Public Health - General

by Kim Krisberg "To know you participated in building something in your city — it's just an experience, you know?" Those are words from Austin, Texas, native Christopher McDavid, 22, a graduate of the city's newly established Construction Career Center. During his time at the center, McDavid got certified in flagger safety (flaggers direct the safe passage of traffic through construction areas), first aid and CPR, and basic concrete work and received his OSHA 10 certification, which he said "has opened my eyes to actually see the things that can be harmful to me." Now, McDavid is looking for…
by Kim Krisberg Dr. Paul Demers says he frequently finds himself having to make the case for why studying workplace exposures to carcinogens is important. Oftentimes, he says, people believe such occupational dangers are a thing of the past. "A lot of people are still developing cancer and dying from cancer due to workplace exposures, but only a small fraction of those are compensated, so people may think the magnitude of this problem is small," said Demers, director of the Occupational Cancer Research Centre in Ontario, Canada. "I wanted to have better data." And in just a few years, he will…
by Kim Krisberg Amidst discussions of new gun control measures, a study finds that adding new settings where people can bring concealed weapons could increase the risk of some crimes. The study authors note that while that risk is pretty small, it's still a risk and one that policymakers should take into consideration. Published in the January issue of the American Journal of Public Health, the study examined 2001–2009 data from the Texas Department of Public Safety on criminal convictions associated with holders and nonholders of concealed handgun licenses (CHL). It found that concealed…
by Kim Krisberg It's often noted that immigrants to the United States experience a decline in health after adopting American lifestyle habits. However, a recent study has found that new immigrants might not be arriving in such good health after all. Published in the December issue of Health Affairs, researchers put this hypothesis to the test: Are immigrants truly in better physical health than native-born Americans and does that reported health advantage erode after living in the U.S. or is it a product of undetected disease that's discovered after immigration? It's not only an interesting…
I'm sure we'll continue to see and hear more in the coming days about the tragedy in Newtown, Connecticut, and that our thoughts will stay with the families and neighbors mourning the 27 victims of our country's latest mass shooting. It's important to remember that this shooting, while it may be especially horrific because of the number of very young victims, is hardly an aberration in the US. I found these pieces especially helpful for getting a picture of gun violence in this country: Gary Younge, "A day in the death of America": This 2007 Guardian (UK) article on gun violence in the US…
by Kim Krisberg Workers in Travis County, Texas, are celebrating what advocates are calling a landmark victory, after local leaders voted to ensure that economic incentive deals benefit both big business and workers. In late November, Travis County commissioners approved a new living wage requirement for companies wanting to move into the county and take advantage of the generous tax breaks the region offers to lure new business. The requirement creates a new wage floor of $11 an hour for all employees, including construction workers. On the same day as the county vote, a committee of the…
by Kim Krisberg The collective experience of domestic workers — house cleaners, nannies and caregivers — often remains hidden from view. For all practical purposes, they work in regulation-free environments without the benefits of labor, wage and health protections or oversight. There are no HR departments in people's homes. But a new survey released in November has pulled back the curtain on the conditions and experiences domestic workers face, documenting issues such as wage exploitation, preventable on-the-job injuries and the little — if any — power domestic workers have in improving…
This is a bonus addition to a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. To read the three-part series, which explores the science of pain management as well as physicians' and public health workers' roles in preventing opioid abuse and overdose, click here, here and here. by Kim Krisberg "If you really look at how pain affects people and what it means to have pain...you start to view it more as a social phenomenon." These are words from Dr. Daniel Carr, a…
This is the last in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. This week's story looks at the role of public health in curbing the opioid abuse and overdose problem. Read the previous stories in the series here and here. (We'll be publishing a bonus addition to the series next week — a discussion with Dr. Daniel Carr, director of the Pain Research, Education and Policy Program at Tufts University.) by Kim Krisberg A decade ago, only about 10 percent of the…
It's no secret that the U.S. has a weight problem.   Nearly 36% of U.S. adults are obese and another 33% are overweight, with respective body mass indices of 30 or higher and 25 to 29.9.   Strategies to address this public health problem rely heavily on individuals' changing their behavior, such as increasing physical activity and reducing calorie intake.   These interventions are easier said than done, and may not be making a dent in the U.S. obesity epidemic.  A result analysis suggests that by 2030, 51% of the U.S. population will be obese. A new report explores the potential links between…
