Public Health - General
lborkowski | March 2, 2012The World Health Organization has confirmed that India has gone a whole year without having a new case of polio -- a major milestone in a country that was once plagued by the crippling disease. BBC's Fergus Walsh explains that the country won't formally be regarded as polio-free until it's gone another two years without a case of the disease, but reaching the one-year mark is still an occasion for celebration. In an earlier piece, Walsh describes the massive polio vaccination effort that has allowed the country to achieve this success; India's government partnered with the World Health…
lborkowski | February 28, 2012by Kim Krisberg
Walking around a public health laboratory is seriously cool.
Giant humming machines, rows of test tubes and small, round dishes containing specimens with hard-to-pronounce names, biohazard warnings and emergency shower stations, an egg incubator and liquid nitrogen generator, people in protective gear with bulky white hoods and face shields. Oh, and boxes with severed animal heads inside.
"Everything is just so unusual and every day is different," Dr. Grace Kubin told me as she took me on a tour of the Texas state public health lab in Austin last week.
After years of…
lborkowski | February 27, 2012There's a growing body of research linking childhood trauma (abuse, neglect, family dysfunction, etc.) to impaired brain development and functioning. Maia Szalavitz at TIME's Healthland blog describes the findings of new study by Harvard researchers (published in the Proceedings of the National Academy of Sciences):
Now, in the largest study yet to use brain scans to show the effects of child abuse, researchers have found specific changes in key regions in and around the hippocampus in the brains of young adults who were maltreated or neglected in childhood. These changes may leave victims…
lborkowski | February 21, 2012By Kim Krisberg
Friday wasn't a great day for public health.
That day, Congress voted to raid the Affordable Care Act's Prevention and Public Health Fund to the tune of $5 billion. The move comes as part of a deal to delay scheduled cuts to Medicare physician payment rates and was part of a legislative package to extend the payroll tax cut and unemployment benefits. Both the Senate and House voted by wide margins to pass the bill, and President Obama is expected to sign it.
Of course, this was hardly the intent of the Prevention and Public Health Fund, which was created via the Affordable…
lborkowski | February 20, 2012by Kim Krisberg
Amanda DeSimpelare was always interested in science, but she was wary of what a career in the field would be like. She pictured herself being tucked away in a laboratory all day. It wasn't too appealing.
Then, in the summer of 2010, she discovered public health.
"When I pictured science before, I pictured it happening in a lab somewhere," said the 18-year-old college freshman. "But I'd rather be out talking with people and working directly with the public. Then I came to camp and realized that you can connect science and data collection while working directly with people."…
cmonforton | February 2, 2012Communities affected by contaminated air, water and soil, workers retaliated for complaining about safety issues, and vulnerable groups abused by organizations charged with protecting them, are topics at the heart of public health. This week they are especially recognized by the Joan Shorenstein Center on the Press, Politics and Public Policy at Harvard University's Kennedy School of Government as finalists for its Goldsmith Prize for Investigative Reporting. Four of the six teams of journalists dug deep and reported on issues intrinsically linked to public health.
The Center for Public…
cmonforton | January 20, 2012Money talks, as the saying goes, and a recently published paper on the annual cost of work-related injuries and illnesses should get policymakers to listen up. The number is staggering: $250 Billion, and it's a figure on par with health conditions like cancer, coronary heart disease, and diabetes that attract much more attention and research funding.
The author, J. Paul Leigh, PhD, a professor of health economics at University of California Davis, assembled data from more than a dozen sources to estimate the annual economic burden of occupational injuries and illnesses. Using data from 2007…
lborkowski | January 19, 2012by Kim Krisberg
It only takes a few minutes of talking with Scott Becker to realize just how passionate he is about public health. In fact, his enthusiasm is contagious. Maybe that's why he isn't mincing his words.
"What keeps me up at night is how we are going to maintain the core and critical services we have," said Becker, executive director of the Association of Public Health Laboratories. "If the question is 'how low can we go?' My answer is 'we're there.' I used to be on a more hopeful note, but I can't do that anymore."
Becker is talking about the worrisome state of public health…
cmonforton | January 17, 2012Republican Presidential candidate Newt Gingrich likes to pump himself up by picking on other people. Several weeks back his target was "children in the poorest neighborhoods." Now it's people who receive food assistance.
Others have checked his claims about President Obama being the "food stamp President," but Gingrich also suggested that if you are on food stamps, you aren't earning a paycheck. According to data assembled by the USDA's Food and Nutrition Service, however, a hefty portion of households receiving benefits from the Supplemental Nutrition Assistance Program (SNAP) are…
lborkowski | January 4, 2012by Kim Krisberg
Many of us probably look into cyberspace and are overwhelmed with its unwieldy amounts of never-ending information. John Brownstein, on the other hand, sees points on a map.
Brownstein is the co-founder of HealthMap, a team of researchers, epidemiologists and software developers at Children's Hospital Boston who use online sources to track disease outbreaks and deliver real-time surveillance on emerging public health threats. But instead of depending wholly on traditional methods of public health data collection and official reports to create maps, HealthMap enlists helps…
cmonforton | December 13, 2011[Update 12/15/11 below]
It's been 3 1/2 years since Leah Nielsen lost her father from mesothelioma. "I took care of my father as he died an excruciating death. He died too young." This Utah resident wants to protect others from suffering the same kind of horrible death by banning the use and export of asbestos.
