Public Health - General

A few of the recent pieces I've liked: The excellent "Unequal Risk" series by the Center for Public Integrity's Jim Morris, Jamie Smith Hopkins, and Maryam Jameel ("Workers in America face risks from toxic exposures that would be considered unacceptable outside the job — and in many cases are perfectly legal.") Sarah Kliff at Vox: Do no harm ("There's an infection hospitals can nearly always prevent. Why don't they?") Ta-Nehisi Coates in The Atlantic: Letter to My Son ("Here is what I would like for you to know: In America, it is traditional to destroy the black body -- it is heritage.")…

Thanks to the Affordable Care Act, American women are saving hundreds of dollars on birth control, according to the first study to document the impact of health reform on prescription contraception spending. To conduct the study, which was published this month in Health Affairs, researchers analyzed claims data from a large national insurer between January 2008 and June 2013, eventually examining data linked to more than 790,800 women. They found that the average out-of-pocket expense decreased for nearly all prescription contraceptive methods on the market. In particular, the average out-of-…

A key argument in the movement to expand sick leave to all workers is that such policies help curb the spread of contagious diseases. And there are few workplaces where that concept is more important than in health care settings, where common diseases can be especially dangerous for patients with compromised immune systems. However, a new study finds that despite such risks, doctors and nurses still feel pressured to report to work while sick. Published earlier this week in JAMA Pediatrics, the study is based on anonymous surveys conducted in a large children’s hospital in Philadelphia and…

Recycling our garbage is good for the planet, but a new report finds that the workers who process our recyclable materials often face dangerous and unnecessary conditions that put their health and safety at serious risk. Released in late June, “Sustainable and Safe Recycling: Protecting Workers Who Protect the Planet” chronicles the many hazards that recycling workers encounter on the job as well as ways the recycling industry and local officials can collaborate to improve and ensure worker safety. The report — a collaboration between the Global Alliance for Incinerator Alternatives, the…

Following last Friday’s Supreme Court ruling, most county clerks here in Texas began issuing marriage licenses to same sex couples. But many of those happy couples couldn’t immediately tie-the-knot. Texas requires couples to wait 72-hours after obtaining their license before they can say “I do.”* About half the States have such waiting periods which range from 24 hours to six days. One source describes the wait time as providing: “a cooling-off period for the couple to determine if they truly wish to be married.” So if a cooling off period is a good idea for matrimony, I’m stumped why there’s…

This week, the Center for Public Integrity launched a new investigative series into the failure of regulators to protect workers for toxic exposures. The series begins with the story of a bricklayer who developed acute silicosis after exposure to silica, a deadly substance that threatens more than 2 million workers and that OSHA has been struggling to regulate for 40 years. The bricklayer, Chris Johnson, is just 40 years old and can expect to survive less than five years. Reporters Jim Morris, Jamie Smith Hopkins and Maryam Jameel write: An 18-month investigation by the Center for Public…

A common hurdle in the field of occupational health and safety is delivering what can sometimes be life-saving information to the people who need it most. After all, not all employers are amenable to workplace health and safety education. But what if safety advocates could find and connect with the most at-risk workers out in the community? Perhaps even reach vulnerable workers with safety education before they experience an injury at work? New research from the University of Illinois-Chicago School of Public Health could help safety advocates do just that. Linda Forst, director of the school…

Analyzing online searches and social media activity has often been suggested as a way to track and maybe even predict the spread of diseases. And it’s a great idea — if it’s done right, it could offer public health workers real-time surveillance and a jumpstart at containing dangerous outbreaks. But there’s a hitch. How can we attempt to decipher between online activity triggered by the possibility of actual disease symptoms and online activity triggered by simple curiosity? That was the question Sherry Towers and her colleagues set out to answer. At the very least, they wanted to gain some…

It seems simple enough – a proliferation of donors in global health means more money to solve some of the world’s most pressing health issues. Right? Not exactly. A lot of new evidence is coming out that suggests that the lack of coordination of different funding sources can be a burden and perhaps a detriment to global health. And the way that traditional funders think about the locus of health spending in countries to which they donate may not even be entirely accurate. As a recent report from the Center for Global Development In fact, as the report finds, most funding for health is…

Even though farmworkers face serious hazards on the job and work in one of the most dangerous industries in the country, most young farmworkers in a recent study rated their work safety climate as “poor.” In fact, more than a third of those surveyed said their managers were only interested in getting the job done as quickly as possible. Recently published in the American Journal of Public Health, the study was designed to capture perceptions of work safety climates on North Carolina farms that employ children and teens and the association with occupational safety and injuries. In partnering…

