public health

I can hardly do Dr. William Foege justice with a short introduction. He is one of the scientists who led the global smallpox eradication efforts. He developed the concept of ring vaccination, which targeted vaccination to those individuals around a known case of smallpox. This concept really made eradication possible, as it eliminated the need for universal vaccination.  Following the success of the smallpox campaign, he has worked tirelessly to increase global vaccination rates.  He led the effort to provide low-cost treatments for river blindness, resulting in an immense reduction in that…
Nearly two years ago, American schoolchildren began sitting down to healthier school lunches, thanks to new federal nutrition guidelines. Media reports of the nutrition upgrade weren’t terribly encouraging, with stories of unhappy kids, unhappy parents and politicians who think addressing childhood obesity is an example of the “nanny state.” However, recent research has found what most parents probably already know: Kids are pretty adaptable — they just need some time. First, a little background. With the 2010 passage of the Healthy, Hunger-Free Kids Act came the first major update to school…
It looks like a simple piece of paper and it’s nearly as cheap, ideally costing just pennies. But despite its small size, it’s poised to make an enormous impact and potentially save thousands of lives. It’s a new test to spot counterfeit versions of the drug artesunate, which is one of the most important drugs used to treat malaria, a mosquito-borne disease that affects hundreds of millions of people every year. Based on the science of microfluidics, researchers at Oregon State University developed an easy-to-use and inexpensive testing kit that patients and health care providers can use to…
When Bethany Boggess first debuted her online mapping project, she didn’t expect it to attract so much attention. But within just six months of its launch, people from all over the world are sending in reports and helping her build a dynamic picture of the lives and deaths of workers. The project is called the Global Worker Watch and it’s quite literally a living map of worker fatalities and catastrophes from around the globe. When you go to the site, you’ll see a world map speckled with blue dots, each representing a reported occupational death, illness or disaster. Here are just a few I…
Serious health problems are driving workers at a car part manufacturer in Alabama to call for a union. In an in-depth article for NBC News, reporter Seth Freed Wessler investigated occupational exposures at the Selma-based Renosol Seating plant, where workers make foam cushions for Hyundai car seats and headrests. According to the story, at least a dozen current and former employees report sinus infections, chronic coughs, bronchitis, shortness of breath and asthma since working at the factory. The story begins with worker Denise Barnett: Denise Barnett was thankful seven years ago when she…
Last year, the U.S. Census reported that record numbers of people were living in poverty. In fact, the 46.5 million Americans living in poverty as of 2012 was the largest count since the Census began measuring poverty more than 50 years ago. But along with overall poverty numbers, the Census recently reported that concentrated poverty is up, too — and that’s worrisome because it means that more people may face even greater barriers and fewer opportunities to moving out of poverty. The Census Bureau designates any census tract with of a poverty rate of 20 percent or more as a “poverty area.”…
Vaccine safety is one of those topics that has become so tragically mired in misinformation and myth that there can never be enough supporting evidence. So, here’s some more. In a systematic review of the scientific literature on childhood immunizations that will be published in the August issue of Pediatrics, researchers found that vaccine-related adverse events are “extremely rare” and that — once again — the measles/mumps/rubella vaccine (MMR) is not associated with autism. Overall, the study found that while the risks associated with childhood vaccines are not zero, the evidence shows…
Crystalline silica, hydrofluoric acid and formaldehyde. Those are just three of the dozens of air toxic chemicals that oil companies have used thousands of times in southern California in just the past year. The data has come to light thanks to new reporting rules adopted in 2013 by the South Coast Air Quality Management District, which now requires oil and gas well operators to disclose the chemicals they use in oil and gas operations. According to a recently released analysis of the first year’s worth of reported data, oil companies used 44 different air toxic chemicals more than 5,000…
The U.S. Supreme Court released two big decisions yesterday. The first, which you’ve probably heard about, ruled that for-profit companies can deny female employees insurance coverage for birth control if it conflicts with their religious beliefs. (For more on the potential consequences of this outrageous and offensive decision, read this great piece in Slate. Also, since this is the Occupational Health News Roundup, it bears mentioning that in her dissent, Justice Ginsburg noted that the cost of an IUD is about a month’s full-time pay for a worker earning minimum wage.) But in addition to…
Ideally, everyone should be tested for HIV and in fact, federal guidelines introduced in 2006 recommend routine HIV screening for all patients. In reality, however, only about half of U.S. adults have ever been tested for HIV and about half of the 50,000 new infections that happen every year in the U.S. are transmitted by people who are unaware of their HIV status. Such statistics recently led a group of researchers to ask if there’s a more efficient way to go about curbing the HIV epidemic. “We strongly support the concept of universal testing and treatment to limit or control the spread of…
