Public Health - General
kkrisberg | August 3, 2017Public trust in science is a fickle creature. Surveys show a clear majority of Americans believe science has positively impacted society, and they’re more likely to trust scientists on issues like climate change and vaccines. On the other hand, surveys also find that factors like politics, religion, age and race can greatly impact the degree of that trust. It presents a delicate challenge for agencies that depend on trust in science to do their jobs.
“Trust in science is high, but it’s not unanimous and it’s not completely unquestioned — and nor necessarily should it be,” Joseph Hilgard, an…
kkrisberg | August 2, 2017U.S. investments in global health research have saved millions of lives and prevented immeasurable suffering. And by working to detect, treat and eventually eliminate infectious diseases worldwide, we’re protecting our own country too. That cliché about diseases knowing no borders is unfortunately very true. All that alone should be enough to remain committed to the cause.
But a couple weeks ago, a new report from the Global Health Technologies Coalition (GHTC) offered another persuasive reason: U.S. funding for global health research and development (R&D) is good for the American economy…
kkrisberg | July 28, 2017Another day, another study that underscores the societal benefits of vaccines and the consequences we’d face without them.
In a study published earlier this week in JAMA Pediatrics, researchers took on the issue of vaccine hesitancy by estimating the disease burden and economic costs associated with declines in the measles-mumps-rubella (MMR) vaccination rate. They noted that while overall childhood vaccine rates remain high in the U.S., there are areas where nonmedical exemption policies are materializing into declining immunization coverage.
For example, this 2016 article in PLOS Medicine…
kkrisberg | July 26, 2017At PBS Newhour, Aubrey Aden-Buie reports on the shipbuilders that receive billions in federal contracts despite histories of serious safety lapses. In a review of federal contracts, Aden-Buie and colleagues found that since 2008, the federal government has awarded more than $100 billion to companies with records of safety incidents that injured and killed workers.
In a transcript of the broadcast (which you can also watch at the link above), Aden-Buie interviews Martin Osborn, a welder at shipbuilder Austal USA in Alabama:
MARTIN OSBORN: I was up in a boom lift, as we call it, or a man lift,…
kkrisberg | July 22, 2017With the future of the Affordable Care Act still up in the air, most of the news coverage has gone to insurance coverage, premiums and Medicaid. And rightly so. But also included in the massive health reform law were a number of innovative measures to improve the quality and value of the medical care we actually get in the doctor’s office. With repeal still on the table, those measures are at risk too.
One of those ACA efforts is the Hospital Readmissions Reduction Program, which reduces Medicare payments to hospitals with relatively high rates of often-preventable hospital readmissions. The…
kkrisberg | July 11, 2017At the Intercept, Avi Asher-Schapiro reports on a new insurance plan that Uber is offering its drivers that could help them recoup wages and cover medical expenses if they’re injured on the job. Asher-Schapiro notes that while some have described the Uber insurance plan — which workers buy by setting aside 3.75 cents per mile — as a form of workers’ compensation, it hardly fits the bill. In fact, in documents obtained by the Intercept, Uber explicitly states that the insurance plan isn’t workers’ comp. He writes:
Compared to traditional workers’ compensation insurance, Uber’s policy…
kkrisberg | June 30, 2017At the Center for Public Integrity, a five-part investigative series on safety at the nation’s nuclear facilities finds that workers can and do suffer serious injuries, yet the Department of Energy typically imposes only minimal fines for safety incidents and companies get to keep a majority of their profits, which does little to improve working conditions. Reporters estimated that the number of safety incidents has tripled since 2013.
For example, in 2009, the chair of a safety committee at Idaho National Laboratory told high-ranking managers that damaged plutonium plates could put workers…
kkrisberg | June 30, 2017In Cuyahoga County, Ohio, nearly 200 people have died from opioid-related overdoses in the first five months of this year. That means that this one U.S. county is on pace to lose more than 700 people to fatal overdoses by the end of 2017.
Terry Allan, health commissioner at the Cuyahoga County Board of Health, and colleagues across the county have spent years building and scaling up a multifaceted response to the opioid addiction and overdose epidemic that includes getting people into treatment, changing clinical prescribing habits, preventing deadly overdoses, and dealing with the often-…
kkrisberg | June 23, 2017The House and Senate health care bills are overflowing with proposals that will strip Americans of access to quality, affordable health care. But perhaps the cruelest part is what they do to children — the most vulnerable and powerless among us. Children can’t show up at the ballot box to protect their health and so it truly is up to the rest of us.
