Spatial access to health care: a case study on community health centers in Asmat District, Papua, Indonesia
AbstractIn recent decades, access to primary health care has become a crucial issue for health policy planners and researchers. One of the fundamental problems is inequitable access to health care due to imbalanced resource distributions between health care providers and population location. Accordingly, this study aims to examine the spatial access to Community Health Centers (CHC) in the Asmat district, one of the most isolated regions in Papua, Indonesia. We conducted the study using a two-step floating catchment area (2SFCA) method to quantify accessibility value to primary health care of each village in the district o...
Source: Journal of Public Health Policy - January 12, 2021 Category: Health Management Source Type: research

Timeliness of childhood vaccinations in the Philippines
AbstractTimeliness of vaccinations is rarely part of monitoring in a routine immunization program. We reviewed infant immunization and conducted caregiver interviews in three regions in the Philippines from January to October 2016. We randomly selected thirty public health centers, one for each region. We defined timeliness of the receipt of antigen as within 4  weeks after the recommended age at vaccination. We assessed a total of 986 infants for timeliness of vaccination. The median age of receipt of vaccine was at 2.7 weeks (BCG), 10.1 weeks (Penta 1), and 21.7 weeks (Penta 3) compared to the recomme...
Source: Journal of Public Health Policy - January 4, 2021 Category: Health Management Source Type: research

Why are influenza vaccination coverage rates still too low among health care workers in a tertiary care children ’s hospital in Turkey?
AbstractAnnual influenza vaccination offers the best means to control and prevent influenza-associated illnesses. Vaccination of health care workers (HCWs) is crucial for reducing influenza-related morbidity and mortality, and health authorities recommend universal vaccination of this population. We evaluate the rates of influenza vaccination among HCWs and factors influencing uptake among health care professional groups in a children ’s hospital in Ankara, Turkey. We surveyed 108 HCWs using a self-administered questionnaire. Influenza vaccination coverage rates (VCR) among HCWs for at least one dose in their lifetim...
Source: Journal of Public Health Policy - December 10, 2020 Category: Health Management Source Type: research

Preventing maternal mortality in the United States: lessons from California and policy recommendations
AbstractMaternal mortality remains a large concern in the United States (US), although other Western countries are making progress. In this scoping review, we identify four problems that may contribute to the maternal mortality burden in the US: inadequately investing in women ’s health, poor quality of care, increasing disparities, and poor data collection and monitoring of maternal health issues. Because maternal mortality is decreasing in California, we identify strategies implemented there that could improve maternal health outcomes nationwide: funding programs to a ddress social determinants of maternal health; ...
Source: Journal of Public Health Policy - December 2, 2020 Category: Health Management Source Type: research

COVID-19, host response treatment, and the need for political leadership
AbstractHealth officials and scientists have warned that we face the threat of a potentially devastating influenza pandemic. Instead, we are now in the midst of a global coronavirus (COVID-19) pandemic. National and international pandemic preparedness plans have focused on developing vaccines and antiviral treatments. Another way to confront the COVID-19 pandemic (and future pandemics) might be to treat patients with inexpensive and widely available generic drugs that target the host response to infection, not the virus itself. The feasibility of this idea was tested during the Ebola outbreak in West Africa in 2014. This e...
Source: Journal of Public Health Policy - December 2, 2020 Category: Health Management Source Type: research

Tuberculosis management in India during COVID-19 crisis
AbstractDuring the early months of the 2020 COVID-19 crisis, critical services in India for tuberculosis (TB) have been disrupted. India has one of the highest burdens of TB and requires continuity of critical TB care. Here, we highlight important points and approaches that can be used to guide navigation of the combined COVID-19 and TB crisis in India. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - November 24, 2020 Category: Health Management Source Type: research

The impact of public assistance on child mental health in Japan: results from A-CHILD study
This study aims to elucidate the impact of public assistance on child mental health. We used cross-sectional data on 6920 first graders from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study. We found children living in relative poverty had more behavioral problems, low resilience, and were likely to refuse to go to school. After propensity-score matching among low-income households, the likelihood of children refusing to go to school was larger in the families receiving assistance as compared to non-recipients (OR 4.00, 95% CI 0.85 –18.84) although there were no significant differences between reci...
Source: Journal of Public Health Policy - October 28, 2020 Category: Health Management Source Type: research

