Public Health - General
cmonforton | October 2, 2012The Pump Handle is launching a new "Public Health Classics" series exploring some of the classic studies and reports that have shaped the field of public health. If you have a favorite Public Health Classic to recommend, let us know in the comments. And if you're interested in contributing a post to the series, email us at thepumphandle@gmail.com (send us a link to the report or study along with a sentence or two about what you find most interesting or important about it). As we add more posts to the series, they'll all be available in the "Public Health Classics" category.
A headline from…
lborkowski | September 28, 2012by Kim Krisberg
It's not news that unemployment is bad for a person's health. But it turns out that just the threat of unemployment is bad as well.
A recent study, published in the September issue of the Journal of Occupational and Environmental Medicine, found that perceived job insecurity is also linked to poor health outcomes, even among those who had jobs during the recession. Researchers found that perceived job insecurity was linked with "significantly higher odds" of fair or poor self-reported health as well as recent symptoms suggesting depression and anxiety attacks. The findings…
lborkowski | September 25, 2012If you haven't heard it already, This American Life's "Back to School" episode is a riveting examination of how children's environments and early learning affect their adult health and achievement prospects. Here's the Act One summary from the show's website:
[Host Ira Glass] talks with Paul Tough, author of the new book How Children Succeed, about the traditional ways we measure ability and intelligence in American schools. They talk about the focus on cognitive abilities, conventional "book smarts." They discuss the current emphasis on these kinds of skills in American education, and the…
lborkowski | September 21, 2012by Kim Krisberg
It really is a chemical world, which is bad news for people with asthma.
According to a recent report released in August, at this very moment from where I write, I'm fairly surrounded by objects and materials that contain chemicals that are known or suspected asthmagens — substances that can act as asthma triggers if inhaled. There's formaldehyde (it's in office furniture, wood flooring, curtains and drapes); maleic anhydride (it's in interior paint and tile flooring); hexamethylene diisocyanate (it's in metal storage shelving and decorative metal); and diisodecyl phthalate (…
lborkowski | September 18, 2012By Sara Gorman
Recent biomedical advances in AIDS research have allowed political figures such as Secretary of State Hillary Clinton to proclaim that the phenomenon of a generation without HIV/AIDS is within reach. But how well-founded is this optimism? A recent editorial in The New England Journal of Medicine asks this very question and concludes that there is ample reason for scientific optimism but that the global resources needed to achieve the eradication of this illness are simply not being deployed properly.
Yet the science itself does not indicate that the possibility of the…
lborkowski | September 14, 2012by Kim Krisberg
Funny cats and disaster preparedness. It's a marriage made in Internet heaven.
"Cats are all over the Internet," says Michele Late, coordinator of the American Public Health Association's (APHA) Cat Preparedness Photo Contest. "And if cats are what people want, then marrying them with emergency preparedness seems like a smart fit."
Launched just after Labor Day weekend, APHA's cat photo contest takes its inspiration from the enormous popularity of an Internet meme known as LOLcats, in which — yep, you guessed it — people take funny photos of cats and photoshop them with funny…
lborkowski | September 7, 2012by Kim Krisberg
Another study, another support beam in the argument that access to insurance coverage matters — a lot.
In a study published this month in the journal Health Affairs, researchers took a look at rates of amenable mortality deaths — in other words, deaths that shouldn't happen in the presence of timely and effective care — between the United States, France, Germany and the United Kingdom. Their conclusion? The U.S. — home to the world's highest rate of health care spending — is lagging behind.
Between 1999 and 2007, amenable mortality rates among men fell by 18.5 percent in the U…
lborkowski | September 5, 2012By Anthony Robbins, MD, MPA
The Journal of Public Health policy has just published my editorial “The CIA’s Vaccination Ruse” on an open-access basis on the journal’s website. The editorial deals with the CIA’s use of a sham vaccination program as a cover for spying operations in Pakistan. As I have studied vaccines and vaccine policy for almost forty years, The Pump Handle has invited me to provide its readers with some big-picture background on vaccines and vaccination policy in the US and around the world to accompany the link to my editorial.
School Entry Laws
In the 1970s, public health…
lborkowski | August 31, 2012by Kim Krisberg
It's Tuesday evening and as usual, the small parking lot outside the Workers Defense Project on Austin's eastside is packed. The dusty lot is strewn with cars and pick-up trucks parked wherever they can fit and get in off the road. I've arrived well before the night's activities begin, so I easily secure a spot. But my gracious guide and translator, a college intern named Alan Garcia, warns me that I might get blocked in. It happens all the time, he says.
It was the first of two August evenings I'd spend observing the project in action and meeting the workers who help lead its…
lborkowski | August 30, 2012A few of the recent pieces I've liked:
Maryn McKenna at Superbug: The 'NIH Superbug': This is Happening Every Day
Kevin O'Hanlon at the Center for Public Integrity: Privatization fails: Nebraska tries again to reform child welfare
Tara C. Smith at Aetiology: Obstetric fistula as a neglected tropical disease
Dylan Matthews and Ezra Klein at Wonkblog: The true, the false, and the misleading: Grading Paul Ryan's convention speech and A not-very-truthful speech in a not-very-truthful campaign
Abby Goodnough in the New York Times: Sharp Cuts in Dental Coverage for Adults on Medicaid
'An issue that affects all of us': Young workers center takes on wage theft in the Rio Grande Valley
lborkowski | August 27, 2012by Kim Krisberg
For six months, Jorge Rubio worked at a local chain of tortilla bakeries and taquerias in the cities of Brownsville and San Benito, both in the very southern tip of Texas. Rubio, 42, prepared the food, cleaned equipment, served customers. Eventually, he decided to quit after being overworked for months.
