public health
lborkowski | November 30, 2012This is the last in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. This week's story looks at the role of public health in curbing the opioid abuse and overdose problem. Read the previous stories in the series here and here. (We'll be publishing a bonus addition to the series next week — a discussion with Dr. Daniel Carr, director of the Pain Research, Education and Policy Program at Tufts University.)
by Kim Krisberg
A decade ago, only about 10 percent of the…
lborkowski | November 26, 2012by Kim Krisberg
It's often said that hard work never hurt anybody. It's a cliché with which occupational health folks and thousands of injured workers would undoubtedly disagree. And while tragic and often preventable physical injuries may be the easiest to see and document, other work-related health risks are much harder to pick up on. One such risk is depression.
Exploring reliable links between work and depression, which is a significant health and economic burden for individuals as well as society, is somewhat murky, as such research is often based on self-reporting methods that can leave…
tsmith | November 19, 2012Ebola has long been known to be a zoonotic virus--one which jumps between species. Though it took several decades to find evidence of Ebola virus in bats, these animals had previously been associated with human index cases of Ebola disease have worked in bat-infested warehouses or traveled to caves where bats roost. Non-human primates have also become infected with the virus, sometimes transmitting the virus to humans when killed primates are butchered for food. Ebola has also been suggested to infect dogs and other wild animals. However, livestock are a newer angle to Ebola virus ecology.…
lborkowski | November 16, 2012This is the second in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. (The first post is here.) The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story looks at clinical efforts to reduce the risk of opioid abuse and overdose while still caring for patients; the next story will explore the role of public health officials in curbing opioid abuse.
by Kim Krisberg
Since…
lborkowski | November 9, 2012by Kim Krisberg
This is the first in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story provides a look at the field of pain medicine and the patients it cares for; next week's story will look at the educational and risk reduction approaches physicians are employing to address opioid addiction and overdose.
It took…
cmonforton | November 2, 2012I was eight years old on the first Earth Day, April 22, 1970. "Give a hoot, don't pollute!" was the slogan for us kids. When we'd see a newscast with factory stacks spewing thick gray smoke we'd say "yuck." We'd hold our noses when tailpipes of junker cars belched exhaust. In our minds, air pollution was a bad thing because of what we could see and smell. We sure didn't think about it as something that was cutting short people's lives.
One of the first prospective U.S. studies to demonstrate an association between air pollutants and premature mortality was published in the New England…
lborkowski | October 26, 2012by Kim Krisberg
Earlier this year, federal officials put their foot down: New Hampshire could no longer use federal preparedness money to supports its poison control efforts. The directive sent state lawmakers scrambling to find extra funds so New Hampshire residents would still have access to the life-saving service. Without new money, New Hampshire callers to the Northern New England Poison Center would get a recording telling them to call 911 or go to the emergency room.
Fortunately, New Hampshire officials found enough funds to keep the service up and running for state residents this year…
lborkowski | October 19, 2012by Kim Krisberg
At Palm Beach Groves in Lantana, Fla., a small, seasonal business that ships fresh citrus nationwide, employees have regularly voted between getting a raise or keeping their employer-based health insurance. Health coverage always wins, as many employees' ages and pre-existing conditions would have made it nearly impossible to get coverage on their own.
In her 12 years with Palm Beach Groves, general manager Louisa McQueeney has seen insurance premiums go up anywhere from 12 percent to 32 percent a year. Coverage for her family alone — herself, her husband and daughter — was $1…
tsmith | October 17, 2012Guest post by Hillary Craddock
Last week a new study regarding Eastern Equine Encephalitis (EEE) was published online (Bingham et.al.). EEE is a mosquito-borne virus that can cause serious, and sometimes deadly, disease in humans and equines. In warmer parts of North America, the virus is spread year-round, but in areas where mosquitoes get killed off in the winter it has been something of a mystery as to how the virus makes it from year to year. Humans and equines are both dead-end hosts, which means that a mosquito can not be infected from biting an infected person or horse. Researchers in…
lborkowski | October 12, 2012by Kim Krisberg
Researchers studying workers’ compensation claims have found that almost one in 12 injured workers who begin using opioids were still using the prescription drugs three to six months later. It's a trend that, not surprisingly, can lead to addiction, increased disability and more work loss – but few doctors are acting to prevent it, explains a new report from the Massachusetts-based Workers Compensation Research Institute (WCRI).
Report researchers looked at longer-term opioid use in 21 states and how often doctors followed recommended treatment guidelines for monitoring…
lborkowski | October 5, 2012by Kim Krisberg
In the west Texas city of San Angelo, Planned Parenthood has been serving local women since 1938. It was one of the very first places in Texas to have a family planning clinic.
"We have grandmas bringing their granddaughters in," Carla Holeva, interim CEO of Planned Parenthood of West Texas, told me. "We're very much part of the community."
