An alarming and dangerous syphilis surge across the Great Plains Region, an area spanning North Dakota, South Dakota, Nebraska, and Iowa, has prompted tribal officials to urge HHS Secretary to declare a public health emergency. Dr. Meghan Curry O’Connell, chief public health officer at the Great Plains Tribal Leaders Health Board and a member of the Cherokee Nation, talks with Lindsay Smith Rogers about the outbreak and why public health officials are struggling to respond.

Learn more: https://www.greatplainstribalhealth.org/news/tribal-leaders-urge-hhs-secretary-to-declare-syphilis-emergency-189.html

https://www.vox.com/24006120/south-dakota-syphilis-congenital-indigenous-tribal-native-american-meghan-oconnell-health-board

In part two of a two-part series about the crisis of health care for immigrants and refugees at the U.S.-Mexico border, Dr. Alexander Tenorio, a neurosurgical resident at the University of California, San Diego, talks with Dr. Josh Sharfstein about the influx of traumatic brain and spinal injuries his team has seen from people attempting to climb the border wall. They discuss the scope of the problem and the policies behind it, and why it often takes hours for victims to get critical care. They also talk about Dr. Tenorio’s personal connection to the situation as a first-generation American born to Mexican immigrants.

In part one of a two-part series about the crisis of health care for immigrants and refugees at the U.S.-Mexico border, Dr. Janine Young, a pediatrician at the University of California, San Diego, talks with Stephanie Desmon about the tenuous situation for children and families. More and more people are showing up at the border in poor health—dehydrated, malnourished, some severely injured and many traumatized—without any adequate care to meet them. They talk about the immigration policies that have led to a system ill-equipped to properly triage and treat the children and families seeking refuge in the U.S., and the misconceptions around people who are fleeing for their lives.

Methadone is a highly effective treatment for substance use disorder but strict regulations like daily clinic visits have led to its nickname, “liquid handcuffs.” Dr. Yngvild Olsen, director of the Center for Substance Abuse Treatment at the Substance Abuse and Mental Health Services administration, talks with Lindsay Smith Rogers about new federal regulations that expand access to this life saving medication.  They talk about how the COVID era showed that changes can make methadone much easier to prescribe and access, and how these updates are part of a critical cultural shift towards making substance use treatment more reasonable, equitable, and compassionate.

Resources for this episode:

https://www.samhsa.gov/medications-substance-use-disorders/statutes-regulations-guidelines/methadone-guidance

https://findtreatment.gov/

World Malaria Day is April 25. Today, guest host Thomas Locke takes us to Capitol Hill where we meet malaria scientists who have joined an advocacy group to lobby members of Congress to fund critical interventions against malaria. They talk about their work and what scientific messages they bring to DC to impart on policy makers who play a major role in efforts to combat this preventable and deadly disease. This special episode is an extended version of Malaria Minute, a podcast from the Johns Hopkins Malaria Research Institute.

Learn more:

https://publichealth.jhu.edu/malaria-research-institute

https://publichealth.jhu.edu/events/2024/world-malaria-day-symposium

https://publichealth.jhu.edu/malaria-research-institute-1

Humans are transforming, degrading, and altering Earth’s natural life support systems so profoundly that our actions have created an existential crisis. For Earth Day, Sam Myers, founding director of the Planetary Health Alliance and director of the brand new Johns Hopkins Institute for Planetary Health, talks with Dr. Josh Sharfstein about the concept of planetary health, an interdisciplinary approach to understanding how the state of the earth affects the health of us all.

Learn more:

http://Planetaryhealthalliance.org

https://planetaryhealth.jhu.edu/

The presence of infectious diseases can be picked up through wastewater surveillance but how can this data be useful in predicting future outbreaks? Dr. Dylan George, director of the Center for Forecasting and Outbreak Analytics at the CDC, talks with Dr. Josh Sharfstein about how the Center’s forecast for the 2023-2024 respiratory virus season performed and the role of wastewater surveillance as part of a multifaceted approach to aggregating data.

Resources from this episode:

https://johnshopkinssph.libsyn.com/699-an-update-on-the-cdcs-new-center-for-forecasting-and-outbreak-analytics

https://magazine.jhsph.edu/2020/cloudy-chance-covid

https://www.theinvisibleshieldseries.com/

There’s a lot of research around Type 2 diabetes that has informed patient care when it comes to diagnosis, treatment, and lifestyle management. But much less is known about Type 1, long mislabeled “childhood diabetes.” Johns Hopkins epidemiologists Elizabeth Selvin and Michael Fang talk with Stephanie Desmon about new research debunking a lot of previously held assumptions about Type 1 diabetes, the prevalence of adult onset and correlation with obesity, and why different approaches to diagnosis and management are necessary. They also discuss the cost of insulin and why more research is needed around medications like Ozempic for Type 1 diabetes.

Cigarette butts are the most littered object in the world. With their plastic filters and toxic substances, they are a significant source of contamination for soil and water. Grazi Grilo, a researcher at the Global Institute for Tobacco Control, talks with Stephanie Desmon about her work quantifying the scope of the problem, and why some of the very things that make cigarettes so environmentally hazardous also provide enormous benefits for the tobacco industry.Read more about her work here: https://publichealth.jhu.edu/institute-for-global-tobacco-control/2024/assessment-of-littered-cigarette-butts-in-brazil-informs-strengthening-of-global-treaty

Dr. Antonia Novella served as the 14th Surgeon General under President George H.W. Bush from 1989 - 1993. She is the first female and first Hispanic Surgeon General in U.S. history. Dr. Novella talks with Dr. Josh Sharfstein about her life and career, from being born with a rare condition called Hirschsprung’s disease to her childhood in Puerto Rico and her notable career in medicine and public health. She also discusses facing prejudice, staring down Big Tobacco, and even buying support hose for a U.S. Senator. You can read more in her new autobiography: https://www.fulcrumbooks.com/product-page/duty-calls-lessons-learned-from-an-unexpected-life-of-service Read more about the epic surgeons general event here: https://pages.jh.edu/gazette/aprjun98/apr1398/13surgen.html

Much research has been dedicated to the long-lasting negative impacts of adverse childhood experiences—far less has focused on the powerful effects of positive experiences. Dr. Melissa Walls, co-director of the Center for Indigenous Health and a member of the Bois Forte and Couchiching First Nation bands, talks with Lindsay Smith Rogers about her research with benevolent childhood experiences among Indigenous communities. They discuss the importance of researching the positive, not only for public health, but in celebrating the inherent strengths of Indigenous individuals, their families, and culture. Read more: https://pubmed.ncbi.nlm.nih.gov/38419503/