Rear Admiral Sylvia Trent-Adams has been caring for people since she was just a child. When Trent-Adams was just 12 she volunteered as a candy striper at Lynchburg General Hospital in Virginia. The Rear Admiral later served as a nurse in the U.S. Army before rising up the ranks of the U.S. Public Health Service to become Deputy Surgeon General. In 2017, she was named Acting Surgeon General for six months, becoming just the second nurse, and the first registered nurse to hold that position. Today, Trent-Adams is Principal Deputy Assistant Secretary for Health in the Department of Health.

Throughout her career, Trent-Adams has focused on improving access to care for under-served and marginalized groups. And during a visit to the Harvard Chan School, we took the opportunity to interview Trent-Adams about her career in public health. She spoke about the need to shift America’s health care system to a prevention model, strategies for addressing complex health challenges, and how being a nurse has shaped her career.

Full Transcript: hsph.me/trent-adams-pod

May 10, 2019: Transforming America's 'sick care' system

The latest from public health experts on how we can all lead healthier lives.

Society & Culture

Personal Journals

History

Philosophy

Places & Travel

Science

Health & Fitness

Documentary

Working from home has its perks: Better coffee, easy commute, no fluorescent lighting. But, as any home office worker can tell you, there are also downsides: No more office social hours, no more ergonomic chairs, and no more quiet train rides to catch up on your podcasts. In this episode of the Better Off podcast, we’ll ask: Is working from home good or bad for our health?

Is working from home unhealthy?

As COVID-19 swept through American prisons and jails in 2020, wardens scrambled to keep prisoners and corrections officers from getting sick. One strategy was to increase solitary confinement. Health experts warn that solitary confinement increases the risk of mental illness and suicide, but the practice continues. Today, about 2 million people are incarcerated in the U.S. In this episode of the Better Off podcast, we'll ask: Is it possible to build a corrections system that accounts for their health and safety?

How can we protect the health of incarcerated people?

It’s estimated that half a million Americans are experiencing homelessness. Even a brief period of housing insecurity can make existing health issues worse, and bring up new physical and mental traumas. Doctors and nurses who help patients navigate these issues have a prescription: More housing, and more services. Is it possible to end chronic homelessness, even as eviction moratoriums end and rents increase? And is a housing-first model the best way to achieve that goal?

Can we end chronic homelessness?

What does a plate of healthy food look like? Everyone has an opinion – from doctors to dieticians to wellness experts. But advice on what to eat often ignores a big factor in how and why we make meals: Culture. Americans who trace their heritage back to Latin America or Africa often get messages that discourage them from seeing their home foods as healthy. In this episode, we’ll ask: Are we better off when diet and nutrition advice is informed by culture?

What makes a meal healthy?

It seems like every brand of makeup, fragrance, and hair care wants consumers to believe that their products are safe, natural, and clean. Is this all just greenwashing? The beauty industry is remarkably unregulated – and women, particularly Black women, bear the highest health risks from chemicals in everyday products. In this episode, we’ll ask: How can we decide what beauty and skincare products are safe to use?

May 10, 2019: Transforming America's 'sick care' system

Download our free app to listen on your phone