A new Perspective article in the New England Journal of Medicine examines a recent decision by a Philadelphia judge to reject the argument that an overdose prevention site, called Safehouse, would violate the Controlled Substances Act.

The decision signals a move toward an approach to regulating drugs that minimizes both the harms of drugs and the harms caused by regulation itself – worthy goals all around, the authors write.

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.

The Problem: In 2018, obesity affected 1 in 5 children and adolescents and 39.9% of adults in the U.S.. Each condition increases the risk of heart disease, diabetes, stroke, and some cancers. CDC: Obesity Statistics Regular physical activity reduces the risk of obesity and has many other health benefits. Yet, only half ofof adults in the United States get the recommended amount of physical activity.

The Problem: The operation of motor vehicles while intoxicated is a major public health problem. In 2016, roughtly 10,500 people died in motor vehicle crashes involving an alcohol-impaired driver, accounting for nearly 1/3 of all traffic related deaths. CDC: Impaired Driving Factsheet. Approximately 6,500 (62%) of these individuals had a Blood Alcohol Content (BAC) level of 0.08 g/dL or higher. The remaining fatalities consisted of passengers (29%( and non-passengers (9%).