women's health
By Sara Satinsky
Should pregnant women who use drugs be charged as criminals or given help? From a public health perspective the choice is clear: provide treatment to help women quit drugs before their use harms their child.
Less than a year ago, Tennessee adopted a progressive policy to provide such treatment, but now is on the brink of taking a big step back. It could become the first state to criminalize pregnant women whose drug use harms a fetus or newborn baby.
The state legislature has passed a bill that, if signed by Gov. Bill Haslam, would authorize the filing of criminal assault…
At an appearance at Valencia College in Orlando, Florida last month, President Obama spoke about how the problems of stagnant wages and inadequate paid leave affect women workers:
Today, more women are their family’s main breadwinner than ever before. But on average, women are still earning just 77 cents on every dollar that a man does. Women with college degrees may earn hundreds of thousands of dollars less over the course of her career than a man at the same educational level. And that’s wrong. This isn’t 1958, it’s 2014. That’s why the first bill I signed into law was called the…
“For us it’s personal,” said Jeannie Economos, Farmworker Association of Florida Pesticide Safety and Environmental Health Project Coordinator. “It’s a daily issue for us. Every day with a weaker protection standard is another day a worker is exposed to pesticides,” she said.
On February 20th , the US Environmental Protection Agency (EPA) announced proposed revisions to its Worker Protection Standard for agricultural pesticides, the first since the existing standard was established in 1992 – and the second proposed update to the standard since its introduction in 1974. EPA has called the…
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…
“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…
A few of the recent pieces I've liked:
Ken Ward Jr. in the Charleston (WV) Gazette: Why wasn't there a plan? Key players knew of potential for Elk River spill and State ignored plan for tougher chemical oversight (also check out opinions on the West Virginia chemical release from Deborah Blum at Elemental and Tom O'Connor at National COSH)
Jia Tolentino interviews MacArthur "Genius" Grant-winning statistician Susan Murphy at The Hairpin. ("Susan Murphy is a statistician developing new methodologies to evaluate treatments for chronic and relapsing disorders like depression and substance abuse…
People who hold down more than one job not only experience an increased risk of injury at work, but while they’re not at work as well, according to a new study.
Published in the January issue of the American Journal of Public Health, the study found that multiple job holders had a “significantly” higher injury rate per 100 workers for work- and nonwork-related injuries when compared to single job holders. The study, which was based on 1997-2011 data from the National Health Interview Survey, examined nearly 7,500 injury episodes reported during the 15-year study period, of which 802 were…
Earlier this week, Michigan Governor Rick Snyder signed legislation that accepts the Affordable Care Act’s Medicaid expansion for his state, and Pennsylvania Governor Tom Corbett has signaled his intention to do so if the federal government approves his proposed program changes. Wonkblog’s Sarah Kliff notes that if Pennsylvania does expand its Medicaid program, that will mean the majority of the states have adopted one of the main aspects of the Affordable Care Act. This is good news for the millions of low-income uninsured US residents who will gain health coverage from Medicaid.
Another…
Since 1994, when a Nigerian woman and her two daughters were granted asylum in the U.S. based on fear of female genital mutilation (FGM) in their native country, the legal community has been avidly debating the question of whether FGM should be considered grounds for asylum. A 1996 case, in re Kasinga, established a precedent for granting asylum to women based on a well-found fear of persecution in the form of FGM.
Today, the question is still, however, controversial. There is no standard definition of “persecution,” a fear of which is required for asylum seekers to gain asylum, and even…
While the official death toll from the collapse of the Rana Plaza factory building in Bangladesh was still rising (it has now passed 1,100), a fire at another garment factory in Dhaka killed eight people. (If you haven't yet seen Elizabeth Grossman's post from Friday, she explores the reaction from the Asian Network for the Rigths of Occupational and Environmental Victims (ANROEV).) In the Los Angeles Times, Mark Magnier notes that although this latest disaster has spurred additional calls for reform, change will be a challenge:
The Bangladesh garment industry, a national golden goose, is…
Yesterday, FDA announced that it has approved Teva Women's Health, Inc.'s application to market its Plan B One-Step emergency contraceptive for women ages 15 and up. The press release notes that this application was pending before a federal judge ordered the agency to make Plan B available without any age restrictions; the 15-and-up change is "independent of that litigation and this decision is not intended to address the judge’s ruling."
