kkrisberg | February 7, 2014Higher 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…
cmonforton | February 6, 2014[June 25, 2014: Updated below]
Seven workers were fatally injured in April 2010 from an explosion and fire at a Tesoro petroleum refinery in Washington State. They were: Daniel J. Aldridge, 50; Matthew C. Bowen, 31; Darrin J. Hoines, 43; Matt Gumbel, 34; Lew Charles Janz, 41; Kathryn Powell, 29; and Donna Van Dreumel, 36. You won’t find their names listed, however, in the official investigation report prepared by the US Chemical Safety Board (CSB).
Earlier this week, TPH contributor Lizzie Grossman reported on the CSB’s recent public meeting at which it released a draft of its investigation…
lborkowski | February 5, 2014Shortly before the 48th Super Bowl, Hall of Famer and former Dallas Cowboys offensive lineman Rayfield Wright acknowledged publicly for the first time that he suffers from dementia. "If something's wrong with you, you try to hide it," he told the New York Times' Juliet Macur, explaining why he had concealed his problems.
Wright, who sustained more concussions than he could count during his football career, is one of more than 4,500 players who have sued the NFL for hiding what it knew about the health risks from repeated head trauma. The NFL has agreed to pay $765 million to settle the suit,…
egrossman | February 4, 2014The city of Anacortes – population about 16,000 – sits on shores of Fidalgo Island, the eastern-most island in the San Juan archipelago, the string of islands clustered off the northwest coast of Washington State. Located at the western end of Skagit County, known regionally for its agriculture, Anacortes’ petrochemical plants – Tesoro and Shell refineries and a chemical plant recently acquired by the Canadian company ChemTrade -- together make up the city’s largest single-industry employer. On a rainy January evening, smoke plumes from these plants that sit near the water’s edge merge with…
cmonforton | February 3, 2014MSHA 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…
kkrisberg | January 31, 2014In 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,…
egrossman | January 31, 2014“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,…
lborkowski | January 29, 2014In last night's State of the Union speech, President Obama addressed several ways to "make sure our economy honors the dignity of work, and hard work pays off for every single American." Here's what he said about wage increases:
To every mayor, governor, state legislator in America, I say, you don't have to wait for Congress to act; Americans will support you if you take this on. And as a chief executive, I intend to lead by example. Profitable corporations like Costco see higher wages as the smart way to boost productivity and reduce turnover. We should too. In the coming weeks I will issue…
cmonforton | January 28, 2014Several recent newspaper editorials have gotten under USDA’s skin. Editors at the Charlotte Observer, Raleigh News Observer, Bellingham (WA) Herald and Gaston (NC) Gazette are skeptical that the USDA’s plan to “modernize” the poultry slaughter inspection process is a wise move.
In “Fed's proposed shift in poultry rules troubling,” the Charlotte Observer’s editorial board wrote this on January 20:
“Warning horns should blast full force around the Obama administration approving a change in federal law to replace most federal inspectors on poultry processing lines with company workers who would…
lborkowski | January 27, 2014I wrote last week about the Prevention and Public Health Fund, which the Affordable Care Act (ACA) created to invest in improving overall population health – with the hope that improved health will help slow the growth of healthcare costs. Another provision of the ACA that aims to reduce future healthcare costs is “Maternal, Infant, and Early Childhood Home Visiting Programs” (Section 2951). Three studies published in the latest supplemental issue of the American Journal of Public Health address this type of program.
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) programs send…
kkrisberg | January 24, 2014The 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…
cmonforton | January 23, 2014[Updated (April 9, 2015) below]
[Updated (July 21, 2014) below]
That’s a common phrase offered by government officials after workers are killed on-the-job. It’s the sentiment shared yesterday by Labor Secretary Tom Perez in response to the January 20 incident that claimed the lives of Keith Everett, 53 and David Ball, 47. The worksite, International Nutrition, manufactures additives for livestock and poultry feed.
Perez’s exact remark was:
“There are many questions yet to be answered about what caused this disaster, but I am confident that the answers provided by federal, state and local…
lborkowski | January 22, 2014Earlier this month, county officials in Hammond, Indiana declared a state of emergency due to extreme weather -- but, reports Salon's Josh Eidelson, Linc Logistics employees doing warehouse work for Walmart were told to stay on the job, despite working in temperatures that organizers say reached negative 15 degrees. After reportedly having multiple requests for early departure denied, workers stopped working and started looking up weather information on their phones. Their boss eventually sent them home, and shut the warehouse the next day, but a worker reportedly suffered frostbite after…
lborkowski | January 21, 2014Both houses of Congress have now passed, and President Obama has signed, the omnibus spending bill, and it’s a welcome relief from budget battles through the end of this fiscal year (September 30, 2014). I was especially curious to see what the bill contained for the Prevention and Public Health Fund, an important part of the Affordable Care Act that has suffered under previous budget manuevering.
Section 4002 of the Affordable Care Act established the Prevention and Public Health Fund "to provide for expanded and sustained national investment in prevention and public health programs to…
cmonforton | January 20, 2014It 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…
kkrisberg | January 17, 2014“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…
egrossman | January 16, 2014In 2012, a Frontline and Pro Publica investigation of the cell (or wireless) tower industry found that between 2003 and 2010 the average fatality rate for the US tower industry was more than 10 times greater than that of the construction industry. A January 6, 2014 story by KUOW reporter John Ryan about the death in January 2013 of tower climber Mike Rongey in Mount Vernon, Washington is a reminder that the industry remains extremely dangerous. It is also a reminder that the employers of the workers killed in these incidents may only be fined minimally and that the wireless service providers…
lborkowski | January 15, 2014A 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…
kkrisberg | January 14, 2014It’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…
Let's not call it a "spill," thousands of gallons of MCHM in water supply of 300,000 West Virginians
cmonforton | January 13, 2014When a glass of milk tips over, that's a spill. When thousands of gallons of a chemical used to separate coal from rock, flows into the source water of 300,000 West Virginia residents, it is not a spill, it's a public health emergency.
Headlines from this weekend's Charleston (WV) Gazette describe the story on the ground:
"State ignored plan for tougher chemical oversight" (here)
"Wasn't there a plan?" (here)
"What is 'Crude MCHM'? Few know" (here)
"Crisis pulls back curtain on water threats" (here)
"Water being given out in many locations, updated list" (here)
"Without water, soup…