Public Health - General
CDC: U.S. life expectancy declines, death rates up for heart disease, diabetes, unintentional injury
kkrisberg | December 9, 2016For the first time in more than two decades, U.S. life expectancy has dropped.
This week, the Centers for Disease Control and Prevention reported that in 2015, U.S. life expectancy at birth was 78.8 years — that’s a decrease of 0.1 year from 78.9 years in 2014. Among males, life expectancy went from 76.5 years to 76.3 years; among females, it went from 81.3 years to 81.2 years. According to news reports on the findings, no one single factor caused the drop, but it’s still a cause for concern. Over at The New York Times, Katie Rogers reports:
Dr. Peter Muennig, a professor of health policy and…
kkrisberg | December 6, 2016At Stat, Eric Boodman reports on whether a Trump administration might deprive miners of compensation for disabilities related to black lung disease.
In particular, Boodman examines a little-known provision in the Affordable Care Act (ACA) that shifted the burden of proof from miners and onto mining companies. In other words, if miners had spent at least 15 years underground and can prove a respiratory disability, it’s assumed to be an occupational illness. However, if the ACA is repealed in full — as candidate Trump promised on the campaign trail — that provision would go away as well, making…
kkrisberg | December 2, 2016More than 2 million U.S. adults may be living with workplace-related asthma, according to new data from the Centers for Disease Control and Prevention.
Published this week in CDC’s Morbidity and Mortality Weekly Report, the study is based on data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS) industry and occupational module, which gathered information from 21 states for adults ages 18 and older who were employed or had been out of work for one year or less. Among the survey respondents, 7.7 percent had asthma, with researchers estimating that upward of 2.7 million adults…
kkrisberg | November 29, 2016The percentage of Americans who reported cost-related barriers to health care dropped from 37 percent in 2013 to 33 percent in 2016 — a change that directly corresponds to insurance expansions under the Affordable Care Act, a new study reports. On the flip side, Americans are still more likely than peers in other high-income nations to face financial obstacles to health care.
The study is based on findings from a survey of patients and providers in 11 countries and one that the Commonwealth Fund has been conducting annually since 1998. Those 11 countries are: Australia, Canada, France,…
kkrisberg | November 23, 2016At In These Times, Elizabeth Grossman writes about whether workplace safety will survive a Trump presidency, noting that “Trump’s transition team has said he will introduce a moratorium on new regulations and cancel executive orders and regulations ‘that kill jobs and bloat government.’” In interviewing labor, health and safety advocates, Grossman writes that a number of federal protections could land on the chopping block, including the new overtime rule, proposed beryllium rule and fall protections. Grossman writes:
How does Trump’s promise to reduce and eliminate regulations square with…
lborkowski | November 22, 2016In the days following the 2016 election, reports of hate crimes and harassment have spiked, and experts have described it as being worse than in the immediate aftermath of the 2001 terror attacks. Between Wednesday, November 9 (the day after the election) and the morning of November 14, the Southern Poverty Law Center had collected 437 of hateful intimidation and harassment – and noted that “many incidents involved direct references to the Trump campaign and its slogans.”
I spent part of the weekend reading news and opinion pieces about Donald Trump and US racism and xenophobia. The excerpts…
kkrisberg | November 18, 2016In 2005, Florida legislators passed the nation’s first “Stand Your Ground” law, expanding legal immunity for residents to use lethal force when they believe they’re being threatened. A decade later, a new study finds that Florida has experienced a significant increase in homicides, while states without such laws have not.
“From a public health perspective, we were shocked that in a given area, rates of people dying changed so abruptly and in such a sustained way,” study co-author Douglas Wiebe, an associate professor of epidemiology at the University of Pennsylvania Perelman School of…
kkrisberg | November 16, 2016More and more of America’s adolescents and young adults are struggling with depression, especially young women, according to a study released earlier this week.
Published in the journal Pediatrics, the study found that the rate of adolescents who reported a recent episode of clinical depression increased by 37 percent between 2005 and 2014. Among girls, one in six reported a bout of clinical depression in the last year. In particular, the 12-month prevalence of a major depressive episode increased from 8.7 percent in 2005 to 11.3 percent in 2014 among adolescents, and from 8.8 percent to 9.6…
kkrisberg | November 11, 2016Three days out from the election and many of us are still trying to adjust to this new reality. It’s been a very rough week.
And assuming that we take the new president-elect at his word — that we believe the promises he made on the campaign trail — public health workers and advocates, as well as the often-vulnerable people and communities they serve, now face a very difficult four years. Fortunately, public health has plenty of practice confronting and overcoming powerfully entrenched interests for the greater good. Just ask Big Tobacco.
In that vein, below are excerpts from post-election…
kkrisberg | November 8, 2016At The New York Times, Dan Barry reports on the Hispanic hotel workers who are becoming a powerful political force in Las Vegas. In particular, the story focuses on the 56,000-member Culinary Union, whose membership is more than half Hispanic. The story is told through the eyes of Celia Vargas, 57, a guest room attendant at a hotel along the famous Vegas Strip — Barry writes:
Despite their name tags, guest room attendants are anonymous. They go unnoticed by many as they push their 300-pound carts to the next room, and the next.
