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Indoor air quality in long-term care facilities during wildfires is worse than you’d think – Idaho Capital Sun

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Indoor air quality in long-term care facilities during wildfires is worse than you’d think – Idaho Capital Sun


 

Every year, wildfires across the western U.S. and Canada send plumes of smoke into the sky. When that smoke blows into southwestern Idaho’s Treasure Valley, it blankets Boise-area residents in dirty air.

Luke Montrose is an environmental toxicologist and researcher at Colorado State University. (Patrick Sweeney/Boise State University)

They include seniors living in long-term care facilities, many of whom are considered an at-risk population for smoke exposure because of respiratory or cardiac diseases.

“An astonishing amount of smoke gets inside these facilities,” said Luke Montrose, an environmental toxicologist and researcher at Colorado State University. Data from monitors Montrose installed in four Idaho long-term care facilities in 2020 showed that large amounts of smoke pollution recorded outside during wildfire season seeped into the facilities. One building let in 50% of the particulate matter outside; another, 100%. In some cases, Montrose said, “it was no better to be inside than to be outside during those smoke events.”

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That’s why Montrose has spent the past few years installing more monitors in care facilities across Idaho and Montana. The study is expanding into Colorado this summer.

Understanding and addressing how wildfire smoke affects indoor air quality could help better treat the roughly 1.4 million seniors who live in more than 15,500 Medicare- and Medicaid-certified nursing homes nationwide and nearly a million more who live in assisted living facilities.

“It may be a game-changer for quality of care,” said Robert Vande Merwe, executive director of the Idaho Health Care Association. Vande Merwe helped persuade facilities to join Montrose’s study.

As wildfires increase in size, intensity, smoke will affect more Americans

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Although residents of the western U.S. have lived with smoky summers for decades, the fallout from wildfires is becoming a nationwide issue. Smoke from blazes in eastern Canada barreled into the densely populated Northeast and Midwest last June, making the skies above Toronto, New York, Chicago, and much of the Atlantic Coast glow an eerie orange. More than 120 million people were under air quality alerts. As wildfires increase in size, intensity, and duration, fueled by a combination of climate change and forest mismanagement, the smoke they generate will likely affect more people.

“We’re going to see more and more smoke events that reach further across the U.S. and across the world,” said Savannah D’Evelyn, a postdoctoral scholar at the University of Washington who studies wildfire smoke and its effects on health. She was not involved in Montrose’s study.

Air pollution from wildfire smoke — a brew of pollutants, water vapor, and fine debris — is a growing public health problem. Tiny particles known as PM 2.5 are small enough to embed deep into people’s lungs and, sometimes, infiltrate their bloodstream. Research has shown PM 2.5 can cause asthma and respiratory inflammation or jeopardize lung function, and the particles have been tied to some cancers. They are especially dangerous for children and people with preexisting heart or lung conditions — including seniors, the focus of Montrose’s work.

“I think honing in on this particular community that is really quite impacted by smoke exposure on the health side of things is really great,” D’Evelyn said. “It’s a gap that needs to be addressed.”

For years, public health officials have told people to go inside on bad air quality days, even though, without testing and filtration, indoor air quality often isn’t much better than what’s outside. Although skilled nursing facilities follow numerous federal regulations to participate in the Medicaid and Medicare programs — covering anything from building safety features, like fire sprinklers, to residents’ rights — indoor air quality isn’t addressed.

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“There really aren’t any regulatory standards for indoor air quality, broadly, in any country that I’m aware of,” said Katherine Pruitt, national senior director for policy at the American Lung Association.

Collecting data with indoor air quality monitors a first step to addressing problem

Without the few indoor air quality monitors in the study, long-term care facility managers or operators might check their local air quality index, or AQI, on their smartphone’s weather app or by watching the news. But air quality monitors don’t always provide accurate information about the air outside, let alone inside a building. Rural areas are particularly underserved by air quality monitors. According to Montrose, 25% to 30% of skilled nursing facilities in the Mountain West are more than 30 miles from a regulatory-grade monitor. Indoor air quality monitoring is rare outside of studies like Montrose’s.

