Research

For 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…
In 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…
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…
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…
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 July 27, 2015: by Celeste Monforton, DrPH, MPH The occupational health community, coal miners, their families and labor advocates are mourning the loss of physician Donald Rasmussen, 87. For more than 50 years, he diagnosed and treated coal miners with work-related lung disease, first at the then Miners Memorial Hospital in Beckley, WV and later at his own black lung clinic. A lengthy story by John Blankenship…
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…
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…
You’ve probably seen on-line the grim photos showing a construction nail embedded in a person’s skull or hand. The culprit: nail guns. In particular, those with “contact actuation triggers.” An estimated 37,000 pneumatic nail-gun related injuries are treated in US emergency rooms every year, with slightly more than half being work-related. Nail guns are the leading cause of tool-related injuries in the US construction industry that result in hospitalization. As researchers who study nail gun safety wrote in the March 2015 issue of Professional Safety: “Before pneumatic nail guns were…
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…
It’s not surprising that food insecurity has a negative health and academic impact on young children — numerous studies have come to that conclusion. However, a new study has begun to dig a little deeper into the topic, zeroing in on the lingering aftermath of the Great Recession, when food insecurity and child poverty reached record levels, and examining the particular effects of transitioning from not worrying about having enough food to living in a household with limited or uncertain access to food. Published this month in Health Affairs, the study looked at transitions in food security…
For the first time since 2006, cases of chlamydia, gonorrhea and syphilis are on the rise, according to new data from the Centers for Disease Control and Prevention. The agency reports that while the sexually transmitted diseases continue to impact young people and women most severely, the recent increases were driven by rising disease rates among men. Released just today as part of CDC’s Sexually Transmitted Disease Surveillance 2014 report, the data finds that chlamydia cases are up 2.8 percent since 2013; primary and secondary syphilis (the most infectious stages of the disease) are up 15.…
According to a new, first-of-its-kind survey of the nation’s public health workforce, 38 percent of workers are planning to leave their current positions before the next decade. On its face, that’s a deeply worrisome number. But Brian Castrucci is an optimist — “where there is change, there is opportunity,” he says. Castrucci serves as chief program and strategy officer at the de Beaumont Foundation, which along with the Association of State and Territorial Health Officials, recently released the findings of the Public Health Workforce Interests and Needs Survey. The survey, referred to as PH…