JUST FOR THE HEALTH OF IT: Public Health Radio Show on WAKT 106.1 FM Toledo

JUST FOR THE HEALTH OF IT: Public Health Radio Show on WAKT 106.1 FM Toledo

Just for the Health of It - The Science of Health for ALL - PUBLIC HEALTH radio show, WAKT 106.1 FM ToledoJust for the Health of It is my weekly half-hour public health show on WAKT, 106.1 FM Toledo. You can listen at 9:00 AM Tuesdays and Thursdays (after Democracy NOW) on-air or on-line ToledoRadio.org.  To listen anytime you want online, below are links to the latest shows.

You can follow the program and shows on facebook here.

Just for the Health of It brings you fresh perspectives on the science of health for all; plus local, state, national, and global health news, as well as local guests for home-grown perspectives and connections to local resources. Just for the Health brings you the best of both social justice and personal health.WAKT Toledo 106.1 FM -- Just for the Health of It - Public health radio show

Just for the Health focuses on putting the JUST in Just for the Health of It

My aim is to equip you to live healthily in a healthy community on a just planet.

For you of those folks who are perhaps too busy to catch a whole show, or just want to sample my sense of humor, here are a few of my parody PSAs:

Parody PSA: Cory the Coronavirus

Parody PSA: TL20-squared VIRUS Pandemic

Parody PSA: Pla-ce-bo Pharmaceuticals’ Elimin-all

Parody PSA: PR Medica and Merciless Health Systems

Parody PSA: Health Care for ALL

HERE ARE LINKS TO THE LATEST SHOWS:

Week of July 13, 2020:

Featuring: lobbying brewing over access to COVID-19 vaccine (2:27); as U.S. buys up remdesivir, “vaccine nationalism” threatens access to COVID-19 treatments (5:51); COVID-19 vaccine research must involve Black and Latinx participants — here are 4 ways to make that happen (8:31); WHO, partners unveil ambitious plan to deliver 2 billion doses of COVID-19 vaccine to high-risk populations (14:21); U.S. withdrawal from WHO threatens to leave it “flying blind on flu vaccines (17:42); rebroadcast of May 2019 episode on immunization history and benefits (25:15).

Week of July 6, 2020:

Featuring: national COVID-19 update (1:45); Lucas County and Ohio update (8:04); hollowed-out public health system faces more cuts amid virus (11:33); women in science are battling both COVID-19 and the patriarchy (21:20); structural racism is why I’m leaving organized psychiatry (29:31); expecting students to play it safe if colleges reopen is a fantasy (40:23); as COVID-19 tears through Navajo Nation, young people step up to protect their elders (47:18).

Week of June 29, 2020:

Featuring: local, state, and national COVID-19 update (1:53); “normal” is the problem (13:32); the emerging long-term complications of COVID-19, explained (24:14); “vaccine sovereignty” versus “a people’s vaccine” (39:12); lack of water fuels COVID-19 for 2 billion people around world and in the Navajo Nation within the U.S. (44:09); what “less lethal” weapons actually do (50:27).

Week of June 22, 2020:

Featuring: local, state, and national COVID-19 update (1:53); burgeoning activism (12:32) in journalism (13:08), among scientists (17:13), health care professionals (25:13), in scientific publishing (37:28), and connecting racism with environmental justice (42:32).

Week of June 15, 2020:

Featuring: local COVID-19 update (2;03); Ohio immigration detention facility has 100% COVID-19 positive detainees (9:07); COVID-19 spikes, but most governors signal they’re staying the course (13:39); Americans divided on return to regular routines (17:09); pandemic lockdowns saved millions of lives (19:03); face masks may reduce COVID-19 spread by 85% (22:48); black U.S. adults follow many COVID-19 news topics more closely, discuss the outbreak more frequently (28:12); researchers face hurdles in studying COVID-19 racial disparities (29:12); for a day. scientists pause science to confront racism (34;33); racism, not genetics, explains why black Americans are dying of COVID-19 (37:12); omission of air pollution from report on COVID-19 and race “astonishing” (46:10); George Floyd’s autopsy and the structural gaslighting of America (47:58).

Week of June 8, 2020:

A Double Special Edition on Racism and the dual epidemics of COVID-19 and police violence, featuring: Ohio Legislative Black Caucus declares racism a public health crisis (2:33); Physicians for a National Health program declare police violence and racism as public health emergencies (7:11); over 1,000 health professionals sigh letter saying, don’t shut down protests using coronavirus as an excuse (10:01); protest in top 25 hot spots ignite fears of contagion (11:23); protests draw shoulder-to-shoulder crowds after months of virus isolation (16:24); racism is the contagion in health care we need to eradicate (23:46); my nightmare — COVID-19 meets racism meets the killing of a Black person by police (27;41); the everyday health harms of racism (33:39); which death do they choose? — many Black men fear wearing a mask more than the coronavirus (42:17); tear gas is way more dangerous than police let on — especially during the coronavirus pandemic (48:58).

Week of June 1, 2020:

COVID-19 SPECIAL EDITION #12: Racism as a public health issue (2:08); amid COVID-19, U.S. should embrace the right to food (9:31); Bill Barr promised to release prisoners threatened by coronavirus — even as the feds secretly made it harder for them to get out (13:06); model testing blitz in San Francisco shows COVID-19 struck mostly low-wage workers (20:45); One-fourth of U.S. doctors are immigrants who, if they die of coronavirus, could have their families deported (27:27); COVID-19 cases shift to younger people (29:14); the latest on testing (33:17); the local situation (41:11); biopharma companies are spreading misinformation — and taking advantage of it (44:34); masks sold by former white house official to Navajo hospitals don’t meet FDA standards (50:45); status of Latin American epidemic (52:47); is defunding the World Health Organization really just a backdoor attack on sexual and reproductive health? (55:46)

Week of May 25, 2020:

COVID-19 SPECIAL EDITION #11: national situation (2:18); latest local news from Lucas County and Ohio (36:16); other news, including how bad is COVID-19 misinformation (48:06).

