public health
kkrisberg | May 27, 2014Late last year as many Americans purchased affordable health insurance for the first time, others opened their mailboxes to find notification that their coverage had been cancelled. The story erupted across media channels, as President Obama had promised that people could keep their plans, but the overall issue was presented with little perspective. Thankfully, a new study offers something that’s become seemingly rare these days: context.
Published in May in the journal Health Affairs, the study examined the stability of the nonemployer-based insurance market in the years before the…
kkrisberg | May 23, 2014Despite our best preparedness efforts, a real-life flu pandemic would require some difficult and uncomfortable decisions. And perhaps the most uncomfortable will be deciding who among us gets priority access to our limited health care resources. How do we decide whose life is worth saving?
There are so many different ways to view such a scenario; so many different values and ethical dilemmas to consider. In the chaos of a pandemic, life-saving allocation decisions would not only impact the patient in question — the repercussions would likely ripple throughout families and entire communities.…
kkrisberg | May 20, 2014The Pump Handle’s own Celeste Monforton was quoted in an investigative piece on the tank cleaning industry and the dangerously toxic environments that its workers face. In an investigative article in the Houston Chronicle, reporter Ingrid Lobet found that even though industry workers are coming into contact with extremely toxic and often combustible chemicals, the methods that the Occupational Safety and Health Administration uses to track tank and barge cleaning operations is woefully deficient.
Lobet begins her story with the life and death of David Godines, a Houston tank cleaner found…
kkrisberg | May 16, 2014Two 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…
kkrisberg | May 15, 2014$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…
tsmith | May 13, 2014It's a parent's worst nightmare. Your healthy child is suddenly ill. The doctors you've trusted to treat him are unable to do anything about it. Drugs that we've relied upon for decades are becoming increasingly useless as bacteria evolve resistance to them. New drugs are few and far between. Old drugs, shelved because of their toxic side-effects, are being brought in as last resorts--kidney failure, after all, is better than certain death.
Unfortunately, this is increasingly the state of medicine today, and people are dying from it. The World Health Organization even recently sounded the…
kkrisberg | May 9, 2014In 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.…
kkrisberg | May 6, 2014The 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,…
kkrisberg | April 30, 2014Climbing 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…
kkrisberg | April 18, 2014Women 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…
kkrisberg | April 11, 2014Unfortunately, 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…
kkrisberg | April 4, 2014When 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…
tsmith | April 4, 2014Ebola has surfaced again. After a hiatus of over a year without any new identified outbreaks, the virus has reemerged in western Africa, in the first-ever multi-country outbreak of the Zaire strain of Ebola. As of this writing, there have been 122 suspected cases of the disease in Guinea (24 laboratory-confirmed per the WHO) and 80 deaths (66% mortality rate). Most of these cases have been in Guekedou and Macenta in rural Guinea, about 35 miles apart, but what's really concerning is that at least 11 cases have also been identified in Guinea's capital of 2 million people, Conakry. Conakry is…
kkrisberg | March 28, 2014This 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,…
kkrisberg | March 24, 2014Thanks 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…
cmonforton | March 17, 2014This week will mark the next big step in efforts to institute a federal regulation to protect workers who are exposed to respirable crystalline silica. Tuesday, March 18 will be the first of 14 days of testimony and debate about a proposed silica rule which was released in September 2013 by the Occupational Safety and Health Administration’s (OSHA). The “deadly dust” is associated with malignant and non-malignant respiratory diseases and other adverse health conditions. The hazard has been recognized for centuries, but the U.S. does not have a comprehensive rule on the books to protect the…
kkrisberg | March 14, 2014It’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…
tsmith | March 13, 2014Being a new parent is exhausting. All of a sudden, you're out of the hospital and on your own with this amazing, tiny human, and you alone are responsible for her care. You're given reams of paperwork about feeding and sleeping, developmental milestones, red flags to look out for. You're inundated with information you barely have time to look at. Mom is trying to heal from childbirth while barely sleeping, while her partner is trying to pick up the slack and pitch in as much as possible. You both fumble with the car seat, thinking that NASA must have equipment that's easier to figure out. You…
kkrisberg | March 12, 2014When 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…
egrossman | March 11, 2014“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…