BCHC members included in "40 under 40 in Public Health"

This week, the de Beaumont Foundation released the first list of "40 Under 40 in Public Health" to showcase the leadership, creativity, and innovation of rising stars who are improving communities across the country. Representing government agencies, nonprofits, and businesses, these professionals are tackling issues like obesity, opioids, disease prevention, HIV, health equity, and more. We were delighted to see The Big Cities Health Coalition well represented, with eight honorees working for BCHC member health departments.

Megan Cunningham, Managing Deputy Commissioner, Chicago Department of Public Health

Megan brings partners together to drive policy change and improve environments to help all Chicagoans lead healthy lives.  Working with other departments, she helps ensure city initiatives and investments promote the health of residents and neighborhoods.

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Jeffrey Hom, Policy Advisor, Philadelphia Department of Public Health

Jeffrey has contributed to health care and public health efforts in San Francisco, Boston and Shipock, N.M., as well as internationally.  His current focus is on substance abuse, particularly issues around access to treatment and harm reduction, and created the Kensington Initiative for Needle Disposal which cleans up littered drug paraphernalia and distributes naloxone.

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Sami Jarrah, Chief Operating Officer and Deputy Health Commissioner

As Chief Operating Officer since 2016, Sami leads the agency’s finance, budget, contracts, grants, state and federal policy, and information technology functions.  He developed a plan for increasing Medicaid revenue, which when complete, will enable the Health Department to tackle new work on gun policy, asthma prevention, maternal and child health interventions, safety net health care services and more.

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Jesse Lava, Director of Policy, Chicago Department of Public Health

Jesse creates laws and other initiatives to improve residents’ health in areas such as tobacco, heroin and environmental justice.  He led the creation of a vaping tax to deter youth addiction, working to find a policy solution that would successfully target young people and lower addiction rates.



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Mac McCullough, Health Economist, Maricopa County

As both health economist for the Maricopa County Department of Public Health and assistant professor in the College of Health Solutions at Arizona State University, Mac applies rigorous scientific methodologies to develop and disseminate evidence into practice. He is leading a deep-dive analysis of public health and social service spending and assessing ways in which tax dollars can be best used to improve the health of Houstonians

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Megan McClaire, Chief of Staff, Los Angeles County Department of Public Health

Megan oversees the Center of Health Equity and Office of Planning, a program rooted in community engagement and cross-sector collaboration to address health equity issues impacting county residents.  She also directs implementation efforts for policy priority initiatives

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Kenneth Steel, Health Policy Analyst, Maricopa County Department of Public Health

Kenneth has helped to strengthen the culture and practice of policy, systems and environmental approaches throughout the department.  As co-chair of the Arizona Alliance for Livable Communities, he ensures that dozens of diverse members work together to advocate for health and equity in policy and planning initiatives.

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Elizabeth Walsh, Public Health Statistician, City of Kansas City, Mo. Health Department

Elizabeth has transformed the department’s statistics communications, making data more accessible to the community.  This has helped to elevate the role of public health through increased recognition, credibility and buy-in from stakeholders.  She created a newsletter that sparked new conversations in communities about public health, and has worked to ensure data is being used to engage the public like never before.

Congratulations to these eight, and to all who were included in the inaugural “40 under 40 in Public Health”. Find out more about about each honoree here.

Innovating to Reduce Harm in Las Vegas

The costs of the opioid crisis are a top concern among policymakers in Washington, DC, and continue to dominate headlines daily. The cost in human life, family suffering and finances is sobering. In 2017, the nation lost more than 47,000 Americans to opioids, and in my home state, Nevada Department of Health and Human Services Office of Analytics reports that there were 401 opioid-related overdose deaths. This week, a new study estimated that the federal tax revenue lost to the opioid epidemic totals $26 billion, nationally. Diseases related to drug use have also surged, with Hepatitis C increasing 133 percent between 2004 and 2014, tracking with the growth of opioid injection hospital admissions. Reports of dangerous, dirty needles littering public parks and neighborhoods are common.

