Prevention

The road toward eliminating the threat of asbestos has been long, slow-moving, incredibly frustrating and littered with significant hurdles. Thankfully, advocates like Linda Reinstein, who lost her husband to asbestos-related disease in 2003, refuse to get discouraged. As co-founder and CEO of the Asbestos Disease Awareness Organization (ADAO), Reinstein works to unite those who’ve been personally impacted by asbestos-related illness, raise awareness about the continuing threat of asbestos, and advocate for policies that reduce exposures among workers, their families and the public.…
In 2014, more than 28,000 people in the U.S. died from an opioid overdose. That same year, more Americans died from drug overdoses than during any other year on record, with the escalating numbers fueled by opioid abuse. Solutions to the problem are as complex as the epidemic itself, however a recent study pointed to one tool that can make a significant difference: prescription drug monitoring programs. In a study published this month in Health Affairs, researchers found that implementation of a prescription drug monitoring program was linked to a more than 30 percent reduction in the rate of…
In the first large-scale study of its kind, researchers report that sexual trauma is indeed a risk factor for suicide among military veterans and are calling on veteran health providers to continue including such trauma in suicide prevention strategies. Published in June in the American Journal of Preventive Medicine, the study is the first large-scale, population-based investigation into whether military sexual trauma is a risk factor in suicide-related mortality. To conduct the study, researchers with the Veterans Affairs system analyzed data on millions of veterans who received outpatient…
“In my darker hours when I’m sleeping at night, that’s where I go.” Those are words from Eric Blank, senior director for public health systems at the Association of Public Health Laboratories (APHL), talking about the enormous difficulties that public health labs faced in confronting the 2009 H1N1 flu pandemic. Now he fears that without emergency federal funds and in the face of new funding cuts, Zika virus will force the nation’s critical public health lab network into that same scenario — or into something even worse. “(Public health labs) know what they need and when they need it and yet…
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 10-minute rest break for every four hours of work. On its face, it seems like an incredibly simple and logical request, especially considering the…
It’s been 15 years since worker safety advocates in Puerto Rico first began fighting against a proposal to dilute the qualifications associated with being a professional industrial hygienist. As part of their efforts, such advocates developed their own proposal to protect the livelihoods of those with the knowledge and experience to properly protect workers. And after years of work, they may finally cross the finish line victorious. “We’re really hopeful it works out and we’ll see the light of day,” said Lida Orta-Anés, professor in the Industrial Hygiene Program at the University of Puerto…
With near constant news on the threat of Zika virus and a quickly growing evidence base detailing the virus’ devastating impact on fetal brain development, you’d think Congress could get its act together to make sure our public health system is fully prepared and equipped to confront the mosquito-borne disease. Sadly, you’d be wrong. It’s been nearly three months since the White House submitted a request to Congress proposing $1.9 billion in emergency funding to support a full range of activities needed to prepare for, prevent, detect and respond to Zika in the United States. As of today, May…
Just in time for Mother’s Day comes more good news from the Affordable Care Act: the rate of uninsured moms caring for kids younger than 19 has dropped to its lowest rate in nearly 20 years. According to a new analysis from the Urban Institute released this month, the rate of uninsured moms fell 3.8 percentage points between 2013 and 2014 — that’s a decline about three times as large as any of the previous year-to-year changes observed since 1997. In sheer numbers, that means about 1.6 million moms gained health insurance. To give you even more perspective, consider that uninsurance rates…
When President Obama signed the Healthy, Hunger-Free Kids Act in 2010, he also ushered in the first major nutrition changes in the school meal program in 15 years. Perhaps, not surprisingly, the changes received a good bit of pushback, with many arguing that healthier foods would mean fewer kids buying school lunches and big revenue losses for schools. But a new study shows otherwise. Last week, a study published in the American Journal of Preventive Medicine and that focused on 11 Massachusetts school districts found that while schools experienced initial losses following the meal changes,…
Just a few weeks ago, legislators in New York reached a deal to raise the minimum wage to $15. And while that’s certainly a big boost for incomes, it could also turn out to be a literal lifesaver. Published this month in the American Journal of Public Health, a new study found that if $15 had been New York City’s minimum wage from 2008 to 2012, 2,800 to 5,500 premature deaths could have been averted, with the bulk of such avoided deaths occurring in low-income communities. To conduct the study, researchers used U.S. Census data to calculate how the proportion of low-income residents in each…