Week of May 18, 2020:

COVID-19 SPECIAL EDITION #10: national situation (2:48); what’s our status in re-opening and what does this mean? (11:11); latest local news (35:44).

Week of May 11, 2020:

COVID-19 SPECIAL EDITION #9: national picture (2:38); Toledo, Lucas County, and Ohio status and re-opening considerations (11:22); Americas has no plan for worst-case scenario of COVID-19 (26;34); coronavirus pandemic exposing long-term inequalities experienced by communities of color and in public health system (32:24); survey shows record high trust in government and widespread suspicion of businesses in COVID-19 responses.

Week of May 4, 2020:

COVID-19 SPECIAL EDITION #8: Donald Trump assures nation will continue to be full of baloney (2:07); status at prisons in Ohio and Lucas County (6:47); latest local update (13:08); national “non-plan” for testing (16:34); piecing together info on local situation (23:29); high-tech and low-tech COVID-19 treatment (28:29); what Jonas Salk would have said about COVID-19 — evolve socially (35:15).

Week of April 27, 2020:

COVID-19 SPECIAL EDITION #7: National and state roundup (1:43); jails could add 99,000 deaths to epidemic (14:42); physical distancing — how are we doing in U.S., Ohio and Lucas County (19:14); what it will take to get the U.S. open for business (29:08); what about antibody testing and immunity? (34:24); the latest on local testing and contact tracing (57:18).

Week of April 20, 2020:

COVID-19 SPECIAL EDITION #6: National roundup (2:05); local round up including county social distancing score from cell phone data, county COVID-19 response preparedness score, and nursing homes impact (9:57); thinking big and responding big (21:52); where are we with testing and what needs to be done? (32:50); where are we with contact tracing and what needs to be done? (46:42); more news on challenges facing (51:02); health inequities and racial disparities (55:18).

Week of April 13, 2020:

COVID-19 SPECIAL EDITION #5: Featuring: How does our local epidemic compare to the rest of Ohio and the rest of the country? (2:09); latest news and commentary (4:37); battle of the latest projections – a deep dive into the numbers racket (23:56); quick roundup of completely predictable bad news (57:13).

Week of April 6, 2020:

COVID-19 SPECIAL EDITION #4: Featuring my prediction – COVID-19 deaths will approach the leading cause of death this next year (1:45); good news – Ohio leadership (3:55); bad news – national lack of leadership (5;42); grade card on key interventions required to reverse epidemic (16:31); where is all of this leading? a look at the south going south (27:53); some lighter news (35:55); testing update – don’t expect anytime soon (37:52); drug treatments? “closed for cleaning”? should people wear masks? (50:01); pandemic will ravage lower-income countries (54:05).

Week of March 30, 2020:

COVID-19 SPECIAL EDITION #3: Featuring leadership bringing us to number 1 in the world (1:43); Ohio Sen. Rob Portman refuses call to advocate for a coordinated nationwide shelter-in-place strategy (4:31); my prediction two weeks ago that the U.S. will look like Italy in two weeks is panning out (7:10); local testing started — what does this mean? (9:14); a third of coronavirus cases may be “silent carriers” (18:45); playing the “hot spot” game is too little too late (18:45); the economy versus our public health is a false dichotomy and dangerous distraction (25:43); rationing and supply-line shortages will only worsen (34:32); multiple waves of epidemics from health care workers and other workers, institutionalized populations like prisoners, nursing home residents and active military, as well as homeless and displaced people worldwide (44:28); what would winning look like? (52:43).

Week of March 23, 2020:

COVID-19 SPECIAL EDITION #2: Featuring quick leadership assessment (2:16); the coronavirus paradox — our lowest point and finest hour (3:10); a terrified nation needs a leader during this crisis, not a salesman (8:03); World Health Organization expert explains why China’s cases of COVID-19 have declined and what we must learn from this (14:02); situation analysis of where we are right now and likely heading in the next few weeks (28:11); Lucas County local report on where we are at with testing, contact tracing and hospital preparedness, based on my interview with Eric Zgodzinski, Health Director, Toledo-Lucas County Health Department (33:01).

Week of March 16, 2020:

Featuring COVID-19 SPECIAL EDITION: good news/bad news (1:43); majority of Americans have at least one underlying condition that puts them at greater risk (3:19); the biggest thing to worry with coronavirus is the overwhelming of our health care system (5:57); chronically deteriorating funding of public health has crippled our ability to respond effectively to this epidemic (13:56); aggressive social distancing is seriously important even if you feel well (23:30); absence of a truly coordinated national response leaves those potentially exposed or sick confused about what to do (25:12); White House classifies coronavirus deliberations as secret which hampers response (41:19); Science magazine editorial — disrespecting science and the laws of nature confounds response (45:51); FTC and FDA cites 7 firms falsely claiming products treat COVID-19 (50:05).

Week of March 9, 2020:

Featuring as coronavirus spreads, the bill for our public health failures is due (1:53); coronavirus testing could cost some patients extra and impede response to epidemic (7:07); America is botching coronavirus testing (10:26); prisons and jails are vulnerable to COVID-19 outbreaks (12:17); Ohio ranks at bottom in new national drug trend report (20:46); air pollution is one of the world’s most dangerous health risks (21:25); climate change leads to more violence against women and girls (23:29); every country on Earth failing to provide world fit for children (30:35).

Week of March 2, 2020:

Featuring my coronavirus pandemic prediction (1:44); if coronavirus sweeps America, blame our brutal work and healthcare culture (3:08); how you can prepare for the coronavirus epidemic in America (14;35); Bayer CEO quits over Roundup lawsuits (26:53); here’s the Medicare-for-all study that Bernie Sanders keeps bringing up (27;43); Obamacare favorability hits record high (31:02); survival of the friendliest — how close friendships help us thrive (32:19).

