tag:blogger.com,1999:blog-38301389801799541152024-03-13T12:32:52.210-04:00APHA Annual Meeting BlogAPHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.comBlogger543125tag:blogger.com,1999:blog-3830138980179954115.post-69722844268154430752016-04-21T10:03:00.000-04:002016-04-21T10:03:25.456-04:00We've moved!APHA's Annual Meeting Blog has found a new home. We've joined the APHA Public Health Newswire family and we're pretty excited to explore our new digs and get blogging. Come on over and check it out: <a href="http://www.publichealthnewswire.org/annualmeeting">www.publichealthnewswire.org/annualmeeting</a>.<br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-41271982003245376452015-11-04T19:09:00.000-05:002015-11-04T19:27:34.962-05:00Closing General Session: ‘Stop asking for a seat at the table…we belong at the head of the table’<div class="separator" style="clear: both; text-align: center;">
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In April in Baltimore, after the civil unrest that followed the death of Freddie Gray while in police custody, city Health Commissioner Leana Wen wasn’t entirely sure what the role of the health department should be in helping the city recover. <br />
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But she and her colleagues quickly realized that 13 of the city’s pharmacies had burned down, leaving some of Baltimore’s most vulnerable residents without access to life-saving medications. In response, the public health department organized to bring medicine, food and basic supplies to those in need. The agency launched a 24-hour hotline and began going door to door to offer their help. The story is emblematic of public health — we respond when people are in need. But what’s even more telling about this story is how the people on the other side of all those doors reacted, Wen said.<br />
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People automatically assumed that the offer of help was linked to a political campaign for a particular candidate or that they were being asked to fill out another survey. It was a difficult reminder that even though public health workers have the best of intentions, histories of inequity and disenfranchisement continue to frame the context in which public health is practiced. And without acknowledging those histories and allowing them to inform public health interventions, sustainable health improvements may remain out of reach. <br />
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“Sometimes the problem that we see can seem so big, it’s almost like you can’t start anywhere,” Wen said to a packed Closing General Session audience on Wednesday afternoon in Chicago, where more than 13,000 public health practitioners had attended the APHA Annual Meeting. “But each of us can play a role. …We would never wait if it was a sick patient. This is a sick system, so let’s do something today.”<br />
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Digging deep into the underlying social determinants of health was a common call to action among the session’s speakers, especially as public health moves into a post-Affordable Care Act era and can slowly, though not entirely, begin to shift its collective attention away from access to care issues. Among those underlying determinants is racism.<br />
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New APHA President Camara Jones announced at the session that she intends to take APHA and its partners on a national campaign against racism, which she defined as a systemic and institutional issue, not an individual characteristic or personal moral failing. As we move forward on this journey to achieve health equity, Jones called on the audience to keep three principles in mind: valuing all individuals and populations equally; recognizing and rectifying historical injustices; and providing resources according to need. <br />
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Public health, Jones said, is built on a commitment to achieving social justice. <br />
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“If we concentrate more attention to how racism is sapping the strength of whole societies…we will have more of us intent on dismantling the system,” Jones said.<br />
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Those social determinants of health are the new frontier of public health, said session keynote speaker Karen DeSalvo, acting assistant secretary for health at the U.S. Department of Health and Human Services. Even though the U.S. spends the most on health care, we don’t have the best health outcomes — in fact, far from it compared to the enormous amounts we’re spending. And perhaps the reason for that, DeSalvo postured, is that we’re focusing too much on genetic codes, rather than ZIP codes. Indeed, even if we get to a place of “perfect” health care for everyone, it will only improve people’s health by 15 to 20 percent, she said. But what about the other 80 percent? That’s where public health comes in.<br />
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This new frontier of health, DeSalvo said, is a place where public health practitioners don’t just run health departments; they’re the chief health strategists for entire communities. <br />
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“We want to ensure the conditions in which people can be healthy,” she told attendees. <br />
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DeSalvo talked about her hometown of New Orleans, which used to be home to some of the worst health outcomes in the world. But after the devastation of Hurricane Katrina, residents and city officials made a choice: they wouldn’t return to a place of health inequities and poor health outcomes. In her role as New Orleans health commissioner, which she stepped into in 2010, DeSalvo said it was an opportunity to build a new kind of public health — one more nimble, flexible and able to meet the community where it lived, worked and played. Fortunately, DeSalvo, her colleagues and community partners achieved great success. A recent example: In one decade, New Orleans went from one of the least healthy cities to one that chose to go smoke free.<br />
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In this new frontier of public health, DeSalvo called on session attendees to work across sectors and support a health-in-all-policies approach.<br />
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“Stop asking for a seat at the table,” she said of public health. “We need to show that we belong at the head of the table.”<br />
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Indeed, focusing on the social determinants of health gives us an opportunity to engage with other agencies that haven’t traditionally worked with public health, said Julie Morita, commissioner of the Chicago Department of Public Health, during a panel that included Wen as well as Faisal Khan, director of the St. Louis County Department of Public Health. Morita told session attendees that in developing a new health plan for Chicago, one particular social determinant rose to the top: violence. <br />
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Violence, Morita said, is an attack on the health of our community. In response, Chicago health workers are engaging in a number of activities to prevent violence, including an effort to prevent retaliatory violence. As part of that effort, health workers reach out to the families of homicide victims within 24 hours of a homicide to offer psychological first aid and other services in an attempt to break the cycle of violence. <br />
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Wen, of Baltimore, noted that public health practitioners can use social justice-informed tools to get at underlying contributors to violence. For example, she asked session attendees, what if instead of seeing someone as simply a perpetrator of violence, we saw them as a victim of trauma? To that end, Wen said Baltimore is working to become a trauma-informed city in which city workers will be trained in knowing how to identify trauma and how to respond. <br />
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However, public health must also speak up about its accomplishments, Wen noted. For example, in Baltimore, which used to have one of the worst infant mortality rates in the country, the health department convened more than 100 community partners to tackle the preventable problem. The outcome: <a href="http://healthybabiesbaltimore.com/">B’More for Healthy Babies</a>. Today, the city is celebrating the lowest infant mortality rate in its history, a 50 percent decrease in sleep-related infant deaths and an 86 percent reduction in the number of children suffering from lead poisoning. <br />
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“We have to marry our statistics with our stories,” Wen said. <br />
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In St. Louis County, the civil unrest and protests that followed the killing of Michael Brown was a symptom of already existing conditions, such as racial segregation, concentrations of generational poverty, disenfranchisement, lack of access to care, and a complete disconnect from all the resources that enable people to make healthy choices, Khan told the audience. <br />
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“Ferguson was a classic example of a community under a toxic amount of stress,” he said. <br />
