health impact assessments

By Jonathan Heller President Trump’s 100 day plan includes deporting 2 million undocumented residents from the US. The plan represents a massive increase in scale and speed of deportations. Trump says he will focus on deporting undocumented people with criminal records. With fewer of them in the US now as a result of President Obama’s policies, Trump has already expanded the definition of who is a ‘criminal’ to include people who are merely charged or suspected of committing crimes. Being in the US without documents may become a ‘criminal’ act. Sensitive locations, like schools and clinics,…
If you work in public health, you've probably heard about the new era of practice — an era being dubbed Public Health 3.0. Among the components that define this new phase is an emphasis on building cross-sector collaborations to affect the social determinants of health. In other words, public and private sectors have a role — and a stake — in improving community health. And now there’s evidence that such collaborations can save people's lives. In a study published in November in the journal Health Affairs, researchers set out to see whether communities that convened multisector networks to…
It seems simple enough – a proliferation of donors in global health means more money to solve some of the world’s most pressing health issues. Right? Not exactly. A lot of new evidence is coming out that suggests that the lack of coordination of different funding sources can be a burden and perhaps a detriment to global health. And the way that traditional funders think about the locus of health spending in countries to which they donate may not even be entirely accurate. As a recent report from the Center for Global Development In fact, as the report finds, most funding for health is…
For years, advocates have been calling on policymakers to reform the nation’s outdated chemical safety laws. Today, two such bills stand before Congress — one that advocates say better protects the public’s health and another that advocates warn is a dangerous step backward. Introduced in the Senate earlier this month within just days of each other, each bill takes aim at the federal Toxic Substances Control Act (TSCA), which was enacted in 1976 and hasn’t been updated since. Under TSCA, which doesn’t require chemicals undergo health impact testing before being released into the marketplace,…
It’s not unusual for studies on community walkability to face the perplexing question of self-selection. In other words, people who already like to walk end up moving to walkable communities and so those communities naturally have higher physical activity rates. In even simpler terms, it’s about the person, not the environment. However, a new study finds that walkable community design does influence healthy behavior — even among people with no preference for walking in the first place. Published in December in a supplement of the Preventive Medicine journal, the study examined changes in…
When compared with gasoline-powered cars, vehicles fueled with electricity from renewable sources could cut air pollution-related deaths by 70 percent, according to a new study, which noted that air pollution is the country’s greatest environmental health threat. Published this week in the Proceedings of the National Academy of Sciences, the study’s researchers examined the impact of various vehicle energy sources on the concentrations of two types of air pollutants known to affect human health: particulate matter and ground-level ozone. Previous research has found that air pollution causes…
When a widely used chemical is identified as an environmental health hazard and targeted for phase-out and elimination, among the most challenging questions for those involved with using and making such a chemical are: What to use instead? and Will the replacement be safe? The US Environmental Protection Agency’s (EPA) report identifying alternatives to the flame retardant hexabromocyclododecane (HBCD) illustrates how difficult those questions can be to answer. It also highlights how important it is to consider the entire life-cycle of finished products when looking for hazardous chemical…
by Rajiv Bhatia, M.D. Over the past three decades, real wages for low-income workers in the United States have either stagnated or declined. The federal minimum wage is intended to maintain a decent standard of living, but has fallen woefully behind. The current federal minimum of $7.25 an hour is now worth less than it was in 1968. Evidence from decades of research has convinced many public health professionals that there is no single factor more important to healthy living than a minimum standard of income and no single factor more harmful to health than persistent poverty. Income affects…
By Sara Satinsky Should pregnant women who use drugs be charged as criminals or given help? From a public health perspective the choice is clear: provide treatment to help women quit drugs before their use harms their child. Less than a year ago, Tennessee adopted a progressive policy to provide such treatment, but now is on the brink of taking a big step back. It could become the first state to criminalize pregnant women whose drug use harms a fetus or newborn baby. The state legislature has passed a bill that, if signed by Gov. Bill Haslam, would authorize the filing of criminal assault…
by Jonathan Heller In his farewell address, President Dwight D. Eisenhower famously warned Americans about the growing power of the military-industrial complex. More than 50 years later, Nicholas Freudenberg, Distinguished Professor of Public Health at City University of New York, has issued a warning no less grave about "the corporate consumption complex" – the interconnected web of corporations, financial institutions and marketers that, in the name of individual rights, promote and profit from our unhealthy habits. In Lethal but Legal: Corporations, Consumption, and Protecting Public…
by Kim Gilhuly The quality of public housing is a key determinant of health among low-income populations. Substandard housing – where mold, pest infestations, fire hazards, or other health risks are present – is associated with a wide range of health problems, including respiratory infections, asthma, lead poisoning and mental health issues. Nor is illness the only concern: Each year millions of Americans are injured, and tens of thousands killed, by accidents in and around their homes that may be linked to housing conditions. Access to safe and affordable housing is not just an economic…