Markez Johnson wins Rookie of the Year award

Our newest Ryan White non-medical case manager, Markez Johnson, received the Virginia Ryan White Rookie Non-Medical Case Manager of the Year prize.

When Markez Johnson, RHHD’s newest Ryan White non-medical case manager, showed up at the Ryan White summit in Roanoke this spring, he didn’t know he’d be leaving a winner! At the summit, Markez was awarded the Virginia Ryan White Rookie Non-Medical Case Manager of the year prize. He was selected from more than 50 new case managers across the commonwealth.

Ryan White non-medical case managers help people who have newly received HIV diagnoses or who are trying to return to care. They work with them to figure out if they are eligible for Ryan White services and help them with paperwork and connections to important resources.

Markez won the award not only because of the quality of his nominations, but the quantity. While other nominees had a nomination or two from their teammates, Markez received a whopping five nominations, both from his team and the partners he works with closely. It’s a testament to Markez’s hard work and the relationships he’s built to make sure that clients are supported throughout their journey into HIV care.

One of the nominations came from supervisor Stephanie Mbengue and mentor Margie Sullivan, a former award-winner herself. Stephanie says that Markez’s award is well-deserved. “He brings a passion to this work that has fueled his ability to quickly master what it takes to provide excellent linkage to Ryan White care and services. He is committed to clients, quality reporting and teamwork, making him a true asset in our Ryan White programs.”

Markez started on RHHD’s Disease Intervention Specialist (DIS) team, which helps people who test positive for HIV or STIs locate treatment and share the diagnosis with any past partners: “It really got me into assisting people who have infectious diseases or HIV. There were a lot of people who didn’t want to know this information. So I try to let the people know—we don’t want anything to progress and get worse for you.”

When an opening appeared for a new non-medical case manager, Markez applied! The role draws on his DIS experience and his ability to communicate with people: “I come in with open arms—I’m here to hug them and talk about the progress they’re going to make from this point on.” He also credits his success to the mentorship of Margie Sullivan. “I’m grateful that I had Margie as my mentor,” Markez says. “She’s spent more than 20 years in case management for Ryan White. From the very start, she taught me the proper way to process these clients.”

The Rookie of the Year award capped off a meaningful first Ryan White summit for Markez. Highlights included the candied bacon at the Hotel Roanoke and some team building karaoke. More meaningfully, representatives from the National AIDS Memorial brought panels from the AIDS quilt to the conference, and conference participants contributed to a new panel for the quilt. Markez had the opportunity to add messages representing two older family members who passed away from AIDS: “It was moving to see that the 12 inserts were just a small part of the quilt,” he shares. “And now my loved ones are on it, too.”

Since he’s been home, Markez has celebrated his victory with a whole community of folks: “It’s exciting to see that the people I love so much are so proud of me. My mom wants to put my award on her desk.” And Markez isn’t stopping with Rookie of the Year. “I’m gonna keep making RHHD proud,” he says!

Marquez Johnson wins award

The time to plan for extreme heat? Now!

Heat was a challenging part of our public health work in 2024. During a hot summer, our Community Health Workers helped distribute almost 50 air conditioning units to families living without them, and our Built Environment Policy Analyst Peter Braun worked with researchers from University of Richmond and VDH central office to publish a paper analyzing the impacts of extreme heat on public health in Richmond. This research has resonated with partners in social services, planning, parks, and transportation, who are working to protect community members from extreme heat whether they are waiting at a bus stop or visiting a local park.   

Peter is expecting another hot summer this year. Even though you might be breaking out an unexpected sweater or two this week, he thinks now is still the time to built up some heat smarts. Early days of high heat can be the most challenging for our bodies. We’re not used to the hot temps yet, and we might push ourselves too hard or not pay close attention to warning signs of heat illnesses.  

As we gear up for a few months of hot weather, take time now to learn the symptoms of heat related illnesses like heat exhaustion and heat stroke. Remember: stay hydrated! As you’re planning outdoor spring activities, be sure to check if hot weather might impact your health with the CDC HeatRisk tool. 

what to do in case of extreme heat graphic

A different kind of “well” for public health 

Environmental Health plays a huge role in RHHD’s public health work. In 2024 alone, this team conducted 4557 food service inspections, investigated 1,799 animal bite incidents to prevent rabies, and worked with more than 200 well and septic system applications—whew!

Mike Callahan says that RHHD’s well and septic system expertise are often untapped resources for our communities. Mike began EH work in Henrico in 2001—he and his team have decades of experience! Environmental Health maintains onsite records going back to the 1960s, so they can often help new homeowners or renters figure out what’s on the property.

If you have a well or septic system, it’s good to know the basics. Below, Mike shares some tips for keeping your wells and septic systems safe:

Know your well.  

