Category Archives: Public health agencies
Despite certain positive shifts in overall health outcomes for residents in Alameda County, Calif., significant inequities exist, particularly among African-Americans, Latinos and Native Hawaiian/Pacific Islanders, as well as low-income residents.
The Alameda County Place Matters team works throughout Alameda County, including the City of Oakland, the largest city in the county.
Team Objectives include:
- Affordable housing
- Quality education
- Access to economic opportunities
- Criminal justice reform including reducing the incidence of incarceration
- Improvements to land use
- Accessible, safe and affordable transportation
Alameda County Supervisor Keith Carson initiated the Alameda County Place Matters team. The team is currently housed within the Alameda County Public Health Department and supported by health department staff. The initiative has numerous community partners that include community-based organizations; city and county government agencies; and nonprofits.
Among the critical issues the Place Matters team is currently focused on are displacement, the built environment, and development and how those impact health, according to team communications lead Katherine Schaff.
The team is working with community partners and planners on a healthy development checklist that the city of Oakland can use to take health considerations into account during city permitting and decision making to try to ensure more transparency and accountability to residents in that process. She said the goal is to have city planners go through the checklist before projects are approved. The checklist, said Schaff, might have allowed for more time for community comment before plans were authorized for a new crematorium that is expected to add to pollution and exacerbate asthma cases.
The Network provides assistance and resources to public health lawyers and officials on legal issues related to public health, including health reform, emergency preparedness, drug overdose prevention, health information privacy and food safety. More than 3,500 public health practitioners, attorneys, researchers, policy makers and others have joined the Network since it was formed in 2010 as a national initiative of the Robert Wood Johnson Foundation (RWJF).
“We are delighted that Ms. Levin, an experienced leader in public health law, will be joining a stellar Network team,” said Michelle Larkin, JD, assistant vice president for RWJF. “Laws and policies that help people lead healthier lives are among the cornerstones for building a culture of health. Through Ms. Levin’s leadership, we look forward to continued growth in the Network—a strategic resource for state and local public health officials.”
NewPublicHealth recently spoke with Levin about her new position with the Network.
NewPublicHealth: How does your previous work as the general counsel for a state health department help inform your goals for the Network for Public Health Law?
Donna Levin: During my decades at the Massachusetts Department of Health I saw the responsibility of the state health department grow exponentially. We were trusted by the legislature and given many new initiatives. So public health grew and grew and public health law has grown alongside it. So what informs my view is that the range of issues is so incredibly broad. And so I really know firsthand how the availability of technical assistance from the Network is so valuable both to lawyers working in the field and to practitioners.
On Thursday, April 17, from 1-2 p.m. (ET), the Network for Public Health Law, Public Health Law Research and the American Society of Law Medicine and Ethics (ASLME) will be holding a free webinar around public health perspectives on regulating non-medical marijuana in states where it has been made legal or decriminalized. Whatever course a state may take, public health’s expertise and experience in public policy means it should be a major voice in the discussion surrounding legislation from the very start. The issue is a critical one now as Colorado and Washington State have legalized the commercial production, distribution and sale of marijuana for non-medical use and a number of other states are considering similar legislation.
“Policy-makers, advocates and others are grappling with how to process licenses, develop regulations and manage production in an industry that is still largely illegal both in the U.S. and around the world,” said Alexander Wagenaar, PhD, Professor in the Institute for Child Health Policy at the University of Florida who will be the moderator for the webinar.
The webinar’s aim is to provide an overview of issues related to non-medical marijuana regulation through, among other things, the lessons learned from decades of alcohol and tobacco regulation and through insights from Washington State’s recent implementation of a marijuana law with participant Laura Hitchcock, JD, Policy, Research & Development Specialist in the public health department of Seattle & King County in Washington State. Additional speakers include Beau Kilmer, PhD, Co-Director of the RAND Drug Policy Research Center and Amanda Reiman, PhD, the Policy Manager of the Drug Policy Alliance of California.
>>Register for the webinar Regulating Non-Medical Marijuana: Lessons Learned and Paths Forward.
