public health

Another day, another study on the benefit of vaccines. This time, it’s a study on the economic cost of vaccine-preventable diseases among U.S. adults — a cost that likely surpasses your wildest guesses. Published this week in Health Affairs, the study found that vaccine-preventable diseases affecting adults cost the American economy $8.95 billion in 2015, with unvaccinated adults accounting for $7.1 billion of that total. To conduct the study, researchers examined the economic burden associated with 10 vaccines that protect against hepatitis A; hepatitis B; shingles (or herpes zoster); human…
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…
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…
The 2013-2016 West African Ebola virus outbreak altered our perception of just what an Ebola outbreak could look like. While none of the three primary affected countries--Liberia, Sierra Leone, and Guinea-have had a case since April 2016, the outbreak resulted in a total of over 28,000 cases of Ebola virus disease (EVD)--65 times higher than the previous largest EVD outbreak, and more than 15 times the total number of cases of all prior EVD outbreaks combined, from the virus's discovery in 1976 to a concurrent (but unrelated) outbreak in the Democratic Republic of Congo in 2014. In March 2016…
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…
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…
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…
Every year in the U.S., more than 32,000 people die due to gun-related violence, suicide and accidents. That number includes the deaths of seven children and teens every day. So it’s not surprising that health care providers — those who witness the tragic results of gun violence — are often vocal proponents of gun safety reform. But when it comes to the intimate patient-provider relationship, do people want to discuss gun safety with their doctors? A group of researchers set out to explore that question in what may be the first nationally representative survey on whether Americans feel it’s…
At Mary Review, Mary Pilon writes about the experiences of women in the trucking industry, highlighting stories of sexual harassment and threats of violence that often get brushed to the wayside by industry employers and supervisors. The article notes that many women who seek out trucking jobs are in their 40s and 50s, are re-entering the workforce after a period away, and are attracted to a career that doesn’t require a higher education but can potentially yield a six-figure salary. Pilon begins the story with Cathy Sellars, who sought out a trucking job at age 55 after her divorce: Cathy…
In a new national survey, about one in every four U.S. workers rates their workplace as just “fair” or “poor” in providing a healthy working environment. And employees in low-paying jobs typically report worse working conditions than those in higher-paying jobs — in fact, nearly half of workers in low-paying jobs say they face “potentially dangerous” conditions on the job. Released earlier this month, results from the new Workplace and Health survey are based on responses from a nationally representative sample of more than 1,600 adult workers who were interviewed via phone during the first…