public health

In more encouraging public health news, the Centers for Disease Control and Prevention reports that vaccination rates among kindergarteners have remained stable, with the median vaccine exemption rate at 2 percent. Some states even reported an increase in immunization rates. In a study published last week in CDC’s Morbidity and Mortality Weekly Report, researchers examined 2016-2017 data from 49 states regarding coverage of three vaccines: measles, mumps and rubella (MMR); diphtheria, tetanus and acellular pertussis (DTaP); and varicella, more commonly known as chickenpox. Researchers also…

At Reveal, Amy Julia Harris and Shoshana Walter investigate an increasing criminal justice trend in which defendants are sent to rehab, instead of prison. On its face, the idea is a good one, especially for people struggling with addiction. However, the reporters find that many so-called rehab centers are little more than labor camps funneling unpaid workers into private industry. The story focused on one particular center, Christian Alcoholics & Addicts in Recovery (CAAIR) in Oklahoma. Started by chicken company executives, CAAIR’s court-ordered residents work full-time at Simmons Foods…

Guns are the third leading cause of injury-related death in the country. Every year, nearly 12,000 gun homicides happen in the U.S., and for every person killed, two more are injured. Whether Congress will do anything about this violence is a whole other (depressing) article. But there is evidence that change is possible. Last year, a study published in Epidemiologic Reviews “systematically” reviewed studies examining the links between gun laws and gun-related homicides, suicides and unintentional injuries and deaths. Researchers eventually gathered evidence from 130 studies in 10 countries,…

At the Toronto Star, reporter Sara Mojtehedzadeh went undercover as a temp worker at Fiera Foods, an industrial bakery, to investigate why temp workers are more likely to get hurt on the job. Earlier this year, Canadian occupational health and safety officials brought charges against the company, whose clients include Dunkin’ Donuts, Costco and Walmart, for the death of 23-year-old Amina Diaby, who was strangled to death after her hijab got caught in a machine. Mojtehedzadeh, along with Brendan Kennedy, write: I get about five minutes of training in a factory packed with industrial equipment…

In yet another attempt to repeal and replace the Affordable Care Act, much of the GOP justification boils down to one argument: that the ACA isn’t working. Never mind that we don’t really know what constitutes a “working” health care system for Republicans. For a while, Republicans said the ACA wasn’t working because some U.S. counties didn’t have an insurer. Today, no county is without an insurer. Then there’s the argument that ACA premiums are too high. However, the research shows that while premiums have gone up, the rise in premiums has been slower under the ACA than it was before the ACA…

Senate Republicans are again trying to ram through an Affordable Care Act replacement that threatens the health and well-being of millions of Americans. It’s shameful. But don’t take my word for it. Let’s look at what people who actually work in health care are saying about the Graham-Cassidy-Heller-Johnson bill. In this interview, Sen. Bill Cassidy insists that his bill would protect people with pre-existing conditions. Blue Cross Blue Shield Association disagrees. (Cassidy also says in that same interview that his bill would work through the Children’s Health Insurance Program (CHIP), which…

Earlier this week, members of the Senate Finance Committee announced an agreement to extend funding for the Children’s Health Insurance Program. The announcement had been anxiously awaited by families and advocates across the nation, as the program’s federal funding expires in about two weeks. The agreement is good news, but coverage for CHIP’s 8.9 million children isn’t safe just yet. According to reports, the agreement would extend CHIP’s funding for five years — a win for advocates worried that lawmakers might propose another two-year extension as it did in 2015. The agreement would also…

At the Huffington Post, Dave Jamieson reports that labor unions are stepping up to help protect increasingly vulnerable immigrant workers from deportation. In fact, Jamieson writes that in many instances, labor unions have become “de facto immigrants rights groups,” educating workers on their rights and teaching immigrants how to best handle encounters with immigration officials. Jamieson’s story begins: Yahaira Burgos was fearing the worst when her husband, Juan Vivares, reported to the Immigration and Customs Enforcement office in lower Manhattan in March. Vivares, who fled Colombia and…

Typically, we like to end the annual “The Year in U.S. Occupational Health & Safety” on an uplifting note. But this time around — to be honest — that was a hard sell. Take a quick look through the 2017 yearbook and you’ll quickly glean that worker health and safety is very much at risk under the new administration and from lawmakers in the states. From the attempted rollback of a new federal beryllium exposure standard to state efforts to weaken workers’ compensation systems, the view from 2017 does not seem terribly promising. On the other hand, the fight for workers’ rights has never…

For the sixth year in a row, we present “The Year in U.S. Occupational Health & Safety,” our attempt to document the year’s highs and lows as well as the challenges ahead. Like previous editions, the 2017 yearbook highlights policies, appointments and activities at the federal, state and local levels; outstanding news reporting on workers’ rights, safety and health; and the latest research from public health agencies and worker groups on the ground. Of course, you can’t ignore the giant elephant (no pun intended) in the room in 2017 — a new president and a Republican-controlled Congress…