Ahead of the webinar, NewPublicHealth spoke with Wagenaar about who in public health will find the webinar important, as well as public health’s role both before and after a jurisdiction considers legalizing non-medical marijuana.
NewPublicHealth: Who is the webinar primarily geared toward?
Alexander Wagenaar: There are lots of different audiences that are interested in this, including the public health research community such as academics, scientists, health department and agency staff who are looking at the issue or will be looking at it in the future.
Last month The George Washington University in Washington, D.C. announced three gifts totaling $80 million for the university’s School of Public Health and public health initiatives from the Milken Institute, the Sumner M. Redstone Charitable Foundation and the Milken Family Foundation. The public health graduate school is now called the Milken Institute School of Public Health and the university has also established the Sumner M. Redstone Global Center for Prevention and Wellness. Redstone is the executive chairman of Viacom and CBS Corp., while Michael Milken is an entrepreneur.
The gifts include:
- $40 million from the Milken Institute to support new and ongoing research and scholarships
- $30 million from the Sumner M. Redstone Charitable Foundation to develop and advance innovative strategies to expand wellness and the prevention of disease
- $10 million from the Milken Family Foundation to support the Milken Institute School dean’s office, including a newly created public health scholarship program
NewPublicHealth recently spoke with Lynn Goldman, MD, MS, MPH, and dean of the School of Public Health, about the impact of the gifts for the school and the public’s health both globally and in the United States.
NewPublicHealth: What changes will the recent gifts bring to the school?
Lynn Goldman: It’s no exaggeration to say the gift is transformational for our school. We have the opportunity to recruit the best talent in the country to work with our school, whether that might be students through the increase that we’ve received in scholarship funding or faculty members, and we have the opportunity to support our current faculty to be able to take their work to the next level.
It also allows us to establish the Sumner M. Redstone Global Center for Prevention and Wellness, which is a very exciting enterprise. We recently announced that William Dietz, MD, MPH, formerly the director of the Division of Nutrition, Physical Activity and Obesity at the U.S. Centers for Disease Control and Prevention (CDC), will be the first director of the Redstone Center. The initial focus of the Center will be childhood obesity. That is so exciting because Dietz was doing research on childhood obesity well before that became the flavor of the month. It has been his lifelong mission to prevent childhood obesity, and what we are charged to do with this center is to very directly engage in efforts that will result in reducing the rates of obesity in the United States and globally. The way we are going to be doing that is by bringing together the evidence that people are generating about efforts that are working and also efforts that are not working, and be able to sift through that research. I think Bill is the perfect person to be the leader of an effort such as this because he is very collaborative, and we want to do this in a collaborative fashion.
The U.S. Food and Drug Administration (FDA) was a partner agency for last week’s Preparedness Summit in Atlanta. NewPublicHealth spoke with Brooke Courtney, Senior Regulatory Counsel in the FDA Office of Counterterrorism and Emerging Threats, about how the agency plans for disasters it hopes never occur. Previously, Courtney was the Preparedness Director at the Baltimore City Health Department and in that role oversaw all of the public health preparedness and response activities for Baltimore City.
NewPublicHealth: What did you speak about at the Summit last week?
Brooke Courtney: FDA views the summit as an unparalleled opportunity each year to engage with stakeholders at the state, local and federal levels—to share with them updates from the federal side and also for us to get feedback from them about challenges and successes. We engage with stakeholders on a regular basis, but this is really the meeting where the largest number of people involved in preparedness come together, and it’s a great opportunity to see people face-to-face.
We feel really fortunate to have been able to take part in the summit for the past few years. For this year’s summit FDA served on the Planning Committee and also participated in the medical countermeasure policy town hall with federal colleagues from the Office of the Assistant Secretary for Preparedness and Response, the U.S. Department of Homeland Security and the national security staff, all of whom we work with closely.
Another thing that we like to do at the summit each year is to give a more in-depth update through a session with the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Department for Health and Human Services (HHS) legal counsel on the authorities that we have that we use related to the emergency use of medical countermeasures during emergencies. This year’s session was especially exciting for us because it was an opportunity for us to discuss with stakeholders some new authorities that were established in 2013 to enhance preparedness and response flexibility.