Leprosy in Nepal: a re-emerging threat
AbstractNepal has long been known as a leprosy endemic country. However, in 2010, the application of World Health Organization guidelines in Nepal led to the misleading determination that leprosy had been ‘eliminated’ there. This misnomer has contributed to the current situation in which leprosy is on the increase. A national active case finding program is urgently required. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - October 22, 2020 Category: Health Management Source Type: research

COVID-19 screening center models in South Korea
AbstractIn a recent report, the British Broadcasting Company (BBC) introduced South Korea ’s measures to manage COVID-19 as role model for the world. Screening centers serve as frontiers for preventing community transmission of infectious diseases. COVID-19 screening centers in Korea operate 24 h a day, always open for individuals with suspected COVID-19 symptoms. South Korea concentr ated COVID-19 screening centers around cities with high population density. Advanced screening centers (models C, D, and E) proved more effective and efficient in the prevention of COVID-19 than the traditional screening centers (m...
Source: Journal of Public Health Policy - October 21, 2020 Category: Health Management Source Type: research

The impact of COVID-19 in the healthcare workforce in Peru
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - October 6, 2020 Category: Health Management Source Type: research

Application of state law in the public health emergency response to COVID-19: an example from Delaware in the United States
We describe the ways that Delaware responded through the interplay of public health, law, and government action, contrasting the state to others. We disc uss how evolution of this state’s public heath legal response to the pandemic can inform future disease outbreak policies. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - September 27, 2020 Category: Health Management Source Type: research

Misalignment between coronavirus financial aid and public health policies: negative incentives for outpatient clinics in the United States
AbstractThe United States Coronavirus Aid, Relief, and Economic Security Act (CARES Act) led to creation of the Paycheck Protection Program, as well as an expansion of reimbursements for telemedicine. CARES Act drafters over emphasized maintaining employment and overlooked negative downstream effects the policies had on outpatient clinics. The misalignment between this financial aid package and public health policy is most apparent in the pressure administrators face to maintain clinic operations, without a transition plan to adopt telemedicine and associated best practices. If this continues, the result will be suboptimal...
Source: Journal of Public Health Policy - September 24, 2020 Category: Health Management Source Type: research

The Federation ’s Pages
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - September 16, 2020 Category: Health Management Source Type: research

Richard Horton. The COVID-19 Catastrophe: What ’s gone wrong and how to stop it happening again
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - September 16, 2020 Category: Health Management Source Type: research

Public health response to COVID-19: the forecaster ’s dilemma
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - September 8, 2020 Category: Health Management Source Type: research

Governing antimicrobial resistance: a narrative review of global governance mechanisms
AbstractAntimicrobial resistance (AMR), a central health challenge of the twenty first century, poses substantial population health risks, with deaths currently estimated to be around 700,000 per year globally. The international community has signaled its commitment to exploring and implementing effective policy responses to AMR, with a Global Action Plan on AMR approved by the World Health Assembly in 2015. Major governance challenges could thwart collective efforts to address AMR, along with limited knowledge about how to design effective global governance mechanisms. To identify common ground for more coordinated global...
Source: Journal of Public Health Policy - September 8, 2020 Category: Health Management Source Type: research

Estimating of the costs of nonfatal occupational injuries and illnesses in agricultural works in Thailand
This study used data from Thailand ’s Universal Health Care System to estimate the medical costs of OIIs from agricultural work in Thailand. In 2017, OII medical costs totaled $47 million (USD), about ~ 0.2% of the gross domestic product produced by the Thai agricultural sector. We recommend that some of the national funds curren tly used for medical treatment of OIIs be used instead to develop and implement prevention programs in agriculture. This would improve not only worker health and safety, but also productivity. Availability of data on working conditions, injuries and illnesses, and especially lost time...
Source: Journal of Public Health Policy - September 6, 2020 Category: Health Management Source Type: research

The effect of assisted dying on suicidality: a synthetic control analysis of population suicide rates in Belgium
This study aimed to determine the changes in population suicide rates in Belgium before and after its 2002 policy using the synthetic control method (SCM) and generalized synthetic control method (GSCM). As comparisons we used additional European Union members that have not adopted these policies. GSCM showed an average annual suicide rate increase of 0.73 per 100,000 population (95% CI − 5.7 to 7.2;p = 0.80). Placebo testing based on the SCM analysis showed equal outcomes for Belgium and the comparisons. This study failed to show evidence of association between implementation of legislation legiti...
Source: Journal of Public Health Policy - September 6, 2020 Category: Health Management Source Type: research

