Public Health - General
kkrisberg | May 2, 2017At ProPublica, Michael Grabell investigates how U.S. companies take advantage of immigrant workers, focusing on Case Farms poultry plants, which former OSHA chief David Michaels once described as “an outrageously dangerous place to work.” He reports that Case Farms built its business by recruiting some of the world’s most vulnerable immigrants, who often end up working in the kind of dangerous and abusive conditions that few Americans would put up with.
Grabell chronicles the history of Case Farms and how it first began recruiting refugees from Guatemala who were fleeing a brutal civil war in…
kkrisberg | May 1, 2017Protecting babies and children against dangerous — sometimes fatal — diseases is a core mission of public health. Everyday, in health departments across the nation, someone is working on maintaining and improving childhood vaccination rates and keeping diseases like measles and mumps from regaining a foothold in the U.S.
Fortunately for us, public health has been so successful that it’s easy to forget what it was like just a few decades ago when measles was a common childhood illness. (Though here’s a reminder.) But sustaining vaccination rates that provide population-wide protection against…
kkrisberg | April 25, 2017More than 8 million U.S. children depend on the Children’s Health Insurance Program for access to timely medical care. The program is authorized through 2019, but its federal funding expires in September and it’s unclear what Congress will do.
That uncertainty stresses all the systems and families that depend on CHIP, but it may be especially risky for the 2 million chronically ill children who get care through the program, which was originally designed for families falling in the gap between market affordability and Medicaid eligibility. In a study published this month in Health Affairs,…
kkrisberg | April 21, 2017There was always an assumption that the Affordable Care Act would need time to find its sea legs. That’s why it included measures to shield insurers from the potential profit losses that inherently come with offering millions more people better health coverage at more reasonable prices. Insurers operate on profit margins and the ACA took that into account, for better or for worse.
But it’s still been a rocky road for insurers. (Insert argument here for single-payer health care, but that’s a different story.) On the patient side, with 20 million more Americans insured and growing accounts of…
lborkowski | April 20, 2017A few of the recent pieces I recommend reading:
Michael Westerhaus, Amy Finnegan, Jennifer Goldsmith, Evan Lyon, Casey Fox, and Michelle Morse at STAT: Social justice should be a key part of educating health professionals
Scott Tong for Marketplace: Critics say HONEST Act undercuts EPA’s use of science
Caitlin Cruz in Rolling Stone: Dr. Willie Parker Wants to Take Back the Moral High Ground on Abortion
Alana Semeuels in The Atlantic: Why It’s So Hard to Get Ahead in the South
Maryn McKenna in the New York Times Magazine: Why the Menace of Mosquitoes Will Only Get Worse
George W. Bush in the…
kkrisberg | April 18, 2017At Bloomberg BNA, Stephen Lee reports that with fears of deportation looming, undocumented immigrants are becoming afraid to access legal remedies when they’re injured on the job. The article notes that such immigrants are disproportionately employed in hazardous jobs and while they account for just 15 percent of the overall workforce, they account for 18 percent of occupational fatalities. Lee writes:
Sofia, a Mexican fieldworker in Santa Rosa, Calif., has a workers’ compensation case in the works after hurting her arm and shoulder pulling vine roots, requiring surgery. But she says she’s…
kkrisberg | April 14, 2017Public 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…
kkrisberg | April 12, 2017To 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…
kkrisberg | April 8, 2017At 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…
kkrisberg | March 31, 2017As 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…
kkrisberg | March 28, 2017Before Patrick Morrison worked for the International Association of Fire Fighters, he was a firefighter himself. He’s experienced the horrifying and profoundly saddening events that first responders see every day. And like many other firefighters, he turned to alcohol to deal with the accumulating mental trauma.
Fortunately, Morrison got help and considers himself “in recovery” today. But many firefighters don’t. In fact, an August 2016 IAFF report noted that even though firefighters experience a post-traumatic stress disorder (PTSD) rate that’s similar to soldiers returning from combat, many…
kkrisberg | March 21, 2017At the Sacramento Bee, Ryan Lillis and Jose Luis Villegas report on the effects that Trump’s immigration crackdown is having on California farms, writing that fear of deportation is spreading throughout the state’s farming communities. While many farmworkers believe immigration raids are inevitable, farm operators, many who voted for Trump, hope the president will bring more water to the region and keep immigration officials off their fields. Lillis and Villegas write:
Fear is everywhere. The night before, the local school board became one of the first in California to declare its campuses a…
lborkowski | March 20, 2017A few of the recent pieces I recommend reading:
Sarah Kliff & Ezra Klein at Vox: The Lessons of Obamacare
Chris Ladd in Forbes: Unspeakable Realities Block Universal Health Coverage in the US
Donelle Eller in the Des Moines Register: Iowa pollution enforcement could lose big under Trump EPA cuts, critics warn
Teddy Wilson at Rewire: Texas Legislators "Ignore" Spiking Black Maternal Mortality Rates
Linda-Gail Bekker & Anthony S. Fauci at STAT: Women are Leading the Way in HIV Research
And because the House Republicans' healthcare bill is so consequential for public health and there's…
kkrisberg | March 17, 2017There’s a lot at stake for women’s health in the Republican plan to replace the Affordable Care Act, which eliminated out-of-pocket costs for birth control and has been highly successful in breaking down barriers to affordable family planning. The cost-sharing changes alone are saving individual women hundreds of dollars each year on their choice of contraception.
So far, the Republican replacement proposal, known as the American Health Care Act, doesn’t impact the Obama-era contraception coverage provisions, nor does it touch other women’s health benefits, such as designating maternity care…
kkrisberg | March 15, 2017As 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…
kkrisberg | March 10, 2017Another 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…
kkrisberg | March 8, 2017At the Atlantic Monthly, Alana Semuels interviews David Weil, who served as administrator of the Department of Labor’s Wage and Hour Division under President Obama, on his time at DOL and the future of labor under Trump.
On Obama’s effect, Weil told Semuels:
Semuels: What specifically changed in the Department of Labor under Obama?
Weil: One of the things Obama did from the beginning was to fight hard to get resources for his enforcement agencies. He came in and the number of investigators in the Wage and Hour Division was barely 700 nationally—and it is responsible for 7.3 million workplaces…
cmonforton | March 8, 2017The American Public Health Association, the American Lung Association, and other health protection organizations have put Members of Congress and the Trump Administration on notice: dismantling regulations and slashing agency budgets will have dire consequences for Americans. The groups urged lawmakers to oppose several “regulatory reform” bills which were moving at lightning speed through the House of Representatives. Bills such as:
The Searching for and Cutting Regulations that are Unnecessarily Burdensome Act of 2016 (SCRUB Act H.R. 998))
The Regulatory Integrity Act (H.R. 1004)
The…
kkrisberg | March 3, 2017Most 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…
kkrisberg | March 1, 2017In 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…