Week of February 24, 2020:

Featuring a public health case study on coronavirus epidemic — where are we headed and what lessons can be learned? (1:50); no clear rationale for 45% of Medicaid antibiotic prescriptions (21:39); changing clocks is bad for your health, but which time to choose? (24:45); largest publicly-traded health insurers  profits grew by 66% in 2019 (28:39); 1 in 4 rural hospitals is vulnerable to closure, driven by states refusing Medicaid expansion (29:07).

Week of February 17, 2020:

Featuring Ohio gun safety laws get “D” on annual scorecard (2:19); puberty starts a year earlier for girls now than in the 1970’s (5:35); as out-of-pocket health costs rise, insured adults are seeking less primary care (7:02); Trump’s budget a non-starter for Great Lakes restoration (10:21); in agricultural giant Brazil, a new a growing hazard of illegal trade in pesticides (12:38); “Like sending bees to war” — the deadly truth behind almond growing (19:12); most Americans consider climate change the most important issue facing society today, with many struggling with eco-anxiety and changing their own behaviors (25:07); why sequencing the human genome hasn’t cured many diseases (27:46); Pittsburgh unveils master plan to significantly expand bike lanes (33:00).

Week of February 10, 2020:

Featuring Trump kept controversial pesticide on market and now its biggest manufacturer is ending production (2:18); spike in loneliness with two-thirds of adults feeling lonely (4:42); a sampling of interesting facts about what, when, and where America eats (10:07); consumers trust food and beverage corporations much less than other corporations (14:00); public health experts warn China travel ban will hinder coronavirus response (14:30); jail officials profit from selling e-cigarettes to inmates (19:43); the disturbing link between environmental racism and criminalization (23:20); female genital mutilation hurts women and economies (31:40).

Week of February 3, 2020:

Featuring Dicamba pesticide on trial (2:22); Trump regime forgets to renew its own opioid emergency declaration (4:13); putting the Wuhan coronavirus in relative perspective with the flu (5:14); containing new coronavirus may not be feasible, as experts warn of possible sustained global spread (10:27); FDA sunscreen report raises concerns over common sunscreen chemicals (14:54); hormone-altering chemicals threaten our health, finances and future (19:55); analysis of data gives insights into complementary health recommendations from U.S. physicians (34:55).

Week of January 27, 2020:

Featuring in opioid racketeering trial, pharmaceutical executive John Kapoor sentenced to 5.5 years (2:19); report finds most states lack crucial highway safety laws, with Ohio in bottom tier (5:17); the USDA never gives up on favoring corporate interests over kids’ health, in rolling back school food rules (8:38); new study debunks argument for weakening health school lunch rules (12:16); sepsis associated with 1 in 5 deaths globally, double previous estimate (14:34); Physicians for a National Health Program public letter on Medicare for All (16;49); The American College of Physicians’ endorsement of single-payer reform is a sea change for the medical profession (18:55); how non-compete clauses shackle physicians and hurt patients (22:01); the false promise of natural gas, aka, methane (25:21); world consumption of natural materials hits record 13 tons per earthling per year (35:02).

Week of January 20, 2020:

Featuring why drinking diet soda makes you crave sugar (1:44); slow carbs over low carbs – fiber matters (5:00); FDA and NIH let clinical trial sponsors keep results secret against regulations (9:02); putting air filters in classrooms could give student performance a serious boost (12:42); between 2005 and 2016, the shift away from coal saved an estimated 26,610 lives and 570 million bushels of crops (14:07); why Black doctors like me are leaving faculty positions in academic medical centers (16:42); McDonald’s in Black America (23:18); millions of “outdated” tests being performed on healthy females 15-20 years old (26:00); Kansas leaders announce breakthrough bipartisan deal to expand Medicaid (26:58); the most expensive health care option of all — do nothing (27:36); more Americans dying at home rather than in hospitals (33:17); helping patients prep mind and body for surgery pays off (34:35).

Week of January 13, 2020:

Featuring alcohol-related deaths have doubled since 1999, here’s why (2:18); 40% of gun owners reported not locking all guns, even around kids (6:25); Coca-Cola internal documents reveal efforts to sell to teens, despite obesity crisis (8:52); half of America will be obese within 10 years, unless we work together (10:48); more than one in three low- and middle-income countries face both extremes of malnutrition (13:48); Medicaid expansion linked to 6% decline in opioid overdose deaths (18:10); U.S. health care bureaucracy costs unnecessary $600 billion yearly (19:02); every American family basically pays a yearly $8,000 “poll tax” under U.S. health system (20:25); nurses get under 7 hours of sleep before a work shift — 83 minutes fewer than days off (25;40); health care providers are unrecognized victims of mass killings, and we are doing little to support them (28:26); U.S. cancer rate drops by largest annual margin ever (30:58); ecopsychology — how immersion in nature benefits your health (33:12).

Week of January 6, 2020:

Featuring Trump abandons sweeping vape ban with weak new rules (2:21); 7 women’s health topics we need to talk about in 2020 (5:48); advocates hopeful gun violence research funding will lead to prevention (12:16); long work hours linked to both regular and hidden high blood pressure (15:28); processed meat recalls rise dramatically as consumers bite down in metal, plastic and glass (16:48); animal agriculture cost more in health damage than it contributes to the economy (20:08); “completely unsustainable” — how streaming and other data demands take a toll on the environment (21:38); The IRS sent a letter to 3.9 million people and it saved some of their lives (22:32); “Medicare for All” ignores a bigger problem of community-level factors impacting health (25:22); Toledo needs to fix access to drug treatment centers (29:32); your DNA is not your destiny — or a good predictor of your health (33:04); huge drop in cholera cases worldwide as key endemic countries achieve gains in cholera control (35:10).

Week of December 30, 2019:

Featuring a special episode on conflicts of interest in health science research with: why scientists defend dangerous industries (2:32); scientists’ failure to disclose hundreds of millions by of dollars in conflicts of interest in federally funded health research (9:12); and how even public universities do a poor job of reporting their professors’ conflicts of interest (20:46).

