chronic disease

More than 8 million U.S. children depend on the Children’s Health Insurance Program for access to timely medical care. The program is authorized through 2019, but its federal funding expires in September and it’s unclear what Congress will do. That uncertainty stresses all the systems and families that depend on CHIP, but it may be especially risky for the 2 million chronically ill children who get care through the program, which was originally designed for families falling in the gap between market affordability and Medicaid eligibility. In a study published this month in Health Affairs,…
Another day, another study that shows soda taxes work to reduce the consumption of beverages associated with costly chronic diseases in children and adults. This time it’s a study on Mexico’s sugar-sweetened beverage tax, which went into effect at the start of 2014 and tacked on 1 peso per liter of sugary drink. Published this month in the journal Health Affairs, the study found that purchases of sugary drinks subject to the new tax went down more than 5 percent in 2014 and nearly 10 percent in 2015. At the same time, purchases of untaxed drinks went up by slightly more than 2 percent. The…
A few of the recent pieces I've liked: Everything Tara C. Smith at Aetiology is writing about Ebola, especially her re-post of What's it like to work an Ebola outbreak? Chris Young at the Center for Public Integrity: Critic of artificial sweeteners pilloried by industry-backed scientists Dena E. Rifkin in Health Affairs: A Fighting Chance: How Acute Care Training Is Failing Patients With Chronic Disease A-P Hurd at CityLab: How Outdated Parking Laws Price Families Out of the City Charles Orenstein at ProPublica: Suspicious Prescriptions for HIV Drugs Abound in Medicare
Brian Castrucci, who’s worked in city and state health departments and is now Chief Program and Strategy Director at the de Beaumont Foundation, likes to ask people two questions: Do you know who your primary care provider is? And, Do you know who’s head of your local public health department? The fact that many people can answer the first question but not the second, he says, demonstrates why public health needs to partner with health care. “US medical providers are giving people some of the best medical care in the world, but if they’re returning patients to communities and environments…
On average, eating healthy costs about $1.50 more per day than the least healthy diets, a new study finds. The extra cost seems insignificant at first — a small cup of coffee often costs more — but it all adds up to be a considerable barrier for many low-income families. Researchers with the Harvard School of Public Health set out to find the evidence behind the conventional wisdom that healthier foods cost more, conducting the most comprehensive meta-analysis to date of price differences between healthy and unhealthy foods. In examining data from 10 high-income nations, researchers found…
by Kim Krisberg When it comes to public health law, it seems the least coercive path may also be the one of least resistance. In a new study published this month in Health Affairs, researchers found that the public does, indeed, support legal interventions aimed at curbing noncommunicable diseases such as diabetes, heart disease and obesity. However, they're more likely to support interventions that create the conditions that help people make the healthy choice on their own. They're less likely to back laws and regulations perceived as infringing on individual liberties. It's a delicate…
First of five student guest posts by Kristen Coleman Every morning as I prepare for class, I go through the same internal dialogue, “to wear or not to wear my hearing aide.” I am forced to do this because when I was a child I, like most American children (about 80% by age 3 as estimated by the American Academy of Family Practitioners, AAFP), suffered from otitis media and my treatment resulted in hearing loss. The treatment I underwent was called tympanostomy with ventilation tube insertion, which has rapidly become the most common reason for general anesthesia in children in the United…
Part One It appears that the E. coli O104 sproutbreak is starting to wind down, with more than 3,500 cases diagnosed to date and 39 deaths. Though sprouts remain the key source of the bacterium, a recent report also documents that human carriers helped to spread the organism (via H5N1 blog). In this case, it was a food service employee working at a catering company, who spread infection to at least 20 people before she even realized she was infected. As with many infectious diseases, there are potential lingering sequelae of infection, which can occur weeks to years after the acute…
Last week in Moscow, the World Health Organization and Russian Federation held the First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control, which addressed the "slow-motion catastrophe" of rising rates of non-communicable illnesses like heart disease and diabetes. WHO Director-General Margaret Chan warned that diabetes rates have skyrocketed in both rich and poor countries, but in poor countries "health services are almost totally unprepared to cope with the onslaught of chronic demands that come with the rise of non-communicable diseases." As the WHO…
Student guest post by Anne Dressler The idea of evolutionary medicine is new to me and my understanding is quite shallow but it has piqued my interest. Currently, the book "Why We Get Sick" by Randolph M. Nesse and George C. Williams has been satisfying my curiosity during the 15 minutes of intellectual thought I have left at the end of the day while reading before bed. From what I've read, I'm finding how useful it can be to consider disease in light of evolution and I'm left wondering how I haven't heard of it before. I'm guessing I'm not the only one interested, so let's talk evolutionary…