by Kim Krisberg It's often said that hard work never hurt anybody. It's a cliché with which occupational health folks and thousands of injured workers would undoubtedly disagree. And while tragic and often preventable physical injuries may be the easiest to see and document, other work-related health risks are much harder to pick up on. One such risk is depression. Exploring reliable links between work and depression, which is a significant health and economic burden for individuals as well as society, is somewhat murky, as such research is often based on self-reporting methods that can leave…
This is the second in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. (The first post is here.) The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story looks at clinical efforts to reduce the risk of opioid abuse and overdose while still caring for patients; the next story will explore the role of public health officials in curbing opioid abuse. by Kim Krisberg Since…
by Kim Krisberg This is the first in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story provides a look at the field of pain medicine and the patients it cares for; next week's story will look at the educational and risk reduction approaches physicians are employing to address opioid addiction and overdose. It took…
Things are mostly back to normal in DC today: Schools and government offices are open, trains and buses are running on their usual schedules, and there are few outward signs that Hurricane (or Superstorm) Sandy passed through here less than 48 hours ago. The situation is apparently far worse in New York and New Jersey, where flooding damaged millions of homes and hundreds of miles of subway tunnels. Millions of people from the Carolinas to Maine lost power, and many are still without it. The US death toll has reached 40. With Election Day less than a week away, Hurricane Sandy reminds us how…
by Kim Krisberg Earlier this year, federal officials put their foot down: New Hampshire could no longer use federal preparedness money to supports its poison control efforts. The directive sent state lawmakers scrambling to find extra funds so New Hampshire residents would still have access to the life-saving service. Without new money, New Hampshire callers to the Northern New England Poison Center would get a recording telling them to call 911 or go to the emergency room. Fortunately, New Hampshire officials found enough funds to keep the service up and running for state residents this year…
A few of the recent pieces I've liked: Jason Beaubien (here, too), Jackie Northam (here, too), Julie McCarthy, and Michaeleen Doucleff in NPR's terrific polio series. Ta-Nehisi Coates' The Atlantic blog: Pregnancy as Labor Jenni Bergal at the Washington Post: Moving people out of nursing homes proves to be difficult, despite federal funding Bora Zivkovic at A Blog Around the Clock: Stumped by bed nets, mosquitoes turn midnight snack into breakfast Jane Brody at the New York Times' Well Blog: In Fight Against Obesity, Drink Sizes Matter And this would technically be in the "worth watching"…
by Kim Krisberg At Palm Beach Groves in Lantana, Fla., a small, seasonal business that ships fresh citrus nationwide, employees have regularly voted between getting a raise or keeping their employer-based health insurance. Health coverage always wins, as many employees' ages and pre-existing conditions would have made it nearly impossible to get coverage on their own. In her 12 years with Palm Beach Groves, general manager Louisa McQueeney has seen insurance premiums go up anywhere from 12 percent to 32 percent a year. Coverage for her family alone — herself, her husband and daughter — was $1…
October 15th is Global Handwashing Day. CDC explains why handwashing deserves the recognition: This observance increases awareness and understanding of handwashing with soap as an effective and affordable method of preventing disease around the world. Handwashing with soap has an important role to play in child survival and health. About 2.2 million children aged <5 years die each year from diarrheal diseases or pneumonia, the top two killers of young children worldwide. Handwashing is not only simple and inexpensive, but handwashing with soap can reduce the incidence of diarrhea by 30%…
by Kim Krisberg Researchers studying workers’ compensation claims have found that almost one in 12 injured workers who begin using opioids were still using the prescription drugs three to six months later. It's a trend that, not surprisingly, can lead to addiction, increased disability and more work loss – but few doctors are acting to prevent it, explains a new report from the Massachusetts-based Workers Compensation Research Institute (WCRI). Report researchers looked at longer-term opioid use in 21 states and how often doctors followed recommended treatment guidelines for monitoring…
by Kim Krisberg In the west Texas city of San Angelo, Planned Parenthood has been serving local women since 1938. It was one of the very first places in Texas to have a family planning clinic. "We have grandmas bringing their granddaughters in," Carla Holeva, interim CEO of Planned Parenthood of West Texas, told me. "We're very much part of the community." Today, the San Angelo clinic is preparing for some big, and unfortunate, changes. Last year, Texas lawmakers voted to exclude Planned Parenthood and other organizations affiliated with abortion providers from the state's Women's Health…