In times of crisis, communities are disproportionately affected and access to tech is limited. Here's what one organization is doing to bridge that gap. Photo courtesy of Medley Inc.

The pandemic has had a devastating impact on low-income communities. On top of job losses and a greater risk of exposure to COVID-19, people in disadvantaged neighborhoods face another significant hurdle: access to technology.

In communities like Houston's Fifth Ward, owning a device with internet access can be an almost insurmountable challenge, as residents are 53 percent more likely to lack access to basic technology than the greater Houston area.

Technology has the power to help level playing fields, providing information and resources and even programming and socialization to all who have access, but for communities where the median household income is roughly $18,308, or less than half of Houston's median income, organizations must bridge the gap and support residents' access to and adoption of technology.

Here are three steps the Julia C. Hester House, a community center serving the greater Fifth Ward in Houston, has taken in order to provide successful virtual programming and services to ensure that everyone from children to seniors can benefit.

Provide greater access

The first barrier disadvantaged communities face is access: both to devices and to the internet. A 2019 study from the Pew Research Center found that nearly half of low-income adults lack a computer, and a majority are not tablet owners. However, many residents have access to landlines and smartphones, offering a starting point for virtual engagement. Community centers can start with partnerships with tech companies to help bridge the gap by securing and distributing tablets and internet-ready devices to provide an initial step toward connectivity.

On top of low device adoption rates, the recurring cost of home broadband internet creates another hurdle. When the City of Houston used a portion of CARES act funds to provide one-year internet vouchers to 5,000 low-income households, Hester House worked to spread the news quickly to the Fifth Ward. Hester House also recently partnered with the Fifth Ward Redevelopment Corporation, which has taken on a leadership role in this regard, to get internet service into the homes of local seniors and families with young children. Public-private partnerships and policies that provide free or low-cost internet services across communities can enhance connectivity and improve outcomes for families and neighborhoods.

About 4 percent of Fifth Ward residents possess a college degree, and while that's not required to browse the web, it suggests a lack of exposure to technology, particularly among seniors who came of age before widespread adoption of the internet.Beyond securing greater access to broadband, new approaches to providing computer training and teaching tech fundamentals such as how to access and participate in Zoom meetings go a long way toward increasing new technology adoption rates. Zoom program participants may be reticent at first, but practice and support offer opportunities for greater community adoption.

Innovate program models

As internet, hardware and software access has increased in the community, the next step requires adjusting programming to meet new virtual parameters. Hester House moved many of their programs online and developed new programs to replace what was offered in person prior to the pandemic. Shifts to virtual programming can include virtual tutoring and youth classes, mental and social support programming, exercise and activity based video programming and purely social engagements such as group dinners and games.

The acclimation to virtual programming at Hester House has been a challenge, particularly for youth, however program managers continue to make adjustments to program models to strengthen engagement. Recurring programs that make use of music, guest speakers and pre-planned topics of conversation can help strengthen engagement and encourage participant retention, providing more shared experiences that uplift communities.

Measure and iterate results

As virtual programming continues to grow and find its cadence, program managers must continue to survey participants and make adjustments. Understanding the experiences and needs of participants will help guide planning and execution of changes that ensure participants will not only come back but will bring friends. Utilizing appreciative inquiry to improve programming benefits attendees and ensures that mission-oriented goals are met with regard to service to the community. For example, recent virtual gardening and food preservation classes, aimed at teaching healthy food growth and storage practices, has been so popular that the Hester House is assessing ways to expand the program and dive more deeply into specific topics.

Feedback from the community through surveys and qualitative data collection through individual interviews offer the space to understand the experience from members of the community, allowing organizations to focus on testing and iterating new approaches to foster successful engagement, continuing to meet the needs of the community.

It's no surprise that during difficult times, there's an even greater squeeze on nonprofits serving at-risk communities, which is why Hester House launched its Technology and Innovation Access Campaign in December. Campaign goals include funding long-term internet access, computer training, tech education classes and support, real-time tech support, helping residents navigate online applications for local, state, and national resources, and more. Community centers are focused on a successful continuation of service in these changing times, and the steps above offer a model for technology innovation for other organizations looking to provide continuity of service in difficult times.

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Lis Harper is a strategist and account executive at Houston-based Medley Inc.

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City of Houston approves $13M for new security tech at renovated IAH​ terminal

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A new terminal currently under construction at George Bush Intercontinental Airport just got the green light for new security technology.