A Standardized Approach is Needed to Address Social Determinants of Health

By Dr. Colleen Bridger, MPH, PhD.
Director
San Antonio Metropolitan Health District

America leads the world in medical research and medical care and for all we spend on health care, we should be the healthiest people on earth. Yet on some of the most important indicators, like how long we live, we’re not even in the top 25, behind countries like Bosnia and Jordan. There is growing recognition that health starts – long before illness – in our homes, schools and jobs. In fact, only about 20 percent of a person’s health happens in the doctor’s office – the rest happens out in the world and things like healthy air and water may not be in a person’s control.

Now is the Time to Tell Policymakers that Trauma Matters to Our Health

By Kelly Colopy, MPP, BCHC Chair and Director, Long Beach Health Department Director
and
Amanda Merck, MPH, Senior Research Area Specialist, Salud America!, UT Health San Antonio  

Public health professionals all over the country are leveraging practice and policy strategies to address the issue of trauma, including incorporating a “trauma-informed” point of view into the way they conduct business. In recent years, public health science and practice has become more cognizant of the evidence of, and action needed, to support those who suffer from trauma. This awareness and response is starting to transform the field.

Wrapping Up the Highs and Lows of Urban Public Health in 2018

By Chrissie Juliano, Director, Big Cities Health Coalition

As 2018 winds down, I am celebrating my four year anniversary with the Big Cities Health Coalition, which has been a leader in the urban public health field for 16 years. While our membership, staffing, location, and infrastructure have changed over the years, our mission, vision, and goals remain the same: to protect health of those who live in America’s big cities for present and future generations.

Guarding against viral misinformation this flu season

By Joseph P. Iser, MD, DrPH, MSc
Chief Health Officer
Southern Nevada Health District

As a clinician and a public health professional, I see every day how technology can help providers give patients useful information, better care, and drive better outcomes. As doctors, we use online toolkits to help treat our patients, eReferrals to provide more efficient access to smoking cessation resources, and electronic health records can make everything more accessible for both providers and patients. In my role as the Chief Health Officer of the Southern Nevada Health District, I’ve also come to see what a valuable public health tool technology and social media can be. In our agency, we use Twitter, Facebook, and YouTube throughout the year to educate and motivate our community on public health issues from violence, to STDs, and of course, the flu. We created a new video earlier this year about the importance of the flu vaccine and have a Twitter account dedicated to information about the flu.

World AIDS Day 2018: Progress Continues, Disparities Remain

By Kim Rodgers, Communications Specialist, National Association of County and City Health Officials

World AIDS Day, observed annually on December 1, provides the opportunity to highlight our accomplishments, remember those who have lost their lives to HIV and AIDS, and refocus our efforts on what still needs to be done to end the epidemic. Local health departments are in the forefront of these efforts, working on initiatives to address the prevention and treatment of HIV and AIDS and support work towards a cure.

Child Development-Community Policing: How One Local Health Department Joins Local Police on The Front Line in The War on ACEs

By Stacey Butler, LCSW, Child Development-Community Policing Director
and Gibbie Harris, Director
Mecklenburg County Public Health

Gunshots ring out at a Charlotte, North Carolina apartment complex, and a five-year-old girl is struck in the leg by a stray bullet. Charlotte-Mecklenburg Police (CMPD) arrive on scene.  Recognizing the potential psychological trauma for the child and her family, they call the Child Development-Community Policing (CD-CP) on-call clinician. She responds within minutes, providing acute trauma intervention alongside her officer partner, who is beginning the work of helping the child and her family feel safe again. This officer-clinician team continues to visit the family over the next few days and weeks to assess progress and needs, providing targeted interventions, and helping reestablish a sense of safety both inside and outside their home.

