A Public Health Guide to Ending the Opioid Epidemic

2019 ◽  
Keyword(s):  
Public Health ◽  
Primary Prevention ◽  
Substance Misuse ◽  
Traditional Approach ◽  
The United States ◽  
Public Health Approach ◽  
Opioid Use ◽  
The Public ◽  
Opioid Crisis ◽  
The Impact

Few contributions to the field concerning the current opioid crisis in the United States focus sufficient attention on the public health aspects of the epidemic and share examples that practitioners can use to prevent opioid use disorder and the broader issues of substance misuse and addiction. A great deal of prior published work has concentrated on health care and clinical perspectives related to the crisis, including developing prescribing guidelines, enhancing prescription drug monitoring programs, scaling up access to overdose reversal medication, and making medication-assisted treatment more widely available nationwide. This book adds to and complements this prior work by addressing the central tenets of the public health approach to the opioid crisis. Topics include how to best support community-based, primary prevention of substance misuse and addiction in various settings with diverse populations and how to effectively address the cultural, social, and environmental aspects of health that are driving the epidemic. Chapters describe how governmental public health agencies play a significant role in responding to the epidemic, in both public health’s traditional approach to disease surveillance and control and contemporary approaches to health promotion that include building community resilience, addressing the impact of adverse childhood events, and mitigating the root causes of addiction community-wide. This volume can be used to explore what it means to address primary prevention of addiction and how public health practitioners have led efforts to promote “opioid stewardship” at the local, state, and federal levels.

A Public Health Approach to Protecting Workers from Opioid Use Disorder and Overdose Related to Occupational Exposure, Injury, and Stress

2021 ◽  
pp. 104829112110310
Keyword(s):  
Public Health ◽  
Opioid Use Disorder ◽  
Public Health Approach ◽  
Workers Compensation ◽  
Care Providers ◽  
Opioid Misuse ◽  
Opioid Use ◽  
Opioid Crisis ◽  
Key Policy ◽  
The Impact

Opioid overdose mortality, in combination with increased deaths from alcohol and suicide, is having a profound impact on American workplaces, compromising occupational health and safety and increasing workers’ compensation and health insurance costs, absenteeism, and lost productivity. The President’s Council of Economic Advisers estimates that more than 1 million workers are out of the workforce due to the opioid crisis. The impact on workers is equally profound, including job loss, divorce and family disruption, and potentially imprisonment, injury, illness, and death. Pain from occupational injuries and illnesses and stress are important pathways to opioid use disorder. Effective workplace programs that incorporate the public health approach to prevention offer a significant opportunity to prevent and respond to the opioid crisis. To date, the nation’s efforts at combating the crisis have not included the necessary policy reforms to transform the workplace from a pathway to opioid misuse to a pathway to prevention, including education of workers, unions, employers, and health care providers and treatment and recovery of affected workers. Several key policy interventions are recommended to address this disconnect, including prevention of workplace injury, illness, and emotional distress; worker education and training; and replacement of stigmatizing, punitive workplace substance use programs with supportive programs. Increasing access to alternative pain treatment and preventing opioid misuse in workers’ compensation systems are other key policy recommendations.

Antisemitic Conspiracy Theories and Violent Extremism on the Far Right: a Public Health Approach to Counter-Radicalization

2019 ◽  
pp. 1-18
Author(s):  
Bradley Byington
Keyword(s):  
Public Health ◽  
The United States ◽  
Public Health Approach ◽  
Right Wing ◽  
Far Right ◽  
Conspiracy Theories ◽  
The Public ◽  
Societal Benefits ◽  
Violent Extremism ◽  
Conspiracy Thinking

Conspiracy theories, and especially antisemitic conspiracy theories, form a core ideological component of right-wing violent extremism in the United States. This article argues that conspiracy narratives and their psychological antecedents are key to understanding the ideological appeal of right-wing extremist formations such as white supremacist and Christian Identity movements, providing insight into the motivations and behaviors of those individual participants who become sufficiently radicalized to carry out terrorist actions. It is further proposed that standard radicalization models can be enhanced for applications specific to right-wing extremism through an understanding of conspiracy thinking (both antisemitic and otherwise), and that this understanding can assist in addressing the motivated roots of the ideologies that sustain this particular type of violent extremism through a public health approach to counter-radicalization that aims to “inoculate” the public against the cognitive tendencies exemplified in antisemitic con- spiracy theories and in conspiracist culture more generally. The proposed approach would complement existing efforts in a unique way, as it would have the potential not only to improve public security, but also to provide further societal benefits by countering other negative tendencies associated with conspiracy belief (for example, decreased intention to vaccinate). This would provide an exceptional cost versus benefit ratio while supporting existing counter-radicalization programs and leaving them intact.