That’s why Montrose is on a quest to get more air quality monitors placed inside facilities. In 2019, he contacted more than 80 Boise-area nursing and assisted living facilities to gauge interest and concern about wildfire smoke. In 2020, he collected data from indoor and outdoor air quality monitors at four nursing homes — two in the Boise area, others in northern and eastern Idaho. The monitors recorded particulate air pollution inside one facility nearly 17 times what’s considered healthy.

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In 2021, data collected from six facilities from July to October — four in Idaho and two in the Missoula, Montana, area — also showed that in some buildings indoor and outdoor air quality were almost identical on smoky days. Montrose repeated the monitoring at four other southern Idaho facilities last summer. The monitors fed real-time data to a dashboard that people running the nursing homes could see and respond to.

Protecting seniors from wildfire smoke is an important piece of wildfire preparedness, yet Montrose acknowledged that conducting research in nursing homes and care facilities has challenges. Unique ethical considerations arise with dementia or Alzheimer’s patients, who can’t give informed consent. Staff turnover makes it hard for researchers like Montrose to establish relationships with facility operators, and asking overburdened nurses or employees to do extra work, like understand and check air quality monitors, can be a nonstarter. Still, Montrose said, people living in long-term care facilities are particularly vulnerable.

“If we can protect them, there’s great benefit to our communities,” he said.

Workers lack protections when wildfire smoke makes the air dangerous

Some facilities in Idaho have made changes because of the research. Those include a pre-fire season facility checklist to make sure filtering systems are in good shape and that doors and windows are properly sealed. They also share the area’s AQI as part of their daily morning safety meetings.

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Mark Troen, regional maintenance director for 10 Edgewood Healthcare facilities in the Boise area, four of which had monitors last summer, laid out a litany of things he does when the indoor air quality rises past healthy levels: changing air filters to a higher level that traps more particulates, turning off outdoor air intake, and alerting staff to keep doors and windows closed.

“Anything I can do to keep the residents safe, I’m all for,” Troen said.

Clinical staff members also have identified which residents have respiratory problems or are immunocompromised. In an intense smoke event, those people may get portable air filtration in their rooms for extra protection.

Troen plans to install air quality monitors from his own budget once the study’s monitors need to be replaced due to age.

“To actually see in real time what your indoor air quality is is huge,” he said. “It helps us mitigate some of those problems, rather than waiting until it’s bad.”

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Cleaner indoor air during fire seasons

Anyone can take steps to improve the air they’re breathing during wildfire season.

“It’s pretty easy to clean indoor air,” D’Evelyn said. HEPA air filters are the gold standard but can cost upward of $100; creating a box fan filter is a cheaper alternative. According to D’Evelyn, making even one room in a building a “clean air space” can make a difference during a wildfire.

The American Lung Association’s Pruitt said starting policy conversations about regulating indoor air quality faces many barriers, including perceptions of federal overreach. In the absence of federal regulations, Pruitt believes, the most effective actions would likely come from state or local building codes and ventilation standards.

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“Policymakers should be looking at the steps that need to be taken to protect people from exposure to hazardous levels of smoke or other outdoor pollutants,” she said.

Montrose is recruiting more nursing homes to install air quality monitors this summer, including additional facilities in Idaho, Colorado, and Montana. Vande Merwe, of the Idaho Health Care Association, said other places in the region — like his hometown, Salt Lake City, which is situated where smoke and other pollutants accumulate — should take note. Breathing in the best possible air could make a big difference for residents’ health and quality of life as they age, he said.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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Cyclocross offers Idaho cyclists fitness and a one-of-a-kind experience – East Idaho News

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Cyclocross offers Idaho cyclists fitness and a one-of-a-kind experience – East Idaho News


EAGLE (KIVI) — Cyclocross is a wild and wacky event requiring bikers to navigate dirt, sand, grass and they even have to get off their bike every now and then.

Twisted Turtle Racing hosts a series, as this sport takes place in the fall to help riders stay in shape during the shoulder season. We went to the Waffle Cross event at the Eagle Bike Park.

“This is a pretty iconic course here in Boise,” said Allen Schroeder, a professional cyclocross rider here in Boise. “This is the most people we have had at a race in a long time, so it is really good to see. It helps when it is nice and sunny like this, some days in cross you will have rainy conditions, and we are still out here racing in the mud.”

That is one of the wild parts about cyclocross; they compete in any weather. At the course at the Eagle Bike Park, the race is a combination of road cycling, mountain biking, and even steeplechase.