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Khan said that until late 2014, his agency was your typical health department, focusing on clinical services, with no earnest focus on digging deeper into underlying social issues. However, when Khan took on the role of director about 10 months ago, his first action was changing the agency’s official name from the department of health to the department of <i>public health</i>. It wasn’t just semantics, he said, it was meant to send a clear signal to everyone in the community as well as staff that the agency’s mission was now fundamentally different.<br />
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If we’re going to make real change, Khan told the audience, we have get out into the community and have uncomfortable conversations about inequality and racism. He then asked the hundreds of people in the room to stand up and repeat after him. <br />
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“I am a professional public health troublemaker,” Khan boomed. “And I am proud of it!”<br />
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See everyone next year in Denver for APHA’s 144th Annual Meeting and Exposition, which will have a theme of “Building the Healthiest Nation, Ensuring the Right to Health.” And don’t forget to sign our <a href="http://action.apha.org/site/PageNavigator/pledge_2030.html?utm_source=HN1GSection&utm_medium=APHAWebsite&utm_term=pledge&utm_content=HN1G&utm_campaign=Landing&_ga=1.106316160.240897039.1411572198">Generation Public Health pledge</a> and join the movement to create the healthiest nation in one generation.<br />
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<i>— K.K.</i><br />
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<i>Above from top to bottom: Closing General Session keynote speaker Karen DeSalvo; panel discussion participants, from left to right, Camara Jones, Julie Morita, Leana Wen and Faisal Khan; and immediate past APHA President Shiriki Kumanyika, left, passes the gavel to new APHA President Camara Jones. Photos by Jim Ezell, courtesy <a href="http://www.ezeventphotography.com/">EZ Event Photography</a></i><br />
<i><br /></i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-54197726953718809282015-11-04T15:05:00.001-05:002015-11-04T15:17:45.942-05:00Speak up for safe work<iframe allowfullscreen="" frameborder="0" height="281" src="https://www.youtube.com/embed/qO_RYqXomW8" width="500"></iframe> <br />
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Protecting the health and safety of workers continues to be one of the most important functions of public health and demands support from all of us.<br />
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That was the take-home message from a Wednesday session on “Health and Safety Alliances and New Occupational Health and Safety Challenges.” <br />
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Among the powerful stories from the occupational health and safety field is the push for a <a href="http://www.safecarestandard.org/">violence-prevention standard</a> in California. Kathy Hughes, a registered nurse and union activist working to make the standard a reality, told session attendees about a nurse who was walking between buildings at a state mental hospital and was strangled by a patient. Not long after, a nurse at a detention facility was killed when an inmate beat her to death with a lamp. The lamp was the nurse’s own because the facility’s low lighting made it impossible to see properly to dispense medication.<br />
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Hughes asked audience members to weigh in on the proposed violence prevention standard, which is now in a 45-day comment period with the Cal/OSHA Standards Board. <br />
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The work of public health-driven occupational health and safety efforts have huge payoffs. Consider a new California law that protects workers from new or previously unrecognized health hazards. That law is on the books in large part because of public health advocates, said Fran Schrieberg. <br />
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Once a new threat is identified, the law then gives the health department the right to obtain a customer list from the manufacturer and find out how much of the toxin is being imported into California as well as when and where. <br />
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“It’s a really powerful piece of legislation,” said Schreiberg, one of the “founding mothers” of the group <a href="http://www.worksafe.org/">Worksafe</a>, which helped bring the law to light. “We think it could be translated to other communities.”<br />
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A fascinating part of the session had attendees split into roundtable groups to discuss how to translate the innovative occupational health and safety work to fit their own states and localities. Before that happened, Peter Dooley called on the audience to get active with his group, the National Council for Occupational Safety and Health, or <a href="http://www.coshnetwork.org/">National COSH</a>, which has local chapters across the country and focuses on issues such as better protections for <a href="http://aphaannualmeeting.blogspot.com/2015/11/demandtempsafety.html">temp workers</a>.<br />
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“We’re really kind of the umbrella group that tries to keep sustained local groups but also have local groups come together and be a national voice,” Dooley said. “In the last five years, National COSH has been outspoken on the tragedy of workplace fatalities and how many workers are exposed to dangerous hazards, dangerous chemicals, and the fact that workplace injuries and fatalities are way too many every day.”<br />
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<i>— D.C.</i><br />
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<i>Above video from a nurse safety rally earlier this year in California. Video courtesy the California Safe Care Standard</i><br />
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APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-11865929349692826142015-11-04T14:43:00.002-05:002015-11-04T14:43:55.075-05:00Picture perfect<div class="separator" style="clear: both; text-align: center;">
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Let's take a moment to savor our time at this year's APHA Annual Meeting with some more photos from the last few days in Chicago. We can say good-bye in person at the Closing General Session, which starts in less than hour in McCormick Place Convention Center.<br />
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Above from top to bottom: Two attendees get excited about next year's Annual Meeting in Denver; all smiles at the Centers for Disease Control and Prevention booth at the Public Health Expo; getting to know each other at the Community Health Workers Section Business Meeting; hashing it out at the Caucus on Public Health and the Faith Community Business Meeting; and swapping tips at APHA's Social Media Lab.<br />
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<i>All photos by Michele Late and Natalie McGill, courtesy <a href="http://www.thenationshealth.org/">The Nation's Health</a></i><br />
<i><br /></i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-47904774109976999172015-11-04T14:14:00.000-05:002015-11-04T14:20:57.968-05:00Raising healthy babies one neighborhood at a time <div class="separator" style="clear: both; text-align: center;">
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When it comes to raising healthy babies, public health workers know that prenatal care is not enough.<br />
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And in communities where infant mortality rates are high, it takes more than health care workers to turn the tide. It takes collaboration.<br />
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That’s where programs such as <a href="http://www.bestbabieszone.org/">Best Babies Zone</a>, which was the topic of its own Wednesday morning session, come in. Started by the University of California-Berkeley with support from the W.K. Kellogg Foundation, Best Babies Zone involves building coalitions of businesses, early childhood centers, health care and more to improve the quality of life in small geographic areas with high rates infant mortality, low birth weight newborns and preterm births.<br />
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The program kicked off in the neighborhoods of Castlemont in Oakland, California; Hollygrove in New Orleans; and Price Hill in Cincinnati, Ohio. Those same communities are marked by low economic development and poverty. In Price Hill, the child poverty rate is nearly 56 percent, said presenter James Greenberg, director of the Cincinnati Children’s Hospital’s Division of Neonatology, who works with Best Babies Zone in Price Hill.<br />
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“If we’re going to address these complex problems like infant mortality, multi-sector approaches are absolutely essential,” Greenberg said. “Not only does that mean we have to think of community, health and political factors all at once; but as health care providers we have to think about why it makes sense to provide incredibly expensive neonatal intensive care without addressing drivers.”<br />