Public Policy Impact of the COVID-19 Pandemic on Blood Supply in the United States

2021 ◽  
pp. e1-e7
Author(s):  
William Riley ◽  
Kailey Love ◽  
Jeffrey McCullough
Keyword(s):  
Public Health ◽  
United States ◽  
Blood Supply ◽  
Emergency Preparedness ◽  
The United States ◽  
Public Health Emergency ◽  
Health Crisis ◽  
The Public ◽  
Preparedness Planning ◽  
The Impact

The COVID-19 pandemic has precipitated an acute blood shortage for medical transfusions, exacerbating an already tenuous blood supply system in the United States, contributing to the public health crisis, and raising deeper questions regarding emergency preparedness planning for ensuring blood availability. However, these issues around blood availability during the pandemic are related primarily to the decline in supply caused by reduced donations during the pandemic rather than increased demand for transfusion of patients with COVID-19. The challenges to ensure a safe blood supply during the pandemic will continue until a vaccine is developed, effective treatments are available, or the virus goes away. If this virus or a similar virus were capable of transmission through blood, it would have a catastrophic impact on the health care system, causing a future public health emergency that would jeopardize the national blood supply. In this article, we identify the impact of the COVID-19 pandemic on blood supply adequacy, discuss the public health implications, propose recovery strategies, and present recommendations for preparing for the next disruption in blood supply driven by a public health emergency. (Am J Public Health. Published online ahead of print March 18, 2021: e1–e7. https://doi.org/10.2105/AJPH.2021.306157 )

scholarly journals An Integrated Public Health Approach to Interpersonal Violence and Suicide Prevention and Response

2018 ◽  
Vol 133 (1_suppl) ◽  
pp. 65S-79S ◽  
Author(s):  
Michele R. Decker ◽  
Holly C. Wilcox ◽  
Charvonne N. Holliday ◽  
Daniel W. Webster
Keyword(s):  
Public Health ◽  
Community Violence ◽  
Interpersonal Violence ◽  
Partner Violence ◽  
The United States ◽  
Public Health Approach ◽  
Violence Risk ◽  
Public Health Burden ◽  
The Public ◽  
Age Related

Violence is a leading source of morbidity and mortality in the United States. In this article, we suggest a public health framework for preventing community violence, intimate partner violence and sexual violence, and suicide as key forms of interpersonal and self-directed violence. These types of violence often co-occur and share common risk and protective factors. The gender, racial/ethnic, and age-related disparities in violence risk can be understood through an intersectionality framework that considers the multiple simultaneous identities of people at risk. Important opportunities for cross-cutting interventions exist, and intervention strategies should be examined for potential effectiveness on multiple forms of violence through rigorous evaluation. Existing evidence-based approaches should be taken to scale for maximum impact. By seeking to influence the policy and normative context of violence as much as individual behavior, public health can work with the education system, criminal justice system, and other sectors to address the public health burden of interpersonal violence and suicide.

scholarly journals The Effect of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Mitigation Strategies on Seasonal Respiratory Viruses: A Tale of 2 Large Metropolitan Centers in the United States

2020 ◽  
Author(s):  
Amy C Sherman ◽  
Ahmed Babiker ◽  
Andrew J Sieben ◽  
Alexander Pyden ◽  
James Steinberg ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Severe Acute Respiratory Syndrome ◽  
The United States ◽  
Respiratory Viruses ◽  
Mitigation Strategies ◽  
The Public ◽  
Health Measures ◽  
Reproductive Rates ◽  
The Impact

Abstract To assess the impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic on seasonal respiratory viruses, absolute case counts and viral reproductive rates from 2019–2020 were compared against previous seasons. Our findings suggest that the public health measures implemented to reduce SARS-CoV-2 transmission significantly reduced the transmission of other respiratory viruses.

scholarly journals An Alzheimer’s Curriculum to Educate the Current and Future Public Health Workforce

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 9-10
Author(s):  
Taylor Kennedy ◽  
Molly French ◽  
Linelle Blais ◽  
Nia Reed
Keyword(s):  
Public Health ◽  
Health Workforce ◽  
Adult Population ◽  
Health Sector ◽  
The United States ◽  
Public Health Workforce ◽  
Public Health Approach ◽  
Health Crisis ◽  
The Public ◽  
Schools Of Public Health

