A collection of stories about finding preventive health knowledge, collective wisdom and social connection at Community Health Clubs in San Antonio. 

San Antonio — On a weekday morning a group of women from Harlandale, an economically-disadvantaged community on the Westside of San Antonio, were raising their heartbeats while dancing Zumba to Latin music.  

Harlandale ISD Care Center, a community center that offers programs and services to promote the well-being of students and families in Harlandale, offers Zumba classes once a month. After the music stopped, a few of the class participants quickly arranged tables and chairs and the room transformed back into a community space. It was now time for a Community Health Club and a discussion on mental health. 

Tony Martinez and Gracie De Leon, Community Health Workers and senior community outreach specialists with Health Confianza, arrived ready to facilitate an hour-long bilingual discussion on mental health with the small group of women. Most are mothers with children in Harlandale ISD, some only spoke Spanish. 

Martinez stood at the front of the room and began to ask questions. What is mental health? What’s the difference between having a bad day and depression? Martinez, who by his own admission speaks Spanglish, relied on the native speakers to translate certain words.  

Slowly a conversation in two languages began. 

First, the words came slowly and quietly, then the women began to share life experiences. Several mothers recalled not knowing how to deal with their teenager when they were showing signs of depression or self-harm. Another spoke about a distant relationship with a parent and coming to terms with the loss.  

At the end of the hour, the women not only learned about mental health, but they also learned a little more about each other. 

This is what Health Confianza’s Community Health Club model is about — it is a peer-to-peer format that brings people together to learn about health, share knowledge and help one another when they are able, motivating changes in behavior to improve health and wellness.  

Jason Rosenfeld, DrPH, MPH, CHW-I, an assistant professor, director of global health with the Charles E. Cheever Center for Medical Humanities & Ethics and co-director of Health Confianza, first began using the club model during his work in remote villages in Africa. About seven years ago, Rosenfeld started the clubs in Brownsville where there are now six that have been running continuously. In 2021, at the start of the pandemic, Health Confianza received federal funding to roll out health literacy programming, including Community Health Clubs. Today, there are about 25 clubs operating around the city in underserved neighborhoods. Club members face multiple barriers to health care including lack of financial resources, health insurance, transportation and literacy skills.  

Most of the clubs are led by Community Health Workers who work for Health Confianza, the City of San Antonio’s Metropolitan Health District, or local nonprofits. Health Confianza has also trained “natural leaders,” people who have a connection to the community through advocacy and or volunteer work.  

“What we love about seeing the Community Health Club model evolve in San Antonio is that each community will make it its own, give it its own identity,” Rosenfeld said. “It can be a partner club, but most clubs are on top of existing programming to strengthen and sustain that effort, while some are formed from scratch to address community priorities. We are seeing that happen at community centers, schools and apartment complexes.”  

Tight-knit Community  

The mental health discussion at Harlandale was the community’s idea, said Maria Ayon, the Family Engagement Facilitator at Harlandale/Sosa Community Center.  

“We have had groups as large as 15 come to Health Confianza’s club meetings. If they need help, this connects them to help. It is a spider web of connection,” Ayon said, adding that the friendship and support extends beyond the club.  

The center has a separate Whatsapp group that they use to support each other with resources. Health Confianza’s Community Health Workers often provide links to digital resources that are shared through this group. 

“Last week, they were asking how they can get some water. One person said they could drive them to the food pantry, and then a third person said they could carpool with each other,” Ayon said, adding that they help each other with everything from job hunting to immigration questions.  

“This community is like a big family. They take pride in Harlandale, in their group and their work. They are a very close-knit community,” she added.   

Rosenfeld said he knew that club format is effective at sharing community wisdom and changing behaviors for better health after seeing successes in Africa, the Caribbean and South Texas. But in the last few years he noticed the importance of the social connections developing within the clubs. 

“The ideas of bonding and bridging and linking social capital,” Rosenfeld said. “I think it is about gaining a new social network or reinforcing existing ties. It really is about who we know and how we know them and what we gain from those relationships, recognizing that those relationships influence and strengthen our lives.” 