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An example of collaboration in action was Healthy Homes Block by Block, in which women in the Price Hill neighborhood serve as block captains and go door-to-door to offer information about infant safe sleep practices, safe housing remediation and children’s books. After one year, there were 50 child safety upgrades and 780 children’s books delivered across five blocks, Greenberg said.<br />
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Out west in California, more than a third of the kids younger than 18 who live in Castlemont live below the poverty line, said Jessica Luginbuhl of the Alameda County Public Health Department, who works with the Best Babies Zone’s Castlemont program.<br />
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Realizing that economic development is integral to health, community members involved with Best Babies Zone worked with residents and local businesses to create the Castlemont Community Market. The market highlighted local shops and promoted residents who were also entrepreneurs.<br />
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Today, 450 people have attended the market since January, resulting in $3,400 going back into the local economy, she said.<br />
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“The life course undergirds the work we do,” Luginbuhl said. “The bottom line is health is greater than health care. We feel that peoples' health are products of environments they live in and the opportunities they have. Those vary by where you live.”<br />
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<i>— N.M.</i><br />
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APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-67122250667106343442015-11-04T13:43:00.001-05:002015-11-04T13:43:23.673-05:00A little birdie told me so: Tweet of the dayToday's Tweet of the Day goes out to @DrBMBrawner, who gave all of us a needed boost of energy on the last day of the Annual Meeting. We miss you too!<br />
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Had to come back home early and I already miss being at <a href="https://twitter.com/hashtag/APHA15?src=hash">#APHA15</a> 😔 GREAT conference this year!!! <a href="https://twitter.com/hashtag/Kudos?src=hash">#Kudos</a> to <a href="https://twitter.com/APHAAnnualMtg">@APHAAnnualMtg</a> organizers 🎉</div>
— Bridgette M. Brawner (@DrBMBrawner) <a href="https://twitter.com/DrBMBrawner/status/661963641953124352">November 4, 2015</a></blockquote>
<br /><script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-27262227957993134722015-11-04T13:26:00.001-05:002015-11-04T13:31:22.743-05:00Chicagoans can ‘PrEP’ for sex without HIVHIV infection rates in the U.S. have <a href="http://www.cbsnews.com/news/hiv-diagnosis-rate-in-u-s-declines-significantly/">declined</a> in the last decade but not in Chicago’s South Side, which has unfortunately experienced upticks of <a href="http://www.southsidehelp.org/sshc_ahf.html">new infections</a> in recent years.<br />
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But a new preventive drug is poised to make an enormous difference. And APHA members are on the ground making it happen right now, in spite of the barriers.<br />
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Pre-exposure prophylaxis, or <a href="http://www.cdc.gov/hiv/basics/prep.html">PrEP</a>, is a preventive strategy that lowers the risk of HIV infection by up to 92 percent among people who adhere to its guidelines, according to the Centers for Disease Control and Prevention. The strategy includes regular HIV screenings, medical monitoring, sexual health consulting and daily intake of Truvada, a drug approved by the U.S. Food and Drug Administration in 2012.<br />
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The bad news is that many obstacles stand in the way of people gaining access to PrEP. The good news is that Chicago’s public health workforce is demonstrably fixing the problem, as evidenced during a Wednesday morning session on “Keeping PrEP’s Promise: A Windy City Approach to a New HIV Prevention Paradigm.”<br />
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“We’ve enrolled over 200 patients to date,” said Sybil Hosek, PhD, of the John Stroger Hospital of Cook County in Chicago, which opened a PrEP clinic in April. “Our ultimate goal is to provide PrEP to whoever needs it whenever they need it.”<br />
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It’s not possible for the hospital to do this right now for a variety of reasons, such as electronic health system shortcomings, lack of staffing, physician availability and even insufficient hours of operation (the clinic closes at 4 p.m. each day). However, Hosek told session attendees that the hospital is aggressively creating solutions, with dedicated medical staff and doctors creating time and space to treat previously unmet patient needs.<br />
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Two other challenges have emerged in the early days of PrEP treatment: access and inequity. PrEP is covered by most insurance and Medicaid programs, but “it is very confusing,” according to Jim Pickett of the <a href="http://www.aidschicago.org/">AIDS Foundation of Chicago</a>, and many early PrEP patients are insured, employed and don’t mirror the typical demographics of patients who use public safety-net hospitals.<br />
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Pickett said that awareness and education among vulnerable communities — notably, young gay black men, transgender women and black cisgender heterosexual women — may be the foremost challenge. The foundation, along with the Chicago Department of Public Health and others, recently began a five-year plan to eliminate HIV in the city.<br />
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A citywide social marketing campaign is scheduled to launch in 2016, with a focus on “making sex positive,” according to Pickett.<br />
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“Love, lust, intimacy, pleasure — we’ll use these words because we want people to enjoy sex without fear, anxiety or shame,” Pickett said. “And … without HIV.”<br />
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To learn more about PrEP, check out this article from <a href="http://thenationshealth.aphapublications.org/content/44/9/1.3.full?sid=b195d543-5835-47a0-b846-13909d653e5a"><i>The Nation's Health</i></a>.<br />
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<i>— D.G.</i><br />
<i><br /></i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-26197893645964055512015-11-04T12:46:00.000-05:002015-11-04T12:46:09.811-05:00Start spreading the news!With so much exciting new science coming out of the 143rd APHA Annual Meeting and Exposition, it's no wonder we're making headlines. From the mental health effects of binge watching TV to food insecurity among college students, the public health research being presented in Chicago is showing up in media outlets across the country. Below is a quick, but not comprehensive, round-up of all the attention we're getting.<br />
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<a href="http://www.modernhealthcare.com/article/20151102/NEWS/151039988" target="_blank"><i>Modern Healthcare</i></a>: Public health issues push past flu and cigarettes into socio-economic areas<br />
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<a href="http://www.cnn.com/2015/11/02/health/children-snack-food-advertising/" target="_blank">CNN</a>: Kids seeing more unhealthy snack ads, report says<br />
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<a href="http://www.chicagotribune.com/business/ct-abortion-policy-1104-biz-20151103-story.html" target="_blank"><i>Chicago Tribune</i></a>: Health conference calls for access to abortion as 'human right'<br />
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<a href="http://www.nydailynews.com/life-style/health/binge-watching-leads-depression-health-problems-article-1.2422662" target="_blank"><i>New York Daily News</i></a>: Binge-watching may lead to depression and other health problems<i></i><br />
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<a href="http://wbt.com/study-letting-your-teen-party-at-home-could-lead-to-addiction/">ABC Radio</a>: Study: Letting your teen party at home could lead to addiction<br />
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<a href="http://medicalresearch.com/author-interviews/many-college-students-struggle-with-food-insecurity/18914/">MedicalResearch.com</a>: Many college students struggle with food insecurity<br />
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<a href="http://www.ibtimes.co.uk/why-are-anti-vaxxers-so-persuasive-pseudoscience-misinformation-healthy-behaviour-1527034">International Business Times</a>: Why are anti-vaxxers so persuasive? Pseudoscience, misinformation and healthy behavior<br />
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<a href="http://www.medicaldaily.com/lazy-boy-people-who-dont-exercise-twice-likely-develop-alcohol-abuse-problem-359918">Medical Daily</a>: Lazy Boy: People who don't exercise twice as likely to develop alcohol abuse problems<br />
