Regulations
lborkowski | December 28, 2016The Pump Handle is on a holiday break. The following, which was originally published on July 8, is one of our favorite posts from 2016.
by Kim Krisberg
In 2005, the World Health Assembly adopted a revised version of its International Health Regulations, a legally binding treaty among 196 nations to boost global health security and strengthen the world’s capacity to confront serious disease threats such as Ebola and SARS. A decade later, just one-third of countries have the ability to respond to a public health emergency. That’s why Rebecca Katz thinks it’s time to get creative.
“How can we…
cmonforton | August 29, 2014Just before Memorial Day---the kickoff of the summer season---the Obama Administration released its agenda for upcoming regulatory action. In the worker safety world of OSHA, “regulatory action” rarely means a new regulation. Rather, it refers to a step along the long, drawn-out process to (maybe) a new rule to protect workers from occupational injuries, illnesses or deaths.
The items identified by the Labor Department suggested that OSHA planned a productive summer of 2014. Here’s what OSHA outlined for its summer tasks.
In May 2014:
Convene a meeting of small business representatives to…
lborkowski | March 18, 2013by Kim Krisberg
When it comes to public health law, it seems the least coercive path may also be the one of least resistance.
In a new study published this month in Health Affairs, researchers found that the public does, indeed, support legal interventions aimed at curbing noncommunicable diseases such as diabetes, heart disease and obesity. However, they're more likely to support interventions that create the conditions that help people make the healthy choice on their own. They're less likely to back laws and regulations perceived as infringing on individual liberties. It's a delicate…
cmonforton | April 17, 2012Mr. Mitt Romney spoke this weekend at the National Rifle Association's (NRA) annual convention and kicked off his remarks applauding the gun-lovers group's defense of the 2nd amendment to the Constitution. "This fine organization is sometimes called a single-issue group," Romney said. "That's high praise when the single issue is freedom.
I love my freedom as much as the next person, but I sure don't believe that background checks on individuals purchasing guns and appropriate waiting periods are a gross assault on individual liberty. We in public health consider violence a preventable…
cmonforton | August 31, 2011In a week that House Majority Leader Eric Cantor (R-VA) rallied his Members with a plan to repeal "job-destroying regulations," the Center for Progressive Reform (CPR) provides strong evidence to debunk the House Republican's rhetoric. In "Saving Lives, Preserving the Environment, Growing the Economy: The Truth about Regulation," CPR scholars provide concrete examples of profound benefits to society of safety and environmental regulations. It's a stark contrast to Mr. Cantor's one-sided view of regulations: they cost money, while completely ignoring their value to the health, safety and…
revere | May 7, 2010As an academic researcher I don't write grant proposals for a living, although sometimes it feels like I do. I need grants to do my work, but I also need to get to work and I don't consider myself to be commuting for a living. Although sometimes it feels like I do. Having said that, low on my list of favorite things would be anything that required even more compliance paperwork for a grant proposal, but the National Science Foundation (NSF) is now about to spell out a new compliance paperwork requirement, and frankly I approve of it. In principle, at least, although I won't like doing it if…
revere | April 27, 2010Once, long ago, I used to be in a radiology department in a famous hospital. I liked radiology quite a bit and even before becoming a doctor I worked in them. Later I did research on the kinds of errors radiologists make when they read x-rays. One of the errors that was extremely well known even 40 plus years ago (although that didn't prevent it from being made with dismaying consistency up to and including today) was something called "satisfaction of search error." In essence, it meant that once one abnormality was found on an x-ray, there was an increased chance of missing a second,…
revere | April 17, 2010It would be surprising if failure to fund local public health and neutering regulation would result in a decrease in foodborne illness. Alas, there is nothing surprising about CDC's latest report on incidence of foodborne illness in the US. They put the best face on it they could, pointing to a decrease in E. coli O157H7 cases, but they've seen that kind of progress in E. coli before only to slip back.
In reality we aren't sure how much food poisoning occurs each year. Most of it is self-limited and never comes to the attention of medical or public health authorities. It never gets counted.…
revere | April 3, 2010Better late than never. When the Bush administration proposed sweeping airport quarantine rules in 2005, even those of us most concerned about avian influenza thought it was a fruitless policy on scientific grounds, not to mention issues of civili liberties and economics. The airlines hated it, too:
The regulations, proposed in 2005 during the Bush administration amid fears of avian flu, would have given the federal government additional powers to detain sick airline passengers and those exposed to certain diseases. They also would have expanded requirements for airlines to report ill…
revere | March 12, 2010When last we visited the US food safety system during the Bush administration it was busy serving up peanut butter with a side of Salmonella. That one caused over 4 thousand product recalls, 700 Salmonella cases and at least 9 deaths. Now it's Salmonella serovar Tennessee in hydrolyzed vegetable protein (HVP), a common flavor enhancer used in all sorts of food products, including, according to the FDA, soups, sauces, chilis, stews, hot dogs, gravies, seasoned snack foods, dips and dressings. An important difference -- so far -- is that there are no illnesses traced to the contaminated…
revere | October 14, 2009I don't fly as much as I used to but I still fly too often for my likes and when the cart comes around for the free beverages it's either orange juice "with no ice" or a bloody mary mix "with no ice." I rarely drink water, but if I did, I would never drink the water out of a pitcher, as offered to me a couple of weeks ago on Air Canada. From a bottle, maybe, but since bottled water isn't as well regulated as tap water, I usually don't partake. I know a fair amount about public drinking water, but one day I was seated on a plane next to somebody who knew a lot about airplanes and he said he'd…
revere | July 22, 2009The National Pork Producers Council didn't like swine flu being called swine flu. Bad for business. So we now call it 2009 H1N1 or some such thing. It's totally swine-origin, but hey, if Lord Agribusiness doesn't like it, that's that. Same thing with antibiotic resistant bacteria, like methicillin resistant Staphylococcus aureus ("MRSA"; best source on the net Maryn McKenna's blog). The Pork Council doesn't want anyone to die of MRSA. They just don't want it associated with their product, even though a Dutch strain associated with pigs is now spreading in the US (and infecting people).