Today, the San Angelo clinic is preparing for some big, and unfortunate, changes. Last year, Texas lawmakers voted to exclude Planned Parenthood and other organizations affiliated with abortion providers from the state's Women's Health…
lborkowski | September 28, 2012by Kim Krisberg
It's not news that unemployment is bad for a person's health. But it turns out that just the threat of unemployment is bad as well.
A recent study, published in the September issue of the Journal of Occupational and Environmental Medicine, found that perceived job insecurity is also linked to poor health outcomes, even among those who had jobs during the recession. Researchers found that perceived job insecurity was linked with "significantly higher odds" of fair or poor self-reported health as well as recent symptoms suggesting depression and anxiety attacks. The findings…
tsmith | September 28, 2012Rabies is a disease without a public relations firm. In developed countries, human disease is incredibly rare--we see typically one or two deaths from rabies each year. In contrast, lightning is responsible for about 60 deaths each year. However, worldwide, rabies is another matter. Today is World Rabies Day, a reminder that 55,000 people still succumb to this virus every year--most of them in impoverished regions of Africa and Asia. While cases in the U.S. are typically due to wildlife exposure (rabid bats or even beavers or rabid kitten), infected dogs remain the main vector of infection in…
lborkowski | September 21, 2012by Kim Krisberg
It really is a chemical world, which is bad news for people with asthma.
According to a recent report released in August, at this very moment from where I write, I'm fairly surrounded by objects and materials that contain chemicals that are known or suspected asthmagens — substances that can act as asthma triggers if inhaled. There's formaldehyde (it's in office furniture, wood flooring, curtains and drapes); maleic anhydride (it's in interior paint and tile flooring); hexamethylene diisocyanate (it's in metal storage shelving and decorative metal); and diisodecyl phthalate (…
lborkowski | September 14, 2012by Kim Krisberg
Funny cats and disaster preparedness. It's a marriage made in Internet heaven.
"Cats are all over the Internet," says Michele Late, coordinator of the American Public Health Association's (APHA) Cat Preparedness Photo Contest. "And if cats are what people want, then marrying them with emergency preparedness seems like a smart fit."
Launched just after Labor Day weekend, APHA's cat photo contest takes its inspiration from the enormous popularity of an Internet meme known as LOLcats, in which — yep, you guessed it — people take funny photos of cats and photoshop them with funny…
lborkowski | September 7, 2012by Kim Krisberg
Another study, another support beam in the argument that access to insurance coverage matters — a lot.
In a study published this month in the journal Health Affairs, researchers took a look at rates of amenable mortality deaths — in other words, deaths that shouldn't happen in the presence of timely and effective care — between the United States, France, Germany and the United Kingdom. Their conclusion? The U.S. — home to the world's highest rate of health care spending — is lagging behind.
Between 1999 and 2007, amenable mortality rates among men fell by 18.5 percent in the U…
lborkowski | August 31, 2012by Kim Krisberg
It's Tuesday evening and as usual, the small parking lot outside the Workers Defense Project on Austin's eastside is packed. The dusty lot is strewn with cars and pick-up trucks parked wherever they can fit and get in off the road. I've arrived well before the night's activities begin, so I easily secure a spot. But my gracious guide and translator, a college intern named Alan Garcia, warns me that I might get blocked in. It happens all the time, he says.
It was the first of two August evenings I'd spend observing the project in action and meeting the workers who help lead its…
tsmith | August 28, 2012Mahabouba*, age 14, was sold into a marriage as a second wife to a man 50 almost years her senior. Raped and beaten repeatedly, she ended up pregnant, finally succeeding in running away 7 months into her pregnancy. Fleeing to the nearby town, she found that the people there threatened to return her to her husband, so she ran back to her native village in Ethiopia. However, her immediate family no longer lived there. An uncle eventually took pity on her and provided her with housing. When Mahabouba went into labor, lacking resources, she tried to deliver her baby herself. Her pelvis was still…
'An issue that affects all of us': Young workers center takes on wage theft in the Rio Grande Valley
lborkowski | August 27, 2012by Kim Krisberg
For six months, Jorge Rubio worked at a local chain of tortilla bakeries and taquerias in the cities of Brownsville and San Benito, both in the very southern tip of Texas. Rubio, 42, prepared the food, cleaned equipment, served customers. Eventually, he decided to quit after being overworked for months.
On his last day of work this past January, his employer refused to pay him the usual $50 for an 11-hour workday. The employer told Rubio that sales were too low to pay him. A couple months later, Rubio was referred to Fuerza del Valle, a young workers center in Texas' Rio…
tsmith | August 18, 2012August, 1976. A new infection was causing panic in Zaire. Hospitals became death zones, as both patients and medical staff succumbed to the disease. Reports of nightmarish symptoms trickled in to scientists in Europe and the US, who sent investigators to determine the cause and stem the epidemic. Concurrently, they would find out, the same thing was happening hundreds of miles to the north in Sudan. In all, 284 would be infected in that country, and another 358 in Zaire--over 600 cases (and almost 500 deaths) due to a mysterious new disease in just a few months' time.
The new agent was Ebola…