Infant Mortality

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…
A couple months ago, we reported on a study that found raising the minimum wage to $15 could have prevented thousands of premature deaths in New York City alone. Now comes more science on the life-saving benefits of higher wages — this one found that just a modest increase in the minimum wage could have saved the lives of hundreds of babies. It’s yet another reminder that the movement for a living wage is also a movement toward a healthier nation for all. Published last week in the American Journal of Public Health, the study examined the impact of state-based minimum wage laws on the rate of…
Scientists use a 'gene gun' to insert a gene from a flowering plant called rockcress into the cells of wheat seeds. The genetically modified wheat became more resistant to a fungus called take-all, which in real life can cause "a 40-60% reduction in wheat yields." T-cells from six HIV+ patients were removed from their bodies, treated with a zinc-finger nuclease designed to snip a gene out of the cell's DNA, and put back in the patients.  Removal of the gene mimics a naturally occurring mutation which confers resistance to the HIV virus.  But only 25% of the treated cells showed evidence of…
“There’s a lot we don’t know about preterm birth and we know even less about the disparities in those births.” Those are words from Ondine von Ehrenstein, an assistant professor in the Department of Community Health Sciences at the UCLA Fielding School of Public Health, who recently examined the links between occupational exposures and preterm birth rates among Hispanic women. Perhaps not surprisingly to those in the public health world, von Ehrenstein and her research colleagues did find that Hispanic women are at particular risk for preterm birth associated with certain occupational…
Larger investments in public health equal better health, fewer deaths and reduced medical spending — and the effect is especially pronounced in the communities that need it most, according to new research. The findings are the latest in a series of studies that researcher Glen Mays and his colleagues at the National Coordinating Center for Public Health Services and Systems Research (PHSSR) are conducting on the health and economic value of public health spending. While Mays has authored previous research on the topic — such as this 2011 study that found public health spending is associated…
by Kim Krisberg On Feb. 13, 2012, Honey Stecken gave birth to her daughter Maren. Everything appeared perfectly fine — she ate and slept and did all the things a baby does. Even after a couple weeks at home in South Fork. Colo., with her newborn little girl, nothing seemed out of the ordinary. About two weeks after Maren's arrival, while Honey was at a children's birthday party for one of her son's friends, she received a call from a doctor she didn't know. He was calling on a Saturday, never a good sign. With an urgent tone in his voice, he asked if Maren was eating well, if she was vomiting…
When I first started this blog, I had little idea of what I was in for. I thought I had some idea from having read a bunch of blogs and found role models whose blogging style I tried to emulate back in those early days, long before I developed the persona and writing style that most of my readers love and quacks and antivaccinationists really hate. Now that I've been at it for nearly eight years, there's very little that surprises me. Much of the quackery, pseudoscience, and nonsense that I see is stuff that I've seen before and possibly blogged about multiple times before. I'm starting to…
One of our families favorite things to do is check out old cemetaries - my kids love to read gravestones and talk about the stories that came behind them. I love cemetaries - I find them comforting in an odd way, although I'm not fully sure I can explain why, and I'm glad that my children have the same passion for historical records and also the same pleasure in knowing something about lives before ours. Walking in old graveyards is also always a reminder of how fortunate I am. Most graveyards have a "children's" section, or family stones record the brief and incredibly short lives of…
A few thought-provoking pieces I've read this week demonstrate the extent to which the US is failing to invest in our next generation. John Schmid of the Journal Sentinel points out that 44 other countries have lower infant mortality rates than the US (by UNICEF ranking), and we're tied for 45th place with Montenegro and Slovakia. Our overall national rate - 6.06 per 1,000 live births, according to the CIA World Factbook - conceals a great deal of variability by state and city, though. (See the Annie E. Casey Foundation's map for details on state-to-state differences.) Schmid zooms in on…
The saying "demography is destiny" reportedly dates back to 19th-century social scientist Auguste Comte, and it's still popular among journalists. Earlier this year, for instance, Alan Wheatley of Reuters warned about the challenges Asian countries (especially Japan) will face as over-60 residents make up ever-larger shares of their populations. His article also touches on the challenges for countries that face the opposite problem: a large proportion of young residents, or "large cohorts of angry, unemployed young men" prone to causing turmoil. A recent Council on Foreign Relations report…