A recent agreement between striking farmworkers and big agribusiness in Baja California could be the “most significant achievement by a farm labor movement in recent Mexican history,” reports Richard Marosi in the Los Angeles Times. Among the settlement details, daily wages for workers will go up by as much as 50 percent and workers will receive the required government benefits often denied by their employers. Marosi reports: “This is a watershed moment,” said Sara Lara, a farm labor researcher at the National Autonomous University of Mexico. In decades of studying farm issues, Lara said she…

The science on the health effects of fracking is still very much emerging. Oftentimes, the growing body of research can’t make a conclusive link between the drilling technique and negative health impacts, but it certainly makes the case that more research is needed. Earlier this month, another study joined the pack. Published June 3 in the journal PLOS ONE, the study found that women who lived closer to a high density of fracking activity were more likely to have babies with lower birth weights than women living farther away from such drilling activity. The study is the first of its kind to…

“All response is local” is a commonly heard phrase among public health practitioners who serve on the front lines of disease outbreaks, emergencies and disasters. Whether it’s a measles outbreak, a terrorist attack or a hurricane, public health agencies are at the ready to deploy an emergency response infrastructure designed for one overriding purpose: to protect their communities against preventable disease and injury. That kind of preparedness takes an enormous amount of planning, training, practice and collaboration. It also requires sustained funding support — something that’s all too…

Back in 1970 when the U.S. Occupational Safety and Health Administration was established, local policymakers could choose whether or not to extend OSHA protections to state employees. Unfortunately, Massachusetts took a pass. But decades later — and after years of advocacy, organizing and research on the part of worker advocates — employees of the Commonwealth of Massachusetts can now look forward to safer and healthier workplaces. In June 2014, then-Massachusetts Gov. Deval Patrick signed legislation that expanded OSHA protections to executive branch employees — that’s more than 150,000…

Family-friendly policies in the workplace are a good thing, but as Claire Cain Miller writes in The New York Times, there’s also a risk that such policies end up hurting the very workers they’re intended to help. Miller starts off her piece with international examples of family-friendly policies, such as a law in Chile that requires employers provide child care for working mothers and a policy in Spain that gives the parents of young children the option of working part time. The unintended results of each example? All women — whether they have children or not — get paid less and face fewer…

Another day, another study that finds poverty is linked to adverse and often preventable health outcomes. This time, it’s vision loss. Last week, the Centers for Disease Control and Prevention published new data finding that poverty is significantly correlated with severe vision loss, which is defined as being blind or having serious difficulties seeing even with glasses. In examining data from the American Community Survey, researchers found that among counties in the top quartile for severe vision loss, more than 55 percent were also in the top quartile for poverty. The South is home to…

For more than a decade, biologist Mariam Barlow has been working on the theory that administering antibiotics on a rotating basis could be a solution to antibiotic resistance. After years of research, Barlow had lots of data, but she needed a more precise way to make sense of it all — something that was so specific it could easily be used to treat patients. So, she joined forces with a team of mathematicians. And the amazing results could help solve an enormous, worldwide problem. In a nutshell, the team of biologists and mathematicians developed a software program that generates a road map…

After 18 years as a professional house cleaner in the suburbs of Chicago, Magdalena Zylinska says she feels very lucky. Unlike many of her fellow domestic workers, she hasn’t sustained any serious injuries. Zylinska, 43, cleans residences in the metropolitan Chicago area five days a week. An independent contractor, she cleans two to three houses each day. Fortunately, she doesn’t do the job alone — she always works with at least one other person, so they can help each other with much of the lifting and other types of repetitive physical labor that can often lead to preventable injuries and…

A few of the recent pieces I’ve liked: Robin Marantz Henig in the New York Times Magazine: The Last Day of Her Life David Heath at the Center for Public Integrity: American Chemistry Council lied about lobbying role in flame retardants, consultant says Maryn McKenna at Germination: The Avian Flu Epidemic: Massive Impact, Uncertain Future Lydia DePillis in the Washington Post’s Wonkblog: The next labor fight is over when you work, not how much you make Adam Gopnik in The New Yorker: The Plot Against Trains

Do food assistance programs deliver more than food and nutrition? Can relieving the stress of food insecurity provide positive psychological benefits as well? A new study says yes it can. In a study published in the June issue of the American Journal of Public Health, researchers set out to examine whether participating in the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as food stamps, was associated with better overall well-being and specifically, lower rates of psychological distress. In analyzing data from the SNAP Food Security survey, the largest longitudinal…