Recommendations of the Workshop on Injury Control and Public Health

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1091-1091

1. In each state department of public health, a focus for injury control should be responsible for developing objectives for injury control at the state and local level. 2. Injury control activities, including the state reporting of injuries and the development of a national injury surveillance system, should be funded adequately by the US government. 3. The US government and each state government should develop an explicit health policy for children. 4. The revenue that would be generated by a "user fee," a much heavier tax on tobacco and alcohol (alcohol plays a role in 40% to 50% of injuries) should be used to support public health programs for children. 5. A comprehensive school health education program should be established.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jonathon P. Leider ◽  
Katie Sellers ◽  
Jessica Owens-Young ◽  
Grace Guerrero-Ramirez ◽  
Kyle Bogaert ◽  
...  

Abstract Background The governmental public health workforce in the United States comprises almost 300,000 staff at federal, state, and local levels. The workforce is poised for generational change, experiencing significant levels of retirement. However, intent to leave for other reasons is also substantial, and diversity is lacking in the workforce. Methods Workforce perception data from 76,000 staff from Health and Human Services (HHS) including 14,000 from the Centers for Disease Control and Prevention were analyzed across 2014 and 2017. Additionally, data from 32,000 state and local health department staff in 46 agencies reporting in both years. Estimates were constructed accounting for survey design and non-response. Results In 2017, women made up 43% of the total US government workforce and 33% of supervisors or higher, compared to 73 and 68% generally in State Health Agencies (p < .0001); and 62% vs 52% in HHS (p < .0001). Among state staff, intent to leave increased from 22 to 31% (p < .0001), but fell in 2017 from 33 to 28% for HHS (p < .0001). Correlates of intent to leave included low job satisfaction, pay satisfaction, and agency type. Federal entities saw the highest proportion respondents that indicated they would recommend their organization as a good place to work. Conclusions While intent to leave fell at federal agencies from 2014 to 2017, it increased among staff in state and local health departments. Additionally, while public health is more diverse than the US government overall, significant underrepresentation is observed in supervisory positions for staff of color, especially women.


Water Policy ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 837-850 ◽  
Author(s):  
William C. McIntyre ◽  
David C. Mays

Colorado manages water using an administrative structure that is unique among the United States following the doctrine of prior appropriation: Water rights are adjudicated not by the State Engineer, but by Water Courts – separate from and operating in parallel to the criminal and civil courts – established specifically for this purpose. Fundamental to this system is the notion that water rights are property, with consequent protections under the US Constitution, but with the significant constraint that changes in water rights must not injure other water rights, either more senior or more junior. Population growth and climate change will certainly trigger changes in water administration, to be guided by the recent Colorado Water Plan. To provide the foundation necessary to appreciate these changes, this paper reviews the history of Colorado water administration and summarizes the complementary roles of the Water Courts and the State Engineer. Understanding water administration in Colorado depends on a firm grasp on how these two branches of state government formulate and implement water policy.


2021 ◽  
Vol 49 (1) ◽  
pp. 18
Author(s):  
Andrew Lopez

There is no question that libraries of all sizes, no matter how small, have an important role to play in preserving and facilitating the discovery of government publications. This is especially true for documents issued at the state and local level, precisely because they are less-well known nationally and therefore less likely to be included in larger national digitization projects. By focusing on what might as well be called small government publications, little libraries and small selective depository libraries can enter the digitization arena by undertaking small-scale digitization projects that, despite their diminutive scale, can achieve digital preservation successes in the range of minor to major. For inspiration, we should recall the hero of Robert Walser’s now celebrated novel from 1909, Jakob von Gunten, who adopts the motto “To be small and to stay small.”


Significance The discovery of a new variant of the virus (P1) in Manaus has prompted renewed concerns as the city is suffering a severe second wave, months after a first wave that reportedly affected most of its population. The spread is set to continue, not least because of the difficulty of maintaining restrictions on movement. Impacts Problems with vaccine roll-outs are likely to lead to renewed outbreaks across Brazil. Fragmentation of policies at the state and local level will hamper an effective response. Obstacles to research programmes will hinder efforts to map the evolution of the virus.


2017 ◽  
pp. 156-182
Author(s):  
Robert Stevens ◽  
Rosemary Stevens ◽  
Rosemary Stevens

2020 ◽  
pp. 136248062096477
Author(s):  
Philip R Kavanaugh

As the opioid overdose crisis in the US persists, governments have coordinated with drug companies to propagate the overdose reversal drug naloxone (Narcan) as a ‘kinder/gentler’ state response, deriving from a supposedly progressive harm reduction ethos. Drawing on Derrida’s deconstruction of pharmakon, I show how Narcan is rendered paradoxical and terminal, diverting attention from the structural antecedents of opioid addiction and resources for drug treatment while reproducing corporeal suffering in those revived. I further highlight how Narcan is positioned in a wider array of regressive governing practices that legitimate the state’s punitive drug war and demonization of drug users. Narcan thus provides a useful opening between the state and contemporary biomedicine to theorize how harm reduction and public health unfurl in insidious and corrosive ways.


2001 ◽  
Vol 60 (1) ◽  
pp. 1-58
Author(s):  
Xiaodong Yang

IS the State Immunity Act 1978 the sole basis for deciding on State immunity? It is and it is not. This seemingly self-contradictory reply is due to the fact that, on the one hand, any proceedings directly or indirectly against a foreign State must be brought under the 1978 Act while, on the other, certain provisions of that Act might paradoxically render the Act itself inapplicable and therefore entail recourse to rules outside the Act for settling the issue of State immunity. This is amply illustrated by the decision of the House of Lords in Holland v. Lampen-Wolfe [2000] 1 W.L.R. 1573, which involved a claim for defamation brought by a US university professor teaching international relations at a US military base in England as part of an education programme provided by her university under a commercial agreement with the US Government. The claim was brought against the education services officer at the base, who had written a memorandum listing serious complaints about the plaintiff’s performance and questioning her professional competence. The US Government claimed immunity on the defendant’s behalf.


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