A glimpse of what is expected of these attendants can be found at…
cmonforton | November 3, 2016The American Public Health Association (APHA) adopted 11 new policy statements which will guide its work in the coming years. They include:
Raising the minimum wage: The policy calls on states to increase their minimum wage, index the minimum wage to inflation, and prohibit state-government preemption of municipal minimum wage policies. Among other things, the new APHA policy also recommends research on the effects of living wages on public assistance budgets.
Reducing exposure to highly fluorinated chemicals: The policy calls on Congress to fund research on alternatives to perfluoroalkyl and…
cmonforton | November 2, 2016Kim Krisberg and I are currently in Denver at APHA’s 2016 Annual Meeting and Exposition — the year’s largest gathering of public health professionals. In yesterday’s blog post, Kim recapped just a few of the scientific sessions and events from Sunday and Monday. Below are some highlights from Tuesday and you can read many more courtesy of the APHA Annual Meeting Blog.
How can we reduce gun violence? Less politics, more working together: The gun violence epidemic in America got worse in 2016. As of October, more than 40 people every day have died in the U.S. by gunfire, according to the…
kkrisberg | November 1, 2016Celeste Monforton and I are currently in Denver at the American Public Health Association's (APHA) 2016 Annual Meeting and Exposition — the year’s largest gathering of public health professionals. The meeting is packed with hundreds of scientific sessions, leading public health researchers and new findings on just about any public health topic you can imagine. Below are some highlights of the past few days, courtesy the APHA Annual Meeting Blog.
Trees don’t just make neighborhoods pretty. They can also save lives: With flowers in the spring, lush green leaves in the summer and changing colors…
kkrisberg | October 28, 2016While health policy hasn’t been at the forefront of this year’s presidential election, the next person to sit in the White House could have a transformative effect on health care access, affordability and inequity. Of course, with so many variables in play, it’s hard to predict what either candidate could realistically accomplish on the health care front. However, a new report might provide some insightful clues.
Published this week in the New England Journal of Medicine, the report complied results from 14 national public opinion polls from various sources and conducted as recently as…
kkrisberg | October 26, 2016Charles Ornstein at ProPublica and Mike Hixenbaugh at the Virginian-Pilot investigate the man known as Dr. Orange for his “fervent” defense against claims that exposures to Agent Orange sickened American veterans. A part of their long-running investigation “Reliving Agent Orange,” this most recent article reports that the Veterans Administration has repeatedly cited Dr. Orange’s (real name: Alvin Young) work to deny compensation to veterans, even though many argue Young’s work is compromised by inaccuracies, inconsistencies and omissions. In addition, the very chemical companies that make…
lborkowski | October 25, 2016A few of the recent pieces I’ve liked:
Eric Boodman at STAT: Night sweats, bloody cough — and a diagnosis that turned a doctor into an activist
Laura Fink in The San Diego Union-Tribune: Debt of gratitude owed to Trump accusers
Eliza Barclay at Vox: How to confront sexist “locker room talk,” according to science
Jie Jenny Zou at Center for Public Integrity: State cutbacks, recalcitrance hinder Clean Air Act enforcement
Joerg Drewke in Guttmacher Policy Review: “Fungibility”: The Argument at the Center of a 40-Year Campaign to Undermine Reproductive Health and Rights
Lenny Bernstein and Scott…
kkrisberg | October 21, 2016In September 2015, New York farmworker Crispin Hernandez was fired after his employers saw him talking with local workers’ rights advocates. But instead of backing down, Hernandez filed suit against the state. And if he prevails, it could help transform the often dangerous and unjust workplace conditions that farmworkers face to put food on all of our tables.
Officially filed May 10, 2016, Hernandez v. State of New York demands that the state provide the same constitutional protections to farmworkers as it does for other workers. Right now, according to the New York state constitution, all…
kkrisberg | October 20, 2016In troubling public health news, the Centers for Disease Control and Prevention reported just yesterday that combined cases of gonorrhea, syphilis and chlamydia in the U.S. have climbed to the highest number on record.
With the release of its “Sexually Transmitted Disease Surveillance 2015” report, the agency documented more than 1.5 million cases of chlamydia, nearly 400,000 cases of gonorrhea and about 24,000 cases of primary and secondary syphilis. Syphilis clocked the largest increase from 2014 to 2015 at 19 percent, gonorrhea increased by nearly 13 percent and chlamydia rose by nearly 6…
kkrisberg | October 19, 2016After years of alarming increases in child and adult obesity and billions spent to treat related medical problems, one might think health organizations and soda companies would be on firmly opposite sides of the fence. But a new study finds that a surprising number of health groups accept soda sponsorship dollars, inadvertently helping to polish the public image of companies that actively lobby against obesity prevention efforts.
“To be honest, it was really shocking,” study co-author Michael Siegel, a professor of community health sciences at Boston University School of Public Health, told…
kkrisberg | October 14, 2016Another day, another study on the benefit of vaccines. This time, it’s a study on the economic cost of vaccine-preventable diseases among U.S. adults — a cost that likely surpasses your wildest guesses.
Published this week in Health Affairs, the study found that vaccine-preventable diseases affecting adults cost the American economy $8.95 billion in 2015, with unvaccinated adults accounting for $7.1 billion of that total. To conduct the study, researchers examined the economic burden associated with 10 vaccines that protect against hepatitis A; hepatitis B; shingles (or herpes zoster); human…