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Over the next few weeks, Lake County Health Services projects that local health providers will have collectively received approximately 16,000 doses of Pandemic 2009 (H1N1) vaccine since the beginning of the pandemic in spring of this year.
According to information from the California Department of Public Health, this will mark the approximate half-way mark for the total amount of H1N1 vaccine that will be distributed this influenza season.
The flu has so far claimed the life of one Lake County resident, as Lake County News has reported.
Pandemic 2009 (H1N1) influenza illness remains widespread in Lake County and throughout California, according to Lake County Health Officer Dr. Karen Tait.
Although the amount of illness may be starting to level off, influenza illness remains at higher than normal levels for this time of the year, she said.
Tait said vaccination efforts to date are thought to have reached roughly 10 percent of the Lake County population overall and there are concerns that shortages of the formulations licensed for children under age 3 years have hampered vaccination of this vulnerable group.
“It appears that the pediatric formulation of vaccine will remain in short supply this year,” said Tait, noting that this appears to be the result of production issues.
Although parents can choose to have their young children vaccinated with a preparation of the vaccine usually used in persons 3 years of age and older – an option made possible by a state waiver to its law concerning use of vaccines containing the preservative thimerosal – Lake County is also shifting its vaccine strategy in order to reduce the likelihood that adults will contribute to the spread the infection, Tait reported.
Lake County residents of all ages can now request a Pandemic 2009 (H1N1) vaccination, according to Tait.
“We want everyone to consider vaccination against H1N1 influenza anyway, but by shifting to this broader vaccination approach now, we hope to reduce the amount of influenza in the community that may expose children who remain unvaccinated due to shortages of vaccine for their specific age group,” she said.
Health officials say the youngest children are the most vulnerable to influenza infection and have the highest rates of hospitalization when they do become ill.
Vaccine has been arriving in small shipments of varying quantities of the different preparations intended for people of different ages and states of health. The limited and unpredictable quantities have made it challenging to publicize vaccine availability or to offer large vaccine clinics, Tait noted.
“We definitely don’t want to schedule a large vaccination event and have to turn people away,” said Tait.
In addition to efforts of local health care providers to vaccinate their patients, the local pharmacies that
offer vaccination services have improved access to the vaccine in Lake County.
Lake County Public Health recommends that local residents continue to seek H1N1 vaccination over the coming months.
Vaccination can be obtained in any of the following ways: Check with your doctor or clinic to see if they have vaccine available; check with your local pharmacy; check with Lake County Public Health.
Vaccine supplies are expected to be more plentiful in early 2010.
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I started writing this particular article in early November, so I got a good laugh this week at the timeliness of the topic.
On Sunday I was listening to “The Culinary View“ on the local radio and Julie Hoskins was talking about pasties and meat pies, then on Wednesday Ron Jones’ column was about mincemeat pie; all I could do is laugh out loud about how foodies tend to think alike. Pasties, mincemeat pies, and shepherd's pies all stem from the same basic recipe.
Shepherd's pie is the perfect winter dish for your family since it is an all-in-one meal. You have meat, vegetables and potatoes all in the same dish. To help plan meals ahead you can make two of them, freeze one and eat the other one. Shepherd's pie is a great thing to make on a Sunday afternoon. If you like rustic food you can’t get more rustic than this unless you are making meat on a stick over a fire.
Shepherd's pie is basically a thick, lamb-based stew baked with a mashed potato topping. It’s a hearty, stick-to-your-ribs winter dish, although you can lighten it up a little bit here and there by substituting ingredients. You can make this dish with beef but then it’s technically called cottage pie (shepherds don’t raise cows, duh). It’s also been made with chicken, salmon, sausage and turkey, and I’ve even seen vegan versions.
I like to make various versions of shepherd's pie, especially since my wife likes lamb but my daughter doesn’t. My daughter's "petting zoo vegetarianism" causes her to hate eating anything cute and cuddly, so I try to pass things by her from time to time.
In her own defense she has developed a palate much more sophisticated than most people. She will take one bite of shepherd's pie, drop her fork and say, “This is lamb,” and then walk to the kitchen to find leftovers to eat. Months later I’ll make the exact same recipe with beef and she’ll love it. (We've established that cows aren't “cute.”)
My wife loves lamb – just not in the same way my daughter loves lamb, but that’s what keeps my kitchen interesting. My wife also loves curry, my daughter doesn’t ... OK, so it’s not interesting, it’s hell.
Chefs have a love/hate relationship with shepherd's pie since, on the one hand it is a cheap to make dish (love), but on the other it has no “sex appeal” (hate). It's not fancy, it's not complicated, it's not stylish or trendy. Unless you are going to an Irish pub, nobody goes out to a restaurant to have shepherd's pie. I suppose shepherd's pie is too plebeian for most restaurants.