Navigating a new country, and a new health system 

On a chilly weekday morning in December, Health Confianza’s Community Outreach Specialist Gracie De Leon met with Christina Elsaaidi at the Ferrari Adult Education Center, which is part of the North East Independent School District, to check in on Elsaaidi’s Community Health Club.  

De Leon acts as a club mentor to Elsaaidi whose club is under a year old.  

As a program evaluator and epidemiologist for the City of San Antonio Metropolitan Health District, Elsaaidi works in the health field, but she considers the Community Health Club she leads a passion project.

“When I first was introduced to this Community Health Club concept, I immediately thought of this place (the Ferrari Adult Education Center) because there are a lot of different backgrounds, people who are having a lot of issues with access to health information and access to health care in general,” Elsaaidi said, adding that when she first arrived to the U.S., she attended the center, which offers English as a Second Language courses, high school equivalency classes and career training. 

The process of recruiting for a Community Health Club took some time, Elsaaidi said. She started with presentations during other programming, introducing the club and its purpose. When she got enough interest, she began a Whatsapp group and a weekly meeting. Today her club is a mix of newly arrived migrants from Afghanistan, Saudi Arabia and other parts of Asia and the Middle East. 

Elsaaidi said the Community Health Club training gave her the tools to start the club.  

“I like the curriculum part because it gave me the structure. I’ve said this before, I had the passion but I needed the structure,” Elsaaidi said. 

Many of the club’s members are learning English as a second language. The most common languages spoken by members are Farsi and Pashtu, but there are also members who speak Arabic and Thai. 

At first, she worried that because of language barriers, it would take longer to go over curriculum. Instead, it gave Elsaaidi an opportunity to adjust how she delivers curriculum. 

“We might divide one topic into three sessions, but my point is not about finishing (the curriculum), my point is people will get what we are talking about and get it very well,” she said. 

De Leon added that the club members were not only encouraging each other to expand their English vocabulary, they were learning important health terminology at the same time. 

“Sometimes we don’t learn that vocabulary until we have an emergency,” De Leon said. “Christina met the needs of the members.” 

Elsaaidi knows the difference the clubs can make for its members. She seen a transformation in Nafisa Noorarifi, who was a midwife in her home country of Afghanistan. Noorarifi’s expressed an interest in exercise and went from walking 10 minutes to two hours.  

“I promised myself I would walk, and every day that I do, I feel fresh and happy,” Noorarifi said. 

Next, Noorarifi wanted to take an English as a Second Language course to help her establish her career as a midwife in the United States. Elsaaidi, who she now considers a friend, connected her to Alamo Community Colleges, and representatives were able to enroll her in a free ESL course. 

Elsaaidi is quick to distinguish her role as a club facilitator from social work. 

“I want to utilize the mental health training to support each other, to build connections,” Elsaaidi said. “Today the club may ask each other, ok, ‘Today, what is your struggle? What is it that does not help you to start your life here?’ And then they will all share and maybe someone will use that information. On the back end, I will utilize the resources that I know about. I don’t want to be a case manager; I want to be a connector.” 

What surprised Elsaaidi most is that club members were interested in establishing social capital, which is a set of shared values or resources that allows individuals to work together in a group to effectively achieve a common purpose. 

“When I came here, I thought that those people have their communities already,” she said, adding that she learned that there was a deeper longing for social connection. 

“Actually, all of them expressed loneliness. We could build that trust after they shared that with me, and we started to build our unique social capital. People are coming from different countries, different background, different cultures, but we trust each other.” 

It also inspired her to want to share Health Confianza’s mental health curriculum while also talking about what they need to get their life in the United States started. The club is typically guided by an 8-week Health Confianza curriculum on different topics including mental health, Covid-19 and nutrition. 

“What connects us here is that there’s always somebody who cares about them,” she said. “They know that when they come to me that I care. And that is what connected us and what keeps them committed to the club,” she said. 

When Building Trust is a Lesson in Patience and Persistence 

Building trust doesn’t happen overnight, especially in underserved neighborhoods that experience greater levels of crime, poverty and unemployment. 

Just ask Santos Barrientes, a Community Health Worker and senior community outreach specialist with Health Confianza, who is from the Westside of San Antonio, a majority Hispanic and low-income neighborhood. 

