Sunday, April 20, 2014
Inquirer Daily News

Michael Yudell

POSTED: Wednesday, November 6, 2013, 10:16 AM
Polio vaccine is given as part of a UNICEF-supported program in Damascus. With 10 cases in Syria, nations nearby are ramping up their own vaccinations. (OMAR SANADIKI / UNICEF)

The outbreak of polio in the Syrian Arab Republic announced by the World Health Organization a few weeks ago is a troubling reminder that global conflicts threaten the public’s health. Violence, like the 2-1/2-year-old civil war in Syria, can lead to significant disruption and/or long term damage to the public health infrastructure, including basic sanitation efforts, maintenance of a safe water supply, basic nutritional needs, and disease monitoring and prevention.

Because of the Global Polio Eradication Initiative, this latest outbreak is especially troubling. But it should not be surprising. The displacement of so many Syrians fleeing the fighting has devastated the county’s once robust public health infrastructure and stymied immunization efforts. Syria had been polio-free for a decade. Ten polio cases, with many more likely to be reported, are now confirmed.

Polio, technically known as poliomyelitis, is a viral disease that can lead to full or partial paralysis, and sometimes death. The United States experienced periodic local polio epidemics until the development of the Salk and Sabin vaccines, introduced in 1955 and 1963 respectively. Before the vaccines were introduced, tens of thousands of Americans contracted the virus, which could leave them either partially or completely paralyzed. Dr. Jonah Salk’s birthday, Oct. 24, is now celebrated as World Polio Day.

POSTED: Friday, November 1, 2013, 6:30 AM
Maybe it was TOO spicy for this guy. (AP/PETA)

Just when you thought our food supply was safe again.

In the wake of the government shutdown that suspended many of the essential protective services of the Food and Drug Administration and the U.S. Department of Agriculture (we wrote about this a few weeks back), an  FDA report – released, appropriately, on Mischief Night – finds that the spices we season our foods with can be tainted with pathogens and filth.

A spicy meal, anyone?

POSTED: Thursday, October 17, 2013, 11:50 PM

“Against the assault of laughter,” Mark Twain once wrote, “nothing can stand.” Not even a bad divorce is safe from that assault, as you’ll quickly learn if you go see the new film A.C.O.D. (Adult Children of Divorce), opening this weekend in Philadelphia.

As your resident public health expert I could tell you that you should head to the Ritz at the Bourse because laughter is the best medicine. After all, laughter has been shown to relieve stress and pain, improve your mood, and even induce changes in your immune system. I could also tell you that if you are looking for new ways to burn calories, look no further than a good, sustained, hearty laugh—one study suggests 10-15 minutes of laughter a day might be all you need.

I could go on with the public health explanations of why you should see this insightful, funny, and bittersweet film about how adult children cope (or don’t) with their parents’ divorce. But let’s turn instead to A.C.O.D.'s director, Stu Zicherman (full disclosure, Stu is an old friend), who offers up advice about suffering from and laughing at being an A.C.O.D.


POSTED: Monday, October 7, 2013, 6:30 AM
The vaccine is here, but will we know when the flu arrives?

This is the second in a series of posts about the government shutdown’s impact on the nation’s health.

Whatever your politics, you should be afraid. Very afraid. Not only are radical Republicans—a term that once referred to the GOPs principled opponents to slavery and now simply means reckless—holding our government hostage in the hopes of delaying President Obama’s flagship health insurance program, but in the process they are harming us all. They are not only harming the government workers and their families who have been furloughed in the wake of this foolishness, but their actions have led to the suspension of essential programs that protect the public’s health.

Last week we wrote of the impending post-shutdown calamity as funding runs out for the Supplemental Nutrition Assistance Program for Women, Infants, and Children (known as WIC), putting almost 9 million WIC beneficiaries at risk. The low-income women and their babies who rely on WIC to receive infant formula are likely to be the most severely harmed should the shutdown not end quickly (how does that make you feel Speaker Boehner?!?).

POSTED: Thursday, September 26, 2013, 6:30 AM

Sen. Ted Cruz wrapped up a 21-hour grandstanding session Wednesday on the evils of Obamacare, a typically “Cruzian” address that included a bizarre comparison of the law’s implementation to the Nazi domination of Europe and a reading of the Dr. Suess classic Green Eggs and Ham.

Let’s look at the falsehoods concocted in Mr. Cruz’s rambling speech:

Ted Cruz: “I rise today in opposition to Obamacare. I rise today in an effort to speak for 26 million Texans and for 300 million Americans. All across this country Americans are suffering because of Obamacare. Obamacare isn't working.”


