Category Archives: Public Health
GUEST POST by John Skendall, Manager, Web and New Media at the Association of State and Territorial Health Officials (ASTHO).
“How much are we really doing in the area of worksite wellness? Are we walking the talk and serving our employees the way we should?” This question was posed by Paul Jarris, executive director of the Association of State and Territorial Health Officials (ASTHO), in a session on workplace wellness at the organization’s annual meeting last Friday in Orlando.
Jarris said that health departments can do more to foster wellness among employees in the states and territories. “We in public health are not leading in this area,” he said. “We are the laggards.”
>>Follow continued ASTHO Annual Meeting coverage on NewPublicHealth.org.
Terry Dwelle, state health official for the North Dakota Department of Health and moderator of the session, agreed. “Health departments must have a worksite wellness program. We need to practice what we preach,” said Dwelle. He also said that the business case for worksite wellness needs to be made to convince employers of the value of investing in wellness.
The annual meeting of the Association of State and Territorial Health Officials (ASTHO) begins next week in Orlando, Fla., bringing together state health officials and other leaders to talk about the latest critical issues around public health in the United States. NewPublicHealth will be on the ground throughout the meeting covering workshops, sessions and keynote speeches, as well as speaking with program speakers and conference attendees.
Discussions will highlight ways to integrate and coordinate health care and public health, including new opportunities under the Affordable Care Act. We will also explore the new ASTHO President's Challenge around preventing prescription drug abuse, check in on efforts around healthy babies and more. Coverage will also include interviews with thought leaders including Paul Jarris, Terry Cline, José Montero and John Wiesman.
In the 1970s and 80s, residents of the Bronx, one of New York City’s five boroughs, were so anxious to leave the crime-ridden area that many residential and commercial buildings—once majestic and architecturally rich—were torched and empty for decades. Now fifty years later there’s a waiting list of thousands for Via Verde, a new low- and middle-income Bronx housing complex that opened last year. Many features set the complex apart from almost any other housing development in the United States, including an emphasis on greenery from almost every vantage point of the building. This helps create a calming and beautiful atmosphere for the residents, many of whom grew up in crowded housing projects where any nearby parks were usually too dangerous to enjoy.
Why is housing important for health? A lack of affordable rental housing can push more tenants into substandard or overcrowded living situations. Living in unaffordable housing also leaves fewer resources for the things that can keep a family healthy, such as healthy food or preventative health care. Low-income housing also has a reputation for being unhealthy, and for good reason—more than 6 million housing units in the U.S. have deficiencies such as lead paint hazards; allergens, dampness and mold that can trigger asthma; and unsafe structural issues that can cause falls and other injuries. Via Verde and other similar efforts seek to change all that, with housing that is not only affordable but also safe, healthy and even environmentally sound and sustainable (which in turn also saves on costs).
The design for Via Verde was the winner of a 2006 competition hosted by the New York City Department of Housing Preservation and Development; the New York Chapter of the American Institute of Architects; the New York State Energy Research and Development Authority (NYSERDA); and the Enterprise Foundation. It was New York City’s first juried design competition for affordable and sustainable housing.
A recent survey by the American Institute of Certified Public Accountants (AICPA) found that more than half of about 1,000 American adults polled could not correctly define common health insurance financial terms such as premium, deductible or copay. That’s concerning considering that opening day to sign up for health insurance under the Affordable Care Act is October 1. “Half of Americans would fail health insurance 101,” said Ernie Almonte, CPA, chair of the Institute’s National CPA Financial Literacy Commission. “That’s critical insight as consumers prepare to make important decisions with implications for both their physical and fiscal well-being,” says Almonte. “Americans need to take time in the coming weeks to familiarize themselves with key terms and assess their needs so they make the best decisions for their health and financial situations.”
Knowing what the terms mean can help people make informed choices when they sign up for health insurance. For example, a copay is the out of pocket cost to a patient for a health service. Choosing a plan with lower co-pays can help individuals save money, according to the Institute.
The survey found that people with high school diplomas or less education were significantly more likely than those with a college education to be unable to define financial health terms. The survey also found that 41 percent of responders said they were not at all knowledgeable about the Affordable Care Act; just under half of responders said they thought they were somewhat knowledgeable.
“Are they harm reduction or are they smoking cessation? It’s a tough situation because, on the one hand, you have what it does and on the other you have the claims are that are allowable under the law. It’s a strange situation where they are being regulated as tobacco products. But they are not tobacco products. There’s no tobacco in them.”
Many hard facts about e-cigarettes are still unclear. What is clear is that marketers are pushing hard to make the switch from smoking to “vaping” an ongoing trend. In the above quote from a TechCrunch article, Michael Siegel, MD, Professor at Boston University’s Public School of Health, mulled over some very real concerns about where we’re heading in terms of e-cigarette regulation.
The current debate between the manufactures and public health experts surrounds the health impacts of the nicotine product. The e-cigarette “boom” began around 2007, starting first with smaller companies. After making a dent in cigarette sales—unlike cessation therapies such as the patch and gums—tobacco companies took notice and are starting to jump onboard.
Today e-cigarettes are especially rising in popularity among what some may consider the “hip” crowd. From a recent article in The New York Times:
Kids and their parents aren’t the only ones who need to do some back-to-school prep as the fall term starts. A new survey of U.S. school bus drivers released by the National Association of Directors of Pupil Transportation Services (NADPTS) last week found that more than 80,000 vehicles illegally passed a stopped school bus on a single day this past year. That translates to nearly 15 million violations during the 180-day school year, according to the association.
Laws and regulations can vary somewhat by state, but generally drivers must come to a full stop when they are behind or across the street from a school bus when it has its stop sign out and its lights are flashing. The NADPTS maintains a list of state laws regarding what cars must do when they see a stopped school bus.