(A quick refresher: In December 2011, HHS Secretary Kathleen Sebelius overruled FDA Commissioner Margaret Hamburg's decision that Plan B should be available…
Last week, Judge Edward Korman of the District Court of Eastern New York overturned the Obama administration's restrictions on the over-the-counter sale of the emergency contraceptive Plan B to young women under age 17. This is good news for public health, and I hope it will be the end of a long and disturbing episode in the history of US contraceptives.
Emergency contraceptives like Plan B can dramatically reduce the risk of an unintended pregnancy if taken within 72 hours after unprotected intercourse, but their efficacy wanes the longer a woman has to wait to take the drug. Making Plan B…
In a New York Times Opinionator column, SUNY Buffalo sociology professor Erin Hatton traces the development of the US temporary-worker industry, which added more jobs than any other over the past three years. Temporary workers generally earn low wages and face job insecurity, and often lack benefits like employer-sponsored health insurance and paid sick leave. Hatton explains that temp agencies offering such disappointing wage and benefits packages emerged in the years following World War II -- and did so despite the growing union power that characterized that era. They managed it, Hatton…
Forty years ago, the US Supreme Court decided in Roe v. Wade that states could not ban first-trimester abortions. Wonkblog's Sarah Kliff takes a look at what's been happening since; her charts document the decline in the number of US abortion providers from the mid-1970s to early 2000s (holding steady since then); an increase in state abortion restrictions, with 92 enacted in 2011 alone; and an increase in the proportion of abortion patients who are low-income and minority. Perhaps most surprising to those of us already aware of these trends is the result of a recent survey: only 44% of…
A recently published case-control study involving more than 2,100 women in southern Ontario, Canada reported a strong association between being employed in the automotive plastics industry and breast cancer. The researchers recruited the 'case' subjects between 2002-2008 among newly diagnosed breast cancer patients and the randomly-selected controls from the same geographic area. The researchers examined a variety of risk factors for breast cancer (e.g., reproductive history, age) and collected data on the women's employment history. Elevated odds of breast cancer were found among women…
by Kim Krisberg
In the west Texas city of San Angelo, Planned Parenthood has been serving local women since 1938. It was one of the very first places in Texas to have a family planning clinic.
"We have grandmas bringing their granddaughters in," Carla Holeva, interim CEO of Planned Parenthood of West Texas, told me. "We're very much part of the community."
Today, the San Angelo clinic is preparing for some big, and unfortunate, changes. Last year, Texas lawmakers voted to exclude Planned Parenthood and other organizations affiliated with abortion providers from the state's Women's Health…
by Kim Krisberg
Legislative attacks on women's health care are so commonplace these days that they make proposals that don't include a state-mandated vaginal probe seem moderate.
In fact, so many legislators are introducing proposals under the guise of protecting women's health (2011 marked a record number of reproductive health restrictions), that it was pretty refreshing to read how the Affordable Care Act will actually protect women's health. Like, for real.
Last week, the Commonwealth Fund released a report finding that the health reform law is already making a difference in the lives of…
I wrote last month about the Institute of Medicine recommendations regarding preventive health services for women that should be covered by all new health plans without requiring co-payments or other cost sharing. Like many other supporters of women's health, I was especially interested in the proposal that contraceptives be covered at no charge to women. So, I was happy to hear that the Department of Health and Human Services has released a rule that accepts all of the IOM's recommendations.
Here's the list of preventive services that private health plans will have to start covering without…
One of the provisions of the Affordable Care Act is a requirement that new health plans cover preventive services for women without deductibles or co-payments. The Department of Health and Human Services asked the Institute of Medicine to review what preventive services are important to women's health and well-being and make recommendations about which of these should be required to be covered without cost-sharing.
The IOM issued its report, Clinical Preventive Services for Women: Closing the Gaps, yesterday, and it focuses on the preventive services not already spelled out for coverage in…
Just before Christmas, the US FDA issued a warning regarding a clay-based traditional West African remedy for morning sickness called Nzu or Calabar or Calabash clay. We discussed this topic here when the initial health warning came out from Texas.
The problem with the product is that it contains high levels of lead and arsenic that could be toxic to both fetus and mother.
And now the problem has expanded beyond Texas.
Scott Gavura at his excellent Science-Based Pharmacy blog tweeted earlier that the New York City Department of Health issued a similar warning today:
February 16, 2010 - A…