  • Find your well’s location. Is your well on higher ground that will shed surface water, or is it located somewhere surface water might pool? Knowing the location of the well can help you make sure that any septic systems, fertilizers, or new drainage systems stay far away. You’ll also be able to plan when flooding occurs.
  • Identify your well type. Do you have a modern, deep well or an older, bored well? That information will help you know how often your well should be tested for bacteria.
  • Get to know your wellhead. The wellhead is the visible part of your water well. A normal wellhead should be fully sealed with no cracks. If you know what your wellhead looks like normally, you will be able to spot damage quickly and prevent contaminants from entering the water.
  • Plan for testing. Bacteria testing quickly spots problems with your water supply. If you have a shallow bored well, you should plan to test every year. Drill wells can be tested every 3-5 years. Learn more about testing options through the Virginia Household Water Quality Program.
  • Abandon responsibly. If you decide you no longer want to use the well on your property, call RHHD for help at 804-501-4529. We can complete the well abandonment permitting process at no charge.

Keep those septic systems functional!  

  • Find your septic system’s location. Know where your drain fields and distribution box are. This information is important because you should avoid driving or building structures on top of the septic system.
  • Be conscious of your water usage. Leaks can flood out a septic system, so notice and fix them quickly.
  • Take care of your drains. Pouring chemicals, paints, bleach, or water softeners down the sink can kill beneficial bacteria that break down waste in your septic system.
  • Minimize garbage disposals. Foodstuff increases grease development in your septic system, which means you will have to pump it out more frequently.
  • Maintain based on your septic system type. Knowing more about your system will help you plan for maintenance. If you can’t find this information, call 804-501-4529. Mike and his team can bring you a copy of your permit and walk you through your septic system’s needs.

For an overview of septic systems, care, and maintenance, check out the Environmental Protection Agency webpage.

Learn more about what Mike and our other Environmental Health teammates do at our Henrico and Richmond city webpages!

soil samples

Black Maternal Health Week by the numbers 

April 11-17 is Black Maternal Health Week. “This observance gives us an opportunity to live into our public health mission of promoting healthy living and preventing disease,” said Richmond and Henrico Health Districts Director of Community Programming Margo Webb. “Through public health data, we know that our Black families are at the highest risk for adverse maternal and child health outcomes. By reflecting on the unique and important historical and cultural aspects of the Black community, we can work together to improve these outcomes.”

What do I need to know?  

  • 80% of pregnancy related deaths in the U.S. are preventable.
  • Black women are 3 times as likely to die from a pregnancy-related cause than White women. This statistic reminds us that unequal health outcomes are often the result of unequal access to critical care and support before, during, and after pregnancy.

How is RHHD challenging these statistics? 

What steps can I take?  

  • Get connected to medical care and social support before, during, and after a pregnancy. RHHD’s Maternity Navigation can be a great place to ask for help getting started!
  • Learn about urgent maternal warning signs, which could suggest complications during or after a pregnancy. If something feels off or is concerning, speak to your medical provider as soon as you’re able.

Black maternal Health Week

RHHD Highlights Black Maternal Health Services 

Black Maternal Health Week is April 11 – 17

RICHMOND, Va. —Richmond and Henrico Health Districts (RHHD) commemorate Black Maternal Health Week April 11-17 by highlighting services for women offered at RHHD clinics, offices, and resource centers.

“Black Maternal Health week gives us an opportunity to live into our public health mission of promoting healthy living and preventing disease,” said Richmond and Henrico Health Districts Director of Community Programming Margo Webb. “Through public health data, we know that our Black families are at the highest risk for adverse maternal and child health outcomes. By reflecting on the unique and important historical and cultural aspects of the Black community, we can work together to improve these outcomes.”

RHHD offers the following programs and services that focus on reproductive and maternal and child health.

  • Ensuring women have control over reproductive health
    • RHHD offers Family Planning and STI clinical services at its Henrico East, Henrico West, and Cary Street (STI only) clinics, as well select resource centers. All services are offered on a sliding scale based on financial availability. Family Planning visits offer the following services:
      • Gynecological check-ups for women desiring birth control
      • Breast self-exam instruction
      • Pap smears and screening tests for sexually transmitted infections
      • Birth control methods & counseling
    • RHHD also offers HIV pre-exposure prophylaxis (PrEP) services at its Henrico East Clinic and Cary Street Clinic. PrEP is a medication that reduces a person’s chances of getting human immunodeficiency virus (HIV), the virus that causes acquired immunodeficiency syndrome (AIDS). PrEP may also be an option to help protect pregnant people and their babies from getting HIV while trying to get pregnant, during pregnancy, or while breastfeeding. Virginia residents can contact the RHHD PrEP team at 804-664-2125. 
  • Improving access to maternal health
    • The Maternity Navigation team supports expectant parents with pregnancy confirmation, connection to prenatal care, benefits enrollment, and material distribution. Richmond residents seeking Maternity Navigation services can call 804-482-5454. Henrico residents seeking Maternity Navigation services can call 804-501-5520.