Registration pathways to accelerate regulatory assessment of innovative medicines in Latin America
We present a regional regulatory overview of innovative pathways to accelerate assessment of medicines by regulators to benefit patients in need. Most LATAM regulators we surveyed have implemented accelerated pathways. Adoption of good regulatory practices is key for success (World Health Organization, WHO, Good Regulatory Practices: guidelines for national regulatory authorities for medical products  (World Health Organization, WHO, Good Regulatory Practices: guidelines for national regulatory authorities for medical products. World Health Organization QAS/16.686. WHO, 2016.https://www.who.int/medicines/areas/qua...
Source: Journal of Public Health Policy - September 1, 2020 Category: Health Management Source Type: research

Leveraging media and health communication strategies to overcome the COVID-19 infodemic
AbstractThe COVID-19 pandemic has caused a complementary infodemic, whereby various outlets and digital media portals shared false information and unsourced recommendations on health. In addition, journals and authors published a mass of academic articles at a speed that suggests a non-existent or a non-rigorous peer review process. Such lapses can promote false information and adoption of health policies based on misleading data. Reliable information is vital for designing and implementing preventive measures and promoting health awareness in the fight against COVID-19. In the age of social media, information travels wide...
Source: Journal of Public Health Policy - August 20, 2020 Category: Health Management Source Type: research

Spatial prediction of childhood malnutrition across space in Nigeria based on point-referenced data: an SPDE approach
AbstractMalnutrition remains a leading cause of child mortality in Nigeria. The spatial analysis based on areal level approaches could, in reality, conceal variations at smaller units. Using point-referenced data from Nigeria Demographic and Health Survey, we quantify the prevalence of malnutrition among under-five children in Nigeria at 1.63 by 1.63  km spatial resolution, and compute the exceedance probability maps for stunting, wasting and underweight at 20% threshold level using the stochastic partial differential equation approach with Bayesian inference based on integrated nested Laplace approximation. Results s...
Source: Journal of Public Health Policy - August 16, 2020 Category: Health Management Source Type: research

The Russian HIV residence ban and state control of migration
This article explores how the Russian state exercises power over international migrants by continuing a 1995 ban on residence for HIV-positive foreigners. International migrants look for work in Russia, the largest host country for migration in the region of East Europe and Central Asia. I conducted qualitative interviews with service providers and health experts and analyzed cases in the database of a Moscow-based non-governmental organization (NGO) where HIV-positive international migrants seek HIV care. To secure permits to work and reside in Russia, they must prove HIV-negative status. I explored how Russia created leg...
Source: Journal of Public Health Policy - August 16, 2020 Category: Health Management Source Type: research

Social identity as a driver of adult chronic energy deficiency: analysis of rural Indian households
This study investigates the effect of social identity (caste, religion, gender, and asset) on adult chronic energy deficiency (CED) using the Indian Human Development Survey (IHDS) data from 2005 and 2011. From 2005 to 2011, out of 63,323 adult individuals, four-fifths (85.7%) of men and two-fifths (44.7%) of women improved their health status from CED to non-CED. The lowest improvement was observed among Dalit (Scheduled Casts, Scheduled Tribes) women: 41.9% moved from CED to non-CED status. We also find significant differences in prevalence of CED between Dalit and non-Dalit individuals and households. To achieve a signi...
Source: Journal of Public Health Policy - August 12, 2020 Category: Health Management Source Type: research

The 2019 crisis in Chile: fundamental change needed, not just technical fixes to the health system
AbstractChile has been viewed as an exemplar of social and economic progress in Latin America, with its health system attracting considerable attention. Eruption of widespread civil disorder marred this image in 2019. We trace the evolution of Chilean health policy and place it in context with developments in other sectors, pensions and education. We argue that much has been achieved, but further progress will necessitate politicians tackling the enduring power of elites that has prevented reform of a two-tier system enshrined in policies of the dictatorship. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - August 2, 2020 Category: Health Management Source Type: research

Infectious disease, public health, and politics: United States response to Ebola and Zika
AbstractPolitics, rather than disease characteristics, complicated the United States response to Ebola virus disease and Zika virus. We analyze how media and political elites shaped public opinion of the two outbreaks. We conducted a retrospective analysis of media coverage, Congressional floor speech, and public opinion polls to explain elite cueing and public perceptions of Ebola and Zika. We find evidence of elite cueing by Congress and the media on public opinion. Public opinion of both disease outbreaks initially followed partisan patterns. However, while Ebola public opinion remained partisan, ultimately, opinion eme...
Source: Journal of Public Health Policy - August 2, 2020 Category: Health Management Source Type: research