“I think it’s hard on the Westside and Southside of San Antonio. They see people (from nonprofits or universities) come in and meet their goals and then they’re out. There is no lasting impact,” he said. “Having us come in every week and having us bring different programming shows them that we are invested. I tell people that I grew up on this side of town, just down the street. I tell them that I know their struggles, I’ve seen my mom go through it and my grandparents and I can relate to them.” 

For a year, Barrientes has facilitated a Community Health Club at the nonprofit Madonna Center, which offers programming for anywhere from 20 to 60 seniors who live in a 3-mile radius of the center on the Westside of San Antonio. Barrientes co-facilitates the club at Madonna Center with Alexis Whitt, a Community Health Worker with the City of San Antonio Metropolitan Health District’s Healthy Neighborhoods. 

When they first started the club in early 2023, Whitt and Barrientes offered the topic of mental health, but the seniors were more interested in physical activity and nutrition. After a year of building trust, they decided to introduce the topic to see how the club would react. 

To their delight, the seniors were receptive to the topic, even sharing individual experiences of loneliness and mental health issues, as well as how they coped. 

On the first day of the mental health curriculum, Barrientes asked the group if they know what stigma is, and Whitt gave the definition, “the prejudices that society puts on certain conditions or attributes that make them seem different.” 

For example, Barrientes said, “men were always told you can’t have your emotions, you can’t show your emotions, man up and take care of it, and if you do share then it means your weak, not a man.” 

After the meeting, one of the older men in the group pulled Barrientes aside and privately said he needed to talk to someone. 

Barrientes understood the man did not have the financial resources or transportation to go to a counselor or therapist. Through his own professional network, Barrientes connected with a licensed professional counselor (LPC) who agreed to visit the center twice a month.  

“The LPC has only gone once so far, but it’s been a hit with the seniors,” Barrientes said.  

Barrientes said that although they did not set out to make that connection, it felt right to meet their needs.   

“You are helping more than what they expected you to do. What we say in our training is just listen to the community,” Barrientes said, adding the Madonna Center is a “little more personal for me because I grew up there. It feels good to be able to change things and make them a little better.” 

 

 

 

 

 

 

In collaboration with KLRN Public Television’s Healthy Kids Project, Jason Rosenfeld, DrPH, MPH, of Health Confianza delivered a lesson on common illnesses and the importance of hand washing in keeping our children and families healthy.

Hand washing is a simple yet powerful tool in preventing common illnesses and saving lives.

“We can reduce the risk of diarrheal illnesses by about 40% by practicing regular hand washing,” Rosenfeld said. “For respiratory illnesses, the data is a little but inconsistent, but the range is from 6% to 40% of respiratory illnesses can be prevented from washing our hands. That is impressive. We don’t often think about the relationship between our hand hygiene and respiratory illnesses.”

This evergreen lesson, with suggested activities for children, is designed for early childhood educators and parents.

KLRN’s The Healthy Kids Project supports healthy lifestyles by influencing eating decisions and physical activities. The project engages all types of learners: visual, auditory and kinesthetic.

View the video, titled “Spring into Healthy Habits,” here.

 

Four years after the start of the Covid-19 pandemic, an estimated 23 million Americans are living with long Covid, which is defined as the health issues that continue or emerge after the initial COVID infection, and that persist for four or more weeks after the initial infection.

While a more detailed picture of what is means to have long Covid is still emerging, health providers, Community Health Workers and caregivers are learning how to best care and support people with Long Covid. The good news is that the list of what we do know in regards to long Covid is growing every day.

With this in mind, South Central AHEC (Area Health Education Center) and Health Confianza have created the “Long Covid – Listening, Learning and Recovery,” a short video learning series coupled with an evolving set of resources developed with guidance from public health workers and providers.

Designed for health professionals, Community Health Workers and the community, our long Covid resources page offers free videos, documents and resources. Together, we can improve the way we listen, communicate, share best practices, and respond to long Covid.

San Antonio, Texas — The 17th Annual Community Service Learning Conference — “One Planet. One Health. We are all connected.”— is pleased to host Teddie M. Potter, clinical professor and director of planetary health at the University of Minnesota School of Nursing, as this year’s keynote speaker.   

The Mayor of San Antonio Ron Nirenberg will give a lunch plenary titled, “San Antonio’s 21st Century Challenge: Balancing Sustainability and Growth.” 