Originating in the Middle Ages in England, shepherd's pie started out as a stew baked into pastry “coffyns.” When the potato made its way to England in the 18th century the mashed potatoes were added, but unlike in today's common recipes the mashed potatoes completely surrounded the stew. It was seasoned with cloves, pepper, prunes, raisins, etc. Seasonings were typically very strong; since there was no refrigeration and meat spoiled quickly, the strong seasoning could cover the taste of meat that might be past its prime. As with many rustic-style foods, it was designed to use up the little bits of this and that which might be lying around the kitchen.
Mincemeat pies were, and still are, popular in England. One of my favorite culinary memories is eating pasties (PAS-tees), which is another form of mincemeat pie. They're like little handheld pot pies. I remember eating pasties out in the snow with mittened hands, the cold air chilling my tongue just before the hot pasty hit it.
In this recipe if I use ground lamb I like to grate the vegetables, but if I use cubed lamb I also cube the vegetables. It just seems to give a desirable level of consistency. When modifying it for my daughter's taste, I use this exact recipe but substitute beef for the lamb and rosemary for the curry powder to make cottage pie.
OK don’t tell anybody I said this but if you are in a pinch you can use potato buds or freeze dried potatoes and it will come out just fine.
Shepherd's Pie
Filling
1 pound lean, ground or cubed lamb (or whatever meat you choose).
1 large carrot, grated (about 1 cup)
1 onion, grated (about 1 ½ cups)
2 cloves garlic, minced or crushed
2 tablespoons Worcestershire sauce
2 tablespoons tomato paste (I like the sun dried tomato paste)
1 tablespoons curry powder
¾ cup red wine
¾ cup chicken stock
Topping
4 Russet or starchy potatoes
½ cup sour cream
2 tablespoons butter
½ cup cheddar cheese
Pinch salt and white pepper
Heat your oven to 400 degrees.
Brown the meat in a fry or sauté pan on high heat for a couple of minutes. Add the rest of the ingredients for the filling and continue to cook on high until the liquid is almost evaporated, stirring frequently (about 10 minutes). Pour into a 9-inch round casserole or equivalent.
Meanwhile peel and cube the potatoes and boil in salted water until tender, drain, process through a food mill or ricer, or mash and mix in the rest of the topping ingredients. Carefully spread your potatoes over the filling, trying not to mix them together. One way to make this easier is to take a zip top bag, put the potato topping in it (after it has cooled some) and then cut off one corner and pipe it onto the filling.
Place in the oven for 15 minutes or until the potato topping starts to brown.
Frozen shepherd's pie should be thawed, then cooked at 400 degrees for 30 minutes or until it starts to bubble.
Ross A. Christensen is an award-winning gardener and gourmet cook. He is the author of "Sushi A to Z, The Ultimate Guide" and is currently working on a new book. He has been a public speaker for many years and enjoys being involved in the community. Follow him on Twitter, http://twitter.com/Foodiefreak .
In an effort to keep California’s roads safe this holiday season, enhanced CHP presence will occur during the upcoming Christmas enforcement period which begins Thursday, Dec. 24, at 6 p.m. and continues through midnight, Sunday, Dec. 27.
“The holidays are about family, friends and celebration,” said CHP Commissioner Joe Farrow. “Unfortunately it’s also a time of year when we see too many alcohol-related fatalities.”
According to the Statewide Integrated Traffic Records System (SWITRS) there were more than 4,000 collisions that occurred during last years’ Christmas enforcement period in California.
During that same time period, 37 people died on California’s roadways and among those killed, 23 lost their lives in alcohol-related crashes.
“Driving impaired is not worth the consequences,” said Commissioner Farrow. “Pre-plan your holiday celebration by designating a non-drinking driver before the event.”
Along with the increased enforcement effort, the CHP is asking motorists to help keep the state’s roadways safe by calling 911 to report a suspected drunk driver. Callers should be prepared to provide dispatchers a description of the vehicle, its location and direction of travel.
“Hopefully by drawing attention to the enforcement efforts, motorists will choose to voluntarily comply with the traffic safety laws and be there to ring in the new year,” added Commissioner Farrow.
The CHP will conduct a similar holiday enforcement effort over the long New Year’s weekend which begins Thursday, Dec. 31, at 6 p.m. and continues through midnight, Sunday, Jan. 3, 2010.
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Fire officials estimated the total damages to be about $1.5 million at PSI World, the retreat center which makes its home at High Valley Ranch.
Destroyed were two bunkhouses and a laundry building, said Northshore Fire Battalion Chief Pat Brown.
Brown said firefighters were dispatched just after 3 a.m. Friday to a possible structure fire west of High Valley Road.
The first unit on scene reported three to four structures were fully involved and others were threatened, he said.
Brown added that alert tones were activated to warn firefighters of downed power lines and to request mutual aid.
Fire personnel were able to stop the fire halfway into the ranch house, where they prevented it from entering the second floor, Brown said. Also saved was a mobile home in front of the ranch house.
Heavy water use from multiple engines overwhelmed the hydrant system of High Valley Ranch and a water tender shuttle was set up to pull water from Brassfield Estate Winery, he said.
A total of 22 firefighters responded to the scene, Brown said.
