Prevention

Public health is in trouble. Last month, President Trump released his proposed budget for fiscal year 2018. It was more of an outline, really, and didn’t provide many details, but it did call for a nearly 18 percent cut to the U.S. Department of Health and Human Services and for block granting the budget at the Centers for Disease Control and Prevention. At the same time, the White House supports repealing the Affordable Care Act. That repeal would also eliminate the Prevention and Public Health Fund, which now accounts for about 12 percent of CDC’s budget and funds critical public health…
To get a clearer sense of just how bad our drug overdose problem has gotten, look no further than this year’s County Health Rankings. The annual report found that after years of declining premature deaths, that rate is on the rise and due primarily to overdose deaths. It means we could be seeing the first generation of American kids with shorter life expectancies than their parents. “We often think of the opioid crisis either as happening in very rural communities or as an urban issue,” Kate Konkle, Action Center Team director for County Health Rankings & Roadmaps, told me. “But this is…
At the Center for Public Integrity, Talia Buford and Maryam Jameel investigate federal contractors that receive billions in public funds despite committing wage violations against their workers. In analyzing Department of Labor data on more than 1,100 egregious violators, the reporters found that federal agencies modified or granted contracts totaling $18 billion to 68 contractors with proven wage violations. The Department of Defense contracted with the most wage violators. Under Obama, labor officials had attempted to address the problem with the Fair Pay and Safe Workplaces rule, which…
As a PhD student, Laura Syron was helping her advisor with workplace safety research focused on the Pacific Northwest commercial fishing industry. The project got her thinking about worker safety throughout the seafood supply chain, from the boat to the processing plant. So she decided to do a study of her own. The result is likely the first to examine occupational health and safety inside Oregon’s seafood processing industry. Along with her co-authors, Syron, a doctoral student at Oregon State University College of Public Health and Human Sciences, examined data from workers’ compensation…
As the Republicans push forward their abysmal Affordable Care Act replacement, much of the talk surrounding its impact focuses on insurance numbers and premium hikes. Those things are certainly important. But this is more important: The Republican plan will cause unnecessary suffering and preventable death. How do we know this? Let’s start with the Congressional Budget Office report that scored the Republican replacement plan, titled the American Health Care Act. That report estimates that if the Republican plan is enacted, 14 million more people would be uninsured by 2018 than would have…
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…
Most news on the dangers of antibiotic-resistant infections focus on adults. But children are very much at risk too. In fact, a recent study found that U.S. children have experienced a 700 percent surge in infections caused by particular bacteria that’s both resistant to multiple antibiotics and responsible for growing numbers of serious bacterial infections in kids. “These organisms are scary, they’re hard to treat and respond to few antibiotics…and it’s the type of antibiotic resistance that’s capable of spreading itself to adjacent bacteria even if those bacteria haven’t been exposed to…
In 2015, the U.S. Environmental Protection Agency released a report finding 457 fracking-related spills in eight states between 2006 and 2012. Last month, a new study tallied more than 6,600 fracking spills in just four states between 2005 and 2014. But, as usual, the numbers only tell part of the story. Not every spill counted in that new number represents a spill of potentially harmful materials or even a spill that made contact with the environment. In fact, the study’s goal wasn’t to tally an absolute number of fracking spills. Instead, researchers set out to collect available spill data…
Earlier this month, news broke of a study that found potentially health-harming chemicals in a variety of fast food packaging. Upon hearing such news, the natural inclination is to worry that you’re ingesting those chemicals along with your burger and fries. Study researcher Graham Peaslee says that’s certainly a risk. But perhaps the greater risk, he says, happens after that hamburger wrapper ends up in landfill and the chemicals seep into our environment and water. The chemicals in question are per- and polyfluoroalkyl substances (PFASs), which are used to make consumer products nonstick,…
The anti-vaxxers were out again this week, spreading misinformation and debunked science about an intervention that’s saved millions of lives and prevented immeasurable human suffering. It’s unconscionable. That person is Robert F. Kennedy Jr., who — to repeat — is not a doctor, not a scientist, not a public health practitioner, not an expert in vaccinology. Regardless, he told the press earlier this year that President Trump had asked him to chair a vaccine safety commission, even though the country already has one of those — it’s called the Advisory Committee on Immunization Practices and…