Week of December 23, 2019:

Featuring context and broader perspective on Toledo’s reported ranking as #2 in mental health among American midsize cities, with wide look at Toledo health indicators compared to the U.S. as a whole (1:45), and how Ohio ranks compared to other states within another set of health indicators(10:00); and for Toledoans to feel relatively better, an in-depth report on the extraordinary danger of being pregnant and uninsured in Texas (15:44).

Week of December 16, 2019:

Featuring the latest Romaine lettuce outbreak — Just say NO (2:18); labeling foods with the amount and type of exercise needed to burn off the calories may encourage people to make healthier dietary choices (5:46); dramatic health benefits following air pollution reductions (8:03); climate change impact of hot temperatures shortening pregnancies (12:17); mental health and addiction care are poorly covered by insurance networks, even with parity law (13:42); half of homeless people may have experienced a head injury in their lifetime (17:04); large pharma companies don’t really provide drug development innovation (18:38); another generic drug company admits to price-fixing (23:31); how “Indian relocation” created a public health crisis (25:23); scientists take action to prevent sexual harassment and bias in STEM workplace (24:34).

Week of December 9, 2019:

Featuring no need for extra protein unless losing weight or gaining muscle (2:21); access to online grocery shopping can vastly reduce “food deserts” (3:47); Trump administration plays perfect Grinch with its new food stamp rules (5:31); red states expanding Medicaid points to its widespread political popularity (10:18); tobacco use among kids jumps from 3.6 million to 6.2 million in one year (14:48); the e-cigarette ingredient to really fear is nicotine (17:07); Ohio to test state drinking water supplies for “forever chemical” contamination (20:15); 1.9 million Michigan residents drink some PFAS as evidence mounts about its dangers (21:58); breast cancer linked to permanent hair dye and chemical hair straighteners, especially among black women (27:32); police killings of unarmed black Americans may effect health of black infants (29:39); how racism ripples through rural California pipes (35:08).

Week of December 2, 2019:

Featuring short-term air pollution linked to growing list of health problems (2:14); Americans’ drinking, drug use, despair wiping life expectancy gains (5:05); health care, mass shootings, 2020 election causing Americans significant stress (9:09); hospital alarms prove a noisy misery for patients (12:24); the $11 million Medicare tool that gives seniors the wrong insurance information (16:50); Mississippi forfeits a million dollars daily in Medicaid funds, severely affecting mentally ill (20:49); mental health studies limp transgender teens under one umbrella, missing clues to help them in the process (25:23); shooting victims have increased risk of mental harm long after physical injuries have healed (30:24); feeling loved in everyday life linked with improved well-being (32:24).

Week of November 25:

Featuring holiday commentary on eating for quality of life, and tips on mindful eating (1:43); public health case study — why the FDA was unable to prevent a crisis of vaping among youth (10:53); large health coverage expansions do not increase overall health care utilization (26:40); employees spending greater share of income on health insurance (28:58); Georgia waivers more costly and cover far fewer people than Medicaid expansion (31:10); Ohio Medicaid still hemorrhaging money to pharmacy middlemen (33:28); with half of brain removed, it still works pretty well (36:52).

Week of November 18:

Featuring new data-driven definitions of unhealthy yet persuasive ‘hyper-palatable’ foods (2:16); adult cigarette smoking rates hit all-time low in U.S. (5;37); e-cigarettes take serious toll on heart health, not safer than traditional cigarettes (7:18); High proportion of youth report using prescription opioids (8:51); vaping and prescription opioids — limbic capitalism in action (10:49); childhood trauma as a public health issue (18:47); getting a handle on self-harm (23:07); 35,000 Americans die of antibiotic-resistant infection each year (30:16); groundbreaking HIV vaccine design strategy shows promise in proof-of-principle tests (31:47); in a notoriously polluted area of the country, massive new chemical plants are still moving in (34:16); Delhi is engulfed by toxic pollution — why isn’t anyone wearing masks? (34:55)

Week of November 11:

Featuring how in health care so-called market competition and the “public option” is a poison pill (1:43); number of uninsured children rises for second year, topping 4 million (22:50); widely used algorithm for follow-up care in hospitals is racially biased (25:26); women scientists author fewer invited commentaries in medical journals than men (28:15); dementia impacts women more and new approaches are needed (29:03); tap water at Trump National Golf Course contaminated with toxic “forever chemical” (31:57); restoring native vegetation could cut air pollution and costs (34:22).

Week of November 4:

Featuring thousands of doctors paid hundreds of thousands of dollars by drug and medical device companies (2:20); pharma money paid to doctors is the cancer growing in cancer medicine (6:06); massive marketing muscle pushes more expensive 3D mammograms despite no evidence they save more lives (19:11); proposed opioid settlement could cost drugmaker only pennies on the dollar (14;12); Trump has already hired 4 times the former lobbyists than Obama had six years into office (15:13); wasted health care spending in U.S. tops annual defense budget (15:48); to treat chronic ailments, fix diet first (17;36); nutritious foods have lower environmental impact than unhealthy foods (20:42); study finds focusing on patient value and goals instead of problems yields better outcomes (23:02); in longer run, drugs and talk therapy offer similar value for people with depression (27:42); mentally ill die many years earlier than others (30:46); sleeps connection to gut microbiome reinforces overall good health (31:42); racial inequities in hospital admissions for heart failure (34:29).

Week of October 28:

Featuring the connection between pipelines and sexual violence (2:21); taking the cops out of mental health-related 911 rescues (5:42); when medical debt collectors decide who get arrested (7;22); children’s risk of dying before age 5 varies more than 40-fold (11:23); 7 million people receive record level of lifesaving TB treatment but 3 million still miss out (14:27); 2 out of 3 wild poliovirus strains eradicated (16;44); fear of falling — how hospitals do even more harm by keeping patients in bed (18:30); exercise can reduce artery stiffness even in those with heart failure (20:41); largest study finds greater reduction in cardiovascular disease and death from taking high blood pressure medication at bedtime rather than in morning (21;21); doctors argue for term limits to diversify medical school leadership (23:58); U.S. air quality was improving but is no getting worse (28:26); replacement flame retardants pose serious risks (31:07).

