Research

Unfortunately, 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…
The National Institute for Occupational Safety and Health (NIOSH) is one of those federal agencies that lies quietly in the background. It’s not one for making waves. It's more like bench scientist who minds her own business in the laboratory. But this week, NIOSH blew its top and created some waves.  In a pointed letter to the head of the USDA’s Food Safety Inspection Service (FSIS), NIOSH director John Howard, MD, said that FSIS was misinterpreting a NIOSH report released last month. The report presents the findings of a NIOSH Health Hazard Evaluation (HHE) performed at a Pilgrim’s Pride…
This 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,…
Yep. “We’re not stupid” was just one of the many memorable moments at last week’s public hearing on OSHA’s proposed rule on respirable crystalline silica. The remark came from epidemiologist Robert Park of CDC’s National Institute for Occupational Safety and Health (NIOSH).  He was compelled to respond to a comment made by Tony Cox, a consultant retained by the American Chemistry Council. Cox, who was expounding on the OSHA’s peer-reviewed risk assessment, asserted that the agency has not demonstrated a causal link between silica and lung disease at OSHA’s proposed permissible exposure limit…
It’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…
It started with a yawn. Then a conversation about whether daylight savings time (DST) begins too early in the year. "On Monday, kids will be going to school in the dark and with one hour less sleep," said my mom. My brother remarked: “There are more accidents in the days immediately following the time change.”  I was skeptical about his car accident remark, but didn’t want to open my mouth without some facts. Here’s some of what I learned with just a minute of searching on PubMed. Researchers with Stanford University School of Humanities and Sciences assembled data from U.S. fatal automobile…
It’s probably no surprise that people who experienced foreclosures during the Great Recession may have also experienced symptoms of depression. However, researchers have found that the mental health effects of foreclosure go beyond the individual to the community at-large. “For the most part, discussion of foreclosure has focused on the individual experience, the people who are in this circumstance, who are at risk of losing their homes, of losing that nest egg,” said Kathleen Cagney, a professor within the Department of Sociology at the University of Chicago. “But we wanted to think about…
The billion-dollar poultry industry chews up its workers and spits them out like a chaw of tobacco. One of those workers is in Washington, DC this week to make a plea to the Obama Administration. For 17 years, Salvadora Roman, 59 worked on the de-boning line at a Wayne Farms poultry processing plant in Alabama. The production line ran at an incessant pace that forced her (and her co-workers) to make tens of thousands of repetitive motions on each and every work shift. Her hands and wrists eventually became so swollen and painful that she requested to be moved to a less hand-intensive task.…
Most people infected with mosquito-borne West Nile virus don’t experience any symptoms at all. However, the tiny percentage of cases that do end up in the hospital total hundreds of millions of dollars in medical costs and lost productivity. Published earlier this week in the American Journal of Tropical Medicine and Hygiene, researchers estimated that the cumulative cost of reported hospitalized cases of West Nile virus between 1999 and 2012 totaled $778 million. The study is the first to examine the economic burden of West Nile on infected patients who were hospitalized with conditions such…
Alpine skiiers Heidi Kloser, 21, (US); Rok Perko, 28, (Slovenia); Brice Roger, 23, (France); and Maggie Voisin, 15, (US), are some of the athletes whose dreams of an Olympic medal have come to an end. All suffered serious injuries during training or qualifying runs, which will prevent them from competing for medals. Kloser, Perko, Roger, and Voisin have something else in common. Their injuries are now part of the 2014 Olympic’s official injury and illness surveillance system. The International Olympic Committee initially established the system for the 2004 summer games in Athens. It was…
Higher insurance rates don’t mean people stop seeking care at publically funded health centers, found a recent study of family planning clinics in Massachusetts. The findings speak to serious concerns within public health circles that policy-makers may point to higher insurance rates as a justification to cut critical public health funding. Published in the Jan. 24 issue of Morbidity and Mortality Weekly Report, the study examines trends among uninsured patients seeking care at Massachusetts health centers that receive Title X Family Planning Program funds. (The federal Title X program…