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<a href="http://www.business-standard.com/article/news-ians/how-ebola-scare-stigmatised-african-immigrants-in-us-115110300584_1.html">Business Standard</a>: How Ebola scare stigmatized African immigrants in U.S.<br /><br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-24379077050256901712015-11-04T11:58:00.001-05:002015-11-04T14:30:50.128-05:00Hey ladies: How the ACA covers — and fails — women<div class="separator" style="clear: both; text-align: center;">
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Who’s falling into the coverage gap of the Affordable Care Act? That's the murky area where you make too much money to qualify for Medicaid, but not enough to afford the cheapest coverage through state exchanges. <br />
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The folks most at risk: Women. People of color. Lesbian, gay, bisexual and transgender folks. Southerners. People who have been incarcerated. People who are undocumented.<br />
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“The Supreme Court messed with us,” admits Cindy Pearson, executive director of the <a href="https://www.nwhn.org/" target="_blank">National Women’s Health Network</a>, referring to the court’s decision to uphold the ACA but allow states to opt out of Medicaid expansion. And that was just the start of a lively late Tuesday session from the APHA Women’s Caucus, “Who Is Left out of the Affordable Care Act and How Do We Change That?”<br />
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Though millions more people now have health insurance thanks to the health reform law, even those who have it can feel overwhelmed by information, surprising fees and increasing costs. Coverage through the ACA for care such as contraceptives and abortion can be murky as well, with an insurance provider’s website saying one thing and their representatives saying another, said presenter Kathy Waligora, director of health reform initiatives at <a href="http://www.everthriveil.org/" target="_blank">EverThrive Illinois</a>, which was also the beneficiary of this year's APHA <a href="https://www.apha.org/events-and-meetings/annual/registration-information/help-us-help-them" target="_blank">Help Us Help Them</a> campaign. That’s why the Women’s Caucus session highlighted efforts that help patients understand their rights and access to care. <br />
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A highlight of the session included the outlining of “My Health, My Voice: A Woman’s Step-by-Step Guide to Using Health Insurance,” published by <a href="http://www.raisingwomensvoices.net/" target="_blank">Raising Women’s Voices for the Health Care We Need</a>. <br />
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Resources like <a href="http://www.myhealthmyvoice.com/" target="_blank">“My Health, My Voice,”</a> and organizations led by women of color are crucial in reaching the at-risk and uncovered populations who need health care reform most, said Cecilia Sáenz Becerra, field organizer for Raising Women’s Voices. <br />
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“These are really tough barriers for people to overcome,” Becerra said. “It’s important to really center…(and) facilitate relationships and increase organizational capacity.”<br />
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To learn more and pick up a copy of “My Health, My Voice,” visit the Women’s Caucus booth, #1909, in the Public Health Expo. <br />
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<i>— L.W. </i><br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-45232721515369263542015-11-04T11:26:00.001-05:002015-11-04T11:47:00.470-05:00One world, one healthShowing a photo of football players in a huddle, veterinarian Cheryl Stroud described the One Health approach to human, environmental and animal health as "very much a team sport.”<br />
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“There are a lot of people walking around this meeting who’ve never heard of One Health,” said Stroud, executive director of the <a href="https://www.onehealthcommission.org/" target="_blank">One Health Commission</a>, during Tuesday's special session on "Exploring the Interface between Emerging One Health Issues and Health Policy." “It’s a way of thinking. It’s a way of being sure that everyone who needs to be at the table for all the wicked problems we’re facing” is there.<br />
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Those wicked problems include pollution in our oceans and emerging infectious diseases that spread from animals to humans, she said. Like so many Annual Meeting presenters, she said the answer lies in relationships and partnerships, and working hard to break out of silos in medicine, public health, veterinary medicine and environmental science.<br />
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“We’re trying very hard to figure out who’s doing what in One Health, so we can connect hands,” she said. “Collaborations don’t just magically happen. They start with relationships. And relationships don’t magically fall out of the sky.”<br />
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At the session, co-sponsored by APHA’s Epidemiology Section and Veterinary Public Health SPIG, Stroud told several stories about why everyone should be involved in One Health. When her son was 20 months old, for example, he developed diarrhea that persisted for six weeks. She and her husband fell ill as well. Her son’s pediatrician had no answers.<br />
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Frustrated, the then-student at the North Carolina State University College of Veterinary Medicine took one of her son’s soiled diapers to the school’s lab for analysis. The results showed he had cryptosporidiosis, a diarrheal disease caused by microscopic parasites. Stroud says the work of One Health in connecting animal, environmental and human health means these days, her son’s diagnosis would have come much more quickly.<br />
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Another example she used: hypothyroid cats, which vets in past years had never come across, but now see fairly often. And research shows the emergence of that condition among our feline friends can be linked to a chemical used to make flame-resistant fabrics and upholstery. Now research is looking into the health effects of that chemical on children.<br />
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“We need to heal the past and live the present, and indeed we need to dream the future,” she said, urging session attendees to help spread the word about One Health. “It’s really up to us.”<br />
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<i>— D.C.</i><br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-82163350608923120482015-11-04T10:48:00.000-05:002015-11-04T10:52:03.240-05:00The envelope please...<div class="separator" style="clear: both; text-align: center;">
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At last night's annual APHA Public Health Awards Reception and Ceremony, we honored some of the great innovators in the field for their contributions and creativity. Above from top to bottom: Hortensia Amaro, dean's professor in social work and preventive medicine at the University of Southern California, received the Sedgwick Memorial Medal for Distinguished Service in Public Health, which is APHA's oldest and most prestigious award.<br />
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Rahul Gupta, state health officer and commissioner at the West Virginia Bureau for Public Health and former health officer at the Kanawha-Charleston Health Department in Charleston, West Virginia, received the Milton and Ruth Roemer Prize for Creative Local Public Health Work, which was presented by the Roemers' daughter, Beth Roemer Lewis. William DeJong, professor in the Department of Community Health Sciences at Boston University School of Public Health, received the Student Assembly Public Health Mentoring Award from APHA President Shiriki Kumanyika.<br />
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Helene Gayle, inaugural CEO of McKinsey Social Initiative and former director of the Bill and Melinda Gates Foundation's HIV/AIDS, TB and Reproductive Health Program, was honored with the APHA Presidential Citation. And APHA Executive Director Georges Benjamin presents this year's Help Us Help Them donation check to <a href="http://www.everthriveil.org/" target="_blank">EverThrive Illinois</a>, which works to improve the lives of women, children and families.<br />
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Visit <a href="https://www.apha.org/~/media/files/pdf/about/2015_award_winners.ashx" target="_blank">APHA</a> to read about all of this year's award winners. And congratulations to all!<br />
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<i>All photos by Jim Ezell, courtesy <a href="http://www.ezeventphotography.com/" target="_blank">EZ Event Photography</a></i><br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-80282130607000174252015-11-04T09:11:00.000-05:002015-11-04T09:11:45.678-05:00APHA Storify: We're on the move!This morning's <a href="https://storify.com/APHA/" target="_blank">APHA Storify</a> brings you all the movin' and shakin' from the 143rd Annual Meeting and Exposition in Chicago.<br />