Week of October 21:

Featuring a call to eliminate all flavored cigarettes, not just the electric kind (2:18); JUUL announcement on certain flavored e-cigarettes is way too little way to late (6:32); Doctors are more likely to prescribe opioids later in the day, or if appointments run late (7:23); every hospital needs recovery coaches for patients with substance use problems (9:46); cultivating joy through mindfulness — an antidote to opioid misuse, the disease of despair (15:13); INVESTIGATIVE REPORT – inside the drug industry’s plan to defeat the DEA (19:03).

Week of October 14:

Featuring: lead scientist of controversial meat guidelines didn’t report ties to food industry front group (1:43); noise pollution as an emerging public health crisis (7:37); update on vaping recommendations (12:41); upcoming flu season may be fairly severe (14:33); STD rates hit record high in U.S. (16:22); global report on vision impairment (18:38); NIH funding disparity between black and white scientists (19:29); sheriffs avoid paying their hospital bills by foisting “medical bond” on sick inmates (21:33); unjustified drug price hikes cost Americans billions (25:31); antibiotic resistance in food animals nearly tripled since 1000 (27:20); EPA about-face lets emissions soar at some coal plants (28:24); PFAS levels rise in Michigan drinking water from Lake Erie (30:30); environmental and health harms are downshifting America’s obsession with the lawn (31:33).

Week of October 7:

Featuring the recent confusion around meat consumption research — a case study on nutritional science research (1:43); lack of sleep has detrimental effects on hunger and fat metabolism (19:00); smartphone dependency predicts depressive symptoms and loneliness (20:07); handgun purchasers with a prior DUI have a greater risk for serious violence (21:50); FDA refuses to classify ‘forever chemical” PFAS as hazardous substance (23:15); safe drinking water violations are higher for communities of color (27:50); role of racial stereotypes in assumptions that African-Americans are more violent (28:58); special series of articles in the American Journal of Public Health documenting role of slavery and racism in health inequalities that persist today (31:06).

Week of September 30:

Featuring American Heart Association statement condemning JUUL’s executive leadership change to long-time tobacco exec (1:45); how active shooter drills in schools are traumatizing our children (4:33); the Surgeon General’s deafening silence on gun violence (10:42); investigative journalist reveals startling flaws in generic drug industry, with FDA missing in action (14:20); World Health Organization calls for urgent action to reduce patient harm in healthcare (18:03); stressed out — Americans making themselves sick over politics (23:19); heart-healthy forager-farmers in lowland Bolivia are changing diets and gaining weight (25:35); many schools are putting brakes on making meals healthier for kids (27:52); some tea bags may shed billions of microplastics per cup (31:02); in continuing trend, S.C. Johnson joins Coca-Cola and PepsiCo in ditching ties to Plastics Industry Association (34:34).

Week of September 23:

Featuring Ohio initiatives to fight youth vaping (2:18); sexual trauma as a global public health issue (5:57); Defense Department as single biggest polluter on planet (12:00); 15 governors lobby for provisions in defense bill to limit toxic chemicals (17:10); deforestation is getting worse, five years after countries and companies vowed to stop it (19:12); Man vs. mosquito – at the front lines of a public health war (20:57); the connection between residential segregation and health (23:48); national support for “red-flag: gun laws could prevent many suicides (25;47); obesity epidemic grows and disparities persist (28:39); despite growing burden of diet-related diseases, medical education does not equip students to provide quality nutritional care to patients (29:52); House panel investigating private equity firms’ role in surprise medical billing (32:16); more women and children survive today than ever before — U.N. report (33:29).

Week of September 16:

Featuring suicide prevention awareness month info (1:43); lifestyle, not genetics, explain most premature heart disease, and multiple risk factors raise risk exponentially (7:23); flu vaccination linked to lower risk of early death in people with high blood pressure (8:43); it matters that Detroit broke federal law when it razed asbestos-laden building (11:25); Juul illegally marketed e-cigarettes (13:26); if Ohio can’t pass the simplest health care price transparency laws, how will Congress curb surprise bills (15:59); Physicians for a National Health Program diagnose politicians and pundits with Corporate Talking-Pointitis (23:06); only a fraction of costs of excessive drinking are paid for by alcohol taxes (30:12); STAT wins long legal fight clearing way for release of Purdue OxyContin files (32:50).

Week of September 9:

Featuring a case study in nutritional fads — vitamin D — with a study of high doses of vitamin D resulting in decreased bone density (1:43); emails show Monsanto orchestrated GOP effort to intimidate cancer researchers (8:24); how Ohio’s Chamber of Commerce killed the Lake Erie Bill of Rights (11:14); EPA to roll back regulations on methane, a potent greenhouse gas (12:41); sexism in health care — in men, it’s Parkinson’s, in women, it’s hysteria (14:53); overeating wastes far more food then we throw away (18:33); big pharma sinks to bottom of U.S. industry rankings (21:14); advocates sound alarm as uninsured rates rise under Trump (22:02); Obamacare health insurance exchange prices to drop in Ohio for first time (23:46); opioid treatment is used vastly more in states that expanded Medicaid (26:23); plant-based fire retardants may offer less toxic way to tame flames (27:43); water treatment cuts parasitic roundworm infections affection 800 million people (28:26); a quarter of the world’s population at risk of developing tuberculosis (29:45); FDA approves TB pill that cures more hard-to-treat patients (30:15); for the first time, clinical trial results show Ebola drugs improve survival rates (32:01).

Week of September 2:

Featuring an in-depth investigative report into industry influence of the U.S. Dietary Guidelines development process (1:47); and Ohio drug deaths plunge in Ohio, but up in Lucas County (29:50).

Week of August 26:

Featuring the two largest health factors in your personal health: smoking and diet (1:44); nearly 200,000 trans people have been exposed to conversion therapy (16:02); toxic furniture flame retardants may not stifle deadliest home fires (18:35); Health panel tells doctors to screen all adults for illicit drug use (20:31); spending on illicit drugs nears $150 billion annually, similar to alcohol (21:17); American Medical Association leaves coalition opposing single-payer Medicare for All (22:50); and programs work from within to prevent black maternal deaths: workers targeting root cause — racism (24:56).

