» Public Health Where the World Finds Bioethics Tue, 28 Jun 2016 12:31:45 +0000 en-US hourly 1 New data shows blood lead levels spiked in children in Flint, Mich. Mon, 27 Jun 2016 12:35:06 +0000 0 Birth Control via App Finds Footing Under Political Radar Thu, 23 Jun 2016 12:47:44 +0000 0 Colorado’s Teen Marijuana Usage Dips after Legalization Wed, 22 Jun 2016 12:18:22 +0000 0 Best intentions, worst outcomes: Ethical and legal challenges for international research involving sex workers Fri, 17 Jun 2016 16:00:52 +0000 Continue reading ]]> 0 WHO sees ‘very low’ risk of further Zika spread due to Olympics Wed, 15 Jun 2016 12:26:04 +0000 0 Reducing Tobacco Use Through Withdrawal Policies: When Should We Ban the Use of a Harmful Product? Tue, 14 Jun 2016 21:15:04 +0000 Kayhan Parsi, JD, PhD

In the first-year clinical skills course at our medical school, we offer a session on tobacco cessation. In this part of our course, we emphasize to our medical students the significant costs tobacco use incurs. The costs to health are now well documented. The financial costs are substantial as well. We teach our students that they can have a positive impact upon their patients’ health by utilizing motivational interviewing techniques and applying the 5 A’s of change (ask, advise, assess, assist, arrange).…

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Withdrawing Versus Withholding Freedoms: Nudging and the Case of Tobacco Control Tue, 14 Jun 2016 17:11:51 +0000 0 Reducing Tobacco Use Through Withdrawal Policies: When Should We Ban the Use of a Harmful Product? Tue, 14 Jun 2016 17:10:27 +0000 0 APHA Ethics Section Interview with Dr. Celia B. Fisher on Conversion Therapy Report Mon, 13 Jun 2016 15:13:36 +0000 Continue reading ]]> 0 National Academies on Gene-Drives Fri, 10 Jun 2016 01:57:00 +0000 0 This Is How Much Celebrities Get Paid To Endorse Soda And Unhealthy Food Wed, 08 Jun 2016 12:53:27 +0000 0 Most Violent Crimes Are Wrongly Linked to Mental Illness Tue, 07 Jun 2016 12:46:20 +0000 0 Deliberating Over Ending Two Species When We Are Bringing Tens of Thousands to the Brink of Extinction Wed, 01 Jun 2016 21:48:17 +0000 by Craig Klugman, Ph.D.

One of the first news articles I ever wrote in journalism was as an intern at Stanford Magazine. This piece was on research into a human vaccine that would do nothing for us, but would kill any mosquito who happened to bite an inoculated person. The researcher’s ethical question at the time was whether anyone would consent to getting a vaccine that does nothing for her or his personal health.

Twenty-five years later, and this month Smithsonian Magazine published an article on CRISPR-9 gene-editing techniques that will allow for the eradication of mosquitoes.  …

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Response to Zika and the Olympics Letter Tue, 31 May 2016 18:21:21 +0000 The following letter was received by in response to our link to a letter written by professionals urging the Olympics to be postponed this year because of the threat of Zika.

 by Ralph R. Frerichs

It may seem strange to hear WHO’s Margaret Chan or CDC’s Thomas Frieden quickly reject any suggestion that the Olympics be postponed or moved to avoid expanding Brazil’s Zika epidemic, not even offering caveats of future research findings.  Yet all this has occurred before, and not that many years ago.…

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Rio Olympics Later:­ For the Good of Both Public Health and Sport Fri, 27 May 2016 14:00:51 +0000 by Arthur Caplan, Ph.D.

It is imperative that an open, transparent discussion of the risks of holding the Olympics as planned in Brazil occur as soon as possible.  Not general assurances from WHO but a frank discussion among independent experts—if Rio is going to happen the world deserves a full discussion of why and at what potential risks and liabilities.

For more information, click through The text of this letter and link have been added below.

Thanks to Anis-Instituto de Bioética for this art, and please visit their Zika documentary and pages

To sign this letter, please send an email to zikaletter@gmail.comwith your title (dr, prof, etc), department and institutions.

