public health

In Cuyahoga County, Ohio, nearly 200 people have died from opioid-related overdoses in the first five months of this year. That means that this one U.S. county is on pace to lose more than 700 people to fatal overdoses by the end of 2017. Terry Allan, health commissioner at the Cuyahoga County Board of Health, and colleagues across the county have spent years building and scaling up a multifaceted response to the opioid addiction and overdose epidemic that includes getting people into treatment, changing clinical prescribing habits, preventing deadly overdoses, and dealing with the often-…
Last year’s emergency Zika funding is about to run out and there’s no new money in the pipeline. It’s emblematic of the kind of short-term, reactive policymaking that public health officials have been warning us about for years. Now, as we head into summer, public health again faces a dangerous, highly complex threat along with an enormous funding gap. “The Zika threat will get worse,” said Claude Jacob, chief public health officer at the Cambridge Public Health Department in Massachusetts and president of the National Association of County & City Health Officials (NACCHO). “And the…
When you ask public health advocates about President Trump’s recent budget proposal, you typically get a bewildered pause. Public health people don’t like to exaggerate — they follow the science, they stay calm, they face off against dangerous threats on a regular basis. Exaggerating doesn’t help contain diseases, it only makes it harder. So it’s concerning when you hear words like this about Trump’s budget: “devastating,” “not serious,” “ludicrous,” “unfathomable.” Released in late May, Trump’s fiscal year 2018 federal budget proposal calls for cutting the budget at the Centers for Disease…
A claim that scientists need to quit making: I've written about these types of claims before. The first one--a claim that antimicrobial peptides were essentially "resistance proof," was proven to be embarrassingly wrong in a laboratory test. Resistance not only evolved, but it evolved independently in almost every instance they tested (using E. coli and Pseudomonas species), taking only 600-700 generations--a relative blip in microbial time. Oops. A very similar claim made the rounds in 2014, and the newest one is out today--a report of a "super vancomycin" that, as noted above, could be…
At Eater, Elizabeth Grossman reports that Democratic lawmakers have introduced legislation that would protect undocumented agricultural workers from deportation and provide them and their families with a path to long-term residence and citizenship. The bill proposes that farmworkers who can prove at least 100 days of agricultural work in the last two years could apply for a “blue card” that grants temporary residency and the ability to work. Farmworkers with a blue card and who work for 100 days a year for five years or 150 days a year for three years would then be eligible for a green card…
To the surprise of literally no one, President Trump’s 2018 budget proposed stripping all federal funds, including Medicaid dollars, from Planned Parenthood. Proponents of this argue that if Planned Parenthood clinics end up shuttered, women can simply access care elsewhere. But growing research shows that’s the opposite of what actually happens. We got even more evidence of this with a report on the capacity of federally qualified health centers (FQHCs) to fill the gaps left when a Planned Parenthood clinic is forced to close its doors. In a policy paper from the Guttmacher Institute…
Last week, researchers officially opened enrollment in the nation’s first decades-long study of lesbian, gay, bisexual, transgender and queer health — an effort they hope will transform our understanding of the health challenges LGBTQ people face and begin narrowing a giant data gap on their physical, mental and social well-being. “Sexual and gender minorities make up between 2 and 6 percent of the population, however sexual orientation and gender identity are rarely asked about in health studies and they’re not included in fundamental metrics like the Census,” said Juno Obedin-Maliver, one…
A Zika attack rate of just 1 percent across the six states most at risk for the mosquito-borne disease could result in $1.2 billion in medical costs and lost productivity, a new study finds. That’s more than the $1.1 billion in emergency Zika funding that Congress approved last year after months of delay and which is expected to run out this summer. “One of the troubling things last year was that (Zika funding) was viewed as a cost — every week, there was another delay and more people becoming infected and more chances of birth defects,” study co-author Bruce Y. Lee, an associate professor at…
Right now, according to public health officials, about half a million U.S. kids have blood lead levels that could harm their health. However, new research finds many more children — hundreds of thousands more — are likely going unidentified. In a study published last week in Pediatrics, researchers estimated that while 1.2 million cases of elevated blood lead levels (EBLL) likely occurred between 1999 and 2010, only 607,000 were reported to the Centers for Disease Control and Prevention. That data gap not only means kids are likely going without needed treatment and services, but that public…
At ProPublica, Michael Grabell investigates how U.S. companies take advantage of immigrant workers, focusing on Case Farms poultry plants, which former OSHA chief David Michaels once described as “an outrageously dangerous place to work.” He reports that Case Farms built its business by recruiting some of the world’s most vulnerable immigrants, who often end up working in the kind of dangerous and abusive conditions that few Americans would put up with. Grabell chronicles the history of Case Farms and how it first began recruiting refugees from Guatemala who were fleeing a brutal civil war in…
