healthcare
kkrisberg | April 14, 2015Low income and poor health tend to go hand in hand — that’s not a particularly surprising or new statement. However, according to family medicine doctor Steven Woolf, we have yet to truly grasp the extent to which income shapes a person’s health and opportunity to live a long life. And if we don’t confront the widening income inequality gap, he says things will only get worse.
“There’s a general awareness that people who have poor education or low incomes have worse health outcomes, but our sense is that we don’t really appreciate the magnitude of the problem,” Woolf told me. “Every time I…
kkrisberg | March 27, 2015In a somewhat frightening illustration of anti-vaccine trends, a new report estimates that among groups affected in the recent measles outbreak, the rates of measles-mumps-rubella immunization might have been as low as 50 percent.
Earlier this month, a report published in JAMA Pediatrics concluded that MMR vaccination rates in many of the populations affected by the Disneyland-related measles outbreak are well below the necessary numbers to maintain herd immunity. Led by researchers at Boston Children’s Informatics Program, the project used disease data from the California Department of…
kkrisberg | March 10, 2015The same day that NPR and ProPublica published their investigation into the dismantling of the workers’ compensation system, OSHA released its own report, “Adding Inequality to Injury: The Cost of Failing to Protect Workers on the Job.” The agency writes that the failure of employers to prevent millions of work-related injuries and illnesses each year coupled with changes to workers’ compensation systems is exacerbating income inequality and pushing many workers into poverty. The report states:
For many injured workers and their families, a workplace injury creates a trap which leaves them…
kkrisberg | March 3, 2015The public health literature is pretty clear when it comes to income status and poverty and their profound effects on health, disability, disease and life expectancy. But what about income inequality? Does a rising gap in wealth and resource distribution affect people’s health too?
In a commentary published last week in the American Journal of Public Health, two researchers posit that growing income inequality is a contributing factor to poorer health among American workers. In “Squeezing Blood from a Stone: How Income Inequality Affects the Health of the American Workforce,” authors Jessica…
kkrisberg | February 27, 2015“Established by the state.” Those are the four words at the center of an upcoming Supreme Court case that could strip affordable health insurance coverage from millions of working families and result in billions of dollars in uncompensated care costs.
The case is known as King v. Burwell and at its core is the question of whether residents who live in states with federally administered health insurance marketplaces, versus state-run marketplaces, are eligible to receive insurance subsidies. The plaintiffs in the case claim that those four little words in one section of the entire Affordable…
kkrisberg | February 24, 2015It’s a toxic chemical that made headlines when it was linked to deaths and injuries among popcorn factory workers, and federal regulators are well aware of its dangers. But, unfortunately, diacetyl is still hurting workers. In “Gasping for Action,” reporter Raquel Rutledge at the Milwaukee Journal Sentinel writes about diacetyl, a chemical that tastes like butter and is used in food products and e-cigarettes, and the dangers it continues to pose to workers who breath it in, particularly coffee workers. She writes:
Coffee roasters sometimes add it to flavor coffee. High concentrations of…
kkrisberg | February 20, 2015While silicosis-related deaths have declined, it remains a serious occupational health risk and one that requires continued public health attention, according to recent data from the Centers for Disease Control and Prevention.
In the Feb. 13 issue of CDC’s Morbidity and Mortality Weekly Report (MMWR), researchers noted that while annual silicosis deaths have dropped from 164 in 2001 to 101 in 2010, dangerous silica exposure has been newly documented in occupations related to hydraulic fracturing (fracking) and the installation of engineered stone countertops. Overall during the 2001-2010 time…
kkrisberg | February 17, 2015In 2010, New York City health officials launched a new food safety tactic that assigned restaurants an inspection-based letter grade and required that the grade be posted where passersby could easily see it. So, did this grading make a difference? A new study finds that it has, with the probability of restaurants scoring in the A-range up by 35 percent.
To conduct the study, researchers with the New York City Department of Health and Mental Hygiene examined data from more than 43,400 restaurants inspected between 2007 and 2013. A restaurant’s score is based on how well it complies with local…
kkrisberg | February 13, 2015When the U.S. Food and Drug Administration approved the first vaccine to protect against cancers caused by certain strains of the human papillomavirus, or HPV, public health advocates cheered its arrival and life-saving potential. Unfortunately, the new vaccine quickly became embroiled in a debate over whether immunizing young girls against HPV, a sexually transmitted disease, would lead to risky sexual behavior. A new study, however, finds that the vaccine is not associated with an uptick in STDs — an indicator that HPV immunization does not promote unsafe sex.
To conduct the study, which…
kkrisberg | February 10, 2015NPR reporter Daniel Zwerdling reports on the failure of hospitals to protect nursing staff from preventable and often debilitating injuries, writing that nursing assistants and orderlies suffer three times the rate of back and musculoskeletal injuries as construction workers. In fact, federal data show that nursing assistants experience more injuries than any other occupation. Zwerdling starts his piece with the story of Pennsylvania nurse Tove Schuster:
While working the overnight shift, (Schuster) heard an all-too-common cry: "Please, I need help. My patient has fallen on the floor."