Week of August 19:

Featuring Brazil’s Bolsonaro administration approving 290 new pesticide products for use (2:20); in echo of Flint lead crisis, Newark offers bottled water (4:31); summer in the city is hot, but some neighborhoods suffer more (5:32); up to half of patients withhold life-threatening issues from doctors (9:18); how #MeToo is changing sex ed policies – even in red states (10:04); 140,000 women could lose clinical abortion access in 1st year if Roe v. Wade were overturned (14:55); 250,000 fewer Ohioans on Medicaid, but even the experts don’t know why (15:38); Half-a-million years of Ohioans’ life expectancy lost to gun deaths (19:13); review of 33 years worth of medical studies reveals key areas for new research to explore concerning gun deaths (23:13); the dangers of the mental health narrative when it comes to gun violence (25:17); racist words and acts, like El Paso shooting, harm children’s health (29:46).

Week of August 12:

Featuring lower weight bias among physicians who regard obesity as a disease; BPA substitutes linked to obesity; call for radical reform to address 3.5 billion people worldwide with poor dental health; Coca-Cola pushing to get FDA let it add vitamins to drinks; amid teen vaping epidemic, Juul taps addiction expert as medical director; high radiation levels found near U.S. nuclear dump from weapons testing in Marshall Islands; moral injury and burnout in medicine requires collective action; and how judges added to the grim toll of opioids.

Week of August 5:

Featuring growing PCB claims adding to Bayer’s legal woes for Roundup; floods and fires stir up toxic stew posing long-term dangers; new tool for Michigan officials to use to remedy environmental injustice; Florida sugarcane burning could switch to green harvesting saving lives and boosting economy; U.S. could have averted 15,600 deaths if every state expanded Medicaid; Trump proposal to push 3 million Americans off food assistance; one-third of food grown never makes it out of fields; relatively low-dose radiation from CT scans and x-rays favor cancer growth; fitbits and other wearables may not accurately track heart rates in people of color; and seeing greenery linked to less intense and frequent cravings.

Week of July 29:

Featuring the corrupting influence of conflicts of interest in medical research; UT exhibit on protest and social change includes “Condoms STOP AIDS” poster developed by your humble host; widespread aspirin use despite few benefits, high risks; child drowning rates dropping two-thirds driven by better building codes concerning pools; vaccinating dogs for rabies worldwide could save the lives 59,000 people yearly; nations with strong women’s rights have better population health and faster economic growth; Medicare for All unlikely to raise hospitalization rates much, if at all; climate shocks, conflict and economic slumps drive rising world hunger; taps run dry for half of Zimbabwe’s capital city affecting millions.

Week of July 22:

Featuring keto diets and other diets that severely restrict carbohydrates, how there is little evidence for their effectiveness, especially considering their potential risks and sustainability issues both individually and ecologically, and how massive carbohydrate restriction hamstrings consumption of health-producing carbohydrates like beans, fruits, vegetables and unrefined grains; capping medical residency training hours does not hamper doctor quality; primary care needs to be encouraged; patients provide input for first time in mental health definitions; how to deal with anxiety about climate change; and protecting forests and watersheds to treat water cost-effectively and sustainably.

Week of July 15:

Featuring why there is so much commercial corruption in nutrition; fiber and health and fiber as a good marker for intake of whole foods; indoor carbon dioxide levels could be a health hazard; most kids on public coverage have parents who work for big companies; international drug development processes are irresponsible and must be reformed; the burgeoning benzo crisis; psychiatric diagnosis “scientifically meaningless”; and environmental activists declare victory after Detroit incinerator closes.

Week of July 8:

Featuring alcohol and cancer; bullying and weight bias; the Veterans Crisis Line; austerity and inequality fueling mental illness; EPA moves to phase out animal experiments which could mean end to toxics regulations; mini-biographies help clinicians connect with patients; new guidelines aim to enlist primary care physicians in transgender care; poll: most Americans favor Medicare for All if they can keep their doctors; and children’s cardiac care dangerous when mixed with corporatized health care.

Week of July 1:

Featuring the continuing public health case study that is the obesity epidemic, with a call to move beyond individual behavior and focus on social determinants driving obesity such as fat shaming and bias, and access to culturally-competent health services; plus, medical groups declare climate change as greatest public health challenge of the 21st century; Agriculture Department buries studies showing dangers of climate change; dangerous DDT levels 50 years after banning; and how banning dangerous chemicals could save the U.S. billions.

Week of June 24:

Featuring the question: Is public health in America so bad among the young, supposedly healthier people, that the U.S. may eventually not be able to defend itself militarily? Plus, the National Domestic Violence Hotline’s busiest year; childhood adversity’s link to mental illness, sexually transmitted infections continue unabated; world’s rivers awash with dangerous levels of antibiotics, the U.S. continuing to use pesticides banned in other countries; and Ohio River moves to voluntary pollution standards in face of massive petrochemical plant build-out.

Week of June 17:

Featuring the importance of happiness and purpose in driving health and well-being, and the epidemic of meaninglessness in work life; the role of sleep in health; the celebration of Men’s Health Month through using male privilege to help bring about gender justice and defeat patriarchy; the secret to Latino longevity; and how skyrocketing out-of-pocket health expenses, particularly among employer-based and private health insurance is costing health and lives.

Week of June 10:

Featuring a public health case study offering several perspectives on the many factors which form the perfect storm of the obesity epidemic — with a few tips for weathering the storm; and a series of articles regarding racism and racial disparities in health — with some good news.

Week of June 3:

Featuring continued coverage of the health effects of processed foods, including two new major studies; concerns about the potential risks of the exponential growth of nanoparticles in food processing; toxic chemicals used in food packaging and how to avoid them; and why cutting down on salt is health promoting,even if your blood pressure is fine.