Across the country, federally qualified health centers provide a critical safety net, delivering needed medical care regardless of a person’s ability to pay. And so it’s worrisome when researchers document a sharp increase in dissatisfaction among the clinicians and staff who make those centers run. “We’re not sure why we saw things getting worse in the centers,” said Mark Friedberg, a senior natural scientist at Rand Corporation and director of their Boston office. “The best takeaway from this study is we need to track this. We need to get to the bottom of it because it is alarming.”…

The idea that the Affordable Care Act is a job killer is one of those regularly debunked talking points that won’t disappear. So, here’s yet more evidence that the ACA has had very little impact on the labor market. In a new study from the National Bureau of Economic Research, a team of Stanford University economists found that even though different regions experienced varying labor market effects likely related to the ACA, the overall impact to jobs numbers was insignificant. In particular, researchers wrote: “Our findings indicate that the average labor supply effects of the ACA were close…

In July, public health departments across the country got a letter from the Trump administration abruptly cutting off funding for teen pregnancy prevention efforts in the middle of the program’s grant cycle. The move means that many teens will miss out on receiving an education that could — quite literally — change the trajectory of their lives. The abrupt funding cut — which came down without reason or explanation, according to grantees — also cuts off research efforts right at the evaluation stage. That’s the stage when public health practitioners rigorously assess a program’s outcomes,…

Umair Shah’s story isn’t an uncommon one in public health. Starting out in medicine, with a career as an emergency department doctor, he said it quickly became clear that most of what impacts our health happens outside the hospital and in the community. Today, that philosophy drives his work as executive director of Harris County Public Health (HCPH) in Houston, Texas — an agency that serves the third-largest county in the nation, home to about 4.5 million residents. In fact, Shah, who first joined the agency in 2004 and become director in 2013, said the agency’s mantra is this: “Health…

At The New York Times, Elizabeth Olson writes about the challenges that older workers face in proving workplace bias. She begins the story with Donetta Raymond, a longtime manufacturing worker laid off, along with hundreds of others, by Spirit AeroSystems Holdings. Now, some of those workers are bringing a lawsuit after discovering that nearly half of the laid-off workers were 40 or older, the age when federal age discrimination protections kick in. Olson writes: Such lawsuits are popping up as the nation’s work force ages and as many longtime workers claim that they are being deliberately…

Public trust in science is a fickle creature. Surveys show a clear majority of Americans believe science has positively impacted society, and they’re more likely to trust scientists on issues like climate change and vaccines. On the other hand, surveys also find that factors like politics, religion, age and race can greatly impact the degree of that trust. It presents a delicate challenge for agencies that depend on trust in science to do their jobs. “Trust in science is high, but it’s not unanimous and it’s not completely unquestioned — and nor necessarily should it be,” Joseph Hilgard, an…

U.S. investments in global health research have saved millions of lives and prevented immeasurable suffering. And by working to detect, treat and eventually eliminate infectious diseases worldwide, we’re protecting our own country too. That cliché about diseases knowing no borders is unfortunately very true. All that alone should be enough to remain committed to the cause. But a couple weeks ago, a new report from the Global Health Technologies Coalition (GHTC) offered another persuasive reason: U.S. funding for global health research and development (R&D) is good for the American economy…

Another day, another study that underscores the societal benefits of vaccines and the consequences we’d face without them. In a study published earlier this week in JAMA Pediatrics, researchers took on the issue of vaccine hesitancy by estimating the disease burden and economic costs associated with declines in the measles-mumps-rubella (MMR) vaccination rate. They noted that while overall childhood vaccine rates remain high in the U.S., there are areas where nonmedical exemption policies are materializing into declining immunization coverage. For example, this 2016 article in PLOS Medicine…

I recently finished a 2-year stint as an American Society for Microbiology Distinguished Lecturer. It's an excellent program--ASM pays all travel expenses for lecturers, who speak at ASM Branch meetings throughout the country. I was able to attend Branch meetings from California and Washington in the West, to Massachusetts in the east, and south as far as El Paso, Texas, with many in-between. Each Lecturer selects several topics to speak on, and the Branch chooses from those which they want to hear. Mine included basic research (zoonotic disease, antibiotic resistance) as well as science…

With the future of the Affordable Care Act still up in the air, most of the news coverage has gone to insurance coverage, premiums and Medicaid. And rightly so. But also included in the massive health reform law were a number of innovative measures to improve the quality and value of the medical care we actually get in the doctor’s office. With repeal still on the table, those measures are at risk too. One of those ACA efforts is the Hospital Readmissions Reduction Program, which reduces Medicare payments to hospitals with relatively high rates of often-preventable hospital readmissions. The…