When a widely used chemical is identified as an environmental health hazard and targeted for phase-out and elimination, among the most challenging questions for those involved with using and making such a chemical are: What to use instead? and Will the replacement be safe? The US Environmental Protection Agency’s (EPA) report identifying alternatives to the flame retardant hexabromocyclododecane (HBCD) illustrates how difficult those questions can be to answer. It also highlights how important it is to consider the entire life-cycle of finished products when looking for hazardous chemical…
Building safe ways for children to bike and walk to school is more than just a way of encouraging kids to go outside and get active. According to a new study, it’s also an investment that reaps millions of dollars in societal gains. In other words, smart walking and biking infrastructures for kids make good economic sense. Published in the July issue of the American Journal of Public Health, the study examined the cost-effectiveness of Safe Routes to School (SRTS) infrastructure in just one city — New York City. SRTS was initially enacted in 2005 as part of a massive federal transportation…
Just yesterday, the Obama administration announced it would take executive action to protect certain workers against discrimination based on sexual orientation. The Associated Press reports that the president plans to sign an executive order prohibiting federal contractors from discriminating against workers based on sexual orientation and gender identity. The order is estimated to protect about 14 million workers who are not currently protected against such discrimination. The administration did not say exactly when the president would sign the executive order. The Associated Press article…
Childhood lead poisoning is one of those health risks that everyone has likely heard about, but many probably think it’s a problem of the past. However, a recent study reminds us that in just one state — Michigan — the effects of childhood lead poisoning cost about $330 million every year. And that’s a conservative estimate. But estimating the cost of childhood lead poisoning wasn’t the only goal of the study, which was released earlier this week. Study author Tracy Swinburn, a research specialist at the University of Michigan Risk Science Center, wanted to know what kind of financial return…
Five million dollars. That’s how much the fast food industry spends every day to peddle largely unhealthy foods to children. And because studies have found that exposure to food marketing does indeed make kids want to eat more, advertising is often tapped as an obvious way to address child obesity. Fortunately, a new study finds that the public agrees. As part of the Los Angeles County Health Survey, researchers with the Los Angeles County Department of Public Health asked nearly 1,000 adults four food policy questions: would they support a tax increase on sodas to discourage kids from…
Researcher Christopher Wildeman has spent his whole career describing and quantifying the more unpleasant parts of people’s lives and his latest study on the surprising prevalence of childhood maltreatment is no exception. Still, there is a bit of a silver lining, he told me. “This is the sort of issue that both the right and left shouldn’t have a hard time supporting,” said Wildeman, an assistant professor of sociology at Yale University. “It’s the sort of thing that once we become more aware of it, designing interventions that could diminish maltreatment rates is something anyone can get…
Where you live may be hazardous to your health. This is the conclusion of several recent reports and studies, among them a supplement to the most recent examination of health disparities by the US Centers for Disease Control and Prevention (CDC) and an analysis by the Environmental Justice and Health Alliance for Chemical Reform of those who live in communities most vulnerable to hazardous chemical exposures. Together the two paint a disturbing picture of how the neighborhoods in which Americans live and work play a significant role in determining their residents' health. There should be no…
Coal miner turned whistleblower Justin Greenwell is at the center of a Huffington Post article investigating how the mining industry cheats the worker safety system. Greenwell, who’s now in a legal battle to get back his mining job with Armstrong Coal, a subsidiary of St. Louis-based Armstrong Energy, tipped off federal mine inspectors that the company was submitting misleading coal dust samples to regulators. The samples are used to determine whether a mine is in compliance with safety and health standards designed to protect miners from black lung disease. According to a 2008 posting from…
The heath effects of occupational solvent exposure don’t always fade with time. A new study has found that years — sometimes even decades — down the road from their last workplace exposure, some workers are still experiencing very real cognitive impairments. “Cognitive problems are pretty common at older ages and even though they are really common, we don’t know much about what causes them or how to prevent them,” said study co-author Erika Sabbath, a research fellow at Harvard School of Public Health. “There’s a large body of evidence that solvents are this group of occupational chemicals…
After this post on antibiotic resistance, many of you may have seen an exchange on Twitter calling me out for being "knee-jerk" about my call to action to do something about the overuse of antibiotics. In that post, I focused on antibiotic use in agriculture, giving only brief mention to human clinical use. There are a number of reasons for this, and while I didn't discuss them extensively on Twitter, I did want to provide an overview here in order to better explain my position and concern about antibiotic use in agriculture. How are antibiotics used in animal production? To start, some…