Public Health On Call

COVID-19 infections may look different in 2022 than they did in 2020, thanks to vaccines, infection-induced immunity, and new treatments—but that doesn't mean we can rest easy. Dr. Paul Sax , clinical director of infectious diseases at the Brigham and Women's Hospital and editor-in-chief of the Journal of Clinical Infectious Diseases talks with Dr. Josh Sharfstein about the overall state of COVID-...

Medications to treat opioid use disorder in pregnant people can decrease the chances of an infant being born too early and reduce risks of maternal overdose and death. But with a fractured and underfunded system of OUD treatment, as well as stigma around drug abuse in pregnancy and siloed maternal health care, how can pregnant people access this lifesaving care? Dr. Stephen Patrick , pediatrician...

Sexual Assault Nurse Examiners, or SANEs, are specially trained advocates and care providers for survivors of sexual violence in ERs and other clinical settings. In addition to providing medical care and counseling, they can collect forensic evidence at the critical moment following a sexual assault. Oregon SANE Savannah Powell talks to Lindsay Smith Rogers about the important role SANEs play in s...

Thanksgiving dinner can bring tension alongside turkey and this year may feel especially stressful given a highly polarizing political environment. Dr. Consuelo Amat , an expert in peace building at the SNF Agora Institute at Johns Hopkins, talks with Dr. Josh Sharfstein about some ground rules for peace-building and dialogue, and how to meaningfully engage in difficult conversations with people w...

During the midterms, Oregon voters passed Measure 114 which restricts magazine capacity for firearms and requires purchasers to obtain a permit which includes a background check and safety training. Cass Crifasi , co-director of the Johns Hopkins Center for Gun Violence Solutions, talks with Lindsay Smith Rogers about why this measure is a lifesaving win not only for gun violence solutions and pub...

Today's episode is all about the liver. Thelma Thiel, founder and chair of The Liver Health Initiative, talks with Dr. Josh Sharfstein about this "silent organ" that, among many roles, removes toxins from what you eat, breathe, and absorb through your skin. They also discuss Thiel's efforts in advocacy and education—including her talking about the "football-sized" liver with an NFL team.

For the first time, a physician— Dr. Rahul Gupta —is directing the White House's Office of National Drug Control Policy. Dr. Gupta talks with Dr. Josh Sharfstein about the national strategy to address addiction and overdose, emphasizing treatment and harm reduction, not criminalization.

New CDC data shows that during the pandemic, gun-related homicides and suicides surged to record highs. Ari Davis , a researcher at the John Hopkins Center for Gun Violence Solutions, talks with Stephanie Desmon about the spikes, some possible contributing factors, and effective public health solutions. ‌

As advocates from around the world gather at the International Conference on Family Planning in Thailand this week, what's the state of global reproductive rights? Megan Christofield , a project director and advisor at JHPIEGO, talks with Stephanie Desmon about the accessibility and prevalence of contraceptive use worldwide, where gains have been made and where things have been stagnant or even ba...

Coming into the third year of the pandemic, we now have more data about how COVID affects people in the long term. Dr. Ziyad Al-Aly , Chief of Research and Education Service at Veterans Affairs in the St. Louis Health Care System returns to the podcast to talk with Stephanie Desmon about a new study of 150,000 people with COVID-19 that found higher incidence of headaches, seizures, sleep problems,...

First we had alpha, beta, and delta, and now we have hundreds of sublineages just from omicron alone. Virologist Dr. Andy Pekosz returns to the podcast to talk with Dr. Josh Sharfstein about how experts are keeping track of so many variations of SARS-CoV-2, which advantageous mutations most lineages are picking up to help them spread, the clinical impacts on treatments and vaccines, and why COVID-...

First declared in January, 2020 and renewed every 90 days since, the federal COVID-19 public health emergency allows for key flexibilities and funds in response to the pandemic. With the declaration due to expire in January, what are the implications for things like Medicare/Medicaid coverage, and cost and access to vaccines and tests? Jennifer Kates , Senior Vice President and Director of Global...