Achieving HIV targets by 2030: the possibility of using debt relief funds for sustainable HIV treatment in sub-Saharan Africa
AbstractThis paper assesses the possibility of using debt relief funds to sustain HIV treatment in sub-Saharan Africa, suppress transmission, and reach global goals to quell the epidemic by 2030. The cost of providing antiretroviral treatment is a huge burden on African countries. Concerns for Africa ’s capacity to keep pace with global advances are well founded. By analysing levels of ‘debt distress’, health expenditure per capita, and HIV antiretroviral therapy requirements in sub-Saharan African countries, the need for innovative finance with international cooperation emerges clearly. I n addition to t...
Source: Journal of Public Health Policy - August 2, 2020 Category: Health Management Source Type: research

Opioid exposure in newborns: lessons learned from fetal alcohol spectrum disorder
AbstractThe increasing incidence of opioid-exposed pregnancies in the United States is a concerning public health challenge. Analysis of the public health responses to prenatal alcohol exposure may inform future prevention and treatment strategies. Behavioral interventions, improved screening, and prenatal education may be effective measures to reduce prenatal exposure to opioids. Medicaid coverage should be expanded to cover substance misuse treatments for pregnant women. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - July 28, 2020 Category: Health Management Source Type: research

How refugee youth use social media: what does this mean for improving their health and welfare?
We examined impacts of social media and information sharing applications on health, well-being, inclusion, and integration of refugees into host countries. Review findings reveal that refugee youth commonly use ICTs for social networking, presentation of self, health information consumption, and political rights. Studies suggest that uptake of social media through personal mobile devices, such as smartphones, positively enhanced interactions of newly arrived refugees. Our review identifies policy opportunities to enable social media to facilitate delivery of resettlement and health information, to foster integration for re...
Source: Journal of Public Health Policy - July 19, 2020 Category: Health Management Source Type: research

Characteristics of proposed and enacted state tobacco control legislation in the United States, 2010 –2015
This study documents all tobacco control proposals (bills) introduced in the United States into all 50 state legislatures from the start of 2010 through 2015 and assesses associations between tobacco-related strategies and tobacco product types with enactment of the bills into law. In total, members of state legislatures introduced 2801 tobacco control bills, and state legislatures enacted 17.4%. Bills most introduced addressed clean air (n = 696) and tax or price bills (n = 582), yet both had lower likelihood of enactment (each OR, 0.51; 95% CI 0.38–0.69) compared to bills on any other to...
Source: Journal of Public Health Policy - July 13, 2020 Category: Health Management Source Type: research

Proposal for smoke-free public housing: a systematic review of attitudes and preferences from residents of multi-unit housing
AbstractA policy proposal to ban public housing smoking indoors has received support, but it is unclear how certain affected groups, specifically smokers in housing units, perceive such a policy. To review the literature on attitudes and perceptions of housing unit tenants towards an indoor smoke-free housing policy, using various databases, we searched articles for attitudes towards smoking ban enforcement in housing units. We identified fourteen articles. Non-smokers heavily favored indoor policies and current smokers heavily opposed them. Current smokers represented a substantial minority in the reviewed articles, resul...
Source: Journal of Public Health Policy - July 2, 2020 Category: Health Management Source Type: research

The Federation ’s Pages
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - July 2, 2020 Category: Health Management Source Type: research

The traps of calling the public health response to COVID-19 “an unexpected war against an invisible enemy ”
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - July 1, 2020 Category: Health Management Source Type: research

The two trillion dollar barn: science, prevention, and the lessons of disaster
AbstractThe unprecedented scale of the CovID-19 disaster will define public health failure for generations to come. Its causes include inadequate funding, hostility towards science in general and public health science in particular, a government culture steeped in deception and misinformation, and a disdain for collaboration for the greater good among the community of nations. The consequences have been devastating, but it is essential that the public health community uses its moment in the spotlight to promote the agenda of science-based policy, honesty and transparency in communication, and international cooperation to a...
Source: Journal of Public Health Policy - June 16, 2020 Category: Health Management Source Type: research

The importance of effective risk communication and transparency: lessons from the dengue vaccine controversy in the Philippines
AbstractIn 2016 the Philippine Department of Health (DOH) introduced a novel dengue vaccine in a mass immunization program to reduce the substantial economic and social burden of the disease on households and the government. The vaccine manufacturer ’s announcement regarding new findings on the small but increased risk of severe dengue for vaccinated seronegative patients caused turmoil as various people claimed that the vaccine caused deaths and that health authorities are corrupt. While health department staff split—some having to preserv e its reputation and others to monitor over 800,000 children administer...
Source: Journal of Public Health Policy - June 8, 2020 Category: Health Management Source Type: research