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<iframe allowtransparency="true" frameborder="no" height="750" src="//storify.com/APHA/apha15-fitness/embed" width="100%"></iframe><script src="//storify.com/APHA/apha15-fitness.js"></script><noscript>[<a href="//storify.com/APHA/apha15-fitness" target="_blank">View the story "Annual Meeting 2015: We like to move it, move it" on Storify</a>]</noscript></div>
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<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-70956184328258703012015-11-03T19:48:00.003-05:002015-11-03T19:54:56.879-05:00Wednesday’s Have You Heard<b>Happy anniversary Medicare!</b>: Celebrate the 50th anniversary of Medicare at <a href="https://apha.confex.com/apha/143am/webprogram/Session44368.html" target="_blank">session 5032</a>, “Medicare and Civil Rights: Celebrating and Uncovering Our History,” at 8:30 a.m. in MPCC Skyline Ballroom W375a. Learn why the enforcement of civil rights was so important to the enactment of Medicare, the role of black physicians, and the desegregation of thousands of the nation’s hospitals.<br />
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<b>What’s on the menu?</b>: What kinds of labeling work to influence healthy eating behaviors? Learn what’s effective at <a href="https://apha.confex.com/apha/143am/webprogram/Session43474.html" target="_blank">session 5101</a>, “Use of Food and Menu Labeling to Influence Dietary Behavior,” at 10:30 a.m. in MPCC W184bc. Hear about research on how food labeling impacts men vs. women, how to best present information on added sugars and much more. Yum!<br />
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<b>Working on wellness</b>: Workplace wellness programs are all the rage nowadays, but are they the best way to promote better health and habits? Hash it out at <a href="https://apha.confex.com/apha/143am/webprogram/Session43338.html" target="_blank">session 5170</a>, “Workplace Wellness Programs: The Right or the Wrong Track?” at 12:30 p.m. in MPCC W176b. Presentations will focus on the National Institute for Occupational Safety and Health’s <a href="http://www.cdc.gov/niosh/programs/totalworkerhealth/" target="_blank">Total Worker Health Agenda</a>, implementing workplace wellness activities in retail settings, occupational exposures that contribute to chronic illness and more. <br />
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<b>Staying tough against tobacco</b>: Public health has made enormous strides in reducing the U.S. smoking rate, but we’re not done yet. At <a href="https://apha.confex.com/apha/143am/webprogram/Session45415.html" target="_blank">session 5137</a>, “Continuing to Clear the Air: Smoke-Free Trends,” which convenes at 12:30 p.m. in Hyatt Regency Ballroom C, attendees will take a look back at 20 years of tobacco control, hear about the ongoing smoke-free housing movement, and learn how things are going following the implementation of New Orleans’ smoke-free workplace law, which went into effect earlier this year.<br />
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<b>Don’t go yet!</b>: There’s no better way to cap off your Annual Meeting experience than by attending this year’s <a href="https://www.apha.org/events-and-meetings/annual/schedule-and-online-program/closing-general-session" target="_blank">Closing General Session</a> at 2:30 p.m. in MPCC Skyline Ballroom W375a. With a theme of “Building Health and Just Communities,” the session will feature a keynote presentation from Karen DeSalvo, acting assistant secretary for health at the U.S. Department of Health and Human Services, as well as a panel discussion with Julie Morita, Chicago health commissioner; Leana Wen, commissioner of health in Baltimore; and Faisal Khan, public health director in St. Louis County. You’ll also hear from incoming APHA President Camara Jones.<br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-32851004831209146572015-11-03T18:56:00.001-05:002015-11-03T19:08:52.734-05:00Walking the walk<iframe allowfullscreen="" frameborder="0" height="281" src="https://www.youtube.com/embed/9VdIMvPGsgQ?list=PLDjqc55aK3kz9vzZc8emzCT4faBJkLKc4" width="500"></iframe> <br />
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Almost 8 million steps! Or to be completely accurate — since we are at a public health meeting — 7,903,702 steps! That's the collective steps of the 268 people who participated in APHA's <a href="https://matchup.io/challenges/6381" target="_blank">2015 Walking Challenge</a>, which began on Sunday and ended today with the announcement of our winners.<br />
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Congratulations to first place winner Parth Patel from Morgantown, West Virginia, who took 104,084 steps; second place winner Paige Piontkowsky from Claremont, California, who clocked 101,126 steps; and third place winner Alison Arberg from Richmond, Virginia, who took 83,435 steps. <br />
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<i>Above, video of all the walkers at the APHA Annual Meeting in Chicago.</i><br />
<i><br /></i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-42031587596271744692015-11-03T18:36:00.001-05:002015-11-03T18:44:38.263-05:00Plan4Health: 'We all have a common goal of increasing well-being'When it comes to bridging the gap between planning and health, it’s all about relationships.<br />
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That was the message from local project managers who spoke at a Tuesday Annual Meeting session titled “Plan4Health: Linking Public Health and Planning to Build Improvement in Health.”<br />
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“One-on-one, personal building relationships, makes all the difference,” said Alex Smith, who manages the Active Transportation Program for the city of Columbus, Ohio. <br />
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He’s one of the people participating in APHA’s new and very cool <a href="http://www.plan4health.us/" target="_blank">Plan4Health</a> partnership with the American Planning Association. The program, which brings together APHA state and local Affiliates with American Planning Association state chapters, launched in March and has this vision: full integration of planning and public health where people live, work and play.<br />
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Current local Plan4Health projects focus on nutrition and physical activity, and a new round of projects is set to start in January. One of the projects highlighted at today’s session, the <a href="http://www.plan4health.us/plan4health-coalitions/trenton-healthy-communities-initiative/" target="_blank">Trenton Healthy Communities Initiative</a>, leverages a health-in-all-policies approach as “a timely strategy for addressing the web of social determinants that impact health and equity,” said presenter Tito Gezmu of the New Jersey Public Health Association.<br />
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As Anna Ricklin of the American Planning Association told session audience members, health in all planning policies is the goal. Ideally, planning should become a public health intervention, said Ricklin, who praised APHA’s involvement in the groundbreaking project.<br />
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“We couldn’t do this without APHA members,” she said.<br />
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A great example of how the local projects are using planning to improve health: pop-up traffic calming demonstrations. In St. Louis, 27 percent of residents take part in no leisure-time physical activity, said presenter Grace Kyung, a bicycle and pedestrian planner at <a href="http://trailnet.org/" target="_blank">TrailNet</a>. Yet 80 percent of them live within a half-mile of a park. One problem? Unsafe streets hinder access to parks.<br />
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The traffic calming demonstrations took the shape of colorfully painted giant tires, plants, and other elements placed at dangerous intersections throughout the city. As project planners tracked speed and stop sign compliance at the sites, they also had a chance to survey local residents and get input on safer community design.<br />
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Overall, Plan4Health zeroes in on improving nutrition and physical activity while also promoting health equity. It makes sense that public health and planning should work together, Ricklin said.<br />
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“We all have a common goal of increasing well-being.”<br />
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<i>— D.C.</i><br />
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APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-39941969007753103432015-11-03T18:05:00.000-05:002015-11-03T18:06:56.222-05:00APHA members approve 18 new policy statementsAPHA's Governing Council has officially adopted 18 new policy statements at its business meeting in Chicago during the 143rd Annual Meeting and Exposition. The policy statements, which will help guide APHA's work and advocacy activities, address a diverse range of topics, from collecting data on worker fatalities to ensuring universal access to contraception to protecting communities against tick-borne disease. Go <a href="http://www.apha.org/news-and-media/news-releases/apha-news-releases/new-policies-at-APHA-2015" target="_blank">here</a> to read brief summaries all of the newly adopted APHA policy statements.<br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-28164969799717393762015-11-03T17:44:00.000-05:002015-11-03T18:16:35.248-05:00The tipping point: On our way to reducing gun violence<div class="separator" style="clear: both; text-align: center;">