MSHA recently issued two fatality investigation reports for incidents at quarries involving haulage trucks. Both incidents, one in Missouri and the other in Pennsylvania, occurred in September 2013. The reports caught my attention in particular because both include this statement: “Additionally, he was not wearing a seat belt and was ejected from the haul truck which contributed to the severity of his injuries.” What do we know, or not know, about why some workers fail to wear their seatbelts? First, here are a few details about the fatalities: One involved a 1980 Caterpillar 773B haul truck…
In a first-of-its-kind study, a researcher has estimated that the health-related economic savings of removing bisphenol A from our food supply is a whopping $1.74 billion annually. And that’s a conservative estimate. “This study is a case in point of the economic burden borne by society due to the failure to regulate environmental chemicals in a proactive way,” study author Leonardo Trasande told me. With evidence mounting that bisphenol A (BPA) exposure is a serious health risk, Trasande, an associate professor in pediatrics, environmental medicine and health policy at New York University,…
“Millions of Americans use antibacterial hand soap and body wash products. Although consumers generally view these products as effective tools to help prevent the spread of germs, there is currently no evidence that they are any more effective at preventing illness than washing with plain soap and water,” wrote the US Food and Drug Administration (FDA) in issuing a proposed rule last month. “Further, some data suggest that long-term exposure to certain active ingredients used in antibacterial products—for example, triclosan (liquid soaps) and triclocarban (bar soaps)—could pose health risks,…
The day I spoke with Idaho minimum wage activist Anne Nesse, it was quite cold in her hometown of Coeur d'Alene — 29 degrees, to be exact. The harsh winters came up more than once during our conversation about low wages in the northwestern state. “We’re at the bottom,” Nesse said. “We have the lowest wages in the whole nation and we’re cold up here.” Staying warm should hardly be a luxury in a state notorious for its cold winters, but keeping up with basic necessities can be a challenge for Idaho’s working families. According to the Bureau of Labor Statistics, Idaho leads the nation in the…
It was one of those weeks when two seemingly unrelated topics crossed my desk. Only later did it strike me that they were connected. Both involved toxic substances and what we know about their adverse health effects. One concerned the contaminated water supply in West Virginia. The other involved a commentary by attorney Steve Wodka about a newish revision to OSHA’s chemical right-to-know regulation. The drinking water emergency in West Virginia---thousands of gallons of MCHM (methylcyclohexanemethanol) which flowed into the water supply--- has focused attention on the inadequacy of the key…
“There’s a lot we don’t know about preterm birth and we know even less about the disparities in those births.” Those are words from Ondine von Ehrenstein, an assistant professor in the Department of Community Health Sciences at the UCLA Fielding School of Public Health, who recently examined the links between occupational exposures and preterm birth rates among Hispanic women. Perhaps not surprisingly to those in the public health world, von Ehrenstein and her research colleagues did find that Hispanic women are at particular risk for preterm birth associated with certain occupational…
It’s probably my earliest public health memory — the image of Surgeon General C. Everett Koop and his grandfatherly beard on the television warning my elementary school self about the dangers of smoking. He was the first doctor I knew by name. But while Koop may be the surgeon general that people of my generation most likely associate with the public health movement to reduce smoking, he wasn’t the first to speak out against tobacco. Koop was carrying on a legacy that began decades before with the nation’s ninth surgeon general, Luther Terry, who on Jan. 11, 1964, released the first surgeon…
With so much pressure on the Affordable Care Act to immediately live up to high expectations, and with opponents who seem gleeful at the news that Americans are having a hard time signing up for affordable health care, it’s reassuring to read that the health reform law can readily take a few blows and keep moving forward. In a December analysis released by the Urban Institute, authors Linda Blumberg and John Holahan write that the “Affordable Care Act is unlikely to suffer long-term damage even if the marketplaces experience low enrollment and some adverse selection in the first year.” (…
I'm doing the final library work for my Bronze Age book. When working on a big research project, I always find it a little difficult to calibrate the most economical way to schedule my reading. Of course, I have to know early on what's in the literature on the subject I'm working with. But I also like to start writing early. And I'd rather not put too much time into re-reading stuff after I've figured out how it's relevant to my theme. I read some of it before I start writing, most of it while I'm writing, often at the computer, and then I inevitably save some of it until I'm almost done…