Week of May 27:

Featuring continuing Mental Health Awareness Month coverage including suicide, supposed mental health parity, and appealing health coverage denials, and another in a series of mental health poems by local poet, Justin Samson, with this week’s poem on PTSD, Post-Traumatic Stress Syndrome; Media Watch segment on MercyHealth claiming that nurses mean the world ironically while their nurses strike; landmark study on processed foods and overeating, and a series of stories on air pollution as a public health emergency.

Week of May 20:

Featuring Mental Health Awareness Month coverage including the debut in a series of mental health poems by local poet, Justin Samson, with this week’s poem on major depression; public health news and research roundup coverage of dementia prevention recommendations, childhood cancer prevention, and basic sanitation as a critical public health issue in the U.S. and globally.

Week of May 13:

Featuring Mental Health Awareness Month coverage, public health news and research roundup coverage of the ongoing Monsanto Roundup™ saga plus other herbicide/pesticide/plastics toxins, prescription drug prices, and the debut of another parody PSA.

Week of May 6:

A whole show about vaccine-preventable infectious diseases.  SPOILER ALERT: immunizations profoundly improve the public health of our planet!

Week of April 29:

Featuring tips on cutting back on salt and sugar, and getting more whole grains into your diet. This episode debuts two new segments, Media Watch, looking at how public health is portrayed in the media, and Health Observances, April as minority health month, examining racism as the driving force in the so-called mystery of stubbornly high black infant mortality. The Public Health News and Research Roundup includes the health effects of fracking, and the effect of food waste on climate change.

Week of April 22:

Featuring “The three most dangerous food additives,” and good news in the Public Health News and Research Roundup. And look out for that parody PSA!

Week of April 15:

Featuring Public Health News and Research Roundup and a noncommercial break highlighting blood donation.

Week of April 8:

Featuring environmental health news and the question: Can you be a serious environmentalist without cutting down drastically on animal-foods, that is, cutting way down on meat, eggs, and dairy?

Week of April 1:

Featuring a far-reaching riff on epidemiology, the science of the distribution of health, disease and their determinants in populations; in laypersons’ terms, what are the most important things to consider in our community’s health. Regarding personal health, the show closes with a quick summary of evidence-based eating for health.

Week of May 25:

Featuring Public Health News and Research Roundup [not affiliated with Roundup™, the infamous human carcinogen].

Week of May 18: 

Featuring Medicare for all testimony and Toledo Democracy Day coverage, plus conferring the award for the MOST CONSTIPATED View of DEMOCRACY.

PILOT Show from December 2015: 

This is the original pilot show that started it all! This full hour show features an interview with local guest, Johnathon Ross, M.D., M.P.H., a local public health physician and former president of Physicians for a National Health Program.

Blood Donor Deferrals Border on Insanity

I just returned from donating blood at the American Red Cross.  I have been a regular blood donor for a long time.  I usually donate blood two or three times a year.  Unfortunately, I have been deferred as a blood donor for two of the last four years.  I was deferred as a blood donor twice for one year each time, both due to traveling to an area where there may be some malaria risk.  The first time that I was deferred as a blood donor was because of travel to Haiti.  The second time was due to travel through rural Colombia.  In my case, these deferrals resulted in a loss of 4 to 6 units of donated blood to the American Red Cross.

The American Red Cross is constantly trying to recruit new blood donors and to get previous blood donors to donate again.  From the regular calls and advertising campaigns, I get the impression that the US blood supply may be low at times and that my blood donations are greatly needed.  However, I am struck by the huge range of reasons for deferring willing blood donors.  It seems to me that the threshold for deferral is very low.  The willingness to accept any nonzero risk is very low.  This approach is insane, or least pretty darn close.  The vain quest for absolute security and zero risk is a dangerous fiction.  I understand the reasons for wanting to avoid blood transfusion related adverse events.  However, deferring extremely low risk willing blood donors and potentially depriving someone of a needed blood transfusions is not a zero risk enterprise either.  As stated by Richard Benjamin, MD, PhD, chief medical officer for the American Red Cross, “The most dangerous unit of blood is the one we don’t have.  Not having blood for someone who needs it is worse than giving someone a unit of blood that carries a 1-in-5 million chance of disease.”

I am not your average blood donor.  I have a master’s degree in public health, so I have training in epidemiology, the scientific study of the distribution of disease, health and their determinants.  Also, in the 1990s I worked in a health department managing an HIV-AIDS program.  I am familiar with the political and cultural forces that can distort our scientific assessments of risk management.  However, you don’t need a graduate degree to recognize that our culture has great issues around security and fear of losing or risking most anything.

Less than 38% of Americans are eligible to donate blood according to the American Red Cross.  Today, as I read through the pages of reasons for which you could be deferred from donating blood, I was struck most profoundly by the deferrals based simply on where one has lived.  If, in fact, the scientific basis for avoiding such blood donors is sound, then the entire continent of Europe should refuse blood donations from virtually its entire population.  This cannot be sound scientific reasoning.

In the last decade or so, there’s been a lot of hysteria about mad cow disease.  According to the federal Centers for Disease Control and Prevention (CDC), there have been 22 cases of mad cow disease in the United States since 2003.  Three of these cases originated in the United States.  Most of the other cases were from Canada, which you may note is not one of the restricted countries that will put you on the blood donation deferral list by the American Red Cross.  The United Kingdom was the epicenter for the mad cow disease epidemic.  While in the United Kingdom there had been thousands of cases of mad cow disease in years past, in 2010 there were only 11 cases reported.  Maybe it’s time for the American Red Cross to relax its deferral requirements related to mad cow disease. Or, maybe we should come up with a new diagnosis for this irrational insanity, and declare that the American Red Cross has Mad American Disease.  You are literally dozens of times more likely to be killed by being struck by lightning in the US then getting mad cow disease.  I’m not sure what the chance is of lightning striking the American Red Cross, but I would settle for a light bulb above the head of somebody who makes these crazy decisions.