POSTED: Friday, September 13, 2013, 6:30 AM
Filed Under: Michael Yudell
Members of Asteroid! suffering through Study Hall so that you can fall off your seat laughing: front, Caitlin Weigel (left) and Lora Magaldi; middle, Jessica Ross and AJ Horan; back, Luke Field and Aaron Unice (yep, that's me in between). Photo by Erin Pitts.

Earlier this year at the Philadelphia Science Festival, I teamed up with comedians to dramatize (term used very loosely) real life events from the history of science and medicine. We've done it three years running, and it works like this: I give a monologue on a historical topic, then the improv group does a comedy riff on the crazy historical stories I share. And, I kid you not, people laugh.

Because despite what you think, history, science, and professors are (well, can be) funny.

Expanding on our popular act from the Science Festival, I am again teaming up with Philly Improv Theater’s Improv House Team "Asteroid!" to create a full hour of spontaneous comedy inspired by brutally honest science. The event – this Thursday through Sunday at the Fringe Festival – is called “Study Hall.” In it, I will exploit every ounce of my tenure to lecture on a wide variety of topics (many not appropriate for kids) and Asteroid! will warp each lesson into outrageous scenes on the spot.

POSTED: Wednesday, September 11, 2013, 3:02 AM
Filed Under: Food | Funding | History | Michael Yudell

In his 1938 book, My America, Louis Adamic wrote about answering the doorbell one morning during the Great Depression to be confronted by hungry children on their way to school. A girl spoke to him:“ Excuse me, Mister…but we have no eats in our house and my mother said I should take my brother before we go to school and ring a doorbell in some house…and ask you to give us something to eat.”

The following year, after having distributed some surplus commodities, through the Federal Surplus Relief Corporation, the United States Department of Agriculture (USDA) created an experimental food stamp program that lasted until 1943. Food insecurity was a problem then and it is today. A recent report found that 22 percent of Philadelphians were food insecure, lacking enough food for an active, healthy life. Yet the nation is in the midst of a congressional debate about the Supplemental Nutrition Assistance Program (SNAP), the descendent of the 1964 Food Stamp Act. A Robert Wood Johnson Foundation study of the impact of the cuts that some in Congress proposed found they would lead to greater poverty and food insecurity, with as many as 1.2 million children losing eligibility for free or reduced price school meals.

Opponents of the SNAP program claim it suffers from problems of fraud. That is not true; the rate is low and falling. Others claim that too many are eligible for SNAP. That is the result of our current recession, which began in 2007. Some wonder what people buy with SNAP. The answer is food—but no food that will be eaten in the store and no hot food. You cannot buy alcohol or tobacco products with SNAP.

POSTED: Tuesday, August 13, 2013, 6:30 AM
Filed Under: Ethics | Michael Yudell | Statistics
"Robot X-treme" by Andrew Joseph Smith, who is diagnosed with Asperger's Syndrome. Andrew started drawing just before 18 months of age. (Gallery at Children's Hospital of Philadelphia's Center for Autism Research)

Every so often a science news story comes along proclaiming that we are on the cusp of a revolutionary new understanding of autism spectrum disorders. In the past few years, research showing that genes, environmental factors, or some combination of the two cause or contribute to the development of autism have cycled through the media. Yet today we still know so frustratingly little about what causes autism and what the best treatments for it are. Never mind that we have a long way to go in providing consistent and first-rate services for all autistics (both children and adults at all points on the spectrum) and their families.

I don’t want to sound too cynical, because there are many researchers hard at work making progress in these areas. But I will say that the media still largely fails autistic people, their families, and the general public in reporting on autism. And although scientists do have a responsibility for how their research is communicated to the public, the presentation of that research also requires a deft pen, computer, tablet, or whatever your writing instrument of choice is.

Exhibit A: a story from Sunday’s New York Times by veteran science writer Gina Kolata—“Autism’s Unexpected Link to Cancer Gene”—which highlights research connecting the gene PTEN to a role in both the development of cancer and autism.

About this blog

What is public health — and why does it matter?

Through prevention, education, and intervention, public health practitioners - epidemiologists, health policy experts, municipal workers, environmental health scientists - work to keep us healthy.

It’s not always easy. Michael Yudell, Jonathan Purtle, and other contributors tell you why.

Michael Yudell, PhD, MPH Associate Professor, Drexel University School of Public Health
Jonathan Purtle, MPH Doctoral candidate and Research Associate, Center for Nonviolence and Social Justice, Drexel University
Janet Golden, PhD Professor of history, Rutgers University-Camden
Also on Philly.com:
Stay Connected