For example, we can now clearly issue emergency use authorizations in advance of emergencies, which is really a critical medical countermeasure tool for preparedness purposes. Through these flexibilities, for example, we’ve issued three emergency use authorizations in the past year for three different in-vitro diagnostic tests to address the emerging threats of H7 and 9 influenza and MERS-CoV.
NPH: What are the key responsibilities the FDA has in helping to prepare the United States for possible disasters?
Courtney: As an agency of the U.S. Department of Health and Human Services, the FDA, at its core, is a public health agency. FDA’s mission is to protect and promote public health in a number of critical ways. We’re responsible for regulating more than $1 trillion in consumer goods annually, ranging from medical products such as drugs and vaccines to tobacco and food products.
On Friday, April 4, the Robert Wood Johnson Foundation held a First Friday Google+ Hangout to explore how the 2014 County Health Rankings can be used to move the needle toward healthy communities. Hosted by Susan Dentzer, RWJF senior policy advisor, the Hangout featured four panelists from various sectors working to improve the health of U.S. communities.
Marjorie Paloma, Senior Policy Advisor at the Foundation, provided viewers with an overview of the County Health Rankings and Roadmaps, explaining that the rankings continue to show that where we live matters to our health. The rankings allow each state to see how counties compare on a number of health factors, including housing, education, income and safety. The Rankings offer a look at health trends across the country in addition to county-level information. This year’s Rankings find that people who live in the least health communities are twice as likely to live shorter lives and that we are slowly seeing an uptick in the number of children living in poverty. However, there have been significant declines in smoking rates and violent crime.
“The Rankings really help us to see how we’re doing and also where we can improve on health,” said Paloma. “The Roadmaps are really a call to action. They are really helping to move communities from awareness to driving action.”
Paloma also highlighted the broad range of resources available through the County Health Rankings website for communities to find and develop health solutions.
According to Brian Smedley, Vice President and Director, Health Policy Institute, Joint Center for Political and Economic Studies, the County Health Rankings is critical in understanding the importance of place as an upstream driver of health. Transportation, housing, opportunities for experience, quality of greenspace and more can be critical in determining the health of a community and the individuals who call it home. He explained that successful Roadmaps communities are ones that have built coalitions across different sectors and have health policy strategies that are local.
“We need to look at smaller geographic areas to see how neighborhoods affect health,” said Smedley. “A lens on place can be powerful in helping us to understand how we can reduce risks at the individual level and the community level.” He also offered additional tools for acquiring even finer cuts of data, such as Community Commons, local health departments and the U.S. Census Bureau.
Mary Lou Goeke, Executive Director, United Way of Santa Cruz County, offered a look at how the County Health Rankings and Roadmaps are used to improve health in Santa Cruz by shining a light on areas that need improvement and mobilizing the community to action. In particular, Goeke highlighted Santa Cruz’s efforts to reconcile a correlation between drinking rates and violent crime with the city’s new entertainment district. By using the data, the community was able to mitigate the potential harm of the entertainment district by implementing evidence-based practices to decrease drinking and crime.
“The County Health Rankings hold us accountable for things that aren’t working and encourages us to find new approaches,” said Goeke.
Katie Loovis, Director of U.S. Partnerships and Stakeholder Engagement, GlaxoSmithKline, explained how her company uses the rankings to shape its philanthropic efforts across the country. In the past few years, GlaxoSmithKline employees have overwhelming expressed support for the company to improve health in communities.
“If you want to improve health in your community, you have to know where you’re starting,” said Loovis. “The rankings do just that.” GlaxoSmithKline relies on the roadmaps to help highlight which interventions have the science to back them up and to identify which nonprofits to partner with in their target communities.
In addition, Loovis encourages local health departments and non-profits to reach out to local businesses directly and invite them to get involved in the solutions.
