Opioid Use and Chronic Infections: The Value of Addressing the Syndemic in Correctional Settings Via Telemedicine Guidance and Broader Use of Long-Acting Medications

2020 ◽  
Vol 222 (Supplement_5) ◽  
pp. S486-S493
Author(s):  
Martin Krsak ◽  
Brian T Montague ◽  
Paul Trowbridge ◽  
Steven C Johnson ◽  
Ingrid A Binswanger
Keyword(s):  
Public Health ◽  
Health Impact ◽  
The United States ◽  
Cost Of Care ◽  
Advanced Technology ◽  
Unsafe Sex ◽  
Opioid Use ◽  
Chronic Infections ◽  
Correctional Settings ◽  
Long Acting

Abstract In the United States, we are experiencing linked epidemics (a syndemic) of substance use disorders (SUDs) and infections associated with drug use, including unsafe injecting and unsafe sex in exchange for drugs or money. Current drug laws, together with risk-taking behavior among persons with SUDs, contribute to disproportionately high prevalences of these conditions in correctional settings. Detection and treatment of diseases with a high impact on public health are best addressed in the settings where such conditions are most prevalent (ie, jails and prisons for SUDs and chronic infections). The effectiveness, safety, cost of care. and public health impact of these conditions can be improved by means of broader screening and expanded access to specialty consultations through telemedicine/telehealth, along with broader use of long-acting medications for the treatment of human immunodeficiency virus and SUDs. Expanding telemedicine/telehealth, first for specialties which do not require advanced technology (eg, infectious diseases, addictions), can eventually lead to further advancements in correctional healthcare.

A proposal to leverage high-quality veterinary diagnostic laboratory large data streams for animal health, public health, and One Health

2021 ◽  
pp. 104063872110030
Author(s):  
Craig N. Carter ◽  
Jacqueline L. Smith
Keyword(s):  
Public Health ◽  
Data Streams ◽  
One Health ◽  
Animal Health ◽  
Disease Outbreaks ◽  
Large Data ◽  
Health Impact ◽  
The United States ◽  
Zoonotic Diseases ◽  
Diagnostic Laboratory

Test data generated by ~60 accredited member laboratories of the American Association of Veterinary Laboratory Diagnosticians (AAVLD) is of exceptional quality. These data are captured by 1 of 13 laboratory information management systems (LIMSs) developed specifically for veterinary diagnostic laboratories (VDLs). Beginning ~2000, the National Animal Health Laboratory Network (NAHLN) developed an electronic messaging system for LIMS to automatically send standardized data streams for 14 select agents to a national repository. This messaging enables the U.S. Department of Agriculture to track and respond to high-consequence animal disease outbreaks such as highly pathogenic avian influenza. Because of the lack of standardized data collection in the LIMSs used at VDLs, there is, to date, no means of summarizing VDL large data streams for multi-state and national animal health studies or for providing near-real-time tracking for hundreds of other important animal diseases in the United States that are detected routinely by VDLs. Further, VDLs are the only state and federal resources that can provide early detection and identification of endemic and emerging zoonotic diseases. Zoonotic diseases are estimated to be responsible for 2.5 billion cases of human illness and 2.7 million deaths worldwide every year. The economic and health impact of the SARS-CoV-2 pandemic is self-evident. We review here the history and progress of data management in VDLs and discuss ways of seizing unexplored opportunities to advance data leveraging to better serve animal health, public health, and One Health.

scholarly journals Public health impact of accelerated immunization against rotavirus infection among children aged less than 6 months in the United States

2014 ◽  
Vol 10 (7) ◽  
pp. 2032-2038
Author(s):  
Derek Weycker ◽  
Mark Andrew Atwood ◽  
Baudouin Standaert ◽  
Girishanthy Krishnarajah
Keyword(s):  
Public Health ◽  
United States ◽  
Health Impact ◽  
The United States ◽  
Public Health Impact ◽  
Rotavirus Infection

scholarly journals The Public Health Impact of Parent-Reported Childhood Food Allergies in the United States

PEDIATRICS ◽  
2018 ◽  
Vol 142 (6) ◽  
pp. e20181235 ◽  
Author(s):  
Ruchi S. Gupta ◽  
Christopher M. Warren ◽  
Bridget M. Smith ◽  
Jesse A. Blumenstock ◽  
Jialing Jiang ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Health Impact ◽  
The United States ◽  
Food Allergies ◽  
Public Health Impact ◽  
The Public

E-Cigarettes: Implications for Health Promotion in the Asian Pacific Region

2018 ◽  
Vol 30 (4) ◽  
pp. 321-327 ◽  
Author(s):  
Jonine Jancey ◽  
Bruce Maycock ◽  
Kahlia McCausland ◽  
Peter Howat
Keyword(s):  
Public Health ◽  
Electronic Cigarettes ◽  
Public Health Practice ◽  
Health Impact ◽  
The United States ◽  
Pacific Region ◽  
New Device ◽  
Cautious Approach ◽  
Asian Pacific Region ◽  
Asian Pacific

Since their introduction to the United States in 2007, electronic cigarettes (e-cigarettes) use has grown exponentially. This rapid growth in e-cigarette use has been heralded by some as a potential important public health measure that could ultimately replace tobacco cigarettes, while others recommend a cautionary approach until there is clear evidence they will not become “new tobacco” bringing a possible myriad of other problems. E-cigarettes may have real benefits, however they do expose users and those nearby to organic compounds, solvents and particulate matter, with there being limited data relating to their health impact. It is unclear as to whether this relatively new device has the potential to exacerbate nicotine addictions, or play a part in reducing harm and smoking cessation. The fundamental requirement of public health practice is to do no harm and from the inconclusive evidence we have to date on e-cigarettes, it appears a cautious approach is warranted. This commentary reviews evidence that supports a cautious approach to e-cigarette availability in Australia and the Asian Pacific region.

scholarly journals Public Health Impact and Cost-Effectiveness of Hepatitis A Vaccination in the United States: A Disease Transmission Dynamic Modeling Approach

2015 ◽  
Vol 18 (4) ◽  
pp. 358-367 ◽  
Author(s):  
Praveen Dhankhar ◽  
Chizoba Nwankwo ◽  
Matthew Pillsbury ◽  
Andreas Lauschke ◽  
Michelle G. Goveia ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Cost Effectiveness ◽  
Dynamic Modeling ◽  
Disease Transmission ◽  
Hepatitis A ◽  
Health Impact ◽  
The United States ◽  
Public Health Impact ◽  
Transmission Dynamic
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