Prevention
kkrisberg | January 14, 2014It’s probably my earliest public health memory — the image of Surgeon General C. Everett Koop and his grandfatherly beard on the television warning my elementary school self about the dangers of smoking. He was the first doctor I knew by name.
But while Koop may be the surgeon general that people of my generation most likely associate with the public health movement to reduce smoking, he wasn’t the first to speak out against tobacco. Koop was carrying on a legacy that began decades before with the nation’s ninth surgeon general, Luther Terry, who on Jan. 11, 1964, released the first surgeon…
lborkowski | January 6, 2014Now that it’s 2014, millions more people in the US have health insurance coverage (either Medicaid or private insurance), thanks to the Affordable Care Act. In the weeks ahead, many of the newly insured will be visiting healthcare providers to address ongoing health concerns. The Washington Post’s Sandhya Somashekhar and Karen Tumulty highlighted one person with a pent-up demand for healthcare, Sharon Kelly of Louisville, Kentucky:
Kelly said that having Medicaid coverage on Jan. 1 “is a huge relief,” adding, “I’m a redhead and I used to live in California. I have things on my skin that are…
cmonforton | December 19, 2013Two economists, funded by right-wing, university-housed think tanks, recently submitted their views on OSHA's proposed rule to protect silica-exposed workers. Michael L. Marlow with George Mason University’s Mercatus Center, and Susan Dudley of George Washington University’s Regulatory Studies Center, describe OSHA's proposal as flawed, sloppy, weak and unsubstantiated. Funny, those are some of the terms I used to describe their analyses.
Marlow offers a litany of cockamamie reasons that OSHA should scrap its proposed rule. He says, for example, that OSHA needs to consider a wider set of…
kkrisberg | December 13, 2013On 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…
kkrisberg | December 6, 2013There are few factors that shape a person’s health as strongly and predictably as income. And while enforcing wage and labor laws may at first seem outside the purview of public health agencies, Rajiv Bhatia adamantly disagrees. In fact, he says that public health may wield the most persuasive stick in town.
Bhatia is the director of environmental health at the San Francisco Department of Public Health (SFDPH) and is behind an innovative policy change that uses the agency’s existing regulatory authority to prevent wage theft and support basic labor rights among restaurant workers. Begun in…
cmonforton | November 18, 2013This week will mark the 90-day point of the Labor Department submitting for White House review one of its top priority regulations to protect coal miners' health. It's a rule to prevent black lung disease. The director of the office that conducts those reviews, Howard Shelanski, promised earlier this year during his confirmation hearing that timely review of agencies' regulations would be a top priority. Mr. Shelanski said:
“I absolutely share the concern you just raised about timeliness. ...I recognized that EO 12866 establishes the initial 90 day review process, and it would be one of my…
kkrisberg | November 15, 2013While homelessness among U.S. veterans is on the decline, significant housing challenges remain, according to a new report from the National Low-Income Housing Coalition.
Released this week just a day after Veterans Day, the report finds that in 2011, more than a quarter of the nation’s 20 million veteran households experienced a housing cost burden (defined as spending more than 30 percent of income on housing costs and utilities) and more than 1.5 million veterans were severely cost burdened (spending more than half of their incomes on housing costs and utilities). Within those numbers,…
kkrisberg | November 11, 2013Larger 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…
cmonforton | November 5, 2013The Obama Administration's USDA continues to insist that their proposed rule to "modernize" poultry slaughter inspections will improve food safety. Just last week, Secretary Vilsack's office said it is sticking with their plan, saying:
"comprehensive effort to modernize poultry slaughter inspection in ways that will reduce the risk for American families."
For the last 18 months, however, the USDA Secretary has heard loud and clear that his agency's proposal is certain to do much more harm than good. Advocates for and experts on food safety, workers safety, consumers, animal rights, and even…
kkrisberg | November 4, 2013It takes time to change social norms, so it'll probably take many, many years until it's as socially unacceptable to text or use a cell phone while driving as it is to start the engine without first buckling a seat belt. In the meantime, researchers say, smart policies are needed to address the increasing share of pedestrian and bicyclist deaths attributed to distracted driving.
According to a new study published in Public Health Reports, the rate of distracted driving-related fatalities per 10 billion vehicle miles traveled went up from 116.1 in 2005 to 168.6 in 2010 for pedestrians and from…
cmonforton | October 30, 2013A marriage of public health science and civil rights is one way to describe the lifework of John Froines, PhD, professor emeritus at UCLA School of Public Health. After a 50-year career in academia and public service, and the untolled contributions from it, Froines was recognized this week by the internationally renowned Collegium Ramazzini.
