.

Cary Frye, senior vice president of regulatory affairs for the International Dairy Foods Association also notes: “While [higher fat versions of dairy products] do have higher levels of saturated fat than low-fat versions, a growing body of evidence indicates that consumption of full-fat dairy foods like milk, cheese and yogurt is not associated with higher risk of negative health outcomes, including obesity, diabetes and heart disease.

“Moreover, a summary of multiple studies of full-fat dairy foods found that the evidence showed no association with high blood pressure, cardiovascular disease, and type 2 diabetes. Some of the studies reviewed showed full-fat dairy was associated with lower risk of obesity.”

4 Critical Safety Steps

If an accident happens to a family member or farmhand, could you – under pressure and in cohesive words – relay the exact location to an emergency responder?

“Emergency response planning and coordination looks identical to 50 years ago,” says Shay Foulk, consultant with Ag View Solutions in Rowley, Iowa. “An accident happens, emergency responders are directed to a general location and they figure out the situation once they get there. Is that what you want for your farm?”

Take these steps, Foulk says, so you can be proactive in the event you face an emergency situation.

  • Create blueprints of your farm and home. This can be a simple drawing, digital image or field aerial image with overlaid text.
  • Number your buildings, storage and fuel tanks. “I don’t know the ‘farrowing shack behind the chicken building’ and neither do emergency responders,” Foulk says. Label buildings with reflective tape and numbers.
  • Invite local emergency responders to your farm. Have them assess the present hazards and involve them in the planning process.
  • Share your safety plans and document. Download “Smart911” on your mobile device, add your family information and upload your blueprints. Also, provide your blueprints to your emergency responders.

Interseeding Alfalfa Into Corn Shows Promise

Interseeding alfalfa into corn to boost alfalfa yields and reduce soil and nutrient loss shows promise in studies at the U.S. Dairy Forage Research Center near Prairie du Sac, Wisconsin. The economics are positive as well.

“The interseeding of alfalfa into corn serves as a good cover crop and it helps to mop up that extra nitrate that’s left after the corn has been harvested,” says John Grabber, a USDA agronomist.

Grabber and his colleagues have been working with interseeding alfalfa into corn for a number of years. The results suggest that alfalfa yields often double in the first year of full production versus first-year alfalfa when it is spring seeded. Typically, alfalfa in its establishment year will yield just 2.5 tons/acre of dry matter. Alfalfa interseeded into corn can typically yield 5 tons/acre in its first full production year.

Runoff rates of soil and nutrients in the corn interseeded with alfalfa are also substantially reduced, with soil losses reduced by more than 80%, nitrogen losses reduced by more than 70% and phosphorus losses reduced 60 to 80%.

But interseeding alfalfa into corn is also prone to failure if a number of steps aren’t taken, he adds.

First, alfalfa, alfalfa must be interseeded immediately after corn planting and no later than the V1 or V2 stage of corn development. Planting the alfalfa later will greatly increase the risk of alfalfa stand failure due to canopy shading from corn. Corn silage harvest must also be done about one to two weeks earlier than normal, which means using an early- to mid-season hybrid, says Grabber.

econd, crop protection products should be used to ensure the alfalfa plant establishes strong roots and isn’t plagued by fungus or insects. Grabber has been using Prohexadione, which limits alfalfa top growth and encourages root development. (It is currently not labeled for use on alfalfa, but there is hope it could be for the 2020 growing season.)

Fungicide and insecticide use also seem particularly important to use under Wisconsin growing conditions. “These plant protection products can really help alfalfa survival and yield the following year,” he says.

Third, some alfalfa varieties seem better adapted to interseeding than others. Those that develop strong root systems early are best, says Grabber.

Fertility is also important because alfalfa will take up some nitrogen during establishment, potentially shortchanging the corn crop. He recommends applying nitrogen at the higher end of recommended rates for corn silage (about 200 lb/a) to ensure that doesn’t happen.

The economics of interseeding alfalfa are positive. That’s assuming a doubling of first-year alfalfa yields, a slight yield drag on corn production and extra agrichemical costs to aid establishment of interseeding alfalfa, he notes. His estimates show that if you get an 80% success rate for establishing interseeded alfalfa with a 5% yield drag on corn, the net return (averaged across all years of the corn-alfalfa rotation)  works out to about $144/a. That compares to a net return of $130/a for a conventional rotation using spring-seeded alfalfa. “So there is the potential to make a little more money with interseeded alfalfa, which is in addition to increased overall forage yield and reduced risk of soil and nutrient loss from cropland,” he says.

