Journalists visit CDC to learn latest about flu
Filed under: Government, Health journalism, Public health
Fourteen journalists, sponsored by AHCJ, are wrapping up a two-day workshop at the CDC about covering influenza. The workshop included a series of on-the-record sessions with CDC experts to prepare front-line journalists for the upcoming flu season. Public health experts are providing a primer on the flu, examine how it is being tracked, expectations for vaccines and antivirals, and what communities can do to deal with the fallout.
Speakers included CDC Director Thomas Frieden and Anne Schuchat, M.D., director, National Center for Immunization & Respiratory Diseases, as well as a number of other experts.
The AHCJ-sponsored journalists are:
- Diane Chun , health and science writer, The Gainesville (Fla.) Sun
- Tom Corwin, science and medicine reporter, The Augusta (Ga.) Chronicle
- Dawn Davis, writer, Caribbean Today
- Dana Felty, features reporter, Savannah (Ga.) Morning News
- Karen Garloch, medical writer, The Charlotte (N.C.) Observer
- Joe Goldeen, health-care reporter, The (Stockton, Calif.) Record
- Nina Hemphill Reedern, health and fitness editor, Upscale Magazine
- Sandy Kleffman, health care reporter, Contra Costa Times/Bay Area News
- Valerie Lego, health reporter, WZZM-Grand Rapids, Mich.
- Andy Miller, independent journalist, Atlanta
- Sonia Morgan, assistant editor, CN Media
- Shanderia Posey, healthscene editor, The (Jackson, Miss.) Clarion-Ledger
- Cynthia Roby, journalist, South Florida Times
- Olivier Uyttebrouck , health/general assignment reporter, Albuquerque Journal/Albuquerque Publishing Co.
Some of the journalists have already written about the seminar and they all will take what they learned this week home to help them report on influenza for their local readers and viewers.
- Flu vaccine no longer just for “high risk” groups, Dana Clark Felty, Savannah (Ga.) Morning News
- CDC: Flu vaccine development needs to improve, Valerie Lego, health reporter, WZZM-Grand Rapids, Mich. Lego has been tweeting from the seminar.
Missouri data disclosure details infection fight
Filed under: Health data, Health journalism, Hospitals, Hot Health Headline, Public health, Public records, Studies, Tools
Missouri law requires hospitals to disclose infection rates for intensive care and certain surgeries. It doesn’t keep that data around for long, but St. Louis Post-Dispatch reporter Jim Doyle still managed to review data from 2005 to 2009.
Robots sanitize an ICU room by spraying hydrogen peroxide vapor into the air at St. John’s Mercy Medical Center.
He found that while numerous local hospitals lagged behind national infection rates, most were improving. A story that could have been a dire assessment of health care-associated infections instead became (mostly) a profile of local hospitals’ drive to cut down on the transmission of such infections. He doesn’t draw a clean line between the state’s monitoring and increased anti-infection efforts, but it’s tempting to read between the lines.
Doyle’s second installment continues the theme, discussing the aggressive, nonstop effort that is required to contain drug-resistant bacteria. Measures range from checklists to room-enveloping antibacterial vapors.
Missouri’s disclosure laws are an important step toward infection fighting, Doyle found, but their narrow definition allows hospitals some wiggle room and may miss serious systemic issues. Speaking of systemic issues, I highly recommend Doyle’s sidebar on why Missouri infection data is so hard to keep around.
FOI request for H1N1 documents still pending
Filed under: Health journalism, Public health, Public records
Eleven months after she filed a Freedom of Information Act request with the Centers for Disease Control and Prevention for documents related to H1N1, CBS News’ Sharyl Attkisson reports that she has finally received a response from the U.S. Department of Health and Human Services.
It states that it has a certain document responsive to my FOI request. The letter says HHS will try really hard to provide the document soon, but that the folks there are very busy so it may take awhile. It says that if I want expedited processing - something I had already applied for a year ago - I should let them know. A phone number was provided in case I had any questions.
