Public Health - General
lborkowski | December 10, 2013A coalition of public-health organizations, including the Robert Wood Johnson Foundation (RWJF) and Campaign for Tobacco-Free Kids, has released a report criticizing most U.S. states for under-investing in smoking prevention and cessation. Broken Promises to Our Children: The 1998 State Tobacco Settlement 15 Years Later calculates that states over the past 15 years, states have collected a total of $391 billion from tobacco settlements and tobacco taxes, but spent only 2.3% of that amount on tobacco prevention programs.
The report compares states’ tobacco-prevention expenditures to the levels…
kkrisberg | December 6, 2013There 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…
lborkowski | December 2, 2013by Anthony Robbins, MD, MPA
President Obama's health reform has been derailed in a collision with health insurance software, but this is hardly a unique experience. In 1995, I was invited to Prague to try to help the Czech Republic reconcile two co-existing public health practice cultures–the hygiene police of the Soviet era and the German tradition of social medicine.
Our delegation found another crisis in the works, around the creation of private health insurance that had started in 1990. Payroll deductions bought private health insurance that covered basic physician and hospital service.…
kkrisberg | November 22, 2013This 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…
kkrisberg | November 15, 2013While homelessness among U.S. veterans is on the decline, significant housing challenges remain, according to a new report from the National Low-Income Housing Coalition.
Released this week just a day after Veterans Day, the report finds that in 2011, more than a quarter of the nation’s 20 million veteran households experienced a housing cost burden (defined as spending more than 30 percent of income on housing costs and utilities) and more than 1.5 million veterans were severely cost burdened (spending more than half of their incomes on housing costs and utilities). Within those numbers,…
kkrisberg | November 11, 2013Larger investments in public health equal better health, fewer deaths and reduced medical spending — and the effect is especially pronounced in the communities that need it most, according to new research.
The findings are the latest in a series of studies that researcher Glen Mays and his colleagues at the National Coordinating Center for Public Health Services and Systems Research (PHSSR) are conducting on the health and economic value of public health spending. While Mays has authored previous research on the topic — such as this 2011 study that found public health spending is associated…
kkrisberg | November 4, 2013It 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…
lborkowski | November 1, 2013If you only have time for one long read this week, make it the excellent "Breathless and Burdened" series by Chris Hamby of the Center for Public Integrity. The series website explains, "This yearlong investigation examines how doctors and lawyers, working at the behest of the coal industry, have helped defeat the benefits claims of miners sick and dying of black lung, even as disease rates are on the rise and an increasing number of miners are turning to a system that was supposed to help alleviate their suffering." This is investigative reporting at its finest!
Other recent pieces I've…
kkrisberg | October 25, 2013Wages in the highly profitable fast food industry are so low that more than half of families of front-line fast food workers are enrolled in and depend on public assistance programs to make ends meet. In other words, that seemingly inexpensive burger and fries not only comes with a secret sauce, but a secret cost.
According to "Fast Food, Poverty Wages: The Public Cost of Low-Wage Jobs in the Fast Food Industry," which was released last week, the cost of such public assistance is nearly $7 billion every year, with Medicaid and Children's Health Insurance Program costs accounting for more than…
lborkowski | October 25, 2013Ian Frazier's in-depth New Yorker article on homelessness in New York seems especially timely, coming after a government shutdown that demonstrated how quickly low-income workers can fall into homelessness if their paychecks suddenly stop. (The shutdown also demonstrated some things about Congress, but I won't get into that here.) Here in DC, contract employees who serve food and clean offices in federal buildings were abruptly out of work. John Anderson, a line cook at a Smithsonian Museum, told the Washington Post's Jim Tankersley he had to work out a deal with his landlord because he…
egrossman | October 23, 2013On October 17, the World Health Organization’s International Agency for Research on Cancer (IARC) announced that it has classified air pollution as a human carcinogen. Although the composition of air pollution and exposure levels vary widely from place to place, IARC says its assessment is applicable worldwide and notes that exposures in rapidly industrializing countries with large populations have increased significantly in recent years. According to the IARC review of the latest scientific studies, exposure to air pollution increases the risk for lung cancer and for bladder cancer. IARC…
kkrisberg | October 18, 2013A new study finds that dropping out of high school greatly increases the risk of illness and disability in young adulthood. It's another example of why education is one of the greatest social determinants of health and a key leverage point in improving health across the lifespan.