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It features a division for riders of any age, and the racers love it.

“I honestly really like the sand pits or going up the stairs, just the things where I have to get off my bike,” said Zeke Whitlock. “After mountain biking season, it is nice to have something before winter arrives.”

Cyclocross is also one of the most friendly cycling events for spectators as the riders compete on a short course where they do as many laps as possible during the time period. This sometimes leads to some shenanigans with hand-ups. Sometimes during the competition, riders will get handed a shot of whiskey, a beer, or some food.

“It could be your beverage of choice or bacon or you name it,” said Andrew Shaber, who enjoys cyclocross because to him it is a puzzle. “It incorporates a lot of transitions that tests your skills, your fitness, and everything in between.”

The final race of the season will be the second Sandy Cross of the fall at Sandy Point State Park. That race will take place on December 6 and 7.

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Multi-year wildlife investigation in Wyoming ends in conviction of Idaho Falls man – East Idaho News

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AFTON, Wyoming — A years-long wildlife poaching investigation involving multiple counties in western Wyoming ended this fall with the sentencing of an Idaho Falls man who illegally obtained resident hunting licenses and killed trophy big game animals across the state.

Rodney Gilstrap was sentenced Sept. 24 in Lincoln County Circuit Court after losing an appeal challenging his earlier convictions.

The case began in 2019, when Afton Game Warden James Hobbs received anonymous tips that Gilstrap had been fraudulently claiming Wyoming residency to buy resident deer, elk, black bear, and fishing licenses while actually living and working in Idaho, according to a news release from the Wyoming Fish and Game Department.

Wyoming Game and Fish wardens, working with Idaho Fish and Game, launched a multi-year investigation that uncovered a pattern of illegal hunting stretching from 2018 to 2021 across Lincoln, Sublette, and Teton counties. Officers executed search warrants at Gilstrap’s Idaho Falls home on March 18, 2022, seizing four large mule deer heads, two bull elk heads, and a pronghorn head. Investigators later confirmed the animals had been taken in Wyoming using illegally obtained resident tags—or without any license at all.

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Gilstrap was ultimately charged in three counties with 22 wildlife crimes, including making false statements to obtain resident licenses and killing mule deer, elk, and pronghorn without proper permits. The illegally killed animals included four trophy-class mule deer measuring 180–220 inches and three large bull elk, according to investigators.

On Aug. 1, 2024, Gilstrap accepted a plea agreement in Lincoln County. He pleaded guilty to three counts of making false statements to obtain resident licenses and three counts of taking wildlife without a proper license. He received a 540-day jail sentence with 519 days suspended, leaving 21 days to serve, along with three years of unsupervised probation. He was also ordered to pay $10,000 in restitution and $17,905 in fines, lost his hunting privileges for 18 years in all Wildlife Violator Compact states, and forfeited all seized antlers and heads.

Sixteen additional charges across Lincoln, Sublette, and Teton counties were dismissed as part of the plea agreement.

Gilstrap’s attorneys appealed, arguing the district court committed procedural errors, relied improperly on comparisons to similar cases, and abused its discretion by imposing jail time and restricting shed-antler hunting during probation. On June 10, 2025, District Court Judge Joseph Bluemel upheld the original sentence.

A subsequent request for a sentence reduction was denied Sept. 24 by Circuit Court Judge Gregory S. Corpening. Gilstrap is scheduled to report to the Lincoln County Detention Center on Nov. 7 to begin serving his 21-day sentence on a modified work-release schedule, finishing in September 2026.

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Wildlife officials say the case highlights the lengths some offenders will go to exploit Wyoming’s resident licensing system, where nonresidents must accumulate years of preference points to draw the same tags. They credited concerned citizens for reporting Gilstrap’s activities and emphasized the importance of public tips in stopping poaching.

Wildlife crimes can be reported by calling a local game warden, 1-877-WGFD-TIP (1-877-943-3847), or 307-777-4330 for out-of-state callers. Tips can also be sent by texting “WGFD” and a message to 847-411.

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Two Idaho Falls mayoral candidates want your vote; here is their take on the issues – East Idaho News

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Two Idaho Falls mayoral candidates want your vote; here is their take on the issues – East Idaho News


IDAHO FALLS — With less than a week to go before a runoff election, two candidates are still in the race to become Idaho Falls’ new mayor.