In debates over air pollution control, it’s always a tug-of-war between the cost to business and the cost to public health. Late last month, a study emerged with new data for the public health column: the cost of the nation’s nearly 16,000 annual preterm births linked to air pollution is more than a whopping $5 billion. Published in Environmental Health Perspectives, the study estimated the burden of U.S. preterm births and related costs associated with fine particulate matter (PM2.5) — a pollutant from motor vehicles and the burning of fuels such as wood and coal. While preterm birth is a…
A recent study finds vaccine refusals have, indeed, accelerated the resurgence of whooping cough and measles here in the U.S. The findings are making headlines around the country — and comment sections are filling up with vitriol from anti-vaxxers — but it would feel amiss not to highlight the study on a blog dedicated to public health. But first, let’s remind ourselves of the pain and suffering that preceded vaccines. Here’s a brief snapshot of what life was like before vaccines and what it’s currently like for people without access to these life-saving medicines: Whooping cough (pertussis…
In another example of the value of investing in public health, a recent study finds that PulseNet, a national foodborne illness outbreak network, prevents about 276,000 illnesses every year, which translates into savings of $507 million in medical costs and lost productivity. That’s a pretty big return on investment for a system that costs just $7.3 million annually to operate. Created 20 years ago and coordinated by the Centers for Disease Control and Prevention, PulseNet includes 83 state and federal laboratories and identifies about 1,750 disease clusters every year. It works by linking…
Poverty and poor health often go hand-in-hand. However, the effects of poverty may be especially profound for children, who are moving through critical developmental and educational phases in their young lives. Knowing that this social determinant of health can lead to a lifelong struggle with poor health and disease, the American Academy of Pediatrics is now calling on pediatricians to screen their young patients for poverty. Connecting low-income patients with social services and assistance is not necessarily new for many health care providers, but the fact that the nation’s leading…
It seems obvious that workers with paid sick leave are more likely to stay home and seek out medical care when they or a family member is ill. But it’s always good to confirm a hunch with some solid data. In this month’s issue of Health Affairs, researchers used data from the National Health Interview Survey to provide some clarity on the relationship between paid sick leave and health-related behaviors. They found that workers without paid sick leave were three times more likely to forgo medical care than workers who do get paid sick leave. Also, during 2013, both full- and part-time workers…
In the U.S., just a tiny fraction of the chemicals used in consumer products have been tested for human health effects. And with the current climate in Congress, it feels unlikely that we’ll see any true reform of the nation’s terribly outdated chemical safety rules anytime soon. In the meantime, scientist Thomas Hartung may have created the next best thing. In the simplest terms, Hartung and colleagues took what is the world’s largest and richest database of chemical toxicity research — a database produced in accordance with the European Union’s Registration, Evaluation, Authorization and…
Another day, another study on the potentially life-saving impact of vaccines. This time it’s a new study on the vaccine against human papillomavirus, or HPV, a sexually transmitted disease that can lead to cervical cancer. Earlier this week, researchers announced that since the vaccine came on the scene, rates of HPV among young women in the U.S. have plummeted. Published in the journal Pediatrics, the study used data from the National Health and Nutrition Examination Survey to analyze HPV prevalence among women ages 14 to 34 in the four years before the HPV vaccine was introduced in 2006 and…
Manufacturers who market their products as “BPA-free” aren’t just sending consumers a message about chemical composition. The underlying message is about safety — as in, this product is safe or least more safe than products that do contain BPA. However earlier this month, another study found that a common BPA alternative — BPS — may not be safer at all. “BPS works very similarly to BPA,” said Nancy Wayne, a reproductive endocrinologist and professor of physiology at the University of California-Los Angeles David Geffen School of Medicine. “We’re not the first to show this, but what’s captured…
For public health workers, it’s no surprise that social, economic and political conditions shape the distribution and burden of disease. They’ve always known that it takes much more than medicine to keep people healthy. Still, when public health scientist Kristina Talbert-Slagle decided to study the impact of social and public health spending on HIV/AIDS, she wasn’t sure what she’d uncover. “We thought that maybe there would be a connection, but we didn’t really know what to expect,” said Talbert-Slagle, a senior scientific officer at the Yale Global Health Leadership Institute and a lecturer…
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 risks for one group in particular — women. “Our data refute the hypothesis that the more guns out there, the more of a deterrent there is to strangers…