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Public health advocates can agree that shootings are a huge health issue for the more than 33,000 victims of gun violence in 2014 alone. But gun violence also indicates that the shooter has a health problem, according to gun violence researchers.<br />
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In front of a packed Annual Meeting crowd, advocates from the Brady Center and its Campaign to Prevent Gun Violence as well as public health advocates gathered to discuss “The Tipping Point: Activating a Public Health Movement to Address Gun Violence.” The tools to prevent gun violence are already in place, but much work still needs to be done, as 11 children are killed with a gun every day in the U.S., said presenter David Hemenway, professor of health policy and director of the <a href="http://www.hsph.harvard.edu/hicrc/" target="_blank">Harvard Injury Control Research Center</a>.<br />
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At the end of the day, violence begets violence, noted epidemiologist Gary Slutkin, founder and executive director of <a href="http://cureviolence.org/" target="_blank">Cure Violence</a>, but communities can do their parts to mitigate that violence. However, it’ll mean looking at gun violence in new ways — as a public health issue, rather than a criminal justice issue, he said.<br />
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“Criminal justice reform won’t be enough,” Slutkin said. “(We need to) go harder at prevention, harder at understanding, harder at care.”<br />
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The session touched on many points that the Brady Campaign has been touting for years, including at its recent National Summit with APHA in Washington, D.C. Dan Gross, Brady’s president, led the charge on Brady’s three key points: finish the job of expanding <a href="http://www.bradycampaign.org/our-impact/campaigns/background-checks" target="_blank">“lifesaving Brady background checks”</a> to all gun sales in the country; stop bad apple gun dealers; and <a href="http://askingsaveskids.org/" target="_blank">ASK</a> (Asking Saves Kids, which promotes the simple idea of asking about unlocked guns in the home of a child’s friend).<br />
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Those small steps, Gross noted, will make a big impact on reducing gun violence.<br />
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Attitudes influenced by the gun lobby are another obstacle to gun violence prevention. In 2004, 42 percent of Americans believed a gun made a home safer. By 2014, that number jumped to 63 percent, despite <a href="http://injuryprevention.bmj.com/content/9/1/48.full" target="_blank">clear</a> <a href="http://aje.oxfordjournals.org/content/160/10/929.full" target="_blank">evidence</a> to the <a href="http://www.sciencedirect.com/science/article/pii/S0001457502000490" target="_blank">contrary</a>. <br />
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But the tide is turning, Gross suggested. In pop culture and media, there is more pressure to protect American lives from gun violence. Even <a href="https://twitter.com/KimKardashian/status/631662418125455360?ref_src=twsrc%5Etfw" target="_blank">Kim Kardashian</a> has gotten in on the action. These are signs to be hopeful about, Gross said. <br />
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“It’s all manifesting itself in real progress and real change,” he added, “but there’s still a lot of work to do.”<br />
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Visit <a href="http://www.apha.org/topics-and-issues/gun-violence" target="_blank">APHA</a> and the <a href="http://www.bradycampaign.org/" target="_blank">Brady Campaign</a> to learn more about gun violence prevention. <br />
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<i>— L.W. </i><br />
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<i>Above, APHA Executive Director Georges Benjamin, left, and Dan Gross, president of the Brady Campaign and Center to Prevent Gun Violence, at last week's Brady & APHA National Summit in Washington, D.C. Photo courtesy <a href="https://www.flickr.com/photos/aphapublichealth/" target="_blank">APHA Flickr</a></i><br />
<i> </i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com3tag:blogger.com,1999:blog-3830138980179954115.post-88334380131337030452015-11-03T17:01:00.000-05:002015-11-03T17:01:12.034-05:00A little birdie told me so: Tweet of the dayToday's Tweet of the Day goes out to @liveablefuture, who has officially invented a new word. Let's help it go viral!<br />
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Mastering the selfie at <a href="https://twitter.com/hashtag/APHA15?src=hash">#APHA15</a> <a href="https://twitter.com/PalmerAnneM">@PalmerAnneM</a> <a href="https://twitter.com/chrissteman">@chrissteman</a> (selfie + public health = healfie. Will it catch on?) <a href="https://t.co/Q0Nwo6NvQV">pic.twitter.com/Q0Nwo6NvQV</a></div>
— Livable Future (@livablefuture) <a href="https://twitter.com/livablefuture/status/661646194419085314">November 3, 2015</a></blockquote>
<br /><script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-4999144118518108082015-11-03T16:37:00.000-05:002015-11-03T16:37:31.303-05:00The faces of #APHA15<div class="separator" style="clear: both; text-align: center;">
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We keep clicking away here at the APHA 143rd Annual Meeting and Exposition! From top to bottom: Attendees smile for the camera at the McCormick Place Convention Center; APHA's Lesbian, Gay, Bisexual and Transgender Caucus of Public Health Professionals welcomes a visitor to their Public Health Expo booth; two public health practitioners take a break in the Mix and Mingle Lounge; big hugs at the Population, Reproductive and Sexual Health Section Awards Ceremony; and new friends at the Applied Public Health Statistics Section Social Meeting.<br />
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<i>Photos by Natalie McGill and Michele Late, courtesy <a href="http://www.thenationshealth.org/" target="_blank">The Nation's Health</a></i><br />
<i> </i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-40999973339240956362015-11-03T15:13:00.002-05:002015-11-03T15:53:41.477-05:00Climate change and health: 'No environmental justice without social justice'Later this month in Paris, nearly 200 countries will convene for the <a href="http://unfccc.int/meetings/paris_nov_2015/meeting/8926.php" target="_blank">21st Conference of the Parties of the United Nations Framework Convention on Climate Change</a>. It’s being billed as one of the most important climate change meetings ever. However — if all goes as planned — it could also end up being an enormous leap for public health too.<br />
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At a Tuesday morning Annual Meeting session on “Connecting Climate Change and Health Policies: Prioritizing Necessary Actions to Protect Public Health,” presenter Jonathan Patz, director of the Global Health Institute at the University of Wisconsin-Madison, told attendees that the goal of the Paris conference is to establish binding agreements to limit global warming to 2 degrees centigrade above pre-industrial levels. In fact, in the run-up to the Paris gathering, every country has been asked to provide their intended contributions to the reduction of greenhouse gas emissions. For instance, the U.S. intention is to reduce such emissions 32 percent below 2005 levels by 2030. However, Ethiopia’s commitment is really setting the bar high — that country intends to reduce its emissions by 64 percent by 2030, Patz said.<br />
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The whole endeavor is a bit daunting, Patz admitted, and the real question is “how are we going to get there?” But Patz thinks there’s a “secret” to this puzzle and that secret is public health. In other words, if policymakers better understood the enormous health and economic co-benefits of combating climate change — such as preventing pollution-related mortality, illness, medical care and absenteeism — then deciding to reduce greenhouse gas emissions in earnest could transform from the daunting choice to the easy choice.<br />
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And there’s no shortage of health statistics to make Patz’s case. For instance, he reminded session attendees that 8 million people die prematurely every year due to air pollution and more than 3 million die from sedentary lifestyles. On the flip side, he cited research that found if Canada could achieve the same biking and walking rates as the Netherlands — which would also reduce vehicle emissions that contribute to climate change — the country would avoid 175,000 disability-adjusted life years, which measures the number of years lost to illness, disability and early death.<br />
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“This is the time — right now — that we can really change society and make some major benefits,” Patz said.<br />
