health equity

Umair Shah’s story isn’t an uncommon one in public health. Starting out in medicine, with a career as an emergency department doctor, he said it quickly became clear that most of what impacts our health happens outside the hospital and in the community. Today, that philosophy drives his work as executive director of Harris County Public Health (HCPH) in Houston, Texas — an agency that serves the third-largest county in the nation, home to about 4.5 million residents. In fact, Shah, who first joined the agency in 2004 and become director in 2013, said the agency’s mantra is this: “Health…
As public health practitioners increasingly look upstream to identify the determinants that put people on a trajectory toward lifelong health and wellbeing, early childhood is often tapped as a pivotal intervention point. Now, a new tool is available that practitioners can use to measure neighborhood-level opportunity indicators that are fundamentally linked to children’s health. In the November issue of Health Affairs, researchers presented the newly developed Child Opportunity Index for the 100 largest U.S. metropolitan areas. The index covers three domains of opportunity: educational,…