Pennsylania resident Barbara Mozuch feels the same way: "My mother died on June 18, 2011 from peritoneal mesothelioma, just seven weeks after being diagnosed!! Something needs to be done."
Heidi von Palleske of Ontario, Canada explains how asbestos ruined the health and took…
lborkowski | November 16, 2011by Dick Clapp, DSc, MPH
My friend Dr. Paul Epstein succumbed to non-Hodgkin's lymphoma on Sunday, Nov. 13, three days short of his 68th birthday. Here are some thoughts about him that I wanted to share with TPH readers. First, he was a compassionate physician who worked in low income communities early in his career. He went overseas with his wife Andy, a nurse, in 1978-80 as a "cooperante" in newly independent Mozambique. When he came back to Boston, he continued to practice family medicine while he enrolled in a master's program in tropical public health at Harvard. During this phase, he…
lborkowski | November 15, 2011A few thought-provoking pieces I've read this week demonstrate the extent to which the US is failing to invest in our next generation. John Schmid of the Journal Sentinel points out that 44 other countries have lower infant mortality rates than the US (by UNICEF ranking), and we're tied for 45th place with Montenegro and Slovakia. Our overall national rate - 6.06 per 1,000 live births, according to the CIA World Factbook - conceals a great deal of variability by state and city, though. (See the Annie E. Casey Foundation's map for details on state-to-state differences.) Schmid zooms in on…
cmonforton | November 14, 2011She's a hospice nurse. When I tell people her occupation, I typically receive a response like this: "She must be a very special person. I could never work in a place where people go to die." Hospice is a "place," and equating hospice to death, are just two of the misperceptions that hospice care providers and proponents are constantly working to dispel. Providing correct information that hospice is a philosophy of care (not a place) takes on special importance in November because it is National Hospice and Palliative Care month.
Data from 2010 indicates that more than 68% of hospice…
lborkowski | November 10, 2011Thailand is experiencing its worst flooding since 1942, and millions of people are affected. The death toll has reached 533, due mostly to drowning but also to electrocutions. CNN reports that more than 113,000 people have arrived at 1,700 government shelters set up across the country, and Bangkok officials have warned residents of interruptions to electricity and tap water.
In addition to immediate dangers like drowning, the potential for widespread disease outbreaks is worrisome.
Citing concerns about water-borne diseases spreading through contaminated floodwater, UNICEF announced that it…
cmonforton | November 8, 2011An overwhelming majority of seniors want to remain in their own homes as long as possible. Residing with a family member or friends may not be an option, and assisted living facilities may take too big a chunk out of a senior's fixed income. Older Americans, and I'd argue most of us, feel more independent when surrounded by their own belongings and in their own community. But, living alone or with another frail senior, like a spouse, can create its own problems. Millions of U.S. seniors suffer from hunger and food insecurity, some because of resource constraints, but others because of…
lborkowski | November 7, 2011By Mark Pendergrast
As I watched the blockbuster bio-thriller Contagion, I was struck by how realistic it was in many ways. That isn't surprising, since many epidemiologists, including those from the Centers for Disease Control and Prevention (CDC) in Atlanta, served as advisors. The film was based on a simple premise. What if a new, deadly virus that kills one out of four people it infects were also easily transmissible from human to human?
I knew more about the subject than most people in the audience, because I spent five years researching and writing Inside the Outbreaks, a history…
lborkowski | October 27, 2011The Obama administration has asked a federal advisory committee, the National Biodefense Science Board, to make recommendations about testing the anthrax vaccine in children. The vaccine has been tested in adults, administered to military personnel, and stockpiled so it can be administered quickly should an attack occur in the US. The Washington Post's Rob Stein reports that a federal simulation of an anthrax attack got federal officials thinking about how to handle children. If an actual attack occurs, would be easier to make the call to vaccinate children if we had already conducted…
lborkowski | October 18, 2011by Kim Krisberg
Mark Martin isn't inclined to sit down and shut up -- well, unless it's on the seat of a bicycle.
"More people need joy in their lives and there's a real simple way to get it: ride a bicycle," Martin told me. "It's a joyous thing to ride a bike."
The Baton Rouge, La., bicyclist hasn't owned a car in 20 years -- "I just love my bike," he said. In fact, he loves biking so much that he said he was driving people crazy talking about the need for better biking and pedestrian infrastructure in his community. Somebody ought to do something about it, he thought, and so he did.…
cmonforton | October 13, 2011An ad hoc committee of the Institute of Medicine (IOM) identified a litany of potential benefits of including information about individuals' occupations, industry, and work environment in their electronic health records (EHRs). The reason the question was posed at all stems from a provision in the American Recovery and Reinvestment Act of 2009 which provides hefty incentives for health care providers to convert patients' medical records from paper to electronic form. At the time the bill was passed, one reporter noted that only about 8 percent of the nation's hospitals and 17% of its…