Public Health - General

If you look at the numbers, there’s no doubt that the Affordable Care Act is making a positive difference. In fact, just last month, the U.S. Census Bureau reported that the nation’s uninsured rate had hit a record low. At the same time, the health reform law wasn’t intended as a silver bullet and a number of problems remain. One of those problems is known as “churning.” “Churning” describes changes in a person’s insurance coverage over time and it’s an issue that can have a significant impact on a patient’s continuity of care and health status. Of course, changes in insurance coverage are…
At the Denver Post, John Ingold and Monte Whaley authored a year-long investigative series into the dangerous conditions facing Colorado’s oil and gas workers, the role of subcontracting in heightening worker safety risks, and the lack of employer accountability and oversight. The series, “Drilling through danger,” noted that 1,333 workers died in the nation’s oil and gas fields between 2003 and 2014, with 2014 being the second-most lethal year for oil and gas workers in Colorado in a decade. According to the newspaper’s analysis, there was about one oil and gas worker death per every 12 rigs…
Corporal punishment in America’s public schools seems like a relic of the past — a practice we had surely banned long ago. The reality, however, is that it’s perfectly legal to physically discipline students as young as preschoolers in 19 states. And according to a new report, corporal punishment is most often used against black students and students with disabilities. Released earlier this week as a “Social Policy Report” from the Society for Research in Child Development, the report found that in Alabama and Mississippi, black children are at least 51 percent more likely to be physically…
By now, the enormity of America’s opioid abuse and overdose epidemic is common knowledge. With 78 Americans dying every day from an opioid overdose and with enough painkillers prescribed to give just about every U.S. adult their own bottle of pills, there’s hardly a community that’s gone untouched by the deadly problem. And a new study reminds us that we’ll be dealing with the aftermath far into the future. The study, published in the form of a “research letter” in JAMA Pediatrics, examined rates of neonatal abstinence syndrome (NAS), a condition that occurs when babies are exposed to drugs…
Just 10 years ago, it wouldn’t have been possible to bring leading physicians, scientists and advocates together in a consensus on toxic chemicals and neurological disorders in children, says Maureen Swanson. But with the science increasing “exponentially,” she said the time was ripe for a concerted call to action. Swanson is co-director of Project TENDR (Targeting Environmental Neuro-Developmental Risks), a coalition of doctors, public health scientists and environmental health advocates who joined forces in 2015 to call for reducing chemical exposures that interfere with fetal and child…
In “The Invisible Workforce: Death, discrimination and despair in N.J.'s temp industry,” NJ Advance Media reporter Kelly Heyboer investigated conditions facing temp workers in New Jersey, which now has one of the largest concentrations of temp workers in the nation. She reports that growing demand for temp workers has led to the proliferation of “temp towns” — places with dozens of temp agencies and neighborhoods full of temp workers, many of whom report low pay, wage theft, racial and sexual discrimination, and unsafe workplaces. Heyboer writes: The temp agencies in New Brunswick are easy to…
A few of the recent pieces I've liked: Maryn McKenna at National Geographic’s Germination: How We'll Tackle Diseases That Are Becoming Untreatable (“The United Nations just declared antibiotic resistance “the greatest and most urgent global risk.” Here’s what they’re going to do about it.”) Kelli Garcia in US News & World Report: We Can’t Wait: With Congress unconscionably failing to act, states must move quickly to protect pregnant women from Zika Kelly Heyboer at NJ.com: The Invisible Workforce: Death, discrimination and despair in N.J.'s temp industry Alex Campbell and Katie J.M. Baker…
Despite all the concern about shuttered businesses, fired employees and lost profits, a new report has found that New York City’s paid sick leave law was pretty much a “non-event” for most employers. Released this month, “No Big Deal: The Impact of New York City’s Paid Sick Law on Employers” reported that in the years following the 2014 implementation of the paid sick leave law, the great majority of businesses surveyed said the law had no effect on overall costs. The report, authored by researchers at the Center for Economic and Policy Research and the Murphy Institute at the City University…
In a new study — the first of its kind — researchers fed water laced with fracking chemicals to pregnant mice and then examined their female offspring for signs of impaired fertility. They found negative effects at both high and low chemical concentrations, which raises red flags for human health as well. “These are preliminary findings,” Susan Nagel, the study’s senior author and an associate professor in Obstetrics, Gynecology and Women’s Health at the University of Missouri School of Medicine, told me. “But I think they suggest that we should absolutely be looking more closely at the…
In a big win for workers, Oklahoma’s Supreme Court has ruled that state law allowing businesses to opt out of traditional workers’ compensation is unconstitutional. At ProPublica, Michael Grabell writes that the ruling now leaves Texas as the only state that lets employers pull out of workers’ comp in favor of creating their own alternative plans. Last year, Grabell, along with Howard Berkes at NPR, investigated the new opt-out trend, finding that such workers’ comp alternatives typically come with fewer employee benefits, more restrictions and no independent oversight. In reporting on the…