Of course the investigative report I was working on is long over, as the bureaucrats must have known it would be by now.
Attkisson says she called the number provided in the letter and left a message several weeks ago and has yet to hear back. Her initial request was prompted by the CDC’s decision to stop testing and tracking H1N1, something her sources told her was hasty and more about influencing the public’s perception of the illness than it was about public health.
Earlier: Freedom of Information: Stalled at CDC and D.C. Government (Oct. 27, 2009)
Related
- Health journalists cite uneven disclosure of H1N1 deaths across country
- AHCJ calls on new administration to improve access to federal experts
Frugal Minnesota splurges on lower backs
Filed under: Health data, Health journalism, Health policy, Hospitals, Hot Health Headline, Public health, Studies, Tools
For physicians and patients, treating lower back pain is an exercise in restraint and patience. According to federal guidelines, such pain usually resolves itself within six weeks with minimum intervention, so it’s often a matter of resisting the temptation to order a $500 MRI within that time window. And in Minnesota, a state known for its health-care-related moderation, that temptation seems to be too much.
As the Christopher Snowbeck of the St. Paul Pioneer Press reports, Minnesota doctors are worse than the national average when it comes to giving lower back pain patients MRIs without exploring cheaper alternatives. And in the land of Lake Wobegon, being below average is a big deal. The conclusions come from Hospital Compare’s newly released 2008 outcomes data. To learn more about this data, check out AHCJ’s recent conference call on the subject.
For some help reading between the lines of Snowbeck’s story (and the Hospital Compare data), see Gary Schwizter’s recent blog post on the subject; he doesn’t mince words.
The story includes other excuses from local providers along the lines of “the data are outdated…we’ve changed…we’re better now…that can’t be right…it’s not us!” When have you ever seen a story on health care data that didn’t have these predictable reactions? It reminds me of The Tobacco Institute continually rejecting any new finding that showed new harms from smoking. When you don’t like the data, damn the data. For most of the history of medicine we had no outcomes data to show patterns of practice or what happens to people over time. Now that we’re starting to collect some such data, vested interests find that information is a menacing thing.
For more about treatment of back pain, particularly how much money is spent on it, see the just-released “Back Problems: Use and Expenditures for the U.S. Adult Population, 2007” (PDF) from the Agency for Healthcare Research and Quality.
Stadium concessions rack up health violations
ESPN’s Paula Lavigne examined 2009 health department inspections from the 107 stadiums that host MLB, NBA, NHL and NFL games in the United States and Canada. The resulting report may keep you from indulging in your favorite ballpark food.
At 30 of the venues (28 percent), more than half of the concession stands or restaurants had been cited for at least one “critical” or “major” health violation. Such violations pose a risk for foodborne illnesses that can make someone sick, or, in extreme cases, become fatal.
Photo by Katie Spence via Flickr
An interactive map lets you see the venues based on the number of violations there; rolling your mouse over the location tells you the percentage of vendors found in violation and gives some information about the kinds of violations that were found.
The same information, compiled by Lavigne and Producer Lindsay Rovegno, is also available in a text format broken down by state.
Many of the excerpts cite instances in which food was not being kept at appropriate temperatures and a few are related to pests, but there are a few more unusual examples:
- At the Jobing.com Arena, where the Phoenix Coyotes play, “inspectors spotted an employee scooping ice with his bare hands instead of using scoops.”
- At Dodger Stadium, there was mold growing inside an ice machine.
- At Invesco Field at Mile High Stadium and at the Pepsi Center in Denver, inspectors found flies in bottles of liquor.
- At Ford Field, home of the Detroit Lions, inspectors found an employee’s half-eaten hamburger in a warming unit.
Another interesting note: Food inspectors aren’t always visiting unannounced nor are they always visiting when concessions are open. In Chicago, inspections are done when the stadiums are empty and no workers are preparing or serving food. At Cincinnati’s Paul Brown Stadium, inspectors must “submit a list of employees’ names and make an appointment a few days in advance.”