Fewer economic opportunities may be exposing black and Hispanic workers to an increased risk of workplace injury, according to a new study. Published this month in Health Affairs, the study set out to document differences in the risk of occupational injury and in the prevalence of work-related disabilities between white and minority workers. Researchers found that even after adjusting for variables such as education, sex and age, black and foreign-born Hispanic workers often worked in jobs with the highest injury risks and thus, experienced higher rates of work-related disabilities as well.…
Not violating federal labor law seems like a commonsense precursor for being awarded lucrative federal contracts. House Republicans, however, disagree. Last week, majority members in the House of Representatives successfully passed a resolution to get rid of federal disclosure requirements included in President Barack Obama’s Fair Pay and Safe Workplaces Executive Order, which he originally signed in 2014. Those disclosure requirements directed businesses bidding for federal contracts of $500,000 or more to report any violations of 14 labor laws within the prior three years. Among those 14…
We’re just a humble little public health blog. But we can still do our part. If you or someone you know need help getting health insurance coverage before next week’s enrollment deadline on Jan. 31, here are some good resources. First, why do this? Because this week, the Trump administration abruptly canceled advertising and outreach scheduled to run during this final week of Affordable Care Act enrollment. Apparently, he even pulled ads that were already paid for. But, you can still enroll. According to Paul Demko at Politico: (The Trump administration) is also halting all media outreach…
Can I afford the water that comes out of my tap? It’s not a question that Americans typically ask themselves. However, a new study finds that in the next few years, many more of us might be asking that very question as we open our utility bills and realize that we’re merely accustomed to affordable water — we don’t have a guaranteed right to it. While a good amount of research on water affordability has been conducted in the developing world, the issue has received much less attention in developed nations such as the United States. Elizabeth Mack, an assistant professor in the Michigan State…
Because taking health insurance away from millions of Americans isn’t bad enough, President-elect Trump has reportedly asked an outspoken critic of vaccines — a man who supported the thoroughly debunked notion that vaccines are linked to autism — to lead a commission on vaccine safety. That man is Robert Kennedy Jr., who in 2005 wrote a “expose” published in Salon and Rolling Stone arguing that thimerosal, a preservative in vaccines, is tied to autism. Salon retracted the article after critics “further eroded any faith we had in the story’s value.” Rolling Stone dumped the story too. More…
The Pump Handle is on a holiday break. The following, which was originally published on Jan. 29, is one of our favorite posts from 2016. by Kim Krisberg In the midst of another national debate over gun safety regulations, some argue that higher rates of gun ownership will protect people from dangerous strangers with deadly intentions. Physician and public health researcher Michael Siegel set out to study that argument. He ultimately found no relationship between gun ownership and stranger-related firearm homicides. But he did find that gun ownership levels translated into higher homicide…
The Pump Handle is on a holiday break. The following, which was originally published on May 23, is one of our favorite posts from 2016. by Kim Krisberg Last summer, 25-year-old Roendy Granillo died of heat stroke while he installed flooring in a house in Melissa, Texas, just north of Dallas. His tragic and entirely preventable death marked a turning point in advocacy efforts to pass a rest break ordinance for local construction workers. About five months after Granillo’s death, the Dallas City Council voted 10-5 to approve such an ordinance, which requires that construction workers be given a…
The Pump Handle is on a holiday break. The following, which was originally published on July 8, is one of our favorite posts from 2016. by Kim Krisberg In 2005, the World Health Assembly adopted a revised version of its International Health Regulations, a legally binding treaty among 196 nations to boost global health security and strengthen the world’s capacity to confront serious disease threats such as Ebola and SARS. A decade later, just one-third of countries have the ability to respond to a public health emergency. That’s why Rebecca Katz thinks it’s time to get creative. “How can we…
As 2016 comes to a close — and 2017 looms with enormous uncertainty — let’s end the year with some encouraging public health news. This time it’s a study on one of the 10 great public health achievements of the 20th century: fluoridation. Published this month in Health Affairs, the study is an update on a 2001 study that marked the most comprehensive examination to date of community water fluoridation benefits and costs. This new study found that in 2013, more than 211 million American residents had access to fluoridated drinking water. That fluoridation was associated with the prevention of…
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…