Policy

I have a paper out in the Christmas issue of BMJ on the coming zombie apocalypse. You read that right. And yes, it was peer-reviewed. I've discussed previously how I've used the attention paid to zombies to talk about infectious diseases with children and other audiences; and to bring some science to the Walking Dead and other zombie tales. I even include a zombie lecture as part of the talks I give in my position as an American Society for Microbiology distinguished lecturer. Why? Like them or hate them, zombies are part of the zeitgeist. The Walking Dead is still one of the highest-rated…
Low 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…
If national lawmakers took action on less than a dozen policy fronts, they could reduce child poverty in the U.S. by a whopping 60 percent. In sheer numbers, such a reduction would lift 6.6 million children out of poverty and significantly improve their opportunities for living long and fruitful lives. For the public health field, in particular, targeting poverty — a root determinant of lifelong disease and disability — could put an entire generation on a trajectory toward better health and well-being. Those numbers are from the Children’s Defense Fund, which late last month released “Ending…
Measles has come to the happiest place on Earth. As of this writing, a total of 32 cases of measles have been linked to Disneyland visits that took place between December 17th and 20th. About 75% of the cases identified to date were not vaccinated, either because they chose to forgo vaccines or because they were too young, and at least 6 have been hospitalized. A measles outbreak is a public health disaster, which can cost into the millions of dollars in health resources. You can be sure that public health workers in California and beyond are working overtime trying to identify cases, educate…
Have a new article up at Slate. Nine months into the worst-ever Ebola outbreak, here's where we stand.
Researcher Christopher Wildeman has spent his whole career describing and quantifying the more unpleasant parts of people’s lives and his latest study on the surprising prevalence of childhood maltreatment is no exception. Still, there is a bit of a silver lining, he told me. “This is the sort of issue that both the right and left shouldn’t have a hard time supporting,” said Wildeman, an assistant professor of sociology at Yale University. “It’s the sort of thing that once we become more aware of it, designing interventions that could diminish maltreatment rates is something anyone can get…
Guest post by Tim Fothergill, Ph.D. In January of this year the British Chief Medical Officer urged her government to add  threat posed by superbugs to the official list of "Apocalypses to Worry About" along with catastrophic terrorist attacks and massive flooding. With typical British understatement, its actual name is the National Risk Register of Civil Emergencies but a very stark picture was painted of a post-antibiotic world in which routine operations, such as hip replacements, could prove fatal. In September, The Centers for Disease Control in the US issued a similar statement which…
On average, eating healthy costs about $1.50 more per day than the least healthy diets, a new study finds. The extra cost seems insignificant at first — a small cup of coffee often costs more — but it all adds up to be a considerable barrier for many low-income families. Researchers with the Harvard School of Public Health set out to find the evidence behind the conventional wisdom that healthier foods cost more, conducting the most comprehensive meta-analysis to date of price differences between healthy and unhealthy foods. In examining data from 10 high-income nations, researchers found…
There are few factors that shape a person’s health as strongly and predictably as income. And while enforcing wage and labor laws may at first seem outside the purview of public health agencies, Rajiv Bhatia adamantly disagrees. In fact, he says that public health may wield the most persuasive stick in town. Bhatia is the director of environmental health at the San Francisco Department of Public Health (SFDPH) and is behind an innovative policy change that uses the agency’s existing regulatory authority to prevent wage theft and support basic labor rights among restaurant workers. Begun in…
This week, Houston became only the second major city in the U.S. South to pass a law to prevent and punish wage theft. It’s a major victory for all workers, but it’s especially significant for the city’s low-wage workers, who lose an estimated $753.2 million every year because of wage theft. Passed unanimously by the Houston City Council on Wednesday, the new wage theft ordinance provides workers with a formal process to lodge wage theft complaints and puts in place real penalties for employers convicted of stealing workers’ wages. Businesses convicted of wage theft — either civilly or…
It takes time to change social norms, so it'll probably take many, many years until it's as socially unacceptable to text or use a cell phone while driving as it is to start the engine without first buckling a seat belt. In the meantime, researchers say, smart policies are needed to address the increasing share of pedestrian and bicyclist deaths attributed to distracted driving. According to a new study published in Public Health Reports, the rate of distracted driving-related fatalities per 10 billion vehicle miles traveled went up from 116.1 in 2005 to 168.6 in 2010 for pedestrians and from…