The…
kkrisberg | January 6, 2015A new analysis of data from the world’s largest and longest-running study of women’s health finds that rotating night shift work is associated with higher mortality rates. The new findings add to a growing awareness that long-term night shift work comes with serious occupational health risks.
Published this month in the American Journal of Preventive Medicine, the study found that all-cause and cardiovascular disease-related mortality were significantly increased among women who worked more than five years of rotating night shifts when compared to those who never worked the night shift. In…
kkrisberg | December 30, 2014With the new year just around the corner, it’s the perfect time to celebrate worker victories of 2014. At In These Times, reporter Amien Essif gathered a list of the nine most important victories of 2014, writing:
Much has been made of the incredibly hostile climate for labor over the past few decades. Yet this past year, workers still organized on shop floors, went out on strike, marched in the street and shuffled into courthouses to hold their employers accountable, and campaigned hard for those who earned (or, often enough, didn’t earn) their vote. Legislators, meanwhile, tarried on with…
cmonforton | December 30, 2014While we take a breather during this holiday season, we’re re-posting content from earlier in the year. This post was originally published on January 6, 2014.
by Liz Borkowski, MPH
Now that it’s 2014, millions more people in the US have health insurance coverage (either Medicaid or private insurance), thanks to the Affordable Care Act. In the weeks ahead, many of the newly insured will be visiting healthcare providers to address ongoing health concerns. The Washington Post’s Sandhya Somashekhar and Karen Tumulty highlighted one person with a pent-up demand for healthcare, Sharon Kelly of…
lborkowski | December 29, 2014by Anthony Robbins, MD, MPH
When my colleagues here at The Pump Handle asked me if I would like to comment on the recent demise of "Single Payer" health insurance in Vermont, I hesitated because my Vermont hands-on experience is so dated. I moved on from being Vermont State Health Commissioner almost 40 years ago. But on second thought, I may have learned some things during my time in Vermont (and from 1970 to 1972 in Quebec) that can contribute to understanding health insurance in Vermont and in the US more generally.
How did I happen to move to Montreal? Canada had just authorized…
kkrisberg | December 23, 2014With the second round of open enrollment now underway, the Affordable Care Act is expected to help narrow racial and ethnic disparities in insurance coverage, a new report finds. However, not all communities are predicted to benefit equally. Because nearly half of the country’s legislatures decided against expanding Medicaid eligibility, black Americans may continue to face difficulties finding quality, affordable health coverage.
This month, the Urban Institute’s Health Policy Center released a new report detailing racial and ethnic differences in insurance rates under the ACA. Using data…
kkrisberg | December 3, 2014As public health practitioners increasingly look upstream to identify the determinants that put people on a trajectory toward lifelong health and wellbeing, early childhood is often tapped as a pivotal intervention point. Now, a new tool is available that practitioners can use to measure neighborhood-level opportunity indicators that are fundamentally linked to children’s health.
In the November issue of Health Affairs, researchers presented the newly developed Child Opportunity Index for the 100 largest U.S. metropolitan areas. The index covers three domains of opportunity: educational,…
kkrisberg | November 25, 2014Months before the first case of Ebola was diagnosed in Texas, the state’s public health laboratory had begun preparing for the disease to reach U.S. shores. And while the virus itself is an uncommon threat in this country, the response of the nation’s public health laboratory system wasn’t uncommon at all — in fact, protecting people’s health from such grave threats is exactly what public health laboratorians are trained to do.
“Having that preparedness background, we’re always ready to get that call at 3 in the morning,” said Grace Kubin, director of the Laboratory Services Section at the…
cmonforton | November 21, 2014Health and safety hazards encountered by custodians, palm tree workers, day laborers, nurses, and bakery workers are just some of the dozens of different occupations examined in research presented at this year’s annual meeting of the American Public Health Association (APHA). The association’s Occupational Health and Safety Section marked its 100th anniversary and members designed the first phase of an electronic timeline to memorialize key events in the Section’s history. A special scientific session explored the OHS Section’s history, starting with its founding co-chairs George Kober, MD…
kkrisberg | November 18, 2014They take care of our most precious resource and yet most of them have to rely on public assistance just to make ends meet.
Katie Johnston at the Boston Globe wrote about a new report from the Center for the Study of Child Care Employment at the University of California, which “found that difficulties child-care workers face in making ends meet create high levels of stress that can affect their performance. Recent research has found that adverse interactions with caregivers early on can alter a child’s genetic chemistry, impairing memory, the immune system and mental health.” On average,…
cmonforton | November 10, 2014It’s been five years since the American Federation of State, County and Municipal Employees (AFSCME) petitioned OSHA for a regulation to protect workers from infectious diseases. This week, OSHA will be taking a major step toward proposing such a rule. The agency and the Small Business Administration (SBA) will be convening a meeting of 50 representatives of small organizations (i.e., small businesses, not-for-profit organizations not dominant in their field, and local governments serving less than 50,000 residents) that would likely be affected by an OSHA infectious disease regulation. Such…