This week, Houston City Council unanimously approved the funding for the new Mickey Leland International Terminal's security equipment. The Mickey Leland International Terminal Project is part of the $1.43 billion IAH Terminal Redevelopment Program, or ITRP, which is expected to be completed by early next year.

This new IAH International Terminal will feature an International Central Processor, or ICP, with state-of-the-art technology in a 17-lane security checkpoint — among the largest in the country — as well as ticket counters and baggage claim.

“Houston Airports strives to get passengers through TSA Security in 20 minutes or less. Today, we meet that goal at Bush Airport more than 90 percent of the time,” Jim Szczesniak, director of aviation for Houston Airports, says in a news release. “This investment in innovative technology will enhance our efficiency and ensure that our passengers have a world-class experience each time they visit our airports.”

Going through security at IAH is about to be smoother sailing. Rendering courtesy of Houston Airports

The funding approval came from two ordinances, and the first one appropriates $11.8 million from the Airports Improvement Fund to buy, service, install, and train staff on nine new automated screening lanes, called Scarabee Checkpoint Property Screening Systems, or CPSS.

Per the news release, each of these CCPS automated lanes "is capable of screening more than 100 additional people and bags/hour than existing equipment used today." Currently, Terminal D's TSA is using eight CPSS Lanes, so the additional nine lanes will bring the total to 17 lanes of security.

The other appropriates another $1.2 million from the Airports Improvement Fund to buy, install, maintain, and train staff on six new Advanced Imaging Technology Quick Personnel Security Scanners.

The new scanners, which don't require the traveler to raise their arms, "is capable of screening more than 100 additional people/hour than existing equipment used today," per the release.

“These new security screening machines are faster, have fewer false alarms and have improved detection rates, which creates a safer experience for our passengers and airlines,” Federal Security Director for TSA at IAH Juan Sanchez adds.

The Mickey Leland International Terminal originally opened in 1990 and is currently under renovation. Rendering courtesy of Houston Airports

Texas has the 5th highest health care costs in the nation, Forbes says

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A new Forbes Advisor study shedding light on Americans' top financial worries has revealed Texas has the fifth highest health care costs in the nation.

Forbes Advisor's annual report compared all 50 states and Washington, D.C. across nine different metrics to determine which states have the most and least expensive health care costs in 2024.

Factors include the average annual deductibles and premiums for employees using single and family coverage through employer-provided health insurances and the percentage of adults who chose not to see a health care provider due to costs within the last year, among others. Each state was ranked based on its score out of a total 100 possible points.

Texas was No. 5 with a score of 91.38 points. North Carolina was No. 1, followed in order by South Dakota, Nebraska, and Florida.

According to Forbes, out-of-state families considering a move to the Lone Star State should be aware of the state's troubling statistics when it comes to family health care. More specifically, nearly 15 percent of Texas children had families who struggled to pay for their medical bills in the past 12 months, the highest percentage in the nation.

Furthermore, Texans have the highest likelihood in the U.S. to skip seeing a doctor because of cost. The report showed 16 percent of Texas adults chose not to see a doctor in the past 12 months due to the cost of health care.

"Unexpected medical bills and the cost of health care services are the top two financial worries for Americans this year, according to a recent KFF health tracking poll," the report said. "These financial fears have real-world consequences. The high cost of healthcare is leading some Americans to make tough choices—often at the expense of their health."

In the category for the percentage of adults who reported 14 or more "mentally unhealthy" days out of a month, who could not seek health care services due to cost, Texas ranked No. 3 in the U.S. with 31.5 percent of adults experiencing these issues.

The report also highlighted the crystal clear inequality in the distribution of health care costs across the U.S.

"In some states, residents face much steeper health care expenses, including higher premiums and deductibles, which make them more likely to delay medical care due to costs," the report said.

For example, Texas' average annual premiums for both plus-one health insurance coverage ($4,626, according to the study) and family coverage ($7,051.33) through employer-provided policies was the No. 4-highest in the nation.

Elsewhere in the U.S.

The state with the most expensive health care costs is North Carolina, with a score of 100 points. 27 percent of adults in North Carolina reported struggling with their mental health who could not seek a doctor due to cost, and 11.3 percent of all adults in the state chose not to see a doctor within the last 12 months because of costs.

