Climate change's health effects are most strongly felt in Environmental Justice (EJ) communities which are predominantly people of color. This results in a disproportionate burden of climate change health effects on EJ communities. Climate change is a public health crisis, and more importantly to pediatricians -- it is a pediatric public health…

The opioid crisis is widely recognized as one of the most important public health emergencies of our time, and an issue that is particularly acute for rural communities. We propose a simple model of how opioids in a community can impact the education outcomes of children based on both the extent of exposure to opioids in the community and the…

Economically discriminatory zoning policies--which say that people are not welcome in a community unless they can afford a single-family home, sometimes on a large plot of land--run counter to American ideals and yet are pervasive in America. In most U.S. cities, zoning laws prohibit the construction of duplexes, triplexes, quads, and larger…

By April 15, 20 states had ordered child care centers to close in the wake of COVID-19, with exceptions for programs serving the children of essential workers such as health care professionals. Other states modified regulations, with some reducing class sizes to 10 or fewer. Especially for struggling providers, the emergency presents real…

Senate Bill (SB) 163 would alter the current law that requires coverage of behavioral health treatment (BHT) for autistic spectrum disorder (ASD). SB 163 would expand the definition of BHT to include treatment modalities based on developmental theory, would make technical changes to definitions related to network adequacy, would prohibit denial of…

A trio of crises--the COVID-19 pandemic, resulting financial instability, and racial injustice--has disrupted learning environments and the relationships, structures, and supports that students depend on to thrive. The consequences are far-reaching, but they have been felt most acutely by our most vulnerable youth. In the face of these challenges,…

Background: There has been little evaluation of school-located vaccination programs that offer human papillomavirus (HPV) vaccine in US schools without health centers (ie, extramural programs). This article summarizes lessons learned from such programs. Methods: In July to August 2010, 5 programs were identi?ed. Semistructured, in-depth telephone…

How can social indicator research improve understanding of community health as well as inform stakeholders about the assets disadvantaged communities have for coping with disparities? This paper describes the development and evolution of the Partnership for Assessment of Communities (PAC) and its best practices for social indicator research. The…

Introduction: Today there are significant challenges to public health, and effective responses to them will require complex approaches and strategies implemented by a qualified workforce. An adequately prepared workforce requires long-term development; however, local health departments have limited financial and staff resources. Schools and…

The "problem" of overweight and obesity among children and youth has received a tremendous amount of attention by government agencies, public health officials and within popular presses. The issue has been dubbed everything from a national epidemic to a global health crisis. Social policy solutions to the problem of overweight and…

In January 2007, The Center for Health and Health Care in Schools at the George Washington University School of Public Health and Health Services was commissioned to assess operations of school mental health programs in Washington, D.C. and recommend future directions in practices, policies and systems development. While this guidance is directed…

Despite declines in youth violence nationally in the past decade, incidence of youth violence and victimization--from assaults to homicide--continue to be pressing concerns in public safety and public health. Youth violence is also a particular concern for low-income, minority communities, where poverty, family instability, and unemployment…

There has been a recent slowdown in the decline of rates of tuberculosis (TB) in the United States. However, there are disparities in TB diagnosis between U.S.-born and foreign-born persons and between Whites and minorities. Measures for achieving TB elimination include identification of high-risk persons, including children and adolescents, at…

On July 28, the Governor signed legislation making significant revisions to the 2009-10 state budget. The revised budget allocates $85 billion in State General Fund spending, down from the $92 billion in the budget approved by the Governor and Legislature in February. This budget revision also captures some savings from the just-completed 2008-09…

Although California lags behind other states in insuring children of low-income working families, the state could provide assistance by building on existing public health programs. This report provides a primer on the problems of low-income uninsured children and explores the public policy building blocks needed to adequately and affordably insure…