Strategies to reduce the deathly toll of prescription drug abuse are reaping positive outcomes, though not every state is taking full advantage, according to a new report from Trust for America's Health. Released earlier this week, "Prescription Drug Abuse: Strategies to Stop the Epidemic" found that 28 states and Washington, D.C., scored six or less out of 10 possible indicators of "promising strategies" to address prescription drug abuse, which has contributed to a startling rise in overdose deaths. Since 1999, such deaths have doubled in 29 states, four of which experienced a quadrupling…
Can you be skeptical about GM but believe in climate change? So asks Alice Bell in The Guardian. The answer is of course, "Yes," but you can also be a fundamentalist Christian while believing in evolution and being a great scientist, so being able to hold two things in your brain at the same time is not a useful measure of logical incompatibility. One can be right about one thing and wrong about the other. But let's get to the real issue raised in Bell's piece, the use of the term "anti-science" to describe opponents of genetically modified organisms (GMOs): When people use the term "anti-…
Thought you might be interested in this: On July 9, 2013, Rep. Henry A. Waxman released a report comparing the impacts of climate change in members’ districts with members’ voting records. The report found a widespread “climate disconnect” in the voting records of the Republican members representing the districts most affected by the soaring temperatures in 2012. They cast anti-climate votes 96% of the time. No similar “climate disconnect” was found in the voting records of House Democrats. The report is available here. HERE is an interactive map that provides record temperature…
"One of my favorite philosophical tenets is that people will agree with you only if they already agree with you. You do not change people's minds." -Frank Zappa One of the most difficult things to talk about, for any self-respecting scientist, is politics. Like all of you, I have my preferences, my opinions, and my vision for what a better world would look like. I'm also well aware that if I talked about all of them, there probably wouldn't be a single one of you out there who agreed with everything I had to say. Image credit: Pablo Martinez Monsivais/AP. And it would be completely…
Two weeks ago, the Heritage Foundation (a conservative think-tank) released a position paper based largely on the academic research of one Jason Richwine. The conclusion (roughly paraphrased): Hispanic people have lower IQ's than white people, so an overly permissive immigration policy will drag down the US economy. Ethically, this conclusion is a deep affront to my liberal* sensibilities. The idea of basing our public policy on racism and bigotry is abhorrent. Politically, this is dangerous territory. This is especially true after the 2012 election, when republican politicians were making…
Ok, this is a little different, but it's annoying, so I'm going to talk about it. Let me begin by saying I love the Union of Concerned Scientists. They've been wonderful advocates on climate change for decades; they are media savvy, they train scientists to be media savvy, and they push the media and policy makers alike to understand the scientific consensus. When it comes to climate change, I trust them over just about any other source. Which is why it's so disappointing that they are so wrong on genetically modified organisms. Several years ago, UCS decided to branch out into the science of…
by Kim Krisberg For Angel Nava, Chicago's newly adopted wage theft ordinance is particularly personal. Until recently, Nava had worked at the same car wash business in Chicago's Uptown neighborhood for 14 years. The 55-year-old employee did it all — washing, detailing, buffing — for about 50 hours each week. Then, his boss decided to stop paying overtime. In fact, Nava didn't receive the overtime he was owed for the last four years he worked at the car wash. He told me (though a translator) that none of his co-workers were receiving overtime either — "everyone was very upset." Nava said he…
by Kim Krisberg If you serve it, they will eat it. That's one of the many lessons gleaned from a new report on the national Fresh Fruit and Vegetable Program. In the first really rigorous study of the U.S. Department of Agriculture's (USDA) Fresh Fruit and Vegetable Program (FFVP), researchers found that fruit and veggie consumption was higher among students in FFVP schools. In fact, such students ate about one-third of a cup more of fruits and veggies than students in comparable schools that were not taking part in FFVP. Designed to improve kids' diets, FFVP reimburses elementary schools…
Fifth of five student guest posts by Jonathan Yuska The saying, “The more you know, the more you can control,” is no more meaningful than when used in the context of HIV detection and prevention. Public health advocates endlessly stress the need for knowing one’s status; and one would assume that any way in which the most amount of people can be tested would be beneficial for the population1. The Food and Drug Administration shared this same idea when they overwhelmingly approved the first ever over-the-counter (OTC) HIV testing kit in 20052; which in theory, sounds like a promising way to…