Each year in the United States, hundreds of people die during pregnancy or in the year after. Thousands more have unexpected outcomes of labor and delivery with serious short- or long-term health consequences. More than 80% of pregnancy-related deaths in the U.S. are preventable. Recognizing urgent maternal warning signs, providing timely treatment, and delivering respectful, quality care can prevent many pregnancy-related deaths.

According to Centers for Disease Control and Prevention (CDC), Black women are three times more likely to die from a pregnancy-related cause than White women. Multiple factors contribute to these disparities, such as variation in quality healthcare and underlying chronic conditions. Social determinants of health prevent many people from racial and ethnic minority groups from having fair opportunities for economic, physical, and emotional health.

Tips for pregnant women and their families

  • Talk to a healthcare provider if anything doesn’t feel right or is concerning.
  • Seek immediate care if experiencing any of the urgent maternal warning signs, including severe headache, extreme swelling of hands or face, trouble breathing, heavy vaginal bleeding or discharge, overwhelming tiredness, and more. These symptoms could indicate a potentially life-threatening complication.
  • Share recent pregnancy history during each medical care visit for up to one year after delivery.
  • Connect with healthcare and social support systems before, during, and after pregnancy.

Follow RHHD on Instagram at @richmondcity_hd for more Black Maternal Health Week content. For more health and safety information, visit rhhd.gov and sign up for RHHD’s monthly newsletter at rhhd.gov/news.

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RHHD Highlights 2024 Annual Report for National Public Health Week 

National Public Health Week is April 7 – 13, 2025
RICHMOND, Va. — The Richmond and Henrico Health Districts (RHHD) celebrate National Public Health Week April 7 – 13 by highlighting public health accomplishments and services. RHHD’s 2024 Annual Report provides community members with updates from its teams that focus on Clinical Services; Community Health; Environmental Health and Safety; Population Health; and more.

“The dedicated public health professionals at Richmond and Henrico Health Districts work tirelessly to protect and improve the health of our communities,” said RHHD Director Elaine Perry, M.D. “We celebrate the accomplishments of the past year and look forward to advancing this important work in the years ahead.”

In 2024, RHHD:

  • Received responses from 1,126 Richmond and Henrico Residents who completed the 2024 Community Health Assessment Survey (CHA). Community members can read the full CHA Report online.
  • Vaccinated 1,539 students at 60 in-school 7th and 12th grade vaccination events in partnership with Richmond Public Schools and Henrico County Public Schools.
  • Provided health services for newcomers from over 14 countries.>
  • Reached 9,000 community members through Community Health Workers’ attendance at Outreach and Community Events.
  • Directly observed 2,608 tuberculosis treatments.
  • Enrolled 50 new PrEP clients. PrEP is a medication that reduces a person’s chances of getting human immunodeficiency virus (HIV), the virus that causes acquired immunodeficiency syndrome (AIDS).
  • Completed 4,557 food service inspections throughout Richmond and Henrico.
  • Distributed 991 Narcan kits (each containing two doses of the opioid overdose reversal medication) at community events and encounters (10/1/23-9/30/2024).
  • Conducted 4,362 Family Planning and STI clinic visits.
  • Provided 441 COVID-19, flu, and mpox vaccinations at mobile events.

RHHD will be celebrating National Public Health Week on social media and on Well Read, the RHHD blog, at rhhd.gov/blog. Visit rhhd.gov for more health and safety information.

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RHHD Encourages Community Members to Seek Preventative Care, Screening for Tuberculosis 

RICHMOND, Va. —Richmond and Henrico Health Districts (RHHD) encourages community members to seek preventative care, screening, and/or treatment for tuberculosis (TB). Tuberculosis is a disease caused by germs that are spread from person to person through the air. World TB Day is on March 24.

“Tuberculosis is currently the world’s leading cause of death from an infectious agent,” said Dr. Stephanie Leary, pediatrician and Richmond and Henrico Health Districts public health physician. “Tuberculosis infection and disease is preventable and curable. Today, at the Richmond Henrico Health Districts, we recognize World TB Day while we bring awareness of this disease to our local community.”

TB usually affects the lungs, but it can also affect other parts of the body, such as the brain, the kidneys, or the spine. A person with TB can die if they do not get treatment. People with TB disease are most likely to spread the germs to people they spend time with every day, such as family members or coworkers. People who have been around someone who has TB disease should contact their doctor or local health department for tests. RHHD staff can help people determine which TB test they need.