Reporters who have a major sports venue in their community might want to see how it stacks up against others, what kinds of violations have been found and do some further reporting.
Resources for covering food safety
Tip Sheets
- Lifting the shroud: Using multiple-cause-of-death data
- FDA Reform: The Time Has Come (Nancy Donley presentation)
- Why Is It So Difficult to Prevent Foodborne Illnesses? (Michael Doyle presentation)
- Reporting on the intersection of health and the environment
- Fatal Food: A study of illness outbreaks
Websites
- Center for Infectious Disease Research & Policy
- Outbreak Alert! Database
- Center for Food Safety and Security Systems
- FoodRisk.org
Related
- Recent stories and studies on foodborne illnesses
- Video study finds risky food-safety behavior more common than thought
- Airlines delay testing of onboard water
- A selection of stories about a 2008 salmonella outbreak
- Private companies, not the FDA, increasingly perform food safety inspections
AHRQ releases ‘09 state data on health care quality
Filed under: Health data, Health journalism, Public health, Studies
The AHRQ has released the 2009 version of its state snapshots, which are particularly accessible versions of the National Healthcare Quality Report.
The state-by-state information includes, for the first time, data on health insurance, including data on health care quality categorized by source of payment, including private insurance, Medicare, Medicaid and those without insurance.
The snapshots also compare relative health care quality of each state, both overall and in specific areas such as preventive care and ambulatory care.
My favorite part is the 3.5 mb Excel file that has each state’s numbers for everything the snapshots measure. It allows relatively easy comparisons that go far beyond the simple health-o-meter snapshots themselves.
Related
- Intro to investigating health data using spreadsheets
- Finding patterns and trends in health data: Pivot tables in spreadsheets
AIDS conference coverage online
Once again, the Kaiser Family Foundation is offering extensive coverage of the XVIII International AIDS Conference in Vienna, Austria.
Today’s program features sessions about people with HIV and tuberculosis; prevention of mother-to-child transmission; HIV testing; the role of families in prevention, treatment and care; policies and measure ins Europe and more.
The Foundation is offering webcasts of sessions and interviews with newsmakers, as well as daily observations from Science magazine reporter Jon Cohen.
The conference website include slides, audio synched to the slides, rapporteur reports, links to abstracts and webcasts.
In related news, health journalists have been discussing an embargo break on a study that was presented at the conference. AHCJ board member and Reuters Health Editor Ivan Oransky has covered the situation here and here on his Embargo Watch blog.
Bill would require public access to research
Filed under: Health journalism, Public health, Public records
Federal agencies would be required to develop policies allowing timely, free, online access to government-funded research under a bill, the Federal Research Public Access Act of 2009 (H.R.5037), moving through the U.S. House of Representatives. A hearing on the subject is scheduled next week (PDF) before the Information Policy, Census and National Archives Subcommittee of the Committee on Oversight and Government Reform.
Pennsylvania Democrat Mike Doyle is sponsoring the bill. Similar legislation was introduced last year but failed to make it through the process.
The bill is supported by the Scholarly Publishing and Academic Resources Coalition and its Alliance for Taxpayer Access, which reports the hearing is open to the public and will be at 2 p.m. on July 29 in the Rayburn House Office Building, room 2154. A list of organizations opposing the bill is at www.openbiomed.info, taken from a letter (PDF) to the Committee on Oversight and Government Reform. Doyle’s site carries text of a letter signed by a number of research universities in support of the bill.
The bill, which would apply to 11 agencies “with extramural research expenditures of over $100 million,” would require that the policies apply to researchers who work for the agencies as well as those funded by the agencies. Specifically, the bill calls for:
- free online public access to final peer-reviewed manuscripts or published versions as soon as practicable, but not later than 6 months after publication in peer-reviewed journals;
- production of an online bibliography of all research papers that are publicly accessible under the policy, with each entry linking to the corresponding free online full text
- long-term preservation of, and free public access to, published research findings
That would require public access to research similar to what’s required by the NIH’s Public Access Policy that was made permanent last year.
