public health

Each 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…
It’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…
At 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…
Think 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…
Scientists are finding that night shift work comes with a range of particular health risks, from heart disease to diabetes to breast cancer. This month, another study joined the pack — this one on the risk of traffic crashes among those who head home from work at sunrise. To conduct the study, researchers from Brigham and Women's Hospital and the Liberty Mutual Research Institute recruited and examined the experiences of 16 night shift workers as they participated in two two-hour daytime drives on a closed test track. The study participants undertook one driving test after working a night…
These days, there’s a lot of attention on finding new and creative ways to turn around the nation’s opioid abuse and overdose problem. And it’s attention that’s very much needed because the problem is only getting worse. On the first day of 2016, the Centers for Disease Control and Prevention published new data on prescription drug and opioid overdose deaths, reporting that more people died from drug overdoses in the U.S. in 2014 than during any other year on record. In fact, during 2014, there were about one-and-a-half more drug overdose deaths than deaths from traffic crashes, with most of…
At ProPublica, Michael Grabell expanded his “Insult to Injury” series on the dismantling of the nation’s workers’ compensation system with a disturbing look inside what he dubs the “workers’ comp industrial complex.” He begins his story in Las Vegas at the National Workers’ Compensation and Disability Conference & Expo. And even though Grabell’s previous investigations exposed just how much injured workers must struggle to receive fair compensation and medical care, he details a conference draped in luxury and expense. He writes: A scantily clad acrobat dangles from the ceiling,…
During the holiday season, Kim, Liz and I are taking a short break from blogging.  We are posting some of our favorite posts from the past year. Here’s one of them, originally posted on May 27, 2015: by Kim Krisberg For more than a decade, biologist Mariam Barlow has been working on the theory that administering antibiotics on a rotating basis could be a solution to antibiotic resistance. After years of research, Barlow had lots of data, but she needed a more precise way to make sense of it all — something that was so specific it could easily be used to treat patients. So, she joined forces…
During the holiday season, Kim, Liz and I are taking a short break from blogging. We are posting some of our favorite posts from the past year. Here’s one of them, originally posted on June 26, 2015: By Kim Krisberg A common hurdle in the field of occupational health and safety is delivering what can sometimes be life-saving information to the people who need it most. After all, not all employers are amenable to workplace health and safety education. But what if safety advocates could find and connect with the most at-risk workers out in the community? Perhaps even reach vulnerable workers…
During the holiday season, Kim, Liz and I are taking a short break from blogging. We are posting some of our favorite posts from the past year. Here’s one of them which was originally posted on May 26, 2015: by Kim Krisberg After 18 years as a professional house cleaner in the suburbs of Chicago, Magdalena Zylinska says she feels very lucky. Unlike many of her fellow domestic workers, she hasn’t sustained any serious injuries. Zylinska, 43, cleans residences in the metropolitan Chicago area five days a week. An independent contractor, she cleans two to three houses each day. Fortunately, she…
At the Center for Public Integrity, reporters Jim Morris and Maryam Jameel investigate the nation’s “third wave” of asbestos-related disease. The story begins with two photos of Kris Penny, who used to install fiber-optic cable beneath the streets of Florida. The first photo is of Penny in April 2015, looking healthy and happy. The next photo is one taken just six months later. Penny looks dramatically transformed after being diagnosed with peritoneal mesothelioma, a rare cancer of the abdominal lining that’s nearly always related to asbestos exposure. After talking with a lawyer, Penny…
Researcher Douglas Wiebe first started studying gun violence as a doctoral student, investigating how having a firearm in one’s home affected the risk of injury. The work only heightened his interest in exploring gun violence from a public health perspective. Eventually, he decided to officially take on a question he’d been mulling over for almost a decade: Among people who’ve experienced a violent assault, are there any commonalities in their experiences just prior to the incident, and can we map those experiences in a way that reveals optimal intervention opportunities? “I wanted to do a…
