This report explores the relationship between major health law recommendations from the federal government and the actual output of state legislative policy-makers. Providing evidence-informed policy recommendations to state, local and tribal policy-makers is part of the job description of federal health agencies. The Department of Health and Human Services publishes a compendium of recommendations, Healthy People 2020, the latest in a decennial series that began in 1980.
The Problem: Tobacco use is a source of chronic and fatal illnesses for users and people exposed to tobacco smoke. Second-hand smoke exposure contributes to 41,000 deaths among non-smoking adults, and 400 infants annually. Second-hand exposure can lead to stroke, lung cancer and coronary heart disease. Children exposed to second-hand smoke are at increased risk for slowed lung growth, asthma, acute respiratory infections, middle ear infections and sudden infant death syndrome.
The Problem: Widespread vaccine coverage for preventable disease is an essential public health goal Healthy People 2020 Low vaccine coverage rates enable otherwise avoidable outbreaks of harmful diseases. CDC: Vaccines and Immunizations. Clinicians tend to acute and chronic conditions before preventive considerations, resulting in lack of time for vaccinations.
This Knowledge Asset includes information about the impacts of bullying; the public health framework for anti-bullying laws; the language and content of these laws; and current evaluation studies on the implementation and effectiveness of anti-bullying laws.
Drug overdose is the leading cause of injury-related death in the United States, killing more people every year than car crashes. While naloxone has been used in hospitals and ambulances for decades, the rising tide of overdose deaths has resulted in calls to make it more available to laypeople and first responders.
Workplace injuries remain a significant public health problem. In the U.S. there were 4,383 fatal workplace injuries in 2012, and an estimated 3.8 million nonfatal injuries. Approximately 49,000 deaths each year are attributed to workplace-related illnesses. A 2011 economic analysis found that workplace injuries and illnesses cost the United States $192 billion annually.
This report was prepared for the Centers for Disease Control and Prevention Public Health Law Program to summarize the research and results undertaken in the first year of a project intended to advance the understanding and practice of legal epidemiology at CDC and state, local and tribal health agencies, with special focus on policy surveillance.
Childhood lead poisoning is widely recognized as one of the most significant environmental health problems impacting children in the United States, as well as many other countries. Lead is one of the longest-known, best-understood, and most well-monitored environmental toxins. Most (but not all) children with elevated blood lead levels are exposed to lead through lead hazards in older housing. Local policy approaches aim to reduce childhood lead poisoning by reducing the prevalence of lead hazards in high-risk housing, and do so by improving maintenance practices and controlling lead hazards.