Over the decades that I have donated blood to the American Red Cross, I have noted the quickly changing and almost always growing list of reasons to defer a willing blood donor.  As a personal example, I had malaria when I was an infant in Haiti where I was born.  During the ensuing 50 years I’ve not had any symptoms of malaria.  However, how the American Red Cross deals with this distant case of malaria changes back and forth.  Many years ago, the American Red Cross simply asked whether you have ever had malaria, and if you indicated yes, the nurse would ask more specific questions.  This always made for an interesting blood donation visit as I suspect there were few Ohio blood donors who had ever had malaria, and the nurses often had to consult with other professional healthcare staff to figure out what to do with me as a blood donor.  Although sometimes it took a while for them to figure it out, it never prevented me from donating blood.  Then, at some point later, they changed the question as to whether you had malaria in the last three years.  I can answer no to this question, and this streamlined my visit quite a bit.  Now, in recent years, they are back to the more general question of have you ever had malaria.  Fortunately, there seems to be better training among the nurses during the screenings and they do not seem to need to consult anyone else to determine that I am, in fact, eligible to donate blood.

The American Red Cross’ quest for zero risk seems to be marching on.  Since I last donated blood less than three months ago, they have added yet another safety precaution.  Now, when they stick your finger with a needle to get a drop of blood to check your hemoglobin, they place a plexiglass barrier between your finger and the nurse.  Really now, how often does anyone ever got blood splashed in their eyes from giving a finger prick?  More importantly, does this represent any risk worth worrying about.  If it does, I’d hate to see what such risk assessment would do to health care workers in hospital settings.  Perhaps we should expect nurses in hospitals to soon be wearing spacesuits just to be sure.  According to the CDC, “Health care workers who have received hepatitis B vaccine and have developed immunity to the virus are at virtually no risk for infection…the estimated risk for infection after a needlestick or cut exposure to HCV-infected blood is approximately 1.8%.  The risk following a blood splash is unknown but is believed to be very small…The risk after exposure of the eye, nose, or mouth to HIV-infected blood is estimated to be, on average, 0.1% (1 in 1,000).” For instance, for hepatitis C,  “the risk is considered to be less than 1 chance per 2 million units transfused.”  That’s for a blood donation recipient who has an entire unit of blood transfused into them.  The risk of  the nurse getting infected by pricking the finger of a potential blood donor would be on the order of that one in a million TIMES the chance of getting a drop of blood splashed in their eye when pricking a blood donor’s finger TIMES the chance that such an event could cause disease.  You can do the math yourself.  For the example of hepatitis C, conservatively, we are talking about one in a million times one in thousands times one in a thousand.  In the end, we are talking about no more than a chance of one in many billions of getting infected by hepatitis C by pricking the finger of a potential blood donor without having eye protection .  For the number of blood donations every year in the US, it would take centuries for this practice to expect to prevent even one case of blood borne pathogens.  The risk for hepatitis C is the highest and adding in hepatitis C and HIV would not substantially change this basic calculation.  From the resource perspective, the question becomes how many billions of times do you want to place a plexiglass barrier between you and a potential blood donor to prevent a single case of infection?

I am well aware of the emotional place from which the quest for zero risk comes.  Unfortunately, the emotional experience of wanting to live in a zero risk world does not match up with a simple costs and benefits calculation of going very far down that road.  It quickly leads to unjustifiable contradictions.  Why defer blood donors due to a nearly incalculably small risk for mad cow disease from people who spend significant time in Europe but not Canada, where most of the US cases have originated from?  Well, I’ll tell you.  Starting a deferral process for people who spend significant time in Canada would expose the insane balance between actual risk and actual costs in trying to avoid the risk.  It seems that we can “afford” to ban, for example, military servicemen who were stationed in Germany or England from donating blood in order to “buy” some unscientific sense of security in our blood supply.  I recognize that plenty of people are willing to pay such prices.  I just ask that we don’t fool ourselves into thinking that these choices are based on scientific evidence and well-reasoned analyses of risk management.

Another example of blood donor deferral that rests more on cultural biases than scientific and well-reasoned risk management, is The Lifetime Ban on Blood Donations from Gay Men, where policy analyst Robert Valadez writes:

“So where did this policy come from? And why is it still enforced despite advances in technology that can identify HIV in a unit of blood within days of infection?

The policy dates back to the early days of the HIV epidemic, when knowledge of transmission was nonexistent. Recognizing the disproportionate incidence rates among gay and bisexual men, the FDA responded by enacting a policy that prohibited all men who had sex with other men from donating blood. The year was 1985. Twenty-six years later, the policy remains unchanged.

Current blood donor eligibility criteria are largely inconsistent, imposing significantly less restrictive deferrals to heterosexual men and women who engage in high-risk sexual behavior. For example, a heterosexual person who has sex with a partner who is HIV-positive is eligible to donate blood after only 12 months. Yet the policy permanently bans all gay and bisexual men, even those who are HIV-negative, consistently practice safe sex, or in monogamous relationships”

Like many experiences in my life, I find that even the wonderful experience of saving lives by donating blood, comes with the collateral costs of having to participate in the system that is driven by an insane quest for zero risk.  This insane quest has costs.  It has costs for the blood supply and the people who depend on it.  This insane quest for zero risk has costs for those who are subjected to its unscientific cultural biases, and for all of us who live in an environment that unnecessarily models for us this insanity and vanity.  Life has risks.  There are reasonable and scientific ways to reduce these risks.  We should pay attention to these.  However, we should not be driven and reduced by unreasonable fears, unfounded fears.  As is often the case in life, that which we feel threatens us gets a disproportionate amount of our attention.  Nonetheless, we should look at the full range of costs associated with trying to avoid some threat, and realize and accept that risk is an integral and unavoidable part of life.  I would hope that the entrepreneurial spirit of Americans, in its broadest sense, would kick in as we live into the fact that taking and accepting risks can far outweigh the costs of those risks.  Maybe even the American Red Cross will take a risk and pare down its blood donation deferral list.  We can always hope — though this entails some risk…