Related
AHCJ: Proposal would be blow to public access
CDC says monitoring system finds no ill from spill
Filed under: Government, Health data, Hot Health Headline, Public health, Tools
The CDC has two major monitoring programs active in the Gulf of Mexico during the spill: The National Poison Data System and Biosense.
The National Poison Data System tracks calls to American poison centers. As of July 12, it had tracked 1,221 calls regarding the spill, 722 of which regarded exposure to spill-related toxins such as oil, dispersant or food contaminants. The other 499 calls came from folks seeking information about the health effects of the spill. The majority of the calls have come from the gulf states, but some originated from as far away as California, Michigan and Massachusetts.
Biosense is a public health tool that tracks real-time changes in a population’s health status. Among other things, it tracks more than 80 health facilities on the Gulf Coast and provides states affected by the spill with daily updates. According to the latest available data, it has “found no trends in the number of illnesses and injuries that would require further public health investigation.”
In addition to focusing resources of these two national programs, the CDC has collected state public health monitoring resources from Louisiana, Mississippi, Alabama and Florida.
Rafael Olmeda of the South Florida Sun-Sentinel points out that the CDC has posted “Gulf Oil Spill Information for Pregnant Women,” which generally advises everyone to stay away from oil spill affected areas.
Related
- Tip sheet: reporting on the intersection of health, environment
- Mental health impact of the BP spill multiplies
- Resources for reporting on health and the oil spill
- CDC Emergency Response and Preparedness
- A recent Dart Centre Europe panel looked at covering the human consequences of environmental disaster.
- Grief in the Gulf: Tanya Paperny writes about the challenge of reporting a slow-motion disaster.
- Dart Center resources for covering the Deepwater Horizon Spill
Raw, warm vegetables breed illness in salsa, guac
Filed under: Government, Hot Health Headline, Public health, Studies
New research implicates guacamole or salsa in 3.9 percent of restaurant-related outbreaks of foodborne illness between 1998 and 2008, more than double the rates of previous measurement periods. Both sauces often combine raw ingredients – tomatoes, peppers and cilantro – that have each been blamed for past outbreaks, the CDC release said.
Photo by anitasarkeesian via FlickrImproper storage and temperature were blamed for 30 percent of the outbreaks, and another 20 percent were caused by worker-related contamination. The outbreaks are common enough that the government even gives them their own acronym (SGA!), an honor that’s admittedly not particularly rare in the world of federal bureaucracy.
CDC began conducting surveillance for foodborne disease outbreaks began in 1973, yet no salsa- or guacamole-associated (SGA) outbreaks were reported before 1984. Restaurants and delis were the settings for 84 percent of the 136 SGA outbreaks. SGA outbreaks accounted for 1.5 percent of all food establishment outbreaks from 1984 to 1997. This figure more than doubled to 3.9 percent during the ten-year period from 1998 to 2008.
According to the release, the primary weapon against such outbreaks is simply the awareness that vegetables are a threat.
“Possible reasons salsa and guacamole can pose a risk for foodborne illness is that they may not be refrigerated appropriately and are often made in large batches so even a small amount of contamination can affect many customers,” (Magdalena Kendall, Oak Ridge Institute for Science and Education researcher) says. “Awareness that salsa and guacamole can transmit foodborne illness, particularly in restaurants, is key to preventing future outbreaks.”
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Spend a week at the CDC studying public health, meeting sources. Apply for the AHCJ-CDC Health Journalism Fellowships today!
- Reporting on the intersection of health, environment
- Tip sheet: Covering cuts to Medicare reimbursements
- Briefing: Reporting on health reform between now and 2014
- Covering high-risk insurance pools: Tips for reporters
- Health care reform has passed: What's next?
- Health and education: Covering these intersecting beats
- Reporting on the business of health care
- Health reporting resources for journalists on state and local government beats
