kkrisberg | April 4, 2016In debates over air pollution control, it’s always a tug-of-war between the cost to business and the cost to public health. Late last month, a study emerged with new data for the public health column: the cost of the nation’s nearly 16,000 annual preterm births linked to air pollution is more than a whopping $5 billion.
Published in Environmental Health Perspectives, the study estimated the burden of U.S. preterm births and related costs associated with fine particulate matter (PM2.5) — a pollutant from motor vehicles and the burning of fuels such as wood and coal. While preterm birth is a…
cmonforton | April 1, 2016I spend a lot of time each March preparing to commemorate Worker Memorial Day on April 28. I end up reading way too many news stories about workers who were killed on-the-job. I search here and there trying to identify the victims by name and figure out the circumstances that contributed to their deaths. Year in and out, one thing is clear: some companies are just plain reckless and they gamble with the lives of their employees.
Reckless business decisions and work-related deaths is the subject of a new manual developed by the Center for Progressive Reform (CPR). "Preventing Death and Injury…
kkrisberg | March 29, 2016At Slate, Michelle Chen writes about the experiences of hotel housekeepers in Miami during spring break. The story starts with Adelle Sile, a housekeeper at the four-star Fontainebleau Miami Beach:
Around this time of year, thanks to the influx of spring break and Easter break vacationers, the time (Sile) has to clean each room during her eight-hour shift gets squeezed as guests stretch their mornings to the final minutes before checkout. When she does finally get in, she sometimes opens the door to find vomit, empty bottles, crack pipes, marijuana buds, and makeshift mattresses of cushions…
cmonforton | March 28, 2016Last Thursday, OSHA announced a new standard to protect workers who are exposed to respirable crystalline silica. Here are some of my favorite quotes and remarks in response to OSHA's news:
“Safety advocates worked for years to get this rule in place. Controlling silica dust is especially important to immigrant workers and other vulnerable groups, who are often assigned the dirtiest, most dangerous jobs on any worksite.” Javier Garcia Hernandez, a construction worker and former consultant for the Philadelphia Area Project on Occupational Safety and Health. (here)
“[Obama] administration…
kkrisberg | March 25, 2016Here’s what states get when they expand Medicaid: more savings, more revenue, more jobs, more access to care for their communities.
That’s the conclusion from a Robert Wood Johnson Foundation issue brief released this month that compared the differences between states that chose to expand Medicaid eligibility under the Affordable Care Act and those that opted out. Under the health reform law, the federal government will pay the entire cost of expanding state Medicaid programs up to 138 percent of the federal poverty level through 2016, phasing down to 90 percent by 2020. It’s a pretty good…
cmonforton | March 24, 2016This post is dedicated to J.T. Knuckles. He died in 1998 at age 58 from silicosis.
JT Knuckles, foundry worker from Saginaw, MI (1996).
I first met J.T. Knuckles in 1996. He spoke at a press event at which former Labor Secretary Robert Reich announced a national campaign to eliminate silicosis. “If it’s silica, it’s not just dust” was the campaign slogan. Today, 20 years after I met J.T. Knuckles, current Labor Secretary Tom Perez announced an OSHA standard designed to prevent silicosis.
I watched this morning a live stream of Secretary Perez's announcement. He shared some of the long…
kkrisberg | March 23, 2016A recent study finds vaccine refusals have, indeed, accelerated the resurgence of whooping cough and measles here in the U.S. The findings are making headlines around the country — and comment sections are filling up with vitriol from anti-vaxxers — but it would feel amiss not to highlight the study on a blog dedicated to public health. But first, let’s remind ourselves of the pain and suffering that preceded vaccines.
Here’s a brief snapshot of what life was like before vaccines and what it’s currently like for people without access to these life-saving medicines:
Whooping cough (pertussis…
lborkowski | March 22, 2016A few of the recent pieces I've liked:
Charles Ornstein, Ryann Grochowski Jones and Mike Tigas at ProPublica: Now There’s Proof: Docs Who Get Company Cash Tend to Prescribe More Brand-Name Meds
Anna North in the New York Times: What Planned Parenthood Really Does
Alison Young and Mark Nichols in USA TODAY: Beyond Flint: Excessive lead levels found in almost 2,000 water systems across all 50 states
David Roberts at Vox: How your taxes ended up enriching coal executives who are betraying their workers
Rick Jacobus at Shelterforce: Why We Must Build (“We can’t build our way out of the housing…
cmonforton | March 21, 2016OSHA issued a report last week summarizing the agency’s first year of experience with its new severe injury reporting rule. During 2015, employers from 25 states reported to OSHA more than 7,600 incidents in which workers required overnight (or longer) hospitalizations, and suffered nearly 2,650 work-related amputations. The numbers themselves are striking, but something’s more astonishing: before last year, employers weren’t required to report these serious incidents to OSHA. This change may be the biggest overall advance in occupational health and safety in decades.
Without this regulation…
kkrisberg | March 18, 2016In another example of the value of investing in public health, a recent study finds that PulseNet, a national foodborne illness outbreak network, prevents about 276,000 illnesses every year, which translates into savings of $507 million in medical costs and lost productivity. That’s a pretty big return on investment for a system that costs just $7.3 million annually to operate.