The COVID-19 infection: lessons from the Italian experience
AbstractThe first case of the new coronavirus, COVID-19, was reported in China on 17 November 2019. By the end of March 2020, the rapid global spread of infection affected over 1 million people. Italy is one of the countries most impacted, with over 100,000 positive cases identified. The first detected cases were reported on 21 February 2020 in two Italian towns: Vo ’ Euganeo in the Province of Padua, Veneto region, and Codogno, in the Province of Lodi, Lombardy. In the next weeks the epidemic spread quickly across the country but mainly in the north of Italy. The two regions: Veneto and Lombardy, implemented differe...
Source: Journal of Public Health Policy - May 28, 2020 Category: Health Management Source Type: research

California advocates ’ perspectives on challenges and risks of advancing the tobacco endgame
AbstractIn the USA, California ’s highly-regarded Tobacco Control Program (CTCP) has defined its goal as “ending the tobacco epidemic for all population groups” by 2035. To understand local advocates’ perceptions of endgame-oriented policies, we interviewed 28 advocates from California communities that had recently adopte d tobacco control policies. There was no consensus among participants on which specific policies would constitute the tobacco endgame in California. There was an agreement, however, that policymakers should promote policies that would impact communities with the highest tobacco use...
Source: Journal of Public Health Policy - May 26, 2020 Category: Health Management Source Type: research

Thanks to reviewers and to the two editors emeriti
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - May 3, 2020 Category: Health Management Source Type: research

Tobacco harm reduction: are smokers becoming more hardcore?
AbstractWe undertook a systematic review to identify and summarise studies on hardcore smoking and hardening to: determine the degree of variability in definitions of hardcore smoking and hardening; assess the evidence for claims that smokers are becoming increasingly hardened within the context of harm reduction as a policy initiative; and identify the determining characteristics of a hardcore smoker. We searched five electronic databases from 1970 to mid-April 2018 using the search term “smok* AND hard* AND (tobacco OR cigar* OR nicotin*)”. We included studies if they included a definition of hardcore smokers...
Source: Journal of Public Health Policy - May 3, 2020 Category: Health Management Source Type: research

Effects of United States WIC infant formula contracts on brand sales of infant formula and toddler milks
AbstractThe United States (US) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides free infant formula to low-income families with infants. State WIC agencies periodically solicit bids from manufacturers for the exclusive contract to provide infant formula in exchange for considerable rebates. Using Nielsen 2006 –2015 retail scanner data, we estimated a difference-in-difference model to examine how winning a WIC infant formula contract affects sales of the new (winning) and former brands, including effects on sales of products not eligible for WIC (spillover). One year following a c...
Source: Journal of Public Health Policy - April 29, 2020 Category: Health Management Source Type: research

Occupational safety and health in China: junior college students ’ knowledge from a large cross-sectional survey in Jiangsu Province
AbstractOccupational health and safety (OHS) is important for safeguarding workers during industrialization and pursuing economic benefits. We asked 123,943 junior college students from years 1 –5 to complete an online questionnaire about their knowledge of occupational safety and health. A total of 101,577 students responded, with a response rate of 81.96%. The average score and pass rate for all valid respondents were 44.99 ± 12.53 and 75.2%, respectively. There were statistically significant differences in average scores and pass rates among students of different genders, levels, number of fam...
Source: Journal of Public Health Policy - April 14, 2020 Category: Health Management Source Type: research

The animal sacrifice –public health nexus in Nepal
AbstractParticipants in religious festivals have practiced animal sacrifice as a core part of Hinduism for hundreds of years —at a small scale by individuals and at large scale at major festivals. Butchers frequently perform sacrificial slaughter openly, in sight and sound of other animals with little or no guidance from or adherence to hygienic standards, which are poor or non-existent. One Health principles could guid e development of interventions to protect human and animal health and welfare from these practices, but this concept is poorly understood in Nepal. Animal welfare organizations and international outcr...
Source: Journal of Public Health Policy - April 14, 2020 Category: Health Management Source Type: research