Some…
revere | June 22, 2009If you don't want to smell, the FDA has a recommendation: use an over-the-counter cold remedy that contains an intranasal zinc solution. You won't smell. Possibly ever again:
The U.S. Food and Drug Administration today advised consumers to stop using three products marketed over-the-counter as cold remedies because they are associated with the loss of sense of smell (anosmia). Anosmia may be long-lasting or permanent. (FDA Press Release)
Losing your sense of smell is no joke. It is intimately involved with your sense of taste and is a warning sense for dangerous gases. The role of zinc in…
revere | June 18, 2009We were among the first to bring you the full text of the leaked minutes of the secret meeting of the bisphenol-A (BPA) cabal at a posh private club in Washington, DC on May 28. It turns out those minutes may be almost as toxic to the cabal as their endocrine disrupting chemical is to humans. I guess I am exaggerating. It would have to pretty toxic for that. But it is at least producing some unpleasant fall out (see also here). You may remember one element (besides describing as the "holy grail" finding a “pregnant young mother who would be willing to speak around the country about the…
revere | June 9, 2009You learn a lot when you move from investigator to subject. I just heard about Drive-by Tylenol for day-care and school age kids. This is the practice of stuffing a couple of Tylenol down the little tyke's throat to bring down a fever just before entering the daycare center. The objective is to get 4 or 5 hours of work in before being called to school because your child has a fever. The underground lore about it includes not using any flavored Tylenol preps with red dye in them so that when the child urps up everthing after lunch there will be no tell-tale pink color savvy teachers will…
revere | June 3, 2009Here is an interesting follow-up to the leaked meeting minutes of the BPA cabal. Henry Waxman's Energy and Commerce Committee has a Subcommittee on Oversight and Investigations. As a result of reports in the Milwaukee Journal-Sentinel and the Washington Post about the meeting minutes of BPA spinmeisters (the full contents of the memo were posted here and then by the Environmental Working Group), Waxman and Sub-Committee Chair Bart Stupak have sent the following letter to Dr. John Rost, Chair of the North American Metal Packaging Alliance, Inc. (the tin can people who line their cans with a…
revere | May 31, 2009We've had occasion to write about the endocrine noise-maker bisphenol-A (BPA) quote a few times (see here, here, here, here, here, here, here, here for starters). The word about BPA has gotten to consumers and they have fled BPA-containing products like they are swine flu carriers. Meanwhile the scientific evidence is piling up and what the market hasn't done will likely bring BPA into the cross-hairs of food safety regulations, if not via the FDA then by state and local governments, some of which have already acted.
So it looks like the writing is on the wall for BPA unless the food…
revere | April 24, 2009As an academic epidemiologist I routinely do NIH funded research involving human subjects. That means my university must adhere to very strict regulations and guidelines for the protection of research subjects. Approval and monitoring of the ethical conduct of research funded by the Department of Health and Human Services (DHHS), of which NIH is a part, was made a legal requirement in the 1970s following widespread abuses, of which the Tuskeegee Syphilis Study and the experiments by Nazi doctors were the most notorious. But less flagrant ethical breeches were widespread in medical research. I…
revere | April 14, 2009If you have any of your clothes dry cleaned it's more than likely you are being exposed to a chlorinated solvent called PCE (for perchloroethylene aka perc aka tetrachloroethylene/tetrachloroethene). You may be lucky enough to also get some in your drinking water, too (which means you are also breathing it and absorbing it through your skin) -- because PCE is also one of the most prevalent groundwater contaminants in the US. It has some other nice properties: it causes cancer and birth defects and probably autoimmune disease. And it isn't needed to dry clean clothes. Other than that, no…
revere | March 9, 2009I'm sure it will be years before we have cleaned up all the garbage -- literally and figuratively -- from the Bush administration's Environmental "Protection" Agency. The notoriously conservative DC Appeals Court, in a unanimous decision, did its part recently when it declared the Bush EPA's standards for air particulates “contrary to law and unsupported by adequately reasoned decisionmaking." The language doesn't get much stronger than that. Just a few days before the Supremes refused to hear a challenge to a lower court decision striking down Bush EPA mercury standards from coal-fired power…