Public Health - General
lborkowski | October 11, 2011Last Friday, CDC's Morbidity and Mortality Weekly Report included a report on the listeriosis outbreak associated with Jensen Farms cantaloupe (the grower is recalling the melons; look for "Rocky Ford" on the label). So far, 84 cases have been confirmed in 19 states, and 15 of these victims have died.
The number of cases may continue to rise, because even though the contaminated cantaloupes are at or near the end of their shelf life, the illness has a long incubation period (usually 1-3 weeks, but as much as 70 days). People who ingested the bacteria in late September might still experience…
cmonforton | September 30, 2011Congressman Denny Rehberg (R-MT) and his Republican members of the House Appropriations subcommittee with jurisdiction over the Labor Department don't think coal miner deserve better protection from black lung disease. In their FY 2012 appopriations bill they would prohibit the Mine Safety and Health Administration (MSHA) from using any funds to develop, promulgate, enforce or otherwise implement a new rule to protect miners from exposure respirable coal dust. (See page 36 in the bill.) This is a rule that has been in the works since at least 1996 when a federal advisory committee made…
lborkowski | September 9, 2011Deriding government bureaucrats seems to be a popular pasttime among certain politicians and talk-radio hosts, so it's nice every so often to remind ourselves about the important and valuable work our civil servants do. An article by Patricia Sullivan in the Washington Post provides a glimpse into the world of one longtime federal-government employee who's made a difference for public health. Lawrence Deyton is currently director of the Food and Drug Aministration's Center for Tobacco Products, and he also spent many years working on clinical trials of HIV drugs and a range of veterans health…
lborkowski | August 29, 2011Hurricane Irene wasn't nearly as bad as it could've been. The consensus here in DC seems to be "nowhere near as bad as Isabel" (which hit the Mid-Atlantic in 2003), and many of the New Yorkers who ignored Mayor Bloomberg's orders to evacuate are probably feeling smug. Nonetheless, millions of people have lost power, and damage from flooding is widespread. And, according to the Associate Press, Irene's death toll has risen to 37. (Nate Silver at FiveThirtyEight has compiled US death tolls of past hurricanes, and Irene is steadily becoming one of the more deadly ones.)
Although Irene had been…
lborkowski | August 23, 2011As those of you who read other ScienceBlogs are probably already aware, the ScienceBlogs overlords have decided that all bloggers on this network must blog under their own names -- no more pseudonyms. I don't understand or agree with this policy. Some of my favorite ScienceBlogs are written by authors using pseudonyms, and the quality of their content is consistently high. Readers may not be able to check these authors' credentials, so the amount of trust they place in the authors' blogs is based on the content of posts. (I don't know that quality and credibility are the rationale for the no-…
lborkowski | August 22, 2011By Kim Krisberg
Public health director Kerran Vigroux sounds almost matter-of-fact when she talks about having to shut down her department's screening services for sexually transmitted diseases. As she talks about the prevention and education opportunities that packed up and left along with the testing services, there's that familiar, barely audible public health tone to her voice -- the one that says "this makes no sense at all."
Vigroux directs public health services in the New Hampshire city of Nashua, and she isn't alone in having to shutter her department's STD services. New Hampshire…
lborkowski | August 5, 2011By Anthony Robbins
According to the New York Times, President Obama will create an Atrocities Prevention Board. You might well ask, what has this to do with public health? I might have had the same thought except for a Commentary that my co-editor and I published in the Journal of Public Health Policy. Elihu Richter, an old friend and colleague in environmental health - a mentee of the late Irving Selikoff, in fact - first explained why genocide prevention is public health. It was a struggle to get him to write on the topic, so we designed a harmless ruse. How about a book review of Paul…
lborkowski | June 30, 2011NPR's Melissa Block traveled to Mozambique, where poverty and a shortage of both healthcare providers and facilities contribute to a high maternal mortality rate, for the first segment of the "Beginnings" series that will air throughout the summer on All Things Considered. She starts off with some grim statistics:
In Mozambique in southeastern Africa, the rates of maternal and infant mortality are among the highest in the world.
In her lifetime, a Mozambican woman has a 1 in 37 chance of dying during pregnancy or within a short time after a pregnancy has ended. One in 10 children won't live…
cmonforton | June 28, 2011Within 15 minutes of my 6:00 am flight from Austin to Baltimore, I knew it was going to be a long, COLD, 3-hour trip. I'd already turned off the overhhad vents to stop the frigid air from blowing on me, and contorted myself into a ball on my seat trying to stay warm. As I visualized myself lounging in the hot sun, my light slumber was interrupted by a "DING!" coming from some seat ahead of me. Two rows up, a passenger had depressed the flight attendant call button to summon the Southwest Airlines crew member.
"May I get a blanket?" the woman passenger asked.
Like me, she must have felt the…
cmonforton | June 23, 2011Rhetoric has been flying this year, especially in the Republican-controlled House of Representatives, about the "burdens" of federal regulations. Many of these members seem to despise EPA rules, CSPS rules, healthcare rules, and OSHA rules. Many of their talking points come from groups like the Heritage Foundation with their reports "Red Tape Rising: Obama's Torrent of New Regulations," and "Rolling Back Red Tape: 20 Regulations to Eliminate," and the U.S. Chamber of Commerce's multi-media "Regulations: Restoring Balance" campaign. Many House members were embolden early in the…
lborkowski | June 17, 2011by Kim Krisberg
Don't mess with Texas. The iconic phrase was actually created as part of an anti-littering campaign more than 20 years ago, however it could be as easily applied to the state's notorious anti-regulatory attitude and penchant for bucking convention. But despite its reputation, the Lone Star State is poised to join 29 other states in passing a statewide restriction on indoor smoking.