Hawaii (No. 50) is the state with the least expensive health care costs, according to Forbes. Hawaii had the lowest percentages of adults struggling with mental health (11.6 percent) and adults who chose not to see a doctor within the last year (5.7 percent). The average annual premium for employees in Hawaii using a family coverage plan through employer-provided health insurance is $5,373.67, and the average annual deductible for the same family coverage plan is $3,115.

The top 10 states with the most expensive health care are:

  • No. 1 – North Carolina
  • No. 2 – South Dakota
  • No. 3 – Nebraska
  • No. 4 – Florida
  • No. 5 – Texas
  • No. 6 – South Carolina
  • No. 7 – Arizona
  • No. 8 – Georgia
  • No. 9 – New Hampshire
  • No. 10 – Louisiana

The full report and its methodology can be found on forbes.com.

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This article originally ran on CultureMap.

Houston startup recognized for inclusivity on journey to commercialize next-gen therapeutics

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A new Houston biotech company won a special award at the 16th Annual SXSW Pitch Award Ceremony earlier this month.

Phiogen, one of 45 companies that competed in nine categories, was the winner for best inclusivity, much to the surprise of the company’s CEO, Amanda Burkhardt.

Burkhardt tells InnovationMap that while she wanted to represent the heavily female patient population that Phiogen seeks to treat, really she just hires the most skilled scientists.

“The best talent was the folks that we have and it ends up being we have three green card holders on our team. As far as ethnicities, we have on our team we have Indian, African-American, Korean, Chinese Pakistani, Moroccan and Hispanic people and that just kind of just makes up the people who helped us on a day-to-day basis,” she explains.

Phiogen was selected out of 670 companies to be in the health and nutrition category at SXSW.

“We did really well, but there was another company that also did really well. And so we were not selected for the pitch competition, which we were a little bummed about because I killed the pitch,” Burkhardt recalls.

But Phiogen is worthy of note, pitch competition or not. The new company spun off from research at Dr. Anthony Maresso’s TAILOR Labs, a personalized phage therapy center at Baylor College of Medicine, last June.

“Our whole goal is to create the next generation of anti-infectives,” says Burkhardt.

That means that the company is making alternatives to antibiotics, but as Burkhardt says, “We’re hoping to be better than antibiotics.”

How does it work? Bacteriophages are viruses that infect bacteria.

“You can imagine them as the predators in the bacteria world, but they don't infect humans. They don't affect animals. They only infect bacteria,” Burkhardt explains.

Phiogen utilizes carefully honed bacteriophages to attack bacteria that include the baddies behind urinary tract infection (UTI), bacteremia (bacteria in the blood), and skin wounds.

The team’s primary focus is on treatment-resistant UTI. One example was a male patient who received Phiogen’s treatment thanks to an emergency-use authorization from the FDA. The gentleman had been suffering from an infection for 20 years. He was treated with Phiogen’s bacteriophage therapy for two weeks and completely cleared his infection with no recurrence.

Amanda Burkhardt is the CEO of Phiogen. Photo via LinkedIn

But Phiogen has its sights set well beyond the first maladies it’s treated. An oft-quoted 2016 report projected that by 2050, 10 million people a year will be dying from drug-resistant infections.

“A lot of scientists call it the silent pandemic because it's happening now, we're living in it, but there's just not as much being said about it because it normally happens to people who are already in the hospital for something else, or it's a comorbidity, but that's not always the case, especially when we're talking about urinary tract infections,” says Burkhardt.

Bacteriophages are important because they can be quickly trained to fight against resistant strains, whereas it takes years and millions of dollars to develop new antibiotics. There are 13 clinical trials that are currently taking place for bacteriophage therapy. Burkhardt estimates that the treatment method will likely gain FDA approval in the next five years.

“The FDA actually has been super flexible on progressing forward. Because they are naturally occurring, there's not really a safety risk with these products,” she says.

And Burkhardt, whose background is in life-science commercialization, says there’s no better place to build Phiogen than in Houston.

“You have Boston, you have the Bay [Area], and you have the Gulf Coast,” she says. “And Houston is cheaper, the people are friendlier, and it’s not a bad place to be in the winter.”

She also mentions the impressive shadow that Helix Park will cast over the ecosystem. Phiogen will move later this year to the new campus — one of the labs selected to join Baylor College of Medicine.

And as for that prize, chances are, it won’t be Phiogen’s last.