The nomination letter submitted to the Collegium by his colleagues captures many highlights of Froines’ impact over several decades, such as:
His high-profile role in the 1960’s anti-war and civil rights movements
His position with the Vermont State…
cmonforton | October 28, 2013Earlier this month I wrote about the merits of policies that require conflict of interest disclosures. Last week, two items also about conflicts of interest landed in my in-box. They were just too juicy to not take a bite, and write about here.
First came a commentary from the October 2013 issue of the Annals of Occupational Hygiene written by the journal’s chief editor Noah Seixas, PhD, MS. The lead paragraph reads:
"On 6 June 2013, a court in New York handed down a decision that calls into question the validity of research that was sponsored by Georgia-Pacific [GP] and published in eight…
kkrisberg | October 18, 2013A new study finds that dropping out of high school greatly increases the risk of illness and disability in young adulthood. It's another example of why education is one of the greatest social determinants of health and a key leverage point in improving health across the lifespan.
Published earlier this month in the journal BMC Public Health, researchers found that dropping out of high school was associated with later illness and disability even after adjusting for other factors, such as family socioeconomic status, health-related risk behaviors, psychosocial risk factors and school problems.…
cmonforton | October 17, 2013Roger R. King, 62, in West Virginia. Robert Smith, 47, in Illinois. Mark Christopher Stassinos, 44, in Wyoming. Larry Schwartz, 59, in Indiana.
Four coal miners, working in four different States, employed by four different mining companies, all fatally injured on the job during the first eleven days of the government shutdown. King was employed at CONSOL's McElroy mine, Smith at Alliance Resources' Pattiki mine, Stassinos at PacifiCorp's Bridger mine, and Schwartz at Five Star Mining's Prosperity Mine.
I didn’t learn of these deaths from anything posted on the Mine Safety and Health…
kkrisberg | October 11, 2013Strategies to reduce the deathly toll of prescription drug abuse are reaping positive outcomes, though not every state is taking full advantage, according to a new report from Trust for America's Health.
Released earlier this week, "Prescription Drug Abuse: Strategies to Stop the Epidemic" found that 28 states and Washington, D.C., scored six or less out of 10 possible indicators of "promising strategies" to address prescription drug abuse, which has contributed to a startling rise in overdose deaths. Since 1999, such deaths have doubled in 29 states, four of which experienced a quadrupling…
cmonforton | October 9, 2013Who paid for the study? That's an important piece of information to have when considering a study's methods and reported findings. Financial ties are the most obvious conflicts of interest, but others include pre-publication review and other requirements imposed by a study’s sponsors.
Scientists publishing papers in the leading biomedical journals have, for at least ten years, been providing readers with disclosures of real or potential conflicts. The editors of more than 1,300 medical journals require authors to comply with specific disclosure policies. Researchers from other disciplines…
cmonforton | October 7, 2013Steven O’Dell, 27, went to work on November 30, 2012 for his “hoot owl” shift at Alpha Natural Resources’ Pocahontas Coal Mine. He never came home. O’Dell was fatally crushed between two pieces of mobile mining equipment. Three weeks after his death, his wife Caitlin gave birth to their son Andrew.
The young widow wants to make sure that another miner’s family doesn’t have to suffer the pain and grief that she’s endured. As reported by The Charleston Gazette’s Ken Ward, Jr. Caitlin O’Dell spoke last week before the West Virginia Board of Coal Mine Health and Safety, urging them to…
kkrisberg | October 4, 2013While OSHA has never been the most robustly funded federal agency, its efforts and regulatory authority have helped prevent countless deaths, injuries and illnesses on the job. However, recent budget cuts and future budget cut proposals threaten those gains, and it's no stretch to say that worker health and safety hang in the balance.
In a report released in late August by the Center for Effective Government (formerly OMB Watch), author Nick Schwellenbach chronicled what austerity means for OSHA and the workers it protects. To first put the issue and impacts of slashed budgets in broader…
cmonforton | October 2, 2013It's Day #2 of the Tea Party's shutdown of the federal government. Shuttered entrances to national parks and museums are immediate and visible signs of this idiocy. The shutdown's effect on key federal public health programs are probably less obvious, but could have substantially more adverse impact on the U.S. population. Superbug's Maryn McKenna wrote yesterday on just a few ways that interruptions at the Centers for Disease Control and Prevention, the Food and Drug Administration and USDA, could affect your's (and the world's) health. With just a few examples, McKenna captures the…
cmonforton | September 25, 2013Earlier this month, the long-awaited, three-year delayed OSHA silica proposal was published. It's a proposed regulation designed to protect workers employed in construction, foundries, glassmaking, road building and other industries from silicosis, lung cancer and other silica-related diseases.
The proposal does not cover, however, some of the most heavily exposed workers in the U.S.: those employed in the mining industry. These are the workers who routinely drill, cut and load tons of quartz, some of whom work day after day in clouds of silica-laden dust. Protections for these workers…