Each year during the first week of April, the American Public Health Association (APHA) hosts National Public Health Week, an opportunity to help communities across the United States highlight issues that are critical to improving the health of the nation. This year’s theme is “Public Health: Start Here”—entry points for making us a healthier nation. Each day this week has its own theme and NewPublicHeatlth will have a post about each one:
- Monday, April 7: Be healthy from the start. From maternal health and school nutrition to emergency preparedness, public health starts at home. Let us show you around. (Read a previous NewPublicHealth post, County Health Rankings — Nurse-Family Partnership: Q&A with Elly Yost, about how Rockingham County, N.C. is working to improve maternal health.)
- Tuesday, April 8: Don't panic. Disaster preparedness starts with community-wide commitment and action. We're here to help you weather the unexpected.
- Wednesday, April 9: Get out ahead. Prevention is now a nationwide priority. Let us show you where you fit in.
- Thursday, April 10: Eat well. The system that keeps our nation's food safe and healthy is complex. We can guide you through the choices.
- Friday, April 11: Be the healthiest nation in one generation. Best practices for community health come from around the globe.
In observance of National Public Health Week, NewPublicHealth spoke with Georges Benjamin, MD, executive director of the American Public Health Association about National Public Health Week 2014.
NewPublicHealth: Tell us about the 2014 National Public Health Week.
Georges Benjamin: We have an overarching theme, and it’s “Public Health: Start Here.” The intent is to get people to “just do it.” Often all of us have a tendency to kind of ruminate over what we want to do to improve the public’s health, and what we’re trying to emphasize this year is that there is enormous opportunity for people just to get up and do it. The evidence base is there, the opportunity is there, and so we’re just getting people to start improving their health.
We have five themes for the week. Monday is around early health such as maternal and child health; school nutrition; and conversations at home about how to make every family healthier. Tuesday is focused on emergency preparedness and disaster preparedness. On Wednesday we’ll be on prevention, including clinical and community preventive health services. Thursday’s focus is on eating well with a focus on the nutritional aspects of health. And Friday we look at becoming the healthiest nation in just one generation. Like the Robert Wood Johnson Foundation, the American Public Health Association is focused on a creating a culture of health and creating a healthy environment for everyone.
Disaster experts at this week’s Preparedness Summit underscored the importance of meeting the specific needs of children and young adults in a disaster, who often react not only to their own response to a crisis but also to how adults around them are responding and dealing with the situation.
The Federal Emergency Management Agency (FEMA) has a program called Teen CERT (Community Emergency Response Team) which teaches readiness and response skills and includes practice and exercises. A California fourteen-year-old Teen CERT member, for example, has 17,000 Twitter followers for a weekly feed she updates with disaster preparedness tips.
Teen CERT Training takes 20-30 hours; more if teens are also certified in CPR, First Aid and the use of automatic defibrillators. Training includes:
- Keeping the teen volunteer safe while helping others
- Identifying and anticipate hazards
- Reducing fire hazards in the home and workplace
- Using fire extinguishers to put out small fires
- Assisting emergency responders
- Conducting light search and rescue
- Setting up medical treatment areas
- Applying basic first aid techniques and helping reduce survivor stress
Teen CERT members are also eligible for community credits which many high schools require for graduation.
And Columbia University’s National Center for Disaster Preparedness spearheads a program called SHOREline, which has a pilot program at five high schools in the Gulf Coast. Students work on organizational and leadership skills; meet and practice preparedness drills with local and national experts; and attend youth preparedness summits, said David Abramson, PHD, MPH, the deputy director of the Center who spoke about the SHOREline program at the Preparedness Summit this morning.
Abramson told attendees about the work of one group of SHOREline members at a Gulf Coast high school who took the lead on a disaster recently when a student at the school was killed by in a shooting. Seeing that the school had not planned a memorial service, the students raised $500 and bought all the helium balloons they could find for a service they planned and carried out that Abramson said was very critical for community recovery.
At the start of the 2014 Preparedness Summit meeting this week in Atlanta, Summit chair Jack Herrmann took a moment to remember the lives lost in the mudslide in Washington State last week and took note of the many public health workers who left their communities to help in the rescue and recovery. Since then, two more major disasters have occurred—the earthquake and tsunami waves in Chile and the shooting yesterday at Fort Hood. Conversations about those events, and other events back home that need the attention of public health staff even while they are on travel at a preparedness conference, can be heard in the hallways during breaks in the sessions as people who train for such disasters mourn the losses and offer their assistance.