The annual conference is an opportunity to network and share best practices and scholarship in community service learning (CSL), with a unique focus each year. The event is taking place on Saturday, Feb. 3, from 8:00 a.m. to 2:30 p.m. at the University of Texas Health Science Center San Antonio (UT Health San Antonio).  

“There are many, many ways human are disrupting the Earth’s natural systems. Climate change, biodiversity loss, deforestation, and water, soil and air population are impacting agriculture, fishing and hunting, many forms of outdoor recreation and human health,” Potter said. “These human-cause disruptions are reversing decades of public health gains and threatening the survival of future generations. 

The theme for this year’s conference was selected by an interprofessional committee of CSL stakeholders, including students from UT Health San Antonio.  

“Our students, like many future and practicing health care professionals, are concerned about the state of the planet, and want a better understanding of how it connects to our overall health,” said Melanie Stone, director of UT Health San Antonio’s CSL program through the Charles E. Cheever, Jr. Center for Medical Humanities & Ethics. “We are excited to have esteemed guest speakers including the mayor and Dr. Potter to lead these timely, solutions-oriented discussions.”       

Potter plans not only to discuss the planet’s challenges but also the opportunities to get the planet and our health back on track.  

“All is not lost. I’ll be speaking about planetary health, a solutions-oriented trans-disciplinary field social movement focused on analyzing and addressing the impacts of human destructions to earth’s natural systems,” Potter said.  

“I’ll share the global vision for a great transition, an emerging solutions particularly for the health sector. More than anything, I plan to share a word of hope because the actions that restore the health of the planet are good for our health too,” she added. 

The Annual CSL Conference at UT Health San Antonio originated in 2008 as an opportunity to learn from the CSL experiences of students, faculty, staff, and community partners in San Antonio and across Texas.  Each year, the conference focuses on a theme relevant to service-learning and hosts experts and guest lecturers, provides skill-building workshops, and showcases CSL projects through students’ poster presentations. 

The conference, which is free and open to the community, is presented by the Cheever Center in conjunction with an interprofessional planning committee.  

For conference agenda and registration details, visit www.texashumanities.org/CSLconference. 

San Antonio — ​Don’t forget to keep on top of your and your family’s health this holiday season. Below are three things to know and three resources for a healthier winter and start to the new year.

Three Things to Know

One: RSV, Flu and COVID-19 Move Through Texas
As of early December, cases of RSV and flu were on the rise in Texas, as reported by the Centers for Disease Control and Prevention. While COVID-19 remains low in the San Antonio area, adults ages 65 and up continue to make up the majority of people hospitalized with COVID.

There are simple things you can do to stay as healthy as possible, including keeping your hands clean, sanitizing surfaces, and getting vaccinated — health providers recommend getting the Flu and COVID-19 shots.

One bright spot this winter is that there’s a new RSV vaccine that can protect babies and older adults from serious illness or hospitalization. Because the symptoms of respiratory illnesses (flu, COVID-19, RSV) can be similar, Health Confianza has created a handy guide to help you tell the difference between allergies, cold, flu, RSV and COVID-19 (see resources below).

Lastly, if your seek care over the weekend, UT Health San Antonio Physicians offers Saturday Care at UT Health Medical Arts & Research Center, 8300 Floyd Curl Dr., first floor – Walk-in or call 210-450-9180 to schedule an in-person or virtual appointment

Two: Long Covid Higher Among Minorities
COVID-19 has greatly affected communities of color, with more cases, hospitalizations and deaths reported among Hispanics and Blacks than other populations. The U.S. Census Bureau also found that minority populations are more likely to suffer from long COVID.

With that in mind, The University of Texas Health Science Center at San Antonio (UT Health San Antonio) is working to make sure that minority populations are represented in RECOVER, the largest NIH-supported study focused on understanding the course of long COVID, its symptoms and treatments. The university has enrolled almost 1,000 participants from San Antonio and South Texas.

Learn more about Long Covid:

• Visit Recovercovid.org to participate in a study and learn about clinical trials.
• Read an article on long Covid in UT Health San Antonio’s latest Future magazine.

