Public Health - General

Two years ago, domestic workers in Houston, Texas, took part in the first national survey documenting the conditions they face on the job. The experience — a process of shedding light on the often isolating and invisible world of domestic work — was so moving that Houston workers decided they didn’t want to stop there. Instead, they decided it was time to put their personal stories to paper. The result is “We Women, One Woman!: A view of the lived experience of domestic workers,” which was officially released last month. The anthology features the stories of 15 nannies, house cleaners and…
$569 million. That’s how much revenue community health centers will miss out on because their state legislators decided not to expand Medicaid eligibility. The loss means that many community health centers will continue to struggle to serve all those in need, others will have to cut back on services and some could be forced to shut down altogether. “In some ways, it’s status quo,” Peter Shin told me. “But for many of them, it’s a bleak status quo.” Shin co-authored a recent report on the impact of the Affordable Care Act (ACA) on uninsured patients at community health centers, zeroing in on…
In New York, construction is the deadliest industry, with immigrant workers experiencing half of all occupational-related fatalities. Across the country in California in 2012, transportation incidents took the unenviable top spot as the leading cause of workplace fatalities. In Massachusetts in 2013, it’s estimated that upward of 500 workers died from occupational disease, at least 1,800 were diagnosed with cancers associated with workplace exposures and 50,000 workers experienced serious injury. In Wyoming, workplace deaths climbed to a five-year high in 2012, from 29 in 2011 to 35 in 2012.…
The Coalition of Immokalee Workers’ Fair Food Program has garnered praise from the White House to the United Nations for its innovative strategies to improve working conditions among farmworkers in Florida. The program, which began in 2010, works by getting big buyers to agree to only purchase tomatoes from farms that adhere to worker protection rules and ensure that workers are educated on their rights and responsibilities. Businesses that have signed on include Taco Bell, Chipotle and, recently, Wal-Mart, which according to a New York Times article chronicling progress on Florida farms,…
A few of the recent pieces I've liked: Jennifer Brown and Christopher N. Osher in the Denver Post: Prescription Kids (a six-part investigative series on the extensive prescribing of psychotropic drugs to Colorado foster children; via Reporting on Health) Lydia DePillis at Washington Post's Wonkblog: The U.S. still spends way more on teen pregnancy than family planning David Moberg at In These Times: Meet the 'Missing' Workers ("More than 5 million Americans have given up hope of a job. Who are they?") William Laurance at Yale Environment 360: Will Increased Food Production Devour Tropical…
Climbing the corporate ladder is usually associated with promotions, salary raises and executive offices. But for many workers, the common metaphor is part of a real-life job description with real-life risks. Last week, the Centers for Disease Control and Prevention released new data on occupational ladder falls, finding that a fifth — or 20 percent — of all fall injuries among workers involve a ladder. Among construction workers, 81 percent of all fall injuries treated in an emergency department involved a ladder (overall, falls are a leading cause of death in construction). In 2011, CDC…
Women aren’t the only ones at risk for depression and in need of screening services when a new baby comes into their lives. Young fathers face significant mental health challenges as well, according to a new study. Published in the May issue of Pediatrics, researchers found that fathers who live in the same households as their children experience a decrease in depressive symptoms in the period immediately before their children are born. However, depressive symptoms among young fathers, who were around 25 years old when they became fathers, increased an average of 68 percent throughout their…
Going to a job and getting paid appropriately for your time is how it is supposed to work. Doing your job and getting ripped off by not getting paid is wrong and illegal. The economic consequences of wage theft for the victims and their families are profound: the threat and reality of losing utilities, food and housing. One of the single biggest risk factors for ill health is poverty. That makes wage theft a public health problem. But catching and punishing employer-thieves is difficult. The federal and state enforcement agencies are under resourced and the laws weak. It’s also one thing to…
The list of 2014 Pulitzer Prize winners announced earlier this week includes several journalists whose award-winning work addresses public health issues. The Boston Globe Staff won the Breaking News prize for “exhaustive and empathetic coverage of the Boston Marathon bombings and the ensuing manhunt that enveloped the city, using photography and a range of digital tools to capture the full impact of the tragedy.” Among the many articles in the Globe’s extensive coverage of the April 15, 2013 attack and its aftermath are pieces on the first responders, hospital workers, and therapists who…
The Washington Post's After the Wars series offers an in-depth look at the challenges facing veterans returning from Iraq and Afghanistan. This past week, it's featured Rajiv Chandrasekaran's "The Other Wounds," about veterans' injuries and illnesses that aren't the direct results of enemy attacks, and Stephanie McCrummen's "The Choice," about one of the  difficult decisions facing survivors of military sexual assault. An unprecedented release of Medicare data has allowed for a lot of reporting on how much Medicare pays physicians; Puneet Kollipara rounds up several articles in Wonbook. Two…