Community members can call 804-482-5500 to schedule an appointment with the RHHD Tuberculosis Program. Community members can visit rhhd.gov for more information on RHHD clinical services, including screenings.

There are two TB-related conditions: active tuberculosis disease and latent tuberculosis infection (LTBI) or inactive TB. People with active TB disease usually feel sick, have symptoms and can spread TB to others. People with LTBI do not feel sick, do not have symptoms, and cannot spread TB to others. Most people with inactive TB don’t know that they are infected. The RHHD Tuberculosis Program strives to prevent, identify, and treat tuberculosis in both its latent and active forms.

The general symptoms of active TB disease include:

  • Feelings of sickness or weakness
  • Weight loss
  • Fever
  • Night sweats

The symptoms of active TB disease of the lungs also include:

  • Coughing (especially a cough that won’t go away)
  • Chest pain
  • Coughing up of blood

Active TB disease can be treated by taking several drugs for 6 to 12 months. It is very important that people who have TB disease take the drugs exactly as prescribed for the entire length of the treatment. People who stop taking the drugs too soon can become sick again. If the drugs are not taken correctly, germs that are still alive in the body may become resistant to those drugs. Treating inactive TB or LTBI prevents the future development of active TB disease. RHHD’s TB outreach workers make sure clients have what they need to stay on track with their medication.

People at higher risk of developing active TB from inactive TB include:

  • People with HIV
  • Children younger than 5 years of age
  • People recently infected with TB bacteria
  • People with inadequately treated active TB>
  • Anyone who’s immune system is suppressed either from a medical condition or medications that are taking (TNF alpha antagonists, system steroids, etc)
  • People with Diabetes
  • People with low body weight
  • People who are medically underserved

World TB Day is recognized each year on March 24. This annual event commemorates the date in 1882 when Dr. Robert Koch announced his discovery of Mycobacterium tuberculosis, the bacillus that causes TB).

For more health and safety information, visit rhhd.gov and sign up for RHHD’s monthly newsletter at rhhd.gov/news.

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2025 Health Equity Fund applications are live!  

The Richmond Health Equity Fund (HEF) is now accepting applications for its 2025 funding cycle. The application period will remain open until March 30, 2025. You and your organization can apply for support online.

What’s the Health Equity Fund? 

The HEF seeks to fill gaps in funding and resources for vital, innovative, and impactful initiatives that serve the Richmond City community. Since October 2021, it has designated more than $3.2 million to 27 partners working in critical health equity areas for our communities, and it has more work to do!

Who can apply? 

If you, your organization, or your team provide services to City of Richmond residents in the areas below, you’re eligible!

  • Access to healthcare and health education resources
  • Chronic disease and underlying health conditions
  • Food access and security
  • Maternal and child health
  • Mental and behavioral health

How do I apply? 

If you’re working to make Richmond a healthier and more just city for all its residents, we want to hear from you. Access the online application and tell us about your project, program, or organization. You can also find more application guidance at the HEF website.

Thank a social worker!  

March is National Social Work Month. At RHHD, social workers are integral to the work we do, particularly when it comes to addressing the Social Determinants of Health. Is this term new to you? Show social workers extra gratitude by learning more!  

  • SDoH highlight how issues like housing, employment, and education impact our ability to lead healthy lives. At RHHD, our social workers maintain a Resource Directory, connecting clients to services that address these critical needs.  
  • SDoH recognize that disparities in race, gender, and socioeconomic status can affect a person’s ability to access and use healthcare. Our Maternity Navigation team—which includes some amazing social workers—works closely with expectant families to make sure that all pregnancies in Richmond and Henrico are as safe and healthy as possible.  
  • SDoH encourage care providers to see patients as whole people, not just medical cases. This approach creates more comprehensive and holistic care!  This year, our social work team developed robust training on topics including Intimate Partner Violence (IPV), domestic violence, and crisis management so that our clinical staff can be better prepared to support patients and families.  

For these and all the other projects social workers take on every day, we say a big thank you! 

Get smart about drugs and alcohol  

This week is National Drug and Alcohol Facts Week! The observance focuses on educating young people about the science of drug use and addiction. Whether you’re a teen, a parent, a teacher, or someone who cares about the youth in your life, we can all use more tools for navigating these important topics.

RHHD’s Adolescent Health Coordinator Cindy Pulido says “Alcohol and substance use health education efforts among youth are vital because education on the risks of e-cigarettes, opioids, alcohol, and marijuana, along with tools for navigating these issues, can help youth make informed decisions about what they put into their bodies and how it would affect them physiologically. It also helps protect young people from negative health effects and harmful behaviors.” She shares some information and resources for our community members:

Did you know? 

Take a step toward safety

Want to test your knowledge? Cindy recommends taking the National Drug & Alcohol IQ Challenge.