Overdose prevention sites—places where people can use illicit drugs under supervision—are extremely controversial and many cities are opposed to them because of the belief that they’ll invite disorder and crime to the communities where they’re operating. Dr. Brandon del Pozo, assistant professor of medicine at the Warren Alpert Medical School at Brown, talks with Dr. Josh Sharfstein about a new study that put this question to the test and what they observed in the areas around two OPCs in New York City. Read the JAMA paper here:  https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811766 

689 - Do Overdose Prevention Sites Make Their Communities Less Safe?

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About this episode: One in five U.S. adults is taking five or more prescription drugs at a time, often for years without reassessment of need, dosage, or possible interactions. Today, a look at polypharmacy and why it’s important for physicians to periodically check in with patients about all the prescription—and nonprescription—drugs they’re taking. The guests also discuss the importance of considering non-pharmaceutical treatments like physical or talk therapy, and empowering patients and their care partners to ask questions about what they’re being prescribed. Guests: Dr. Cynthia Boyd is a geriatrician and faculty at Johns Hopkins Medicine. She is also a senior associate with the Johns Hopkins Center on Aging and Health.  Dr. Ariel Green is a geriatrician and faculty at Johns Hopkins Medicine. She is also a core faculty member of the  Johns Hopkins Bloomberg School of Public Health Center for Drug Safety and Effectiveness. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs, the largest center at the Johns Hopkins Bloomberg School of Public Health. Show links and related content:    Taking Multiple Medications? You May Need to Scale Back.—The New York Times    Taking more than 5 pills in a day? ‘Deprescribing’ can prevent harm—especially for older people—The Conversation   Contact us: Have a question about something you heard? Want to suggest a topic or guest? Contact us via email or  visit our website. Follow us:   @‌PublicHealthPod on X   @‌JohnsHopkinsSPH on Instagram   @‌JohnsHopkinsSPH on Facebook   @‌PublicHealthOnCall on YouTube   Here's our RSS feed  

EP 764 - Am I Taking Too Many Medications? Polypharmacy, Interactions, and Drug Cascades

Cruise ships are congregate settings where infectious diseases can quickly spread. But, there’s a lot that the industry and individuals can do to stay healthy and avoid, shall we say, explosive outbreaks. In today’s episode, learn about the most common culprits—including norovirus, food-borne illness, and COVID-19—and how people can think about safety from initial booking to final disembarkment and all the ports of call in between. Guest: Dr. Tara Palmore is an infectious disease physician at the National Institute of Allergy and Infectious Diseases. Host:  Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland’s Health Department. Show links: The CDC’s Cruise Ship Travel Information Contact us: Have a question about something you heard? Want to suggest a topic or guest? Contact us via email or  on our website. Follow us:   @‌PublicHealthPod on X   @‌JohnsHopkinsSPH on Instagram   @‌JohnsHopkinsSPH on Facebook   @‌PublicHealthOnCall on YouTube   Here's our RSS feed  

763 - How To Avoid Getting Sick On A Cruise Ship

It’s graduation time at the Bloomberg School! Doctoral candidate Francesca Marino joins the podcast to talk about how her interest in neuroscience led her to pursue a degree in epidemiology, and about her research looking into whether and how daily patterns of physical activity tracked through a wearable device could indicate cognitive health or decline. Guest: Dr. Francesca Marino is a recent graduate of the Johns Hopkins Bloomberg School of Public Health whose research focuses on the epidemiology of aging. Host:  Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland’s Health Department. Show links: Associations of Physical Activity and Heart Rate Variability from a Two-Week ECG Monitor with Cognitive Function and Dementia: the ARIC Neurocognitive Study—PubMed Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health  Activity, Sleep & Dementia—Hopkins Bloomberg Public Health Magazine Contact us: Have a question about something you heard? Want to suggest a topic or guest? Contact us via email or  on our website. Follow us:   @‌PublicHealthPod on X   @‌JohnsHopkinsSPH on Instagram   @‌JohnsHopkinsSPH on Facebook   @‌PublicHealthOnCall on YouTube   Here's our RSS feed  

762 - Interview With a Graduate: A New Doctor of Epidemiology Connects Physical Activity to Cognitive Health

Armed internal conflict  in Sudan has created a humanitarian crisis with millions of people displaced both internally and to neighboring countries. Dr. Salim Mohamednour, a medical epidemiologist with expertise in emergency response and the national health coordinator at the WHO country office in Sudan, talks with Dr. Josh Sharfstein about the unfolding catastrophe and what needs to be done. Special thanks to Aseel Salih, Hassan Salih, and Laila Zomorodian, Johns Hopkins Bloomberg School of Public Health students who assisted with the production of this podcast. A note that Dr. Mohamednour is not representing the WHO on the podcast. Content warning: this episode contains depictions of violence. Listeners interested in contributing can consider supporting the World Food Program, the  Sudanese American Physicians Association, and Sadagaat.

761 - The Humanitarian Crisis in Sudan

The planetary health crisis can’t be ignored in hospitals where patients are sick from climate-driven things like asthma from air quality emergencies, COVID-19 from a zoonotic spillover event, and cardiovascular complications from heat waves. Chris Lemon, an ER doctor and Bloomberg Health Initiative fellow who focuses on the intersection of climate change and health, talks with Stephanie Desmon about his work bringing planetary health dialogue to hospital staff while also looking at ways health systems can lower their massive carbon footprints.

689 - Do Overdose Prevention Sites Make Their Communities Less Safe?

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