Unfortunately, it’s not too terribly surprising that diseases of the developing world don’t attract as much research attention as diseases common in wealthier countries. However, a new study not only underscores that trend, it actually found zero relationship between global disease burden and health research. Designed to identify the reasons behind global health research disparities, the study compared the global disease burden (defined as healthy life years lost to disease or disability) of 111 diseases against relevant research articles using data from the World Health Organization and the…
When Brian Castrucci sees signs up at local retailers offering discounts to police officers and firefighters, he thinks: Why not public health too? “How do we better brand ourselves as those who protect and serve,” asks Castrucci, chief program and strategy officer at the de Beaumont Foundation, which supports a variety of projects aimed at strengthening the nation’s public health system. “I’ve never been a victim of crime, but I still value the police. I’ve never had a fire in my home, but I still value the fire department. …I want people to value prevention. I want people to know (public…
This year’s County Health Rankings once again illustrate why geography and good health go hand-in-hand. They’re also a poignant reminder that there may be no better way to improve health for all than by focusing on the social determinants of health. Released earlier this week, the 2014 County Health Rankings compare each state’s counties on 29 factors that impact health, from tobacco use to high school graduation rates to access to healthy food choices. In examining the differences between counties, the report found that the least healthy counties were home to twice the premature death rate,…
Thanks to a unanimous vote of California’s Occupational Safety and Health Standards Board last Thursday, workers get to hold on to a robust chemical right-to-know rule that puts their health and safety first. The vote also means that California workers will reap the benefits of more meaningful right-to-know rules than those at the federal level. “It’s a human right to know about the hazards of the work you’re doing,” said Dorothy Wigmore, occupational health specialist at Worksafe, a state-based organization dedicated to eliminating workplace hazards. “If employers don’t know about the…
It’s not the first study to examine the enormous health and economic benefits of vaccines. But it’s certainly another impressive reminder about the power — and value — of prevention. In a study published online earlier this month in the journal Pediatrics, researchers found that childhood immunizations among babies born in 2009 will prevent 42,000 early deaths and 20 million cases of disease, saving the nation $13.5 billion in directs costs (medical costs and disease outbreak control) and more than $68 billion in total societal costs (premature death and lost productivity). That means that…
The latest issue of the Journal of Public Health Policy includes an interesting piece by Linda Richter and Susan E. Foster of the organization CASAColumbia about "changing the language of addiction." (The journal is open access during the month of March; the home page is here.) They note that while the science of addiction has advanced, outdated public attitudes about it persist and interfere with effective treatment. Surveys have found adults, and even many physicians, to consider alcohol addiction to be at least partially a personal or moral weakness. Stigmatizing addiction can interfere…
When President Obama signed the Food Safety Modernization Act (FSMA) into law in 2011, it was described as the most sweeping reform of the nation’s food safety laws in nearly a century. Public health advocates hailed the law for shifting regulatory authority from reaction to prevention. What received less attention was a first-of-its-kind provision that protects workers who expose food safety lawbreakers. The law’s whistleblower provision, also known as Section 402, amends the federal Food, Drug and Cosmetic Act to provide “protection to employees against retaliation by an entity engaged in…
“The United States is facing an industrial chemical safety crisis,” Chemical Safety Board Chairperson Rafael Moure-Eraso told the Senate Environment and Public Works Committee on March 6th. He spoke at hearing held to discuss President Obama’s August 2013 Executive Order on chemical facility safety, which Obama issued following the catastrophic incidents at the West, Texas fertilizer plant and Louisiana petrochemical facilities. In the wake of the Freedom Industries chemical release in West Virginia, improving the nation’s chemical safety has taken on a new urgency. Yet while the Senate…
A few of the recent pieces I've liked: Jim Morris, Lisa Song and David Hasemyer in a collaboration between the Weather Channel, InsideClimate News, and The Center for Public Integrity: Fracking the Eagle Ford Shale: Big Oil and Bad Air on the Texas Prairie Brigid Schulte in the Washington Post: 'Mad Men' era of U.S. family policy coming to an end? Tom Frieden at The Health Care Blog: CDC: Together We Can Provide Safer Patient Care Farida Jhabvala Romero at Reporting on Health: California County Seeks to Eliminate Health Safety Net for the Undocumented Ted Genoways at OnEarth: Hog Wild:…
It’s probably no surprise that people who experienced foreclosures during the Great Recession may have also experienced symptoms of depression. However, researchers have found that the mental health effects of foreclosure go beyond the individual to the community at-large. “For the most part, discussion of foreclosure has focused on the individual experience, the people who are in this circumstance, who are at risk of losing their homes, of losing that nest egg,” said Kathleen Cagney, a professor within the Department of Sociology at the University of Chicago. “But we wanted to think about…