Ten lessons we learned about how to deploy teams into post-hurricane settings

By Mitch Stripling, MPA, Assistant Commissioner, Bureau of Agency Preparedness and Response; Colin Stimmler, MA, Senior Director for Agency Preparedness and Response at the New York City Department of Health and Mental Hygiene

Disasters like Hurricane Michael show how severe the public health impacts from a coastal storm can be.  When disasters like this strike, many local and state health workers are often willing to help in another jurisdiction, but they aren’t quite sure how.  

New Report: Shortage of “Disease Detectives” in Local Health Departments Puts Cities at Risk

By Big Cities Health Coalition and Council of State and Territorial Epidemiologists staff

Epidemiologist, noun
epidemiologist \ˌe-pə-ˌdē-mē-ˈä-lə-jist
An expert scientist who studies, detects and tracks injuries and disease in our communities.

Epidemiologists serve on the front lines of public health, protecting Americans and the global community. When health threats emerge, these “disease detectives” investigate. They identify the causes, factors and patterns associated with illness, determine who is at risk, collect evidence to recommend preventive actions, and rapidly implement control measures. Epidemiologists also respond to major health hazards including emerging threats such as Zika and Ebola, as well as natural disasters such as floods and hurricanes. They also work on chronic issues facing communities including obesity, diabetes, cancer, HIV/AIDS and motor vehicle crashes.

Big Tobacco is marketing vapes to our kids, so our city took them on and won — it’s the FDA’s turn now

By Tomás Aragón, MD, DrPH, Health Officer and Director, Population Health Division, Derek Smith, MSW, MPH, Tobacco Free Project Director, San Francisco Department of Health

This blog originally appeared here in the Hill.

The FDA recently announced that it considers a new surge in teen e-cigarette use to be an epidemic, and will give e-cigarette manufacturers 60 days to prove that they are not marketing to kids. This is a very welcome move for those of us who have been pushing to prevent teen tobacco use. Our city recently took on the makers of e-cigarettes and won. The FDA should take San Francisco's lead and do everything it can to protect kids from Big Tobacco.

Hurricane Harvey: In the Eye of the Storm

By Big Cities Health Coalition Staff

It’s been one year since Hurricane Harvey hit Houston and the surrounding area with record-breaking rain and devastating floods which inflicted injuries, infectious diseases, chemical exposures and mental trauma on residents. Public health officials from the Houston Health Department, a member of the Big Cities Health Coalition, were on the front lines in the lead up to the hurricane and its aftermath. Today, many are reflecting on the events of those four historic days in August 2017 and what lessons were learned, and can still be learned, from the disaster.

Let schools be places for learning—not “JUULing”

By Brian A. King, PhD, MPH, Deputy Director for Research Translation, Office on Smoking and Health, Centers for Disease Control and Prevention

Remember your high school bathroom? If it was anything like mine, the bathroom was a fairly foul-smelling place that you wanted to leave as quickly as possible.

But things are changing. Kids are flocking to school bathrooms across the country faster than the cafeteria on pizza day. School bathrooms have become places where students gather to socialize and use e-cigarettes—in particular, e-cigarettes shaped like USB flash drives that deliver a high level of nicotine.

Minneapolis Health Department Supports a Young Food Entrepreneur

By Dan Huff, Director of Environmental Health, and Gretchen Musicant, Commissioner of Health, Minneapolis Health Department

This blog originally appeared here on The National Association of County & City Health Officials (NACCHO) Essential Elements Blog.

Jaequan Faulkner, 13, started selling hot dogs in front of his Minneapolis home in 2016, calling his establishment “Mr. Faulkner’s Old Fashioned Hot Dogs.” His food stand came back this summer bigger and better than before, and it grew popular with customers in the neighborhood.

Recently, his business came to the attention of local officials when someone complained that he did not have official permits.

To make sure people are safe from food-borne illnesses, all events that serve food to the public in Minneapolis must be permitted, and violators are subject to an immediate shutdown.