No one organization keeps tabs on all children injured and killed by drivers who didn’t stop for a school bus, but three children were killed in such accidents in North Carolina alone last year, bringing that state’s total of children killed in such accidents to a dozen since 1998.
“There are nearly a half million school buses on the road each day in the United States,” said Max Christensen, NADPTS president, and, “any driver who passes a stopped school bus illegally is gambling with a child’s life.” According to the association, some states are adopting more stringent safety measures, such as improved motorist education, increased fines, and more law enforcement, including the use of photo evidence in court cases from cameras mounted on the sides of school buses.
>>Recommended Reading: To help reduce the number of injuries and fatalities related to school bus accidents, the National Highway Traffic Safety Administration has a school bus safety website stocked with information.
Following several outbreaks of mumps cases on college and university campuses this past spring, the American College Health Association (ACHA) recently issued an alert urging institutes of higher education to keep mumps on their radar and require proof of complete mumps vaccination coverage for all students, which means having received two doses of MMR (measles, mumps and rubella) usually between 12 to 15 months and then again between the ages of 4 and 6.
According to the Centers for Disease Control and Prevention (CDC), up to half of people who contract mumps show very mild to no symptoms. However, the most common symptoms of mumps that may appear after 12 to 18 days of incubation include:
- Muscle aches
- Loss of appetite
- Swollen and tender salivary glands under the ears
While mumps is usually a mild disease in children, contracting mumps after puberty can have adverse effects on both the male and female reproductive systems and in some cases can affect the central nervous system.
According to the chair of ACHA’s Vaccine Preventable Diseases Committee, Susan Even, MD, most colleges and universities already require two doses of the MMR vaccine for enrolled students. Even is also the executive director of the student health center at the University of Missouri, where she says the health center participates in new student orientation. Incoming students who are behind on immunizations including the full course of MMR are directed to come in to the health center and receive the appropriate boosters, which they can charge to their campus account.
NewPublicHealth is looking to highlight some of new and captivating public health education and outreach campaigns through our Public Health Campaign of the Month series. Have you worked with a successful and innovative campaign to help spread awareness of public health issues and engage your community in healthier behaviors? We want to recognize the great effort put into those campaigns and the positive work they are doing, so nominate them!
Campaigns could include videos, public service announcements in print or in video, websites, infographics, social media efforts, or other ways to spread the word about a particular public health issue.
To submit a campaign to be considered for the Public Health Campaign of the Month please send the following items to email@example.com:
- Name of the Campaign
- Related image
- What public health issue does it address, and what's the scope of the problem?
- What methods are being used to address the issue?
- What results have you seen thus far? Is it catching a lot of attention?
- Contact information
Complete submissions will then be evaluated based on innovation, the ability for the campaign to be replicated in other areas, its potential for impact on the community. If your campaign is selected to be featured as an upcoming Public Health Campaign of the Month, we will contact you with any further questions.
>>Don’t forget to check back to see the latest innovative public health campaigns at NewPublicHealth!
NewPublicHealth is partnering with Grassroots Change: Connecting for Better Health to share interviews, tools, and other resources on grassroots public health. The project of the Robert Wood Johnson Foundation Health Group supports grassroots leaders as they build and sustain public health movements at the local, state and national levels.
In this excerpted Q&A, conducted by Grassroots Change, California State Fire Marshal Tonya Hoover shared her thoughts on a quiet but highly successful public health movement: fire sprinkler requirements as a cost-effective measure to reduce civilian deaths, injuries, and property damage while protecting fire fighters and the natural environment. Tonya Hoover is a 20-year veteran of the fire service and an experienced advocate for fire prevention. She has promoted residential fire sprinkler ordinances as a local fire marshal in California and a statewide requirement that went into effect on January 1, 2011.
>>Read the full Q&A on GrassrootsChange.net.
Grassroots Change: Tell us about the grassroots movement for residential fire sprinklers.
Tonya Hoover: California has seen the passage of residential sprinkler laws since the first local adoption in San Clemente in 1978. Since that time, over 160 local ordinances have passed [fire sprinkler requirements for all new construction, including 1- and 2-family homes].
Other states have also adopted residential sprinkler ordinances for many years. Residential sprinklers aren’t new. What is new is they’re getting their time in the sun with the public because we already sprinkler apartments and larger buildings. People are used to seeing sprinklers in commercial buildings and office spaces. Most apartments in California – the complexes that have been going up in the past 20-25 years – have sprinklers. We hope to get people to look up and say: “Why isn’t my house sprinklered? This is supposed to be my safe haven.”
In the last decade or so, leaders in the field of architecture have begun to look at not just the aesthetics of building and community design, but also their own impact on the health of communities. In New York City, for example, the local chapter of the American Institute of Architecture’s New York chapter partnered with several agencies in New York City, including the departments of Health and Mental Hygiene, Design and Construction, Transportation, City Planning, and Office of Management and Budget, as well as research architects and city planners to create the city’s Active Design Guidelines. These provide architects and urban designers with a manual of strategies for creating healthier buildings, streets, and urban spaces, based on the latest academic research and best practices in the field. The Guidelines include:
- Urban design strategies for creating neighborhoods, streets, and outdoor spaces that encourage walking, bicycling, and active transportation and recreation.
- Building design strategies for promoting active living where we work and live and play, through the placement and design of stairs, elevators, and indoor and outdoor spaces.
NewPublicHealth recently spoke with Rick Bell, policy director of AIA New York, who was instrumental in the creation of the guidelines, about the burgeoning intersection between design and healthier communities.
>>Read more on architecture and design for a fit nation.
NewPublicHealth: How did AIA New York become involved in healthy design with the city of New York?