But interseeding isn’t all rosy, he acknowledges. If you have an extremely dry spring, the alfalfa will germinate unevenly or compete excessively with corn for soil moisture. Under such conditions, producers should forgo interseeding and instead do a conventional seeding of alfalfa the next spring, he says.

And if you have a wet soils in fall, corn silage harvest can tear up alfalfa stands. “Therefore, interseeding is best suited for cropland with good drainage and will be most successful if producers use corn harvest practices that limit soil compaction and rutting,” Grabber says.

You can view Grabber’s presentation on interseeding alfalfa into corn, presented at World Dairy Expo last fall, here.

10 Tips for a Better Alfalfa Stand

Within a few short months Spring will soon be on our doorsteps. Though snow may still be on the ground and the soil still frozen solid, now is the time to start planning as to how you will plant your new stand of alfalfa.

During the 2020 Leading Dairy Producers Conference held in Wisconsin Dells, Wis., Deborah Samac, a research plant pathologist for the United States Department of Agriculture-Agricultural Research Service, gave these 10 tips to help establish a better alfalfa stand in 2020.

1. Plan ahead to avoid herbicide carryover. Even during wet weather it is important to be aware of the slow decay of some herbicides used on previous crops such as soybeans and corn.

Herbicide carryover is more commonly found in fields that were last planted to corn due to their longer herbicide residual period, according to Samac.  Therefore, it is essential to look at herbicide labels to note their herbicide carryover length to avoid stunted alfalfa stands.

2. Select sites with good drainage. Known for not liking wet feet, alfalfa can be prone to seedling diseases if fields do not have adequate soil drainage. When planting fields to alfalfa, Samac suggests steering clear of fields that have heavy amounts of clay to avoid over saturation.

Another step in preventing overly wet fields is examining soil for hardpan, a hardened impervious layer, typically of clay, occurring in or below the soil and impairing drainage and plant growth.

“If you do have soil problems or standing water, be sure to investigate below the surface of the soil to see if drainage is an issue,” Samac says.

3. Test soil and make adjustments. Alfalfa tends to typically yield best when grown in neutral pH soils. Therefore, Samac expresses that it is imperative to test soils to help correct acidic pH levels.

“The reason it’s so important to get a neutral pH is because that is where we get the most availability of nutrients needed for alfalfa health,” Samac says.

4. Control weeds. “You want to try and control weeds during the initial stand establishment, especially anything that is a perennial weed because those are really hard to control one the alfalfa is established,” Samac says.

To help control weeds, Samac suggests using pre-emergent herbicides such as Roundup for its low residual activity, Eptam for annual and perennial grasses or Benefin for the prevention of broadleaf weeds.

5. Prepare a firm seedbed. Because of their small size, alfalfa seeds will dry out easily if they do not have good contact with the soil. However, if they are buried too deep, the plants may have trouble emerging. According to Samac, it is important to disc up a seed bed that will allow the seed to sink approximately a half inch below the soil surface.

6. Select an alfalfa cultivar for your area. When selecting a variety of seed, Samac suggests researching traits such as disease resistance and winter hardiness.

“High quality seed pays off,” Samac says. “You want to make sure that you are picking out the right seed for your area and for your specific needs.”

7. Adjust planter for correct seed depth. According to Samac, the “sweet spot” to plant alfalfa seeds is approximately a half inch deep in order to provide a firm enough seed bed for the plant to establish strong roots.

8. Don’t plant too early. Although alfalfa seedlings are fairly frost resistant, plants that emerge too early are sensitive to diseases when the soil is cold due to having less access to reserves that will allow them to fight back. Samac recommends planting between April 15thto May 15thfor most of the upper Midwest.

9. Recognize disease problems. If plants emerge from the soil and don’t appear to be getting off on the right foot, it is imperative to identify any diseases that may be occurring the field.

“If you suspect your alfalfa stand to be suffering from a disease, it is important to go out and take a variety of samples to identify what specific disease you need to treat for,” Samac says.

10. Control leafhoppers. “There’s about 100 different insects that will actually cause some sort of damage to alfalfa, but there’s relatively few that we really need to control because they cause economic amounts of damage,” Samac says. “Be on the watch for leafhoppers as they are the ones that can really eat into your bottom dollar.