Disappointing rates of child and adolescent vaccination for COVID are colliding with an intensifying seasonal storm of viral illnesses including flu and RSV. ERs and pediatric ICU beds are already filling up in some areas and many more kids will miss precious school time on top of pandemic learning loss. Pediatrician Dr. Megan Tschudy talks with Stephanie Desmon about the importance of vaccination...

Social determinants of health—such as access to appropriate housing, health care, and transportation—drive massive health disparities in the US, and many are underpinned by politics and policies. Professor and author Daniel Dawes talks with Dr. Josh Sharfstein about his new book which looks at the role of politics and health, why the "moral case" alone can't advance change, and how the health of t...

Traditional after-deathcare in the US carries a huge environmental toll from burying toxic embalming chemicals to the carbon footprint of cremation. Samuel Cline Perry , a licensed mortician, professor of mortuary science, and a deathcare educator at Southern Illinois University Carbondale talks with Lindsay Smith Rogers about how the funeral industry is evolving with more options for "green buria...

Conversations about death and dying between physicians and patients or patients and loved ones are difficult but important. Dr. Jillian Tullis , a professor in Communication at the University of San Diego, talks with Lindsay Smith Rogers about why these conversations are important to dying well, some tools for starting the conversation (especially with loved ones who may be resistant to the topic)...

Climate change is an urgent existential threat to public health, so why is it still considered a separate issue and how can public health take on more problem solving to address it? "Problem Solver for Public Health" Dr. Judy Monroe , president and CEO of the CDC Foundation, talks with guest host Dr. Shelley Hearne , director of the Johns Hopkins Lerner Center for Public Health Advocacy about less...

Dr. Raegan McDonald Mosley , an obstetrician-gynecologist and CEO of Power to Decide, returns to the podcast to talk with Dr. Josh Sharfstein about the state of reproductive health care 3 months after the overturning of Roe v. Wade. They discuss barriers to access to abortion services, interference with the care of pregnancy, and the challenge posed to US medicine and the health care system.

In June 2020, Dr. Dale Bratzler stepped in to serve as the Chief COVID Officer for the University of Oklahoma. He talks with Dr. Josh Sharfstein about making controversial health and safety decisions in a charged atmosphere, his transition from primary care to public health, and his views on COVID as a long-term issue with far-reaching impacts.

The disastrous water infrastructure issues in Flint, Michigan, and Jackson, Mississippi are not outliers. Looming failures across water, energy, and transportation systems are threatening dozens of cities. Dr. Marccus Hendricks , director of the Stormwater Infrastructure Resilience and Justice Lab at the University of Maryland, talks with Dr. Josh Sharfstein about these emerging challenges.

Across the country, kids who fall into the foster care system are getting stuck in hospitals and institutions because there's nowhere for them to go. Molly Tierney , the leader of child welfare work at Accenture, talks with Dr. Josh Sharfstein about these heartbreaking scenarios and how change starts with redefining the challenges, as well as what individuals can do in their own communities. 

The unprecedented floods in Pakistan that have killed more than 1,600 people and directly affected 33 million are the result of years of planning failure coming head to head with climate change. In a two-part conversation, Dr. Josh Sharfstein talks with Dr. Debbie Guha , the head of the Center for Research on the Epidemiology of Disasters at the Lovain School of Public Health in Belgium about the...

It's a difficult time for public sector workers—health departments, social workers, sanitation staff, and more are burned out from doing so much with so little during an intense pandemic. Beth Blauer , associate vice provost for public sector innovation at Johns Hopkins, talks with Josh Sharfstein about contributing factors to the burnout, where there is innovation happening, and ways for public o...

On Indigenous Peoples' Day, Dr. Donald Warne , the new co-director of the Johns Hopkins Center for Indigenous Health and a member of the Oglala Lakota tribe, talks with Dr. Josh Sharfstein about the challenges and opportunities for the health of the world's indigenous populations. They also discuss the expansive work of the Center, and the hope that greater understanding of indigenous health will...

The Biden administration's action plan for responding to long COVID is a good start, but much more is required to truly address the impacts of this "mass disabling event" on health, safety, and the economy. Journalist Ryan Prior and inaugural White House Director for Disability Policy Kim Knackstedt talk with Stephanie Desmon about what is included in the nation's long COVID plan, what was left ou...