Knowledge Synthesis Product

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.

The Problem: Motorcycle crashes are a significant public health concern . In 2017 Motorcycle crashes account for 5,172 deaths. U.S.

Adoption of a model statute could help strengthen injury prevention explains Mel Kohn MD MPH, Public Health Director, Oregon Health Authority, in his Critical Opportunities presentation.

Congenital heart defects cause nearly one-quarter of deaths due to birth defects in infants. Nearly 5,000 babies are born each year with seven specific Critical Congenital Heart Defects or Critical Congenital Heart Disease (CCHD). There is a low-cost, non-invasive screening procedure, called pulse oximetry, that is effective in detecting CCHD. By making this screening mandatory, CCHD could be detected early and follow-ups could be done to improve health.

Legally requiring all public health departments to be accredited would improve their performance and accountability while promoting community collaboration, according to this Critical Opportunities presentation by Georgia Heise, DrPH, Public Health Director of the Three Rivers District Health Department.

Soraya Ghebleh suggests that by making non-medical exemptions for childhood vaccines more difficult to obtain, rates of childhood diseases like pertussis would be less of a threat.

In this Critical Opportunities presentation Michelle Mello, JD, PhD, makes the case that raising the tobacco purchasing age to 21 would aid in reducing minors' tobacco use by 50 percent, which would prevent 10 million people from becoming daily smokers and avoid 3 million premature deaths.

The Attorneys General of the 50 states have considerable legal authority to protect the public’s health, yet their role in the development of health policy is often under-appreciated or misunderstood. This article analyses state Attorneys’ General current powers and provides a logic model that illustrates how the use of these powers can lead to the protection and promotion of the public’s health. The article then provides four brief case studies, to demonstrate how state Attorneys General have used their varied powers to influence policy-making and benefit the public’s health.

Mental illness is a significant global public health issue. Disorders such as schizophrenia, bipolar disorder, and major depression put an enormous strain on afflicted individuals, their caregivers and communities. Yet in some respects, acceptance of mental illness as a key part of the broader field of public health has developed only recently. What is the emerging role of law and policy in addressing the complex problems around mental illness from a public health perspective, and what is the agenda for research to inform those efforts?