According to Samac, new seedings are particularly susceptible to leafhopper damage. Failure to control the insects while the plant is still young can affect yield persistence in subsequent harvests for several years.

Delaware Agriculture Week

Mark your calendars for January 13 – 16, 2020!

Need a copy of the Ag Week booklet mailed to you? Please send your name and address to
Karen Adams.

Download the PDF of the 2020 Delaware Ag Week Program Book (Revised 1-2-20)

SCHEDULE  

Monday, January 13, 2020
Afternoon Sessions:
Beebe Health Screenings
Poultry Session
Woodland Management
Selling Fresh Fruits & Vegetables to the Military (New!)

Evening Sessions:
Beebe Health Screenings
Poultry Session
FVGAD Fruit Session
Beef Cattle Producers Session

Tuesday, January 14, 2020
Morning Session:
Beebe Health Screenings
FVGAD General and Produce Food Safety Session
Delmarva Hay and Pasture Conference
Social Media Workshop

Afternoon Sessions:
Beebe Health Screenings
FVGAD Fresh Market Session
Delmarva Hay and Pasture Conference

Evening Sessions:
Small Ruminant Session
Grain Marketing Session

Wednesday, January 15, 2020

Morning Sessions:
FVGAD Processing Vegetables Session

Afternoon Sessions:
Beebe Health Screenings
FVGAD Awards Luncheon and Business Meeting
Pollinator Session
EPA Farmer Roundtable
Risk Management Session

Evening Sessions:
Soil Health Workshop
Small Flock Poultry Updated 1-2-20

Thursday, January 16, 2020
Morning Sessions:
Beebe Health Screenings
Agronomy/Soybean Session

Afternoon Sessions:
Beebe Health Screenings
Agronomy/Soybean Session

Evening Sessions:
Delaware Urban Farm and Food Coalition Session

Borden Becomes Second Big U.S. Milk Producer to File for Bankruptcy

A Borden truck bearing the updated logo featuring spokescow Elsie and the company’s motto “Glass half full since 1857.” ( Borden )

(Bloomberg) — Borden Dairy Co. filed for bankruptcy, becoming the second major U.S. milk seller to do so in two months as competitive pressures, declining consumption and falling profits made its debt load unsustainable.

Known for its mascot Elsie the Cow, the Dallas-based company listed assets and liabilities of between $100 million and $500 million in its Chapter 11 filing in Delaware. The company, founded more than 160 years ago, said in a statement that normal operations will continue while it works out a recovery plan.

A boom in dairy alternatives like soy, rice and nut milk, along with rising prices for raw milk have put the squeeze on Borden, Chief Financial Officer Jason Monaco said in court papers. Added pressure came from retailers investing in their own low-cost dairy products.

“While milk remains a household item in the United States, people are simply drinking less of it,” Monaco said. “In parallel, since the turn of the century, the number of U.S. dairy farms has rapidly declined.”
Higher Costs

That’s choking supply, with the price of raw milk up 27% since January 2019 and expected to rise more, even as retail prices and margins are dropping, court papers show. The same trends helped drive Borden’s larger rival, Dean Foods Co., to file for bankruptcy on Nov. 12.

Private equity firm ACON Investments LLC and affiliates acquired Borden in 2017 and the company received debt facilities from GSO Capital Partners and PNC Bank, according to a statement at the time.

Affiliates of KKR Credit Advisors US LLC and Franklin Square Holdings LP now hold $175 million of Borden debt in the form of a term loan, while PNC holds a $30 million term loan and a $75 million revolving loan.

“Borden is Ebitda-positive and growing, but we must achieve a more viable capital structure,” Chief Executive Officer Tony Sarsam said in a statement, referring to the widely followed profit measure of earnings before interest, taxes, depreciation and amortization. “This reorganization will strengthen our position for future prosperity.”
Liquidity Needed

Borden reported a net loss of $42.4 million for 2019 through Dec. 7, widening from 2018’s $14.6 million deficit on net sales of $1.18 billion.

To continue operating in bankruptcy, Borden needs to tap an account containing $26.6 million that it established in 2017 to pay for a settlement with two pension funds, Monaco said.

Borden has more than 3,200 employees, about 22% of whom are unionized, Monaco said. The firm retained Conway MacKenzie Inc. for financial advice.

The case is Borden Dairy Co., 20-10010-CSS, U.S. Bankruptcy Court for the District of Delaware