public health
kkrisberg | April 20, 2016Just a few weeks ago, legislators in New York reached a deal to raise the minimum wage to $15. And while that’s certainly a big boost for incomes, it could also turn out to be a literal lifesaver.
Published this month in the American Journal of Public Health, a new study found that if $15 had been New York City’s minimum wage from 2008 to 2012, 2,800 to 5,500 premature deaths could have been averted, with the bulk of such avoided deaths occurring in low-income communities. To conduct the study, researchers used U.S. Census data to calculate how the proportion of low-income residents in each…
kkrisberg | April 15, 2016Lead isn’t the only toxin threatening the safety of community drinking water. A recent study on water located downstream from a West Virginia fracking disposal site uncovered levels of endocrine-disrupting chemicals high enough to adversely impact the aquatic animals living there. And that means human health could be at risk too.
“We can’t make any direct (human health) assumptions about this particular water,” said study co-author Susan Nagel, an associate professor in the University of Missouri School of Medicine’s Division of Obstetrics, Gynecology and Women’s Health. “But we certainly…
kkrisberg | April 4, 2016In debates over air pollution control, it’s always a tug-of-war between the cost to business and the cost to public health. Late last month, a study emerged with new data for the public health column: the cost of the nation’s nearly 16,000 annual preterm births linked to air pollution is more than a whopping $5 billion.
Published in Environmental Health Perspectives, the study estimated the burden of U.S. preterm births and related costs associated with fine particulate matter (PM2.5) — a pollutant from motor vehicles and the burning of fuels such as wood and coal. While preterm birth is a…
kkrisberg | March 25, 2016Here’s what states get when they expand Medicaid: more savings, more revenue, more jobs, more access to care for their communities.
That’s the conclusion from a Robert Wood Johnson Foundation issue brief released this month that compared the differences between states that chose to expand Medicaid eligibility under the Affordable Care Act and those that opted out. Under the health reform law, the federal government will pay the entire cost of expanding state Medicaid programs up to 138 percent of the federal poverty level through 2016, phasing down to 90 percent by 2020. It’s a pretty good…
kkrisberg | March 23, 2016A recent study finds vaccine refusals have, indeed, accelerated the resurgence of whooping cough and measles here in the U.S. The findings are making headlines around the country — and comment sections are filling up with vitriol from anti-vaxxers — but it would feel amiss not to highlight the study on a blog dedicated to public health. But first, let’s remind ourselves of the pain and suffering that preceded vaccines.
Here’s a brief snapshot of what life was like before vaccines and what it’s currently like for people without access to these life-saving medicines:
Whooping cough (pertussis…
kkrisberg | March 18, 2016In another example of the value of investing in public health, a recent study finds that PulseNet, a national foodborne illness outbreak network, prevents about 276,000 illnesses every year, which translates into savings of $507 million in medical costs and lost productivity. That’s a pretty big return on investment for a system that costs just $7.3 million annually to operate.
Created 20 years ago and coordinated by the Centers for Disease Control and Prevention, PulseNet includes 83 state and federal laboratories and identifies about 1,750 disease clusters every year. It works by linking…
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…
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 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…
tsmith | February 1, 2016As you've probably seen, unless you've been living in a cave, Zika virus is the infectious disease topic du jour. From an obscure virus to the newest scare, interest in the virus has skyrocketed just in the past few weeks:
I have a few pieces already on Zika, so I won't repeat myself here. The first is an introductory primer to the virus, answering the basic questions--what is it, where did it come from, what are its symptoms, why is it concerning? The second focuses on Zika's potential risk to pregnant women, and what is currently being advised for them.
I want to be clear, though--…
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…