Right now, after decades of hard work, the U.S. has achieved near-universal insurance coverage of its littlest residents. About 95 percent of U.S. kids have health insurance. Unfortunately, the House and Senate proposals to replace the Affordable…
lborkowski | June 16, 2017Because there’s so much at stake as the Senate considers the American Health Care Act, here are some important articles on healthcare legislation:
Andy Slavitt in the Washington Post: The Senate’s three tools on health care: Sabotage, speed and secrecy
Dylan Scott at Vox: Senate Republicans are closer to repealing Obamacare than you think
Elena Marks in the Houston Chronicle: The American Health Care Act: a civic and moral failure
Vann R. Newkirk II in The Atlantic: How the American Health Care Act Would Affect Mental-Health Coverage
Emma Sandoe at her personal blog: How the HIV outbreak in…
kkrisberg | June 14, 2017At the Guardian, Krithika Varagur interviewed workers inside the Indonesian factory that manufactures clothing for Ivanka Trump’s fashion line, finding poverty wages, anti-union intimidation and unreasonably high production targets. The story includes interviews with more than a dozen workers, who asked that details about their identities be changed to avoid being fired. Varagur writes:
Alia is nothing if not industrious. She has worked in factories on and off since leaving her provincial high school, through the birth of two children, leading up to her current job making clothes for brands…
kkrisberg | June 13, 2017Last year’s emergency Zika funding is about to run out and there’s no new money in the pipeline. It’s emblematic of the kind of short-term, reactive policymaking that public health officials have been warning us about for years. Now, as we head into summer, public health again faces a dangerous, highly complex threat along with an enormous funding gap.
“The Zika threat will get worse,” said Claude Jacob, chief public health officer at the Cambridge Public Health Department in Massachusetts and president of the National Association of County & City Health Officials (NACCHO). “And the…
kkrisberg | June 6, 2017When you ask public health advocates about President Trump’s recent budget proposal, you typically get a bewildered pause. Public health people don’t like to exaggerate — they follow the science, they stay calm, they face off against dangerous threats on a regular basis. Exaggerating doesn’t help contain diseases, it only makes it harder. So it’s concerning when you hear words like this about Trump’s budget: “devastating,” “not serious,” “ludicrous,” “unfathomable.”
Released in late May, Trump’s fiscal year 2018 federal budget proposal calls for cutting the budget at the Centers for Disease…
kkrisberg | May 30, 2017At Eater, Elizabeth Grossman reports that Democratic lawmakers have introduced legislation that would protect undocumented agricultural workers from deportation and provide them and their families with a path to long-term residence and citizenship.
The bill proposes that farmworkers who can prove at least 100 days of agricultural work in the last two years could apply for a “blue card” that grants temporary residency and the ability to work. Farmworkers with a blue card and who work for 100 days a year for five years or 150 days a year for three years would then be eligible for a green card…
kkrisberg | May 26, 2017To the surprise of literally no one, President Trump’s 2018 budget proposed stripping all federal funds, including Medicaid dollars, from Planned Parenthood. Proponents of this argue that if Planned Parenthood clinics end up shuttered, women can simply access care elsewhere. But growing research shows that’s the opposite of what actually happens.
We got even more evidence of this with a report on the capacity of federally qualified health centers (FQHCs) to fill the gaps left when a Planned Parenthood clinic is forced to close its doors. In a policy paper from the Guttmacher Institute…
kkrisberg | May 23, 2017Last week, researchers officially opened enrollment in the nation’s first decades-long study of lesbian, gay, bisexual, transgender and queer health — an effort they hope will transform our understanding of the health challenges LGBTQ people face and begin narrowing a giant data gap on their physical, mental and social well-being.
“Sexual and gender minorities make up between 2 and 6 percent of the population, however sexual orientation and gender identity are rarely asked about in health studies and they’re not included in fundamental metrics like the Census,” said Juno Obedin-Maliver, one…
kkrisberg | May 18, 2017A Zika attack rate of just 1 percent across the six states most at risk for the mosquito-borne disease could result in $1.2 billion in medical costs and lost productivity, a new study finds. That’s more than the $1.1 billion in emergency Zika funding that Congress approved last year after months of delay and which is expected to run out this summer.
“One of the troubling things last year was that (Zika funding) was viewed as a cost — every week, there was another delay and more people becoming infected and more chances of birth defects,” study co-author Bruce Y. Lee, an associate professor at…
kkrisberg | May 16, 2017At BuzzFeed, Kate Moore tells the story of the “radium girls,” the hundreds of women during WWI who worked painting watch dials with luminous radium paint — a substance that would eventually poison and kill them even though they were told it was perfectly safe. What followed was years of employers covering up and denying evidence that radium was killing workers, while berating the women for attempting to get help with their mounting medical bills.
Eventually, Moore writes, their fight for justice led to one of the first cases in which an employer was held responsible for the health of workers…
lborkowski | May 15, 2017A few of the recent pieces I recommend reading:
Nina Martin and Renee Montagne for ProPublica and NPR: The Last Person You’d Expect to Die in Childbirth
Elizabeth Dawes Gay at Rewire: Could Increasing the Number of Black Health-Care Providers Fix Our Maternal Health Problem?
Vann R. Newkirk II in The Atlantic: The American Health Care Act's Prosperity Gospel
Matthew Desmond in The New York Times Magazine: How Homeownership Became the Engine of American Indquality
Jay Reeves for the Associated Press (at STAT): Generations later, the effects of the Tuskegee syphilis study linger
kkrisberg | May 5, 2017Right now, according to public health officials, about half a million U.S. kids have blood lead levels that could harm their health. However, new research finds many more children — hundreds of thousands more — are likely going unidentified.
In a study published last week in Pediatrics, researchers estimated that while 1.2 million cases of elevated blood lead levels (EBLL) likely occurred between 1999 and 2010, only 607,000 were reported to the Centers for Disease Control and Prevention. That data gap not only means kids are likely going without needed treatment and services, but that public…