Created 20 years ago and coordinated by the Centers for Disease Control and Prevention, PulseNet includes 83 state and federal laboratories and identifies about 1,750 disease clusters every year. It works by linking…
cmonforton | March 17, 2016A funny thing happened this week when President Obama’s regulatory czar, Howard Shelanski, was called to testify before Congress. The subject of the hearing: transparency at Shelanski’s Office of Information and Regulatory Affairs (OIRA). On the eve of the hearing, OIRA tried to fool us by pretending to be transparent.
For the last several months, I’ve been routinely checking OIRA’s website for notations about meetings the staff has held with individuals or organizations which have an interest in particular pending OSHA regulations. I knew meetings with particular groups had taken place, but…
kkrisberg | March 16, 2016At Vox, Sarah Kliff writes about the side of medical errors we rarely hear about — the doctors and nurses who make such errors and the mental health toll of living with that responsibility. In an article that explores whether health care workers are getting the support they need to deal with such experiences, Kliff begins with the story of nurse Kim Hiatt:
Kim Hiatt had worked as a nurse for 24 years when she made her first medical error: She gave a frail infant 10 times the recommended dosage of a medication. The baby died five days later.
Hiatt's mistake was an unnecessary tragedy. But what…
cmonforton | March 15, 2016Albert James Speed, 25, suffered fatal traumatic injuries on Friday, March 4 while working at Gestamp in McCalla, Alabama. AL.com reports:
“…a large piece of equipment fell on the victim.”
AL.com's story was updated:
The victim “...was using a [remote-controlled] crane to move parts.”
“He became pinned between two large pieces of equipment.”
Gestamp is an engineering and manufacturing firm that supplies parts to automakers. It has eight plants in the USA. Just last week it was named General Motors Supplier of the Year.
The company’s plant in McCalla has been the subject of four OSHA…
lborkowski | March 14, 2016Although the US still has a long way to go in preventing unintended pregnancies, an article published earlier this month in the New England Journal of Medicine had some good news: The proportion of US pregnancies that were unintended dropped from 51% in 2008 to 45% in 2011. Lawrence B. Finer and Mia R. Zolna of the Guttmacher institute analyzed data on pregnancy intention from the National Survey of Family Growth, and note that the rate of unintended pregnancy declined for every income and education group and all racial and ethnic groups. Disparities still persist -- rates are still highest…
kkrisberg | March 11, 2016Poverty and poor health often go hand-in-hand. However, the effects of poverty may be especially profound for children, who are moving through critical developmental and educational phases in their young lives. Knowing that this social determinant of health can lead to a lifelong struggle with poor health and disease, the American Academy of Pediatrics is now calling on pediatricians to screen their young patients for poverty.
Connecting low-income patients with social services and assistance is not necessarily new for many health care providers, but the fact that the nation’s leading…
cmonforton | March 9, 2016The California Department of Public Health (CDPH) continues to make the case that consumers and contractors should stay away from paint strippers that contain methylene chloride. The CDPH’s latest effort is a 7-minute video released last week by the agency's Occupational Health Branch. It features a painter named Jason who nearly died while working with a methylene chloride-based paint stripper. He and two co-workers were removing paint from inside the cabin of a yacht. He explains:
“I became dizzy, light headed, the world was spinning. Next thing I know, I looked over… and one guy was…
kkrisberg | March 8, 2016It seems obvious that workers with paid sick leave are more likely to stay home and seek out medical care when they or a family member is ill. But it’s always good to confirm a hunch with some solid data.
In this month’s issue of Health Affairs, researchers used data from the National Health Interview Survey to provide some clarity on the relationship between paid sick leave and health-related behaviors. They found that workers without paid sick leave were three times more likely to forgo medical care than workers who do get paid sick leave. Also, during 2013, both full- and part-time workers…
lborkowski | March 7, 2016As I noted when I first wrote about Zika virus in January, researchers haven't definititively established the link between the virus and microcephaly -- abornormally small brains now seen in thousands of infants whose mothers had (confirmed or suspected) Zika infections during pregnancy. Over the past few weeks, though, new published research has provided more evidence linking Zika virus to poor health outcomes. Here are a few highlights:
Zika and microcephaly: Patricia Brasil of Fundação Oswaldo Cruz, Karin Nelson-Saines of UCLA, and their colleagues published their findings in the New…
kkrisberg | March 4, 2016During the years that community health researcher Jill Johnston lived and worked in San Antonio, Texas was experiencing an explosion of fracking. She and the community partners she worked with on environmental health issues had a strong hunch that most of the fracking wastewater wells were being located near communities of color. So, they decided to dig a little deeper and quantify the pattern.
The results of that effort were published this month in the American Journal of Public Health. It turns out that Johnston and her colleagues were right — the study found that fracking wastewater…
kkrisberg | March 3, 2016In the U.S., just a tiny fraction of the chemicals used in consumer products have been tested for human health effects. And with the current climate in Congress, it feels unlikely that we’ll see any true reform of the nation’s terribly outdated chemical safety rules anytime soon. In the meantime, scientist Thomas Hartung may have created the next best thing.
In the simplest terms, Hartung and colleagues took what is the world’s largest and richest database of chemical toxicity research — a database produced in accordance with the European Union’s Registration, Evaluation, Authorization and…