Northshore Fire sent three engines from its Clearlake Oaks, Nice and Lucerne stations, along with two water tenders from Clearlake Oaks and Upper Lake, and a medic ambulance and two battalion chiefs, he said. Lake County Fire Protection sent one engine and one water tender.
No injuries to fire personnel were reported.
Brown said Northshore Fire, Cal Fire and the Lake County Sheriff's Office are continuing the investigation into the fire's cause.
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The Santa Rosa CHP office said that toxicology testing found that 19-year-old Steven Culbertson of Lakeport had no alcohol or drugs in his system when he hit two other vehicles during a four-car collision at the intersection of Lakeville Road and Highway 27 on the night of Nov. 28.
Culbertson, who allegedly was traveling at a high speed in his Mini Cooper, reportedly failed to stop for a red light at the intersection, based on witness reports and physical evidence. He clipped one car before broadsiding a Nissan Quest carrying the Maloney family of Sonoma, the CHP said.
The entire family – parents John and Susan Maloney, and their young children, Aiden and Grace – died at the scene, as Lake County News has reported. Culbertson was taken off life support and died the following morning.
Within days of the crash, Petaluma resident Michael Loffredo told the Santa Rosa Press Democrat and the CHP that he allegedly saw Culbertson sitting at the bar at Traxx, a Petaluma bar and restaurant, shortly before the fatal collision.
Because Traxx is licensed as a bar and restaurant, Culbertson would legally have been allowed inside the bar, officials reported.
Even so, CHP Officer Jon Sloat told Lake County News on Friday that investigators with the CHP and Alcoholic Beverage Control followed up on Loffredo's claim and weren't able to substantiate his account.
Sloat said investigators have warrants in for Culberton's cell phone texts and credit cards.
However, based on other witnesses and cell phone records that they've received so far, it's the CHP's conclusion at this point that Culbertson wasn't at Traxx that night and that his Mini Cooper wasn't in the parking lot of the establishment.
Sloat wasn't aware if investigators had tried to corroborate Loffredo's story with his own family members, who he also said were there, or if they checked to see if Loffredo had been at the restaurant as he said he was.
They're also investigating whether Loffredo may have made a false report to the authorities, Sloat said.
Meanwhile, Sloat said they've only been able to put together “a little bit” of what Culbertson was doing in the hours before the crash.
“It's still in pieces,” said Sloat.
The CHP's Major Accident Investigation Team is still working on an estimate of how fast Culbertson was going, Sloat said.
He said an investigation into an incident like this usually takes a month.
“We want to take our time and cover all our bases,” Sloat said.
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Honorio Pantaleon, 32, had pleaded not guilty by reason of insanity to the murder of Patricia Barrales. But on Friday, a Sonoma County jury returned the verdict regarding Pantaleon's sanity, according to Sonoma County District Attorney Stephan Passalacqua.
Last week, the jury convicted Pantaleon of first degree murder for killing Patricia Barrales in May 2008. They also found him guilty of the special circumstance of torture and the attempted murder of his mother-in-law, which occurred in Mendocino County two days after Barrales was murdered.
The same jury that decided his guilt began to receive evidence on Monday regarding Pantaleon's mental status.
Passalacqua said the verdict case exemplified the horrific tragedy of this crime.
“The victim and her family received justice in a Sonoma County courtroom today,” he said Friday. “This was a heinous attack that underscores the tragic consequences of domestic violence. This man planned a purposeful attack to kill and torture his partner. He will never again be free to harm any other innocent people.”
On May 10, 2008, Barrales returned to the Santa Rosa apartment she shared with Pantaleon and their children after celebrating Mother’s Day with her family in Ukiah, Passalacqua's office reported.
A short time after returning home Barrales was murdered. Both of the minor children were present during and witnessed the crime.
The oldest child, who was 4 years old at the time, provided officers with information which led to the location of the victim’s remains.
Barrales had 68 stab and incised wounds on her body, including her head, neck, chest, back and abdomen.
Pantaleon had used at least two knives during the commission of the crime before he placed Barrales' body in a toy box, moved the toy box into the children’s closet, covered up a bloody carpet and left with his two children and family dog.
He drove to his parent’s house in Kelseyville where he began planning to murder the victim’s mother, officials reported. He and a friend then reportedly drove to a sporting goods store to purchase ammunition.
On May 12, Pantaleon entered his mother-in-law’s home, pointed a rifle at her chest and pulled the trigger. The gun did not discharge and Pantaleon hit her on the head with the rifle and fled the location. He was arrested in Ukiah later that day.
The now 5-year-old son of the victim testified via closed circuit television to avoid the trauma of being in the courtroom with his father, Passalacqua's office reported.
The witness who purchased the ammunition with Pantaleon refused to testify, was found in contempt and placed into custody. He will remain in custody pending completion of the sanity phase or until he agrees to testify.
Deputy District Attorney Tashawn Sanders was the lead prosecutor and Deputy District Attorney Tania Partida was the second chair assigned to the case, Passalacqua's office reported. Sergeant Alissa Johnson with the Santa Rosa Police Department was the lead investigator.
Pantaleon's sentencing is pending.
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