Three: Health Coverage Enrollment for 2024
Enrolling yourself and your family in health insurance is an important step toward a healthy 2024. To start receiving health coverage by Jan. 1, enroll in the Affordable Care Act (ACA) plan by Dec. 15. Enrollment runs through Jan. 15. Under ACA, health plans can run as low as $10 a month or less. For help understanding insurance plan options, reach out to EnrollSA for free in-person assistance.

Health Insurance Support:

• • UHS Connecting Kids to Coverage: Online or (210) 358-3350
  • Health Collaborative Pathways to Coverage: Online or (210) 761-3420

Three Resources

1. Symptoms Chart, an easy-to-read chart that helps you decide if it’s allergies, cold, flu, COVID-19 or RSV.
2. Keep the Germs Away Flyer, a plain language flyer outlining practical steps for staying healthy. A good reminder for school-age children and families.
3. Wellnesscultura.org, Health Confianza’s bilingual online resource, with a list of clinics, health information and more.

Health Confianza, a county-wide health literacy initiative, is focused on creating a more informed, confident and healthier community, using health literacy as a tool.

To get to know Health Confianza better, we’ve created a YouTube playlist with short videos and vignettes about two of our signature programs:

• Health Literacy Pledge Program, an organizational health literacy program
• Community Health Clubs, a peer-to-peer learning format

We invite the community, organizations, and health and social service professionals to learn more about our programs and how we can work together to build a healthier San Antonio and Bexar County.

As a pediatrician and a mom, I am very happy to share that parents and doctors have new tools to protect our kids from RSV.

RSV is a virus, a tiny germ that causes cough and fever. Almost every child catches RSV at some point. But for little babies, RSV can cause them to become very sick.

In fact, it is the #1 reason babies are hospitalized in this country. RSV can also change a kid’s health for her whole life, because catching RSV in infancy puts kids at higher risk for asthma.

That’s why I’m so excited we finally have new tools to protect babies. First, people who are pregnant can get an RSV vaccine. When they do, their body makes antibodies [special proteins that fight infection] and passes those antibodies to the baby in the womb.

If you have a new baby at home, your baby can get the antibodies through a shot. Babies under 8 months can get the shot either in the hospital after birth or at their doctor’s office. Because this is the first year the shot is available, it’s on short supply. So ask your doctor if your baby might be able to get it.

The shot works well. It lowers the risk of being hospitalized for RSV by 80%. It also lowers the risk of the baby needing to go to the ICU (Intensive Care Unit) with RSV by 90%. Side effects [unintended results of a drug] are rare. We haven’t seen any bad side effects yet, but about 1% of babies get a rash or swelling on their leg where they got the shot.

As a hospital pediatrician, I’m passionate about providing excellent care to hospitalized kids. But I hate seeing babies struggle to breathe, especially when I know we can prevent it. Getting the RSV vaccine or antibody shot is a great way to protect babies and keep our whole San Antonio community healthy.

-Dr. Rachel Pearson, mom of Sam (3) and Ollie (6 months)

SAN ANTONIO, Texas — Health Confianza, a community-wide health literacy project focused on advancing health equity in San Antonio, is giving away 30 pairs of Health Confianza socks to a total of 30 lucky followers on IG, FB and Snapchat in a random drawing on Feb. 28, 2023. If you win, we’ll direct message you.

Official Rules:

1. Eligibility The Health Confianza Sweepstakes (the “Sweepstakes”) This Sweepstakes is organized by Health Confianza, (“Sponsor”). Employees of Health Confianza, vendors of Health Confianza, and retailers, or any of their respective affiliates, subsidiaries, advertising agencies or any other company or individual involved with the design, production, execution or distribution of the Sweepstakes, and the immediate family (spouse, parents and step-parents, siblings and step-siblings, and children and step-children) and household members (people who share the same residence at least three (3) months out of the year) of each such individual are not eligible. The Sweepstakes is subject to all applicable federal, state and local laws and regulations. Participation constitutes entrant’s full and unconditional agreement to these Official Rules and Administrator’s (as defined in Section 2 below) decisions, which are final and binding in all matters related to the Sweepstakes. Winning a prize is contingent upon fulfilling all requirements set forth herein. No purchase or payment is necessary to enter or win the Sweepstakes.
2. Sponsor and Administrator Sponsor: Health Confianza 7703 Floyd Curl Drive, San Antonio, TX 78229
3. Timing The Sweepstakes begins on February 14, 2023 at 12:00 a.m. Central Time (“CT”) and ends on February 28, 2023 at 11:59 p.m. CT (the “Sweepstakes Period”). Sponsor is the official time-keeper for this Sweepstakes.
4. How to Enter Entry Method: This is a social media contest only. No purchase necessary. To enter follow @HealthConfianza on Facebook, Instagram and Snapchat. No more than ONE (1) entry per person per social channel for the Sweepstakes Period. Multiple entries will automatically result in disqualification. No alterations or forged entries are permitted. Sponsor is not responsible for technical difficulties or Internet service disruptions or other equipment or service issues which might affect an on-line user’s ability to enter and qualify or the ability of Sponsor to notify the winners. Sponsor assumes no responsibility for lost, late, damaged, misdirected, illegible, incomplete, entries or other Sweepstakes materials, all of which are void. Facsimiles or mechanical reproductions will not be accepted and entrants may not use any other device or artifice to enter in excess of the number of entries allowed. All entries become the property of Sponsor and will not be returned.
5. Winner Selection: Grand Prize Winner One (1) Grand Prize Winners will be awarded. The winners will be determined on or around February 14, 2023 in a random drawing among all eligible entries received. Odds of winning a prize will be determined by the total number of eligible entries received. The awarding of the prizes is subject to verification of the potential winner’s eligibility. The selected winners will be tagged on a social media post on Facebook, Instagram, and Snapchat February 28, 2023. Health Confianza will direct message the selected winners on the social platforms to collect their legal name, phone number and other contacted method to arrange the delivery of socks. 1
6. SPONSOR’S DECISIONS AS TO THE ADMINISTRATION AND OPERATION OF THE SWEEPSTAKES AND THE SELECTION OF POTENTIAL WINNER IS FINAL AND BINDING IN ALL MATTERS RELATED TO THE SWEEPSTAKES. AN ENTRANT IS NOT A WINNER OF ANY PRIZE UNLESS AND UNTIL ENTRANT’S ELIGIBILITY AND THE POTENTIAL WINNING ENTRY HAS BEEN VERIFIED. SPONSOR WILL NOT ACCEPT SCREEN SHOTS OR OTHER EVIDENCE OF WINNING IN LIEU OF ITS VALIDATION PROCESS. ANY ENTRY THAT OCCURS AFTER THE SYSTEM HAS FAILED FOR ANY REASON IS DEEMED DEFECTIVE AND IS VOID AND WILL NOT BE HONORED.
7. Verification of Potential Winner Potential winner must continue to comply with all terms and conditions of these Official Rules, and winning is contingent upon fulfilling all requirements. Prize is non-transferable and no substitution will be made except as provided herein at the Sponsor’s sole discretion. Sponsor reserves the right to substitute any listed prize for one of equal or greater value for any reason. Winners are solely responsible for all federal, state and local income taxes.
8. Prizes Thirty (30) Grand Prize winners will win 1 pair of Health Confianza socks. Actual item may differ from depiction of prize in Sweepstakes advertising and Sponsor disclaims any and all liability in conjunction therewith.
9. Entry Conditions and Release By entering, each participant agrees to: (a) comply with and be bound by these Official Rules and the decisions of Sponsor and Administrator, which are binding and final in all matters relating to this Sweepstakes; (b) release and hold harmless Sponsor, Administrator, the prize suppliers and any other organizations responsible for sponsoring, fulfilling, administering, advertising or promoting the Sweepstakes, and all of their respective affiliates and related entities and each of their respective officers, directors, agents, vendors, employees and other representatives (collectively, the “Released Parties”) from and against any and all claims, expenses, and liability, including but not limited to negligence and damages of any kind to persons and property, including but not limited to invasion of privacy (under appropriation, intrusion, public disclosure of private facts, false light in the public eye or other legal theory), defamation, slander, libel, violation of right of publicity, infringement of trademark, copyright or other intellectual property rights, property damage, or death or personal injury arising out of or relating to a participant’s entry, creation of an entry or submission of an entry, participation in the Sweepstakes, acceptance or use or misuse of prize (including any travel or activity related thereto) and/ or the broadcast, exploitation or use of entry; and (c) indemnify, defend and hold harmless the Released Parties from and against any and all claims, expenses, and liabilities (including reasonable attorneys’ fees) arising out of or relating to an entrant’s participation in the Sweepstakes and/or entrant’s acceptance, use or misuse of prize.