Abstract Alzheimer’s disease is the 6th leading cause of death among adults in the United States and the 5th leading cause for those aged 65 and older. Nearly 14 million Americans will be diagnosed with Alzheimer’s dementia by 2060, but the public health workforce is struggling to meet current demands. As the older adult population continues to grow, the public health sector will need to ensure a sizable and competent workforce is prepared to meet the needs of those living with dementia as well as their caregivers. In support of national efforts to promote and ensure a competent workforce, the Alzheimer’s Association, Centers for Disease Control and Prevention, and Emory University developed “A Public Health Approach to Alzheimer’s and Other Dementias” (ADOD) curriculum. The free, introductory curricular resource was first piloted by faculty and students at undergraduate schools of public health across the country; however, due to its broad applicability the curriculum has since been updated and expanded to educate graduate students in schools of public health, students in related disciplines, and practicing public health professionals. The curriculum provides an introduction to ADOD as a public health crisis, basics of dementia, the role of public health in addressing the epidemic, and the creation of dementia-friendly communities. The purpose of the curriculum is to educate future public health workforces about ADOD; encourage the current public health workforce to apply knowledge to practice; and seek to improve health outcomes for those living with dementia, as well as their caregivers.

Stigma and the Language of Addiction

2019 ◽  
pp. 33-44
Author(s):  
Michael Botticelli ◽  
Colleen L. Barry
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Substance Use ◽  
Public Attitudes ◽  
Opioid Use Disorder ◽  
Health Conditions ◽  
Public Health Approach ◽  
Opioid Use ◽  
Policy Changes ◽  
Opioid Crisis

Stigma influences attitudes toward individuals and groups, and these attitudes are expressed in how we as a nation have dealt with addiction in general and the opioid crisis in particular. Stigma is defined as a strong lack of respect for a person or a group of people or a bad opinion of them because they have done something or have traits of which society disapproves. Stigma creates misperceptions about how to end the opioid crisis and acts as a barrier for individuals with opioid use disorder to seek treatment and engage in recovery. Public attitudes toward addiction need to be changed to effectively end the epidemic, as does the language used to describe individuals who misuse drugs. Misperceptions and lack of understanding of addiction as a chronic disease have promoted the criminalization of individuals with substance use disorder rather than a public health approach. The case is made for policy changes that support new policy directions that stress parity in treatment for mental health and substance misuse with other “physical health” conditions as well as suggestions for better communications strategies to reduce stigma.

scholarly journals Aspirin for primary prevention of cardiovaascular events: what are the evidances?

2019 ◽  
Vol 38 (3) ◽  
pp. 145
Author(s):  
Yenny Yenny
Keyword(s):  
Public Health ◽  
United States ◽  
Cardiovascular Disease ◽  
Risk Factor ◽  
Primary Prevention ◽  
Cardiovascular Events ◽  
The United States ◽  
The Public

Cardiovascular disease (CVD) is the leading cause of mortality in the United States, accounting for about 1 in 3 deaths.(1) In view of the healthcare and economic burdens of cardiovascular disease, the public health aim should be the prevention of cardiovascular events through risk factor optimization.

scholarly journals Assessing the impact of the Good Samaritan Law in the state of Connecticut: a system dynamics approach

2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Nasim S. Sabounchi ◽  
Rebekah Heckmann ◽  
Gail D’Onofrio ◽  
Jennifer Walker ◽  
Robert Heimer
Keyword(s):  
Public Health ◽  
System Dynamics ◽  
The United States ◽  
Opioid Use Disorder ◽  
Behavioral Changes ◽  
Opioid Use ◽  
Good Samaritan ◽  
Ed Visits ◽  
The Impact ◽  
Overdose Deaths

Abstract Background Although Good Samaritan laws (GSLs) have been widely adopted throughout the United States, their efficacy in individual states is often unknown. This paper offers an approach for assessing the impact of GSLs and insight for policy-makers and public health officials who wish to know whether they should expect to see outcomes from similar policy interventions. Methods Utilizing a system dynamics (SD) modeling approach, the research team conducted a policy evaluation to determine the impact of GSLs on opioid use disorder (OUD) in Connecticut and evaluated the GSL based upon the following health outcomes: (1) emergency department (ED) visits for overdose, (2) behavioral changes of bystanders, and (3) overdose deaths. Results The simulation model suggests that Connecticut’s GSL has not yet affected overdose deaths but has resulted in bystander behavioral changes, such as increased 911 calls for overdose. ED visits have increased as the number of opioid users has increased. Conclusions The simulation results indicate that the number of opioid-related deaths will continue to increase and that the GSL alone cannot effectively control the crisis. However, the SD approach that was used will allow policymakers to evaluate the effectiveness of the GSL over time using a simulation framework. This SD model demonstrates great potential by producing simulations that allow policymakers to assess multiple strategies for combating the opioid crisis and select optimal public health interventions.

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