In a recent study, Harvard public health researchers decided to test a few dozen types of electronic cigarettes for diacetyl, a flavoring chemical associated with a severe respiratory disease known as “popcorn lung.” The researchers found diacetyl in a majority of the e-cigarettes they tested. News outlets jumped on the findings, with some announcing that e-cigarettes could cause the often-debilitating respiratory disease. But scientist Joseph Allen wants to be clear: His study doesn’t make a definitive statement about the effect of diacetyl in e-cigarettes. Instead, Allen said his goal was…
I have a paper out in the Christmas issue of BMJ on the coming zombie apocalypse. You read that right. And yes, it was peer-reviewed. I've discussed previously how I've used the attention paid to zombies to talk about infectious diseases with children and other audiences; and to bring some science to the Walking Dead and other zombie tales. I even include a zombie lecture as part of the talks I give in my position as an American Society for Microbiology distinguished lecturer. Why? Like them or hate them, zombies are part of the zeitgeist. The Walking Dead is still one of the highest-rated…
In 2010, Donna Gross, a psychiatric technician at Napa State Hospital for more than a decade, was strangled to death at work by a mentally ill patient. While on-the-job violence in the health care sector was certainly nothing new at the time, the shocking and preventable circumstances surrounding Gross’ death helped ignite a new and coordinated movement for change. Now, just a handful of years later, California is set to become the only state with an enforceable occupational standard aimed at preventing workplace violence against health care workers. “Honestly, this (proposed rule) wouldn’t…
As world leaders are gathered in Paris to discuss international efforts to combat climate change, Michelle Chen writes that workers in the Global South will “need to build livelihoods that can mitigate ecological crisis — and leap ahead of the dominant fossil-fuel based economies, which historically have both controlled and stifled their development.” Reporting for The Nation, Chen starts her article with a report from the New Delhi-based Just Jobs Network, which notes that climate-driven migration has the potential to drive down wages and working conditions in urban areas. Chen writes: But…
Take a quick look around your home and chances are you’ll find at least one product with an ingredient simply described as “fragrance.” But what exactly does that mean and is there anything harmful in the ubiquitous chemical cocktails we refer to as fragrance? Maybe. But the real answer is that it’s hard to know for sure — and that, say advocates, is bad for public health. “The problem with fragrance is a systemic one,” Alexandra Scranton, director of science and research at Women’s Voices for the Earth (WVE), told me. “It’s a black box of an industry.” Scranton is the author of a new report…
In 2011, a group of researchers embarked on a national study to measure burnout among physicians. They found that 45 percent of U.S. doctors met the criteria for burnout, which manifests as emotional exhaustion, a loss of meaning in one’s work, feelings of ineffectiveness, and a tendency to see people as objects rather than fellow humans. Less than a handful of years later, the problem has gotten significantly worse. In a study published this month in Mayo Clinic Proceedings, researchers report that more than half of U.S. doctors were struggling with professional burnout in 2014. More…
I usually shy away from getting too personal in my work. But in the spirit of Thanksgiving and as a new mom, I was thinking about things for which I’m particularly grateful. One of the first things that came to mind as a public health reporter? Vaccines. So, in that vein, let’s celebrate some new and promising numbers on the worldwide effort to eliminate measles. Last month, the Centers for Disease Control and Prevention released new data on progress toward measles elimination since 2000. That’s the year the United Nations adopted the Millennium Development Goals, which included a goal to…
Public health insurance programs often get a bad rap, despite a growing positive evidence base on their patient care, quality and outcomes. Earlier this month, another study emerged that found Medicaid and the Children’s Health Insurance Program not only outperform private insurance when it comes to children’s preventive care, they can serve as a model of comprehensive children’s coverage. Published in JAMA Pediatrics, the study is based on data from the U.S. National Surveys of Children’s Health between 2003 and 2012 — a sample of more than 80,000 children up to age 17 living in households…