Call for a global ban policy on and scientific management of asbestos to eliminate asbestos-related diseases
AbstractAsbestos is a primary cause of cancer worldwide. Global estimates indicate workplace exposure of 125 million people and about 255,000 deaths each year. Of the approximately 300 million metric tonnes of asbestos ever produced worldwide, most will become waste and disposed of in landfills. The recycling and transforming asbestos fibre into a non-harmful product offer a sustainable solution, but a global commitment remains elusive. Urgent action is needed. Sixty-seven countries have banned the use of asbestos-containing material, however, repeated calls to stop the use of asbestos globally have gone unheeded. We call ...
Source: Journal of Public Health Policy - March 4, 2020 Category: Health Management Source Type: research

Spatial analysis of food security in Iran: associated factors and governmental support policies
This study analyzes caloric intake in Iran as a proxy for food security to determine factors associated with caloric intake that could be impacted by policies. We modeled regional heterogeneity by analyzing a complete countrywide dataset disaggregated for rural intra-provincial areas using unique data from the Iranian Statistical Centre for 2007 –2016. We applied logistic regression modeling and likelihood ratio tests to assess the association between socio-economic determinants and caloric intake among rural areas of all provinces. National policies (nation-wide food subsidies and a cash equivalent for food for...
Source: Journal of Public Health Policy - March 1, 2020 Category: Health Management Source Type: research

Oncopolicy and global health diplomacy in times of rising populism
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - February 24, 2020 Category: Health Management Source Type: research

Toward universal human papillomavirus vaccination for adolescent girls in Hong Kong: a policy analysis
AbstractStudies have assessed early population-level impact of human papillomavirus (HPV) vaccination programs for preventing cervical cancer. Through a case study in Hong Kong we examined stakeholder engagement and interactions to promote a universal HPV vaccination program using the Health Policy Triangle framework for structured health policy analysis. Using data from a document review and semi-structured in-depth interviews, we used thematic and stakeholder analyses to describe the process of policy formation. Given Hong Kong ’s political and health system, and a mix of Chinese and Western values, stakeholders ju...
Source: Journal of Public Health Policy - February 12, 2020 Category: Health Management Source Type: research

Understanding oral health disparities in children as a global public health issue: how dental health professionals can make a difference
We present the policy, educational, and public health-related suggestions for improving outcomes and professional collaboration and five key areas for action: (1) increase advocacy efforts, (2) support in terprofessional education and practice, (3) promote oral health education and increase health literacy, (4) increase collaboration with community and school-based oral health care workers, and (5) use of technology to increase access to dental care and health information. (Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - February 12, 2020 Category: Health Management Source Type: research

A decade of extreme oscillations in opioid control and availability: implications for public health in a Canadian setting
AbstractWe comment on developments in and impacts of medical opioid control and availability in the province of British Columbia (Canada). Population-level dispensing of (strong) prescription opioids doubled in 2005 –2011, yet subsequently declined by half 2011–2018 following implementation of various opioid control measures. Notwithstanding this inversion, BC has featured the highest population rates of opioid-related mortality and morbidity in Canada. The erratic opioid availability patterns presumably fa cilitated major increases in opioid misuse, morbidity, and mortality. Tangible benefits for pain care fro...
Source: Journal of Public Health Policy - February 12, 2020 Category: Health Management Source Type: research

Analyzing the cost-effectiveness of Lyme disease risk reduction approaches
AbstractLyme disease (LD) is endemic in many regions of the Northeastern United States. Given the elusive nature of the disease, a systematic approach to identify efficient interventions would be useful for policymakers in addressing LD. We used Markov modeling to investigate the efficiency of interventions. These interventions range from awareness-based to behavioral-based strategies. Targeting animal reservoirs of LD using fungal spray or bait boxes did not prove to be an effective intervention. Results of awareness-based interventions, including distribution of signage, fliers, and presentations, implementable in differ...
Source: Journal of Public Health Policy - February 2, 2020 Category: Health Management Source Type: research

The role of peanut-free school policies in the protection of children with peanut allergy
AbstractPeanut allergy that affects 1.4 –4.5% of North American children, has increased in prevalence in the past 20 years, is often diagnosed early in life, and outgrown in fewer than 20–32% of children by age 6. Recent self-reported data suggest that over 50% of peanut allergic individuals have had a severe reaction. Because food ( and peanut in particular) is a ubiquitous part of school attendance, this raises the potential for reactions to accidental peanut ingestion at school. Accordingly, there is increasing interest in creating policy to protect peanut allergic children in the school environment&mda...
Source: Journal of Public Health Policy - January 27, 2020 Category: Health Management Source Type: research

The hidden impact of the clandestine abortion in Peru
(Source: Journal of Public Health Policy)
Source: Journal of Public Health Policy - January 27, 2020 Category: Health Management Source Type: research