Earlier this week, we published our annual report, “The Year In U.S. Occupational Health & Safety: Fall 2015 – Summer 2016,” chronicling the victories, setbacks and struggles taking place in the American workplace. But it was just about impossible to piece together a report like this without thinking about the strange — and often scary — election before us and its implications for workers. So, when we were crafting the report’s concluding thoughts — a section we call “The Year Ahead” — it seemed almost logical to go down that “scary” road, to talk about the presidential election as if…
by Anthony Robbins, MD, MPA Thirty years ago I worked with International Physicians for the Prevention of Nuclear War (IPPNW) studying the health consequences of nuclear weapons. Even if they were never used, these weapons–their manufacture and testing–harmed populations. All over the world governments had mined uranium, and assembled and tested nuclear weapons. To create atomic arsenals, every nuclear power had dangerously polluted and contaminated environments where people live and work.  And governments usually kept secret from civilians the consequences –cancers, birth defects, and…
From the weakening of workers’ compensation to the lives of America’s nuclear plant workers, it was another year of stellar news reporting on worker health and safety. Myself, along with Celeste Monforton and Roger Kerson, did our best to highlight such reporting, as well as new worker health research, in “The Year In U.S. Occupational Health & Safety: Fall 2015 – Summer 2016,” which we released, appropriately, on Labor Day. Among the journalistic highlights, reporters at the Center for Public Integrity, ProPublica and NPR continued investigative efforts into the dismantling of…
At KCRW (an NPR member station), Karen Foshay reports on occupational injuries among low-wage restaurant workers in California and the retaliatory barriers that often keep them from speaking up. She cited a 2011 Restaurant Opportunities Center survey of Los Angeles restaurant workers that found 42 percent experienced cuts, 43 percent experienced burns and more than half reported working while sick. Foshay writes: At a recent meeting in Azusa (in eastern Los Angeles County), several workers showed off their appointment cards for clinics like Santa Adelina. Three men lifted their pant legs to…
The verdict on whether electronic cigarettes are safer than traditional cigarettes is still very much out. However, a recent study found e-cigarette emissions contain a variety of concerning chemicals, including some considered to be probable carcinogens. In a study published in July in Environmental Science & Technology, researchers found significant levels of 31 harmful chemical compounds in e-cigarette vapors, including two that had yet to be detected: propylene oxide and glycidol, both of which health researchers have described as reasonably anticipated to be human carcinogens.…
On the question of whether a soda tax can actually reduce the amount of sugary drinks people consume, a new study finds the resounding answer is “yes.” In November 2014, Berkeley, California, voters passed the nation’s first tax on sugar-sweetened beverages in an effort to reduce their impact as a major contributor to chronic diseases such as obesity and type 2 diabetes. The small tax was just a penny-per-ounce on sodas, energy and sports drinks, fruit-flavored drinks, and sweetened water, coffee and teas. But according to researchers, that small tax is already having a big impact. In a study…
A few of the recent pieces I've liked: Alicia Menendez at Fusion: Pregnant in the time of Zika: How Congress failed women like me Vann R. Newkirk II in The Atlantic: Can free markets keep people healthy? Brittney Martin in the Dallas Morning News: Texas' rate of pregnancy-related deaths nearly doubles Sara Kliff and Ezra Klein at Vox: Public option? Status quo? Collapse? What comes next for Obamacare Peggy Lowe at NPR/ Harvest Media: Working "The Chain," Slaughterhouse Workers Face Lifelong Injuries David Dobbs in National Geographic: Why There's New Hope About Ending Blindness
At NPR, John Burnett reports on the conditions facing farmworkers in south Texas 50 years after a landmark strike in which farmworkers walked 400 miles to the capital city of Austin to demand fair working conditions. He writes: A lot has changed since 1966, when watermelon workers in the South Texas borderlands walked out of the melon fields in a historic strike to protest poor wages and appalling working conditions. They marched 400 miles to the state capital of Austin; California labor activist and union leader Cesar Chavez joined them. The farmworkers succeeded in publicizing their cause…
At Slate, Gabriel Thompson writes about a little-used legal provision that could go far in helping farmworkers fight wage theft and other labor abuses. A part of the Great Depression-era Fair Labor Standards Act, the statute is known as the “hot goods provision” and it gives the U.S. Department of Labor the authority block products made in violation of labor laws from being shipped across state lines. Thompson’s story begins with Felix Vasquez, who works in the strawberry fields of Oxnard, California, and had successfully worked with legal advocates to recover owed wages from his employer,…
This morning, the Florida Department of Health reported a “high likelihood” of the first localized transmission of Zika virus from mosquito to person in the United States. Up until now, the more than 1,600 documented Zika cases in the continental U.S. have been related to travel abroad; however, the news from Florida likely means that local mosquitoes are carrying the virus. The news also means that although public health officials have long warned that this day would come, local Zika transmission got here quicker than help from Congress did. Back in February, President Obama requested $1.9…