With the Texas legislature now in special session, policy-makers are considering a bill (known as HB 46 in the House and SB 28 in the Senate) that would ban indoor smoking in bars and restaurants.…
cmonforton | June 14, 2011When I decided yesterday to watch the Republican candidates debate, I created a scorecard to use while I observed the two-hour event. I was interested particularly in exchanges related to public health topics, such as access to health care, and clean air and safe drinking water. Within minutes of first tuning in, I remembered how these multi-candidate debates are heavy on rhetoric, but light on policy details. I heard the participants harp on "ObamaCare," and "burdensome regulations," as well as make promises to "de-fund," and "repeal," but there were too few substantive points on public…
cmonforton | June 13, 2011Seven Republicans will meet tonight at St. Anselms college in Manchester, New Hampshire for a Presidential debate. The participants include both the declared candidates (Herman Cain, Newt Gingrich, Ron Paul, Tim Pawlenty, Mitt Romney, and Rick Santoroum) and likely candidate, Michele Bachman. Given that the event will take place in the St. Anselm Hawk's hockey venue, I'm going to keep a scorecard on the candidates' responses to issues affecting public health.
Since the breath of topics relevant to public health is wide, during tonight's debate I'll focus my attention on domestic policy…
lborkowski | June 5, 2011Thirty years ago today, the CDC's Morbidity and Mortality Weekly Report published a report of five young men with Pneumocystis carinii pneumonia who were treated at three different hospitals in Los Angeles, California. The authors observed that all five patients had no known common contacts, but had in common the fact that they "reported having frequent homosexual contact with various partners" and using inhalant drugs. An accompanying editorial note explained:
Pneumocystis pneumonia in the United States is almost exclusively limited to severely immunosuppressed patients (1). The occurrence…
cmonforton | May 27, 2011[June 3, 2011: Update below]
[May 31, 2011: Update below]
The West Virginia Supreme Court has taken up the case by Massey Energy shareholders to block the $8.5 Billon sale of the firm to Alpha Natural Resources. The Charleston Gazette's Ken Ward Jr., and National Public Radio's (NPR) Howard Berkes have followed the day-to-day event on the suits (here, here, here, here.) Now, their organizations are part of the action.
The two news outlets filed a motion today before the WV Supreme Court, urging the judges to reject the request by the California State Teachers Retirement System (a…
lborkowski | May 24, 2011I've written before about "Ten Great Public Health Achievements of the 20th Century," which the Centers for Disease Control and Prevention published in 1999. Now, CDC has put together a list of ten great public health achievements from 2001 to 2010, based on nominations from the agency's public health scientists. Here are the ten achievements from the first decade of the 21st century:
Vaccine-Preventable Diseases -- Cases, hospitalizations, and deaths from vaccine-preventable diseases have dropped over the past decade, and the impact of the pneumococcal conjugate and rotavirus vaccines has…
lborkowski | May 23, 2011The saying "demography is destiny" reportedly dates back to 19th-century social scientist Auguste Comte, and it's still popular among journalists. Earlier this year, for instance, Alan Wheatley of Reuters warned about the challenges Asian countries (especially Japan) will face as over-60 residents make up ever-larger shares of their populations. His article also touches on the challenges for countries that face the opposite problem: a large proportion of young residents, or "large cohorts of angry, unemployed young men" prone to causing turmoil.
A recent Council on Foreign Relations report…
lborkowski | May 2, 2011Last week in Moscow, the World Health Organization and Russian Federation held the First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control, which addressed the "slow-motion catastrophe" of rising rates of non-communicable illnesses like heart disease and diabetes. WHO Director-General Margaret Chan warned that diabetes rates have skyrocketed in both rich and poor countries, but in poor countries "health services are almost totally unprepared to cope with the onslaught of chronic demands that come with the rise of non-communicable diseases."
As the WHO…
lborkowski | April 29, 2011A few of the recent pieces I've liked:
Ken Ward Jr. at Sustained Outrage: Protecting workers: Progress under Obama? (Also see his related Coal Tattoo piece on mine safety in the Obama administration)
Maryn McKenna at Superbug: What vaccine refusal really costs: Measles in Arizona
Body Horrors: Blood Money: Hookworm Economics in the Postbellum South
Shadowfax at Movin' Meat: Why Patients are Not Consumers (related: Paul Krugman's Patients are Not Consumers)
Tara C. Smith at Aetiology: Staph in food -- what does it mean?
David Rosenfeld at DC Bureau: California turns to Mexico for Cheap Water,…
lborkowski | April 25, 2011Today is World Malaria Day, and the World Health Organization reminds us that each year the world sees approximately 250 million malaria cases and nearly 800,000 deaths from the disease. In 2009, half of the world's population were at risk of malaria. The disease is present in 106 countries in Africa, Asia, Latin America, and the Middle East and Eurasia.
The Roll Back Malaria Campaign has an optimistic view of where the world stands with regard to malaria today:
Today, for the first time in 50 years, the international community is poised to win the fight against malaria worldwide. Effective…