Public Health - General
kkrisberg | March 16, 2016At Vox, Sarah Kliff writes about the side of medical errors we rarely hear about — the doctors and nurses who make such errors and the mental health toll of living with that responsibility. In an article that explores whether health care workers are getting the support they need to deal with such experiences, Kliff begins with the story of nurse Kim Hiatt:
Kim Hiatt had worked as a nurse for 24 years when she made her first medical error: She gave a frail infant 10 times the recommended dosage of a medication. The baby died five days later.
Hiatt's mistake was an unnecessary tragedy. But what…
kkrisberg | March 11, 2016Poverty 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…
kkrisberg | March 8, 2016It 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…
kkrisberg | March 4, 2016During the years that community health researcher Jill Johnston lived and worked in San Antonio, Texas was experiencing an explosion of fracking. She and the community partners she worked with on environmental health issues had a strong hunch that most of the fracking wastewater wells were being located near communities of color. So, they decided to dig a little deeper and quantify the pattern.
The results of that effort were published this month in the American Journal of Public Health. It turns out that Johnston and her colleagues were right — the study found that fracking wastewater…
kkrisberg | March 3, 2016In 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…
kkrisberg | March 1, 2016At The New York Times, writers Kim Barker and Russ Buettner report on the labor investigations being conducted at nail salons throughout New York in the wake of a 2015 New York Times article that exposed widespread wage and labor abuses. They report that all but a dozen of the 230 salons whose investigations were closed last year were found violating at least one labor law. More than 40 percent of the salons were violating wage laws. Barker and Buettner write:
But the details of the state inspections are perhaps most revealing about just how challenging it is to regulate a largely immigrant-…
kkrisberg | February 25, 2016Another 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…
kkrisberg | February 19, 2016In the last few years, the residents of Flint, Michigan, and its surrounding suburbs lost five grocery stores. Today, within the city limits, there's just one large chain grocery store, about 10 small and often-pricier groceries, and 150 liquor stores, convenience stores and gas stations. People who have a car often travel out to the suburbs for more variety and better prices. Much of Flint is a food desert — a place where accessing healthy, affordable food is a very real challenge.
But thankfully, a recent study in Flint found that simply relocating an area farmers market is making a…
lborkowski | February 18, 2016A few of the recent pieces I've liked:
Jay Hancock of Kaiser Health News at NPR: In Freddie Gray's Baltimore, The Best Medical Care Is Nearby But Elusive
Jessica Mason Pieklo at RH Reality Check: With No Scalia, What’s Next for the Supreme Court?
David Heath at the Center for Public Integrity: Meet the ‘rented white coats’ who defend toxic chemicals
Maryn McKenna at Germination: Hidden Epidemic of Fatal Infections Linked to Heart Surgeries
David Roberts at Vox: The decisions we make about climate change today will reverberate for millennia. No pressure.
kkrisberg | February 16, 2016At In These Times, reporter Joseph Sorrentino writes about the heartbreaking plight of uranium miners and millers as well as the history of uranium mining oversight and regulation. He spent a week interviewing uranium workers and their families in New Mexico — workers who are among the thousands who began working in the mines after 1971 and who don’t qualify for federal compensation under the Radiation Exposure Compensation Act (RECA). Sorrentino writes:
Cipriano Lucero worked in uranium mills from 1977 to 1982. He has pulmonary fibrosis, and one of his kidneys failed when he was 48,…
kkrisberg | February 12, 2016Manufacturers 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…
kkrisberg | February 10, 2016President Obama released his 2017 federal budget proposal yesterday, recommending funding boosts for a number of public health priorities. And even though his presidency is coming to an end and so this budget is probably dead on arrival in the Republican-controlled Congress, it’s worth a peek inside.
Here are some of the highlights that seem particularly relevant to public health, health care and working families:
Health care access: The Obama budget would expand federal financing to cover the costs of state Medicaid eligibility expansions. That means the federal government would fully cover…
kkrisberg | February 5, 2016For 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…
kkrisberg | February 2, 2016At NPR, reporter Howard Berkes writes about the failure of federal laws to protect workers who are left out of the workers’ compensation system. He begins his story with Kevin Schiller, a building engineer for Macy’s department stores for more than two decades. While working in a storage room in a Macy’s in Denton, Texas, a mannequin fell from 12 feet above, hitting Schiller and forcing him to hit his head on a shelf and then the concrete floor. Berkes writes:
Schiller has hardly worked since, given persistent headaches, memory loss, disorientation and extreme sensitivity to bright light and…
kkrisberg | January 29, 2016In 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…
kkrisberg | January 28, 2016Each year, the U.S. spends $26.2 billion on costs associated with preterm birth — that’s birth before 37 weeks of pregnancy. Beyond the costs, babies born too early experience immediate and long-term problems, from developmental disabilities to asthma to hearing loss. For years, scientists have been studying possible environmental contributors, with many finding an association between preterm birth and air pollution. Earlier this week, a new study brought even more depth and clarity to this connection.
Published in the journal Environmental Health, the study found that exposure to high levels…
kkrisberg | January 22, 2016It’s been nearly two decades since the last publication of a nationwide survey on the distribution of blacklegged ticks — the primary transmitters of Lyme disease. That survey, released in 1998, reported the tick in 30 percent of U.S. counties. Today, a new study using similar surveillance methods has found the tick in more than 45 percent of counties.
“These kinds of changes tend to be gradual,” study co-author Rebecca Eisen, a research biologist in the Centers for Disease Control and Prevention’s Division of Vector-Borne Diseases, told me. “But when you see the cumulative change over 20…
lborkowski | January 20, 2016A few of the recent pieces I've liked:
Maryn’s McKenna at Germination: Zika Virus: A New Threat and a New Kind of Pandemic
Kevin Drum in Mother Jones: My Right to Die: Assisted suicide, my family, and me
Jodi Jacobson at RH Reality Check: Four Facts Nancy Pelosi—and All ‘Pro-Choice’ Democrats—Should Know About Abortion
Sarah Brown in The Chronicle of Higher Education: Many Black Students Don’t Seek Help for Mental-Health Concerns, Survey Finds
David Epstein at ProPublica: The DIY Scientist, the Olympian, and the Mutated Gene
kkrisberg | January 19, 2016At Reveal, reporter Will Evans investigates discrimination within temporary staffing agencies, finding a pattern of racial, sexist and otherwise discriminatory hiring practices. He begins his story with Alabama-based Automation Personnel Services Inc., writing:
When its clients wanted to hire temp workers based on race, sex or age, Automation was happy to oblige, according to dozens of former employees.
Often, the practice was blatant. A manager at a Georgia manufacturing plant asked Christie Ragland not to send him “any black thugs,” she said. Ragland, a former Automation office manager…
kkrisberg | January 18, 2016Think about all the objects you use every day that are made with pieces of metal. Before that object got to you, a worker in the metal manufacturing industry used a machine to cut, saw, bend and assemble the metal pieces into the countless products that make our lives easier. But sometimes those machines break. And when they do, a simple and inexpensive procedure helps ensure both worker and machine can return safely to the job.
The procedure is known as lockout/tagout (LOTO) and it’s used to disable machinery and prevent the release of hazardous energy during servicing and repair. In other…