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In the U.S., the Centers for Disease Control and Prevention is leading public health efforts to prepare for and adapt to the health effects of climate change. Session presenter George Luber, who leads CDC’s climate and health activities, noted that the health impacts of climate change — such as heat illness and food- and water-borne illness — will have a disproportionate impact on already vulnerable populations. He also noted that the cumulative impact of climate change will be substantial as well — he described it as “morbidity and mortality by a thousand cuts.”<br />
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Luber also noted that the threats climate change pose to human health aren’t necessarily new and novel. But what will be new and novel is where the threats occur and how intense and frequent they’ll be. <br />
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Right now, Luber reminded the audience, the CDC <a href="http://www.cdc.gov/climateandhealth/" target="_blank">Climate and Health Program</a> is the only federal investment in climate change preparedness in the public health sector. The agency is helping states and cities prepare for future health challenges, use climate science and modeling, develop decision-making and support tools, and much more. In particular, CDC has the developed the <a href="http://www.cdc.gov/climateandhealth/brace.htm" target="_blank">BRACE framework</a> to assist public health agencies in developing effective preparedness strategies.<br />
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So, what does integrating climate and health policy look like at the community level? Kimberly Wasserman, organizing and strategy director at the <a href="http://lvejo.org/" target="_blank">Little Village Environmental Justice Organization</a>, told attendees of the group’s many victories that blend health and environmental justice. Little Village is a Chicago neighborhood of about 95,000 people within a five-mile radius — Wasserman said it’s often referred to as the Mexican capital of the Midwest. Among their biggest accomplishments was the closure of two of the nation’s oldest and dirtiest coal-fired power plants — one of the plants had been situated just a few hundred feet from Little Village, where residents suffer high rates of asthma and bronchitis. The organization, along with the Chicago Clean Power Coalition, pushed a local clean power ordinance and eventually, faced with pricey upgrades to its pollution controls, the power plants closed. <br />
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Other accomplishments Wasserman reported on included a new bus line where a three-mile gap in public transit had previously been, a quarter-acre community garden and an urban agriculture program. Little Village Environmental Justice Organization is in the middle of a new fight too: Unilever, the company that makes Hellmann’s mayonnaise, wants to expand its factory in Little Village, which means a huge jump in truck traffic and vehicle pollution right near a school. Wasserman and her colleagues are now working to ensure that children’s health doesn’t get left behind in the rush for new economic development.<br />
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“We never end this vicious cycle of environmental injustice in our community,” she said. <br />
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Wasserman told attendees that “as a community, our local economy is our strength.” As such, if the residents of Little Village aren’t intimately involved in local development decisions, “we’re going to be displaced and gentrified as a community,” she said. <br />
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“There can be no environmental justice without social justice,” Wasserman said. <br />
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Visit <a href="http://www.apha.org/topics-and-issues/climate-change" target="_blank">APHA</a> for more resources on climate change and health, including our report, “Adaptation in Action: Grantee Success Stories from CDC’s Climate and Health Program." And watch an <a href="https://www.youtube.com/watch?v=VaykXz0GrWM&feature=youtu.be" target="_blank">APHA TV interview</a> with Patz on our YouTube channel. <br />
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<i>— K.K.<br /><br /></i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-2662141149286087932015-11-03T13:09:00.000-05:002015-11-03T15:01:23.750-05:00Fitness apps: A fad or an agent for behavior change?Whether worn on a wrist or downloaded to a smartphone, mobile fitness apps are becoming a more popular way to track physical activity.<br />
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“For the last 12 years, I’ve seen people in their search for fitness and many people do not ever find it," said Lynn Herrmann, an assistant professor at Northern Illinois University’s College of Health and Human Sciences, during a Tuesday morning Annual Meeting session on “Increasing Physical Activity: There's an App for That!” “Technology is giving us some hope that people will get there.”<br />
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But while there are benefits to mobile fitness apps, such as being free, low-cost and easily accessible, Herrmann and other presenters agreed that owning a fitness app doesn’t automatically lead to behavior change.<br />
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For example, Ralph Turner, associate director of research at HealthCore, led a FitBit tracker study of over 940 Anthem Inc. insurance employees after the company’s leadership voiced concerns about workers’ sedentary lifestyles. Participants were split into people who used the FitBit to track physical activity and those who used the FitBit in conjunction with a fitness coach.<br />
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Overall, he found a high rate of people who stopped using the tracker: 46 percent stopped use after three months, 61 percent after six months and 79 percent after one year. People who already exercised stopped using the electronic trackers too, though at a slower rate than those who didn't exercise, he said.<br />
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Additional interventions that go hand in hand with fitness tracker use should be based in psychology, Turner noted.<br />
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“These devices are extremely popular,” Turner said. “But they’re not going to get you up off your butt and get you walking. But there’s room for growth. There’s promise and perhaps over the next decade, we’ll see movement in this area.”<br />
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For five months, Herrmann’s study tracked three apps used by 47 people whose average age was about 44 and who exercised at least four times per week.<br />
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Across all three apps, users reported liking the workout variety and number of activities. However, use dropped significantly, with participants citing difficulty in use and difficulty in navigating across all three apps.<br />
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Herrmann said in an ideal world, research on how people actually use mobile fitness apps would inform the development of new apps, and such development would be rooted in evidence-based health behavior research.<br />
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“It’s not being done,” Herrmann said. “This is a direction we need to head.”<br />
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<i>— N.M.</i><br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-47470980017718367542015-11-03T11:30:00.000-05:002015-11-03T11:33:25.799-05:00Monday General Session: 'Health is a river that runs through everything'<div class="separator" style="clear: both; text-align: center;">
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“These days we call ourselves the department of opportunity because housing is one of the tools that can spark great things in people’s lives,” U.S. Housing Secretary Julian Castro told U.S. Surgeon General Vivek Murthy during yesterday's Monday General Session on the <a href="http://www.surgeongeneral.gov/priorities/prevention/about/" target="_blank">National Prevention Council</a>. <br />
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The council, or a “crown jewel of the Affordable Care Act,” as APHA Executive Director Georges Benjamin described it, is helping the country more fully embrace a health-in-all-policies approach. Indeed, the fact that the housing secretary was sharing the stage with our surgeon general perfectly illustrated how the council is bringing different agencies together to work toward a healthier nation. <br />
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In the housing arena, health-based efforts include those that reduce children’s exposure to lead-based paint, eliminate mold from housing units and encourage more housing communities to go smoke-free. Castro spoke excitedly about a pilot project he hopes gets funded in the near future that would give seniors in subsidized housing easier access to care.<br />
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Murthy first sat down with Castro for a friendly chat about the ways the U.S. Department of Housing and Urban Development is helping put the <a href="http://www.surgeongeneral.gov/priorities/prevention/strategy/" target="_blank">National Prevention Strategy</a> into action. Created by the National Prevention Council in 2011, The strategy aims to increase the number of Americans who are healthy at every stage of life. <br />