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An ‘Added Sugar’ Label Is On The Way For Packaged Food Mon, 23 May 2016 12:10:24 +0000 0 BioethicsTV: Week of May 20 – Assisted suicide, public health crisis management, and making promises Fri, 20 May 2016 06:55:00 +0000 Chicago Med
In its first season finale (episode 18), Dr. Downey arrives in the emergency department in distress—he is bleeding from his liver as a side effect from his cancer treatment. When he does not awake from the anesthesia, Dr. Rhodes, his protégé, suspects a stroke during surgery. A CT scan shows that Downey did not have a stroke, but rather has a large, inoperable brain tumor—his cancer has metastasized. We are told that his future prognosis is grim and that he is in unrelievable pain.…

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House GOP presses ahead with Zika measure Thu, 19 May 2016 12:46:44 +0000 0 Should Your Doctor Ask If You Own Guns? Tue, 17 May 2016 12:29:39 +0000 0 Malaria Vaccine Shows Strongest Protection Yet Wed, 11 May 2016 11:35:38 +0000 0 Bacteria-Infected Mosquitoes Could Slow Spread of Zika Virus Thu, 05 May 2016 13:46:49 +0000 0 BioethicsTV: Containment Fails to Go Viral Tue, 03 May 2016 21:35:51 +0000 by Craig Klugman, Ph.D.

The CW network began airing a “limited” series (what used to be called a mini-series) drama about a bio-terrorism outbreak in the city of Atlanta. Similar to the far superior film Contagion, this television show explores how lives change and the tough decisions that are made in an epidemic.

Containment demonstrates many of the real tools public health has for controlling an epidemic of little known origin and lacking cure or vaccine: closing public places, compulsory leave at businesses, cordon sanitaire, curfews, sanitation, isolation, price controls, quarantine, screening, surveillance, testing, and travel restrictions.…

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Massachusetts Senate approves under-21 ban on tobacco sales Fri, 29 Apr 2016 12:00:27 +0000 0 The Paradigm of the Paradox: Women, Pregnant Women, and the Unequal Burdens of the Zika Virus Pandemic Wed, 27 Apr 2016 22:18:04 +0000 by Lisa H. Harris, Neil S. Silverman, and Mary Faith Marshall

The inequalities of outcome are, by and large, biological reflections of social fault lines (Paul Farmer)

Three paradoxes characterize the Zika virus pandemic and clinical and policy responses to it:

  1. Zika virus has been shown to cause severe developmental anomalies in the fetuses of infected women. As a result, both women and men in endemic areas are asked to avoid or delay pregnancy. However, access to effective contraception and safe pregnancy termination is either not available (especially for those living below the poverty line) or a crime for many women in Zika-endemic regions.
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Teens most drawn to e-cigarettes by online ads Mon, 25 Apr 2016 14:32:33 +0000 0 White Americans Are Dying Younger as Drug and Alcohol Abuse Rises Thu, 21 Apr 2016 13:28:40 +0000 0 Awareness Creation in Healthcare Should be a Priority in the Developing World Mon, 18 Apr 2016 20:01:47 +0000 ]]> 0 Brazilian scientists find new Zika-linked brain disorder in adults Mon, 11 Apr 2016 12:00:24 +0000 0 Should food labels include exercise ‘equivalents’? Fri, 08 Apr 2016 12:00:47 +0000 0 The DEA will decide whether to change course on marijuana by July Thu, 07 Apr 2016 14:53:40 +0000 0 Diabetes cases reach 422 million as poorer countries see steep rises Wed, 06 Apr 2016 13:43:44 +0000 0 WHO sees scientific consensus on Zika as cause for disorders Fri, 01 Apr 2016 15:41:24 +0000 0 An Ethical Exploration of Barriers to Research on Controlled Drugs Fri, 01 Apr 2016 13:00:58 +0000 0 Is Ebola Hiding in the Eyes of Survivors? Wed, 30 Mar 2016 15:12:41 +0000 0 Pretty Much Nobody In The U.S. Leads A Healthy Lifestyle Fri, 25 Mar 2016 15:36:46 +0000 0 In Conservative Indiana, Medicaid Expansion Makes Poorest Pay Tue, 22 Mar 2016 12:00:21 +0000 0 Our Healthcare System Abandons Adult Sickle Cell Patients Mon, 21 Mar 2016 18:30:12 +0000 0 C.D.C. Painkiller Guidelines Aim to Reduce Addiction Risk Mon, 21 Mar 2016 18:26:43 +0000 0 Health Workers Rush to Contain Fresh Ebola Outbreak in Guinea Fri, 18 Mar 2016 19:29:20 +0000 0 Gun Toting Docs: A Tool of the Trade? Tue, 15 Mar 2016 04:31:57 +0000 by Craig Klugman, Ph.D.