Thousands of votes were cast on Nov. 4, but Jeff Alldridge and Lisa Burtenshaw did not obtain a 50% majority, resulting in a runoff election being declared.

Looking at the numbers, Alldridge secured the most votes with 47.17% or 5,599 votes, with Burtenshaw trailing behind with 46.65% or 5,537 votes. The third candidate, Christian Ashcraft, received 6.18%, or 733 votes, and will not be on the ballot for the runoff.

RELATED | Here’s who is donating to Jeff Alldridge and Lisa Burtenshaw in the Idaho Falls mayoral runoff

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Idaho Falls is one of two cities hosting runoff elections in eastern Idaho, with Pocatello holding theirs to elect a new mayor between Greg Cates and Mark Dahlquist.

RELATED | Idaho Falls and Pocatello, here’s what you’ll see on your ballots in the runoff elections

EastIdahoNews.com created new questions and sent them to Alldridge and Burtenshaw to gain a deeper understanding of each candidate’s platform. Their responses, listed below, were required to be 250 words or less, and were only edited for minor punctuation, grammar and length.

The runoff election is scheduled for Dec. 2. To find a voting location near you, visit VoteIdaho.gov.

RELATED | Who will be the next mayor of Idaho Falls? These three candidates are hoping to secure your vote

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QUESTIONS

How will you persuade local voters to choose your name on the ballot during the upcoming runoff election? Why should someone vote for you?

Alldridge: I built this campaign on truth and real issues, not personal attacks.

I’ve shared a clear vision for Idaho Falls, been honest about where city leadership has fallen short, and offered solutions that put current residents and families first. Candidates should debate ideas, not rely on slander or innuendo to sway voters.

On November 4, I received the most votes, showing the citizens are ready for a new direction. My support came from regular citizens and local voters. The other campaign is backed by establishment figures and officials who can’t even vote in this mayoral race. That contrast matters.

I’m running to represent the people who live here, pay taxes here, raise their families here, and want a mayor who listens, adjusts when needed, and works to make Idaho Falls stronger for everyone.

Burtenshaw: Idaho Falls deserves a mayor who is experienced and ready for the job on Day 1. It’s time for the city to get back to doing what it does best, providing essential services and getting out of the way so that businesses can prosper. This city has been and will always be my home. I want to protect the quality of life we all cherish here. I will work hard to keep our neighborhoods safe, maintain reliable city services, and protect the heart of Idaho Falls, even as we grow. My mechanical engineering degree and critical thinking skills are very valuable for understanding infrastructure, planning, and long-term city development issues. I have a comprehensive knowledge of public finance and experience in large organizational structures.

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I’ve built businesses here, raised a family here, and volunteered in nearly every corner of this city. I’m honored to make my case to the citizens of Idaho Falls. With every conversation I’ve had during this campaign, I’ve left convinced that we can do better as a City. My goal is to establish strong relationships between residents and the city so you can have confidence we’re working for you on the priorities that matter to the community.

Our community wants common sense, transparency, and accountability, and that’s the kind of leadership I’ll bring to the Mayor’s office.

Do you support the Idaho Falls Airport’s new 20-year Master Plan to expand onto nearby private property? Why or why not?

Alldridge: No. The sanctity of the neighborhoods around the airport matters far more than adding another terminal or expanding runways onto nearby private property. The city should never have threatened to take the adjacent soccer park without full transparency or letting homeowners in on the discussion from the start. Until the airport fully uses land it already leases and serves passengers effectively, I will not support further expansion.

Burtenshaw: The airport is a tremendous asset for our region. I helped grow the airport to provide more travel options for our community. I fully support the continued growth of this airport. With 5 airlines operating in Idaho Falls and 12 non-stop destinations, the airport is Idaho’s second busiest. The 20-year master plan does not disrupt the soccer complex, and provides a blueprint for a new control tower, more hangars, a second taxiway and air cargo buildings. Due to the proximity of the private land, including it as a “future land acquisition” allows for the potential purchase using federal dollars if the land becomes available. It does not obligate the Idaho Falls Airport or the property owner.