Protecting babies and children against dangerous — sometimes fatal — diseases is a core mission of public health. Everyday, in health departments across the nation, someone is working on maintaining and improving childhood vaccination rates and keeping diseases like measles and mumps from regaining a foothold in the U.S. Fortunately for us, public health has been so successful that it’s easy to forget what it was like just a few decades ago when measles was a common childhood illness. (Though here’s a reminder.) But sustaining vaccination rates that provide population-wide protection against…
More than 8 million U.S. children depend on the Children’s Health Insurance Program for access to timely medical care. The program is authorized through 2019, but its federal funding expires in September and it’s unclear what Congress will do. That uncertainty stresses all the systems and families that depend on CHIP, but it may be especially risky for the 2 million chronically ill children who get care through the program, which was originally designed for families falling in the gap between market affordability and Medicaid eligibility. In a study published this month in Health Affairs,…
There was always an assumption that the Affordable Care Act would need time to find its sea legs. That’s why it included measures to shield insurers from the potential profit losses that inherently come with offering millions more people better health coverage at more reasonable prices. Insurers operate on profit margins and the ACA took that into account, for better or for worse. But it’s still been a rocky road for insurers. (Insert argument here for single-payer health care, but that’s a different story.) On the patient side, with 20 million more Americans insured and growing accounts of…
At Bloomberg BNA, Stephen Lee reports that with fears of deportation looming, undocumented immigrants are becoming afraid to access legal remedies when they’re injured on the job. The article notes that such immigrants are disproportionately employed in hazardous jobs and while they account for just 15 percent of the overall workforce, they account for 18 percent of occupational fatalities. Lee writes: Sofia, a Mexican fieldworker in Santa Rosa, Calif., has a workers’ compensation case in the works after hurting her arm and shoulder pulling vine roots, requiring surgery. But she says she’s…
Public health is in trouble. Last month, President Trump released his proposed budget for fiscal year 2018. It was more of an outline, really, and didn’t provide many details, but it did call for a nearly 18 percent cut to the U.S. Department of Health and Human Services and for block granting the budget at the Centers for Disease Control and Prevention. At the same time, the White House supports repealing the Affordable Care Act. That repeal would also eliminate the Prevention and Public Health Fund, which now accounts for about 12 percent of CDC’s budget and funds critical public health…
To get a clearer sense of just how bad our drug overdose problem has gotten, look no further than this year’s County Health Rankings. The annual report found that after years of declining premature deaths, that rate is on the rise and due primarily to overdose deaths. It means we could be seeing the first generation of American kids with shorter life expectancies than their parents. “We often think of the opioid crisis either as happening in very rural communities or as an urban issue,” Kate Konkle, Action Center Team director for County Health Rankings & Roadmaps, told me. “But this is…
At the Center for Public Integrity, Talia Buford and Maryam Jameel investigate federal contractors that receive billions in public funds despite committing wage violations against their workers. In analyzing Department of Labor data on more than 1,100 egregious violators, the reporters found that federal agencies modified or granted contracts totaling $18 billion to 68 contractors with proven wage violations. The Department of Defense contracted with the most wage violators. Under Obama, labor officials had attempted to address the problem with the Fair Pay and Safe Workplaces rule, which…
As a PhD student, Laura Syron was helping her advisor with workplace safety research focused on the Pacific Northwest commercial fishing industry. The project got her thinking about worker safety throughout the seafood supply chain, from the boat to the processing plant. So she decided to do a study of her own. The result is likely the first to examine occupational health and safety inside Oregon’s seafood processing industry. Along with her co-authors, Syron, a doctoral student at Oregon State University College of Public Health and Human Sciences, examined data from workers’ compensation…
Before Patrick Morrison worked for the International Association of Fire Fighters, he was a firefighter himself. He’s experienced the horrifying and profoundly saddening events that first responders see every day. And like many other firefighters, he turned to alcohol to deal with the accumulating mental trauma. Fortunately, Morrison got help and considers himself “in recovery” today. But many firefighters don’t. In fact, an August 2016 IAFF report noted that even though firefighters experience a post-traumatic stress disorder (PTSD) rate that’s similar to soldiers returning from combat, many…
Yesterday, House Republicans failed to find enough votes to pass their Affordable Care Act replacement. It was a very good day for the millions of Americans projected to lose their coverage under the GOP plan. But let’s be clear: Obamacare is not safe. In a last-ditch effort to round up more votes, House Speaker Paul Ryan, R-Wis., proposed an amendment that would have, beginning in 2018, allowed states to determine the kinds of essential health benefits required in insurance plans purchased with tax credits. Under Obama’s health care law, insurance plans sold via the federal health care…