Last month the dean of the architecture school at the University of Texas announced he was leaving, in part because he disagrees with the new Texas campus carry law that forbids banning guns from classrooms and offices. How does this relate to medicine?

  • In July 2014, a psychiatrist going against hospital policy, pulled the gun he was carrying and wounded his armed patient (whether the argument would have escalated to a deadly shootout—1 person died—if guns had not ben present can never be known).
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Zika: An opportunity to improve pre-conception care. Tue, 08 Mar 2016 21:20:58 +0000 by Andrea L. Kalfoglou, Ph.D.

The Zika virus is spreading rapidly throughout parts of South and Central America. Public health officials are concerned because there is a correlation between the emergence of the Zika virus and a dramatic increase in number of babies born in Brazil with a severe birth defect called microcephaly.

The CDC has warned women from the U.S. who are pregnant or thinking about becoming pregnant not to travel to certain areas in Central and South America. Additionally, infectious disease specialists are concerned that Zika may adapt to transmission by a type of mosquito common in 32 states in the U.S.…

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Zika: Time for the next wave of sensationalized worry Tue, 23 Feb 2016 23:06:23 +0000 by Craig Klugman, Ph.D.

On the season (series?) finale of the X-Files (Season 10, episode 6) this week, all of humanity is being attacked by the Spartan virus, a disease that seems to turn off the human immune system and permits other diseases to kill us. This episode is built on our fears of an inevitable worldwide pandemic and, of course, the recent concerns over Zika virus.

Zika is a virus spread by the Aedes mosquito. An adult who is infected may experience a “mild fever, skin rashes, conjunctivitis, muscle and joint pain, malaise or headache.” Zika has been known since 1947 when the virus was found in a rhesus macaque being used for research on yellow fever in Uganda.…

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China research highlights country’s excess use of antibiotics Mon, 22 Feb 2016 22:59:25 +0000 0 Study: Smoking pot doesn’t make you anxious or depressed Fri, 19 Feb 2016 15:01:57 +0000 0 Less than half of U.S. kids under age two fully vaccinated against flu Wed, 03 Feb 2016 00:06:09 +0000 0 Our Official Dietary Guidelines Are Useless Wed, 27 Jan 2016 00:22:50 +0000 0 Base Gun Policy on Science, Not Rhetoric Thu, 07 Jan 2016 08:49:29 +0000 by Craig Klugman, Ph.D.

This year, my university required all instructors to talk about “live shooter” plans in our classes. Although this institution does not permit guns anywhere on campus, we are supposed to be prepared because we live in a world where mass shootings occur in schools and where in more places people carry firearms.

This week, President Obama took executive action to address this public health epidemic. During the press conference, the President announced guidance for federal agencies that fell into three categories: asking Congress for more funds, expanding who is covered under the background check requirements, and greater enforcement of existing laws.…

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The Increasing Divide: How Do We Improve Health In a Stratifying Society? Fri, 11 Dec 2015 06:25:09 +0000 by Craig Klugman, Ph.D.

While editing a book chapter dealing with public health, I came across the author talking about inequalities in health. Then this followed my morning read of the paper that spoke about the declining middle class. Whereas making it into the middle class is a long-time American dream, the reality is different.

In 1971, the middle class comprised 61% of society. Today, only 49.9% of Americans qualify as being middle class. The rest are either in the upper or lower classes.…

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U.S. teens don’t exercise enough at school Wed, 09 Dec 2015 23:40:19 +0000 0 No Planned Parenthood cut-off in Republicans’ spending draft: Pelosi Fri, 04 Dec 2015 15:48:08 +0000 0