Growth should be guided by facts, public input, and respect for property rights. The airport can continue to grow responsibly through smart land use planning, infrastructure improvements, and strategic partnerships that balance regional economic opportunity with local impacts.

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What are your thoughts on the citywide installation of water meters?

Alldridge: I am opposed to metering residential water.

Burtenshaw: Water metering is as complicated as it is controversial. The city has gradually been installing water meters for commercial property over the past 20 years. Due to our current infrastructure limitations, city-wide residential water metering is not feasible. The water landscape in Idaho is evolving, and to comply with state law, all new construction since 2007 has included meter pits. The city is proactively installing these pits (not the meters themselves) as part of a long-term plan. Should the state mandate full metering in the near future, our focus will be on implementing the change with an emphasis on water conservation and maintaining affordability. Idaho Falls is in a region where new groundwater rights are unavailable. The city is becoming better stewards of our current water rights by using surface water (canals) for irrigation. Pinecrest Golf Course, Sunnyside park and Community park have already been converted to surface water irrigation, saving millions of gallons of potable water each year. The city will continue to look for ways to conserve and protect our water.

As Idaho Falls grows, traffic, commuting, and parking in the downtown area are quickly becoming more difficult. What kinds of solutions would you propose to ease these transportation issues?

Alldridge: Idaho Falls isn’t growing as rapidly as we’re led to believe. New developments are happening faster than our actual population growth. Meanwhile, the growth we do have is straining our current roads and infrastructure.

When we build mostly apartments, we bring more people who eventually want single-family homes. This drives up demand and prices for locals.
Downtown access is already tight. When the city tried to fast-track paid parking downtown, residents and small-business owners pushed back hard. That tells you something. We should be making parking easier, not harder.

The city should consider public-private partnerships to expand free, convenient parking and better signal timing. The solution is making sure growth and our transportation system stay in sync.

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Burtenshaw: For many years, during the 1990’s and early 2000’s, downtown was often described as “deserted.” I am glad to see the downtown become vibrant with more local shops and new restaurants, but this revitalization is creating traffic and parking issues. Bonneville County is the largest downtown employer, providing essential county services and operating the courthouse, DMV, and elections offices. The city, county, merchants, IFDDC, and landlords must work collaboratively to address employee parking and parking alternatives for a wide variety of downtown businesses.

Downtown needs to remain accessible and welcoming for residents, visitors, and businesses alike. Possible options include expanding shared parking, improving pedestrian crossings, and dedicated parking for employees.

Do you believe that Idaho Falls would benefit from more options for public transportation? If so, what kinds and who should pay for it?

Alldridge: Yes. For Idaho Falls, small and flexible public transit makes more sense than big buses on fixed routes. Point-to-point micro-transit can serve people more directly.

Public transportation will never fully pay for itself through fares, and that’s okay. It’s a public good, especially for seniors, people with accessibility needs, and residents with mobility challenges. Because it won’t be self-sufficient, we need to be honest that it must come from our local budget and not rely on the assumption that federal dollars will cover ongoing costs.

We should design transit so it can scale up or down based on real demand and what our revenues can support. We need to improve mobility for people who need it most, in a way the city can maintain over time.

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Burtenshaw: Reliable transportation options strengthen our workforce, improve access to education and healthcare, and support economic growth. I am a strong supporter of the current GIFT program, which already provides valuable service to Idaho Falls residents. It’s a great example of a practical, right-sized transit solution that fits our community.

Looking ahead, we need to increase GIFT service to our metropolitan area. Idaho Falls and Ammon are not divided by daily life because we share employers, schools, shopping areas, and neighborhoods. Our transportation planning should reflect that reality. My established regional and statewide networks can help facilitate GIFT’s reach to improve efficiency and accessibility for everyone.

Funding should continue to come from a mix of local, state, and federal sources, along with creative grant opportunities. The focus for public transportation in Idaho Falls should remain on services that meet real needs without creating an unsustainable burden on taxpayers.

According to Zillow, the average house price in Idaho Falls is $468,436, while the average annual income is $50,907. What will you do to help locals work and live in Idaho Falls more affordably?

Alldridge: The numbers vary by source. According to the city’s 2026 Adopted Annual Budget, the median household income in Idaho Falls is $63,000 and the median home value is $420,000. At today’s interest rates, a family putting 20 percent down would need to earn roughly $109,000 a year to afford that home. That shows how far out of reach ownership has become for many working families.

