The Epidemic of Gun Violence: A ‘Problem to Be Solved, Not a Battle to Be Won’

The alarming surge in child gun deaths

For decades, gun violence in America has been framed “as a battle to be won rather than a problem to be solved,” in the words of a poignant New York Times op-ed by Nicholas Kristof, who argues that we should acknowledge the blunt reality that guns aren’t going away. Therefore, he writes, it’s time to “bypass the culture wars and try a harm-reduction model familiar from public health efforts to reduce deaths from other dangerous products such as cars and cigarettes.”

The current combative public debate has been accompanied by devastating increases in gun violence, particularly for the youngest members of our society. According to an October 2023 study published in Pediatrics, between 2011 and 2021, gun deaths among Americans under the age of 18 surged by 87%, making gun violence the leading cause of death for American children. In stark contrast, there has been an overall steady decline of child deaths from motor vehicle fatalities, with a 51% reduction from 1999 through 2020, showcasing the potential for effective interventions when society’s most confounding issues are treated through a public health lens.

The stark reality of gun violence

The reality of gun violence in America is stark and […]

Dengue Fever: What Nurses Need to Know Now

This summer the Centers for Disease Control and Prevention (CDC) has issued a health advisory as countries in the Americas report 9.7 million cases of dengue, the highest number in any year. The United States and Puerto Rico have reported 2,559 cases of dengue since January. The CDC expects the numbers to continue to rise as the environment warms.

Nurses in every specialty, but especially those who prepare individuals and families for international travel, will want to know about this latest dengue surge. All U.S. nurses will want to know how to triage, manage, and follow-up these patients to prevent local outbreaks and life-threatening complications.

Dengue (“den-gay”) fever is an age-old viral illness rapidly expanding its global impact beyond the tropics. According to the Rockefeller Foundation, “dengue fever is the most rapidly spreading mosquito-borne viral infection in the world.”

Also known as “breakbone fever” because of the painful arthralgias and myalgias associated with the infection, dengue is a common disease in the Americas, Africa, the Middle East, Asia, and the Pacific Islands, where it is a health risk for travelers and locals alike.

Currently 3.9 billion people are at risk in 129 countries, including certain areas of the United States. The WHO estimates […]

10 Lessons from Clara Barton’s Life for Living and Making an Impact

Oil painting of Clara Barton by Mathilde Leisenring, 1937.

Clara Barton lived an amazing life with extraordinary accomplishments, as a group of us recently learned on a tour retracing her steps (this will be the final post in the series). But it was an unlikely, even improbable, journey. She was painfully shy, suffered from anxiety and depression, and had to endure discrimination due to her gender, marital status, and age.

Out of these challenges, she became a teacher and started the first public school in New Jersey; was among the first women appointed to government work, serving in the U.S. Patent Office; served as a Civil War nurse; opened an Office for Missing Soldiers after the war; and remained an avid suffragette and abolitionist throughout her life.

She then started the American Red Cross at the age of 59 and convinced the International Red Cross to expand their services to disaster work. Resigning at age 82, […]

At Red Cross National Headquarters, a Vision of Past and Present Priorities

The author speaking to the Clara Barton tour group before the Tiffany stained glass windows at national Red Cross headquarters.

“Because of the climate crisis, the Red Cross launches nearly twice as many relief operations for major disasters than it did a decade ago.”

Today a group of us tracing the career and legacy of Clara Barton arrived at the ornate national Red Cross headquarters in Washington, D.C., a building I have been at countless times over my last 48 years of volunteering. Every time I enter, it reminds me of the people who have worked so hard to help millions of people have better lives—whether through disaster or war recovery, aid for military families, or donating the gift of blood.

Built as a memorial to the women of the Civil War with U.S. and private funds, the headquarters features exquisite architecture. The building’s showpiece—the Tiffany stained glass windows—are designed to “symbolize reconciliation following the Civil War and are reputed to be the largest suite of Tiffany windows created for a secular environment.”

A Brief History

We learned how the Red Cross initially focused on domestic and overseas disaster relief efforts, assisted the U.S. military […]

What’s Really Causing America’s Obesity Crisis?

Overeating doesn’t cause obesity. Obesity causes overeating.”
Dr. Lee Kaplan, Harvard University

Obesity is a disease.

Image created by OpenAI’s ChatGPT with DALL-E.

We see it everywhere, the very real and ongoing obesity pandemic. This pernicious disease now affects nearly half of the adults in this country, including those on both sides of the hospital bed rails, bringing with it over 200 associated complications and morbidities.

Obesity first became common in America during the last decades of the 20th century; since then its prevalence has only accelerated. Our youth have not been spared, with one in six children and one in four adolescents currently affected.

Despite what we see, many fail to recognize obesity as a true disease with complicated origins. The misguided and reductive idea that behaviors such as eating too much and moving too little are the predominant factors in risk and causation of obesity perpetuates the belief that those suffering with this devastating disease have an underlying character flaw such as gluttony, laziness, or lack of willpower. This in turn propagates societal and medical bias, leading to patient shaming and delayed obesity interventions.

While there’s no standard definition of obesity, it can be aptly […]

2024-04-23T09:49:01-04:00April 22nd, 2024|Nursing, Public health|2 Comments
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