Tom Hipper, Public Health Planner at the Center for Public Health Readiness and Communication at Drexel University in Philadelphia, had some advice for communications by public health departments not involved in a disaster earlier this week. Hipper advises delaying planned, non-urgent communication and sending out empathetic messages about the disasters which can help build community and resilience and give people a chance to become involved by expressing and sharing their sentiments. Hipper says empathetic communication can be a bonding experience and lets people know that others will be thinking about and trying to help them in the event of an emergency in their community.
In addition, says Hipper, while previously people outside a disaster area could often only help by donating money, they can now also be “digital volunteers” by posting and retweeting accurate information from credible sources about a disaster to let people impacted by an emergency know they’re not alone.
The Center maintains and updates a list of important preparedness resources.
>> Bonus Content: Read a previous NewPublicHealth Q&A with Jonathan Woodson on the U.S. Department of Defense’s overall approach to wellness and prevention for military, veterans and their families as part of our National Prevention Strategy series.
Last week the Robert Wood Johnson Foundation (RWJF) released its 2014 County Health Rankings, an annual assessment of how where we live, learn, work and play impacts our health. This coming Friday, April 4 from 12:00-1:00 p.m. ET, RWJF will be hosting a First Friday Google+ Hangout focused on the how the County Health Rankings can be used to help spur business, government, public health, education and other sectors to work together to create healthier communities.
>>Go here to register for Friday’s event.
Susan Dentzer, senior policy adviser to the Foundation, will lead the discussion exploring the Rankings’ key findings and how they have inspired communities to take meaningful action to improve health.
Panelists will include:
Katie Loovis, Director of U.S. Community Partnerships and Stakeholder Engagement, GlaxoSmithKline, will discuss how good health is good for business. When more people in a community are healthy, there are lower health costs, fewer sick days and increased productivity, according to Loovis. And when communities are healthier, everyone in the community benefits.
Mary Lou Goeke, Executive Director, United Way of Santa Cruz County, will discuss how the United Way uses the County Health Rankings’ framework to mobilize people and organizations to use good data and evidence to identify joint priorities; develop and implement collaborative solution; build public will; and engage in advocacy to improve education, financial stability and health. Santa Cruz County won an inaugural RWJF Roadmaps to Health Prize, which honors outstanding community partnerships helping people to live healthier lives.
Brian Smedley, Vice President and Director, Health Policy Institute, Joint Center for Political and Economic Studies, will discuss how where you live plays a significant factor in how healthy you are. The Joint Center runs a national initiative called PLACE MATTERS to build the capacity of local leaders around the country to improve social, economic, and environmental conditions that shape health. The learning community consists of 19 teams working in 27 jurisdictions.
Marjorie Paloma, Senior Policy Adviser, the Robert Wood Johnson Foundation (RWJF), who will discuss the foundation’s partnership with the University of Wisconsin Population Health Institute in producing the County Health Rankings, as well as the many online tools that can help communities compare rankings, delve more deeply into the data and learn more about particular interventions that can address community health issues.
>>Bonus Links: Read up on some of the panelists:
- United Way of Santa Cruz County won the RWJF Roadmaps to Health Prize for their efforts
- Brian Smedley shared why place matters to health in a recent interview with NewPublicHealth.
- Marjorie Paloma previously spoke with NewPublicHealth about the critical role of housing in better health. Housing is one of the new measures in the 2014 County Health Rankings and a national trend report found that almost 1 in 5 households are overcrowded, pose a severe cost burden, or lack adequate facilities to cook, clean, or bathe.
- Katie Loovis wrote about why living a healthy life is like a game of Shoots and Ladders, on the RWJF Culture of Health Blog. One of Katie Loovis' colleagues at GlaxoSmithKline, Robert Carr, also talked with NewPublicHealth about why businesses should care about community health.