The city can’t fix interest rates, but we can influence what gets built and where. We should encourage community-minded developers to build homes people can actually buy. Ownership gives families stability, helps build equity, and strengthens neighborhoods. More rentals will not solve our affordability problem.

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We also need to grow good-paying jobs in Idaho Falls. We have talented people connected to the Idaho National Laboratory and some of the most affordable electricity in the country through Idaho Falls Power. Groups like REDI and the Idaho Innovation Center already work to attract and grow businesses. The city should be an active partner helping local entrepreneurs access programs like America’s Seed Fund through SBIR and STTR, which bring federal support to new tech and research ideas. We have what we need to become a real tech-and-innovation hub. We can become another Silicon Slopes. That would help local incomes better match today’s housing costs.

Burtenshaw: Housing affordability is a national issue and is one of Idaho Falls’ biggest challenges.

The city can lead on this issue by reducing red tape, making development predictable, and responsibly using impact fees to ensure that infrastructure keeps up with growth. As mayor, I’ll focus on promoting a mix of housing options that fit individuals and families. That mix includes entry-level homes and quality options in every price range. I can help address the other side of affordability by working to attract and retain businesses in our local economy that pay good wages and offer stable employment. I support the next generation of nuclear reactors being developed at the INL, and its alignment with workforce development at the College of Eastern Idaho. We can continue to expand our footprint as a regional hub for healthcare, and champion the long-standing companies that contribute to the stable job market. A healthy job market and balanced housing supply are the foundation for long-term affordability.

If elected, how will you govern differently from the previous administration?

Alldridge: I would not be a continuation of the current leadership. I would govern differently in three ways: by improving communication, rebuilding trust and engagement with residents, and strengthening the culture inside city government.

First, communication has to change. City Council meetings are too restrictive because residents can’t speak to agenda items. Under my leadership, agendas will be posted two weeks in advance on every city channel, and public comment will be allowed before votes. After each meeting, the city will share a short update on what was decided and what comes next. Livestreams should be easy to find on the city website and on YouTube.

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Second, we need better ways for residents to engage. Formal council meetings can feel intimidating and don’t always invite real conversation. I will hold regular, informal Q&As and open discussions where people can ask questions and understand the reasoning behind decisions. When people understand the why, trust grows. The citizens are the best consultants the city will ever have.

Third, the culture inside city government needs attention. Employees do their best inside a system that often works against them. Departments are stuck in silos. I want employees to have more autonomy to solve problems, work across departments, and raise concerns without fear of reprisal.

That’s the kind of new leadership I plan to bring to Idaho Falls.

Burtenshaw: My candidacy is driven by genuine change and a shift from top-down decision making. In my administration, communication, accountability, and partnership with the people of Idaho Falls will have priority. I’ll work to make what we do at City Hall more accessible with regular communication, better information tools, and useful community updates on major projects and spending. My opponent and I agree that listening to the citizens needs to increase, where we differ is the fact that listening alone is not helpful unless you have the experience and skills to solve their concerns.

I am solutions oriented and understand that problems are best identified and resolved in a collaborative work environment. We need to break down internal barriers and focus on excellent customer service for every resident and business.

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What role can the city government play in partnering with grocery stores, local farms, or food distribution networks to help make food prices in Idaho Falls more stable and affordable?

Alldridge: The city’s role is not to set grocery prices. What the city can do is help people’s food budgets stretch further by supporting a healthy economy where wages rise and cost pressures go down.

That means growing jobs that pay decent wages so people aren’t choosing between housing costs and groceries. It also means partnering with nonprofits like Community Food Basket that help families when they need support.

Burtenshaw: City government can’t and shouldn’t control food prices, but we can play a role in supporting and protecting our agricultural economy. Idaho Falls can work with Bonneville County and the City of Ammon to implement growth management policies that protect agricultural land. We can support local farmers through our relationship with the Greater Idaho Falls Chamber Agricultural Advocacy group. Together we can advocate for state policies that keep Eastern Idaho a thriving agricultural region.

The city also has several community gardens. As the mayor, I will continue to support and promote farmers markets and explore partnerships that make it easier for small producers to connect with Idaho Falls consumers.

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