10. Publicity Except where prohibited, participation in the Sweepstakes constitutes winners’ consent to Sponsor’s and its agents’ use of winners’ name, likeness, photograph, voice, opinions and/or hometown and state for promotional purposes in any media, worldwide, without further payment or consideration.
11. General Conditions Sponsor reserves the right to cancel, suspend and/or modify the Sweepstakes, or any part of it, if any fraud, technical failures or any other factor beyond Sponsor’s reasonable control impairs the integrity or proper functioning of the Sweepstakes, as determined by Sponsor in its sole discretion. Sponsor reserves the right in its sole discretion to disqualify any individual it finds to be tampering with the entry process 2 or the operation of the Sweepstakes or to be acting in violation of these Official Rules or any other promotion or in an unsportsmanlike or disruptive manner. Any attempt by any person to deliberately undermine the legitimate operation of the Sweepstakes may be a violation of criminal and civil law, and, should such an attempt be made, Sponsor reserves the right to seek damages from any such person to the fullest extent permitted by law. Sponsor’s failure to enforce any term of these Official Rules shall not constitute a waiver of that provision. Entry in the Sweepstakes constitutes an entrant’s full and unconditional agreement to abide by and accept the terms and conditions of these Official Rules. No substitution of prize or cash equivalent except at Sponsor’s sole discretion. Cash equivalent may be less than the approximate retail value of the prize. Prize is non-transferable except at the sole discretion of the Sponsor. All federal, state and local taxes on the prizes are winner’s sole responsibility. By accepting the prize, winner waives the right to assert as a cost of winning said prize, any and all costs of redemption or travel to redeem said prize and any and all liability that might arise from redeeming or seeking said prize.
12. Limitations of Liability The Released Parties are not responsible for: (a) any incorrect or inaccurate information, whether caused by entrants, printing errors or by any of the equipment or programming associated with or utilized in the Sweepstakes; (b) technical failures of any kind, including, but not limited to malfunctions, interruptions or disconnections in phone lines or network hardware or software; (c) unauthorized human intervention in any part of the entry process or the Sweepstakes; (d) technical or human error which may occur in the administration of the Sweepstakes or the processing of entries; or (e) any injury or damage to persons or property which may be caused, directly or indirectly, in whole or in part, from entrant’s participation in the Sweepstakes or receipt or use or misuse of any prize. If for any reason an entrant’s entry is confirmed to have been erroneously deleted, lost or otherwise destroyed or corrupted, entrant’s sole remedy is another entry in the Sweepstakes, provided that if it is not possible to award another entry due to discontinuance of the Sweepstakes, or any part of it, for any reason, Sponsor, at its discretion, may elect to hold a random drawing from among all eligible entries received up to the date of discontinuance for any or all of the prizes offered herein. No more than the stated prize will be awarded. In event that production, technical, seeding, programming or any other reasons cause more than stated number of prizes as set forth in these Official Rules to be available and/or claimed, Sponsor reserves the right to award only the stated prize by a random drawing among all legitimate, unawarded, eligible prize claims.
13. Governing Law All issues and questions concerning the construction, validity, interpretation and enforceability of these Official Rules or the rights and obligations of the Participant, or Sponsor in connection with the Promotion shall be governed by and construed in accordance with the laws of the State of Texas without giving effect to any choice of law or conflict of law rules or provisions that would cause the application of any other state’s laws.
14. Entrant’s Personal Information Information collected from entrants is subject to Sponsor’s Privacy Policy and is available at. Each entrant acknowledges that, by entering the Sweepstakes, entrant has opted into Sponsor’s Privacy Policy and, by opting into Sponsor’s Privacy Policy, has read and accepted Sponsor’s Privacy Policy.
15. Sweepstakes Results For Sweepstakes results will be announced on Social Media platforms Instagram, Facebook, and Snapchat Sponsor: Health Confianza