Published earlier this month in the journal BMC Public Health, researchers found that dropping out of high school was associated with later illness and disability even after adjusting for other factors, such as family socioeconomic status, health-related risk behaviors, psychosocial risk factors and school problems.…
lborkowski | October 16, 2013As Kim Krisberg reported earlier this year, the National Low Income Housing Coalition has found that in no state can full-time workers earning minimum wage afford the average rent for two-bedroom apartments without spending more than 30% of their income on housing. The combination of rising rents and stagnating wages has left many families struggling to afford basic necessities, and unstable housing situations negatively affect health and children's school performance.
The Section 8 Housing Choice Voucher program allows low-income tenants to rent apartments and pay 30% of their income for…
lborkowski | October 14, 2013by Anthony Robbins, MD, MPA
A recent editorial in the New York Times, "Rolling the dice on food-borne illnesses," focused on just one of the many health dangers related to the federal government shutdown. The editorial reminded me of developments in Vermont almost forty years ago, when I was the State Health Commissioner.
Vermont's House Appropriations Committee was threatening to cut the Health Department's budget. After telling the Committee members that they would be hurting the Department’s ability to protect the public, including from foodborne and waterborne illness, I suggested…
kkrisberg | October 11, 2013Strategies 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…
kkrisberg | October 4, 2013While OSHA has never been the most robustly funded federal agency, its efforts and regulatory authority have helped prevent countless deaths, injuries and illnesses on the job. However, recent budget cuts and future budget cut proposals threaten those gains, and it's no stretch to say that worker health and safety hang in the balance.
In a report released in late August by the Center for Effective Government (formerly OMB Watch), author Nick Schwellenbach chronicled what austerity means for OSHA and the workers it protects. To first put the issue and impacts of slashed budgets in broader…
cmonforton | October 2, 2013It's Day #2 of the Tea Party's shutdown of the federal government. Shuttered entrances to national parks and museums are immediate and visible signs of this idiocy. The shutdown's effect on key federal public health programs are probably less obvious, but could have substantially more adverse impact on the U.S. population. Superbug's Maryn McKenna wrote yesterday on just a few ways that interruptions at the Centers for Disease Control and Prevention, the Food and Drug Administration and USDA, could affect your's (and the world's) health. With just a few examples, McKenna captures the…
lborkowski | September 27, 2013A few of the recent pieces I've liked:
Brian Beutler in Salon: The $200K lesson I learned from getting shot
Sarah Kliff, Sandhya Somashekhar, Lena H. Sun and Karen Tumulty in the Washington Post: How eight lives would be affected by the health law
Sendhil Mullainathan in the New York Times: The Mental Strain of Making Do With Less
Patricia Sagastume at Al Jazeera America: Dengue fever presence in Florida at a 'pretty serious level'
Alan Durning at DC Streetsblog: Apartment Blockers (about how the costs of underground parking contribute to high rents)
lborkowski | September 11, 2013A few of the recent pieces I've liked:
Dorry Samuels Levine at National COSH: On 12th anniversary of September 11 attacks, more than 1,100 reported cases of cancer among responders and survivors
Emily Badger at The Atlantic Cities: How Poverty Taxes the Brain
Laura Helmuth at Slate: Fourteen Oddball Reasons You're Not Dead Yet
Steven Pearlstein in the Washington Post's Wonkblog: How the cult of shareholder value wrecked American business
Lisa Schnirring at CIDRAP: CDC head: Global disease threats call for better tools
Steven Wilmsen at Reporting on Health: Immersive coverage of health issues…
kkrisberg | August 30, 2013For older workers, the most dangerous occupational move may be getting behind the wheel.
Last Friday, the Centers for Disease Control and Prevention released data showing that among highway transportation incidents, which are the leading cause of occupational death in the country, the highest fatality rates occur among workers ages 65 years old and older. In fact, workers in that age group experienced a fatality rate three times higher than workers ages 18 to 54. The unfortunate trend was seen across industries and occupations and among most demographic groups, according to data published in…