Our Top Takeaways from NACCHO Annual 2018

By Big Cities Health Coalition Staff

We just returned to D.C. from the NACCHO Annual Conference, a summer pilgrimage for public health enthusiasts, which took place this year in New Orleans. The theme of this year’s conference was Unleashing the Power of Public Health. Our time in The Big Easy was especially frenetic this year, with lots and lots of sessions that we found fascinating. Below is a collection of our top takeaways from some of the most engaging sessions we participated in. Tell us which moments you thought were most important in the comment box below, or on Twitter at @BigCitiesHealth.

Public Health and Medical Community Pledge to Decrease Gun Violence

By Dr. Jeff Duchin, Health Officer for Public Health – Seattle & King County

This blog originally appeared here in the Public Health - Seattle & King County blog Public Health Insider

Firearm-related injury and death, from suicide to accidental injury and homicide – is a major public health problem and a leading cause of premature death in King County and nationally. In 2016, 663 adults and 20 children died from a firearm injury in Washington state, including 144 adults and 7 children from King County.

Firearm-related injuries have very high personal and financial costs to individuals, families and society – and that’s why prevention is essential.  In 2015, the cost of firearm fatalities alone (not counting non-fatal injuries) in King County was almost $200 million from medical costs and lost productivity, and nationally the cost is in the hundreds of billions of dollars each year.


LGBTQ Pride and Public Health

By Ginger Lee, MPH, Bureau Manager, Collective Impact & Operations,
Long Beach Department of Health and Human Services

June is LGBTQ Pride month.  Pride is a time when lesbian, gay, bisexual, transgender, queer and questioning people join together to further strengthen community by celebrating joyously, with parades and other events.  Pride is also a time when the LGBTQ community remembers its history. And for public health professionals, Pride is a time to reflect on what we can do to address social conditions that negatively affect the health of LGBT people, and to strengthen conditions that support health within our LGBTQ communities.

Hepatitis Awareness Month 2018: Addressing Hepatitis A

By Meghan McGinty, PhD, MPH, MBA, Deputy Director of the Big Cities Health Coalition, and Michelle Cantu, MPH, Director of Infectious Diseases and Immunization, NACCHO

This blog originally appeared here on The National Association of County & City Health Officials (NACCHO) Essential Elements Blog.

The month of May is designated as Hepatitis Awareness Month in the United States and May 19th is Hepatitis Testing Day. During this month, NACCHO will highlight the role of local health departments (LHDs) in responding to this silent epidemic and work to bring increased attention to viral hepatitis. Through a series of three blog posts, NACCHO will focus on the most common types of viral hepatitis, which are hepatitis A, hepatitis B, and hepatitis C. This series seeks to raise awareness of the importance of vaccination for hepatitis A and B, testing for hepatitis B and C, and the availability of effective care and treatments that, in the case of hepatitis C, result in a cure for most people. Additionally, the series will highlight current events related to viral hepatitis – such as outbreaks of hepatitis A in jurisdictions across the country and soaring rates of hepatitis B and C associated with increased injection drug use that is being fueled by the opioid epidemic – and how LHDs are on the frontlines of responding to these worrying trends.

Chicago health commissioner: Big Tobacco is targeting our youth and we must stop them

By Dr. Julie Morita, Commissioner, Chicago Department of Public Health

The U.S. Food and Drug Administration recently announced a crackdown on e-cigarette sales to minors, but before then, the city of Chicago had already taken matters into its own hands. The City Council passed an ordinance to require tobacco dealers to post warning signs at their doors about the health risks of e-cigarettes and other tobacco products. These signs, once designed and distributed, will also contain quit-line numbers to help our residents beat a nicotine addiction. 

Give Women the Gift of Good Health

By Mysheika W. Roberts, MD, MPH, Health Commissioner, Columbus Public Health

As we celebrate all the women in our lives for Mother’s Day and National Women’s Health Month, we are reminded that despite the advances women have made in many areas, great disparities still exist when it comes to their health. 

Women make the majority of health care decisions for their families and are powerful partners by advocating and modeling healthy lifestyles and behaviors for their children, colleagues and friends. But when it comes to their own health, they are often left behind.