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Making health happen in areas like housing and transportation — sectors that haven’t traditionally considered their impacts on health — depends on good leadership, Castro said. The former San Antonio mayor urged the Annual Meeting audience to be the squeaky wheel that advocates for important change.<br />
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“It makes a difference to have loud, effective advocates,” Castro said. “But you can’t just be loud. You also have to be effective and smart.” When the audience and Murthy laughed, he quickly added, “which all of you are.” <br />
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After Castro left the stage, but not before sharing a few more laughs and mutual compliments with Murthy, the nation’s top doc welcomed two more key public health figures who are working to make progress in prevention.<br />
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Jonathan Woodson, assistant secretary for health affairs at the Department of Defense, reminded the audience to keep working together. <br />
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“It is about strong partners, both within government and out of government, that will win the day,” he said.<br />
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Partnerships are what help the DOD make progress with its <a href="http://www.navy.mil/submit/display.asp?story_id=82844" target="_blank">Healthy Base Initiative</a>. Part of <a href="http://www.health.mil/Military-Health-Topics/Operation-Live-Well" target="_blank">Operation Live Well</a>, the project works to promote active living, healthy eating habits and overall well-being among the military and their families. <br />
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When asked about her prevention perspective, APHA President Shiriki Kumanyika described herself a public health stakeholder, speaking from her role with Healthy People 2020 (she was the vice chair of the advisory committee that crafted that national vision for a healthier nation). <br />
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During her Healthy People 2020 work, she said she and other committee members talked a lot about aligning sectors that often have conflicting goals, such the agriculture and nutrition field. She agreed with Woodson's thoughts on partnerships, saying cooperation between the federal government, private sector and public health sector could help maximize the work of the National Prevention Council.<br />
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“I think we in the public health field have to act as ambassadors,” she said. That means conducting health impact assessments, providing technical assistance to those who want to work in the health sphere, and helping map where health is being impacted. We must remind the for-profit sector of their stake in addressing the social determinants of health, Shiriki said.<br />
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“An educated population, and a population with a humane living wage, has got to be good for everybody’s business,” Kumanyika said to a big nod from Murthy.<br />
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Murthy summed up the work of the National Prevention Council — as well as all those gathering in Chicago for the APHA Annual Meeting — when he mentioned a quote he uses often.<br />
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“Health is a river that runs through everything,” Murthy said just before escorting Kumanyika and Woodson off the stage. “The question is whether we choose to recognize it or not.”<br />
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<i>— D.C.</i><br />
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<i>Above from top to bottom: Surgeon General Vivek Murthy, left, and U.S. Housing Secretary Julian Castro; </i><i>Jonathan Woodson, assistant secretary for health affairs at the Department of Defense; and APHA President Shiriki Kumanyika. Photos by Jim Ezell, courtesy <a href="http://www.ezeventphotography.com/" target="_blank">EZ Event Photography</a></i><br />
<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-76823962311198907842015-11-03T09:19:00.000-05:002015-11-03T09:19:12.869-05:00APHA Storify: Expo-nentially awesomeToday's <a href="https://storify.com/APHA/" target="_blank">APHA Storify</a> comes to you from the hundreds of booths at the Public Health Expo.<br />
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<br />APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-31836963353031590632015-11-02T19:45:00.000-05:002015-11-02T19:50:23.078-05:00Tuesday’s Have You Heard<b><iframe allowfullscreen="" frameborder="0" height="281" src="https://www.youtube.com/embed/ksJDZQ9mLRs" width="500"></iframe></b><br />
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<b>Documenting disparities</b>: This year marks the 30th anniversary of the Heckler Report, a landmark report from the U.S. Department of Health and Human Services that led to the creation of the U.S. Office of Minority Health. The milestone report, which documented the existence of racial and ethnic health disparities, is the topic of discussion at <a href="https://apha.confex.com/apha/143am/webprogram/Session45365.html" target="_blank">session 4107</a>, “The Heckler Report as a Catalyst for Action: Historical and Current Activities to Support the Promotion of Health Equity Through Select State and Federal Programs," at 10:30 a.m. in MPCC W175c.<br />
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<b>Environmental health in tribal lands</b>: Learn about environmental health challenges facing tribal communities during <a href="https://apha.confex.com/apha/143am/webprogram/Session45363.html" target="_blank">session 4106</a>, “Empowered to Take Action: Environmental Health in Indian Country,” at 10:30 a.m. in MPCC W175b. Presentation topics include the impacts of industrial sand mining, the effects of Superfund sites in tribal communities, and bridging environmental and health data. <br />
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<b>Animal house</b>: The philosophy of “one health,” which recognizes the connections between human, environmental and animal health, is the focus of <a href="https://apha.confex.com/apha/143am/webprogram/Session43564.html" target="_blank">session 4258</a>, “One World, One Medicine, One Health,” at 12:30 p.m. in Hyatt Regency McCormick Place CC24C. The session will feature discussions on rabies control, <i>E. coli</i> at a suburban day care and petting farm, and the Army Veterinarian Service. <br />
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<b>Putting the 'pop' in public health</b>: From malaria to tobacco, <a href="https://apha.confex.com/apha/143am/webprogram/Session44845.html" target="_blank">session 4447</a>, “Mass Media and Pop Culture in Health Communication,” at 4:30 p.m. in MPCC W193b will explore innovative health communication campaigns, such as a stroke literacy intervention using hip-hop music and efforts in the Nigerian film industry to develop scripts based on behavior change methodology. <br />
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<b>Public health heroes</b>: Stop by APHA’s annual Public Health Awards Ceremony and Reception in MPCC S100a between 6 and 8:30 p.m. to congratulate the winners. Among this year’s award winners are Helene Gayle, CEO of McKinsey Social Initiative and former CEO at CARE, who is the recipient of the APHA Presidential Citation; U.S. Sen. Edward Markey, D-Mass., recipient of the APHA Distinguished Public Health Legislator of the Year Award; and Willie James Parker, an ardent reproductive health and abortion access advocate, who will receive the Helen Rodriguez-Trias Social Justice Award.<br />
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<i>Above, check out a video about the National Tribal Environmental Think Tank and then attend session 4106 on environmental health in Indian country.<br /><br /></i>
APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0tag:blogger.com,1999:blog-3830138980179954115.post-34317587424138232472015-11-02T18:40:00.003-05:002015-11-02T18:43:26.431-05:00Public health in pictures<div class="separator" style="clear: both; text-align: center;">
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The APHA 143rd Annual Meeting and Exposition is in full swing! From top to bottom: Attendees give a smile for <a href="http://www.apha.org/topics-and-issues/generation-public-health" target="_blank">Generation Public Health</a>; another bright smile at the APHA photo booth inside McCormick Place Convention Center; a <a href="https://www.apha.org/events-and-meetings/annual/about-the-annual-meeting/explore-the-public-health-expo" target="_blank">Public Health Expo</a> visitor gets her caricature drawn; and public health folks take a break and a stretch at the <a href="http://www.apha.org/events-and-meetings/annual/sessions-and-events/wellness" target="_blank">APHA Wellness Center</a>. <i>All photos by Michele Late, courtesy <a href="http://www.thenationshealth.org/" target="_blank">The Nation's Health <br /><br /></a></i>APHA MEETINGS BLOGGERhttp://www.blogger.com/profile/09255067651620511127noreply@blogger.com0