On his last day of work this past January, his employer refused to pay him the usual $50 for an 11-hour workday. The employer told Rubio that sales were too low to pay him. A couple months later, Rubio was referred to Fuerza del Valle, a young workers center in Texas' Rio…
lborkowski | August 17, 2012by Kim Krisberg
For years, Peter Rosenfeld was looking for an effective way to treat what doctors had diagnosed as severe and intractable migraines. He'd heard of medical marijuana, but thought it was a joke — that it was just a way for people to justify their marijuana use.
Then in 2000, the New Jersey resident enrolled in a California program studying the effects of medical marijuana. It was a blind study, so Rosenfeld didn't know whether he was one of the participants being given marijuana or not. It turns out he was. And it worked.
"Marijuana was the first effective treatment that I had…
cmonforton | August 7, 2012I feel dense for not knowing this important public health fact: women with extremely dense breast tissue are at least four times more likely to develop breast cancer.
Over the years, I've had my routine screening mammograms with stellar results. No evidence of cancer in my two mammary glands. I've heard radiology technicians comment about my dense breasts, but I thought it was an interesting attribute like droopy breast, or perky breasts or double D breasts.
In December 2011, just before my 50th birthday, I was overdue for my routine screening mammogram. I felt a little guilty for putting…
lborkowski | August 3, 2012by Kim Krisberg
To the long list of hard-to-pronounce bacteria and viruses that threaten people's health can now be added one more threat: sequestration. Except sequestration isn't a disease — well, unless you'd call Congress' chronic inability to deal with the national debt in a fair and balanced way a disease.
Of course, if sequestration were a real disease, the public health system might actually be immune to such budget-slashing illnesses by now, considering its near-constant exposure rate. But come this January, if Congress doesn't act, the public health system will absorb another round…
cmonforton | July 31, 2012A few weeks ago, the editors of my local Austin American-Statesman admitted they were wrong. In "Tort reform's slight impact no shock," the editors recalled their support for a 2003 proposition on the Texas ballot to put a $750,000 cap on non-economic damages in medical malpractice cases. The measure passed by a 51 to 49 percent margin, with strong support by the Texas Medical Association.
"We tepidly supported the proposition. After all, voters were being asked to limit their legal rights should they fall victim to medical error. Still, reservations noted, we crossed our fingers in the…
lborkowski | July 27, 2012by Kim Krisberg
In the fall of 2011, a new Texas statute took effect against employers who engage in wage theft, or failing to pay workers as much as they’re owed. The statewide statute put in place real consequences, such as jail time and hefty fines, for employers found guilty of stealing wages from workers. It was a big step forward in a state where wage theft has become as common as cowboy boots and pick-up trucks.
In El Paso, which sits on the western-most tip of Texas on the border with Juarez, Mexico, and is among the most populous cities in the nation, wage theft has become so rampant…
cmonforton | July 23, 2012A night out for the midnight premiere of the summer blockbuster "Batman: The Dark Knight Rises" turned deadly. Twelve people are dead and at least 59 were wounded. The victims will be mourned, the suspect studied, and the incident relegated to our criminal justice system. In my circle, however, we see gun violence a public health problem. It affects people, it causes death, injury and disability, and it can be addressed with environmental, legal, and behavioral interventions. A classic paper examining violence in a public health frame was published in a 1993 issue of the journal Health…
lborkowski | July 20, 2012by Kim Krisberg
Legislative attacks on women's health care are so commonplace these days that they make proposals that don't include a state-mandated vaginal probe seem moderate.
In fact, so many legislators are introducing proposals under the guise of protecting women's health (2011 marked a record number of reproductive health restrictions), that it was pretty refreshing to read how the Affordable Care Act will actually protect women's health. Like, for real.
Last week, the Commonwealth Fund released a report finding that the health reform law is already making a difference in the lives of…
lborkowski | July 13, 2012by Kim Krisberg
Hunger in America can be hard to see. It doesn't look like the image of hunger we usually see on our TVs: the wrenching impoverishment and emaciation. Talking about American hunger is hard because, well, there's food all around us. Everywhere you look, there's food — people eating food, people selling food, people advertising food, people wasting food, people dying of eating too much food. The obesity epidemic alone is getting so big that it's slowly swallowing the health care system in billions of dollars of care.
We have a food problem.
But food cost money. So for some…
lborkowski | July 12, 2012I wrote last week about the importance of the Freedom of Information Act, and Stacey Singer of The Palm Beach Post has just published a piece that shows how important sunshine laws can be for public health. Singer revealed that Florida is in the midst of tuberculosis outbreak that's claimed 13 lives and sickened at least 99 people, six of them children. Another 3,000 people may have been exposed to the bacterium through close contact with contagious sufferers. "Fortunately, only a few of the cases have developed drug resistance so far," Singer reports.
State health officials explained that…